Colleges help students scrub online footprints

BUFFALO, N.Y. (AP) — Samantha Grossman wasn't always thrilled with the impression that emerged when people Googled her name.
"It wasn't anything too horrible," she said. "I just have a common name. There would be pictures, college partying pictures, that weren't of me, things I wouldn't want associated with me."
So before she graduated from Syracuse University last spring, the school provided her with a tool that allowed her to put her best Web foot forward. Now when people Google her, they go straight to a positive image — professional photo, cum laude degree and credentials — that she credits with helping her land a digital advertising job in New York.
"I wanted to make sure people would find the actual me and not these other people," she said.
Syracuse, Rochester and Johns Hopkins in Baltimore are among the universities that offer such online tools to their students free of charge, realizing ill-considered Web profiles of drunken frat parties, prank videos and worse can doom graduates to a lifetime of unemployment — even if the pages are somebody else's with the same name.
It's a growing trend based on studies showing that most employers Google prospective hires and nearly all of them won't bother to go past the first page of results. The online tools don't eliminate the embarrassing material; they just put the graduate's most flattering, professional profile front and center.
"These students have been comfortable with the intimate details of their lives on display since birth," said Lisa Severy, president-elect of the National Career Development Association and director of career services at the University of Colorado-Boulder, which does not offer the service.
"The first item on our 'five things to do before you graduate' list is 'clean up your online profile,'" she said. "We call it the grandma test — if you don't want her to see it, you probably don't want an employer to, either."
After initially supplying BrandYourself accounts to graduating seniors, Syracuse University this year struck a deal with the company — begun by a trio of alumni — to offer accounts to all of its undergraduate and graduate students and alumni at no additional charge. About 25,000 people have access to it so far.
"It's becoming more and more important for students to be aware of and able to manage their online presence, to be able to have strong, positive things come up on the Internet when someone seeks them out," said Mike Cahill, Syracuse's career services director.
Online reputation repair companies have been around for at least a couple of years, often charging hundreds or thousands of dollars a year to arrange for good results on search engine result pages. BrandYourself, which normally charges $10 a month for an account, launched two years ago as a less expensive, do-it-yourself alternative after co-founder Pete Kistler ran into a problem with his own name.
"He couldn't get an internship because he was getting mistaken for a drug dealer with the same name," said co-founder Patrick Ambron. "He couldn't even get calls back and found out that was the problem."
An April survey of 2,000 hiring managers from CareerBuilder found nearly two in five companies use social networking sites to research job candidates, and 11 percent said they planned to start. A third of the hiring managers who said they research candidates reported finding something like a provocative photo or evidence of drinking or drug use that cost the candidate a job.
"We want our students and alumni actively involved in shaping their online presence," said Johns Hopkins Career Center Director Mark Presnell. Students are encouraged to promote positive, professional content that's easily found by employers, he said.
BrandYourself works by analyzing search terms in a user's online profile to determine, for example, that a LinkedIn account might rank 25th on Google searches of the user's name. The program then suggests ways to boost that ranking. The software also provides alerts when an unidentified result appears on a user's first page or if any links rise or fall significantly in rank.
Nati Katz, a public relations strategist, views his presence online as a kind of virtual storefront that he began carefully tending while in graduate school at Syracuse.
Google his name and up pops his LinkedIn page with a listing of the jobs he's held in digital media and the "500+ connections" badge of honor. His Facebook account is adorned with Katz smiling over an elegant Thanksgiving dinner table. There are a couple of professional profiles and his Tumblr link, one after another on the first page of results and all highlighting his professional experience.
Before his 2011 graduation, he took the university up on its offer of the BrandYourself account and said it gave him a leg up with potential employers and internship supervisors.
"Fortunately, I didn't have to deal with anything negative under my profile," said Katz, who used the reputation website BrandYourself.com while pursuing dual degrees in public relations and international affairs. "What I was trying to form was really a nice, clean, neat page, very professional."
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Apple’s new manufacturing tech opens the door for a curved iPhone

 Galaxy Nexus/Nexus S and Dell (DELL) Venue Pro had two things in common: First, they were both terrific smartphones that never really lived up to their potential in terms of sales volume, having been overshadowed by more popular phones. Second, they each sported unique curved glass displays — the Galaxy Nexus’ screen is concave while the Venue Pro’s is convex — that added a unique look and feel to the handsets. Rumors that Apple (AAPL) may be working to launch an iPhone with a curved glass face have swirled in the past, but a new patent recently uncovered by Patently Apple confirms that the company is at least toying with the idea of adding a curved smartphone to its future iPhone lineup.
