Wednesday 21 August 2013

What is the best method of birth control (or contraception)?

There is no "best" method of birth control. Each method has its pros and cons.

All women and men can have control over when, and if, they become parents. Making choices about birth control, or contraception, isn't easy. There are many things to think about. To get started, learn about birth control methods you or your partner can use to prevent pregnancy. You can also talk with your doctor about the choices.

Before choosing a birth control method, think about:

Your overall health
How often you have sex
The number of sex partners you have
If you want to have children someday
How well each method works to prevent pregnancy
Possible side effects
Your comfort level with using the method

Keep in mind, even the most effective birth control methods can fail. But your chances of getting pregnant are lowest if the method you choose always is used correctly and every time you have sex.

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What are the different types of birth control?

You can choose from many methods of birth control. They are grouped by how they work:

Types of birth control

Continuous abstinence
Natural family planning/rhythm method
Barrier methods

Contraceptive sponge
Diaphragm, cervical cap, and cervical shield
Female condom
Male condom

Hormonal methods

Oral contraceptives — combined pill ("The pill")
Oral contraceptives — progestin-only pill ("Mini-pill")
The patch
Shot/injection
Vaginal ring

Implantable devices

Implantable rods
Intrauterine devices

Permanent birth control methods

Sterilization implant
Surgical sterilization

Emergency contraception

Detailed information on each type is provided in the following charts. Talk with your doctor if you have questions about any of the choices.
Continuous abstinence
This means not having sex (vaginal, anal, or oral) at any time. It is the only sure way to prevent pregnancy and protect against sexually transmitted infections (STIs), including HIV.
Natural family planning/rhythm method

This method is when you do not have sex or use a barrier method on the days you are most fertile (most likely to become pregnant). You can read about barrier methods in the following chart.

A woman who has a regular menstrual cycle has about 9 or more days each month when she is able to get pregnant. These fertile days are about 5 days before and 3 days after ovulation, as well as the day of ovulation.

To have success with this method, you need to learn about your menstrual cycle. Then you can learn to predict which days you are fertile or "unsafe." To learn about your cycle, keep a written record of:

When you get your period
What it is like (heavy or light blood flow)
How you feel (sore breasts, cramps)

This method also involves checking your cervical mucus and recording your body temperature each day. Cervical mucus is the discharge from your vagina. You are most fertile when it is clear and slippery like raw egg whites. Use a basal thermometer to take your temperature and record it in a chart. Your temperature will rise 0.4 to 0.8° F on the first day of ovulation. You can talk with your doctor or a natural family planning instructor to learn how to record and understand this information.
Barrier methods — Put up a block, or barrier, to keep sperm from reaching the egg

Contraceptive sponge

This barrier method is a soft, disk-shaped device with a loop for taking it out. It is made out of polyurethane (pah-lee-YUR-uh-thayn) foam and contains the spermicide (SPUR-muh-syd) nonoxynol-9. Spermicide kills sperm.

Before having sex, you wet the sponge and place it, loop side down, inside your vagina to cover the cervix. The sponge is effective for more than one act of intercourse for up to 24 hours. It needs to be left in for at least 6 hours after having sex to prevent pregnancy. It must then be taken out within 30 hours after it is inserted.

Only one kind of contraceptive sponge is sold in the United States. It is called the Today Sponge. Women who are sensitive to the spermicide nonoxynol-9 should not use the sponge.

Diaphragm, cervical cap, and cervical shield

These barrier methods block the sperm from entering the cervix (the opening to your womb) and reaching the egg.

The diaphragm is a shallow latex cup.
The cervical cap is a thimble-shaped latex cup. It often is called by its brand name, FemCap.
The cervical shield is a silicone cup that has a one-way valve that creates suction and helps it fit against the cervix. It often is called by its brand name, Lea's Shield.

The diaphragm and cervical cap come in different sizes, and you need a doctor to "fit" you for one. The cervical shield comes in one size, and you will not need a fitting.

Before having sex, add spermicide (to block or kill sperm) to the devices. Then place them inside your vagina to cover your cervix. You can buy spermicide gel or foam at a drug store.

All three of these barrier methods must be left in place for 6 to 8 hours after having sex to prevent pregnancy. The diaphragm should be taken out within 24 hours. The cap and shield should be taken out within 48 hours.

Female condom

This condom is worn by the woman inside her vagina. It keeps sperm from getting into her body. It is made of thin, flexible, manmade rubber and is packaged with a lubricant. It can be inserted up to 8 hours before having sex. Use a new condom each time you have intercourse. And don't use it and a male condom at the same time.

Male condom

Male condoms are a thin sheath placed over an erect penis to keep sperm from entering a woman's body. Condoms can be made of latex, polyurethane, or "natural/lambskin". The natural kind do not protect against STIs. Condoms work best when used with a vaginal spermicide, which kills the sperm. And you need to use a new condom with each sex act.

Condoms are either:

Lubricated, which can make sexual intercourse more comfortable
Non-lubricated, which can also be used for oral sex. It is best to add lubrication to non-lubricated condoms if you use them for vaginal or anal sex. You can use a water-based lubricant, such as K-Y jelly. You can buy them at the drug store. Oil-based lubricants like massage oils, baby oil, lotions, or petroleum jelly will weaken the condom, causing it to tear or break.

Keep condoms in a cool, dry place. If you keep them in a hot place (like a wallet or glove compartment), the latex breaks down. Then the condom can tear or break.
Hormonal methods — Prevent pregnancy by interfering with ovulation, fertilization, and/or implantation of the fertilized egg

Oral contraceptives — combined pill ("The pill")

The pill contains the hormones estrogen and progestin. It is taken daily to keep the ovaries from releasing an egg. The pill also causes changes in the lining of the uterus and the cervical mucus to keep the sperm from joining the egg.

Some women prefer the "extended cycle" pills. These have 12 weeks of pills that contain hormones (active) and 1 week of pills that don't contain hormones (inactive). While taking extended cycle pills, women only have their period three to four times a year.

Many types of oral contraceptives are available. Talk with your doctor about which is best for you.

Your doctor may advise you not to take the pill if you:

Are older than 35 and smoke
Have a history of blood clots
Have a history of breast, liver, or endometrial cancer

Antibiotics may reduce how well the pill works in some women. Talk to your doctor about a backup method of birth control if you need to take antibiotics.

Women should wait three weeks after giving birth to begin using birth control that contains both estrogen and progestin. These methods increase the risk of dangerous blood clots that could form after giving birth. Women who delivered by cesarean section or have other risk factors for blood clots, such as obesity, history of blood clots, smoking, or preeclampsia, should wait six weeks.

The patch

Also called by its brand name, Ortho Evra, this skin patch is worn on the lower abdomen, buttocks, outer arm, or upper body. It releases the hormones progestin and estrogen into the bloodstream to stop the ovaries from releasing eggs in most women. It also thickens the cervical mucus, which keeps the sperm from joining with the egg. You put on a new patch once a week for 3 weeks. You don't use a patch the fourth week in order to have a period.

Women should wait three weeks after giving birth to begin using birth control that contains both estrogen and progestin. These methods increase the risk of dangerous blood clots that could form after giving birth. Women who delivered by cesarean section or have other risk factors for blood clots, such as obesity, history of blood clots, smoking, or preeclampsia, should wait six weeks.

