Thursday, October 20, 2005

Roche Will Meet With Generic Drugmakers on Tamiflu (Update2)

Roche Holding AG agreed to meet with four generic drugmakers to
discuss rights for making Tamiflu pills, the treatment countries are
stockpiling for a feared worldwide outbreak of lethal avian flu.

Roche will consider licensing the drug to Teva Pharmaceutical
Industries Ltd., Barr Pharmaceuticals Inc., Mylan Laboratories Inc.
and Ranbaxy Laboratories Ltd., said U.S. Senators Charles Schumer, a
New York Democrat, and Lindsey Graham, a South Carolina Republican, in
a statement today.

George Abercrombie, chief executive of Roche's North American
operations, met with Schumer and Graham at the U.S. Capitol today to
discuss the agreement. Schumer earlier this week urged Roche to
license the drug to generic producers and said he would introduce
legislation to mandate cooperation if the company didn't act
voluntarily.

``Roche is doing the right thing, and at the same time, they're going
to make a little money,'' Schumer told reporters at a press conference
at the U.S. Capitol. ``The purpose isn't to break the patent. It's to
meet an emergency need.''

The strain of influenza that is causing concern, H5N1, erupted in
Southeast Asia, where more than 140 million birds have died or been
destroyed. About 120 people have been infected through birds,
resulting in 60 deaths, according to the World Health Organization, a
branch of United Nations.

A moderate to severe outbreak in the U.S. may kill as many as 500,000
Americans and sicken 2 million, according to the Trust for America's
Health, a nonprofit public health advocacy group in Washington.

`Interest in Participating'

Roche sells Tamiflu under a 1996 licensing agreement with Foster City,
California-based Gilead Sciences Inc., which invented the drug. Roche
will assess the ability of other manufacturers to either produce or
help with Tamiflu production, the company said in an e-mailed
statement today.

``We want to be sure that they can produce substantial amounts of
Tamiflu for pandemic use in a timely manner in accordance with
appropriate quality specifications, safety and regulatory
guidelines,'' the statement said.

Barr hasn't yet set up a meeting with Roche, said Carol Cox, a
spokeswoman, for the Woodcliff Lake, New Jersey, company.

``We've just shown an interest in participating,'' she said. ``We're
willing to help manufacture the product if Roche would choose to
license the product.''

Mylan

Mylan Chief Executive Robert Coury told CNBC he expected Roche to
contact his company soon. Mylan has a current capacity to make 18
billion tablets and capsules, he told the network.

Ranbaxy spokesman Charles Caprariello and Teva spokesman Kevin Mannix
didn't immediately return telephone calls and emails seeking comment.
Mylan is based in Canonsburg, Pennsylvania. Teva is based in Petah
Tikva, Israel, and Ranbaxy in Gurgaon, India.

Roche approached Schumer after he called on the company to license
Tamiflu, and asked him to find companies that would be willing to make
the drug, Schumer said. The senator called the generic companies, who
estimated that they could begin making the drug within a month as long
as Roche provided raw materials and details of the manufacturing
process. Without that cooperation, it would take the generic companies
three months to make Tamiflu, Schumer said.

Under the terms of today's agreement, Roche will begin meeting with
generic companies as early as next week, in consultation with U.S.
health officials, who may recommend additional manufacturers. Roche
also consented to license the production of Tamiflu to any company
that can produce it in quantities large enough to help meet demand in
case of a flu outbreak. Roche will offer ``equitable terms'' on
licensing.

`No Guarantee'

``There's no guarantee that they'll reach an agreement, but the odds
are very high,'' Schumer said. Schumer expects Roche to work with the
generic companies until the manufacturing ``bottleneck'' is relieved.

Roche's Abercrombie met today with Health and Human Services Secretary
Michael Leavitt and other HHS officials to discuss flu preparedness,
Roche spokesman Terry Hurley said. HHS spokeswoman Christina Pearson
said she didn't have an immediate comment on the meeting.

The Bush administration plans to stockpile as many as 20 million doses
of Tamiflu and has 2.3 million doses already, U.S. officials told
reporters Oct. 7 in a briefing. The Tamiflu the U.S. has now would be
enough to protect only 1 percent of population, Schumer said Oct. 18.

Culling Poultry

The World Health Organization has recommended that Tamiflu be
available for the treatment of suspected infections in farm workers
involved in the mass culling of poultry. Tamiflu sales have jumped as
countries including the U.S., the U.K. and Japan placed orders of more
than $1.4 billion to fight bird flu.

The U.S. is catching up with countries that leapt into the Tamiflu
market earlier. Italy, with a population of 58 million, has ordered 2
million doses, almost as much as the U.S. New Zealand's government has
ordered 800,000 doses, enough for 20 percent of its population.

More than 12 sites are now making the medicine after Basel,
Switzerland-based Roche won U.S. Food and Drug Administration approval
of a new facility.

Roche's agreement mirrors one that German drugmaker Bayer AG made in
2001 under pressure from U.S. officials to lower the price of its
Cipro antibiotic for treating anthrax. Tommy Thompson, then the U.S.
Health and Human Services secretary, threatened to override Bayer's
patent after anthrax spread through the U.S. mail and infected 11
people. A day later, Bayer agreed to cut its Cipro price roughly in
half. Ultimately, five Americans died of anthrax in 2001 and hundreds
more were exposed to the bacteria.

``Roche is exhibiting good corporate citizenry at this point,''
Thompson said in an interview today. ``If in fact there's an epidemic
of avian flu, we do not have a vaccine. The only thing out there
that's known to do anything to protect people is Tamiflu. Roche can't
ramp up fast enough.''

www.bloomberg.com

Google revenue nearly doubles

Internet search engine giant Google saw its third-quarter revenue
nearly double from a year ago and profit rise in what usually is a
slow Web surfing period.

The Internet bellwether on Thursday posted a net income of $381.2
million, or $1.32 a share, on record revenue of $1.58 billion, up 96
percent from a year earlier on strong global advertising.

A year ago, the company posted earnings of 19 cents a share and
revenue of $805.9 million, Google said.

Excluding $530 million in traffic acquisition costs, the portion of
revenue shared with partners, Google posted revenue of $1.05 billion.

Google's earnings would have been $1.51 per share if not for charges
related to employee stock options and research and development. That
handily beat analyst expectations, on average, of $1.36 per share and
revenue of $944.4 million, excluding traffic acquisition costs.

Nearly all of Google's revenue comes from advertisements that appear
on search result pages and on partner sites. The Mountain View,
Calif.-based company accounts for about 45 percent of all U.S.
Internet searches, compared with 23 percent for Yahoo and 12 percent
for Microsoft's MSN, according to Nielsen/NetRatings.

