NOVEMBER 2004

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What's happening at uktherapists.com

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Top National Health Story - Court Appointees Likely In Second Bush Term

Speculation centres on ailing Rehnquist

WASHINGTON (CNN) -- With an aging Supreme Court, newly re-elected President Bush could replace a number of justices over the next four years

The youngest Supreme Court justice is 56 years old, the oldest is 83, and Chief Justice William Rehnquist -- who revealed last week that he is being treated for thyroid cancer -- is 80.

At a news conference Thursday, Bush was asked whether he would select a consensus candidate if there is an opening on the Supreme Court.

In answering, the president made no mention of Rehnquist's ill health and speculation that he may soon leave the court. "There is no vacancy on the Supreme Court," Bush told reporters. "I'll deal with a vacancy when there is one."

He reiterated that, whenever an opening does come, he would select someone "who knows the difference between personal opinion and strict interpretation of the law."

Bush told reporters to look at his record of appointments, saying it shows he selects "well-qualified people who know the law, who represent a judicial temperament that I agree with and who are qualified to hold the bench."

More filibusters on the way?

In his first term, some of Bush's judicial appointees ignited a partisan fire keg, with Senate Democrats blocking votes on several of them. Democrats charged that the appointees were overly conservative, ideological nominees who were out of the mainstream.

Democrats used filibusters to block full Senate votes on confirming controversial nominees. While 60 Senate votes are needed to break a filibuster, Republicans could only muster 53 -- seven short.

Before the election, Republicans controlled the Senate 51-48 with one Democratic-leaning independent. The election saw the GOP increase its Senate numbers by four -- to 55 Republicans, 44 Democrats and one independent.

To break further filibusters, the GOP would still need need five Democrats to cross party lines.

Some observers say Bush's re-election makes it more likely that Rehnquist will retire.

Specter: Advice on high court not a warning

After cautioning President Bush a day earlier that he should be "mindful" of picking judicial candidates with a "broad range of acceptability," moderate Republican Sen. Arlen Specter issued a statement Thursday saying his comments were not meant as a warning.

"Contrary to press accounts, I did not warn the President about anything and was very respectful of his Constitutional authority on the appointment of federal judges," Specter said in a statement released on his Senate Web site.

"As the record shows, I have supported every one of President Bush's nominees in the Judiciary Committee and on the Senate floor. I have never and would never apply any litmus test on the abortion issue and, as the record shows, I have voted to confirm Chief Justice (William) Rehnquist, Justice (Sandra Day) O'Connor, and Justice (Anthony) Kennedy and led the fight to confirm Justice (Clarence) Thomas."

Specter, who won his fifth term from Pennsylvania in this week's election, is next in line to chair the Senate Judiciary Committee, but he cautioned that his succeeding Sen. Orrin Hatch of Utah is not certain until the committee meets and votes in January. Hatch is barred from another term as chairman because of term limits.

Specter said he supports prompt Judiciary Committee action on all nominees.

He also told reporters he doesn't believe Bush would make issues like abortion into tests for Supreme Court nominees.

"We start off with the basic fact that the Democrats have filibustered and you can expect them to filibuster if the nominees are not within the broad range of acceptability," Specter said. "And I think there is a very broad range of presidential discretion. But there is a range."

 

Overturning Roe v. Wade 'unlikely'

Noting that Bush said during the third campaign debate that he would "not impose a litmus test" for Supreme Court nominees, Specter said he "would expect the president to be mindful of the considerations I've mentioned."

He added that he thought the chance of overturning Roe v. Wade, the landmark 1973 Supreme Court decision that legalized abortion, was "unlikely."

Specter, 74, also said he hopes the Senate has more input on Bush's judicial decisions more than it has in the past.

"The Constitution has a clause called advise and consent," he said. "The advise part is traditionally not paid attention to, I wouldn't say ignored, but close to that. It's my hope that the Senate will be more involved in expressing our views."

Specter said he has "some ideas" on potential nominees but declined to share them with reporters.

"If and when the president asks me that question, I'll have some specific information for him," he said.

He did say he would like to see more distinguished, even legendary, jurists on the high court.