Shot/injection

The birth control shot often is called by its brand name Depo-Provera. With this method you get injections, or shots, of the hormone progestin in the buttocks or arm every 3 months. A new type is injected under the skin. The birth control shot stops the ovaries from releasing an egg in most women. It also causes changes in the cervix that keep the sperm from joining with the egg.

The shot should not be used more than 2 years in a row because it can cause a temporary loss of bone density. The loss increases the longer this method is used. The bone does start to grow after this method is stopped. But it may increase the risk of fracture and osteoporosis if used for a long time.

Vaginal ring

This is a thin, flexible ring that releases the hormones progestin and estrogen. It works by stopping the ovaries from releasing eggs. It also thickens the cervical mucus, which keeps the sperm from joining the egg.

It is commonly called NuvaRing, its brand name. You squeeze the ring between your thumb and index finger and insert it into your vagina. You wear the ring for 3 weeks, take it out for the week that you have your period, and then put in a new ring.

Women should wait three weeks after giving birth to begin using birth control that contains both estrogen and progestin. These methods increase the risk of dangerous blood clots that could form after giving birth. Women who delivered by cesarean section or have other risk factors for blood clots, such as obesity, history of blood clots, smoking, or preeclampsia, should wait six weeks.
Implantable devices — Devices that are inserted into the body and left in place for a few years.

Implantable rod

This is a matchstick-size, flexible rod that is put under the skin of the upper arm. It is often called by its brand name, Implanon. The rod releases a progestin, which causes changes in the lining of the uterus and the cervical mucus to keep the sperm from joining an egg. Less often, it stops the ovaries from releasing eggs. It is effective for up to 3 years.

Intrauterine devices or IUDs

An IUD is a small device shaped like a "T" that goes in your uterus. There are two types:

Copper IUD — The copper IUD goes by the brand name ParaGard. It releases a small amount of copper into the uterus, which prevents the sperm from reaching and fertilizing the egg. If fertilization does occur, the IUD keeps the fertilized egg from implanting in the lining of the uterus. A doctor needs to put in your copper IUD. It can stay in your uterus for 5 to 10 years.

Hormonal IUD — The hormonal IUD goes by the brand name Mirena. It is sometimes called an intrauterine system, or IUS. It releases progestin into the uterus, which keeps the ovaries from releasing an egg and causes the cervical mucus to thicken so sperm can't reach the egg. It also affects the ability of a fertilized egg to successfully implant in the uterus. A doctor needs to put in a hormonal IUD. It can stay in your uterus for up to 5 years.

Permanent birth control methods — For people who are sure they never want to have a child or they do not want more children

Sterilization implant (essure)

Essure is the first non-surgical method of sterilizing women. A thin tube is used to thread a tiny spring-like device through the vagina and uterus into each fallopian tube. The device works by causing scar tissue to form around the coil. This blocks the fallopian tubes and stops the egg and sperm from joining.

It can take about 3 months for the scar tissue to grow, so it's important to use another form of birth control during this time. Then you will have to return to your doctor for a test to see if scar tissue has fully blocked your tubes.

Surgical sterilization

For women, surgical sterilization closes the fallopian tubes by being cut, tied, or sealed. This stops the eggs from going down to the uterus where they can be fertilized. The surgery can be done a number of ways. Sometimes, a woman having cesarean birth has the procedure done at the same time, so as to avoid having additional surgery later.

For men, having a vasectomy (vuh-SEK-tuh-mee) keeps sperm from going to his penis, so his ejaculate never has any sperm in it. Sperm stays in the system after surgery for about 3 months. During that time, use a backup form of birth control to prevent pregnancy. A simple test can be done to check if all the sperm is gone; it is called a semen analysis.
Emergency contraception — Used if a woman's primary method of birth control fails. It should not be used as a regular method of birth control.

Emergency contraception (Plan B One-Step or Next Choice. It is also called the "morning after pill.")

Emergency contraception keeps a woman from getting pregnant when she has had unprotected vaginal intercourse. "Unprotected" can mean that no method of birth control was used. It can also mean that a birth control method was used but it was used incorrectly, or did not work (like a condom breaking). Or, a woman may have forgotten to take her birth control pills. She also may have been abused or forced to have sex. These are just some of the reasons women may need emergency contraception.

Emergency contraception can be taken as a single pill treatment or in two doses. A single dose treatment works as well as two doses and does not have more side effects. It works by stopping the ovaries from releasing an egg or keeping the sperm from joining with the egg. For the best chances for it to work, take the pill as soon as possible after unprotected sex. It should be taken within 72 hours after having unprotected sex.

A single-pill dose or two-pill dose of emergency contraception is available over-the-counter (OTC) for women ages 17 and older.

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Can all types of birth control prevent sexually transmitted infections (STIs)?

No. The male latex condom is the only birth control method proven to help protect you from STIs, including HIV. Research is being done to find out how effective the female condom is at preventing STIs and HIV. For more information, see Will birth control pills protect me from sexually transmitted infections (STIs), including HIV/AIDS?

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How well do different kinds of birth control work? Do they have side effects?

All birth control methods work the best if used correctly and every time you have sex. Be sure you know the right way to use them. Sometimes doctors don't explain how to use a method because they assume you already know. Talk with your doctor if you have questions. They are used to talking about birth control. So don't feel embarrassed about talking to him or her.

Some birth control methods can take time and practice to learn. For example, some people don't know you can put on a male condom "inside out." Also, not everyone knows you need to leave a little space at the tip of the condom for the sperm and fluid when a man ejaculates, or has an orgasm.

Here is a list of some birth control methods with their failure rates and possible side effects.
Birth control methods, failure rates, and side effects Method Failure rate (the number of pregnancies expected per 100 women) Some side effects and risks

Sterilization surgery for women


Less than 1 pregnancy


Pain
Bleeding
Complications from surgery
Ectopic (tubal) pregnancy

Sterilization implant for women
(Essure)


Less than 1 pregnancy


Pain
Ectopic (tubal) pregnancy

Sterilization surgery for men


Less than 1 pregnancy


Pain
Bleeding
Complications from surgery

Implantable rod
(Implanon)


Less than 1 pregnancy

Might not work as well for women who are overweight or obese.


Acne
Weight gain
Ovarian cysts
Mood changes
Depression
Hair loss
Headache
Upset stomach
Dizziness
Sore breasts
Changes in period
Lower interest in sex

Intrauterine device
(ParaGard, Mirena)


Less than 1 pregnancy


Cramps
Bleeding between periods
Pelvic inflammatory disease
Infertility
Tear or hole in the uterus

Shot/injection
(Depo-Provera)


Less than 1 pregnancy


Bleeding between periods
Weight gain
Sore breasts
Headaches
Bone loss with long-term use

Oral contraceptives (combination pill, or "the pill")


5 pregnancies

Being overweight may increase the chance of getting pregnant while using the pill.




Dizziness
Upset stomach
Changes in your period
Changes in mood
Weight gain
High blood pressure
Blood clots
Heart attack
Stroke
New vision problems

Oral contraceptives (continuous/extended use, or "no-period pill")


5 pregnancies

Being overweight may increase the chance of getting pregnant while using the pill.


Same as combination pill
Spotting or bleeding between periods
Hard to know if pregnant

Oral contraceptives (progestin-only pill, or "mini-pill")


5 pregnancies

Being overweight may increase the chance of getting pregnant while using the pill.


Spotting or bleeding between periods
Weight gain
Sore breasts

Skin patch
(Ortho Evra)


5 pregnancies

May not work as well in women weighing more than 198 pounds.