Google has beaten analyst estimates in the three quarters since going
public last year. Meanwhile, its share price has skyrocketed, rising
nearly 60 percent since the beginning of the year and reaching a high
of $321.28 on Oct. 4.

The company raised more than $4 billion in a September stock sale,
bringing its cash total to about $7 billion.

On Tuesday, Google's chief rival, Yahoo, posted higher third-quarter
profit and revenue from a year ago and beat analyst expectations.

www.news.zdnet.com

Apple Updates Desktops, Laptops

Apple Computer refreshed its top-end desktop and laptop lines, adding
dual-core PowerPC processors to all Power Mac G5 desktops, and DVD
burners and higher-resolution displays to PowerBooks.

Apple Computer on Wednesday refreshed its top-end desktop and laptop
lines, adding dual-core PowerPC processors to all Power Mac G5
desktops, and DVD burners and higher-resolution displays to
PowerBooks.

Analysts expect that the new PowerBooks, which are based on PowerPC G4
processors, will be the last models to sport the IBM-designed and made
chips. In June, Apple committed to Intel as its processor supplier,
and said that the PowerBook line would be first in line for the
switch. Apple chief executive Steve Jobs said as recently as September
that the Intel-based PowerBooks would debut by June 2006.

Apple upgraded two of its three PowerBooks' displays by upping the
resolution of the 15-inch model by 26 percent and the resolution of
the 17-inch laptop by 36 percent. The popular entry-level 12-inch
PowerBook keeps its current screen resolution. The 15- and 17-inch
PowerBooks also boast an additional hour of battery life, claimed
Apple.

All three PowerBooks also now come with a DVD burner, dubbed
"Superdrive" in Apple's nomenclature. Prices remain at $1,499, $1,799,
and $2,399 for the 12-, 15-, and 17-inch models.

On the desktop, Apple has dropped a pair of 2.5GHz dual-core PowerPC
G5 processors into a new Power Mac Quad, and added the PCI Express
graphics architecture to its three-model line-up.

The Quad will ship next month at a price of $3,299, while other
members of the Power Mac family -- all boasting dual-core processors
-- are available now as the 2.0GHz single PowerPC dual-core G5 Dual
($1,999) and the 2.3GHz Power PC G5 Dual ($2,499).

Apple's new systems are available at retail through the Cupertino,
Calif.-based company's own stores and those of its resellers, as well
as via the online store on its Web site.

The last time Apple updated its G5 desktops was in April, when it
upgraded processor speed and bundled its newest operating system, Mac
OS X 10.4, dubbed "Tiger," with the machines.

www.informationweek.com

Movie Information Via Podcasts

MovieTickets.com has deployed technology that allows consumers to
download free MP3 audio versions of movie synopses, and receive alerts
when new summaries are available. The MovieTickets.com podcasting
feature was launched today.

Through the podcasting feature, moviegoers can either listen to
podcasts while visiting MovieTickets.com, or save the files and listen
to them at a later date. Users can also subscribe to the
MovieTickets.com podcast and automatically download files to podcast
software as they become available. The new podcast functionality
underscores MovieTickets.com's commitment to delivering consumers with
the latest technology and conveniences available for movie information
and ticketing services.

"MovieTickets.com integrated the new podcasting feature into our site
so moviegoers have another fun, engaging way to access movie
information prior to making ticketing decisions," said Joel Cohen,
vice president, business development, MovieTickets.com. "Podcasting
has quickly become prominent among Internet users, so we feel the new
option will benefit consumers as we continue to adopt and deploy new
features that make MovieTickets.com simple and convenient to use."

www.d-silence.com

City health warns v. birds' importation

"We are still bird flu free," assured City Health Office chief Dr. Rodel Agbulos in an interview Wednesday. However, he warned the public of importing pet birds from the neighboring countries of Indonesia and Malaysia, where cases of Avian Influenza were recently recorded. Indonesia was the latest country in Southeast Asia hit by the deadly bird flu, losing six lives.

The Avian Flu, if failed to place under control as soon as possible, could result in a pandemic disease, according to the World Health Organization. It said that up to 150 million people would be killed if the flu would spread through human-to-human contact in a short period of time.

The bird flu hit Spain in the early 1900s during the 1st World War, killing millions of its populace. Scientists are still searching for ways to fight the deadly virus. As per WHO records, more than 60 people died mostly from Asian countries as a result of the bird flu this year. City residents have expressed apprehension about the presence of migratory birds in their locality.

The birds, said to be swallows and traversing mostly along the Asia-Pacific region, are constantly sighted in high establishments, and clinging on electric cable lines along the major streets of the city's commercial center.

They usually flock to the city in a multitude number during the current period of this year as the Yuletide season nears. Migratory birds are said to be deadly carriers of the bird flu virus. The Avian Flu, according to published reports, has invaded Europe, as health authorities in Greece and Bulgaria confirmed positive cases in their countries recently.

The United States also expressed serious concern over Avian Flu as President George W. Bush urged US health authorities to conduct immediate study in a bid to find the right dose for its cure.

www.sunstar.com.ph

McDonald's net hurt by labor, beef costs

McDonald's Corp. on Thursday reported a 6 percent drop in third-quarter earnings, in line with a better-than-expected outlook it gave last week, but the company's shares fell 2 percent as higher labor and beef costs pressured profit margins.

Improvement in major European markets like Germany and France helped boost sales at the world's largest restaurant company, but investors were disappointed by margins at company-owned restaurants. The company operates more than 30,000 restaurants worldwide; about 18,000 are franchised.

"Quality was not as high as we would have hoped," Prudential analyst Larry Miller said in a note to clients. "Company operated margins were lower than we were expecting."
McDonald's chief financial officer responded to the margin concerns on a conference call with analysts.

"There are several areas of the world where margins and returns are well below historical highs and below our targets," the CFO, Matt Paull, said. "Our entire management team is focused on improving these results."

Last week, McDonald's said sales of its new Premium Chicken sandwiches, a strong breakfast business and later hours had helped to drive sales in the United States, its flagship market, during the quarter.

In Europe, McDonald's No. 2 market, progress has been slow, in part due to economic weakness in Germany. However, in recent months demand for products like the premium Big Tasty hamburger in Germany and the lower-priced Les Petit Plaisir chicken sandwich in France have boosted sales in those countries.

www.today.reuters.com

Wednesday, October 19, 2005

Not what but who

Errors at the management level at Mercury Interactive Corporation (Nasdaq: MERQ) are apparently the main reason for the profit warnings the company has published for both the second and third quarters this year, and for the US Securities and Exchange Commission (SEC) investigation into the company over incorrect reporting of options.

