AAP Recommends Prescribing Emergency Contraception for Teens












In a new policy statement released online on Monday, the American Academy of Pediatrics (AAP) officially recommended that physicians consider prescribing teens emergency contraception in advance. This assertion by the AAP follows on the heels of a new recommendation from the American College of Obstetricians and Gynecologists (ACOG) last week that advocated making birth control pills available to women as an over-the-counter medication.


The AAP stated in a press release published ahead of the policy statement that much of the justification for the organization’s stance lies in the fact that the “United States continues to see substantially higher teen birth rates compared to other developed countries.” Prescribing emergency contraception ahead of time, according to the AAP, may help lower those rates.












What exactly is the AAP recommending?


The AAP is recommending that physicians prescribe emergency contraception, more commonly known as “morning after” pills, to teens, particularly, although not limited to, those that are currently sexually active. Specifically, the AAP is recommending prescribing emergency contraception for those teens who are under the age of 17, as the organization notes that females who are already 17 years of age or older can obtain emergency contraception without a prescription.


What information is the AAP basing its recommendation on?


The AAP has looked at the available research and determined that there is a need for teens to be prescribed the pills in advance in order to try and mitigate the number of unplanned pregnancies, which account for 80 percent of all pregnancies in girls between the ages of 15 and 19. The organization’s policy statement cited the need for teens to be protected against improper use or failure of other contraceptive methods, such as condoms, and also made note of the need to protect teens who may be the victims of sexual assault. The AAP also cited research indicating that teens who are prescribed emergency contraception “in advance of need” are more likely to use it if that need presents itself later, as opposed to teens who must ask for emergency contraception after the fact.


What are the risks involved in prescribing emergency contraception in advance?


The biggest risk factor, according to the AAP’s policy statement, is the fact that emergency contraception can prevent pregnancy (by preventing ovulation), but not sexually transmitted infections. According to a Reuters report, studies have shown that there is no known correlation between a teenager being given access to emergency contraception and them becoming sexually active any earlier.


What has been the reaction to the AAP’s decision to publish this policy statement?


The statement has gotten mostly positive reviews from women’s health advocates, including Susan Wood of the Jacobs Institute of Women’s Health at George Washington University in Washington, who told Reuters on Monday that the AAP’s decision is “significant.” Bill Albert, who is the chief program officer of the National Campaign to Prevent Teen and Unplanned Pregnancy, also praised the decision, telling the Washington Times that his organization “supports wider access to all birth-control products.”


Not everyone is convinced that the AAP’s recommendation is a good thing, however. In that same Washington Times piece, Wendy Wright, who is the vice president for government relations at the Catholic Family and Human Rights Institute, said that “there are too many questions to be answered” before the idea of prescribing emergency contraception to teens should be entertained.


Vanessa Evans is a musician and freelance writer based in Michigan, with a lifelong interest in health and nutrition issues.


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Rugby-England add flyhalf Burns to squad for All Blacks’ test












LONDON, Nov 27 (Reuters) – England called up uncapped Gloucester flyhalf Freddie Burns on Tuesday to their squad for Saturday’s test against New Zealand in place of the injured Toby Flood.


Flood sustained ligament damage to a big toe during the 16-15 loss to South Africa at Twickenham last Saturday.












Owen Farrell, whose last start was in the first test in South Africa this year, is set to replace Flood in the starting XV against the world champions.


Lock Courtney Lawes, who missed England’s first three tests of the November series because of a knee injury, has also been included in the 23-man squad. Two other locks, Mouritz Botha and Tom Palmer, have been omitted.


After beating Fiji in their opening match, England have lost to Australia and the Springboks and now face a daunting match against the All Blacks who are unbeaten in 20 tests since the start of their victorious World Cup campaign last year.


“For those in Saturday’s squad the message is clear – last week we went toe to toe with the second best team in the world and felt we should have won,” England head coach Stuart Lancaster said in a statement.


“Now we have a chance to take on the number one side in front of a passionate Twickenham crowd, who have been fantastic throughout the Internationals, and it is a challenge we will meet head on.” (Reporting by John Mehaffey; Editing by Ken Ferris)


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Welcome to the Twisted Age of the Twitter Death Threat












Never believe anyone who tells you that the Internet is all nice or all terrible. Just like real life, there are good people and bad ones here. The majority of people behave badly occasionally and decently most of the time. Yes, there are some truly horrible people lurking and behaving in ways consistent to their form, but the thing is, we’re complicated creatures, online and off. So I don’t buy into theories that the Internet is all nice anymore than I believe all commenters are trolls. Still, there is something worrisome going on online, and if you were the Chicken Little type (which none of us here are, obviously), you might be covering your head and hiding from the Twitterverse. It’s this matter of death threats online. 