Similar to side effects for the combination pill
Greater exposure to estrogen than with other methods

Vaginal ring (NuvaRing)


5 pregnancies


Similar to side effects for the combination pill
Swelling of the vagina
Irritation
Vaginal discharge

Male condom


11-16 pregnancies


Allergic reactions

Diaphragm with spermicide


15 pregnancies


Irritation
Allergic reactions
Urinary tract infection
Toxic shock if left in too long

Sponge with spermicide (Today Sponge)


16-32 pregnancies


Irritation
Allergic reactions
Hard time taking it out
Toxic shock if left in too long

Cervical cap with spermicide


17-23 pregnancies


Irritation
Allergic reactions
Abnormal Pap smear
Toxic shock if left in too long

Female condom


20 pregnancies


Irritation
Allergic reactions

Natural family planning (rhythm method)


25 pregnancies


None



Spermicide alone


30 pregnancies

It works best if used along with a barrier method, such as a condom.


Irritation
Allergic reactions
Urinary tract infection

Emergency contraception ("morning-after pill," "Plan B One-Step," "Next Choice")


1 pregnancy

It must be used within 72 hours of having unprotected sex.

Should not be used as regular birth control; only in emergencies.


Upset stomach
Vomiting
Lower stomach pain
Fatigue
Headache and dizziness
Irregular bleeding
Breast tenderness



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Where can I get birth control? Do I need to see a doctor?

Where you get birth control depends on what method you choose.

You can buy these forms over the counter:

Male condoms
Female condoms
Sponges
Spermicides
Emergency contraception pills (girls younger than 17 need a prescription)

You need a prescription for these forms:

Oral contraceptives: the pill, the mini-pill
Skin patch
Vaginal ring
Diaphragm (your doctor needs to fit one to your shape)
Cervical cap
Cervical shield
Shot/injection (you get the shot at your doctor's office)
IUD (inserted by a doctor)
Implantable rod (inserted by a doctor)

You will need surgery or a medical procedure for:

Sterilization, female and male

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Are there any foams or gels I can use to keep from getting pregnant?

You can buy spermicides over the counter. They work by killing sperm. They come in many forms:

Foam
Gel
Cream
Film
Suppository
Tablet

Spermicides are put in the vagina no more than 1 hour before having sex. If you use a film, suppository, or tablet, wait at least 15 minutes before having sex so the spermicide can dissolve. Do not douche or rinse out your vagina for at least 6 to 8 hours after having sex. You will need to use more spermicide each time you have sex.

Spermicides work best if used along with a barrier method, such as a condom, diaphragm, or cervical cap. Some spermicides are made just for use with the diaphragm and cervical cap. Check the package to make sure you are buying what you need.

All spermicides contain sperm-killing chemicals. Some contain nonoxynol-9, which may raise your risk of HIV if you use it a lot. It irritates the tissue in the vagina and anus, so it can cause the HIV virus to enter the body more freely. Some women are sensitive to nonoxynol-9 and need to use spermicides without it. Medications for vaginal yeast infections may lower the effectiveness of spermicides. Also, spermicides do not protect against sexually transmitted infections.

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How effective is withdrawal as a birth control method?

Not very! Withdrawal is when a man takes his penis out of a woman's vagina (or "pulls out") before he ejaculates, or has an orgasm. This stops the sperm from going to the egg. "Pulling out" can be hard for a man to do. It takes a lot of self-control.

Even if you use withdrawal, sperm can be released before the man pulls out. When a man's penis first becomes erect, pre-ejaculate fluid may be on the tip of the penis. This fluid has sperm in it. So you could still get pregnant.

Withdrawal does not protect you from STIs or HIV.

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Everyone I know is on the pill. Is it safe?

Today's pills have lower doses of hormones than ever before. This has greatly lowered the risk of side effects. But there are still pros and cons with taking birth control pills. Pros include having:

More regular and lighter periods
Fewer menstrual cramps
A lower risk of ovarian and endometrial cancers, pelvic inflammatory disease (PID), noncancerous ovarian cysts, and iron deficiency anemia

Cons include a higher chance, for some women, of:

Heart disease, high blood pressure, and blood clots
Nausea, headaches, sore breasts, and weight gain
Irregular bleeding
Depression

Many of these side effects go away after taking the pill for a few months. Women who smoke, are older than 35, or have a history of blood clots or breast or endometrial cancer are more at risk of bad side effects and may not be able to take the pill. Talk with your doctor about whether the pill is right for you.

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Will birth control pills protect me from sexually transmitted infections (STIs), including HIV/AIDS?

No, they won't protect you. Birth control pills and most other birth control methods will not protect you from STIs, including HIV (the virus that causes AIDS). They only protect against pregnancy.

The male latex condom is the best birth control method that also can protect you from STIs, including HIV. If you are allergic to latex, polyurethane condoms are a good alternative. If your partner can't or won't use a male condom, female condoms also create a barrier that can help protect you from STIs.

It is important to only use latex or polyurethane condoms to protect you from STIs. "Natural" or "lambskin" condoms have tiny pores that may allow for the passage of viruses like HIV, hepatitis B, and herpes. If you use non-lubricated male condoms for vaginal or anal sex, you can add lubrication with water-based lubricants (like K-Y jelly) that you can buy at a drug store. Never use oil-based products, such as massage oils, baby oil, lotions, or petroleum jelly, to lubricate a male condom. These will weaken the condom, causing it to tear or break. Use a new condom with each sex act.

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I've heard my girlfriends talking about dental dams — what are they?

The dental dam is a square piece of rubber that is used by dentists during oral surgery and other procedures. It is not a method of birth control. But it can be used to help protect people from STIs, including HIV, during oral-vaginal or oral-anal sex. It is placed over the opening to the vagina or the anus before having oral sex. You can buy dental dams at surgical supply stores.

5 things to know about marijuana in the U.S.

There appears to be a shift in the United States in favor of relaxing marijuana laws. Making pot legal, supporters say, can simultaneously provide relief for the sick and poke a hole in the operations of drug cartels. But the federal government has not acted to remove marijuana's label as a controlled substance and has reaffirmed its anti-pot policy.

