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Study: Millions should stop taking aspirin for heart health

By LAURAN NEERGAARD

WASHINGTON (AP) — Millions of people who take aspirin to prevent a heart attack may need to rethink the pill-popping, Harvard researchers reported Monday.

A daily low-dose aspirin is recommended for people who have already had a heart attack or stroke and for those diagnosed with heart disease.

But for the otherwise healthy, that advice has been overturned. Guidelines released this year ruled out routine aspirin use for many older adults who don’t already have heart disease — and said it’s only for certain younger people under doctor’s orders.

Some 29 million people 40 and older were taking an aspirin a day despite having no known heart disease in 2017, the latest data available, according to a new study from Harvard and Beth Israel Deaconess Medical Center. About 6.6 million of them were doing so on their own — a doctor never recommended it.

And nearly half of people over 70 who don’t have heart disease — estimated at about 10 million — were taking daily aspirin for prevention, the researchers reported in Annals of Internal Medicine.

“Many patients are confused about this,” said Dr. Colin O’Brien, a senior internal medicine resident at Beth Israel who led the study.

After all, for years doctors urged people to leverage aspirin’s blood-thinning properties to lower the chances of a first heart attack or stroke. Then last year, three surprising new studies challenged that dogma. Those studies were some of the largest and longest to test aspirin in people at low and moderate risk of a heart attack, and found only marginal benefit if any, especially for older adults. Yet the aspirin users experienced markedly more digestive-tract bleeding, along with some other side effects. .

In March, those findings prompted a change in guidelines from the American Heart Association and American College of Cardiology:

—People over 70 who don’t have heart disease — or are younger but at increased risk of bleeding — should avoid daily aspirin for prevention.

—Only certain 40- to 70-year-olds who don’t already have heart disease are at high enough risk to warrant 75 to 100 milligrams of aspirin daily, and that’s for a doctor to decide.

Nothing has changed for heart attack survivors: Aspirin still is recommended for them.

But there’s no way to know how many otherwise healthy people got the word about the changed recommendations.

“We hope that more primary care doctors will talk to their patients about aspirin use, and more patients will raise this with their doctors,” O’Brien said.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.

State High School Softball

The State high school softball tournament is under way in Fort Dodge.  In Class 1A, Newell-Fonda defeated Lynnville-Sully7-5 Monday (7/22) in the quarterfinals.  Carson Fisk and Mallory Loftus had two hits and two RBI apiece for the Hawks.  The Hawks also committed four errors that led to three unearned runs.  Denali Conover was the losing pitcher.  Lynnville-Sully is now 26-9 on the season.  The Hawks will play Gehlen Catholic Tuesday (7/23) in a consolation game.

In Class 3A Monday night, Waterloo Columbus Catholic defeated Albia 8-5.  Columbus scoring three times in the top of the sixth inning for the victory.  Alex Beard hit a grand slam for the Lady D’s; Makenna Jones was the losing pitcher.  Albia is now 27-5 on the year; they’ll wrap up their season this afternoon against Algona in the consolation round.

Tuesday afternoon, the Oskaloosa Indians will get their turn at State.  The Indians take on North Scott in the Class 4A quarterfinals.  Indians Coach Jay Harms talks about North Scott.

“Look at their stats, very similar to us.  They play in a very tough conference, They play a lot of 5A schools in their conference.  Another softball tradition. We played North Scott many times at Iowa City over the years.  It’s a team that likes to put pressure on the defense.  They like to run, they’re very aggressive, they have some hitters, they have some power hitters.”

KBOE-FM and KBOE radio dot com will have live coverage of Oskaloosa Indians softball at State.  Our pregame coverage on Tuesday will start around 2:40pm with the first pitch scheduled for 3:00.

And this afternoon at 5 in Fort Dodge, Ottumwa meets Waukee in the Class 5A quarterfinals.

