Sunday, August 4, 2013

Trayvon Martin's parents to appear in Central Florida today

Sybrina Fulton testifies that her son Trayvon Martin is the one screaming in the background of a 911 call made the night he was shot and killed.

August 3, 2013

Trayvon Martin's parents continued their quest for justice for their slain son during an appearance in Central Florida today.

Sybrina Fulton and Tracy Martin spoke this morning at the National Association of Black Journalists Convention at the Gaylord Palms Resort in Kissimmee.

At one point, Fulton told a room filled of reporters she remains unsettled about the intense attention in the case and the behavior of some reporters.

"It's very difficult for us when you run up to us. It's invasive. It feels a little strange. We're just humans. It might be a story, It might be a good story. But this is our lives."

Fulton and Martin, along with three family attorneys, renewed their call to repeal stand-your-ground laws, a common theme in the numerous appearances they've made across the country amid controversy following the July 13 not-guilty verdict in George Zimmerman's murder trial in Sanford.

Zimmerman, a Neighborhood Watch volunteer, said he acted in self-defense when he shot the unarmed black teen, saying Trayvon attacked him.

The state and others allege Zimmerman profiled the teen.

Standing next to the parents of Trayvon Martin, attorney Benjamin Crump called "stand your ground" laws in 32 states around country ? including Florida's law ? as vague and even "dangerous."

He said the laws need to be amended so that an "initial aggressor" or a person who starts a fight, cannot kill someone and then claim self defense under the law.

"The law is very vague and very confusing," he said.

"When you are able to pick a fight and then kill the person and say it was self defense?..what message are we giving to society?"

Crump said such laws should more accurately be called: "Shoot first laws. Make My Day laws. And These Make My Day laws are encouraging people to take the law into their own hands."

Fulton also asked that the press respect her family's privacy.

Oftentimes, reporters will come up to her in a grocery story or knock on her door at her home in Miami and ask questions.

This is a developing story. Check back later for updates.

Source: http://feedproxy.google.com/~r/orlandosentinel/~3/6xo5dUOZ3wY/story01.htm

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Tuesday, July 16, 2013

How To Use Affirmation Properly | Business Plan | Health, Clothing ...

How To Use Affirmation Properly

How To Use Affirmation Properly -??I am, therefore I exist,? is a phrase affirming one?s existence as a being. It may be a simple phrase, but it says everything about the being saying them. It indicates a confidence not commonly found among other beings.

?

But why do people need affirmation? Why do beings need to be affirmed? Is existence relative to one?s affirmation?

Affirmation is a very powerful technique to empower one?s subconscious. Once the subconscious is disciplined to believe one?s affirmation, the latter is converted into a positive action for the conscious mind. Through affirmation, beings are empowered to do, to work, and to strive for more things. Affirmation allows people to believe in themselves and to put their thoughts into action.

Affirmation is a combination of verbal and visual techniques of a preferred state of mind of a person. Strong affirmations can be very powerful, and can be used by almost anyone to achieve his goals and fulfill his desires. However, the power of an affirmation depends on how strong or weak an affirmation is.

Affirmation is merely an assertion made by a person, about something or about a state of being. A person can affirm those that he chooses to attain, like ?I now have a good life.? Being healthy in mind, body, and spirit can also be made possible through affirmation.

A strong affirmation should be stated in the present tense to be more effective. An affirmation of ?I am now a happy being? is more effective than an affirmation saying, ?I am going to become a happy being.? Affirmation should always be in positive terms because it is supposed to work for you and not against you. Instead of saying, ?I am not sad,? why not make an affirmation saying, ?I am happy.?

An affirmation should be made up of simple but concise words, and it should be short to be more effective. A very long affirmation can work the other way around, instead of creating a positive mindset for a person. A short affirmation can be easily spoken and repeated by a person. It can serve as a mantra that can be repeated over and over again.

To be effective, an affirmation must be repeated. Repetition works and influences the subconscious, which in turn motivates the person into acting out his affirmation. A person who creates the affirmation should be deeply involved with the words he will be using, so he will be able to actualize his affirmation. Writing words that one believes in can be very powerful, and this can be put to good use when creating an affirmation.

However, creating an affirmation alone and repeating them a million times would not make the affirmation a state of mind. The important thing is to live one?s affirmation and to be open-minded enough to do the things that would help the affirmation become a reality. Feeling the affirmation and applying it in one?s life will help in making the affirmation a reality.

While affirmation is generally used to make an individual better, it can also be used to boost or confirm another person?s value. By affirming another person?s existence, you are helping him improve his self-worth.

Affirmation is a very simple thing that can make a very big difference in a person?s life. It can be a great motivator and can make things happen.

Posts related to How To Use Affirmation Properly

Source: http://endianturk.org/how-to-use-affirmation-properly.html

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10 shared wrestler nicknames

All WWE programming, talent names, images, likenesses, slogans, wrestling moves, trademarks, logos and copyrights are the exclusive property of WWE, Inc. and its subsidiaries. All other trademarks, logos and copyrights are the property of their respective owners. ? 2013 WWE, Inc. All Rights Reserved. This website is based in the United States. By submitting personal information to this website you consent to your information being maintained in the U.S., subject to applicable U.S. laws. U.S. law may be different than the law of your home country. WrestleMania XXIX (NY/NJ) logo TM & ? 2013 WWE. All Rights Reserved. The Empire State Building design is a registered trademark and used with permission by ESBC.

Source: http://www.wwe.com/classics/classic-lists/10-shared-wrestler-nicknames

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Monday, July 15, 2013

HBT: Selig: 'I've never sent an email, never will'

all-star game logo

Here are the starting lineups and batting orders for the All-Star game: AMERICAN LEAGUE NATIONAL LEAGUE 1. Mike Trout, LF 1. Brandon Phillips, 2B 2. Robinson Cano, 2B 2. Carlos Beltran, RF 3. Miguel Cabrera, 3B 3. Joey Votto, 1B 4. Chris Davis, 1B 4. David Wright, 3B 5. Jose Bautista, RF 5. Carlos Gonzalez,?