"I'm saying we don't have anybody of the status of Oliver Wendell Holmes or Louis Brandeis or a (Benjamin) Cardozo or (Thurgood) Marshall," he said. "That we have a court which they're graduates from Courts of Appeals from the District of Columbia, basically, some other Circuit Courts of Appeals, and I think we could use a Holmes or a Brandeis."

Bush vows to work with Democrats

'I'm genuine about working toward some of these important issues'

WASHINGTON (CNN) -- President Bush gave a preview of his second term on Thursday, telling reporters that, having cut his "political eye teeth," he was eager to work with Democrats to begin carrying out the changes he has been promising.

"I will meet with both Republican and Democratic leaders," he said at a news conference. "They will see I'm genuine about working toward some of these important issues."

Bush said that, at the end of his first term, he was "now more seasoned to Washington."

"I've cut my political eye teeth. I'm aware of what can happen in this town. Nevertheless, having said that, I'm fully prepared to work with both Republican, Democratic leadership to advance an agenda that I think makes a big difference to the country," Bush said.

Bush said that agenda includes a plan to "defeat the terrorists," improve education, change medical malpractice laws, continue his tax cuts and streamline the "complicated and outdated tax code."

He cited his plans to change the nation's Social Security program as particularly difficult.

"Otherwise, it would have already been done. But it's necessary to confront it. I'm looking forward to working with Democrats on it. I'm not sure we can get it done without Democratic participation."

Speaking after a particularly divisive, bitterly fought campaign, Bush said, "I'll reach out to everyone who shares our goals," and added that he was "eager to start the work ahead."

Asked whether he would select a consensus candidate if there is an opening on the Supreme Court, Bush made no mention of Chief Justice William Rehnquist's ill health and speculation that he may soon leave the court. "There is no vacancy on the Supreme Court. I'll deal with a vacancy when there is one."

He reiterated that, whenever an opening does come, he would select someone "who knows the difference between personal opinion and strict interpretation of the law."

He urged the questioner to look at his record of appointments, saying it shows he selects "well-qualified people who know the law, who represent a judicial temperament that I agree with and who are qualified to hold the bench." (Court appointees likely for Bush)

Bush defended his decision to invade Iraq, and predicted 125,000 Iraqi troops would be trained by elections that are scheduled for January.

He vowed to work closely with Prime Minister Ayad Allawi to overcome insurgents in strongholds in cities such as Falluja.

"I think there's a recognition that some of these people must be defeated," Bush said.

Asked whether the support he received during the campaign from religious groups could alienate those who do not share his faith, Bush said that he had no plans to move America toward a theocracy.

"I'll be your president, regardless of your faith," he said. "No president should try to impose religion on our society."

He added, "If you're a Jew, a Christian, a Muslim, you're equally American. That's such a wonderful aspect of our society."

Bush said his decisive victory -- as opposed to the narrow win he eked out four years ago -- would not necessarily free him from constraints. "I don't think you'll let me be too free," he told the journalists. "There's accountability and there's constraints on the presidency, as there should be."

Still, Bush said he would move ahead forcefully to carry out his agenda.

"When you win, there's a feeling that the people have spoken, and embraced your point of view, and that's what I intend to tell the Congress."

The Harvard Business School graduate likened his win to having money in the bank. "I earned capital in the campaign, political capital, and now I intend to spend it. It's my style."

Bush defended his tax cuts that favour the wealthy, contending that they have helped boost the economy for everyone. "As the economy grows, there will be more revenues coming in to the Treasury," he said. (CNN/Money: Bush touches on plans for economy)

A number of economists have said Bush's tax cuts simply push the nation further into debt, do little or nothing to boost economic growth and make it more difficult for lawmakers to pay for social programs.

But Bush said that, as a result of his policy, revenues are exceeding projections. "My point is, with good economic policy that encourages economic growth, the revenue streams begin to increase."

Despite its record deficits, the United States will also continue its efforts to help alleviate poverty and disease, he said.