In addition, there is the continuing delay in submission of the company's 10Q report (full financials) and the offer to pay bondholders $42 million so that they won't empty Mercury's coffers of most of its cash.

This is not the first time that Mercury has stuttered over its results. In the third quarter last year, the company missed the lower end of its guidance by about $1 million. This was a minor hiccup that met with a very forgiving response from investors.

The profit warning that Mercury published for the second quarter this year was also treated tolerantly, particularly because, in the end, Mercury met its original guidance. Only with the second profit warning, for the third quarter, did investors start to lose patience. They sent the share tumbling about 16%.

A glance at Mercury reveals that there is no problem with its technology or with sales of its systems. The lowered guidance indicates that Mercury will post 29% growth for the third quarter in comparison with the third quarter last year. That's a very fine achievement for a company of this size. Few companies of comparable size can boast such growth rates. There is also no disputing that Mercury's technology is the market leader, especially in software inspection and application performance management.

Despite all that, Mercury is stuck in a cloying mire the like of which has not been seen for years. In a situation like this, when the company has leading technology and continues to grow, it seems that the series of mishaps that started in the third quarter of 2004, gathered momentum towards the end of the second quarter of this year, continued in the third quarter, and still shows no sign of ending, can only be ascribed to wrong management decisions.

All these failures start at the top, with company chairman and CEO Amnon Landan, who only two years ago announced his intention of positioning Mercury among the five largest software companies in the world. You will never hear a declaration of that sort from an American manager.

Landan is directly responsible for what happens at the company, but it doesn't take a higher business degree to work out that at some stage several senior managers are liable to lose their jobs. The first candidate to go may well be CFO Douglas Smith.

What made Smith come out with such optimistic guidance for the third quarter, after he had already been forced to change his mind and lower the company's guidance towards the end of the second quarter, is very unclear. True, Mercury did manage to reach the lower end of the original guidance in the second quarter, but in a situation uncertainty over the closure of deals, more caution would have been appropriate.

Smith, though, is not the only one responsible for the excessive optimism that suddenly gripped the company. The entire senior management, with Landan at its head, should have realized that, after president of EMEA operations Moshe Egert had left, and his replacement had not yet got things completely under control (that at least is how it appears on the surface), and with the company not managing to close all its deals in Europe, the guidance for the third quarter (and perhaps for the fourth quarter too) should have been made more conservative.

This is the kind of step taken by prudent management that sees what's around the corner. It may well be that the warning for the second quarter was due to a few deals that were deferred to the third quarter, which is the usual reason for profit warnings. Nonetheless, Mercury's top management should have understood that, following the loss of several senior managers, the company was in organizational turmoil.

It would therefore have been appropriate to be doubly cautious about the third quarter. Such caution would have saved investors the very uncomfortable feeling that accompanied the second profit warning. It is possible that the third quarter warning was also due to the deferment of a few deals, this time to the fourth quarter. However, there is no guarantee that these deals will indeed close in the fourth quarter. It is very much to be hoped that there will not be a third warning this year.

Another manager who had an attack of dubious optimism was chief marketing officer Christopher Lochhead, who came out with the statement, "This year, plus or minus, the company will do more than $900 million in sales." The declaration forced Mercury to rush to tell the stock exchange: "Mercury does not believe that this statement is accurate." The problem is not just with the statement itself, but also with the feeling it gives investors that the company's chiefs are not entirely aware of what is going on.

The second management failure is over the incorrect reporting of options. This mistake could cost Mercury and its investors the delisting of the stock from the Nasdaq exchange, and foreclosure on the company's convertible bonds, which, as mentioned, would mean farewell to most of the company's cash. Meanwhile, Mercury has offered the bondholders $42 million in exchange for leaving the bonds in place.

One must hope that the bondholders will accept the offer, and that a solution will be found to the whole mess that will enable the stock to continue being traded on Nasdaq. However, a great deal of damage has already been done, and it may be presumed that whoever was responsible for the reporting will be forced to quit at some stage.

The question now is whether Amnon Landan will accept responsibility and resign. After all, the failure to meet guidance and the reporting problems are only the tip of the iceberg. A further problem, no less material, is the replacement of the Israeli management that founded Mercury with American management. As chairman and CEO of the company, Landan is the person behind this move.

Replacing managers who are considered the most talented in Israel's high-tech industry with managers brought in from outside now looks like a bad mistake. Landan thereby signaled to the company's workers and managers that their promotion path was almost blocked. Even if they contribute to Mercury all their talents, time, and energy, their chances of reaching the top are pretty small.

Two of the imported Americans do come from senior software industry positions and have important connections at the highest levels at Mercury's customers. There is no doubt that these two are necessary and important appointments. However, Mercury needed to find the right balance between imported management and managers who had risen through its ranks. Besides, there is also the problem that most of the new American managers are unfamiliar with Mercury's high-motivation start-up culture.

It should be stressed that this kind of move, in which a substantial number of senior management posts are manned by Americans, is very rare among Israeli based companies. Even at Amdocs (NYSE: DOX), where most of the people in the upper levels of middle management are American, the core of senior management is Israeli.

As I wrote more than a year ago, the initial warning signs were seen in March 2004, when Zohar Gilad, who was vice president for products and was among the company's highest level managers, was moved aside. Gilad was replaced by an Israeli (Yuval Scarlat), but it is not clear why it was necessary to replace him at all.

Gilad was among the shapers of the company's business direction and was held in high esteem as a manager by both workers and customers. His removal did not exactly contribute to worker morale. At the same time, Ori Danieli, who was vice president of research and development, left the company.

In January this year, the warning signs became stronger and turned into flashing red lights when Egert announced his resignation. Egert was a very dominant manager. The workers followed his lead, and he delivered the goods. It turns out to be no coincidence that only three months after his departure, Mercury is not managing to close all its planned deals in Europe.

www.globes.co.il

Tuesday, October 18, 2005

Thalia’s popular soup opera ‘Rosalinda’ released in DVD

Los Angeles.– Xenon Pictures Inc, the leading distributor of Spanish-language DVD content in the U.S., today released ‘Rosalinda’, one of Latin America’s most popular telenovelas (soap operas), starring Latin pop diva Thalia.

The double-disc Televisa Home Entertainment DVD —more than 7 hours in length—includes English subtitles, a photo gallery and other great bonus features. Rosalinda has a suggested retail price of $19.99 and will be available at major retail and online stores in the full-screen format.
Crossover singing star Thalia is Rosalinda, a decent, beautiful young woman who works in a flower shop to pay for her education while aspiring to become a great singer.