[More from BGR: Microsoft Surface trampled at the bottom of the tablet pile this Christmas]
The patent describes a manufacturing process that ditches chemicals by combining heat with a molding mechanism that shapes thin glass. The process is simpler and more efficient than current technologies used to curve glass panels, and it is also far safer.
[More from BGR: Mark Cuban: Nokia Lumia 920 ‘crushes’ the iPhone 5]
The fact that Apple is actively working on this technology is hardly a guarantee that we’ll see it implemented in the iPhone 9 or some other future model. Even if the company does put its new patent into practice, it might appear in products other than the iPhone.
Curving glass is a great way to make larger displays more accessible to the user, however, and at the rate the market is shifting, the iPhone 5′s bump to 4 inches likely won’t be the last sizing tweak we see from Apple moving forward.
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Samsung Electronics seeks U.S. sales ban on some Ericsson products

 Samsung Electronics said on Wednesday it had filed a complaint against Ericsson with the U.S. International Trade Commission (ITC), requesting a U.S. import ban and sales ban on some of the Swedish telecoms equipment maker's products.
The action taken on Friday by the world's top smartphone maker, which accused Ericsson of breaching seven of its patents, came after Ericsson requested an ITC U.S. import ban on Samsung products and sued the South Korean firm for patent infringement.
"We have sought to negotiate with Ericsson in good faith. However, Ericsson has proven unwilling to continue such negotiations by making unreasonable claims, which it is now trying to enforce in court," Samsung Electronics said in a statement.
"The accused Ericsson products include telecommunications networking equipment, such as base stations," Samsung said.
With Ericsson suffering a big drop in sales at its network unit, down 17 percent in the third quarter, it is turning to the courts to maintain its patent income, part of a wider trend where big technology names are fiercely protecting intellectual property as global sales of tablets and smartphones boom.
Ericsson is facing a growing challenge from Samsung Electronics, a smaller player in the network equipment market.
"I'm sure that at this point, no one in the industry would underestimate Samsung's ability to become a significant player, if not the leader, in a new segment of the overall market for telecommunications hardware," Florian Mueller, a patent expert, said in a blog posting on Monday.
"This certainly adds a more strategic dimension to the Ericsson-Samsung dispute."
Samsung Electronics and its arch smartphone rival Apple Inc have been also locked in patent disputes in at least 10 countries as they vie to dominate the mobile market and win over customers with their latest gadgets.
The European Commission on Friday charged Samsung Electronics with abusing its dominant position in seeking to bar rival Apple from using a patent deemed essential to mobile phone use.
Samsung Electronics shares were trading up 1.3 percent, outperforming the wider market's 0.7 percent gain as of 0037 GMT.
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Telecommuters Work Longer Hours Than Office-Goers

When I say “telecommuting,” do you picture yourself easing into the workday in a pair of fuzzy slippers? Well, so does your boss. But the reality is, you’re both dreaming. Because a new study shows that folks who work at home at least some of the time put in more hours than those who stay at the office. That’s according to work published in the journal Monthly Labor Review. [Mary C. Noonan and Jennifer L. Glass, The hard truth about telecommuting]
Telecommuting for a portion of the workweek certain has its appeal. Avoiding the time and cost involved in commuting and presumably having a more flexible schedule and a better work-life balance are all potential pluses. But are employees really able to take advantage of such work-at-home perks?
Researchers took advantage of labor information from census bureau surveys and were surprised by what they found. First off, the proportion of people who work remotely remained unchanged from the mid-’90s to the mid-2000s the most recent data available. Second, those who do telecommute are more likely to work overtime, an additional 5 to 7 hours on top of the standard 40.
Which means that people who work from the comfort of home are not slackers in slippers. They’re more likely tech-savvy self-starters—who don’t know when to stop.
