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Reduced prostate screens may have led to more advanced cancer

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Reduced prostate screens may have led to more advanced cancer
Examine: Decreased prostate screens could have led to extra superior most cancers
  • Superior prostate most cancers diagnoses in males have risen greater than 40% in final decade.
  • New examine suggests a drop in screening could have performed a task.
  • Males ought to discuss with their physician if prostate screening is correct for them.

Many males stopped getting screened for prostate most cancers after a federal advisory committee mentioned in 2008 that the assessments weren’t useful for these over 74. Then in 2012, it mentioned the proof supporting assessments for youthful males was weak too. 

However new information means that steerage could have been a mistake.

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On the way out: Transportation Sec. Buttigieg looks back on achievements, challenges : Consider This from NPR

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On the way out: Transportation Sec. Buttigieg looks back on achievements, challenges : Consider This from NPR

U.S. Secretary of Transportation Pete Buttigieg speaks to questions during a news conference at Ronald Reagan Washington National Airport November 21, 2024 in Arlington, Virginia.

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U.S. Secretary of Transportation Pete Buttigieg speaks to questions during a news conference at Ronald Reagan Washington National Airport November 21, 2024 in Arlington, Virginia.

Alex Wong/Getty Images

From handling crises in the rail and airline industries to overseeing the distribution of billions of dollars in infrastructure funding, Transportation Secretary Pete Buttigieg has taken on a lot over the last four years.

Now, his tenure is coming to an end.

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Host Scott Detrow speaks with Buttigieg about what the Biden administration accomplished, what it didn’t get done, and what he’s taking away from an election where voters resoundingly called for something different.

For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org

Email us at considerthis@npr.org

This episode was produced by Brianna Scott, Avery Keatley and Tyler Bartlam. It was edited by Adam Raney.

Our executive producer is Sami Yenigun.

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Trump Calls Officials Handling Los Angeles Wildfires ‘Incompetent’

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Trump Calls Officials Handling Los Angeles Wildfires ‘Incompetent’

President-elect Donald J. Trump offered fresh criticism early Sunday of the officials in charge of fighting the Los Angeles wildfires, calling them “incompetent” and asking why the blazes were not yet extinguished.

“The fires are still raging in L.A.,” Mr. Trump wrote on his Truth Social site. “The incompetent pols have no idea how to put them out.”

Mr. Trump’s comments indicated that the fires, and officials’ response to them, will likely occupy a prominent place on his domestic political agenda when he takes office on Jan. 20. He has renewed a longstanding feud with California’s governor, Gavin Newsom, who in turn has accused Mr. Trump of politicizing the fires.

California politicians have faced criticism over the fires since they broke out on Tuesday, including questions over how local and state authorities had prepared for them and how they have grown so quickly into huge blazes.

Mayor Karen Bass of Los Angeles had to contend with questions about whether there was adequate warning about the likelihood of devastating fires, and why there was a shortage of water and firefighters during the initial response. At a news conference on Thursday, she avoided a question about her absence from the city when the fires began — she was in Ghana on a previously scheduled official visit — and said that any evaluation of mistakes or failures by “any body, department, individual” would come later.

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Mr. Newsom, a Democrat, has also fended off criticism from Mr. Trump, who blamed him for the failure to contain fires and claimed he had blocked an infusion of water to Southern California over concerns about how it would affect a threatened fish species.

Mr. Newsom’s press office responded by saying in a statement that the “water restoration declaration” that Mr. Trump had accused him of not signing did not exist. “The governor is focused on protecting people, not playing politics, and making sure firefighters have all the resources they need,” the statement said.

Mr. Newsom and Kathryn Barger, the chair of the Los Angeles County Board of Supervisors, have invited Mr. Trump to tour fire damage in the city. He has not responded publicly to those invitations.

At least 16 people had died as a result of the fires as of Sunday morning, and at least 12,000 structures had been destroyed, officials said. Mr. Trump alluded to that devastation in his post on Sunday.

