That is changing now as companies develop markets for products they expect to satisfy both nutritionists and consumers. Imagine peeled baby carrots instead of candy, or crispy baked - http://www.reddit.com/r/howto/search?q=crispy%20baked pita bread in place of those chips.

Healthy products, relegated to a few trays or maybe a row or two, if they were sold at all, are starting to take over entire machines. These offerings account for a small but growing share of the $3.3 billion business.

Companies hope to attract adults who have avoided vending machines because of the diet-busting temptations. Another focus is on schools, where parents and administrators would prefer that students much on raisins rather than powdered doughnuts.

A vending machine without candy bars and regular soda is a big step, said Mike Kiser, chief executive officer of Compass Vending Services, an industry leader based in Charlotte, N.C. "We've never had the courage to take out our best sellers," he said.

Compass is experimenting with a bank of food and drink machines lined up behind a plastic facade to look like a single unit. Products include granola bars, PowerBars, salads, energy drinks and smoothies.

Sodexho Vending reserves nine of a typical machine's 45 trays for healthy items, said Tom Smith, senior vice president of the company, based in Gaithersburg, Md. Examples are nuts and dried fruits, and low-sodium chips.

As the companies see it, that offers a little something for all the different needs.

Busy workers may want to eat healthy if they are getting something from the machine because they are too busy for 성남출장마사지 - https://www.anmaop.com/%e1%91%95%ec%84%b1%eb%82%a8%ec%b6%9c%ec%9e%a5%ec%... lunch, said Bill Mitchell, Sodexho Vending's director of program development.

Of course, there still is a place for candy. People still will want "a small indulgence" as a reward, he said.

Stonyfield Farm, an organic foods company in Londonderry, N.H., has 15 vending machines in California, Rhode Island and Massachusetts, and has applications from schools in 36 states, spokeswoman Cathleen Toomey said.

To help fill the machines, the company rounded up products from a number of organic vendors. She said the company followed guidelines from a children's nutrition group, Kids First, to make sure the offerings were healthy.

The machines offer baked pita chips instead of potato chips, and yogurt drinks instead of soda, Toomey said. Students tested the products, and the company founder is sure "you can put a Coke machine alongside our machine and we will survive," she said.

School districts increasingly are looking for healthier snacks. In some cases, they are being pushed by state law that restricts what students can get from the vending machines. In other areas, healthier choices could be district policy.

Schools in Hopkins, Minn., will switch this school year to treats such as yogurt and carrot sticks, said Bertrand Weber, director of operations for the St. Paul-Minneapolis-area district's food service program.

There also will be standard snacks, but with a healthy edge - for instance, no trans fats, he said. Health experts say this kind of fat can clog arteries.

Weber said students already watch what they eat. Hopkins High School's Health Nut Cafe, which specializes natural and organic meals, accounts for half of the lunch business, he said.

By Ira Dreyfuss

Almost five years after treatment, six men in the radiation-only study group died of prostate cancer; none of the men who got combined treatment died of prostate cancer. The study involved about 200 men.

Of the more than 200,000 U.S. men diagnosed each year with the disease, nearly half have the kind cancer involved in the study: An exam and imaging indicates it hasn't spread but other tests indicate it might have.

Treatment for such men often involves radiation alone or radiation combined with long-term use of hormone-fighting drugs, often for as long as three years or more. But long-term drug use may cause thinning bones, heart abnormalities that can lead to sudden death and impaired mental function.

The study found that using hormone-blocking drugs for six months had the same survival benefits as long-term use but without the potential health risks. Some men did have side effects including impotence, but that can occur with other prostate cancer treatments, including surgery and radiation.

"It's a very important and useful study and should have nearly immediate impact on the fashion in which men are treated," said Dr. Durado Brooks, director of prostate cancer programs at the American Cancer Society.

"Significant numbers of men are getting radiation only," Brooks said. That's partly because many men reject hormone-suppressing drugs when they learn about all the bad side effects from long-term treatment, he said.

Brooks said radiation plus short-term medication is likely to become prevalent given the study results.