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iPad is a Christmas graveyard for ‘Grand Theft Auto’ and ‘Modern Combat’

At the beginning of December, the traditional video game industry attempted another iPad invasion. New versions of “Grand Theft Auto,” “Modern Combat” and “Baldur’s Gate” hit the iOS app market priced between $5 and $10. Over the past years, we have seen repeated attempts by major console and PC industry franchises to tailor their blockbuster games for iPhone and iPad platforms. None have succeeded. As the iOS app market increasingly favors free games with in-app purchases, the old-timers have started failing spectacularly.
[More from BGR: Microsoft Surface trampled at the bottom of the tablet pile this Christmas]
December is the most important month of the year for the iOS app market and the days around Christmas are the hottest period. As consumers upgrade their iPhones or receive their very first iOS devices, they tend to go on mobile app buying binges. That is why mega franchises like GTA and “Modern Combat” launched their latest iOS products at the beginning of the month. The games were supposed to stay alive for at least three weeks. They did not.
[More from BGR: Mark Cuban: Nokia Lumia 920 ‘crushes’ the iPhone 5]
The lavishly marketed “Grand Theft Auto: Vice City” peaked on iPhone app chart at No.2 on December 8th and plunged to No.36 by December 22nd. It rebounded to No.25 on December 25th. On the iPad, the game plummeted to a shocking No.52 by the all-important Christmas Day, when new iPad owners go berserk on iTunes.
Here is the kicker: on the revenue chart for U.S. iPad apps, the new GTA game had tanked to No.75 by December 25th. This is even worse than the No.52 position on the download chart. I find that genuinely fascinating, because it means that a game with a very stiff download price of $5 is showing weaker revenue performance than on raw download volume.
The GTA title is priced at $5 at a time when 80% of the top-grossing iPad games are free downloads. The top free apps have compelling in-game purchase strategies — “Grand Theft Auto: Vice City” does not. As a result, it is getting beaten by titles such as “Fairway Solitaire” and “My Little Pony” in revenue generation. Having massive name recognition and hundreds of millions of units in console game sales helps very little in the brutally competitive iOS game market.
“Modern Combat 4″ has also plunged out of top-50 on the iPad revenue chart just three weeks after its high-profile debut. The $10 update of “Baldur’s Gate” is out of top-200, brought low by its ridiculously high sticker price.
The proud console and PC game champions keep repeating the same gambit in the iOS market: price ‘em high and ignore the in-app purchase angle. They keep failing. When are we going to see a major console game franchise finally adapt to the Apple (AAPL) ecosystem and create an iOS game that is free to download but lures users into an in-app purchase trap effectively?
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U.S. teen smoking declines to record low in 2012: study

Cigarette smoking among American teenagers dropped to a record low in 2012, a decline that may have been partly driven by a sharp hike in the federal tobacco tax, researchers said on Wednesday.
An annual survey of about 45,000 students in the eighth, 10th and 12th grades found that the overall proportion of those saying they had smoked in the prior 30 days fell by just over a percentage point to 10.6 percent.
"A one percentage point decline may not sound like a lot, but it represents about a 9 percent reduction in a single year in the number of teens currently smoking," Lloyd Johnston, the principal investigator in the study, said in a statement.
He said reductions on that scale can translate into the prevention of thousands of premature deaths and tens of thousands of cases of cancer and other serious disease.
More than 400,000 Americans are estimated to die prematurely each year as a result of cigarette smoking - the No. 1 cause of preventable U.S. deaths - and most smokers begin their habit as adolescents, experts say.
Healthcare advocates hailed Wednesday's findings as evidence that higher cigarette taxes were paying off, combined with federal curbs on youth-oriented tobacco marketing and sales and a sweeping anti-smoking media campaign.
The researchers also cited the increase in federal cigarette taxes, raised by 62 cents a pack in 2009, as a likely contributing factor. The findings were part of an annual survey by University of Michigan researchers released by the National Institute on Drug Abuse.
Smoking rates fell for each of the individual age groups surveyed, most notably among eighth graders - from 6.1 percent in 2011 to 4.9 percent in 2012, the survey found.
Longer-term trends showed teen smoking rates dropping by about three-fourths among eighth graders, two-thirds among 10th graders and by half among 12th graders since a peak in the mid-1990s, researchers said.
One reason cited by experts is that the proportion of students who have ever tried smoking has declined sharply. Whereas nearly half of all eighth graders had tried cigarettes in 1996, just 16 percent had done so this year.
Teen attitudes toward smoking also continued to become more negative. For example, 80 percent of teens said they preferred to date nonsmokers in 2012.
