50 Years Ago: Nuclear War Planning

July 1962

Nuclear War Planning ?The May 31 issue of The New England Journal of Medicine considers in detail the consequences of the 20 megatons scheduled for Boston in a nuclear attack scenario: ?It is likely that the vectors of epidemic disease would survive radiation injury better than the human population. Eastern equine encephalitis, hepatitis, poliomyelitis and other endemic disease could easily reach epidemic proportions under these circumstances.? Prompt disposal of the dead will be essential for ?control of epidemic disease and its vectors, flies and rodents? and for ?equally important, though less apparent,? psychological reasons. Citing a study by the Office of Civil Defense Mobilization, the authors concur in the view that ?the demolished city must be fenced in or cordoned and placed under quarantine.??

Shark Danger ?Data from recent experiments may serve to remind bathers, skin divers, small-boat sailors and others who venture into the ocean that there is as yet no sure protection from sharks in open water. It has long been suspected that sharks possess a remarkable ability to locate their prey, often at a considerable distance. Study has accordingly been focused on the sensory organs [see photograph] that direct their predatory behavior. ?Perry W. Gilbert?

July 1912

Artificial Wave Pool ?Probably no feature of the International Hygiene Exposition held in Dresden last year attracted more general interest than the Undosa artificial surf bath. The receipts from the sale of bath tickets [about six cents apiece] were unexpectedly large, amounting sometimes to $450 in a single day. It is evident that the artificial surf bath may be made a very profitable as well as a very beneficial institution. All persons may derive benefit from the massage effected by the moving water.?

For an image of these baths and a slide show on the emergence of leisure time, a moneyed middle class and consumer technology, see www.ScientificAmerican.com/jul2012/leisure

Daring Feats ?Among the well-known vaudeville entertainers must be mentioned Mr. Harry Houdini, whose celebrated feats with handcuffs, strait-jackets and various restraints used to confine the insane and fractious are well known. On Sunday, July 7th, Mr. Houdini invited a party of newspaper men and those interested in magic, to witness a very remarkable box-trick on New York Bay. The box, in which Houdini was ?packed for export? was dumped into the water. In exactly a minute and ten seconds Houdini emerged from the water, swimming toward the lifeboat which had been provided. The act was witnessed by thousands of spectators who crowded the decks of three ferryboats.?

Collisions at Sea ?The wreck of the ?Titanic? was a severe and painful shock to us all; many of us lost friends and acquaintances by this dreadful catastrophe. I asked myself: ?Has Science reached the end of its tether? Is there no possible means of avoiding such a deplorable loss of life and property? Thousands of ships have been lost by running ashore in a fog, hundreds by collisions with other ships or with icebergs, nearly all resulting in great loss of life and property.? At the end of four hours it occurred to me that ships could be provided with what might be appropriately called a sixth sense, which would detect large objects in their immediate vicinity. ?Sir Hiram Maxim?

Maxim's concept anticipated SONAR.

July 1862

Rabies Danger ?The most effectual means of preventing dogs biting, and thereby communicating the disease, seems to be muzzling them. M. Renault, the distinguished veterinarian, states that the assertion that muzzling dogs, by the constraint it produces, is itself a cause of rabies, is utterly unsupported by any well-established facts. On the other hand, he points out the results which have been obtained in Berlin. When in 1854 the muzzling was ordered and strictly executed upon all dogs not tied up, the Berlin Veterinary School verified from 1854 to 1861 only nine cases have occurred, and none of these since 1856.?

Source: http://rss.sciam.com/click.phdo?i=244804d9600c96250a1c4da97cca658a

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AP: Iranians planned attacks on US targets in Kenya

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Source: http://worldnews.msnbc.msn.com/_news/2012/07/02/12527369-report-iranian-agents-in-kenya-planned-attacks-on-us-israeli-targets?lite

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Former astronaut Poindexter dies in watercraft accident

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Source: http://news.yahoo.com/former-astronaut-poindexter-dies-ski-jet-accident-160038048.html

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Charges against Octagon Girl Arianny Celeste dropped

Charges against UFC Octagon Girl Arianny Celeste were dropped. She had been charged with domestic abuse stemming from an incident with her then-boyfriend on Memorial Day weekend.