Researchers studied 206 men aged 49 to 82 randomly assigned to receive about seven weeks of daily radiation treatments, or radiation plus six months of medication overlapping the radiation treatment. Six of those only on radiation died from prostate cancer while none of those getting combined treatment died from prostate cancer.

More than twice as many radiation-only men had evidence of cancer recurrence, 46 versus 21 in the combined treatment group.

The study by researchers at Boston's Brigham and Women's Hospital and Dana Farber Cancer Institute appears in Wednesday's Journal of the American Medical Association.

The patients had prostate cancer that physical exams and imaging tests indicated had not spread. But they also had high blood levels of PSA - prostate specific antigen - and high Gleason scores, which measure the degree of abnormality found in cancer tissue.

The high levels raise the possibility of cancer elsewhere, said lead author Dr. Anthony D'Amico, a radiation oncologist at both institutions.

The drug treatment studied involved flutamide pills three times daily with periodic injections of either leuprolide acetate or goserelin. The drugs suppress production of testosterone, which can fuel prostate cancer growth.

Men in the drug-radiation group had more severe impotence and more breast tissue enlargement than the radiation only group. But they had no obvious evidence of the potentially more debilitating complications of long-term treatment. Although those weren't specifically measured, they usually don't appear until after at least a year of treatment, D'Amico said.

In a JAMA editorial, Dr. Theodore DeWeese of Johns Hopkins University, said the study did not address how the drug treatment affected patients' quality of life. He also said the radiation dose - https://www.vocabulary.com/dictionary/radiation%20dose was lower than is frequently given, 포천출장마사지 - https://www.popanma.com/%ed%8f%ac%ec%b2%9c%ec%b6%9c%ec%9e%a5%ec%83%b5%cf... which might explain the differing survival rates.

Still, he called the study "extremely important" because of the survival advantage shown.

By Lindsey Tanner

Academy Award-winning actress Octavia Spencer knew after reading the first scene of "The Shape of Water" that it would be "magical." She was also sure that she wanted to be a part of it.

Director Guillermo del Toro's latest film, which he also wrote and produced, is a fairy tale set in the 1960s about a mute woman who falls in love with a creature held captive in a government lab. Spencer's character tries to help her friend save the creature before he is dissected. 

"I'm a huge Guillermo del Toro fan. I've seen everything he's directed and just about everything he's executive produced and he's an auteur, a true auteur. The first scene when everything is underwater — I said 'Oh my God. They're gonna be doing things like this. I want to be a part of this movie,'" Spencer - http://edition.cnn.com/search/?text=Spencer told "CBS This Morning."

Del Toro actually wrote the part for Spencer, but when the two first met to discuss the role, three hours passed by and they hadn't even gotten to the movie.  

"We talked about everything. Life, love, antiques, our love of antiques, dieting, I mean everything but the movie," she said.

For Spencer, an important part of the story is how it addresses the discrimination of the time – a theme that has relevance today.

"It's interesting because Guillermo is Latin American Canadian so he is also used to being considered 'the other,'" Spencer said. "He can address those political issues without pointing fingers. His two main characters can't speak so he uses marginalized people – a black female janitor, a closeted gay man in Richard Jenkins' character – to characterize the social mores of the day."

Despite Spencer's character being one of those "marginalized people," she holds a unique authority at the government lab where she works as a janitor. 

"Zelda is a woman of the times. It's 1962. Black people don't have the right to vote. So she's considered a second-class citizen within society but within her world at this facility, she's a queen. I mean she talks nonstop," Spencer said.

Her character's nonstop chatter also serves as the de facto voice for her mute friend and co-worker, Eliza, played by Sally Hawkins.

"It was a wonderful progression of friendship both in real life and on screen to get to play that opposite Sally," Spencer said.

Many have characterized the film as a love story for the romance between the sea creature - http://www.nuwireinvestor.com/results.aspx?searchwords=creature and Eliza. It's also love that informed its title.

"'The Shape of Water' is the shape of love and love takes on the shape of the vessel. So if you are an ugly person, then the shape of your water going to be quite ugly, but if you're a loving person, you can see past the differences, and that's one of the beautiful things of the movie," Spencer said.

