Poorer countries, those spending less on health care have more strokes, deaths

ScienceDaily (Oct. 27, 2011) ? Poorer countries and those that spend proportionately less money on health care have more stroke and stroke deaths than wealthier nations and those that allocate more to health care, according to new research in Stroke: Journal of the American Heart Association.

Poorer countries also had a greater incidence of hemorrhagic stroke -- caused by a burst blood vessel bleeding in or near the brain -- and had more frequent onset at younger ages.

Regardless of overall wealth, countries that spend less money proportionately on health care also had higher incidences of all four outcomes.

"Not only is the economic wellness of a country important, but also significant is what proportion of their gross domestic product is expended on health," said Luciano A. Sposato, M.D., M.B.A., study lead author and director of the neurology department at the Vascular Research Institute at INECO Foundation in Buenos Aires, Argentina. "This is very important for developing healthcare strategies to prevent stroke and other cardiovascular diseases."

In the large-scale literature review, researchers took a unique approach to identify stroke risk by correlating it to nationwide socioeconomic status.

Previous research tended to focus on the link between stroke and individual or family financial standing, said Sposato, also director of the Stroke Center at the Institute of Neurosciences, University Hospital Favaloro Foundation.

The study linked lower gross domestic product to:

• 32 percent higher risk of strokes;
• 43 percent increase of post-stroke deaths at 30 days;
• 43 percent increase in hemorrhagic stroke; and
• 47 percent higher incidence of younger-age-onset stroke.

Similarly, a lower percentage of health spending correlated to a comparable increase in the 30-day death rate and:

• 26 percent higher risk of strokes;
• 45 percent increase of post-stroke deaths at 30 days;
• 32 percent increase in hemorrhagic stroke;
• 36 percent higher incidence of younger-age-onset stroke.

Investigators analyzed 30 population-based studies conducted between 1998 and 2008 in 22 countries. They used statistical methods to link stroke risk, 30-day death rate, hemorrhagic stroke incidence and age at disease onset to three internationally accepted economic indicators. The indicators included gross domestic product, health expenditure per capita and unemployment rate. Unlike the other two indicators, unemployment rate didn't affect stroke or other outcomes.

"It is important to further discuss the health priorities for different countries," said Gustavo Saposnik, M.D., M.Sc., study co-author and director of stroke outcomes research at St. Michael's Hospital, University of Toronto, Canada. "This will provide the necessary background to help countries make the changes in how different resources and money are allocated."

Stroke is the fourth leading cause of death in the United States and a major cause of long-term disability. Worldwide, stroke is the second leading killer.

Dr. Sposato's participation was funded in part by the INECO Foundation.

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Story Source:

The above story is reprinted from materials provided by American Heart Association.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.

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Journal Reference:

1. Luciano A. Sposato, Gustavo Saposnik. Gross Domestic Product and Health Expenditure Associated With Incidence, 30-Day Fatality, and Age at Stroke Onset: A Systematic Review. Stroke, 2011; DOI: 10.1161/STROKEAHA.111.632158

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/~3/8i1h1r3fel8/111027163109.htm

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CSN: Al Davis reportedly died of heart failure

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October 28, 2011, 11:12 am

Former Raiders owner Al Davis died of of an abnormal heart rhythm, congestive heart failure and heart muscle disease, according to his death certificate.

The document was obtained by the website TMZ.com and was made public Friday morning.

Davis, 82, passed away at 2:45 a.m. on Oct. 8, according to the County of Alameda certificate of death.

The document also indicated that Davis suffered from a form of skin cancer known as Merkel cell carcinoma. It also revealed that the legendary NFL figure underwent a surgical procedure on his throat three days before his passing, as well as a heart procedure in 1996.

The medical term for the throat surgery is crico pharyngeal myotomy. The heart procedure in 1996 was termed mitral valve repair.

Source: http://www.csnbayarea.com/football-oakland-raiders/news/Report-Davis-died-of-heart-failure?blockID=584382&feedID=2539

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MIND Reviews: Harnessed: How Language and Music Mimicked Nature and Transformed Ape to Man

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Harnessed: How Language and Music Mimicked Nature and Transformed Ape to Man
by Mark Changizi. BenBella Books, 2011

Once upon a time, humans could not hold conversations or sing songs together. Now we chatter incessantly, not only with speech but also through text messages, tweets and status updates. How we transformed into the highly social species we are today remains the subject of many theories.