The Las Vegas district attorney's office found there was not enough evidence to warrant move forward, according to MMA Junkie. Her arrest came the night before UFC 146, forcing her to miss the preliminary card and part of the main card. Celeste did show up for her duties for the? final bouts.

Source: http://sports.yahoo.com/blogs/mma-cagewriter/charges-against-octagon-girl-arianny-celeste-dropped-213506492--mma.html

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PFT: Watch A.J. Hawk knock some guy into a pond

AP

Will Hill is trying to convince the Giants he can play. Actually, the fact he?s talented has long been known, but his off-field issues kept him from making the NFL already.

As with many players with troubled pasts, Hill?s tale of redemption makes for a good story, and Mike Garafolo of the Newark Star-Ledger has written an excellent one, detailing Hill?s checkered past and his attempt to put it behind him.

The former Florida safety scared teams off during the pre-draft process because of his general immaturity, but specifics which included a suspension at Florida, a series of Twitter posts talking about marijuana and prostitutes, a shady cast of friends he surrounded himself with and a run of bad interviews with teams he was supposedly trying to impress.

So he went undrafted. And unsigned after the draft. And largely ignored for a year, never even getting a practice-squad job.?Per Garafolo?s story, that seemed to humble Hill into making changes off the field. And after he impressed in a May tryout, the Giants are going to give him a chance in training camp.

And he may have landed in the perfect place for such a chance.

The Giants have shown an impressive ability to channel problem children, by putting them in a structured environment and surrounding them with more responsible teammates.

From Mario Manningham to Ahmad Bradshaw, they?ve taken chances on players others blanched at, and gotten positive results. That?s emboldened them to try with a few more, including third-round pick Jayron Hosley, who failed a drug test at the Combine and several others such as Hill who had their issues in college.

Giants general manager Jerry Reese said all were warned they?d be cut at the first indication of trouble, and admits he can?t know at the moment if players such as Hill are genuinely reformed.

?Well, I don?t know if he?s telling the truth. But I do know he?s felt the sting of not being on an NFL roster when he probably should be on one, as talented as he is,? Reese said. ?The sting of not having that and having to sit out and not being able to play, I think that helps you get your priorities straight.?

It also helps to land with a stable organization. While the Lions have rebounded in part by being willing to take on some questionable characters who can play, the long-term future of such a roster is unknown.

The Giants have a recent record of success, and a strong organization from Reese to coach Tom Coughlin, and that goes a long way toward being able to take chances, and mitigate the risks therein. But Reese isn?t just playing Father Flanagan. He wants good players.

And if Hill can be one, great. But if he screws up, he can be made example of, and that helps too.

Source: http://profootballtalk.nbcsports.com/2012/07/01/a-j-hawk-knocks-some-guy-into-a-pond/related

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Gas finds put East Africa on energy map

Saturday 30th June, 2012

Gas finds put East Africa on energy map ??

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?????Saturday 30th June, 2012??Source: Daily Nation ??

Massive offshore gas discoveries in East Africa are catapulting the region into a major player in the global energy arena, bringing billions in investment that could transform entire economies. Off the pristine beaches of Africa's Indian Ocean coast, multinationals have struck gas -- well upon well upon well. Planned investments worth tens of billions exceed the gross domestic products of some host countries, which range from regional power Kenya...

Breaking News Saturday 30th June, 2012

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Source: http://feeds.bignewsnetwork.com/?rid=207068169&cat=a262965e0c331d64

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California's doctor shortage to get worse under health care ruling

The Supreme Court's validation of President Obama's landmark health law sets off a scramble across California to find enough primary care doctors and other professionals to serve an estimated 3 million newly insured patients by 2014.

California already rates below average in the number of doctors per capita.

But the state - rural counties in particular - will face additional headwinds as health reform slashes the ranks of its 7 million uninsured.

California has an unusually large number of doctors heading into their retirement years. It expects a much higher-than- average rise in the health-intensive 65-and-older population. And it has one of the lowest reimbursement rates in the country for Medi-Cal, the state's primary program offering health coverage for the poor.