RELATED: After His Vulgar Assault on Jenny Johnson, Chris Brown Quits Twitter












The most recent example of this, of course, is the recent Chris Brown/Jenny Johnson nastiness. Brown has his share of on- and offline haters, but he has plenty of adamant supporters, too. This became apparent when Johnson, a comedian who’d been on a Twitter crusade of sorts against Brown since his physical attack on Rihanna, after a stream of tweets intended to shame/provoke the singer, finally hit pay-dirt with a response (other than Brown blocking her at one point). Over the weekend, Chris Brown tweeted: “I look old as fuck! I’m only 23,” to which Johnson tweeted, “I know! Being a worthless piece of shit can really age a person.” (That tweet’s been retweeted by Johnson followers more than 7,000 times.)


RELATED: The Internet–Not All It’s Cracked Up to Be


You probably know what happened next, even if you don’t: After a pretty gross back-and-forth that doesn’t make either side look great, Brown deactivated his account. But his followers started to pile on, threatening Johnson with—what else?—death. There is no irony here about the followers of a guy who beat his girlfriend offering up a stream of brutish death threats; it is only sad. 


RELATED: Is Twitter for Girls?


Enter the age of the online death threat. It’s scary, yeah, because it’s a death threat. Humans rarely like being threatened with an end to their basic essence, no matter the delivery method for that announcement. And yet, on Twitter, this becomes such a weird, surreal concept: It’s deeply impersonal (these people don’t even know each other and probably never will; NONE of them know each other, likely), fueled by a false kind of rage spawned by the way the Internet works (one side gets self-righteously mad, another side self-righteously madder, and repeat). Fortunately, in most cases, the threat is also incredibly unlikely to be fulfilled. That doesn’t make it pleasant. One might be prone to try to laugh away the kind of death threats Johnson received, from people she doesn’t know (people who don’t know Chris Brown either), who might not recognize her on the street, who most likely live nowhere near where she does and probably also don’t plan to actually kill her. Yet a death threat is pretty much the ultimate “I hate you,” and it’s worth wondering, when “I hate you” doesn’t serve to deliver the message strongly enough and we start saying “I’m going to kill you”/”you deserve to die,” how far has humanity gone down some sick drain?


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As David Knowles writes for The Daily in a piece titled “Twitter Terror,” Johnson is hardly the first person to be threatened on Twitter. President Obama, Mitt Romney, Ellen Page, Tom Daley, and Taylor Swift can claim this dubious badge of fame, too. The list goes on. But before the little bird was the death-threat method of the year, death threats would arrive to famous people, politicians, and those in the public eye, particularly controversial figures, as a matter of course—on paper, perhaps by telephone, and in the movies, via the weird scrawlings or puzzle-piece letter constructions of madmen. Of course, there’s no handwriting to decipher on Twitter, there are only assumptions of power and education based on icons and followers, word choice and spelling, what the person says and has said, as well as their affiliations. But again, probably, the people threatening Jenny Johnson shouldn’t scare her (if you’re really going to try to kill someone and are dumb enough to publicize it on Twitter, that’s a clear benefit to your intended victim). If there’s anything to be afraid of, it’s this idea that death threats are this kind of new online norm. I think part of that fear, the fear that this is just a regular thing nowadays, is what subconsciously creates the need in us to assume a such a horrified shock-and-outraged position about such death threats. Knowles quotes digital media expert Jeanette Castillio as calling “the Twitterverse … a very uncivil place.” Is it any more uncivil than anywhere else, though? The Internet hardly created hate, or hate-speak, or bullying. Further, do we only increase the levels of that incivility by freaking out about what a bunch of random people are raging about behind the protection, and often anonymity, of Twitter?


RELATED: Friday’s Top Tweets


As Knowles writes, also, Twitter does have a rule against this sort of thing; people aren’t supposed to “publish or post direct, specific threats of violence against others.” Still, like everything online, there is too much information, and not enough time for comprehensive monitoring. Knowles adds, “A small percentage of violent tweets are investigated by police, but even then Twitter is reluctant to betray what it believes is a sacred duty to protect a user’s privacy.” 