Morgan Spurlock's new program, "Inside Man," premieres on CNN this weekend with an in-depth look at the medical marijuana business in California. Here are five things to know about the current debate over the drug:
There is evidence of changing attitudes in America
Public perceptions about pot have come a long way in the past decades, from the dire warnings of "Reefer Madness" to growing acceptance of medical marijuana use.
What is a marijuana clinic like?
Spurlock: 'I'm Harborside's newest hire'
Laws in several states decriminalizing marijuana or allowing for medical marijuana use are one indicator of how voters feel.
Two states -- Colorado and Washington -- have completely legalized pot for recreational use.
Adrien Grenier, best known for his role in the HBO hit "Entourage," produced a documentary film that examines who the people swept up in the war on drugs really are.
He made the film, "How to Make Money Selling Drugs," as a way to "examine the hypocrisy of the war on drugs," he wrote recently.
Grenier's views reflect those of an increasing number of Americans who, polls show, see the prohibition of marijuana as a waste of billions of dollars.
"I want to make clear that I am not looking to glamorize the drug trade," Grenier wrote. "But it is important to understand that little is to be gained from stigma and demonization."
Cheryl Shuman, who calls herself the Martha Stewart of marijuana, argues that marijuana can make you a better parent and provide economic opportunities for others.
"The bottom line is cannabis is here to stay, the toothpaste is out of the tube," Shulman told CNN's Piers Morgan.
But not all are convinced.
Last year, John Walters, who directed the White House Office of National Drug Control Policy from 2001 to 2009, told CNN that decriminalization is "utterly self-defeating" and would cause more crime.
The cost of prohibition remains high
It is estimated that $7.6 billion is spent annually by state and local justice systems on marijuana arrests, according to advocacy group NORML.
Advocates of reforms say instead of spending this money on enforcement, the government could spend it elsewhere and tax marijuana to reap even more for its coffers.
Indeed, taxing pot could raise hundreds of millions of dollars, but there is no guarantee that it would be a moneymaker for states.
The financial gains in Washington and Colorado, the two states that have legalized marijuana, have not been as great as some expected.
Washington had projected up to $450 million in added annual tax revenue, but the state's new pot consultant figures it could be little more than half that.
In Colorado, the Colorado Futures Center think tank forecasts $130 million in new tax revenue but thinks that won't even cover the cost of regulating the new industry.
Still, some say the legalization of pot would bring down the black markets that have left a murderous trail, drawing parallels with what happened during and after the prohibition of alcohol in the 1920s and '30s.
Estimates vary widely on how big a hit drug cartels would take if marijuana were legalized. While U.S. officials said in 2009 that 60% of cartel revenue came from weed, the RAND Corp. said the following year that "15-26 percent is a more credible range."
A report this month by the Mexican Competitiveness Institute predicted Mexican drug organizations, specifically the Sinaloa Cartel, could lose almost $2.8 billion just from the legalization votes in Colorado and Washington.
Studies cite medicinal benefits of marijuana
The wall of prohibition began to show cracks when it became accepted that marijuana has medicinal uses.
Medical marijuana dispensaries have clients who suffer ills ranging from cancer to AIDS to chronic pain. Proponents say the drug's pain-relieving properties offer an alternative for cancer patients undergoing chemotherapy or radiation treatments.
Opponents, however, say that science has yet to prove that marijuana is safe.
A series of trials published by the University of California Center for Medicinal Cannabis Research last year showed cannabis can help patients suffering from neuropathic pain, commonly caused by degenerative diseases like multiple sclerosis or fibromyalgia. Neuropathic pain is also a common side effect of chemotherapy and radiation.
Study participants on cannabis reported a 34% to 40% decrease in pain, compared with the 17% to 20% decrease seen in patients on a placebo drug.
The National Institute on Drug Abuse, meanwhile, says that marijuana causes an increase in heart rate, which could put users at risk for a heart attack or stroke. Marijuana smoke also contains carcinogens similar to those in tobacco smoke.
Jason David, whose son Jayden suffers from seizures, turned to the drug and calls it "miracle marijuana."
Jayden has Dravet syndrome, a rare and catastrophic form of childhood epilepsy. The boy started taking a liquid, nonpsychoactive form of marijuana, which his father says controls his violent seizures. This form ensures that Jayden does not get high from the drug, his father says, but has allowed him to enjoy the things other boys do.
Medical marijuana dispensaries are not what you imagine
Spurlock said he imagined that marijuana dispensaries -- the places where patients can purchase medical pot -- would be shady places. What he found at Harborside Health Center, the largest dispensary in the country, surprised him.
The space was large and clean, nicer than many health clinics he has been to, Spurlock said. Tight security regulated who could enter the business, which sells various strains of marijuana and lotions, pills and other products derived from the drug.
Some strains of marijuana are known to be more cerebral and energizing, while others are more sedative in nature and have greater pain-relieving properties. Dispensaries such as Harborside categorize their products accordingly and have specific strains for different ailments.
Marijuana laws put state and federal statutes at odds
Eighteen states have either decriminalized or allowed medical marijuana in some fashion. While the state laws have allowed dispensaries to open, they remain illegal under federal law. The gap between state and federal laws is widening when it comes to marijuana enforcement.
For instance, state law makes it legal to possess marijuana in Washington state, but selling drugs is still a federal crime. There is a similar situation in California, where medical marijuana is allowed, but again, growers don't have the same legal protections that users have.
Pot smokers in Washington celebrated in Seattle's Space Needle by toking up as the law legalizing weed went into effect, but growing and selling it remain felonies.
"So I'm not sure where you're supposed to get it," King County Prosecutor Dan Satterberg said when the law went into effect. "If you stumble across some on the street or it falls from the sky, then you can have it. Otherwise, you are part of a criminal chain of distribution."
In 1996, California voters approved Proposition 215 to exempt doctors and seriously ill patients from marijuana laws and allow them to grow and use it in treatment. But government crackdowns on growers since then have led to multiple lawsuits.
Harborside, the dispensary that Spurlock visited, is fighting to remain open amid efforts by the feds to shut it down.
By Mariano Castillo, CNN
June 23, 2013