But anti-tobacco advocates said their battle to stamp out teen smoking was far from over, noting that 17 percent of high school seniors still graduate as smokers.
Researchers singled out concerns over new forms of smokeless tobacco, including dissolvable products like Camel-branded "Orbs" and "Strips," and a fine, moist form of snuff called snus (rhymes with "loose"), which users place under their upper lip.
They said a significant portion of older teens have experimented with small cigars and water pipes called hookahs, which are becoming popular among young adults.
"We cannot let our guard down when the tobacco industry still spends $8.5 billion a year - nearly $1 million ever hour - to market its deadly and addictive products and is pushing new products ... that entice youth," said Susan Liss, executive director for the Campaign for Tobacco-Free Kids.
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Truth About Santa Still Stings Adults

Emily Charlton, as a wide-eyed fourth grader, said she felt betrayed by her classmates on her elementary school playground during recess just before the holidays.
"It was a day or two before Christmas break so we were talking about what we had asked for and I remember saying at one point, 'Well I asked Santa for...' and everyone started laughing," said Charlton, now a 29-year-old waitress from San Diego. "I think they thought I was making a joke."
She stood her ground. "I remember feeling embarrassed and upset," said Charlton. "My belief, however, was unchanged."
But it got worse.
A few days later, she was at Toys "R" Us with her father and saw him pack a long, narrow box into the trunk. On Christmas morning, her younger sister opened up an electric keyboard from Santa in that same box.
Charlton ran to her mother for reassurance that what she suspected was wrong.
"I will never forget what came next," she said. "She looked at me, and without skipping a beat said, 'Don't tell your brother and sister.' I was devastated. … A huge bomb was dropped on me and as silly as it sounds, it really changed my life.
"The worst part of all was how unceremoniously it happened, it was like one minute I was a child full of wonderment, and in a flash was snapped into a world of non-believing, magic-less adults."
Parents aren't the only grinches this time of year.
In Ontario, Canada, this week a man walked along a Christmas parade route telling kids there is no Santa Claus, according to 24 Hours Vancouver. The 24-year-old, whose hair was gelled to look like horns, was arrested for intoxication and causing a disturbance.
And a news anchor in Chicago went on a rant against the jolly old man after a segment on holiday expectations and the bad economy, according to the Huffington Post.
"Stop trying to convince your kids that Santa is Santa," said Robin Robinson of Fox Chicago. "That's why they have these high expectations. They know you can't afford it, so what do they do? Just ask some man in a red suit. There is no Santa."
Robinson later apologized.
Of course the truth is inevitable, unless you are a logical middle-school child who has done a careful "cost-benefit analysis."
"I was one of those kids who stretched a belief in Santa for as long as possible, probably well past a point of willful ignorance," said Peter Dacey, a 27-year-old from Easton, Conn.
He had been the recipient of several "Christmas miracles." One was the "coolest space Lego out there," the working monorail, which he was convinced was too expensive for his parents to give him.
The other came right out of the "Miracle on 34th Street" playbook when his family was living in temporary housing, looking for a new home.
"All I wanted for Christmas was for us to find a house," said Dacey. "Strangely, that year I found a little box in the tree left for me that contained some random key. But it didn't seem so strange when I realized that it must be the key to our new home. I took it with me to the next few open houses we went to, and lo and behold, it fit in one."
In the end, it was a question of what reaped the most rewards.
"If you don't believe in Santa, no good comes of it, as either you're correct or you're not, in which case have fun forcing your parents to get you all your future Christmas gifts while Santa visits the believers," said Dacey. "On the other hand, if you do believe, the worst that can happen is that you find out you were wrong, and what's the harm there?"
To this day, Dacey said there is a part of him that "still believes," at least in the messages of love and giving.
"I suppose I stopped believing in a living, breathing jolly-old-elf over a number of middle-school years, but have never stopped believing in Santa," he said. "I hope the silver sleigh bell would still ring for me."
Emily Charlton is still miffed that Mom spilled the beans.
"It was honestly the first time I can remember feeling heartbreak," she said. "I don't think it was just about the belief in Santa, but about the belief in magic and wonder and make believe, and everything that makes your childhood so great," she said.
But one parent -- now a grandmother who dresses up each year pretending to be an elf -- defended herself for bringing a dose of reality to her household when she was raising a family.