She finds love with pianist and composer Fernando Jose Altamirano (Fernando Carrillo—TV’s “Ponderosa”), and though they are soon wed, unforeseen circumstances force them apart. Maybe it’s because Rosalinda has discovered that her birth mother, long believed to be dead, is actually serving a prison sentence—for the murder of Francisco José’s father!
The all-star cast features Mexico’s eternal grande dames Angelica Maria ("La Antorcha Encendida"), and Lupita Ferrer ("Soledad").

Originally televised in 1999, Rosalinda was shot in beautiful, lush Veracruz, Mexico, and broadcast in a record 110 countries around the world, including the United States, Mexico, the Philippines, Israel, Colombia, China, France, Spain, Canada, Argentina, Puerto Rico, Romania and Greece, among others.

The telenovela’s premiere was the most anticipated television event of the year as it marked the return to acting by Mexico’s sweetheart, Thalia. Ironically, this was also the superstar’s last novela.

www.dominicantoday.com

New Sony Multimedia Notebook Brings Big Screen Entertainment to Portable Platformoctubre

Sony is taking entertainment lovers on the ultimate joyride. The new VAIO(R) AX Digital Studio(TM) PC is the pinnacle of mobile multimedia performance, combining the power of a desktop with the convenience of a notebook.

Featuring a stunning 17" WXGA+ widescreen (measured diagonally) display with Sony's original XBRITE(TM) LCD technology, the VAIO AX notebook delivers brilliant clarity and true-to-life color, for beautifully crisp playback of photos, home videos and DVDs. Users can also watch and record high-quality television with a removable TV tuner and Microsoft(R) Windows(R) XP Media Center Edition 2005. You can even create a digital library for personal viewing at your convenience, using the DVD+R Double Layer/DVD+/-RW drive with Sony's Click to DVD(TM) software.

The VAIO AX notebook includes a unique multi-function bay, so you can add exactly the components you want to use. The simple swapping of powerful peripherals -- a TV-tuner Bay Unit, a DVD+R Double Layer/DVD+/-RW Bay Unit, an optional CD-RW/DVD-ROM Bay Unit, an optional 80GB HDD Bay Unit, and an optional HDD Adapter Bay Unit -- allows you to switch from TV entertainment system to high-capacity storage device in a matter of seconds. The optional docking station with an additional multi-function bay provides even more options.

"Sony knows that entertainment and computing mean different things to different people," said Mike Abary, vice president of VAIO product marketing for Sony Electronics in the U.S. "The AX notebook provides users the swappable components to create their own dream machines and we provide the fixed hardware and design to back them up no matter what they choose to do."
Security and Creativity The VAIO AX notebook also sports an integrated 0.3 mega-pixel camera so you can take advantage of available video chat applications. Keeping in touch has never been easier or more fun. No more memorizing multiple passwords thanks to the built-in fingerprint sensor.

With the swipe of a single digit, you can store your secret passwords to the secure web sites you visit, so authentication and access are virtually painless.

The model also comes with a full suite of Sony multimedia applications, including SonicStage(TM) Mastering Studio software for managing music in a variety of formats and DVgate Plus(TM) software for capturing and editing both standard definition and high-definition (1080i) video. To make data sharing and transfer a breeze, the notebook also comes standard with a multitude of connector interfaces, including an i.LINK(R) (IEEE 1394) and two USB 2.0 ports as well as Memory Stick(R) and Secure Digital media slots.

Sony VAIO AX notebooks will be available next month starting at about $2,000. They can be purchased at national retailers, online at SonyStyle.com or at SonyStyle(R) stores (visit www.sonystyle.com/retail www.sony.com/ax for locations) in select fashion malls around the country. Pre-orders begin online today at .

http://www.techweb.com/

Auto Workers Union Wants Health Deal OK (AP)

The United Auto Workers said Tuesday it is asking a federal court to approve its tentative agreement with General Motors Corp. that would cut health care benefits for 750,000 workers, their families and retirees. GM and the UAW announced the outline of the agreement Monday.

If UAW members ratify the agreement, GM expects to save $3 billion (euro2.5 billion) annually before taxes on health care expenses. The agreement also would cut GM's liability for retiree health care expenses by $15 billion (euro12.6 billion), or 25 percent.

The union must get a court's approval so it can't be sued if retirees' benefits are cut. GM has long maintained it has the legal right to unilaterally cut retirees' benefits without the UAW's approval. The UAW disagrees with that view, but is asking the Detroit court to bind its retirees together so there are no doubts the settlement applies to all of them, GM spokesman Stefan Weinmann said.

GM said it supports the court filing and is working with the UAW to expedite approval of the agreement.

Copyright 2005 Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

Jazz Therapy: The Denny Zeitlin Trio

Dubbed by Leonard Feather as "the most versatile young pianist to come to prominence in the early 1960's,” Denny Zeitlin is known today as “the jazz world's most visible Renaissance man” (LA Times). In addition to his part-time career as a jazz performer, composer, and improviser, Zeitlin is a practicing psychiatrist in the San Francisco Bay area. And if one considers music therapeutic, then jazz patrons are in for a significant boost to their mental health when Zeitlin takes the stage with the sublime Buster Williams on bass and high flying Matt Wilson on drums.

Born in Chicago in 1938, Zeitlin’s parents both combined medicine and music. He began playing piano as a toddler, studied classical music initially and discovered jazz in high school as a natural extension of his interests in composition and improvisation. Soon he was playing professionally in the Chicago area, where he had opportunities to sit in with Joe Farrell, Wes Montgomery, and Ira Sullivan.

He formally studied music in college, graduating from the University of Illinois in 1960 and then earning his M.D. from Johns Hopkins in 1964. After several highly acclaimed recordings for Concord, Zeitlin focused his musical efforts on fusing jazz, electronics, classical, and rock through the 1970s, leading to a number of recordings and the symphonic score for “The Invasion of the Body Snatchers” in 1978.

Refocusing on acoustic music, Zeitlin turned again to solo piano work and other projects, including composing for Sesame Street; appearing on network TV (the Tonight Show and CBS Sunday Morning); touring throughout the world at colleges, clubs, and major festivals; and performing with such jazz luminaries as Joe Henderson, Herbie Hancock, Pat Metheny, Tony Williams, Marian McPartland, Charlie Haden, the Kronos Quartet, and Paul Winter.

Meanwhile, Zeitlin also established a private psychiatric practice in San Francisco and Marin County, and teaches at the University of California. Merging his background in music and psychiatry, Zeitlin has developed a lecture-demonstration, "Unlocking the Creative Impulse: The Psychology of Improvisation,” which has been well received in the U.S. and Europe.