Source: http://hardballtalk.nbcsports.com/2013/07/15/bud-selig-ive-never-sent-an-e-mail-and-i-never-will/related/

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Mexico advances to CONCACAF Gold Cup quarters

Associated Press Sports

updated 7:09 p.m. ET July 14, 2013

DENVER (AP) - Marco Fabian and Luis Montes scored goals 13 minutes apart in the first half and Mexico defeated Martinique 3-1 in the CONCACAF Gold Cup on Sunday.

Miguel Ponce scored for Mexico in the 90th minute to secure the win.

Mexico, the two-time defending tournament champions, moved to the quarterfinals after losing its first game of pool play to Panama.

Mexico (2-1-0, Pool A) beat Canada 2-0 on Thursday and clinched second place behind Panama and secured a berth in the next round with Sunday's win.

Kevin Parsemain scored for Martinique, which lost its final two games of the tournament after opening with a 1-0 win over Canada on Saturday. Martinique finished pool play 1-2-0.

? 2012 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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Back under Pep's wings

PST: Bayern Munich have confirmed the signing of 22-year-old Spain international Thiago Alcantara from Barcelona.

Source: http://nbcsports.msnbc.com/id/52476019/ns/sports-soccer/

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Sunday, July 14, 2013

Explore Lomography Nearby - Calgary, Canada

Hey, there! You have stumbled upon the official Tumblr home of the Lomographic Society International. Sweet! Enjoy the collection of my favourite Lomographic snapshots. And don't forget to visit my website.

http://www.lomography.com/

You can also submit your Lomographs here!

Source: http://lomographicsociety.tumblr.com/post/55361122125

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Cannons Health Club (City of London, London, by wigerjames)

In the presence of many fraud rehab centers that just exist to make money overnight the presence of Narconon Fresh Start is not only encouraging but also heartening. These guys are really doing a wonderful job in enabling substance abuser overcome their addiction. Detoxification process along with cognitive therapies is bound to bring results!

Source: http://www.qype.co.uk/review/3901739

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Teenager Spieth is youngest PGA winner in 82 years

SILVIS, Ill. (AP) ? Jordan Spieth can say that he's accomplished something that Tiger Woods, Phil Mickelson and Rory McIlroy never did.

Spieth won a PGA Tour event as a teenager ? and now he's joining all those stars at next week's British Open.

The 19-year-old outlasted David Hearn and Zach Johnson on the fifth hole of a playoff to win the John Deere Classic on Sunday, becoming the youngest winner on the PGA Tour in 82 years.

Spieth, who doesn't turn 20 for another two weeks, hit a two-foot par putt to earn a spot in the field at Muirfield. He is also the first teenager to win since Ralph Guldahl took the Santa Monica Open in 1931.

Spieth started the day six shots behind third-round leader Daniel Summerhays. But he forced his way into the playoff by holing out of the bunker from 44 feet on the final hole of regulation.

Spieth, Hearn and Johnson then made par on the first four playoff holes, but Spieth made another par to stave off Johnson and Hearn on the fifth.

Johnson, the defending champion at Deere Run, seized control midway through the final round of regulation, but he simply couldn't get enough birdies to put the field away, and his uncharacteristic bogey on No. 18 set up a three-man playoff.

All three players had their chances to make a playoff-ending shot ? with Johnson narrowly missing from the back of the green on a chip shot that clipped the cup on the first playoff hole.

Spieth, Hearn and Johnson all went right on their final tee shot. Spieth scrambled out of the rough, though, finding the back of the green to save par and win his first PGA Tour event.

Woods, Mickelson and McIlroy were all 20 when they picked up their first victories.

Source: http://news.yahoo.com/teenager-spieth-youngest-pga-winner-82-years-000946015.html

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Technique Components Of Skillful Dieting And Fat Loss Programs

The latest great way so that it will start losing load is to start attending fitness instruction at your weight room. Weight Loss Plans For Men - - The Real Message Even though weight loss plans because of men don't really look to be as popular as being weight loss blueprints and plans for women, typically is an plain and simple need for them, especially today.

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Source: http://www.articlesnatch.com/Article/Technique-Components-Of-Skillful-Dieting-And-Fat-Loss-Programs/5322735

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Eighteen killed after truck ploughs into bus outside Moscow

Igor Ivashin / AP

Emergency workers and investigators work at the site of the crash of a truck and a bus near Oznobishino, a settlement in the Moscow municipality, about 25 miles south of the city center, Russia on July 13, 2013.

By Alessandra Prentice, Reuters

Eighteen people were killed and 25 injured when a truck ploughed into a bus in a Moscow suburb on Saturday, according to the Russian emergency ministry.

An eyewitness video of the crash, broadcast on state television, showed the green and white passenger bus's windows shattering as it split in half, forcing other vehicles on the road to swerve wildly out of its way.

Death rates from Russian road accidents are higher than in most Western countries, and lawmakers are moving to toughen drunk-driving penalties.

The country has gained fame for its erratic drivers, with footage of cars overtaking on blind corners, rear-ending each other and careening off the road amassing millions of views on YouTube.

Related:

Copyright 2013 Thomson Reuters. Click for restrictions.

Source: http://feeds.nbcnews.com/c/35002/f/663309/s/2e9c966e/l/0Lworldnews0Bnbcnews0N0C0Inews0C20A130C0A70C130C194540A950Eeighteen0Ekilled0Eafter0Etruck0Eploughs0Einto0Ebus0Eoutside0Emoscow0Dlite/story01.htm

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Saturday, July 13, 2013

Stem cell clues uncovered

[unable to retrieve full-text content]Proper tissue function and regeneration is supported by stem cells, which reside in so-called niches. New work identifies an important component for regulating stem cell niches, with impacts on tissue building and function. The results could have implications for disease research.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/most_popular/~3/fmh_yVDxYLY/130713095248.htm

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Friday, July 12, 2013

Monash Stakes Preview: Galaxy to continue meteoric rise

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Source: betting.betfair.com --- Friday, July 12, 2013
Head of Timeform Australia Gary Crispe looks towards this weekend's feature at Caulfield... ...

Source: http://betting.betfair.com//betting.betfair.com/horse-racing/world-racing/australia/monash-stakes-preview-galaxy-to-continue-meteoric-rise-120713-25.html

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Is Willow Smith's video too sexy for a tween?