She was outraged when her 6-year-old son was sent to the principal's office for telling his first-grade class there was no Santa Claus.
"Man, was I mad about that," said Martha Chabinsky, a 59-year-old yoga teacher from Amherst, N.H. "Punishing a kid for telling the truth.
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Acortar las internaciones no significa peor atención: estudio EEUU

NUEVA YORK (Reuters Health) - Los hospitales de Asuntos del
Veterano (AV) de Estados Unidos pudieron reducir la duración de
las internaciones sin aumentar la cantidad de reingresos.
"A medida que los hospitales se volvieron más eficientes,
creció la preocupación porque estuvieran dándole el alta a
pacientes más enfermos y más rápido", dijo el autor principal de
un nuevo estudio, doctor Peter Kaboli, del Sistema de Salud de
AV de la ciudad de Iowa. "De hecho, encontramos lo opuesto",
agregó.
En Annals of Internal Medicine, el equipo de Kaboli escribe
que se está presionando a los hospitales para que disminuyan el
tiempo que los pacientes pasan allí. Pero algunos cuestionan si
el alta temprana eleva el riesgo de reinternación. Estas
segundas hospitalizaciones le cuestan Medicare unos 17.000
millones de dólares por año, según reveló un estudio del 2009.
Es más: el 1 de octubre del 2012, los Centros de Servicios
de Medicare y Medicaid comenzaron a utilizar las tasas de
reinternaciones y los resultados en los pacientes como dos
indicadores para determinar cuánto dinero deberían reembolsarles
a los hospitales.
El equipo de Kaboli estudió si la reducción del tiempo de
internación en los 129 hospitales de AV aumentaba la cantidad de
reinternaciones a los 30 días del alta médica. Para eso, analizó
más de 4 millones de historias clínicas electrónicas de AV de
los pacientes atendidos entre 1997 y el 2010.
En ese período, el tiempo promedio de internación se redujo
de 5,5 a 4 días y la cantidad de pacientes reinternados dentro
de los 30 días posteriores al alta médica cayó alrededor de 3
puntos porcentuales (del 16,5 por ciento en 1997 al 13,8 por
ciento en el 2010).
"Parecería que (la duración de la internación) no haría una
diferencia, pero al demostrar que reduce las reinternaciones
notamos que es una medida positiva", dijo Kaboli.
Aun así, el equipo halló un punto en el que la internación
más breve estaba asociada con un aumento de los reingresos. Los
hospitales con internaciones de por lo menos un día menos que el
tiempo promedio registraban un aumento de las reinternaciones.
Por otro lado, el equipo observó que la cantidad de
pacientes que morían en el hogar dentro de los 90 días
posteriores al alta médica también fue disminuyendo en esos 14
años.
"Pudimos cuidar mejor a los pacientes, con mejor calidad de
la atención y con una reducción de las tasas de mortalidad al
mismo tiempo", resumió Kaboli.
El doctor Manesh Patel, profesor asistente de cardiología de
la Duke University, en Durham, opinó que el estudio demuestra
que el sistema de AV mejoró en las áreas más sensibles para los
pacientes.
"La buena noticia es que existiría una conexión (...)
Algunas de las medidas que implementamos serían razonables",
sostuvo Patel, que no participó del estudio, pero investiga el
tema de las reinternaciones.
FUENTE: Annals of Internal Medicine, online 17 de diciembre
del 2012
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Cliff poses many risks to U.S. public sector, few severe: Moody's

WASHINGTON (Reuters) - The "fiscal cliff" of impending federal spending cuts and tax increases set for the beginning of the year poses a wide variety of risks to the public sector, but many of the threats hanging over state and local governments are not severe or direct, Moody's Investors Service said on Thursday.
President Barack Obama and Congressional leaders are in the middle of tough negotiations to avert the cliff before the start of the new year. Economists have warned the combination of tax hikes and across-the-board spending cuts, often referred to as sequestration, could plunge the country back into recession.
A downturn or a downgrade in the U.S. debt rating resulting from the federal budget battles would threaten the credit quality of the public sector, Moody's said.
"Rating changes could ensue for public finance credits that have direct, or in some cases indirect, linkages to the rating and credit standing of the U.S. government," it said.