That’s the other thing about online threats: They manage to be so incredibly cowardly, and an utterly ineffectual form of communication—until, suddenly, the media is paying attention to said threats and in some ways legitimizing them. I’m honestly not sure what the media’s role should be in acknowledging tweets of the sort that Brown and Johnson and Brown’s followers and Johnson exchanged. Sometimes it seems like that old “ignoring” tactic your mom taught you could work out to everyone’s benefit—and yet these things are bound to go viral; badly behaving celebrities are something TMZ taught us people want to know about. These things are also, when discussed calmly and rationally, fodder for good conversations about how we live now.


Like a rude comment, a Twitter death threat is a way of hiding in your comfy-safe basement in your comfy-safe boxers and saying really gross things to someone in the hopes that they will get upset. These people are bullying, or hope to bully. Which means we shouldn’t take the bait, a thing far more difficult to do than say. Turning the other cheek was hard in real life, too, and you never know, better safe than sorry. But more important than preventing “actual Twitter murders” (which I dare say and hope will not become the norm), it’s worth paying attention to this ratcheting up of the hate ante as a new kind of communication norm. A cynical person would say we no longer need to touch people, instead, we reach out to them online. We no longer need to talk on the phone, we simply tweet or email or text. We certainly don’t write letters, and we hardly write on paper. Instead we blog and Tumbl and Instagram and Facebook. And so, when we get angry, irrationally or otherwise, we take to those methods of communication to speak out, retaliate, vow revenge. The most worrisome thing about the Twitter death threat, I think, that if it’s just something people do now. I don’t want to be in the Age of the Twitter Death Threat. It makes me pretty nostalgic for the good old days of the handwritten love letter, actually. 


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‘Two and a Half Men’ actor not expected on set












NEW YORK (AP) — The teenage actor who stars in “Two and a Half Men” and called the CBS comedy “filth” may have some time before he faces the show’s producers.


Angus T. Jones wasn’t expected at rehearsal Tuesday because he is not going to be in the episode they are filming, according to a person close to the show who spoke on condition of anonymity because producers were not commenting publicly.












Jones, 19, has been on the show, which used to feature bad-boy actor Charlie Sheen and remains heavy with sexual innuendo, since he was 10 but says in a video posted online by a Christian church that he doesn’t want to be on it anymore.


“Please stop watching it,” Jones said. “Please stop filling your head with filth.”


The person familiar with the production schedule said Jones does not appear in either of the two episodes filming before the end of the year, so he wouldn’t be expected back at work until after the New Year.


His character has been largely absent because he has joined the Army.


CBS and producer Warner Bros. Television have not commented.


“Two and a Half Men” survived a wild publicity ride less than two years ago, when Sheen was fired for his drug use and publicly complained about the network and the show’s creator, Chuck Lorre.


Jones plays Jake, the son of Jon Cryer’s uptight divorced chiropractor character, Alan, and the nephew of Sheen’s hedonistic philandering music jingle writer, Charlie. Sheen was replaced by Ashton Kutcher, who plays billionaire Walden.


In the video posted by Forerunner Chronicles in Seale, Ala., Jones describes a search for a spiritual home. He says the type of entertainment he’s involved in adversely affects the brain and “there’s no playing around when it comes to eternity.”


“You cannot be a true God-fearing person and be on a television show like that,” he said. “I know I can’t. I’m not OK with what I’m learning, what the Bible says, and being on that television show.”


The show was moved from Monday to Thursday this season, and its average viewership has dropped from 20 million an episode to 14.5 million, although last year’s numbers were somewhat inflated by the intense interest in Kutcher’s debut. It is the third most popular comedy on television behind CBS’s “The Big Bang Theory” and ABC’s “Modern Family.”


The actors on “Two and a Half Men” have contracts that run through the end of the season.


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Obama spoke with House Speaker Boehner, others on “fiscal cliff”












WASHINGTON (Reuters) – President Barack Obama spoke with House of Representatives Speaker John Boehner over the weekend on efforts to avert the looming “fiscal cliff” of budget cuts and tax rises that threatens to tip the U.S. economy back into recession.


A White House official said on Monday that Obama also spoke with Senate Majority Leader Harry Reid, a fellow Democrat, and said discussions among staff members continued.












The president met with congressional leaders, including Boehner and Reid, 10 days ago seeking common ground following Obama’s re-election for another four-year term on November 6.


Boehner and fellow Republicans oppose the Democrats’ proposal to raise taxes on the very wealthy as part of arrangements to rein in the enormous U.S. budget deficits.


Starting on January 2, about $ 600 billion worth of tax increases and spending reductions, including $ 109 billion in cuts to domestic and defense programs, will begin to kick in if Congress cannot decide how to replace them with less extreme deficit-reduction measures.