Music

5 hours ago

At just 12 years old, singer Willow Smith is in the midst of a grown-up controversy. It seems many feel the tween's new song and accompanying video, "Summer Fling," are far too mature for her.

Some find fault with the lyrics, particularly the part where Smith sings, "It's just a couple months, but we do it anyway."

Presumably "do it" refers to the decision to take part in a brief summer romance at all, but critics feel that those words, when paired with idea of a "fling," is where the controversy lies.

"I would have probably been more comfortable if she'd called it a 'summertime crush' or 'puppy love,' something like that, as opposed to a fling," said YouTube user Lovelyti, who filmed a video response to the song. "Because when I think about a fling, I think about a one night stand."

That's a sentiment shared by psychiatrist Carole Lieberman, who found the "Summer Fling" video, which sees Smith frolicking with a boyfriend who looks a little older than her, equally disturbing.

"The video is called 'Summer Fling,' but it might just as well be called 'Lolita,'" she told TODAY. "It's outrageous."

But Bonnie Fuller, from HollywoodLife.com, disagrees with those who insist the song and video have strong sexual overtones.

"(Willow's) at a pool party; she's jumping on a trampoline," Fuller explained to TODAY. "I don't think that Willow Smith is talking about having sex in the summer with some boy. I think she's talking about having a relationship or romance or a crush with some boy. ... I don?t' think parents need to be concerned about their 12-year-old sons or daughters watching the video."

Lieberman, on the other hand, is concerned for parents ? specifically Will Smith and Jada Pinkett-Smith.

"There's nothing innocent about this video," she said. "It's clearly about sex. I don't know what Willow's parents were thinking."

E!'s Jason Kennedy, reporting for TODAY, reached out to the Smiths for comment, but their representatives did not respond.

Source: http://www.today.com/entertainment/willow-smiths-new-video-too-sexy-tween-6C10599660

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'Pacific Rim' May Get Submerged By 'Despicable Me 2' At The Box Office

The Guillermo del Toro-directed film needs its fans to band together in order to come out on top.
By Ryan J. Downey

Source: http://www.mtv.com/news/articles/1710479/pacific-rim-despicable-me-2-box-office.jhtml

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Thursday, July 11, 2013

Nasdaq stocks posting largest percentage decreases

NEW YORK (AP) -- A look at the 10 biggest percentage decliners on Nasdaq at the close of trading:

Merrimack Pharmaceuticals Inc. fell 28.0 percent to $5.03.

Marketo Inc. fell 11.5 percent to $22.07.

Erickson Air-Crane Inc. fell 8.6 percent to $19.54.

Image Sensing Systems Inc. fell 7.2 percent to $7.18.

Aratana Therapeut fell 6.8 percent to $8.76.

Cyanotech Corp. fell 6.2 percent to $5.92.

Ascent Capital Group class A fell 6.0 percent to $79.08.

Frequency Electronics Inc. fell 5.8 percent to $9.96.

Elmira Savings Bank Elmira NY fell 5.6 percent to $23.61.

LCNB Corp. fell 5.6 percent to $23.09.

Source: http://news.yahoo.com/nasdaq-stocks-posting-largest-percentage-174219887.html

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Obama Said to Invite Vietnam's President to Washington

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Source: http://online.wsj.com/article/SB10001424127887324694904578597622042555796.html?mod=rss_about_china

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Legendary Pak batsman Hanif Mohd undergoes cancer surgery

Pakistan great Hanif Mohammad has undergone an operation for liver cancer, it has been reported.

Hanif MohammadThe 78-year-old had his right liver lobe and gall bladder removed during the operation at LondonBridge hospital on Wednesday.

Mohammad is kept under observation and will stay at the hospital for about a week.

The veteran batsman holds a record for playing the longest innings in Test history ? a mammoth 970-minute (16 hours and 10 minutes), 337 against the West Indies at Bridgetown in 1958.

Photograph: Reuters

Source: http://www.rediff.com/cricket/report/legendary-pak-batsman-hanif-mohd-undergoes-cancer-surgery/20130711.htm

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Wednesday, July 10, 2013

Video: Microsoft demos new Outlook for Windows 8.1

July 09, 2013

Jensen Harris, program manager for Windows user experience, demonstrated a new version of Outlook coming to Windows 8.1 later in 2013 at the Worldwide Partner Conference in Houston. As seen in this video, Harris showed off upgrades and new features that largely focused on one topic: organization.

Besides abilities like flagging emails and maintaining a list of favorite contacts, Outlook is geared toward helping users deal with the deluge of email. Messages from social sites like Facebook and Foursquare all get directed to a Social folder, keeping them out of the primary email stream, and the new Sweep function allows users to delete all but the most recent emails from a common source (only the most recent LivingSocial newsletter, for example). Outlook also leverages Windows 8.1's multiwindow view by having attachments open in the proper app in a side-by-side window.

This story, "Video: Microsoft demos new Outlook for Windows 8.1 ," was originally published at InfoWorld.com. Keep up with the latest tech videos with the InfoTube blog. For the latest developments in business technology news, follow InfoWorld.com on Twitter.

Source: http://www.infoworld.com/t/email-software/video-microsoft-demos-new-outlook-windows-81-222327?source=rss_infoworld_blogs

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Japan Provides Best Reminder Yet to Check Your Google Privacy Settings

Japan Provides Best Reminder Yet to Check Your Google Privacy Settings

Everybody's done it. You upload some potentially incriminating photos to the internet, forget to uncheck a box or two in the privacy settings, and the next thing you know your mom is staring at pictures of your friends doing bong rips. It's a funny mistake to make?until it becomes a matter of public safety.

Read more...

    


Source: http://feeds.gawker.com/~r/gizmodo/full/~3/m4T4gQ5G4QI/japan-provides-best-reminder-yet-to-check-your-google-p-730151426

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Five tips to become a supplement-savvy athlete | Human Kinetics ...

Sport SupplementsAlthough dietary supplement use is widespread among athletes, many of them are not using supplements correctly.

According to research, as many as 90 percent of US college athletes use some type of sport supplement, while surveys taken at the Olympic Games revealed 69 percent of athletes in Atlanta and 74 percent in Sydney used them.

According to Kimberly Mueller, a sports dietitian and top expert on supplements, even though exercise may not be a problem for most athletes, a perception remains that dietary supplementation can help offset the consequences of a diet rich in nutritionally empty foods.