Wrote Jules Epstein, “[his] technical skills are abetted by his psychiatrist's understanding of spontaneity as a key to analysis—like the technique of ‘free association,’ Zeitlin approaches melody as a line to be coveted, addressed and focused on, but also as a point of departure. His particular skill is in departing without losing sight of the original thought.” High Fidelity noted, “he can rip the keyboard apart or coax the most delicate nuances from it with a virtuoso's assurance. And it is done not as showmanship, but as a means to a distinctly creative end.”

On his current tour, Zeitlin teams up with Buster Williams and Matt Wilson, with whom he just released his latest trio recording, Slickrock (Maxjazz). Buster Williams needs no introduction to Twin Cities’ jazz fans, having appeared at the Dakota a number of times, most recently in April with his stellar quartet, “Something More.” One of the busiest bassists working today, Williams is admired for what the Penguin Guide describes as his “impeccable harmony” and “rhythmic sense that is unfailing, feeling, and utterly original.” His sets in April were (as always) marked by his elegant and melodic lines, his ability to dazzle without calling attention to the effort.

One of the most in-demand, creative drummers of his generation, Matt Wilson at 39 has a wide range of musical tastes and experiences. He was first attracted to the drums after watching Buddy Rich on “I Love Lucy.” Following his childhood in rural Illinois and college days in Wichita, Wilson landed in Boston, playing with the Either/Orchestra, Charlie Kohlhase, and John Medeski. Moving to New York, he formed his own quartet and joined forces with such talents as Dewey Redman, Janis Siegal, Cecil McBee, Leni Stern, Fred Hersch, Michael Brecker, Ravi Coltrane, Lee Konitz, and Joanne Brackeen, and has appeared on dozens of recordings as leader and sideman.

In his review of Slickrock, Don Williamson notes, “Beyond the exquisite piano playing…it becomes apparent that Williams and Wilson are entirely engaged in the music. Williams’ bass lines are solid with buoyancy that sustains the motion. Wilson spontaneously captures the textures of Zeitlin’s music and heightens them through the sensitive extension of tones with lightly shimmering cymbal work or driving malleting…In other words, the trio plays as a cohesive unit as Zeitlin’s virtuosity spurs Williams and Wilson to a state of intense focus.”

http://www.jazzpolice.com/

NBA defends new dress code for playersBRIAN MAHONEYAssociated Press

David Stern wanted to come up with a dress code that wouldn't restrict his players. So he picked one that wouldn't bother his owners, either.
"What we came up with is a dress code that even Mark Cuban could comply with - if he wanted to," Stern said Tuesday.

The NBA commissioner spoke after addressing the Executive Forum on Sports and Social Responsibility, where he announced the league's "NBA Cares" initiative, which he guaranteed will raise and donate $100 million to charity over the next five years.
But instead of getting questions about how the players were going to clean up the communities, he got more about how he planned to clean up the players.

On Monday, the NBA announced in a memo to teams that a dress code will go into effect at the start of the season. Saying players must dress in "business casual" attire, the league banned items such as sleeveless shirts, shorts, sunglasses while indoors, and headphones during team or league business.
It also requires players on the bench who are not in uniform to wear sports jackets, shoes and socks.

And while Stern knows some players will be critical of the policy, he said there was no reason to be, as even jeans are still allowed.
"As it's properly understood, it will be embraced," he said. "The union's fine with it. It's quite liberal and easygoing."
Stern pointed out that when the topic was brought up during collective bargaining, the teams "preferred that we do it as a group."

Even so, many NBA players are more comfortable dressing like the fans they cater to. And Cuban, the maverick owner of the Dallas Mavericks, often dresses in T-shirts and jerseys.
"We don't really sell to big business," Phoenix guard Raja Bell said. "We sell to kids and people who are into the NBA hip-hop world. They may be marketing to the wrong people with this."
But, as Stern pointed out, the reputation of the league's players had fallen to a point that was "not as good as our players are." That's why he believes - and insists - the players will readily go along with his policy.

"We have a minimum standard that we've set that reflects on the professionals in our sport and you're going to do it," he said. "We're certain that it will be complied with."

www.mercurynews.com

Sports Figures Hit Big Business in October Magazines

Golfing sensation Michelle Wie and ESPN President George Bodenheimer grace the covers of two magazines on newsstands in October — and neither of them is Sports Illustrated. Fortune and BusinessWeek decided to examine the business of sports this month with profiles of the 16-year-old phenom and the cable network boss.

In the October 17 issue of Fortune magazine, writer Katrina Brooker profiles a sports star who is “on the verge: of womanhood, of a pro career (against the guys), and of a marketing whirlwind that will change her life,” in the cover story, “(Michelle) Wie Will Rock You.”

As an amateur, Michelle was the youngest player ever to qualify for the Women's Amateur Public Links Championship — at the age of 10. She won the tournament at age 13. This year, she was the first female ever to qualify for the Men's U.S. Amateur Public Links Championship, which earned her the chance to play in the Masters — a feat no woman has yet achieved. Michelle was eliminated in the quarterfinals, “but for several breathtaking days of golf, she fought for a spot at Augusta.”

Michelle turned 16 this month and launched her professional career. She is “the kind of athlete who promises to transcend her sport,” Brooker writes. “People who don't care about golf or even sports will know her name, in the way they know Joe Montana or Michael Jordan or Tiger Woods.”

She can drive more than 300 yards — better than most of the women and half of the men on the professional tour. “Her aim isn't just to be the greatest female golfer; it's to be the greatest golfer, period. … Her drive to take on the boys has become the biggest story in sports. … Everywhere she plays, people want to watch.”

So does the business world. In fact, the way she drives up ratings for the networks that broadcast the events she plays in, advertisers are sitting up and taking notice. Michelle has landed a $5-million-a-year deal with Nike, with a smaller deal with Sony in the works. She’s also hired an image consultant and the legendary William Morris Agency. But before she can earn even bigger bucks, she’s got to sink those putts. Although she has come close many times, Michelle has won only one tournament.

BusinessWeek magazine features a sports figure already at the top of his game. In the October 17 issue, writer Tom Lowry profiles ESPN boss George Bodenheimer — “perhaps the single most influential person in all things sports.”

“As president of the ESPN Networks and ABC Sports, George W. Bodenheimer runs one of the most successful and envied franchises in entertainment, the jewel of Walt Disney Co., and among the most powerful brands of the last quarter-century,” Lowry writes. “While his round-the-clock networks are all about being brash and in-your-face, Bodenheimer is the rare media mogul who is adamant about staying behind the scenes.”

The strategy has worked out well for ESPN, which has thrived under Bodenheimer’s seven-year tenure. Its units, scattered in Connecticut, New York, and Los Angeles, are given a great deal of entrepreneurial freedom. Under Bodenheimer, the company has branched out beyond the traditional TV, print and Internet outlets into broadband, on-demand video, wireless, high-definition and books. There are the X Games and ESPN Zone restaurants. Video games are on the way. Even an ESPN-branded cell phone is in the works.