Two competing hypotheses center on whether our capacity for language is an innate skill that grew stronger through natural selection or whether we lacked any such ability and instead trained our brains to collect new information using objects and sounds in our environment. In his new book Harnessed, Mark Changizi stakes out the middle ground: cultural?not natural?selection explains our language ability.

Generating controversial theories is not new to this evolutionary neurobiologist. In his previous book, The Vision Revolution, he argued that writing evolved from the shapes our ancestors saw in nature. In Harnessed he extends that logic to claim that the most common sounds we hear in nature?of objects making contact or sliding across one another, such as the patter of footsteps or the hiss of a hunted animal dragged across the ground by a predator?occur more frequently and consistently in human language than chance would allow. People evolved auditory systems that process natural noises efficiently, although we are capable of producing a range of sounds broader than those found in nature. Changizi proposes that our culture?that is, language and music, among other artifacts?evolved around, or ?harnessed,? the sounds we already process best.

The tricky part, however, is that Changizi?s theory is almost impossible to test. The bulk of his evidence consists of correlations he observes between sounds in nature and those in language, and he devotes much of the book to acoustical analyses of the two. But the examples he cites are just that?correlations, not causes. In addition, Changizi never explains why other apes, which heard the same sounds as early humans, did not develop language.

Nevertheless, the idea of culture as an actor in the evolutionary process, rather than its by-product, provides an interesting way to frame the question of how we learned to communicate through language.

Source: http://rss.sciam.com/click.phdo?i=185cdb37b7ca2c5f2788255364a03428

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How An ERP System Can Benefit The Automotive Industry - articles ...

The automotive industry works the same as any other business. Everything from local garages to car dealers know that making a customer feel welcome while getting the best service builds relationships that will last. If the dealership or the garage does not have professionalism when it comes to treating their customers, the customer will go somewhere else. One of the biggest objectives is making a personal connection with customers so they feel like they have somebody in their court when it comes to auto repair or automotive sales. One of the best ways to boost the morale of the automotive industry is to integrate an ERP system.

Enterprise Resource Planning (ERP) is a software package that integrates internal and external management data for an organization. This allows business to have information at their fingertips when problems or promotions arise. An ERP system can be used with accounting, manufacturing, customer relations, and sales. Not only does an ERP system benefit a business, this type of software can pay off for the customer as well.

Promotions are a tried and true way of generating business. Whether your dealer is offering a 0% financing deal on a specific car or your garage is offering a free oil change, this type of promotion can?t bring in business if the consumer does not know about it. Wouldn?t it be nice if you had a software program that could automatically give you a list of all of your customers from the last six months? This is essentially one feature of having an ERP system in place.

Accounting is the backbone of any business. Making sure that your books are in order and you have all of your invoices in place can give stockholders and employees confidence in the company. An ERP system will allow a flow of data between your finance department and the accounting firm that you are dealing with. If you have an in-house accountant, they will have access to all of the accounts and payments made to the company. Say that your company is planning on expanding. An ERP system will be able to list all of your fixed assets, receivables and budgeting when the time comes to apply for an expansion loan.

The human resources department in your garage or dealership keeps files on every employee in the company. An ERP system will give them an organized way of handling payroll and training issues that may arise. This software package can also give them up to the second answers for any questions regarding benefits, 401k, or diversity management within the business.

The automotive industry requires special orders and parts management for specialty products needed for repairs. An ERP system can also help with inventory of your items, order entry, supply chain planning or purchasing. Organization to the different cars that need specific parts will not only save you time in completing the job, it will also keep you in good standing with your customers.

The automotive industry is like any other industry; it needs customers and business to survive. The implementation of an ERP system into the company will allow quick execution of promotions, accounting disparities, customer information, and HR concerns. The days of a ledger and a pencil are over. Help you and your customers by using an ERP system in your garage or car dealership.