(Reporting by Mark Felsenthal; Editing by David Storey)


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Feds charge Intrade with illegally allowing bets












WASHINGTON (AP) — U.S. regulators on Monday sued Intrade, the online prediction market that gained popularity as an informal oddsmaker for the presidential election, saying it illegally let customers bet on future economic data, the price of gold and even acts of war.


The Commodity Futures Trading Commission said in a complaint in federal court that Intrade and its operator solicited customers to trade investment contracts that technically are options. Options must be traded on approved, regulated exchanges.












“Today’s action should make it clear that we will intervene in the ‘prediction’ markets, wherever they may be based, when their U.S. activities violate” laws and rules enforced by the agency, CFTC enforcement director David Meister said in a statement.


By requiring that options be traded on approved exchanges, Meister said, regulators can “police market activity and protect market integrity.”


Intrade did not respond to an emailed request for comment.


It was unclear whether regulators believe that all trades on Intrade by U.S. investors are illegal. The CFTC said it would not comment further because the matter was in litigation.


Intrade is known for facilitating bets on award shows, weather and other high-profile events. The prices at which customers are willing to make those bets are cited as informal odds. TEN also used to allow betting on sports through other sites that it operated.


For example, on Monday the site gave “Argo” a 28.5 percent chance of winning the Oscar for best picture and assigned a 19 percent chance that the United States or Israel would launch an airstrike against Iran by June 30.


The CFTC oversees markets for futures and options, investments that allow people to bet on the future prices of commodities like grain and oil. Those contracts help farms, airlines and other businesses to protect themselves against unexpected price swings.


In the complaint, the CFTC alleged that Intrade, based in Ireland, had illegally solicited everyday U.S. investors to use the website between September 2007 and June 25 of this year.


Intrade and its operator, Trade Exchange Network Ltd., falsely claimed in annual reports that the contracts were not being sold to ordinary U.S. customers, the CFTC said. Regulators want the companies to pay fines and return profits that were obtained illegally. They want the site and its operators barred from any future activities related to options trading.


Intrade users reported on Twitter that the site already blocks them from trading contracts related to the prices of oil and gold.


One of them, Joe Schilling, posted an image of an email he said was sent by Intrade in 2009, stating that crude oil and gold contracts were unavailable to U.S. users “due to a regulatory request” from the CFTC.


TEN settled similar charges of soliciting U.S. investors in 2005. In an order filed with that settlement, the CFTC said that U.S. customers accounted for up to 40 percent of Intrade’s total customer base. TEN paid $ 150,000 and agreed to halt further violations.


Under the settlement, TEN agreed to use pop-up windows to tell U.S. customers which bets were not available to them. It said it would cooperate in any future investigations.


Monday’s complaint includes charges that TEN violated that earlier settlement. The company used Intrade to offer illegal options including on the future prices of gold, changes in the unemployment rate and a measure of U.S. economic output, the complaint said. It said TEN failed to provide the pop-up notices mandated in the 2005 order.


___


Daniel Wagner can be reached at www.twitter.com/wagnerreports.


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Dog days in Cuba: from shih tzus to schnauzers












HAVANA (AP) — The Cuban capital has played host to political summits and art festivals, ballet tributes and international baseball competitions. Now dog lovers are getting their chance to take center stage.


Hundreds of people from all over Cuba and several other countries came to a scruffy field near Revolution Plaza this past week to preen and fuss over the shih tzus, beagles, schnauzers and cocker spaniels that are the annual Fall Canine Expo’s star attractions. There were even about a dozen bichon habaneros, a mid-sized dog bred on the island since the 17th century.












As dog lovers talked shop, the merely curious strolled the field, checking out the more than 50 breeds on display while carefully dodging the prodigious output of so many dogs.


The four-day competition, which ended Sunday, included competitions in several breeding categories, and judges were flown in from Nicaragua, Colombia and Mexico.


“This is a small, poor country, but Cubans love dogs,” said Miguel Calvo, the president of Cuba’s dog federation, which organized the show. “We make a great effort to breed purebred animals of quality.”


Winners don’t receive any trophy or prize money, but that doesn’t mean the competition is any less fierce.


Anabel Perez, owner of a cocker spaniel named Lisamineli after the U.S. actress, spent more than half an hour coifing the dog’s hair in preparation for the competition, while the owner of a shih tzu named Tiguer meticulously brushed his coat nearby.