But rivals are circling. Comcast, the No. 1 U.S. cable operator, is looking to build a competing cable sports network. Teams and leagues are beginning to launch their own channels. Rupert Murdoch’s News Corp., with 15 regional sports channels, is rumbling about a national sports channel.

www.businessjournalism.org

FTC Stops False Claims about Fountain of Youth Oral Sprays

The Federal Trade Commission has won a temporary restraining order against marketers of oral sprays that supposedly contain human growth hormone (HGH) to stop them from making alleged false and deceptive claims and from sending illegal spam. The FTC charged that the sprays, marketed on dozens of Web sites and through spam, do not cause weight loss, reverse the aging process, or prevent or treat diseases as advertised.

The FTC alleged in a complaint that the sprays do not contain HGH or cause the body to produce it.

The complaint also charged that the defendants made false and deceptive product claims, misrepresented the security of their online ordering pages, and sent hundreds of thousands of illegal spam messages advertising the sprays.
The defendants are Pacific Herbal Sciences, Inc. and its president, John A. Brackett, Jr., and Natural Health Product, Inc. and New Star Marketing Group, Inc. and their president, Lei Lu, also known as Lei Li, also doing business as IE Marketing, Inc.
The temporary restraining order also freezes the defendants’ assets.
According to the FTC complaint, the advertisements for “HGH Revolution” and “Natural Rejuvenator HGH-R” made incredible claims such as:

“LOSE WEIGHT WHILE YOU SLEEP without DIETING or EXERCISE”
“Experience up to an 82% IMPROVEMENT in body fat loss while erasing 10 YEARS in 10 WEEKS!”
The marketing pitches for the sprays referred to clinical studies and prestigious publications to give credibility to their claims.
In its complaint, the FTC alleged the defendants made false claims about their products, lacked substantiation for those claims, and falsely stated that scientific studies validate their claims.

Specifically, the defendants’ ads made false or misleading claims that the sprays:
contained HGH or increased the body’s production of HGH; caused users to lose weight, without dieting or exercise; would turn back or slow the aging process, including increasing strength and energy, restoring the size of “bodily organs that shrink with age,” and improving memory; and would prevent, treat, or cure diseases and medical conditions, such as strengthening the immune system, lowering blood pressure, lowering cholesterol, increasing bone density, improving vision, quickening healing from injuries, acting as an antidepressant, and stabilizing mood swings.

The defendants also claimed their Web site ordering pages were secure, saying, “NOTE: To ensure your personal privacy, all of the information that you submit to us after this point will be secured using SSL encryption technology.” The FTC charged that the Web sites were not, in fact, encrypted, and consumer information transmitted was not secure.

The FTC alleged that the defendants drove traffic to their Web sites through spam, sent by marketers they paid. Consumers forwarded more than 200,000 of these e-mails to the FTC in 18 months. The FTC’s complaint contends that much of the defendants’ email violated the CAN-SPAM Act by using falsified headers and deceptive subject headings; leaving out an Internet-based mechanism to opt-out of receiving future e-mails; and omitting required information, including the sender’s physical postal address, identification of the e-mail as an advertisement or solicitation, and an opportunity to decline receiving further e-mails from the sender.
The FTC is seeking a permanent ban on the defendants’ false and misleading claims and illegal spam, as well as money back for consumers.

The Commission vote authorizing the staff to file the complaint was 4-0. The complaint was filed under seal in the U.S. District Court for the Central District of California on October 6, with an ex parte temporary restraining order and asset freeze granted on the same day.
NOTE: The Commission files a complaint when it has “reason to believe” that the law has been or is being violated, and it appears to the Commission that a proceeding is in the public interest. The complaint is not a finding or ruling that the defendant has actually violated the law. The case will be decided by the court.

Copies of the complaint are available from the FTC’s Web site at http://www.ftc.gov and also from the FTC’s Consumer Response Center, Room 130, 600 Pennsylvania Avenue, N.W., Washington, D.C. 20580. The FTC works for the consumer to prevent fraudulent, deceptive, and unfair business practices in the marketplace and to provide information to help consumers spot, stop, and avoid them. To file a complaint in English or Spanish (bilingual counselors are available to take complaints), or to get free information on any of 150 consumer topics, call toll-free, 1-877-FTC-HELP (1-877-382-4357), or use the complaint form at http://www.ftc.gov. The FTC enters Internet, telemarketing, identity theft, and other fraud-related complaints into Consumer Sentinel, a secure, online database available to hundreds of civil and criminal law enforcement agencies in the U.S. and abroad.

www.seniorjournal.com

Plan slams state with $12 billion higher tax bill, opponents say

A tax panel's recommendation to scrap state and local tax deductions would wallop New Yorkers with an extra $12 billion tax bill and drive high earners out of state, officials said Tuesday. President Bush's advisory tax panel offering of a drastically simplified income tax system _ one that would no longer allow taxpayers to deduct what they pay in state and local taxes _ was quickly denounced by Sen. Charles Schumer, D-N.Y.

"It is a dagger to the heart of the people on New York," said Schumer, who sits on the Senate Finance Committee and vowed to beat back the "pernicious proposal." Nationally, taxpayers would pay roughly the same amount of tax under the proposed system, and much of the paperwork would be eliminated. But those changes would vary from state to state. New York, which has a relatively high state and local tax burden, could end up paying some $12 billion more a year, Schumer said. Robert Ward of the New York state Business Council said many of New York's big earners would move away if such a change did become law.

"It will drive successful New Yorkers away to lower-cost states, and that would be a bad thing for all New Yorkers," said Ward. "The rest of the country is tired of subsidizing New York's high taxes, and it's only a matter of time until something changes on that," he added. Panel member and former Internal Revenue Service commissioner Charles Rossotti said the proposal makes the tax process simpler for everyone.

"I don't think it's a small move in this direction, I think it's a huge move," said Rossotti. The White House made no commitment to stick to the panel's recommendation when forwarding its tax-simplification proposal to Congress, a move Bush spokesman Scott McClellan said is not expected before next year. "We're going to take into account all the work that they have done and the recommendations that they are making," McClellan said. "We share a common goal of reforming our tax code to make it simpler and fairer." The President's Advisory Panel on Federal Tax Reform is charged with making multiple recommendations for different tax methods that make income taxes a fairer, simpler and more economically productive system. Its final report is due Nov. 1.