Click here to find out more about ERP

Source: http://articles.whatismycomputerip.com/18458/how-an-erp-system-can-benefit-the-automotive-industry.html

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Questions and answers about the European debt fix (AP)

NEW YORK ? After 14 summit meetings, stock market turmoil and even a fistfight between Italian lawmakers, European leaders have finally agreed on a rescue package that will stop the debt crisis there from dragging the world into recession.

That's the hope, at least.

A bailout fund for the continent will be beefed up, and banks will take a 50 percent loss on their holdings of Greek government bonds. The banks will also put more money aside to cushion the blow from future losses.

Investors are cheering. The Dow Jones industrial average surged almost 340 points Thursday, the euro rose, and even the stocks of battered European banks gained ground.

But dangers lurk. The bank losses and the new cushion might not prove enough. The plan could exact big pain in the short term, hobbling a weak European economy. The region could still fall into recession, and drag the U.S. economy down with it.

Here are some questions and answers about what happened and what it means.

___

Q: What was the original problem?

A: The Greek government spent too much, didn't collect enough in taxes and had to sell bonds to make up the difference. It ran up budget deficits well beyond limits set by the European Union, a group of 27 nations that allow goods and workers to cross their borders freely.

When Greece fell into recession two years ago, bondholders worried they wouldn't get their money back. To make sure they did, the EU started lending money to Greece, essentially allowing it to use new debt to pay off old debt.

Greece shares a currency, the euro, with 16 countries, so its problems are Italy's problems, and Spain's, and Germany's, too. And many other European countries have debt problems of their own.

The challenge was to figure out a way to fix the problem so Greece didn't have to come back for bailout after bailout.

___

Q: Is the risk from Europe gone?

A: No. Even if the rescue package keeps Greece and the European banks afloat, the crisis has already damaged the European economy. Some manufacturers have slashed production and hoarded cash. Banks are demanding higher rates for loans, if they're lending at all.

On Monday, an important economic indicator suggested business activity in the zone of nations that use the euro currency shrank in October for the first time in three years.

The European Union accounts for 20 percent of world's economic output. It is a big trading partner for many countries. A recession there could push other economies into recession.

___

Q: How vulnerable is the U.S.?

Some good news out Thursday suggests the U.S. is in better shape to weather any blow. The economy grew almost twice as fast over the summer as it did in the spring. But it's still dangerously weak.

Federal Reserve Chairman Ben Bernanke told Congress earlier this month that the economic recovery was "close to faltering." And the co-founder of the Economic Cycle Research Institute, a forecasting firm that predicted the last three downturns, said a recession was all but inevitable. Consumer confidence is the lowest in two and a half years.

"It almost looks like the world is worrying itself into another recession," Klaus Kleinfeld, the CEO of Alcoa, said Oct. 11.

One danger from Europe is that it could buy fewer U.S. goods. Europe buys 20 percent of U.S. exports.

___

Q: Will the bailout plan be enough to keep the debt crisis from spreading?

A: Maybe. There are a lot of unknowns.

Because the banks are accepting losses on Greek bonds, Greece won't owe as much as it did before. That helps. But it still has too much debt and needs its economy to grow if it hopes to pay it back.

The new plan sees Greek debt falling to 120 percent of the country's economic output by 2020 ? a level believed to be sufficient to ease investors' fears. Its debt had been expected to grow to 180 percent. But it's uncertain whether Greece can dig itself out of recession amid riots, strikes and despair.

Problems lurk at the European banks, too. The plan calls for banks to raise 106 billion euros, or about $150 billion, as a cushion against future losses. But that might not be enough to protect against losses on holdings of Greek, Italian and other countries' bonds. Before the summit meeting, the International Monetary Fund estimated banks needed 200 billion euros more to protect themselves.

What's more, even that lower cushion might do a lot of harm. It could force banks to cut back on lending even more, hurting companies and slowing economic growth.

___

Q: What about U.S. banks?

Unlike their European counterparts, U.S. banks do not hold a lot of European government bonds. But they may be exposed in other ways.

U.S. banks and other financial institutions have sold investors a type of insurance policy known as credit default swaps. They require the banks to pay billions of dollars if Greece and other indebted European countries default, or stop paying back their debt.