?Dietary supplements are often perceived as sticking plaster for poor lifestyle choices, including imbalanced nutrition, lack of exercise and deficient sleep patterns,? Mueller says.

With a growing number of athletes using dietary supplements, many sport governing bodies are laying down ground rules to minimise health and safety risks to athletes.

Although it has been suggested that athletes should avoid dietary supplements altogether, Mueller says this approach is unrealistic and unnecessary. ?There are a variety of legitimate reasons for an athlete to use supplements in coordination with a well-balanced diet,? she explains.

In her forthcoming book, The Athlete?s Guide to Sports Supplements, Mueller offers five tips that all athletes should follow when taking a supplement.

1. Talk with your healthcare provider before making a decision.
?A trip to the gym may lead to a sales pitch for a variety of supplements,? says Mueller. ?Many fitness professionals are pressured to meet a specific sales quota for a supplement line the gym is carrying or are merely looking for additional income.? According to Mueller, athletes must be selective about where and from whom they are gathering information. She encourages athletes to speak with a healthcare provider, such as a doctor or pharmacist, about dietary supplements before taking anything at all. Health care providers can discuss the potential benefits as well as safety risks.

2. Become familiar with reputable online resources for supplements. ?A single online search of dietary supplements will lead to a plethora of information, often conflicting and usually generated by unqualified parties,? says Mueller. In her book, she provides a quick reference guide of credible websites for information on important issues involving dietary supplements.

3. Look for clean supplements. ?Unfortunately, a legitimate risk to an athlete is a failed doping test due to use of contaminated nutritional supplements, despite ongoing efforts to improve relatively ineffective or nonexistent regulatory and manufacturing guidelines,? Mueller says. ?Several reviews of supplements available from the Internet and retail stores have confirmed that many supplements are laced with steroids and stimulants, which are prohibited for use in sports.? Thus, any athlete thinking about using a dietary supplement should make sure that there has been a stamp of approval garnered from an independent testing lab. Independent testing via third-party organizations ensures that the contents of dietary supplements actually match what is printed on the label, there are no ingredients present in the supplement that are not openly disclosed on the label, and there are no unacceptable levels of contaminants present in the supplement.

4. Learn how to read supplement labels.The dietary supplement label lists essential information about the product in the bottle. ?Prior to using any supplement, it is critical to always read the label and follow directions for use,? Mueller advises.

5. Know how to report fraudulent supplements or adverse reactions. Any athlete who experiences an adverse reaction to a dietary supplement should immediately contact his or her health care provider, after which the problem can be reported directly to the FDA.

?It?s impossible to ignore the prevalence of dietary supplement use in athletics,? Mueller concludes. ?Thus, it?s important for athletes, coaches, and sport performance professionals to be educated on how supplements are regulated and what to look for in a dietary supplement.?

The Athlete?s Guide to Sports Supplements, available August 2013, covers 120 of the most popular supplements and gives readers the tools they need to assess, evaluate, and purchase supplements that fit their specific muscular, cardiovascular and psychological needs.

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Source: http://humankinetics.me/2013/07/10/five-tips-to-become-a-supplement-savvy-athlete/

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Android Jelly Bean Overtakes Gingerbread

Android Stats

The latest OS segmentation figures are out for Android and it?s great news for Google. Android 4.1.x/4.2.x aka Jelly Bean has now taken the lead and makes up the largest slice of Android devices out there with a distribution of 37.9%. Gingerbread has 34.1% and Ice Cream Sandwich with 23.3%. The other versions have all diminished to less than 5% in total.

With over 50% of devices now running a version of Android that?s 4.0.x or greater, the fragmentation of the past will soon become a distant memory.

Source: http://feedproxy.google.com/~r/briefmobile/~3/XeutB6x1QNc/android-jelly-bean-overtakes-gingerbread

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Tuesday, July 9, 2013

ObamaCare Gets Price-Comparison Technology On Oct 1

obama-biden-remixthisPresident Obama just held a blindingly fast press conference on open government, which probably left most citizens scratching their heads in confusion over one of his geekier executive obsessions. The most important point is that citizens will be able to comparison-shop the costs and features of health-care plans, just like we can now do with flights and car rentals. You can check them out at Healthcare.gov, which recently got a major user-design overhaul.

Source: http://feedproxy.google.com/~r/Techcrunch/~3/ixCmYWHoHJo/

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Japan broadcasters ban Panasonic "smart" TV commercial

TOKYO: Japanese broadcasters are refusing to air commercials for Panasonic's new "smart" television, the manufacturer said, amid speculation that they feel threatened by its combined TV-Internet function.

Private broadcasters -- in a rare case of turning down a major advertiser -- have said they will not show commercials for the product, claiming the split screen simultaneously showing broadcast content and web pages may confuse viewers, according to reports.

"IPTV, or smart television, is a new area of service, and we are in talks to create new rules for broadcasting," Panasonic said in a statement. "We refrain from making further comments."

Web users who have seen the commercial, available on video-sharing site YouTube, lashed out at broadcasters for an apparently quixotic attempt to protect their medium from competition.

"Terrestrial broadcasting is finished because it has failed to keep up with the trend," said one posting underneath the video by Desuzo Otaku. "Forget it. We live in the time of the Internet."

"LG, Samsung have already released similar televisions a long time ago, but they cannot bring them to Japan," said another posting by tairaomote, referring to Panasonic's South Korean rivals.

Japan has a lively and competitive broadcast scene and a thriving Internet culture.

However, despite a reputation for innovative wizardry, Japan is sometimes slow to adopt new forms of technology into mainstream use. Some major companies are criticised for not keeping up with changes in modes of consumption.

Rules on political campaigning that had banned the use of the Internet have only recently been relaxed ahead of the July 21 upper house election.

Source: http://www.channelnewsasia.com/news/technology/japan-broadcasters-ban/737598.html

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Monday, July 8, 2013

Medical safety innovation gets a boost from systematic analysis

Medical safety innovation gets a boost from systematic analysis [ Back to EurekAlert! ] Public release date: 8-Jul-2013
[ | E-mail | Share Share ]

Contact: Rachel Ewing
raewing@drexel.edu
215-895-2614
Drexel University

Hospital discharge data provide a population-level picture of patient safety events in Pennsylvania

PHILADELPHIA (July 8, 2013) If all medical errors were counted together as a single cause, they would likely rank as the third leading cause of death in the United States. As health care personnel race to improve the quality of their care to save lives and prevent unneeded harm, a new study indicates there is more they can do to learn about what errors are occurring and why.