Why I changed my mind on weed

Over the last year, I have been working on a new documentary called "Weed." The title "Weed" may sound cavalier, but the content is not.
I traveled around the world to interview medical leaders, experts, growers and patients. I spoke candidly to them, asking tough questions. What I found was stunning.
Long before I began this project, I had steadily reviewed the scientific literature on medical marijuana from the United States and thought it was fairly unimpressive. Reading these papers five years ago, it was hard to make a case for medicinal marijuana. I even wrote about this in a TIME magazine article, back in 2009, titled "Why I would Vote No on Pot."
Well, I am here to apologize.
I apologize because I didn't look hard enough, until now. I didn't look far enough. I didn't review papers from smaller labs in other countries doing some remarkable research, and I was too dismissive of the loud chorus of legitimate patients whose symptoms improved on cannabis.
Instead, I lumped them with the high-visibility malingerers, just looking to get high. I mistakenly believed the Drug Enforcement Agency listed marijuana as a schedule 1 substance because of sound scientific proof. Surely, they must have quality reasoning as to why marijuana is in the category of the most dangerous drugs that have "no accepted medicinal use and a high potential for abuse."
Dr. Sanjay Gupta is a neurosurgeon and CNN\'s chief medical correspondent.
Dr. Sanjay Gupta is a neurosurgeon and CNN's chief medical correspondent.
They didn't have the science to support that claim, and I now know that when it comes to marijuana neither of those things are true. It doesn't have a high potential for abuse, and there are very legitimate medical applications. In fact, sometimes marijuana is the only thing that works. Take the case of Charlotte Figi, who I met in Colorado. She started having seizures soon after birth. By age 3, she was having 300 a week, despite being on seven different medications. Medical marijuana has calmed her brain, limiting her seizures to 2 or 3 per month.
I have seen more patients like Charlotte first hand, spent time with them and come to the realization that it is irresponsible not to provide the best care we can as a medical community, care that could involve marijuana.
We have been terribly and systematically misled for nearly 70 years in the United States, and I apologize for my own role in that.
Medical facts of Marijuana
WEED: A Dr. Sanjay Gupta Special
I hope this article and upcoming documentary will help set the record straight.
On August 14, 1970, the Assistant Secretary of Health, Dr. Roger O. Egeberg wrote a letter recommending the plant, marijuana, be classified as a schedule 1 substance, and it has remained that way for nearly 45 years. My research started with a careful reading of that decades old letter. What I found was unsettling. Egeberg had carefully chosen his words:
"Since there is still a considerable void in our knowledge of the plant and effects of the active drug contained in it, our recommendation is that marijuana be retained within schedule 1 at least until the completion of certain studies now underway to resolve the issue."
Not because of sound science, but because of its absence, marijuana was classified as a schedule 1 substance. Again, the year was 1970. Egeberg mentions studies that are underway, but many were never completed. As my investigation continued, however, I realized Egeberg did in fact have important research already available to him, some of it from more than 25 years earlier.
High risk of abuse
In 1944, New York Mayor Fiorello LaGuardia commissioned research to be performed by the New York Academy of Science. Among their conclusions: they found marijuana did not lead to significant addiction in the medical sense of the word. They also did not find any evidence marijuana led to morphine, heroin or cocaine addiction.
We now know that while estimates vary, marijuana leads to dependence in around 9 to 10% of its adult users. By comparison, cocaine, a schedule 2 substance "with less abuse potential than schedule 1 drugs" hooks 20% of those who use it. Around 25% of heroin users become addicted.
The worst is tobacco, where the number is closer to 30% of smokers, many of whom go on to die because of their addiction.
There is clear evidence that in some people marijuana use can lead to withdrawal symptoms, including insomnia, anxiety and nausea. Even considering this, it is hard to make a case that it has a high potential for abuse. The physical symptoms of marijuana addiction are nothing like those of the other drugs I've mentioned. I have seen the withdrawal from alcohol, and it can be life threatening.
I do want to mention a concern that I think about as a father. Young, developing brains are likely more susceptible to harm from marijuana than adult brains. Some recent studies suggest that regular use in teenage years leads to a permanent decrease in IQ. Other research hints at a possible heightened risk of developing psychosis.
Much in the same way I wouldn't let my own children drink alcohol, I wouldn't permit marijuana until they are adults. If they are adamant about trying marijuana, I will urge them to wait until they're in their mid-20s when their brains are fully developed.
Medical benefit
While investigating, I realized something else quite important. Medical marijuana is not new, and the medical community has been writing about it for a long time. There were in fact hundreds of journal articles, mostly documenting the benefits. Most of those papers, however, were written between the years 1840 and 1930. The papers described the use of medical marijuana to treat "neuralgia, convulsive disorders, emaciation," among other things.
A search through the U.S. National Library of Medicine this past year pulled up nearly 20,000 more recent papers. But the majority were research into the harm of marijuana, such as "Bad trip due to anticholinergic effect of cannabis," or "Cannabis induced pancreatitits" and "Marijuana use and risk of lung cancer."
In my quick running of the numbers, I calculated about 6% of the current U.S. marijuana studies investigate the benefits of medical marijuana. The rest are designed to investigate harm. That imbalance paints a highly distorted picture.
The challenges of marijuana research
To do studies on marijuana in the United States today, you need two important things.
First of all, you need marijuana. And marijuana is illegal. You see the problem. Scientists can get research marijuana from a special farm in Mississippi, which is astonishingly located in the middle of the Ole Miss campus, but it is challenging. When I visited this year, there was no marijuana being grown.
The second thing you need is approval, and the scientists I interviewed kept reminding me how tedious that can be. While a cancer study may first be evaluated by the National Cancer Institute, or a pain study may go through the National Institute for Neurological Disorders, there is one more approval required for marijuana: NIDA, the National Institute on Drug Abuse. It is an organization that has a core mission of studying drug abuse, as opposed to benefit.
Stuck in the middle are the legitimate patients who depend on marijuana as a medicine, oftentimes as their only good option.
Keep in mind that up until 1943, marijuana was part of the United States drug pharmacopeia. One of the conditions for which it was prescribed was neuropathic pain. It is a miserable pain that's tough to treat. My own patients have described it as "lancinating, burning and a barrage of pins and needles." While marijuana has long been documented to be effective for this awful pain, the most common medications prescribed today come from the poppy plant, including morphine, oxycodone and dilaudid.
Here is the problem. Most of these medications don't work very well for this kind of pain, and tolerance is a real problem.
Most frightening to me is that someone dies in the United States every 19 minutes from a prescription drug overdose, mostly accidental. Every 19 minutes. It is a horrifying statistic. As much as I searched, I could not find a documented case of death from marijuana overdose.
It is perhaps no surprise then that 76% of physicians recently surveyed said they would approve the use of marijuana to help ease a woman's pain from breast cancer.
When marijuana became a schedule 1 substance, there was a request to fill a "void in our knowledge." In the United States, that has been challenging because of the infrastructure surrounding the study of an illegal substance, with a drug abuse organization at the heart of the approval process. And yet, despite the hurdles, we have made considerable progress that continues today.
Looking forward, I am especially intrigued by studies like those in Spain and Israel looking at the anti-cancer effects of marijuana and its components. I'm intrigued by the neuro-protective study by Lev Meschoulam in Israel, and research in Israel and the United States on whether the drug might help alleviate symptoms of PTSD. I promise to do my part to help, genuinely and honestly, fill the remaining void in our knowledge.
Citizens in 20 states and the District of Columbia have now voted to approve marijuana for medical applications, and more states will be making that choice soon. As for Dr. Roger Egeberg, who wrote that letter in 1970, he passed away 16 years ago.
I wonder what he would think if he were alive today.

By Dr. Sanjay Gupta, CNN Chief Medical Correspondent
August 9, 2013

Nick Symmonds: Russian law sparks 'defining civil rights movement'

Russia's controversial anti-gay propaganda law has sparked the "defining civil rights movement of our time" according to U.S. athlete Nick Symmonds.
The recently implemented law has been criticized by U.S. President Barack Obama and there have been calls by some to boycott next year's winter Olympics in the Russian city of Sochi.
It bars "propaganda of non-traditional sexual relations to minors" and so effectively prevents gay people from expressing their sexuality in public.
"As an American who believes in freedom of speech and freedom of assembly I take huge offense that the Russian government is limiting their people in that way," Symmonds told CNN Friday.
Already a talking point at the track and field world championships in Moscow, the issue intensified when one of Russia's greatest athletes, Yelena Isinbayeva, appeared to back her nation's stance Thursday.
"If we allow to promote and do all this stuff on the street, we are very afraid about our nation because we consider ourselves like normal, standard people," Isinbayeva said in English at a press conference. "We just live boys with woman, women with boys."
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After the pole vaulter was criticized, too -- Symmonds was one of those who took offense -- she backtracked Friday, claiming she had been misunderstood as English wasn't her first language.
But even before Isinbayeva's comments, Symmonds had stated his disapproval with the law in his blog for Runner's World -- though he promised to not discuss the subject during the championships.
However he "couldn't stay silent anymore" after watching a CNN story that showed two Russian women shoved to the ground after they appeared to kiss each other in the street.
It was "based on nothing more than they wanted to express their love for each other," he told CNN. "I was just appalled."
Symmonds dedicated the silver medal he won in the 800 meters Tuesday to his gay, lesbian, bisexual and transgender friends in the U.S., British newspaper the Independent reported.
"This is the defining civil rights movement of our time," Symmonds told CNN. "I just want to say in 100 years when people look back on this moment, the people who are against equality and against love are going to be remembered on the wrong side of history.
"And I'm honored to be standing alongside our gay and lesbian friends on the right side of history."
He isn't the only competitor at the world championships supporting gay rights.
Swedish high-jumper Emma Green Tregaro and sprinter Mao Hjelmer wore rainbow-colored fingernails in their events. Green Tregaro posted a picture on her Instagram account captioned: "Nails painted in rainbow sign#pride#moscow2013."
That prompted Isinbayeva to hit back.
She complained about the Swedes being "unrespectful to our country" and "unrespectful to our citizens because we are Russians.
Is a boycott of the Sochi games enough
Greg Louganis on talk of Olympic boycott
"We have our home and everyone has to respect (it). When we arrive to different countries, we try to follow their rules."
Symmonds said he was trying to be respectful but felt he had to speak up.
"I'm a guest in this nation," he told CNN. "And if I really wanted to press this issue I could go a lot further and be assembling in the streets but I want to be respectful. Respect the fact that there are a lot of competitors around here that still have to compete and I'm trying to not create a huge distraction for them.
"But at the same time, you watch that video and if that just doesn't show how antiquated some people's thoughts are on this issue, then I don't know what does.
"Running around in circles is great. Winning medals is awesome. If you can maybe change the mind of people for the better and encourage love and equality, then that's what this is really all about.