Even though Greece won't have to pay the face value on its bonds, European leaders structured the deal so that the banks wouldn't have to pay the credit default swaps. Because Greek bonds holders agreed to the plan, Greece isn't technically in default.

Good news, right? Sebastian Mallaby, a director at the Council on Foreign Relations, fears that some European banks taking losses on Greek bonds were also investors in credit default swaps ? meaning they lose both ways.

The upshot: In a complex and interconnected financial system, it's difficult to know whether savings for one financial institution will actually trigger deep losses elsewhere. That uncertainty tends to spread fear and freeze lending.

"The chances of contagion are not awful," Mallaby says. "It's the unknown dangers. And fear itself can spook markets."

___

Q: If there are so many questions, why did U.S. stocks jump?

Actually, they've been moving up for a while. Stocks have risen in five of the last six trading days through Thursday, and are up 14 percent this month.

Credit a bit of good timing. Anxiety over this latest summit was rising just as U.S. companies were reporting surprisingly good third quarter profits. They are expected to be up 14 percent for companies in the Standard & Poor's 500, the eighth quarter in a row of at least 10 percent gains. Record profits are expected for the full year.

Despite the rising prices, many financial analysts note that stocks have been trading as if Europe were about to explode or the U.S. about to slip into recession ? or both. On Thursday, stocks were trading at 12 times the annual per-share profits. They typically trade at 15, meaning prices should be higher.

___

Q: Will fear continue to recede from the stock market?

It depends partly on the U.S. economy. Many analysts and economists think the recovery will eventually pick up speed. But if Europe does push the U.S. into recession, you can forget about those impressive corporate profits, and surging stock prices.

Before the last recession, companies in the S&P 500 stock index were reporting record profits, too. Within a year, those profits turned into losses. Stocks eventually lost half their value.

Source: http://us.rd.yahoo.com/dailynews/rss/economy/*http%3A//news.yahoo.com/s/ap/20111027/ap_on_re_us/us_europe_financial_crisis_q_a

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Economy grew 2.5 pct. in Q3 as consumers rebound (AP)

WASHINGTON ? The U.S. economy grew modestly over the summer after nearly stalling in the first six months of the year, lifted by stronger consumer spending and greater business investment.

The Commerce Department said Thursday that the economy expanded at an annual rate of 2.5 percent in the July-September quarter. That's nearly double the 1.3 percent growth in the April-June quarter, and a vast improvement over the anemic 0.9 percent growth for the entire first half of the year.

While 2.5 percent growth is enough to ease recession fears, it's far below what's needed to lower painfully high unemployment. Analysts project similar growth for the October-December quarter.

Consumers spent at an annual rate of 2.4 percent ? more than triple the rate in the spring. They bought more cars and furniture, spent more on clothing and health care, and ran the air conditioner longer to help combat an unseasonably hot summer.

The report measures gross domestic product, or GDP, which is the country's total output of goods and services. It covers everything from bicycles to battleships, as well as services such as haircuts and doctor's visits.

In August, many thought the economy was headed for another recession after the government said GDP fell to less than 1 percent for the first six months of the year. High gas prices, the growing debt crisis in Europe and wild fluctuations in the stock market also contributed to those fears, which have receded in recent weeks after reports showed improvements in hiring and consumer spending.

Economists expect growth in the range of 2.5 percent to 3 percent in the October-December quarter and for all of next year ? just enough to keep the unemployment rate from rising.

For the 14 million people who are out of work and want jobs, that's discouraging news. And it's an ominous sign for President Barack Obama, who will be facing voters next fall.

"We are looking at very disappointing growth over the next year. It will be far short of what is needed to get businesses to hire more aggressively," said Mark Zandi, chief economist at Moody's Analytics.

There have been some encouraging signs.

A measure of business investment plans rose in September for the second straight month and by the most in six months, according to a government report Wednesday on orders for longer-lasting manufactured goods.

And consumers stepped up their spending on retail goods in both July and September. The main reason for the September gain was more people bought new cars, a purchase people typically make when they are confident in their finances.

Economists warned that even their modest assessment of growth of around 2.7 percent for next year will fall short if the European debt situation does not get resolved. And the outlook could dim further if U.S. lawmakers allow a Social Security tax cut and extended unemployment benefits to expire at the end of this year.