Researchers from the Drexel University School of Public Health demonstrated a systematic analysis of hospital administrative data for patient safety at a population level, in a recent paper in the Journal of Healthcare Risk Management. They say that health care organizations have an untapped opportunity to use their own administrative data in this way as a "springboard to problem identification" at the leading edge of preventing even those medical errors that are not yet preventable.

"For example, a patient may receive a drug in the Emergency Department and develop an allergic reaction, but did not have any known allergies at the time of treatment," said Dr. Jennifer Taylor, an associate professor at Drexel who led the study. "While such events may not be deemed to be preventable now, we need to start tracking them so our research and development colleagues know what's next in the prevention pipeline."

Based on this premise, that preventing medical errors requires a good understanding of when and where all such errors, or so-called "patient safety events" occur including those that are nonfatal, those that are not yet preventable and even those that do not cause noticeable harm Taylor and colleagues analyzed large-scale data on hospital stays (recorded in discharge data) in Pennsylvania during one year. They compared hospital stays with and without patient safety events, to describe patterns, demographics and differences associated with such events.

They found that nine percent of the hospital discharges in Pennsylvania in 2006 were for stays with a patient safety event. On average, patients who experienced an adverse event were older, white and male; patient safety events added an average of $35,000 to the cost, and 3 days to the length, of a hospital stay.

"The percentage of discharges that had a patient safety event is in the range of other studies we've seen in the U.S. and around the world," said Taylor. "While this figure may be a bit startling, it is not a cause for alarm, in that many of the events that we found are adverse events for which there are no known prevention strategies," as in the example of the unexpected allergic reaction.

For their analysis, Taylor and co-authors used standard International Classification of Disease (ICD-9-CM) diagnosis codes that indicate each patient's primary and secondary diagnoses and causes of injury in hospital discharge data. These discharge data are typically used for billing, but are also used for some public health surveillance efforts such as reporting on communicable disease. The ICD-9-CM codes provided a population-level picture of many preventable and non-preventable adverse events. The researchers combined this data source with an algorithmic patient safety indicator developed by the Agency for Healthcare Research and Quality (AHRQ), which has been demonstrated as a useful indicator of specific adverse events for which known prevention strategies are available.

Taylor and colleagues point out that hospital discharge data sources such as these are easily accessible to administrators and safety personnel and can be a useful source of information for patient safety. By describing patient safety events at the population level, their method capitalizes on the consistent standardized information the discharge data provide, and could be used by any health care entity across the U.S. and the world that utilizes the ICD system for coding.

Nationwide, patient safety efforts and innovations in health care are already accelerating due to financial implications of the Affordable Care Act, which limits reimbursement to facilities when specific known-preventable errors occur during a patient's treatment. Improved population-level surveillance of all errors, Taylor suggested, can help guide safety innovators to take the next steps forward.

Taylor noted that some of Pennsylvania's additional patient safety data sources make it a promising location to take the population-level analysis even deeper: "Pennsylvania has a strong commitment to patient safety and reporting," said Taylor. "Many great data sources exist such as the Pennsylvania Health Care Cost Containment Commissioner's state hospital discharge data and the Patient Safety Authority's Patient Safety Reporting System. In our paper we recommend that these two systems be explored to discover how Pennsylvania can make even more advances in understanding the scope of the problem and how we should leverage our unique commitment to data into prevention opportunities."

For patients concerned about preventing medical errors in their own care, Taylor recommends using the resources and fact sheets available from the National Patient Safety Foundation (http://www.npsf.org/for-patients-consumers/tools-and-resources-for-patients-and-consumers/).

###

Link to paper: http://dx.doi.org/10.1002/jhrm.21107


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Medical safety innovation gets a boost from systematic analysis [ Back to EurekAlert! ] Public release date: 8-Jul-2013
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Contact: Rachel Ewing
raewing@drexel.edu
215-895-2614
Drexel University

Hospital discharge data provide a population-level picture of patient safety events in Pennsylvania

PHILADELPHIA (July 8, 2013) If all medical errors were counted together as a single cause, they would likely rank as the third leading cause of death in the United States. As health care personnel race to improve the quality of their care to save lives and prevent unneeded harm, a new study indicates there is more they can do to learn about what errors are occurring and why.

Researchers from the Drexel University School of Public Health demonstrated a systematic analysis of hospital administrative data for patient safety at a population level, in a recent paper in the Journal of Healthcare Risk Management. They say that health care organizations have an untapped opportunity to use their own administrative data in this way as a "springboard to problem identification" at the leading edge of preventing even those medical errors that are not yet preventable.

"For example, a patient may receive a drug in the Emergency Department and develop an allergic reaction, but did not have any known allergies at the time of treatment," said Dr. Jennifer Taylor, an associate professor at Drexel who led the study. "While such events may not be deemed to be preventable now, we need to start tracking them so our research and development colleagues know what's next in the prevention pipeline."

Based on this premise, that preventing medical errors requires a good understanding of when and where all such errors, or so-called "patient safety events" occur including those that are nonfatal, those that are not yet preventable and even those that do not cause noticeable harm Taylor and colleagues analyzed large-scale data on hospital stays (recorded in discharge data) in Pennsylvania during one year. They compared hospital stays with and without patient safety events, to describe patterns, demographics and differences associated with such events.

They found that nine percent of the hospital discharges in Pennsylvania in 2006 were for stays with a patient safety event. On average, patients who experienced an adverse event were older, white and male; patient safety events added an average of $35,000 to the cost, and 3 days to the length, of a hospital stay.

"The percentage of discharges that had a patient safety event is in the range of other studies we've seen in the U.S. and around the world," said Taylor. "While this figure may be a bit startling, it is not a cause for alarm, in that many of the events that we found are adverse events for which there are no known prevention strategies," as in the example of the unexpected allergic reaction.