Young girls can behave in a predatory manner. I should know

Aged 14 I looked much older, and used to enjoy enticing men

A week ago, Neil Wilson, a 41-year-old man who had admitted having sex with a 13-year-old girl, walked free from court after the girl was described by the judge and prosecution as sexually ‘predatory’. The ensuing debate has flickered back and forth between those who are appalled at the description and see it as contributing to rape absolution, and those who, while not recommending its usage, are keen to highlight that some rape victims have shown ‘assertive behaviour’.
I was reading the comments on an article by human rights lawyer Barbara Hewson which argues the latter, when one of them struck home. The comment argues that girls under the age of sixteen can indeed behave in a predatory manner. This does not mean that ‘predatory’ is an appropriate word to use in a legal sense, loaded as it is with a sense of killer versus victim, but it certainly can be reflective of the truth.
I can confirm this first-hand. By the age of fourteen I already looked much older, which I exaggerated further with bleached blonde hair and eyeliner. I used to actively enjoy enticing men, only to crush them later on by informing them of my age. One memorable solo flight to visit my French exchange saw me, with sky blue nail varnish, consciously looking pensively out of the window, posing with my head cupped in my hand, flicking little glances at the unassuming-looking guy in his 20s or 30s across the aisle. I still remember the shockingly smug feeling when he told me on the shuttle bus that he liked my nail varnish; still more vividly the horrified look on his face when I informed him of my age after we’d chatted all the way through baggage reclaim. And that wasn’t the only occurrence of its kind.
Recalling such incidents got me thinking. What if I hadn’t told the truth about my age? Or what if the subject had never come up? It certainly shouldn’t have to, particularly within certain contexts. If two people are in a bar or club where the minimum age requirement is eighteen, it is customary for each to trust that the other meets this condition. We do not ‘ID’ potential love interests.
Before I am hit with a torrent of vitriol, I am not going to support the court verdict of last week. What Wilson did was rape, and always will be. The difference between a predatory fourteen year old and a predatory twenty year old is that the former is just a child. However, I find it baffling that the prosecutor’s description of the girl as ‘predatory’ seems to have induced more public hatred towards Neil Wilson. I think it should engender less. It was the wrong word to use in court, but we should let its usage, if remotely relevant, inform us as to how someone might be able to do such a thing. It by no means absolves him/her, but it is certainly an excuse in some form, and not a pathetic one either.
Last week, Brooke Magnanti drew an obvious but informative parallel between Wilson’s situation and that of Nabokov’s controversial novel Lolita, stating that ‘if you got to the end of Lolita and though Humbert was a hero, you have utterly missed the point.’ Nobody’s calling Humbert a hero, but unlike Magnanti, I believe that Lolita is controversial because we do empathise with its narrator/protagonist. Humbert Humbert is simultaneously vile and likeable; we both understand and are revolted by his plight, and we pity him.
Children are many things, and some children are indeed predatory. Crucially though, because they are children, the way in which they behave does not and cannot excuse actions taken by others - whether that action be rape, or another damaging act. It can, however, help us to understand these actions. We would do well to remember the extent of Humbert’s self-delusion, and the way in which he was affected by Lolita’s sexually precocious behaviour.

 

New Fatwa Permits Rape of Non-Sunni Women in Syria

et another Islamic cleric recently made it permissible for the Islamic fighters waging a jihad in Syria—politely known as “the opposition”—to rape the nation’s women.
‘Ajlawni: Justifying rape in Islam’s name
Salafi Sheikh Yasir al-‘Ajlawni, a Jordanian of origin who earlier lived in Damascus, Syria for 17 years, posted a YouTube video last week where he said he was preparing to issue a “legitimate fatwa” making it legal (in the eyes of Islam) for those Muslims fighting to topple secular president Bashar Assad and install Sharia law to “capture and have sex with” all non-Sunni women, specifically naming Assad’s own sect, the Alawites, as well as the Druze and several others, in short, all non-Sunnis and non-Muslims.
The sheikh used Islam’s legitimate Arabic term for these hapless, non-Muslim women, melk al-yamin, a phrase that appears in Islam’s sacred book, the Koran, and which is simply a reference to non-Muslim sex-slaves.  For example, Koran 4:3 commands Muslim men to “Marry such women as seem good to you, two and three and four… or what your right hands possess.”  Islam’s ulema, or “scholars,” are unanimously agreed that “what your right hands possess” is, according to Islamic law, simply a sex-slave. Linguistic evidence further suggests that she is seen more as an animal or a possession than a human—hence this inhuman fatwa.
Jordanian Sheih Yasir al-‘Ajlawni is certainly not the first cleric to legitimize the rape of infidel women in recent times. Calls to capture and rape non-Muslim women are appearing with increasing frequency from all corners of the Islamic world.
A few months earlier, Saudi preacher Muhammad al-Arifi also issued a fatwa allowing jihadi fighters to engage in “intercourse marriage” with captive Syrian women that lasts for a few hours “in order to give each fighter a turn”—also known as gang-rape.
Then there is Egyptian Sheikh Ishaq Huwaini, who once lectured on how infidel captives, or to use another term from the Koran, ghanima, the “spoils of war,” are to be distributed among the jihadis and taken to “the slave market, where slave-girls and concubines are sold.” He, too, referred to such women as “what your right hands possess,” saying:  “You go to the market and buy her, and she becomes like your legal mate—though without a contract, a guardian, or any of that stuff—and this is agreed upon by the ulema….  In other words, when I want a sex-slave, I go to the market and pick whichever female I desire and buy her.”
Indeed, even some Muslim women advocate the enslavement and rape of fellow (non-Muslim) women.  Kuwaiti political activist, Salwa al-Mutairi,   for instance, is working to see the institution of sex-slavery return.  In a video she posted online, she explained how she once asked Islam’s greatest authorities living in the city of Mecca, the city of Islam, about the legality of sex-slavery and how they all confirmed it to be perfectly legitimate.  According to Mutairi:
A Muslim state must [first] attack a Christian state—sorry, I mean any non-Muslim state—and they [the women, the future sex-slaves] must be captives of the raid. Is this forbidden? Not at all; according to Islam, sex slaves are not at all forbidden. Quite the contrary, the rules regulating sex-slaves differ from those for free women [i.e., Muslim women]: the latter’s body must be covered entirely, except for her face and hands, whereas the sex-slave is kept naked from the bellybutton on up—she is different from the free woman; the free woman has to be married properly to her husband, but the sex-slave—he just buys her and that’s that.
The Kuwaiti activist went on to offer concrete suggestions: “For example, in the Chechnya war, surely there are female Russian captives. So go and buy those and sell them here in Kuwait; better that than have our men engage in forbidden sexual relations. I don’t see any problem in this, no problem at all.”
One can go on and on with more examples.  The point is that last week’s fatwa permitting the jihadi-led “opposition” to target and rape non-Sunni Syrian women is in good company, and certainly not an aberration.
The only aberration seems to be the United States’ wholesale support for self-professed rapists and terrorists—quite laughably, in the name of “democracy.”
Update: Once again, Sheila Musaji of American Muslim demonstrates that the purpose of her site is simply to lie and provide cover for Islamic atrocities — including rapes.  She portrays this fatwa as a “fantasy” concocted by me and others — without once addressing the fact that there is a real video, of a real cleric, saying the very words I ascribed to him, or that this fatwa was also reported on numerous Arabic news media.  Shameful, if not downright disgusting behavior by this so-called “American Muslim.”