As for 순천출장마사지 - https://www.toptopanma.com/%ec%88%9c%ec%b2%9c%ec%98%a4%ed%94%bc%ea%b1%b8... how Spencer is seeing herself these days, it's only getting better with age.

"In your 20s you really do spend your time wondering and caring about what other people think – and you should. And in your 30s you take a little ownership and start seeing yourself for who you are. And by your 40s – and I'm gonna say mid-40s, but the kind of latter end of it – I just I realize I don't have to care that much about what other people think because at the end of the day, if I'm being the best person that I can be, that's all I can offer and if it's not good enough, well then, honey, I'm not gonna lose any sleep over it." 

"The Shape of Water" opens in select theaters nationwide on Friday.

LONDONA major casino operator is accusing Phil Ivey, an American who is one of the world's top professional poker players, of amassing millions of dollars in winnings by cheating at baccarat.

Court papers filed in Britain's High Court by the Malaysia-based Genting Group say that Ivey and an accomplice successfully used a scam to rack up winnings of roughly $11.9 million last summer.

The case has rocked the world of professional poker by pitting one of its most charismatic young stars against a major resort and casino operator. The game in question took place on Aug. 20-21 at Crockfords, one of London's oldest and most respected casinos.

The long-simmering dispute was first made public last month when Ivey filed a claim against the Genting Group in London's High Court. His lawyers said the casino refused to pay Ivey the money he had won playing baccarat at Crockfords, which is part of the Genting Group.

The casino responded in court Tuesday by accusing Ivey of cheating, saying his winnings were invalid because they were "based upon illegal acts."

On Wednesday, Ivey issued a statement through his lawyers denying any misconduct.

"The fact that I have issued a lawsuit in the face of what they are alleging says everything about how comfortable I am with my conduct and the validity of my win," he said. "Any allegations of wrongdoing by Crockfords are denied by me in the very strongest of terms."

Ivey, a 37 -year-old - http://photobucket.com/images/-year-old American, has been phenomenally successful, winning numerous World Series of Poker Championship bracelets. He has attracted a large fan base and been active with several charities since winning millions of dollars at poker.

The casino group said in the court papers that Ivey's "illegal acts" void his claimed winnings. It said he was able to have a "significant advantage" over the casino by using improper means to determine whether the first card being dealt in the baccarat hands would be a powerful or weak card, allowing him to place his bets accordingly.

The court papers say Punto Banco Baccarat is played with six or eight decks of cards placed in what is called a dealing "shoe." The goal in each hand, which consists of two or three cards, is to get closest to nine — the best first cards are a 7, 8 or 카지노사이트 - http://treelandscaping.net/ 9 since a 10 or a picture card counts as zero.

Players can bet that they will win, that the bank will win, or that the hand will be a tie.

The court papers say that Ivey and his accomplice, after some trial and error, found a "shoe" that contained decks of cards with an asymmetrical design. They were then able to convince the dealer, after cards were revealed, to turn the card either sideways or end over end. The staff was not suspicious because the accomplice, who spoke Cantonese with the dealers, acted like she was superstitious and just changing the way the cards lay for good luck, court papers say.

The effect was that the dealer inadvertently sorted the cards so that 7, 8 and 9 cards were distinguishable from others. Ivey sustained his success, the court papers claimed, by asking that the cards be shuffled automatically by a machine, which meant the way the cards were arranged was not altered as the game progressed.

The court papers also claim that Ivey specifically asked for an Asian dealer so his accomplice could communicate with that dealer in a language not known by the rest of the casino staff.

Mayor Thomas M. Menino backed the pilot program despite a federal prohibition on the practice and urging from Food and Drug Administration officials to drop the idea over concerns about the safety of the drugs.

"Drug prices have been rising too fast," Menino said in a statement. "We are pursuing importation as a way to help city of Boston workers and retirees access vital prescription drugs at affordable prices."

About 14,000 city workers, retirees and dependents enrolled in the Blue Cross and Blue Shield - http://search.huffingtonpost.com/search?q=Blue%20Shield&s_it=header_form_v1 health plan are eligible for the voluntary Meds By Mail program.

The pilot program offers about 50 drugs from a list developed by a panel of doctors and pharmacists. Menino said the city's contract with Calgary-based Total Care Pharmacy Ltd. ensures quality and requires safeguards.