For their analysis, Taylor and co-authors used standard International Classification of Disease (ICD-9-CM) diagnosis codes that indicate each patient's primary and secondary diagnoses and causes of injury in hospital discharge data. These discharge data are typically used for billing, but are also used for some public health surveillance efforts such as reporting on communicable disease. The ICD-9-CM codes provided a population-level picture of many preventable and non-preventable adverse events. The researchers combined this data source with an algorithmic patient safety indicator developed by the Agency for Healthcare Research and Quality (AHRQ), which has been demonstrated as a useful indicator of specific adverse events for which known prevention strategies are available.

Taylor and colleagues point out that hospital discharge data sources such as these are easily accessible to administrators and safety personnel and can be a useful source of information for patient safety. By describing patient safety events at the population level, their method capitalizes on the consistent standardized information the discharge data provide, and could be used by any health care entity across the U.S. and the world that utilizes the ICD system for coding.

Nationwide, patient safety efforts and innovations in health care are already accelerating due to financial implications of the Affordable Care Act, which limits reimbursement to facilities when specific known-preventable errors occur during a patient's treatment. Improved population-level surveillance of all errors, Taylor suggested, can help guide safety innovators to take the next steps forward.

Taylor noted that some of Pennsylvania's additional patient safety data sources make it a promising location to take the population-level analysis even deeper: "Pennsylvania has a strong commitment to patient safety and reporting," said Taylor. "Many great data sources exist such as the Pennsylvania Health Care Cost Containment Commissioner's state hospital discharge data and the Patient Safety Authority's Patient Safety Reporting System. In our paper we recommend that these two systems be explored to discover how Pennsylvania can make even more advances in understanding the scope of the problem and how we should leverage our unique commitment to data into prevention opportunities."

For patients concerned about preventing medical errors in their own care, Taylor recommends using the resources and fact sheets available from the National Patient Safety Foundation (http://www.npsf.org/for-patients-consumers/tools-and-resources-for-patients-and-consumers/).

###

Link to paper: http://dx.doi.org/10.1002/jhrm.21107


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Source: http://www.eurekalert.org/pub_releases/2013-07/du-msi070813.php

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AP IMPACT: MIA work 'acutely dysfunctional'

In this photo taken Monday, July 1, 2013, in Chapel Hill, N.C., Shelia Reese, right, holds hands with her mother Chris Tench while holding a portrait of Tench and her father Kenneth F. Reese, a soldier who is still Missing In Action from the Korean War. Tench, who was later remarried, has never known what happened to her husband. The Pentagon?s effort to account for tens of thousands of Americans missing in action from foreign wars is so inept, mismanaged and wasteful that it risks descending from ?dysfunction to total failure,? according to an internal study suppressed by military officials. (AP Photo/Gerry Broome)

In this photo taken Monday, July 1, 2013, in Chapel Hill, N.C., Shelia Reese, right, holds hands with her mother Chris Tench while holding a portrait of Tench and her father Kenneth F. Reese, a soldier who is still Missing In Action from the Korean War. Tench, who was later remarried, has never known what happened to her husband. The Pentagon?s effort to account for tens of thousands of Americans missing in action from foreign wars is so inept, mismanaged and wasteful that it risks descending from ?dysfunction to total failure,? according to an internal study suppressed by military officials. (AP Photo/Gerry Broome)

In this photo taken Monday, July 1, 2013 in Chapel Hill, N.C., Chris Tench holds a portrait of her and her husband Kenneth F. Reese, a soldier who is still Missing In Action from the Korean War. Tench, who was later remarried, has never known what happened to Reese. The Pentagon?s effort to account for tens of thousands of Americans missing in action from foreign wars is so inept, mismanaged and wasteful that it risks descending from ?dysfunction to total failure,? according to an internal study suppressed by military officials. (AP Photo/Gerry Broome)

In this photo taken Monday, July 1, 2013 in Chapel Hill, N.C., Shelia Reese, right, sits with her mother Chris Tench holding a portrait of Tench and her father Kenneth F. Reese, a soldier who is still Missing In Action from the Korean War. Tench, who was later remarried, has never known what happened to her husband. The Pentagon?s effort to account for tens of thousands of Americans missing in action from foreign wars is so inept, mismanaged and wasteful that it risks descending from ?dysfunction to total failure,? according to an internal study suppressed by military officials. (AP Photo/Gerry Broome)

Graphic shows missing service members for conflicts since World War II; 1c x 3 inches; 46.5 mm x 76 mm;

(AP) ? The Pentagon's effort to account for tens of thousands of Americans missing in action from foreign wars is so inept, mismanaged and wasteful that it risks descending from "dysfunction to total failure," according to an internal study suppressed by military officials.

Largely beyond the public spotlight, the decades-old pursuit of bones and other MIA evidence is sluggish, often duplicative and subjected to too little scientific rigor, the report says.

The Associated Press obtained a copy of the internal study after Freedom of Information Act requests for it by others were denied.

The report paints a picture of a Joint POW/MIA Accounting Command, a military-run group known as JPAC and headed by a two-star general, as woefully inept and even corrupt. The command is digging up too few clues on former battlefields, relying on inaccurate databases and engaging in expensive "boondoggles" in Europe, the study concludes.

In North Korea, the JPAC was snookered into digging up remains between 1996 and 2000 that the North Koreans apparently had taken out of storage and planted in former American fighting positions, the report said. Washington paid the North Koreans hundreds of thousands of dollars to "support" these excavations.

Some recovered bones had been drilled or cut, suggesting they had been used by the North Koreans to make a lab skeleton. Some of those remains have since been identified, but their compromised condition added time and expense and "cast doubt over all of the evidence recovered" in North Korea, the study said. This practice of "salting" recovery sites was confirmed to the AP by one U.S. participant.

JPAC's leaders authorized the study of its inner workings, but the then-commanding general, Army Maj. Gen. Stephen Tom, disavowed it and suppressed the findings when they were presented by the researcher last year. Now retired, Tom banned its use "for any purpose," saying the probe went beyond its intended scope. His deputy concurred, calling it a "raw, uncensored draft containing some contentious material."

The AP obtained two internal memos describing the decision to bury the report. The memos raised no factual objections but said the command would not consider any of the report's findings or recommendations.