Knoxville Police led on 34 mile long chase

A man from Des Moines is in custody after leading Knoxville Police on a 34 mile chase with speeds of over 110 miles an hour.  Shortly after 3am Sunday (7/21), Knoxville Police stopped a car in the 800 block of South Lincoln for an equipment violation.  What the officer didn’t know is that the car had been stolen Saturday night (7/20) in an armed carjacking in Des Moines.  The officer asked two of the three people inside the car to get out.  The driver, 22-year-old Daniel Ogden of Des Moines, then took the wheel and took off.  Ogden turned on to Highway 14 with speeds of over 110 miles an hour. The chase moved to westbound Highway 163, where law enforcement twice used spike strips to stop Ogden’s car with no luck.  The chase ended when Ogden hit a mailbox in a cul-de-sac in Pleasant Hill.  Ogden then fled on foot….jumping over two fences before he was finally caught.  Ogden was treated at a Des Moines hospital and released and was taken to the Marion County Jail.  He’s been charged with participating in a felony, second degree theft, providing false information, speeding, not having a valid driver’s license, no proof of insurance and fraudulent registration.

Two accused in bank robbery plead not guilty

Two men accused of robbing a Packwood bank at gunpoint in June 2018 have pleaded not guilty.  Ross Thornton of Hedrick and Jordan Crawford of Mount Pleasant have pleaded not guilty to aiding and abetting first degree robbery.  Thornton and Crawford are accused of helping Jordan Spray rob the Pilot Grove Savings Bank in June 2018.  Spray has indicated he will plead guilty to that robbery.  Thornton and Crawford have both asked for speedy trials; no trial date has been set.

Moon back in NASA’s court 50 years after 1st lunar landing

By MARCIA DUNN

CANAVERAL, Fla. (AP) — Fifty years after humanity’s first lunar footsteps, the moon is back in NASA’s court.

Full Coverage: Apollo 11 moon landing

The White House wants U.S. astronauts on the moon pronto — by 2024, a scant five years from now. The moon will serve as a critical proving ground, the thinking goes, for the real prize of sending astronauts to Mars in the 2030s.

The billionaires’ space club is on board. Amazon’s Jeff Bezos and Virgin Galactic’s Richard Branson favor moon before Mars. SpaceX’s Elon Musk also is rooting for the moon, although his heart is on colonizing Mars.

But Apollo 11 astronaut Michael Collins prefers a beeline to Mars. Buzz Aldrin, too, is a longtime Mars backer. Back in 1994 on the 25th anniversary of his moon landing with Neil Armstrong, Aldrin questioned whether astronauts would be back on the moon by the 50th anniversary let alone on Mars, which was the short-lived goal at that time.

Fast-forward to the golden anniversary and NASA doesn’t even have the capability to get astronauts into orbit around Earth. Russians are launching American astronauts to the International Space Station — for high prices — until capsules built by SpaceX and Boeing are ready. That likely won’t happen until next year, almost a decade after NASA’s space shuttle program ended.

“Fifty years ago … we landed, explored, got back up again, rendezvoused, came back. That’s 50 years of non-progress,” Aldrin groused earlier this month during his anniversary bash near Los Angeles. “I think we all ought to be a little ashamed that we can’t do better than that.”

Collins, who circled the moon in the mother ship while Aldrin and Armstrong planted a U.S. flag and gathered rocks, acknowledges that returning to the moon as a stepping stone to Mars is “a valid plan.”

“But I don’t have to agree with it,” Collins told The Associated Press. “I would take what I call the John F. Kennedy approach and I’d say if you want to go to Mars, you say you want to go to Mars and you go.”

Even President Donald Trump — whose vice president is out there plugging moonshots — prefers talking up Mars. In an Oval Office meeting with Aldrin and Collins on the eve of the landing anniversary, Trump asked if it was possible to send astronauts to Mars without revisiting the moon. Collins replied yes.

“Who knows better than these people, right? They’ve been doing this stuff for a long time,” the president said. He later instructed NASA Administrator Jim Bridenstine to “listen to the other side.”

If there’s one thing NASA has learned in the half-century since Armstrong and Aldrin’s moonwalk, it’s that all the flip-flopping between the moon and Mars by presidential administrations has left astronauts no farther than the International Space Station since the sixth and final Apollo moon landing in 1972.

Despite a lack of human presence on the moon, robotic spacecraft are exploring the gray, dusty world. NASA’s Lunar Reconnaissance Orbiter has been circling the moon for the past 10 years. Earlier this year, China landed a craft on the far side of the moon. And on Monday, India plans to launch a mission to the moon’s south pole.

Tackling an engineering problem like getting astronauts to the moon, according to Bezos, requires consistency. It also requires government involvement, given the expense and scale of the project, he noted, as well as multiple companies, not just his own Blue Origin which is intent on building lunar landers.