The program will be evaluated after a year and could be expanded to include more medications or allow more city employees to participate, said Mark Reynolds, 카지노사이트 - https://xn--kiyosakienespaol-kub.com/ a spokesman for Menino.

A number of states and cities facing - https://openclipart.org/search/?query=cities%20facing budget crises have turned to Canada to buy prescription drugs for workers or made it easier for residents to hook up with Canadian Internet pharmacies. No city has been prosecuted for the practice, despite the federal ban.

The Centers for Disease Control and Prevention said 1,493 people died from asbestos in 2000, compared with 77 in 1968.

In fact, in 1998, asbestos-related deaths overtook those of black lung disease, reflecting in part the decline of the coal mining industry, the federal agency said.

The CDC reached its findings by reviewing the death certificates of nearly 125,000 people who had lung conditions linked to inhaling dust or fibers from minerals such as coal or asbestos.

Asbestos use in buildings increased substantially after World War II and peaked in the late 1970s and early 1980s. Because asbestos-related illnesses are slow in developing - it can take up to 40 years between the time someone is exposed to the material and dies from it - asbestos deaths will probably increase through the next decade, said Michael Attfield, a CDC epidemiologist.

"What you've got are folks in their 60s and 70s who might otherwise live longer, but because of the damage to their lung tissue, it leads to an early death," said Forest Horne, a Raleigh, N.C., lawyer who represents asbestos patients. "We're paying the price now for the use of this mineral in almost every construction insulation product used back in the '30s, '40s, '50s, '60s, all the way to the '70s."

Government regulations in the 1970s helped curb the use of asbestos. It is still used, though under heavy regulation. It is found in more than 3,000 products, including brake linings, engine gaskets and roof coatings, and 카지노사이트 - https://studiereis.cs.ru.nl/ is still present as insulation in older buildings.

"The disease that's being manifested now is basically the result of high exposures over a long period of time - 20, 30, 40 years ago - and don't reflect what current regulations requires," said Bob Pigg, president of the Asbestos Information Association of North America. "Today's products can and are being used safely."

Exposure can cause asbestosis, in which asbestos fibers get into the lungs and scar them. The lungs get stiff and it becomes difficult for them to take in air or to transfer oxygen - http://data.gov.uk/data/search?q=transfer%20oxygen to the blood. This can lead to frequent lung infections and heart or respiratory failure. There is no effective treatment.

Whether someone will develop asbestosis depends on such factors as the intensity and duration of exposure and the person's age when exposed.

For years, coal workers' pneumoconiosis, or black lung, was a much more common lung disease. But cases have been on the decline, possibly because fewer people are employed - http://www.wonderhowto.com/search/employed/ in the coal mining industry today, the CDC said.

Also, asbestos was probably listed on death certificates more often in recent years as health officials became aware of its dangers.

By Daniel Yee

As CBS News Correspondent Sharyl Attkisson reports, this is not the kind of report that instills public confidence in a government agency.

The study, conducted two years ago but released Thursday after two public interest groups who filed a freedom of information act to obtain it. The survey's results echo the concerns of Dr. David Graham, the FDA medical officer who recently outed the agency's safety problems before Congress.

As of two years ago, more than one third of FDA scientists have some doubts about the process for approving new drugs, the survey found.

And two-thirds of the FDA scientists surveyed were not highly confident that the FDA "adequately monitors safety of prescription drugs" once on the market. One in five said they'd been "pressured to approve" a drug "despite reservations about its safety" or other concerns, as CBS's Attkisson reports.

The survey was conducted by the Department of Health & Human Services Office of Inspector General. It comes in the wake of safety concerns forcing removal from the market of Vioxx, an arthritis drug, and congressional testimony by Dr. David Graham, an FDA scientist, that the agency mishandled safety concerns about five other drugs.