The failings cited by the report reflect one aspect of a broader challenge to achieving a uniquely American mission ? accounting for the estimated 83,348 service members still listed as missing from World War II, Korea and Vietnam.

This is about more than tidying up the historical record. It is about fulfilling a promise to the mothers and fathers, sisters and brothers and sons and daughters of the missing. Daughters like Shelia Reese, 62, of Chapel Hill, N.C., who still yearns for the father she never met, the boy soldier who went to war and never returned.

She was 2 months old when heartbreaking word landed at her grandmother's door a week before Christmas 1950 that Pfc. Kenneth F. Reese, a 19-year-old artilleryman, was missing in action in North Korea. To this day, the military can't tell her if he was killed in action or died in captivity. His body has never been found.

"It changed my whole life. I've missed this man my whole life," she says.

She's not alone.

Reese is among 7,910 unaccounted for from Korea, down from 8,200 when the war ended 60 years ago this month.

A sense of emptiness and unanswered questions haunted many families of the missing throughout the second half of the 20th century, when science and circumstance did not permit the almost exact accounting for the dead and the missing that has been achieved in Iraq and Afghanistan. While the government's efforts have provided closure for hundreds of families of the missing in recent years, many others are still waiting.

Over time, the obscure government bureaucracies in charge of the accounting task have largely managed to escape close public scrutiny despite clashing with a growing number of advocacy groups and individuals such as Frank Metersky, a Korean War veteran who has spent decades pressing for a more aggressive and effective U.S. effort.

The outlook for improvement at the Joint POW/MIA Accounting Command, he says, is not encouraging.

"Today it's worse than ever," he says.

People disagree on the extent of the problem. But even the current JPAC commander, Air Force Maj. Gen. Kelly K. McKeague, says he would not dispute those who say his organization is dysfunctional.

"I'd say you're right, and we're doing something about it," McKeague said in a telephone interview last week from his headquarters in Hawaii. He said changes, possibly to include consolidating the accounting bureaucracy and putting its management under the Joint Chiefs of Staff in Washington, are under consideration.

The internal report by Paul M. Cole was never meant to be made public. It is unsparing in its criticisms:

?In recent years the process by which JPAC gathers bones and other material useful for identifications has "collapsed" and is now "acutely dysfunctional."

?JPAC is finding too few investigative leads, resulting in too few collections of human remains to come even close to achieving Congress's demand for a minimum 200 identifications per year by 2015. Of the 80 identifications that JPAC's Central Identification Laboratory made in 2012, only 35 were derived from remains recovered by JPAC. Thirty-eight of the 80 were either handed over unilaterally by other governments or were disinterred from a U.S. military cemetery. Seven were from a combination of those sources.

?Some search teams are sent into the field, particularly in Europe, on what amount to boondoggles. No one is held to account for "a pattern of foreign travel, accommodations and activities paid for by public funds that are ultimately unnecessary, excessive, inefficient or unproductive." Some refer to this as "military tourism."

?JPAC lacks a comprehensive list of the people for whom it's searching. Its main database is incomplete and "riddled with unreliable data."

?"Sketch maps" used by the JPAC teams looking for remains on the battlefield are "chronically unreliable," leaving the teams "cartigraphically blind." Cole likened this to 19th century military field operations.

Absent prompt and significant change, "the descent from dysfunction to total failure ... is inevitable," Cole concluded.

He directed most of his criticism at the field operations that collect bones and other material, as opposed to the laboratory scientists at JPAC who use that material to identify the remains. Cole is a management consultant and recognized research expert in the field of accounting for war remains; he still works at JPAC.

More broadly, the government organizations responsible for the accounting mission, including the Pentagon's Defense Prisoner of War/Missing Personnel Office, or DPMO, which is in charge of policy, have sometimes complicated their task by making public statements that their critics view as disingenuous or erroneous.

The head of DPMO, for example, retired Army Maj. Gen. W. Montague Winfield, said last month at a public forum that the U.S. government has "no evidence" that U.S. servicemen taken prisoner in North Korea during the 1950-53 war were later moved to the former Soviet Union against their will and never returned.

Washington made a detailed case in writing to Moscow in 1993 that such transfers did happen, and the AP has obtained a videotape produced by U.S. officials and given to the Russians at the same time to support the U.S. case.

The tape, which has never before been made public, was provided to the AP by a former government official who was not authorized to release it. It says that based on interviews and other research, U.S. investigators believe "10s if not 100s" of American POWs were transferred to the territory of the former Soviet Union. In some cases they were moved to Russia through rail transfer points in China, the tape asserts.

"Certainly we understand that these operations were never meant to see the light of day," the film says.

The Russian government has repeatedly denied it received American POWs from Korea.

Mark Sauter, a private researcher and co-author with John Zimmerlee of "American Trophies and Washington's Cynical Attitude," an e-book about POWs to be published this month, found in government archives a U.S. intelligence report from August 1955, two years after the war, calling for a bigger intelligence effort to learn about such POW transfers.

"Continued and numerous fragmentary intelligence reports give credence to possible detention of a large number of American POWs in China, Manchuria, U.S.S.R., and North Korea," it said. It cited one "significant report" describing "a large number of U.S. POWs being shipped into U.S.S.R. by rail" from northeast China.

Accounting for the nation's war dead has been a politically charged issue for decades. The debate is not about the practicality of the mission, which some might question, but how it should be pursued.

Sometimes overlooked amid the squabbling is the emotional toll on the families of the missing. They are often bewildered by the bureaucracy and left to watch hope wear away with the passage of time.

In 1975, more than two decades after Pfc. Kenneth F. Reese was declared missing in Korea, his widow, Chris Tench, who had by then remarried, described her feelings in her local newspaper, the Gastonia (N.C) Gazette.

She wrote that initially she was relieved to realize that the policeman who delivered the news about Reese on Dec. 18, 1950, was saying that her husband was missing, not dead. He might turn up alive, she recalled thinking.

Later she thought differently.

"No, missing isn't dead," she wrote. "It's worse than dead."

___

Follow Robert Burns on Twitter at http://www.twitter.com/robertburnsAP

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/cae69a7523db45408eeb2b3a98c0c9c5/Article_2013-07-07-MIAs%20in%20Limbo/id-a925f616543146e485afb6c1c4ea5251

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Immigration, student loan top congressional agenda

WASHINGTON (AP) ? Republicans and Democrats will put good will to the test when Congress returns this week to potentially incendiary fights over nominations, unresolved disputes over student loans and the farm bill, and the uncertainty of whether lawmakers have the political will to rewrite the nation's immigration laws.