“What I really hope is that we stick with going back to the moon this time to stay because that is actually the fastest way to get to Mars,” Bezos said at the John F. Kennedy Presidential Library’s space summit last month. “It’s the illusion that you can skip a step. Skipping steps slow you down. It’s seductive, but wrong.”

Branson, whose company is working to take tourists on short flights into space, sees the moon as a more realistic destination for astronauts right now.

“Getting somebody onto Mars will be spectacular, almost as an awe-inspiring thing as the moon landing,” Branson said at NASA’s Kennedy Space Center on Wednesday. “But I think as far as putting time and energy and money into it, I think the moon.”

As the 50th anniversary parties wind down — Apollo 11′s wondrous eight-day voyage ended with a Pacific splashdown on July 24, 1969 — NASA keeps cranking up the lunar spotlight.

Project Artemis, as it’s called after the twin sister of Greek mythology’s Apollo, aims for a landing on the moon’s south pole. The key, said Bridenstine, is sustainability. Hundreds of millions of tons of ice line the permanently shadowed craters at the bottom of the moon, a precious source of water for drinking, growing food and making rocket fuel.

“We will spend weeks and months, not days and hours on the lunar surface,” Vice President Mike Pence promised during Saturday’s moon landing celebration with Aldrin at Kennedy. “This time we’re going to the moon to stay and to explore and develop new technologies.”

Astronaut safety is paramount in getting to the moon. But speed and cost are close seconds. By moving up the target lunar landing date from 2028 to 2024, NASA hopes to retire as much political risk as possible by getting out of the gate fast.

“If it wasn’t for the political risk, we would be on the moon right now. In fact, we would probably be on Mars right now,” Bridenstine said last week.

The NASA chief estimates his agency will need $20 billion to $30 billion extra to achieve a 2024 moon landing, quite possibly less if private companies invest their own money “and I’m talking a lot of money.”

As for technical risk, NASA needs new lunar landers and spacesuits, neither of which presently exist.

NASA’s Space Launch System, or SLS, megarocket, meanwhile, has faced technical challenges and delays. Its debut flight around the moon — with an empty Orion capsule — is now probably off until 2021.

The first flight around the moon with a crew would follow in 2022 or 2023. In the meantime, a mini space station dubbed the Gateway — whose need is questioned even by some within NASA — would be built in lunar orbit. A pair of astronauts would descend from this orbiting Gateway to the lunar surface, ideally by the end of 2024. The Gateway eventually could serve as the departing point for Mars expeditions under the NASA plan.

NASA currently has 38 astronauts, 12 of whom are women.

The first woman on the moon — as well as the next man on the moon — will come from that pool of 38, according to Bridenstine.

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Follow AP’s full coverage of the Apollo 11 anniversary at: https://apnews.com/Apollo11moonlanding

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.

Ottumwa road construction

Here’s a traffic note for Ottumwa:  Greenwood Drive at the intersection of Ferry Street will be closed to traffic starting Monday morning (7/22).  City crews will be repairing the street.  Drivers will need to use an alternate route around the work zone.  The project is expected to take a week.

Pella couple gets probation for child neglect

The parents of an underweight baby girl from Pella who tested positive for cocaine have been sentenced to probation.  20-year-old Stazia Kirk and 21-year-old Zak Herman, both of Pella, were sentenced Thursday (7/18). They pleaded guilty in May to felony neglect of a dependent person.  Court documents say their 3-month-old baby, Charlotte, weighed less than her birth weight when she was taken to a hospital in December. A doctor said the baby tested positive for cocaine and was suffering from malnutrition and dehydration. The documents also say Kirk and Herman admitted to using cocaine recently.  Marion County Attorney Ed Bull said in May that the girl was thriving in her new surroundings.

Deemed dangerous, Epstein denied bail in sex abuse case

NEW YORK (AP) — A judge who denied bail for jailed financier Jeffrey Epstein on sex trafficking charges Thursday said he poses a danger to the public and seems to still have an uncontrollable urge for sexual conduct with or in the presence of underage girls.

Epstein, 66, also might use his “great wealth and vast resources” to flee the country, U.S. District Judge Richard M. Berman said.

Epstein, his hands folded before him, showed no reaction when Berman announced his fate in the morning. Epstein’s lawyers did not comment.

“I doubt that any bail package can overcome danger to the community,” Berman said in court, citing a danger for both the “minor victims in this case and prospective victims as well.”

Epstein has pleaded not guilty to sex trafficking charges.