Especially for communities that are already struggling with doctor shortages, the court's somewhat unexpected endorsement of the Affordable Care Act suddenly presents a steep challenge.

"The Affordable Care Act will add hundreds of thousands of people to the rolls of the insured. That's good," said Dr. G. Richard Olds, founding dean of the UC Riverside School of Medicine. "But where are the primary care physicians going to come from to serve that population?"

According to a 2009 study by the California HealthCare Foundation, only 16 of 58 California counties had sufficient primary care doctors as measured against standards set by the American Medical Association.

The Association of American Medical Colleges has warned the nation could reach a shortfall of nearly 100,000 doctors by 2020.

Many of California's most acute shortages are in the Inland Empire and the San Joaquin Valley, where communities struggle to attract and retain doctors.

They also have some of California's highest uninsured rates - exceeding 30 percent of residents in some counties, according to a 2009 UCLA study.

That could mean the same counties already fighting doctor shortages could see big increases in the insured starting in 2014.

Lee Kemper, executive director of the County Medical Services Program, a consortium of 34 rural counties that are implementing the Medi-Cal expansion together, said a mixture of innovation and increased funding was key to meeting the demands of health reform - now a mere 18 months away.

"We're going to have to get creative," Kemper said on Friday. "Strike teams" of medical specialists from urban areas could be brought into rural hospitals and clinics on a set schedule, he said. And tele-health systems could be strengthened to allow far-away specialists to consult, and even treat, patients with an online connection.

Kemper added that Medi-Cal reimbursement rates for doctors in rural areas must be increased so practitioners have incentive to set up shop in the far corners of the state. Statewide, barely more than half of primary care doctors are willing to see new Medi-Cal patients.

James Hay, a family physician in Encinitas and president of the California Medical Association, is among those who decline Medi-Cal patients.

"In my office, we figure it probably costs us $50 to $55 to see any patient on average," he said. "If Medi-Cal pays us $23 to see a medical patient for a routine office visit I would be spending $32 per visit to see that patient."

In California, Hay said, that's why much of Medi-Cal primary care is done in federally qualified clinics, which are paid a higher amount for patient care because they also have to cover certain tests and other costs.

Can those community clinics handle the new wave of Medi-Cal patients?

"Absolutely not," Hay said. "I think there will be a huge access problem."

The Affordable Care Act does provide some help on this front, sending $700 million to California so that Medi-Cal reimbursement rates rise to the level of Medicare payments for two years. But the health industry worries that the underlying problem won't go away, and that both state and federal politicians will be tempted to cut Medicaid reimbursements even more.

Senate Health Committee chairman Ed Hernandez, D-West Covina, plans to make the health care workforce, which he said is currently inadequate, one of his top priorities. "What good is it in 2014," when millions of uninsured Californians will gain coverage, "when they don't have access to providers?" he asked.

One of his key but controversial proposals will be legislation to expand scope-of-practice definitions for some health care providers such as nurse practitioners and physician assistants.

Even before the health law was passed in 2010, the shortage of primary care physicians in California catalyzed a far-flung campaign - by educators, doctors, government leaders - to train new doctors in the state and encourage them to practice in underserved regions, including the Central Valley and the Inland Empire.

That drive led to plans for all-new medical schools at UC Riverside and UC Merced, with an emphasis on primary care. Plans called for eventually enrolling 400 students at each school, both of them aiming to coax graduates to stay in the region.

But the state budget crisis has delayed both projects. This fall, 11 students, all ethnic minority students from the Central Valley area, will be enrolled in a UC Merced program with ties to UC Davis and UCSF-Fresno. Pending accreditation approval, UC Riverside hopes to open in 2013 with an initial class of 50.

---

John M. Gonzales, Lauren M. Whaley, Emily Bazar, Deborah Schoch and Richard Kipling contributed to this report.

The nonpartisan California HealthCare Foundation Center for Health Reporting centerforhealthreporting.org is based at the USC Annenberg School for Communication & Journalism.

Source: http://www.dailynews.com/news/ci_20976365/californias-doctor-shortage-get-worse-under-health-care?source=rss

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