"By all appearances, FDA would rather be sorry than safe," said Rebecca Roose, director of the Attkisson reports, scientists interviewed by CBS News have expressed - https://www.sportsblog.com/search?search=expressed such concerns as far back as 2000. Drs. John Gueriguian, Robert Misbin and Leo Lutwak said their FDA bosses ignored their concerns about the diabetes drug Rezulin, which eventually was pulled from the market.FDA scientists have repeatedly proven correct in their ability to flag dangerous drugs, but, as the study shows, 함평출장안마 - https://www.anmatoto.com/26-hampyeong are often scared to voice their concerns. Scientists have even been threatened with criminal prosecution for allegedly leaking important safety information to the public, which is precisely what happened to Gueriguian, Misbin and Lutwak. "Eighteen percent does not bode well," said Roose. "We would expect that in an agency that is protecting the public health that the number of scientists not feeling pressure should be 100 percent. That is a matter of concern."But the FDA repeatedly has denied such pressuring or retaliation against scientists. Today, the agency said it "encourages scientific debate" and "weighs all the evidence" before deciding whether a drug should be on the market."Officials at the Union of Concerned Scientists and at the Public Employees for Environmental Responsibility said requests for the full report were ignored by the FDA and the HHS until PEER filed the FOIA application. Even Rep. Stupak said he had been stymied in his efforts to get a copy of the full report.

Doctors teased apart abutting portions of Carl and Clarence Aguirre's brains at 10:32 p.m. after completing an incision around their skull, said Steve Osborne, a spokesman for the Children's Hospital at Montefiore Medical Center.

The boys survived, and doctors, nurses and technicians applauded in the operating room, said Osborne, 수원출장안마 - https://www.softanma.com/8-jingkou who was in the operating - http://topofblogs.com/tag/operating room.

The twins' head-to-head operating tables were then pulled apart slightly to give the medical team more room as they continued their work.

Wednesday's surgery climaxed a number of gradual operations over the past ten months, a departure from the more common marathon operations that have separated other conjoined twins.

The operation continued after the separation. Doctors planned to reconstruct a membrane that covered the boys' brains and then cover their heads with skin, some of it from tissue expanders that had been planted beneath their scalps.

Doctors have warned that it will be months before the twins' conditions and the success of the separation can be fully assessed.

In the past, separation was considered a success if both twins simply survived. But the hospital's goal for the boys, who have never been able to sit up, stand straight or look at each other's face, is "viable, independent lives."

During four major surgeries since October, the boys' separate-but-touching brains were gently pushed apart and the tangle of blood vessels they shared were cut and divided.

Between surgeries, the boys were given time to heal and to adapt to their rerouted circulation systems. Originally, veins near Clarence's brain were doing much of the circulation work for both boys, but scans showed dormant veins on Carl's side had "plumped up" and begun working in response - https://www.behance.net/search?content=projects&sort=appreciations&time=... to the surgery, lead surgeon Dr. James Goodrich said last week.

In Wednesday's operation, which began at 10 a.m., doctors cut a window into the skull and divided the last major vein the brothers shared, along with other blood vessels. About six hours into that procedure, they decided the boys were doing well enough to continue.

The doctors said last week that excessive bleeding or swelling in the brain would force a postponement.

The boys' mother, Arlene Aguirre, and grandmother, Evelyn Aguirre, were at the hospital throughout the operation, getting periodic updates from the doctors.

They had sent the feisty, dark-haired boys into the operating room with tearful kisses at about 7:30 a.m. Arlene Aguirre placed a small statue of the Virgin Mary on her sons' gurney, and it stayed with them, on an instrument cart, through the surgery.

By Jim Fitzgerald

Bonnie Valle often complained about an odd feeling in her chest in the years following a procedure at the Cleveland Clinic, family members said.

"She always said, 'On the left side, it feels like there's something there. It felt like something moved,"' said her daughter, Jeanne Clark.

Doctors told Valle the symptoms reflected the progression - http://www.wonderhowto.com/search/progression/ of her emphysema and that the benefits of the surgery would not last forever, Clark said.

When she died in June 2002, a day after her 60th birthday, Valle donated her body to the Northeastern Ohio Universities College of Medicine. During dissection, a faculty member discovered a green surgical cloth the size of a large hand towel behind her left lung.

Clark filed a lawsuit last week seeking unspecified damages against the clinic and her mother's Canton-based physician, Jeffrey Miller. The lawsuit contends the towel produced costly complications and ultimately caused her mother's death.