Nuclear crisis: Fukushima threat level raised to 'serious' as plant leaks 300 tonnes of radioactive water from storage tank

Masked workers found puddles with radiation readings of 100 millisieverts an hour – enough to induce radiation sickness in less than 12 hours

Japanese authorities have raised the threat level of a toxic water leak at the stricken Fukushima nuclear plant, describing it as a level three "serious incident".

The operator of the ruined Fukushima Daiichi nuclear plant has admitted that highly toxic water is leaking from a storage tank, the latest problem to plague the immensely complex cleanup.
Tokyo Electric Power Co (Tepco) says the leak of around 300 tons is the most serious since a huge earthquake and tsunami knocked out power to the plant’s cooling system in March 2011.
The international severity scale ranges from 0-7, seven being the most dangerous.
Masked workers found puddles with radiation readings of 100 millisieverts an hour near makeshift tanks that store contaminated water – enough to induce radiation sickness in less than 12 hours.
“This means you are exposed to the level of radiation in an hour that a nuclear plant worker is allowed to be exposed to in five years,” a spokesman for the embattled utility said.
The news follows the recent admission that the complex is leaking 300 tons of radioactive water per day into the Pacific. Japan’s Nuclear Regulation Authority (NRA) said it could not rule out the possibility that the leak has been going on since the disaster started 30 months ago. Tepco had denied the leak for months.
Last week, the utility said a team of workers had been accidentally sprayed with contaminated water.
Work at the plant has been dogged by power failures and technical problems that have underlined the difficulties of cleaning up from the world’s worst nuclear disaster since the 1986 Chernobyl accident.
“The situation is getting worse,” Michiaki Furukawa, a nuclear chemist told the Reuters news agency.
Many experts believe Japan’s government continues to underestimate the cost and complexity of the decommissioning, and that Tepco has been systematically covering up problems.
Tepco has insisted that the latest leak had not reached the ocean, about half a kilometer away. But it said it had yet to pinpoint exactly where the water is coming from and says only four tons has been recovered and returned to a sealed tank.
An NRA official told reporters there had been no detectable rise in radiation levels outside the plant complex. Engineers are pouring hundreds of tons of water every day onto melted uranium fuel rods at the plant to keep them from overheating. The toxic water is stored in over 1000 huge on-site tanks, awaiting decontamination. The joints of the makeshift tanks are sealed with plastic and prone to leaks.

Wearing white protective masks and suits, Yuzo Mihara (L) and his wife Yuko pose for photographs on a deserted street in the town of Namie, Fukushima prefecture. Wearing white protective masks and suits, Yuzo Mihara (L) and his wife Yuko pose for photographs on a deserted street in the town of Namie, Fukushima prefecture.
The string of setbacks and growing public alarm forced the government last week to promise it would get more directly involved in the effort to dismantle the six-reactor plant. “It is an urgent problem,” Prime Minister Shinzo Abe said, promising a fresh government strategy to end the crisis.
Tepco engineers are trying to build an artificial underground wall between the plant and the Pacific in a bid to stop radioactive groundwater from reaching the sea.
The leaks have become a diplomatic issue: South Korea has again publicly expressed concern this week about the impact of the contamination on nearby fishing stocks.
The Chinese foreign ministry on Wednesday said it was "shocked" that the plant was still leaking radioactive water.

 

 

 