The panel would shrink the number of income tax rates from six to four and put 75 percent of individuals and families in the bottom 15 percent tax bracket. The proposal abolishes the alternative minimum tax. The levy is designed to prevent the wealthy from evading taxes, but it is increasingly creeping into the middle class. Individuals would not pay tax on roughly three-quarters of the capital gains on corporate stock. Myriad personal and family tax breaks would be replaced with one family credit. Income tests designed to keep most current tax breaks within the middle class would be eliminated, letting wealthier individuals and families benefit.

Benefits and savings accounts for retirement, health and education would be eliminated in favor of three savings accounts, all funded with taxed income that would be allowed to grow and be withdrawn tax free. One account would let workers save for retirement through their employers. Taxpayers also could put $10,000 every year into each of two accounts, one for retirement and the other for health, education and home-buying expenses. Low-income taxpayers could get a savers credit worth up to $500.

www.newsday.com

Stouffer gets a new job

Debra Stouffer, a well-known figure in the private and government technology worlds, has joined Digital Management, an information technology services company that provides secure transactions for government.

Stouffer was named to lead the company’s business development efforts after a two-year stint at BAE Systems as vice president of business development and marketing.

Prior to joining the private sector, Stouffer held IT positions at a number of government agencies. They included chief technology officer at the Environmental Protection Agency, deputy chief information officer at the Department of Housing and Urban Development and program manager of the Office of Management and Budget's federal enterprise architecture.

“The government continues to leverage technology to advance business transformation and demonstrate real mission results,” said Doug Keach, Digital Management’s executive vice president of corporate development.

Since the 2001 terrorist attacks, “there has been a sense of urgency to improve the government's ability to share information,” he said. “Much of the foundation is built, but the challenge is accelerating progress to obtain real mission oriented results. Stouffer will help steer Digital Management's government services in this area.”

www.fcw.com

Patent dispute threatens prepaid wireless service

A patent dispute over prepaid cellular telephones threatens to disrupt service to millions of prepaid wireless customers at several U.S. carriers, including Cingular Wireless.

A federal judge in Boston granted an injunction on Monday against Boston Communications Group Inc., (BCGI.O: Quote, Profile, Research) which sells customer management services for prepaid wireless telephones to a number of companies, including Cingular and Alltel Communications Inc. (AT.N: Quote, Profile, Research).

The court had previously ruled that Boston Communications had infringed on two patents held by Freedom Wireless Inc., and has awarded Freedom Wireless $128 million in damages. Last week, the court added $19.7 million to the award for interest on lost royalties, and said it would explore further damages.

Under the injunction, wireless companies that use the BCGI prepaid wireless services must stop selling them. The companies have 90 days to continue serving current customers, during which they must pay royalties to Freedom Wireless.

BCGI said that the injunction could affect service to 3.1 million prepaid customers, including 400,000 at Cingular, representing 70 percent of its total revenue. It has asked the judge to stay the injunction while it files immediate appeals.

Cingular Wireless spokesman Mark Siegel said the injunction does not apply to the "vast majority" of Cingular's prepaid wireless customers, who use a different type of network technology. He said Cingular would also seek a stay of the injunction while it appealed the case.
"We intend to continue to provide service to all prepaid customers, including those on the BCG platform," Siegel said. He declined to say what steps Cingular might take if the injunction is not lifted.

A spokeswoman for BCGI could not immediately say who the other affected carriers were. The company has sold services in the past to a variety of carriers, including Alltel Corp. (AT.N: Quote, Profile, Research) and Nextel, now a part of Sprint Nextel Corp. (S.N: Quote, Profile, Research).

Cingular Wireless and AT&T Wireless, which Cingular bought last year, were co-defendants in the suit against BCGI. Verizon Wireless was also a co-defendant but reached a settlement with Freedom Wireless before the trial began earlier this year.
Cingular is a joint venture of SBC Communications Inc. (SBC.N: Quote, Profile, Research) and BellSouth Corp. (BLS.N: Quote, Profile, Research)

www.today.reuters.com

EU urges global fight against bird flu

LUXEMBOURG - EU foreign ministers urged global cooperation on Tuesday
to tackle the threat of avian flu, as Greece investigated what could
prove the first appearance of the deadly strain in an EU member
country.

Swiss drugmaker Roche, under international pressure to raise output of
antiviral flu drug Tamiflu, said it might allow rival firms and
governments to produce it under licence for emergency pandemic use. A
Dutch company said it was working on a vaccine.

Foreign Secretary Jack Straw, chairing an emergency meeting of
European Union foreign ministers in Luxembourg, said discovery of the
deadly H5N1 strain of bird flu in Turkey and Romania was no cause for
panic.

"So far there is no evidence of any transfer of the virus to human
beings. Let us hope that remains the situation," Straw told a news
conference after the meeting.

"But members of the public are bound to be concerned and their
concerns can be allayed if they are shown that every effort is being
made by the European Union and by member states effectively to
coordinate action."

Scientists fear if the H5N1 virus, which has killed more than 60
people in Asia since it first appeared there in 1997, passes from
birds to humans on a large scale it could mutate into a variety that
could spread easily between humans. In a virulent form, they say, this
could kill millions worldwide.

EU health commissioner Markos Kyprianou, coordinating the 25-nation
bloc's response to avian flu, said Brussels did not yet know whether
the virus detected in a bird on the Aegean island of Chios was the
deadly strain. Tests were proceeding.

Greece took precautionary measures, banning exports of living poultry,
meat and other poultry products from the island to EU member states
and third countries.

CHIEF THREAT IN ASIA

The foreign ministers said in a statement the EU could not act
effectively on its own in tackling a threat that could move so quickly
across countries and continents.

"The Council (of ministers) recognised that avian and pandemic
influenza are global threats and called for an international
coordinated response," the statement said.

The global nature of the threat was born out in moves in the
pharmaceutical industry towards covering a shortfall in anti-viral
agents that could help combat the virus.

Roche Holding AG said it would be willing to discuss giving a
production licence for Tamiflu to rival firms including Indian generic
drug maker Cipla. Executive David Reddy said however the firm had not
yet been approached by Cipla, which has said it could make a copy-cat
version to help governments build stocks.

Dutch company Akzo Bobel NV said it was working on a human vaccine and
would begin clinical trials next year.

But scientists say development is difficult before the exact
architecture of a mutated virus is known.

Kyprianou said after briefing EU foreign ministers more than a half of
EU states had placed orders for anti-viral flu drugs.

The World Health Organisation has expressed fears that alarm in Europe
could distract attention from what is the real seat of the danger in
southeast Asia. More than 60 people have died of the disease in Asia
where, by contrast to Europe, people often live close to poultry and
are exposed to a greater threat.

Romania said it had detected new cases of suspected bird flu in the
Danube delta, one of them close to the border with Ukraine. Tests were
being carried out to see whether it was the H5 virus, of which H5N1 is
a deadly sub-strain.