“Thousands of magnificent houses are gone, and many more will soon be lost,” he wrote. “There is death all over the place. This is one of the worst catastrophes in the history of our Country. They just can’t put out the fires. What’s wrong with them?”

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His post did not mention any officials by name.

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Russia’s war economy is a house of cards

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Russia’s war economy is a house of cards

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The most important thing Russian President Vladimir Putin tries to impress on Ukraine’s western friends is that he has time on his side, so the only way to end the war is to accommodate his wishes. The apparent resilience of Russia’s economy, and the resulting scepticism in some corners that western sanctions have had an effect, is a central part of this information warfare. 

The reality is that the financial underpinnings of Russia’s war economy increasingly look like a house of cards — so much so that senior members of the governing elite are publicly expressing concern. They include Sergei Chemezov, chief executive of state defence giant Rostec, who warned that expensive credit was killing his weapons export business, and Elvira Nabiullina, head of the central bank. 

This pair know better than many people in the west, who have been taken in by numbers indicating steady growth, low unemployment and rising wages. But any economy on a full mobilisation footing can produce such outcomes: this is basic Keynesianism. The real test is how already employed resources — rather than idle ones — are being shifted away from their previous uses and into the needs of war. 

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A state has three methods to achieve this: borrowing, inflation and expropriation. It must choose the most effective and painless mix. Putin’s conceit — towards both the west and his own public — has been that he can fund this war without financial instability or significant material sacrifices. But this is an illusion. If Chemezov’s and Nabiullina’s frustrations are spilling into public view, it means the illusion is flickering.

A new report by Russia analyst and former banker Craig Kennedy highlights the huge growth in Russian corporate debt. It has soared by 71 per cent since 2022 and dwarfs new household and government borrowing.

Notionally private, this lending is in reality a creature of the state. Putin has commandeered the Russian banking system, with banks required to lend to companies designated by the government at chosen, preferential terms. The result has been a flood of below-market-rate credit to favoured economic actors.

In essence, Russia is engaged in massive money printing, outsourced so that it does not show up on the public balance sheet. Kennedy estimates the total at about 20 per cent of Russia’s 2023 national output, comparable to the cumulative on-budget allocations for the full-scale war.

We can tell from the Kremlin’s actions that it sees two things as anathema: visibly weak public finances and runaway inflation.

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The government eschews a significant budget deficit, despite growing war-related spending. The central bank remains free to raise interest rates, currently at 21 per cent. Not enough to beat down inflation driven by state-decreed subsidised credit, but enough to keep price growth within bounds.

The upshot is that Chemezov’s and Nabiullina’s problems are not an error that can be fixed but inherent to Putin’s choice to flatter public finances and keep a (high) lid on inflation. Something else has to give, and that something else includes businesses that cannot operate profitably when borrowing costs exceed 20 per cent.

Putin’s privatised credit scheme, meanwhile, is storing up a credit crisis as the loans go bad. The state may bail out the banks — if they don’t collapse first. Given Russians’ experience of suddenly worthless deposits, fears of a repeat could easily trigger self-fulfilling runs. That would destroy not just banks’ but the government’s legitimacy.

Putin, in short, does not have time on his side. He sits on a ticking financial time bomb of his own making. The key for Ukraine’s friends is to deny him the one thing that would defuse it: greater access to external funds.

The west has blocked Moscow’s access to some $300bn in reserves, put spanners in the works of its oil trade and hit its ability to import a range of goods. Combined, these prevent Russia from spending all its foreign earnings to relieve resource constraints at home. Intensifying sanctions and finally transferring reserves to Ukraine as a down payment on reparations would intensify those constraints.

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Putin’s obsession is the sudden collapse of power. That, as he must be realising, is the risk his war economics has set in motion. Making it recede, by increasing access to external resources through sanctions relief, will be his goal in any diplomacy. The west must convince him that this will not happen. That, and only that, will force Putin to choose between his assault on Ukraine and his grip on power at home.

martin.sandbu@ft.com

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