The cooperation evident in the Senate last month with passage of a bipartisan immigration bill could be wiped out immediately if Majority Leader Harry Reid, D-Nev., frustrated with GOP delaying tactics on judges and nominations, tries to change the Senate rules by scrapping the current three-fifths majority for a simple majority.

Republican leader Mitch McConnell of Kentucky has indicated it's a decision Reid could regret if the GOP seizes Senate control in next year's elections.

"Once the Senate definitively breaks the rules to change the rules, the pressure to respond in kind will be irresistible to future majorities," McConnell said last month, looking ahead to 2014 when Democrats have to defend 21 seats to the GOP's 14.

McConnell envisioned a long list of reversals from the Democratic agenda, from repealing President Barack Obama's health care law to shipping radioactive nuclear waste to Yucca Mountain in Reid's home state of Nevada.

Recently elected Democrats have clamored for changes in Senate rules as Obama has faced Republican resistance to his nominations.

Two Cabinet-rank choices ? Tom Perez as labor secretary and Gina McCarthy to head the Environmental Protection Agency ? could be approved by the Senate this month after a loud debate over administration policies.

The GOP also has challenged Obama's three judicial nominees to the powerful U.S. Court of Appeals for the District of Columbia Circuit as they've tried to eliminate the vacancies.

Reid had served notice in April that the Democratic majority could change the Senate rules on "any given day," and he was willing to do so if necessary.

In the Republican-controlled House, courteous behavior, even within the GOP ranks, has barely been perceptible with the ignominious failure of the farm bill. Some collaboration will be necessary if the House is to move ahead on immigration legislation this month.

Conservatives from safe, gerrymandered House districts have rebuffed appeals from some national Republicans who argue that embracing immigration overhaul will boost the party's political standing with an increasingly diverse electorate, especially in the 2016 presidential election. The conservatives strongly oppose any legislation offering legalization to immigrants living here illegally.

Reflecting the will of the rank and file, House Speaker John Boehner of Ohio and other Republicans have said the comprehensive Senate immigration bill that couples the promise of citizenship for those living here unlawfully with increased border security is a nonstarter in the House.

Republicans were assessing the views of their constituents during the weeklong July Fourth break and planned to discuss their next steps at a private meeting Wednesday.

"I think what members need before we proceed on the actual immigration reform is an ironclad guarantee that the border is going to be secure," Rep. Matt Salmon, R-Ariz., said just before the recess. He didn't see any urgency to acting quickly.

"I find it very interesting the argument that we can't wait till the border is secure, we can't even do a six-month test to make sure ... we have to get them out of the shadows immediately," Salmon said. "They've been in the shadows for 20 years, and another six months is going to break their backs? I mean come on, that's not even a valid argument."

The House Judiciary Committee has adopted a piecemeal approach, approving a series of bills, none with a path to citizenship that Obama and Democrats are seeking. Democrats hope the single-issue bills get them to a conference with the Senate, where the prospects for a far-reaching overhaul improve.

A more pressing concern for some lawmakers was the fate of the five-year, half-trillion-dollar farm bill.

In a surprise last month, the House rejected the bill as 62 Republicans voted no after Boehner had urged support for the measure.

House conservatives wanted cuts deeper than $2 billion annually, or about 3 percent, in the almost $80 billion-a-year food stamp program while Democrats were furious with a last-minute amendment that would have added additional work requirements to food stamps, now called the Supplemental Nutrition Assistance Program, or SNAP.

Reid has made it clear that an extension of the current farm law, passed in 2008, is unlikely as he presses the House to pass the Senate version of the bill. That leaves Boehner to figure out the next step before the current policy expires Sept. 30.

Congress also must figure out what to do about interest rates on college student loans, which doubled from 3.4 percent last Monday because of partisan wrangling in the Senate.

Lawmakers promised to restore lower rates when they return this week, both retroactively and before students start signing loan documents later this summer. For now, the rate stands at 6.8 percent, which is higher than most loans available from private lenders.

Congress faces political and economic fights over the budget, with the fiscal year ending Sept. 30 and Congress plodding through spending bills with no sign they will be done on time. The House is set to vote this week on the spending bill for the Energy Department.

In addition to legislation to keep the government running, Congress probably will have to vote on whether to raise the nation's borrowing authority, a politically fraught vote that roiled the markets in August 2009.

Three Senate committees will consider Obama nominees for major national security positions this month, confirmation hearings certain to set off a political dust-up over the president's policies though the criticism is unlikely to scuttle the selections.

Questions about the administration's policy toward Syria and plans to arm the rebels in their civil war with President Bashar Assad's forces will dominate the Senate Armed Services Committee hearing on the re-nomination of Gen. Martin Dempsey for chairman of the Joint Chiefs of Staff.

The hearing is scheduled for July 18.

The Senate Foreign Relations Committee is expected to hold a hearing on Samantha Power, the president's pick for U.S. ambassador to the United Nations, and a subcommittee meets July 11 to consider the nomination of Victoria Nuland for assistant secretary of state for European and Eurasian Affairs.

That posting typically wouldn't draw a great deal of attention, but senators are certain to press Nuland about her work on the widely debunked talking points about the deadly assault on the U.S. diplomatic mission in Benghazi, Libya. Four Americans, including U.S. Ambassador Chris Stevens, were killed in the Sept. 11 attack last year.

Susan Rice, the U.S. ambassador to the United Nations at that time, used the talking points five days after the attack, blaming the assault on a spontaneous protest over an anti-Islamic video.

The Senate Judiciary Committee holds a confirmation hearing Tuesday on Obama's choice of James Comey to serve as FBI director. If confirmed by the Senate, Comey, a top Bush administration lawyer best known for defiantly refusing to go along with White House demands on warrantless wiretapping nearly a decade ago, would replace Robert Mueller.

The administration's recently disclosed surveillance programs are likely topics for Comey's hearing.

Source: http://news.yahoo.com/immigration-student-loan-top-congressional-agenda-090039697.html

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