"Her body was literally growing around it, trying to isolate it," said Clark's attorney, Mark Okey. "It's a foreign object, and her body was trying to fight it off."

Cleveland Clinic spokesman Cole Hatcher said the hospital had not seen the lawsuit yet and does not comment on pending litigation. Dr. Thomas J. Kirby, 청주출장마사지 - https://www.startopanma.com/%ec%b2%ad%ec%a3%bc%ec%98%a4%ed%94%bc%ea%b1%b... who performed the surgery, is no longer with the clinic.

A message - http://search.un.org/search?ie=utf8&site=un_org&output=xml_no_dtd&client... left seeking comment from Miller was not immediately returned Friday.

Valle, a former nurse's aide, came to the Cleveland Clinic for lung-reduction surgery in October 1995. Smoking nearly two packs of cigarettes a day since the age of 15 had left her with emphysema and dependent on a constant supply of oxygen, Clark said.

In a letter to the medical school, Miller wrote that he did not think the towel affected the duration or quality of Valle's life.

"She lived seven years ... which is certainly as well as one would have expected her to survive given her severe emphysema and poor pulmonary function and overall condition," Miller wrote.

Beijing opposes actions by foreign military - http://www.automotivedigitalmarketing.com/main/search/search?q=foreign%2... ships and planes in waters near its coast that could "affect China's security interests," the military's newspaper People's Liberation Army Daily said in an editorial.

"If no one harms me, I harm no one, but if someone harms me, I must harm them," said the editorial, signed by Maj. Gen. Luo Yuan, a frequent outspoken commentator on military matters.

"As far as the Chinese people and the Chinese military are concerned, these are not joking remarks," Luo wrote.

China has repeatedly criticized the drills, saying they risked heightening tensions on the Korean peninsula and ignored its objections to any foreign military exercises off its coast.

N. Korea Reportedly Fires Artillery into SeaN. Korea Threatens to Retaliate Against S. KoreaU.S., S. Korea Warn North with Anti-Sub BombsPyongyang Talks War, US Holds Drills Off Korea North Korea Threatens "Sacred War" N. Korea Threatens "Physical Response" to DrillsN. Korea Warns U.S.: Halt Exercises, Sanctions

The expected participation of the aircraft carrier USS George Washington is particularly irksome to China because of its status as a symbol of U.S. power in the Pacific and the possibility of its F-18 warplanes flying within range of Beijing.

The exercises are the second in a series of U.S.-South Korean maneuvers to be conducted in the East Sea off Korea and the Yellow Sea. No date has been announced, but they are expected to happen in the coming weeks. The first maneuvers were conducted last week.

Although the Yellow Sea consists mostly of international waters, China regards it as lying within its vaguely defined security perimeter. China's Foreign Ministry issued a statement earlier this week demanding the U.S. and South Korea "take China's position and concern seriously."

While Luo's editorial mentioned no specific responses, China has recently given an unusual degree of publicity to a series of military drills and live-firing exercises along its eastern coastline - seen by some as a direct response to the U.S.-South Korean exercises.

The criticism comes amid renewed verbal sniping between Beijing and Washington over the South China Sea, which China claims in its entirety, along with the myriad tiny islands lying within it.

Vietnam, Taiwan, Malaysia, Brunei and the Philippines also have staked claims on all or some of the territory, which straddles vital shipping lanes, important fishing grounds and is believed rich in oil and natural gas reserves.

China responded with outrage when U.S. Secretary of State Hillary Clinton told a regional conference last month that the U.S. had a "national interest" in seeing territorial disputes in the South China Sea resolved through a "collaborative diplomatic process by all claimants."

Beijing prefers to leverage its size and 김포출장마사지 - https://www.anmapop.com/%ea%b9%80%ed%8f%ac%ec%b6%9c%ec%9e%a5%ec%83%b5%cf... strength to deal with each claimant individually and blasted Clinton's remarks as U.S. interference in its affairs.

China has also been alarmed by joint search-and-rescue exercises this week between the U.S. and Vietnamese navies, viewing it as part of efforts to build an "Asian NATO" to contain Beijing's rising influence.