Turkish authorities are examining the remains of some 500 quails found
in a field in the west of the country, the state-run Anatolian news
agency said.

Greece, however, was the focus of attention on Tuesday.

People on the Greek island where the suspect bird was discovered found
themselves the centre of media attention. The farmer who alerted
authorities after seeing turkeys fall ill said he feared for his
island.

"Yes I am concerned, but not just for me but for all the people here,"
Dimitris Komninaris told reporters. "But everyone on the island is
keeping calm."

Besides the human danger, countries visited by bird flu in its various
forms can face grave economic losses. The milder H5N7 strain struck
the Netherlands in 2003, prompting slaughter of 30 million birds and
losses estimated at 500 million euros.

www.today.reuters.co.uk

New owners say tourist train idea viable

The idea of a passenger train between Rapid City and Deadwood remains
alive despite legal and financial problems that have plagued the
proposal for more than a decade, according to the president of a
company that plans to operate the service.

Black Hills Transportation recently acquired the assets of Dunrail
Inc., which had ties to actor Kevin Costner's abandoned Dunbar Resort
proposal. Costner, however, remains a major investor.

The company would operate the passenger train on behalf of the
Northern Hills Railroad Authority, which was created in 1994. The idea
of a passenger train was first proposed in 1992.

Ralph Justen, president of Black Hills Transportation, said plans for
a tourist train have not faded away.

He envisions a $22.5 million project that could offer a tourist train
and passenger service between several cities in the Black Hills.
According to the proposal, riders would be able to board a 1950s
streamliner in Rapid City, Piedmont, Sturgis or Whitewood and travel
Deadwood.

In addition, vintage steam- and diesel-powered trains will carry
tourists between Sturgis, Whitewood and Deadwood, he said.

"This thing has potential to be a real economic juggernaut for the
region," said Justen.

As many as nine round trips a day are planned, and Justen said as many
as 400,000 riders a year could be riding the train line, called the
Deadwood, Black Hills and Western Railroad.

To make the train service work, however, the company needs to lay new
track between Deadwood and Whitewood, a route that Chicago & North
Western Railway Co. operated until the early 1960s. And landowners
along the proposed route are already speaking out.

Charles Brown of rural Whitewood owns the property near a 600-foot
tunnel along the proposed route. He said he waited 11 years for
railroad developers or the railroad authority to make a serious
financial offer to acquire right of way. Finally, he filed suit
against the Northern Hills Rail Authority to force the issue, he said.

"This is a land grab," Brown told reporters after the meeting.

Justen said he and other company officials would meet soon with
landowners to resolve some of the disputes.

Discussion at the meeting also centered on Black Hills
Transportation's long-term plans for running trains on existing track
owned by Dakota, Minnesota & Eastern Railroad.

Justen said he has been talking to DM&E about running train-bus tour
packages to destinations such as Hot Springs, Wall and Belle Fourche.

To pay for it, Justen said state and federal funds could be tapped as
well as municipal bonds and private investment from Costner and
others.

www.jacksonholestartrib.com

Beta-Blockers Called Poor Choice for Hypertension

Beta-blockers are no better at preventing heart attacks in patients with hypertension than other agents, and are less effective at preventing strokes, investigators here reported.
A meta-analysis of 13 randomized controlled trials involving nearly 106,000 patients, published online today in The Lancet by Swedish investigators, found that the relative risk of stroke was 16% higher for beta-blockers compared with other drugs.

"In comparison with other antihypertensive drugs, the effect of beta-blockers is less than optimum, with a raised risk of stroke," wrote Lars Hjalmar Lindholm, M.D., and colleagues at Umea University Hospital and University Hospital in Goteborg, "Hence, we believe that beta-blockers should not remain first choice in the treatment of primary hypertension and should not be used as reference drugs in future randomized controlled trials of hypertension."

The findings confirmed results of the massive Anglo-Scandinavian Cardiac Outcomes Trial-Blood Pressure Lowering Arm (ASCOT-BPLA), which showed that the combination of Norvasc (amlodipine) and Aceon (perindopril) reduced major cardiovascular events by 16% (P<0.001), stroke by 23% (P=0.003), cardiovascular mortality by 24%, and total mortality by 11% (P=0.025) compared with the regimen of the beta-blocker atenolol with or without the diuretic bendroflumethiazide.

ASCOT-BPLA was halted prematurely in December 2004 when the data and safety monitoring board determined that there was a higher event rate in the atenolol arm.

In the current study, Dr. Lindholm and colleagues conducted a meta-analysis of 13 randomized trials comparing treatment of primary hypertension with beta-blockers versus other antihypertensives. The trials involved a total of 105,951 patients. An additional seven studies comparing beta-blockers with placebo or no treatment were also included in the analysis.

The authors determined that the relative risk of stroke was 16% higher for beta-blockers (95% confidence interval, 4%-30%) than for other drugs, and there were no differences for myocardial infarction.

In addition, when the effect of beta-blockers was compared with that of placebo or no treatment, the relative risk of stroke was only about half that seen in previous hypertension trials. It was 19% for all beta-blockers (7% to 29%) in the analysis, versus 45% (15% to 65%) in the STOP Hypertension trial, for example, or 38% in a meta-analysis of beta-blocker trials published by Collins et al in Lancet in 1990, the authors reported.

Beta-blockers also had no effect on myocardial infarction or death compared with placebo or no treatment, they noted.

"More than a quarter of the world's adult population, totaling nearly one billion people, have hypertension, and far too many… are still treated with beta-blockers (mainly for hypertension) even though better and affordable drugs are available," Dr. Lindholm and colleagues wrote.

Because various antihypertensive agents in use today, including thiazide diuretics, ACE inhibitors, calcium antagonists, angiotensin-receptor blockers, and beta-blockers appear to be equally effective at lowering brachial blood pressure, the least expensive alternative may be appropriate for treatment of patients with primary hypertension, they wrote.

In an accompanying editorial, D. Gareth Beevers, M.D., professor of medicine at the University of Birmingham in England, cautioned that abrupt withdrawal of beta-blockers could be harmful to some patients.

"It will be interesting to see how the many guidelines committees respond to the latest information," he wrote. "Their current endorsement of beta-blockers must surely be changed. But in the process they may be in danger of 'throwing out the baby with the bath water.

" Some patients genuinely do need beta-blockers as their first line therapy, and there are also distinct theoretical hazards from their rapid discontinuation, particularly in patients who might be judged to be 'coronary prone.'"

Patients should be gradually weaned off of beta-blockers while other antihypertensive agents are substituted, he wrote.


www.medpagetoday.com