“I’m a hairdresser for humans,” explained Tiguer’s owner, Miguel Lopez. “So it’s easy for me. I like shih tzus because they are a lot of work to keep well groomed.”


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ChannelAdvisor says eBay sales up 57 percent early on Cyber Monday












(Reuters) – ChannelAdvisor said client sales on eBay Inc‘s online marketplace jumped 57 percent from a year before early on Cyber Monday.


The sales growth rate was five times higher than during the same period last year, said ChannelAdvisor, which helps merchants sell more on websites including Amazon.com Inc and eBay.com.












Client sales on Amazon.com were up 52 percent during the first part of Cyber Monday, ChannelAdvisor also reported.


(Reporting By Alistair Barr; Editing by Gerald E. McCormick)


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Actor: CBS comedy ‘Two and a Half Men’ is ‘filth’












NEW YORK (AP) — The teenage actor who plays the half in the hit CBS comedy “Two and a Half Men” says it’s “filth” and through a video posted by a Christian church has urged viewers not to watch it.


Nineteen-year-old Angus T. Jones has been on the show since he was 10 but says he doesn’t want to be on it. He says, “Please stop watching it. Please stop filling your head with filth.”












The video was posted by the Forerunner Christian Church in California, where Jones says he went to meet his spiritual needs.


Show producer Warner Bros. Television has no comment. CBS hasn’t responded to a request for comment left Monday.


The show stars Jon Cryer as Jones’ uptight dad and originally featured Charlie Sheen as his hedonistic philandering uncle, but Sheen was replaced by Ashton Kutcher.


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Detecting Cancer…With a Cellphone?












Smartphone technology is often seen as much of nuisance as it is a convenience, but having that kind of communicative power at our fingertips has a surprising advantage; it’s serving as a bridge, bringing  healthcare to third world countries that had previously been too remote and too costly to reach.


The Kilimanjaro Cervical Screening Project is spearheading one use of smartphone technology in a way that’s surprisingly simple, but could end up saving thousands of women’s lives.












Armed with screening kits, treatment tools and cellphones, teams of non-physician medical workers will visit remote locations in rural Tanzania to screen women for cervical cancer. Instead of the swab method used in the typical Pap smear, workers will use their cellphones to photograph a patient’s cervix, text the image to a physician and then receive back a diagnosis and treatment recommendation.


But can it really be that simple? Dr. Karen Yeates of Queen’s University, who is the lead investigator of the project, told CNN, “That’s the beauty of it — for early grade cancers, those will be able to be treated right in the field, right in the rural area.”


According to the World Health Organization (WHO), rates of cervical cancer in Africa are up to ten times those in developed countries, and among those diagnosed, about 50,000 women die from it annually.


Though cervical cancer has very low mortality rates in developed countries like the U.S., that’s generally due to regular screenings which catch the disease in its earliest and most treatable incarnations. However, in countries like Tanzania, women in remote villages obviously don’t have access to those types of preventative measures. Subsequently, the WHO estimates that by the time most African women are diagnosed with the disease, they’ve already advanced into its latest fatal stages. But regular screenings could put a stop to that. 


In addition to addressing reproductive healthcare, cellphones are as of late becoming facilitators of cardiac care in developing countries as well. Earlier this year, high school student Catherine Wong discovered how to turn her cellphone into a portable ECG machine, bringing heart monitoring capabilities to the most remote locations with results that could be beamed to doctors no matter how far away.


The Kilimanjaro Cervical Screening Project is gaining some notoriety because it’s recently become one of the 68 finalists in Canada’s Grand Challenges, a fund awarded to medical innovators who’ve invented new systems or products to bring healthcare to the poorest parts of the world. As a finalist, the Kilimanjaro Project has been granted $ 100,000, allowing it to begin its initial trials.


So much of good healthcare rests on the early detection of illness and now that geography and cost aren’t the impediments they once were, patients in developing countries have real opportunities to survive illnesses once believed to be fatal. 


Do you expect that “mobile healthcare” may eventually become the standard method of care in countries like the U.S. as well? Let us know what you think about it in the Comments.


Related Stories on TakePart:


• Student Athletes Shouldn’t Be Dying


• That Figures: Life-Saving CPR                   


• Cardiac Arrest? An iPhone App Might Save Your Life



A Bay Area native, Andri Antoniades previously worked as a fashion industry journalist and medical writer.  In addition to reporting the weekend news on TakePart, she volunteers as a web editor for locally-based nonprofits and works as a freelance feature writer for TimeOutLA.com. Email Andri | @andritweets | TakePart.com


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