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Acute Heart Failure: Recognizing Signs And Symptoms
Although heart failure is a chronic condition, acute exacerbations are frequent and occur with serious complications; patients with heart failure and their families can help improve prognosis in acute events if they are taught to recognise the tell-tale signs of worsening condition and seek immediate medical help. "Any delayed recognition of these signs is associated with an increased rate of hospitalisation and complications, including mortality," says Professor Ferenc Follath from the University Hospital of Zurich, Switzerland.
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Obama In Notre Dame Speech Calls For 'Open Hearts, Open Minds' In Abortion-Rights Debate
In his address at the University of Notre Dame"s commencement ceremony on Sunday, President Obama urged advocates on both sides of the abortion-rights debate to treat each other with civility and find ways to work together on common goals, such as reducing the number of unintended pregnancies, the New York Times reports. Obama, who also received an honorary degree from the Roman Catholic university, called for more "open hearts, open minds, fair-minded words" on an issue that has long polarized the U.S. Obama said that although not all will agree on abortion rights, people "can still agree that this heart-wrenching decision for any woman is not made casually" and "has both moral and spiritual dimension." He continued, "So let us work together to reduce the number of women seeking abortions," by reducing unintended pregnancies, making "adoption more available," and providing "care and support" to women who carry pregnancies to term. Obama also said he supports a "sensible conscience clause" that would allow health care workers to withhold services they find morally or religiously objectionable, the New York Times reports. The president said that "[e]ach side will continue to make its case to the public with passion and conviction. But surely we can do so without reducing those with differing views to caricature" (Baker/Saulny, New York Times, 5/18).According to the Wall Street Journal, Notre Dame"s invitation to Obama "amplified longstanding tensions" between the Catholic Church"s position against abortion rights and Catholic universities" academic freedom. Several Catholic bishops and antiabortion-rights advocates argued that it was wrong to honor Obama because of his support for abortion rights, while the university"s leadership and others said it is necessary to communicate with people of opposing views (Meckler, Wall Street Journal, 5/18). Notre Dame"s president, the Rev. John Jenkins, in his introduction of Obama praised the president for agreeing to speak at the ceremony. He said that although some individuals "might have avoided this venue" because of the abortion issue, Obama "is not someone who stops talking to those who differ with him" (Evans, USA Today, 5/18). Jenkins also said, "If we want to extend courtesy, respect and love and enter into dialogue, then surely we can start by acknowledging what is honorable in others" (Dinan, Washington Times, 5/18).The New York Times reports that about 100 abortion-rights opponents protested on the edge of Notre Dame"s campus, and nearly 40 protesters were arrested trying to enter the campus (New York Times, 5/18). According to the Washington Post, more than 70 Catholic bishops criticized the university"s invitation, and more than 360,000 people signed a petition calling for the university to rescind the invite. The Post also reports that 26 of the 2,900 graduates chose to skip the commencement ceremony in protest of Obama"s speech (Shear, Washington Post, 5/18). However, the bulk of the audience at the ceremony "enthusiastically supported" the president, the New York Times reports. A few graduates pasted crosses and replicas of infants" feet on their mortarboards in protest of Obama"s visit, while some supporters displayed Obama"s campaign logo. Four protesters interrupted the speech with shouting and were removed by security guards; audience members responded to the shouting with Notre Dame chants and shouts of "Yes, we can," an Obama campaign slogan. The New York Times reports that while Obama has tried to avoid confrontation on the issue of abortion rights, the controversy over this Notre Dame speech and his pending nomination to replace retiring Supreme Court Justice David Souter have "pushed the issue to the forefront" (New York Times 5/18). Obama"s speech comes as his administration initiates its first meetings between advocates on both sides of the debate to discuss ways to reduce unintended pregnancies and the need for abortion. The meetings, which began at the beginning of May, are expected to continue for the next few
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National Public Health Organizations Brief Capitol Hill On H1N1
The recent H1N1 flu outbreak served as a genuine test of our national public health system"s ability to respond to an emerging public health threat and experts are cautioning that a more severe outbreak could occur in the fall of 2009. Leaders from some of the nation"s foremost public health and medical associations will conduct a briefing for staff members from House and Senate offices on Thursday, May 21, 2009. Speakers will focus on the status of the current public health workforce and efforts needed to sustain workforce capacity to respond to emerging infectious diseases.
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Clean Air Must Be Top Priority Despite Tough Economy: Lung Association Survey

Despite tough economic times, the majority of Canadians want to see federal and provincial governments make clean air a top priority, according to a new poll by The Canadian Lung Association to mark Clean Air Day. Fifty-four per cent of Canadians said clean air should be a top or high priority for federal and provincial governments. The numbers were most pronounced in Quebec where 70% of respondents felt clean air should be a priority in spite of the economic times, followed by 54% in Alberta and 52% in Atlantic Canada. "Canadians are saying - quite clearly - that clean air policies must be given top billing by governments across this country," said Kenneth Maybee, Chair of Environmental Issues for The Lung Association. "Our health, especially our lung health, depends on clean air". "We hope governments nationwide will use Clean Air Day 2009 as an opportunity to recommit themselves to ensuring Canadians enjoy clean air, and fewer smog days, in the future", added Tony Hudson, Vice Chair of Environmental Issues for The Lung Association. Only 37% of Canadians felt that federal and provincial governments were doing enough to improve the air we breathe, while 54% said not enough was being done, according to survey results. Air pollution affects everyone"s health. Certain people are at higher risk, particularly children, seniors and those with lung diseases, such as asthma and chronic obstructive pulmonary disease (COPD). People who do vigorous activities outdoors, such as athletes, farmers and construction workers, are also at a higher risk. Even healthy individuals may have more difficulty breathing on days when the air is highly polluted. "The link between air pollution and lung disease is often under-appreciated," said Dr. Menn Biagtan of the B.C. Lung Association. "Short-term exposure to ozone - the main component of smog - can exacerbate lung conditions, causing illness, and hospitalization. Chronic exposure to ozone can cause pre-mature deaths in people with pre-existing lung and heart conditions." "It"s not just urbanites who are affected by air pollution - people living in rural areas and in cottage country can be affected, too. "Air pollution knows no borders. People living in rural areas breathe in pollutants that get blown by the wind from s hundreds of kilometres away," says Mr. Maybee. The Lung Association has a list of strategies that all Canadians can use to protect their lung health on days when air quality is poor. As well, the Association urges Canadians to follow the advice offered by the Air Quality Health Index (AQHI) on days when air quality is poor. The AQHI monitors air quality in regions across the country and provides Canadians with recommendations reducing outdoor activities when the air is poor. Established in 1900, The Lung Association is one of Canada"s oldest and most respected health charities, and the leading national organization for science-based information, research, education, support programs and advocacy on lung heath issues. About the Survey From May 28 to May 29, 2009, Angus Reid Strategies conducted an online survey among a randomly selected, representative sample of 1,017 adult Canadians aged 18 and over. The margin of error for the entire sample is +/- 3.1%, 19 times out of 20. The results have been statistically weighted according to Statistics Canada"s most current education, age and region Census data to ensure a representative sample of the entire adult population of Canada. For more information on what you can do to reduce air pollution For more information on outdoor air quality For more information on the Air Quality Index For more information on the new Air Quality Health Index. The Lung Association


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