In the written ruling released hours later, Berman cited the discovery in Epstein’s mansion after his July 6 arrest of a trove of sexually suggestive photographs of nude underage and adult females.

“Mr. Epstein’s alleged excessive attraction to sexual conduct with or in the presence of minor girls — which is said to include his soliciting and receiving massages from young girls and young women perhaps as many as four times a day — appears likely to be uncontrollable,” Berman said.

“Accordingly, Mr. Epstein’s past sexual conduct is not likely to have abated or been successfully suppressed by fierce determination, as his Defense Counsel suggests,” he added.

Lawyers for Epstein had argued their client has stayed clean since pleading guilty to soliciting a minor for prostitution charges in Florida in 2008 in a deal that allowed him to avoid federal prosecution . They have argued that with the current charges, the federal government is reneging on that deal.

The decision means Epstein will remain behind bars while he fights charges that he exploited dozens of girls in New York and Florida in the early 2000s. He faces up to 45 years in prison if convicted.

In court, Berman noted the “compelling testimony” at Monday’s bail hearing by Epstein accusers Annie Farmer and Courtney Wild, who “testified that they fear for their safety and the safety of others if Mr. Epstein were to be released.”

Wild, who said she was sexually abused by Epstein when she was 14 in Palm Beach, Florida, pleaded with the judge to keep him jailed.

“He’s a scary person to have walking the streets,” Wild said during the Monday hearing.

The defense had argued 66-year-old Epstein should be allowed to await trial under house arrest with electronic monitoring at his $77 million Manhattan mansion. They said he wouldn’t run and was willing to pledge a fortune of at least $559 million as collateral.

The judge said he also rejected bail because Epstein presents a flight risk, in part because of his opulent lifestyle that includes private jets, frequent international travel and a foreign residence in Paris.

Two politicians lauded Berman’s bail decision, with Democrat U.S. Rep. Debbie Wasserman Schultz saying “survivors deserve more answers and true justice.”

On Monday, Assistant U.S. Attorney Alex Rossmiller said the government’s case against Epstein is “getting stronger every single day” as more women contact authorities to say he sexually abused them when they were minors.

Rossmiller said the government learned earlier this week that a raid of Epstein’s mansion following his arrest turned up “piles of cash, dozens of diamonds” and a passport with a picture of the defendant but a name other than his in a locked safe.

In a court filing Wednesday, prosecutors disputed a claim by defense lawyers that there was no evidence he’d ever used the fake passport, saying the Austrian passport contained stamps reflecting it was used to enter France, Spain, Britain and Saudi Arabia in the 1980s.

Prior to Thursday’s bail hearing, defense lawyers told the judge Epstein was given the passport by a friend after some Jewish-Americans were informally advised to carry identification bearing a non-Jewish name when traveling internationally during a period when hijackings were more common.

They said he never used it and the passport stamps predated his receipt of the document.

Prosecutors have also said they believe Epstein might have tried to influence witnesses after discovering he had paid a total of $350,000 to two people, including a former employee, in the last year. That came after the Miami Herald reported the circumstances of his state court conviction in 2008, which led to a 13-month jail term and the federal non-prosecution agreement.

Labor Secretary Alexander Acosta resigned last week after coming under renewed criticism for overseeing the decade-old arrangement as U.S. attorney in Miami.

Osky begins 3A baseball playoffs Today

The Oskaloosa High baseball team opens the Class 3A District 12 playoffs tonight (7/19).  The Indians will host Nevada at 8 at the High School.  You can hear the game on KBOE-FM and KBOE Radio dot com with coverage starting at 7:45 and the first pitch at 8.  Prior to that game, Solon meets Pella Friday night at 6 at Oskaloosa High School.

Also in 3A baseball Friday night: In District 11, Newton is at Marion for a 7:00 game; in District 13, Knoxville plays North Polk in Alleman starting at 8; District 14 in Centerville, Grinnell plays Saydel at 5 and Centerville against Clarke at 7.  And in Class 4A Substate 7, Ottumwa hosts West Des Moines Valley.

Saturday night (7/20), Pekin takes on Iowa Mennonite for the Class 1A District 8 title.  That game will now be played at Iowa Mennonite in Kalona starting at 7 Saturday night.  In 1A District 10 on Saturday, BGM plays HLV for the district title.  And in Class 2A District 10, Pella Christian is at West Marshall for the district title.

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