"These rating changes would occur if Moody's lowers the U.S. government's rating as a result of the fiscal cliff, or a federal budget agreement is reached that fails to reduce the ratio of federal debt-to-GDP over the medium term," it added.
Sequestration would mostly impact states indirectly as federal grants to people shrink and they spend less money. Currently, Medicaid, the healthcare program for the poor that states administer with federal reimbursements, is safe from sequestration. Moody's warned that if Obama and Congress were to decide to cut it in their agreement, "the credit impact would be more severe."
"The largest component of the sequester is an approximately 9.4 percent, $30 billion across-the-board cut to discretionary defense programs," Moody's added. "If it is implemented, the economic impact will be most heavily felt in states with high concentrations of defense procurement contracting such as Maryland, New Mexico and Virginia."
Local governments only receive 5 percent of their revenues from direct federal payments, on average, meaning they too will only be affected by sequestration as lower spending hurts their revenues, Moody's said. Cities dominated by the federal government and military could be hit harder.
While Medicaid is off limits in sequestration, Medicare, the health insurance program for the elderly, would have to reduce reimbursements for services by 2 percent. That would hit non-profit hospitals.
Sequestration would also cut agencies that fund research at universities, but will likely only impact new grants, while the availability of federal financial aid may shrink, hurting higher education, Moody's said
The agency also said defense spending cuts will hurt military housing and could negatively impact revenue bonds for it.
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AP IMPACT: Big Pharma cashes in on HGH abuse

A federal crackdown on illicit foreign supplies of human growth hormone has failed to stop rampant misuse, and instead has driven record sales of the drug by some of the world's biggest pharmaceutical companies, an Associated Press investigation shows.
The crackdown, which began in 2006, reduced the illegal flow of unregulated supplies from China, India and Mexico.
But since then, Big Pharma has been satisfying the steady desires of U.S. users and abusers, including many who take the drug in the false hope of delaying the effects of aging.
From 2005 to 2011, inflation-adjusted sales of HGH were up 69 percent, according to an AP analysis of pharmaceutical company data collected by the research firm IMS Health. Sales of the average prescription drug rose just 12 percent in that same period.
___
EDITOR'S NOTE — Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the second of a two-part series.
___
Unlike other prescription drugs, HGH may be prescribed only for specific uses. U.S. sales are limited by law to treat a rare growth defect in children and a handful of uncommon conditions like short bowel syndrome or Prader-Willi syndrome, a congenital disease that causes reduced muscle tone and a lack of hormones in sex glands.
The AP analysis, supplemented by interviews with experts, shows too many sales and too many prescriptions for the number of people known to be suffering from those ailments. At least half of last year's sales likely went to patients not legally allowed to get the drug. And U.S. pharmacies processed nearly double the expected number of prescriptions.
Peddled as an elixir of life capable of turning middle-aged bodies into lean machines, HGH — a synthesized form of the growth hormone made naturally by the human pituitary gland — winds up in the eager hands of affluent, aging users who hope to slow or even reverse the aging process.
Experts say these folks don't need the drug, and may be harmed by it. The supposed fountain-of-youth medicine can cause enlargement of breast tissue, carpal tunnel syndrome and swelling of hands and feet. Ironically, it also can contribute to aging ailments like heart disease and Type 2 diabetes.
Others in the medical establishment also are taking a fat piece of the profits — doctors who fudge prescriptions, as well as pharmacists and distributors who are content to look the other way. HGH also is sold directly without prescriptions, as new-age snake oil, to patients at anti-aging clinics that operate more like automated drug mills.
Years of raids, sports scandals and media attention haven't stopped major drugmakers from selling a whopping $1.4 billion worth of HGH in the U.S. last year. That's more than industry-wide annual gross sales for penicillin or prescription allergy medicine. Anti-aging HGH regimens vary greatly, with a yearly cost typically ranging from $6,000 to $12,000 for three to six self-injections per week.
Across the U.S., the medication is often dispensed through prescriptions based on improper diagnoses, carefully crafted to exploit wiggle room in the law restricting use of HGH, the AP found.
HGH is often promoted on the Internet with the same kind of before-and-after photos found in miracle diet ads, along with wildly hyped claims of rapid muscle growth, loss of fat, greater vigor, and other exaggerated benefits to adults far beyond their physical prime. Sales also are driven by the personal endorsement of celebrities such as actress Suzanne Somers.