During the news conference, Bush appeared at ease, joking occasionally with members of the press corps, and calling them by name or nicknames he has given to a number of them. In response to a question, he spoke openly about his relationship during the election with his father, the former president whose own quest for a second term 12 years ago failed.

Bush said his father had been sitting upstairs in the White House on Election Night, which dragged on into the next morning. At 3:30 a.m. Wednesday, "I finally said, 'Go to bed,'" Bush recalled.

Later in the morning, with the outcome still uncertain, the two men met in the Oval Office "and we had a good talk." The elder Bush then departed for Houston.

"I never got to see him face-to-face, to watch his, I guess, pride in his tired eyes as his son got a second term," Bush said.

Though not in person, the two did talk after Bush's victory was announced. "He was relieved. I told him to take a nap. I was worried about him staying up so late."

Bush said his father's 1992 loss to Bill Clinton had been "a disappointment," but one that taught him a lesson: "Life moves on. Life is bigger than just politics."

Other Health News Stories

Green Tea Extracts Making Entry Into Supplements Market

European companies are increasing their presence in the green tea extract market, looking to reach supplement makers with highly concentrated products.

Green tea, traditionally consumed in Asia, has been the focus of much research in recent years, associating its powerful antioxidant compounds with anti-cancer activity, anti-bacterial effects and heart health.

But until recently, green tea extracts imported from China and India have generally been used in beverages.

Now companies such as DSM and Greentech, both participating in a congress on the extract at next weekend ’ s Tea Expo, say they have products that are suitable for supplements designed with specific health benefits in mind.

DSM, which launched its highly purified EGCG product Teavigo last year, has recently gained approval from the Italian ministry of health for its safe use in supplements, food and cosmetics. The first supplement containing the ingredient is expected to launch early next year.

French plant extract firm Greentech is also hoping to push its product, a combination of extracts from green tea as well as white and red teas, towards the supplement market, after its successful use by leading cosmetics brands such as Clarins and L ’ Oreal.

However there remains significant variation between these and other green tea extracts available to food and supplement makers. The two European firms, entering a market flooded with products thanks to large raw material supply and numerous Asian suppliers, have both sought to maximize the antioxidant potential of their extracts.

But while DSM claims that focusing on the major polyphenol in green tea - epigallocatechin gallate (EGCG) – allows the company to clearly define the efficacy and safety of the ingredient, Greentech and others aim to recreate an extract that more closely resembles the one found in nature.

DSM scientific expert Max Blum says the development of Teavigo is based on the evidence supporting EGCG (the extract has an EGCG content of more than 90 per cent).

When you look at green tea and its benefits, this is the antioxidant that comes out strongest. It is also the major ingredient, accounting for about 60 per cent of all green tea catechins, he told NutraIngredients.com.

There are some data on other catechins that have shown health benefits. But it is logical to take the one with the most antioxidant potential. And if you have a single, pure compound, you can do defined work with it. With multiple components you cannot explain the physiological effects, he added.

French company Greentech works on a different basis. To retain one single polyphenol is to lose all the properties of the others found in the tea. We wanted to preserve this and have combined different polyphenols from green, white and red tea, said Dominique Crestia of the firm ’ s analysis department.

Both in vivo and in vitro studies have shown the Tealine product to have action on tissues, cells and on a molecular level, she said.

The company says it included white tea extract for its high protection of DNA, allowing it to be included in anti-ageing formulas. Red tea, or rooibos, has the highest flavonoid level of all the teas, while green tea contains one of the most potent antioxidants.

Both companies will present their products at a workshop organized by the Societe Francaise des Antioxydants on the final day of the Tea Expo in Paris. It is designed to help food formulators choose between the variety of products available and learn about safety and recommended dosage levels.

Blum will also discuss some of the application areas for Teavigo.

There are some good studies that have suggested the thermogenesis effect of green tea, offering perspectives for slimming products. Some also show positive effects on glucose levels and triglycerides, although in many studies there was likely some synergistic effect from caffeine, he noted.

DSM currently has a human trial on green tea underway, with results out next year. It is also investigating benefits to oral health, with evidence to show that green tea compounds have anti-bacterial activity.