"How the economy performs next year will depend heavily on what policymakers here and in Europe do in coming weeks," Zandi said.

Source: http://us.rd.yahoo.com/dailynews/rss/topstories/*http%3A//news.yahoo.com/s/ap/20111027/ap_on_re_us/us_economy

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Rangers on brink of title after Game 5 win

Texas rallies past Cardinals late, gets winning run on Napoli double

By BEN WALKER

updated 11:40 p.m. ET Oct. 24, 2011

ARLINGTON, Texas - Call it lucky, weird or just plain goofy. Whatever, Mike Napoli and the Texas Rangers are suddenly one win away from their first World Series championship.

And the St. Louis Cardinals? Perhaps next time they should try texting the bullpen.

In a Game 5 that took several odd twists at the end, Texas turned a grounder that got away and a telephone mix-up into its biggest victory ever. Napoli delivered the latest clutch hit of his charmed season, lining a tiebreaking two-run double in the eighth inning that sent the Rangers past St. Louis 4-2 on Monday night for a 3-2 edge.

Next up for Texas, a trip to St. Louis and a chance to capture that elusive crown.

"We certainly won't be out there thinking about we've just got to win one game," Texas manager Ron Washington said. "I've been there before, and that doesn't work."

Napoli's go-ahead stroke came off Marc Rzepczynski, right after a potential double-play ball slipped away from the St. Louis reliever. More bruising, at least to the Cardinals: Rzepczynski wasn't even supposed to face Napoli.

Cardinals manager Tony La Russa said he called down to the bullpen earlier in the inning and wanted Rzepczynski and closer Jason Motte to get ready. Instead, bullpen coach Derek Lilliquist heard only Rzepczynski at first. La Russa called again to ask for Motte and this time Lilliquist heard "Lynn," as in reliever Lance Lynn.

"I was more frustrated the double-play ball went off the glove and the fact we had numerous chances to add runs. That's probably more frustrating," La Russa said.

"The other part just happens. I mean, it's loud down there, and sometimes you call down there and you have to wait until the crowd and a guy gets up late. I mean, this is not unusual," he said.

Said Lilliquist: "You get a bunch of people, and it's loud."

"He wanted Motte going easy to back Zep up and I thought I heard Lynn. It transpired from there," he said. "It's basically miscommunication. It was loud. A lot of places are like that. The phone is as good as any phone anywhere."

The right-handed Napoli, meanwhile, was dialed in to face the left-handed Rzepczynski with the bases loaded, one out and the score 2-all.

"I didn't really see anybody warming up in the bullpen, so I kind of figured I was going to face him," Napoli said.

"Just trying to get something to the outfield, you know, get a sac fly, get that run across the board," he said. "I was trying to stay short and I got a pitch I could handle over the middle of the plate and put it in the gap."

Texas will try to wrap it up in Game 6 on Wednesday night in St. Louis, with Colby Lewis facing Jaime Garcia. The weather forecast for Busch Stadium is daunting, calling for rain and temperatures around 50.

After Napoli put Texas ahead, the slugging catcher capped off his night of double duty by throwing out a would-be base stealer in the ninth as Albert Pujols struck out.

"Pujols is going to put it in play, he's a good contact hitter," Napoli said, "and they were just starting the runner, 3-2. As soon as I got it, I just got rid of it and put it on the bag."

In the seventh, Napoli threw out Allen Craig at second with Pujols at the plate. Apparently, Pujols put on his own hit-and-run, then didn't swing.

If the Rangers eventually do win it all, the Texas fans who stood and chanted Napoli's name may forever remember his two-run hit.

If the Cardinals lose, there's no doubt which play will stick with La Russa for a long, long time.

It was tied when Texas put runners on first and second with one out in the eighth, and Rzepczynski was summoned. David Murphy followed with a bouncer back to the mound, a possible inning-ending double play in the making.

But the ball appeared to glance off Rzepczynski's hand and trickled harmlessly away for a single that loaded the bases. In the dugout, La Russa immediately threw his hands to his head, a true "Oh, no!" moment.