Egypt arrests Muslim Brotherhood spiritual leader Mohamed Badie, others

Egypt's interim military government Tuesday added two more key figures to its list of Muslim Brotherhood leaders under arrest: Mohamed Badie, the group's spiritual leader, and Safwat Hegazy, a preacher and hardline supporter of the movement.
They were among about 100 members of the Muslim Brotherhood taken into custody Tuesday.
The brotherhood -- locked in a deadly battle with the military for control of Egypt -- slammed the interim government's ongoing "bloody military coup."
In a statement, the group's Freedom and Justice Party described the charges against Badie as "trumped up" and "political."
"It is well-known that all the charges brought against the leaders of the Muslim Brotherhood and its affiliated political party, the Freedom and Justice Party (FJP) as well as the leaders of the Anti-Coup, Pro-Democracy National Alliance are implausible fabricated charges with no legally acceptable evidence.
"What they are facing are nothing but political trumped up charges thinly painted with criminal colors," Ali Kamal, a lawyer for the Muslim Brotherhood, said in the statement.
Badie was taken in a dawn raid at a residential apartment in Cairo's Nasr City neighborhood, the Ministry of Interior said.
Arresting Badie "is not the end of the group, which will remain in the hearts of millions of Egyptians," said Ahmed Arif, spokesman for the Muslim Brotherhood.
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Badie will be detained for 15 days for investigation on accusations of inciting violence and killing protesters, the Ministry of Interior said. The detention could be extended, as has been done with ousted President Mohamed Morsy.
Mahmoud Ezzat, Badie's deputy, was named supreme guide on a temporary basis.
Later, Hegazy was arrested in Nasr City as well, according to state-run broadcaster Al-Masriya.
The military has been arresting numerous key figures in the Muslim Brotherhood, including Mohamed Mahdi Akef, the former supreme guide; his deputy, Khairat al-Shater; Saad al-Katatni, chairman of the Freedom and Justice Party; his deputy, Rashad al-Bayoumi; and Sheikh Hazem Salah Abo Ismael.
Armed fighters holed up in school facility, military says
Badie was with Syed Abdul Rahim Abdel Naby, a teacher from the Islamic Dawa school in Beni Suef, when he was arrested at dawn, the Ministry of Interior said in its statement.
Security forces then searched the school and arrested 38 members of the Muslim Brotherhood "who were hiding" in the facility and had numerous weapons, including a rifle, pistols, and Molotov cocktails, the statement said. Some of the equipment belonged to the administration of the civil protection unit in Beni Suef, which had been stormed, robbed and set on fire, the statement said.
Both sides in the conflict have insisted they reject violence, but fighting has raged.
The Muslim Brotherhood changed its profile image on Facebook on Tuesday to an image of Badie, with a quote saying, "Our peaceful movement is mightier than their tanks."
Nationwide arrests
Security forces also arrested 56 administrative leaders of the Muslim Brotherhood in various provinces, the Ministry of Interior said.
The arrests came a day after 25 soldiers were killed in a Sinai ambush and onetime ruler Hosni Mubarak won acquittal on a corruption charge.
The soldiers were killed when suspected militants armed with rocket-propelled grenades struck two buses carrying security forces Monday in the city of Rafah, on the border between Egypt and Gaza, Nile TV reported.
Interim President Adly Mansour declared three days of national mourning following the attack, Nile TV said.
The Sinai Peninsula is a lawless area that was the site of frequent attacks even before Egypt's latest round of turmoil. In May, for example, seven Egyptian solders were kidnapped and held for six days there, a spokesman for Egypt's armed forces said.
But the attack adds to the persistent tension across the country since the military ousted the democratically elected Morsy in a coup.
Over the past week, about 900 people -- security personnel as well as citizens -- have been killed.
Deaths occurred when the military used force to clear two pro-Morsy sit-in sites in Cairo on Wednesday and violence raged after pro-Morsy supporters staged demonstrations Friday.
The Police in Kenya said Tuesday said they were battling to contain a new trend of commercial sex tourism that targets young boys in the coastal towns of the country .
The reports monitored  from a local radio station, quoted  Police as saying the trend had caused the rise in the sale pampers in the region due to the rising health problems among boys indulging in the act.
Malindi sub county Deputy Police Commissioner, Joshua Nkanatha told Kenya local radio that boys from poor families were being lured into the trade by rich male tourists.
The Police official said the situation had lead to an increase in number of cases of HIV/AIDS spread in the area.
“A survey we conducted shows that boys engaging in sexual activities with male tourists are buying pampers because they can no longer hold their stool, “Nkanatha said.
Nkanatha, who spoke during a Public Baraza at HGM primary school, Malindi said “male prostitution had become high
in Malindi and contributing to increased cases of HIV and AIDS.
He urged educated and concerned members of the public to take up the responsibility of enlightening the youths
about the health risks of engaging in the vice.
Malindai is a resort town on the outskirt of Nairobi, the Kenyan Capital which attracts Tourists from within and outside Africa.
- See more at: http://www.vanguardngr.com/2013/08/male-prositution-causes-rise-in-sale-of-pampers-in-kenya/#sthash.99AsW6Lj.a8Jwdtdd.dpuf
Addis Ababa – The Police in Kenya said Tuesday said they were battling to contain a new trend of commercial sex tourism that targets young boys in the coastal towns of the country .
The reports monitored  from a local radio station, quoted  Police as saying the trend had caused the rise in the sale pampers in the region due to the rising health problems among boys indulging in the act.
Malindi sub county Deputy Police Commissioner, Joshua Nkanatha told Kenya local radio that boys from poor families were being lured into the trade by rich male tourists.
The Police official said the situation had lead to an increase in number of cases of HIV/AIDS spread in the area.
“A survey we conducted shows that boys engaging in sexual activities with male tourists are buying pampers because they can no longer hold their stool, “Nkanatha said.
Nkanatha, who spoke during a Public Baraza at HGM primary school, Malindi said “male prostitution had become high
in Malindi and contributing to increased cases of HIV and AIDS.
He urged educated and concerned members of the public to take up the responsibility of enlightening the youths
about the health risks of engaging in the vice.
Malindai is a resort town on the outskirt of Nairobi, the Kenyan Capital which attracts Tourists from within and outside Africa.
- See more at: http://www.vanguardngr.com/2013/08/male-prositution-causes-rise-in-sale-of-pampers-in-kenya/#sthash.99AsW6Lj.a8Jwdtdd.dpuf

Police: Australian baseball player killed by Oklahoma teens -- just because

Watch this video
A random act of violence has left a promising 23-year-old college baseball player dead, a family devastated and two countries half a world apart rattled.
Christopher Lane, who was from Australia, was gunned down in Duncan, Oklahoma, while he was out jogging last week. The motive? Three teens who had nothing better to do, according to police.
"They witnessed a young man run by on the street. Chose him as the target," Police Chief Danny Ford told CNN affiliate KSWO.
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Charges were filed Tuesday against the three teens.
James Edwards Jr., 15, and Chancey Luna, 16, were charged as adults with felony murder in the first degree, according to Kaylee Chandler, Stephens County Court Clerk.
Michael Jones, 17, faces two charges -- use of a vehicle in the discharge of a weapon and accessory after the fact to murder in the first degree, she said.
A judge set bond at $1 million for Jones, while no bond was set for Edwards and Luna, Chandler said.
When police arrested the teens, one of them offered up a motive that made clear that Lane, who attended East Central University on a baseball scholarship, was chosen at random.
"He said the motive was, 'We were going to kill somebody,'" Ford told Australian radio station 3AW.
"They decided all three of them were going to kill somebody."
A brutal crime
Police say the teens shot Lane in the back in the town of about 24,000 and sped away in their car.
"There were some people that saw him stagger across the road, go to a kneeling position and collapse on the side of the road," Ford told KSWO.
Attempts to revive Lane failed.
Police caught the teens a few hours after the shooting. Thanks to security cameras from local businesses, police saw their car speeding down the street.
Lane was remembered as magnetic -- the sort of person who could always lighten the mood.
"Chris was a charming guy, genuinely good person, with great character and had a love for life. As cliché as it sounds Chris was the kind of guy you want your sons to grow up to be and that you want your daughters to marry. It just breaks my heart knowing how much more he could have brought to this world as a husband, father, son, brother and friend," said Sam Malchar, a former ECU teammate and classmate.
Half a world away
Nearly 10,000 miles away in Australia, Lane's family struggled to cope with the news.
"He's left his mark as we know, and you know there's not going to be any good come out of this, because it was just so senseless," Christopher's father, Peter Lane, said. "It's happened. It's wrong, and we're just trying and deal with it the best we can."
Lane's girlfriend, Sarah Harper, posted an emotional tribute on Facebook, saying "you will always be mine and in a very special and protected place in my heart."
Friends and strangers alike posted condolences on another Facebook page, honoring the slain baseball player.
"Such a sad waste of a young man's life," one poster wrote.
"Know that many Americans are sorry for this tragedy and want justice for Chris," wrote another. "God bless."

Tuesday 20 August 2013

Hypertension/High Blood Pressure

Overview & Facts

High blood pressure, also known as hypertension, affects millions -- even children and teens. WebMD's High Blood Pressure Guide has all the information you need to understand and manage your blood pressure. Learn all about causes, symptoms, diagnosis, treatment, and prevention. Even discover natural ways to manage your blood pressure and stay well. Let's get started!

High Blood Pressure Basics

Hypertension, or high blood pressure, is a common condition that will catch up with most people who live into older age.
Learn all about the basics of blood pressure and high blood pressure: an overview of risk factors, causes, diagnosis, and treatment.
Find out what the top and the bottom blood pressure numbers mean and make sure your numbers are on target.
If you are African-American, what can you do to avoid developing high blood pressure? Find out how you can protect yourself from this serious health condition.
Why is high blood pressure in children a growing problem? What can you do to protect your child from this threat?

Causes

Discover what causes high blood pressure. Start today to change the risk factors you can control.
Learn about the causes, symptoms, and treatments of renal artery stenosis.
Find out if your medications are making your blood pressure rise.

Are You at Risk?

Prehypertension is a warning sign that you may get high blood pressure in the future. Are you at risk?
The exact cause of hypertension is unknown, but there are several factors and conditions that may contribute to its occurrence. Learn about high blood pressure risk factors here.
Evaluate your personal health and your risks for big health problems.

Prevention

About one in every four American adults has high blood pressure -- also know as hypertension. Learn the simple steps you can take, from maintaining a healthy weight to the dietary supplements that may help.