One firm already marketing concentrated green tea extracts for their antioxidant properties is the European division of Japan-based Taiyo Kagaku. Its Sunphenon range of six different green tea extracts is being used by chewing gum manufacturers and in bakery products.

But Josef Skrna, European sales and marketing director, says further work is required to develop consumer awareness of green tea benefits.

This is a new market that we have to develop. Not enough is known about green tea yet, perhaps because EGCG is a difficult name. It sounds quite chemical, he commented.

A high EGCG content also increases the price. Green tea extracts offered by Taiyo, which go up to 40 per cent EGCG concentration, range from € 20- € 90 per kg.

But while the green tea beverage itself remains a very niche product in most European markets, extract producers see strong potential for supplements.

Demand in 2003 from Europe was about 500 metric tons, mostly coming from beverages and cosmetics. But supplements will become important. For instance there is evidence that green tea may lower cholesterol and could compete with phytosterols, said Skrna.

FDA Unveils New Rules For Supplement Labels

High-profile cases put pressure on agency to use its authority

WASHINGTON - The Food and Drug Administration said yesterday it is setting up a new system for identifying potentially dangerous and mislabelled dietary supplements, and it promised to aggressively go after companies that sell misleadingly labelled products.

Responding to criticism that the government has reacted too slowly to the dangers posed by popular supplements such as ephedra and androstenedione — both taken off the market in the past year because of health concerns — the FDA outlined a new regulatory scheme for overseeing the fast-growing supplement industry.

In addition to upgrading its process for collecting "signals" of possible harmful effects in people using supplements, the FDA also set its first standard for determining whether the claims on labels are properly substantiated. From now on, supplement makers will have to show "competent and reliable scientific evidence" to back up their claims, it said.

An estimated 1,000 dietary supplement companies sell 29,000 products, but since passage of the 1994 Dietary Supplement Health and Education Act, the industry has been largely free of government oversight.

High-profile deaths associated with the diet and bodybuilding supplements ephedra and "andro" put pressure on the FDA to use its limited regulatory authority, and yesterday's announcement was an effort to expand its mandate.

"These initiatives refine the direction the agency is taking to regulate dietary supplements," acting Commissioner Lester M. Crawford said.

"We now have a clear road map to share with the dietary supplement industry, while at the same time giving consumers a higher level of assurance about the safety of dietary supplement products and the reliability of their labelling," he said in a statement.

The FDA said it sent letters to major dietary supplement retailers warning them against selling mislabelled products and threatened enforcement action if they do. Two weeks ago, the agency sent out eight letters to distributors making what it considers to be unsubstantiated weight-loss claims for supplements sold over the Internet, officials said.

Under the 1994 act, most dietary supplements do not need FDA review or approval before going on the market, but some new ingredients require a pre-market report on potential safety problems. As another part of its new initiative, the FDA will hold a public meeting on Nov. 15 to discuss what evidence should be required for these ingredient notifications.

The proposals were criticized by Janell Mayo Duncan, legislative counsel for Consumers Union, which has followed the issue since the mid-1990s. This summer, she said, her group identified 12 dangerous supplements that should be taken off the market immediately, but the FDA proposals do little to make that happen.

"What we need now is action, not more discussion of methods and procedures," she said. "The problems have been known for years, and the rulemaking process has been going on for years."

Duncan said the FDA effort to increase surveillance for harmful side effects is worthwhile, but the proposal would still leave adverse event reporting up to the companies rather than making it mandatory, as it is with prescription drugs.

The FDA announcement was generally welcomed by Annette Dickinson, president of the Council for Responsible Nutrition, a Washington group that represents many supplement makers.

"We think it's time for the FDA to systematically implement" the 1994 law, she said. "We think this will demonstrate that [the law] works when implemented properly."

She said companies that her group represents have experienced greater oversight from the FDA in the past year, and the agency has rejected new-ingredient notifications filed by many of them. She said she hoped the new FDA advisory would make the process of new-ingredient notification more predictable for companies.

 

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Please Note: We are interviewing at the moment for our future trainees, and if you wish to apply, please ring: 0161-862-9456 or e-mail bob@mcpt.co.uk

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