Napoli, who came close to a three-run homer in his previous at-bat and hit a big homer in a Game 4 win, sent a drive up the alley against the pitcher with the nickname "Scrabble." The double off Rzepczynski sure spelled good things for Texas, with the excitable Washington waving the runners around from the dugout.

Darren Oliver earned the win and Neftali Feliz closed for his second save of the Series and sixth of the postseason.

Adrian Beltre and Mitch Moreland hit solo home runs off Cardinals ace Chris Carpenter, helping Texas come back from an early 2-0 deficit.

Later, it became a battle of the bullpens and Texas prevailed.

Octavio Dotel gave up a leadoff double to Young in the eighth, struck out Beltre and intentionally walked Nelson Cruz. That left it up to Rzepczynski, and the game quickly slipped away.

La Russa appeared stunned by the turnaround. Later in the eighth, because of the mix-up, he brought in Lynn and had him issue an intentional walk to the only batter he faced. Motte eventually ended the inning, but it was too late.

Fittingly, Napoli had a role in the final play. Lance Berkman struck out and the ball hit Napoli's shin guard and trickled up the first base line, where the catcher picked it up and tossed to first base to end the game.

Pujols drew three intentional walks, including a pass with two outs and none on in the seventh. The St. Louis slugger then nearly used his legs to put his team ahead.

Pujols was running hard on a 3-2 pitch that Matt Holliday hit for a single to left-center. Pujols chugged around the bags and third base coach Jose Oquendo initially waved him home, only to put up a late stop sign.

Would Pujols have been safe on shortstop Elvis Andrus' wide throw to the plate? Maybe. But it became moot when Berkman was intentionally walked to load the bases and David Freese flied out against Alexi Ogando.

Beltre's homer made it 2-all with two outs in the sixth. He dropped to one knee after following through on a meaty cut. He connected on a big curve from Carpenter, who had easily handled Josh Hamilton and Young to start the inning.

Beltre's other homers this October came in a bunch. He hit three in a first-round playoff game at Tampa Bay.

Napoli almost gave Texas a cushion later in the inning. With the crowd standing and chanting his name as "Nap-Oh-Lee" flashed on the scoreboard, the catcher's bid for a three-run homer was caught on the warning track in right-center field, just shy of the 407-foot mark.

The homer let Texas ace C.J. Wilson avoid becoming the first pitcher to lose four times in a single postseason. The eccentric lefty who alternates red and blue gloves between starts had another uneven outing, working around five walks.

Wilson walked six while losing Game 1 to Carpenter and the Cardinals.

Moreland atoned for some glove woes with a home run in the third, hitting a drive halfway up the second deck in right field.

The Cardinals scored twice in the second, cashing in two leadoff walks sandwiched around a wild pitch.

Yadier Molina notched his fifth RBI of the Series with a single that left fielder Murphy overran and fumbled for an error. Skip Schumaker followed with an RBI grounder to first that Moreland boxed around, preventing any chance at a double play.

NOTES: Playing on his 34th birthday, Rafael Furcal led off the game with a liner that 3B Beltre backhanded. Furcal started Game 4 the same way. ... Wilson matched the postseason record for walks - 19 - set by Cleveland's Jaret Wright in 1997. Wilson's 11 walks in the World Series are the most since Allie Reynolds in 1951. ... Pujols flied out on a 3-0 pitch to end the first. He swung at 15 of 37 pitches on 3-0 counts this season, going 4 for 8 on the balls he put in play. ... Cardinals reliever Arthur Rhodes turned 42. He's the oldest player to celebrate a birthday while playing in the Series. Jim Palmer was 38 in 1983.

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

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This one's on La Russa

DeMarco: Cardinals manager Tony La Russa will be in the Hall of Fame some day. But Monday's loss to the Rangers in Game 5 of the World Series was hardly his finest hour, not with a stunning miscommunication with the bullpen and a handful of other questionable decisions.

Tom Pennington / Getty Images

Rangers on brink of title after Game 5 win

Mike Napoli hit a tiebreaking two-run double in the eighth inning against Marc Rzepczynski, and the Texas Rangers rallied from a two-run deficit to beat the St. Louis Cardinals 4-2 on Monday night and take a 3-2 World Series lead.

Source: http://nbcsports.msnbc.com/id/45025730/ns/sports-baseball/

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