Pharmacies that once risked prosecution for using unauthorized, foreign HGH — improperly labeled as raw pharmaceutical ingredients and smuggled across the border — now simply dispense name brands, often for the same banned uses. And usually with impunity.
Eight companies have been granted permission to market HGH by the U.S. Food and Drug Administration, which reviews the benefits and risks of new drug products. By contrast, three companies are approved for the diabetes drug insulin.
The No. 1 maker, Roche subsidiary Genentech, had nearly $400 million in HGH sales in the U.S. last year, up an inflation-adjusted two-thirds from 2005. Pfizer and Eli Lilly were second and third with $300 million and $220 million in sales, respectively, according to IMS Health. Pfizer now gets more revenue from its HGH brand, Genotropin, than from Zoloft, its well-known depression medicine that lost patent protection.
On their face, the numbers make no sense to the recognized hormone doctors known as endocrinologists who provide legitimate HGH treatment to a small number of patients.
Endocrinologists estimate there are fewer than 45,000 U.S. patients who might legitimately take HGH. They would be expected to use roughly 180,000 prescriptions or refills each year, given that typical patients get three months' worth of HGH at a time, according to doctors and distributors.
Yet U.S. pharmacies last year supplied almost twice that much HGH — 340,000 orders — according to AP's analysis of IMS Health data.
While doctors say more than 90 percent of legitimate patients are children with stunted growth, 40 percent of 442 U.S. side-effect cases tied to HGH over the last year involved people age 18 or older, according to an AP analysis of FDA data. The average adult's age in those cases was 53, far beyond the prime age for sports. The oldest patients were in their 80s.
Some of these medical records even give explicit hints of use to combat aging, justifying treatment with reasons like fatigue, bone thinning and "off-label," which means treatment of an unapproved condition
Even Medicare, the government health program for older Americans, allowed 22,169 HGH prescriptions in 2010, a five-year increase of 78 percent, according to data released by the Centers for Medicare and Medicaid Services in response to an AP public records request.
"There's no question: a lot gets out," said hormone specialist Dr. Mark Molitch of Northwestern University, who helped write medical standards meant to limit HGH treatment to legitimate patients.
And those figures don't include HGH sold directly by doctors without prescriptions at scores of anti-aging medical practices and clinics around the country. Those numbers could only be tallied by drug makers, who have declined to say how many patients they supply and for what conditions.
First marketed in 1985 for children with stunted growth, HGH was soon misappropriated by adults intent on exploiting its modest muscle- and bone-building qualities. Congress limited HGH distribution to the handful of rare conditions in an extraordinary 1990 law, overriding the generally unrestricted right of doctors to prescribe medicines as they see fit.
Despite the law, illicit HGH spread around the sports world in the 1990s, making deep inroads into bodybuilding, college athletics, and professional leagues from baseball to cycling. The even larger banned market among older adults has flourished more recently.
FDA regulations ban the sale of HGH as an anti-aging drug. In fact, since 1990, prescribing it for things like weight loss and strength conditioning has been punishable by 5 to 10 years in prison.
Steve Kleppe, of Scottsdale, Ariz., a restaurant entrepreneur who has taken HGH for almost 15 years to keep feeling young, said he noticed a price jump of about 25 percent after the block on imports. He now buys HGH directly from a doctor at an annual cost of about $8,000 for himself and the same amount for his wife.
Many older patients go for HGH treatment to scores of anti-aging practices and clinics heavily concentrated in retirement states like Florida, Nevada, Arizona and California.
These sites are affiliated with hundreds of doctors who are rarely endocrinologists. Instead, many tout certification by the American Board of Anti-Aging and Regenerative Medicine, though the medical establishment does not recognize the group's bona fides.
The clinics offer personalized programs of "age management" to business executives, affluent retirees, and other patients of means, sometimes coupled with the amenities of a vacation resort. The operations insist there are few, if any, side effects from HGH. Mainstream medical authorities say otherwise.
A 2007 review of 31 medical studies showed swelling in half of HGH patients, with joint pain or diabetes in more than a fifth. A French study of about 7,000 people who took HGH as children found a 30 percent higher risk of death from causes like bone tumors and stroke, stirring a health advisory from U.S. authorities.
For proof that the drug works, marketers turn to images like the memorable one of pot-bellied septuagenarian Dr. Jeffry Life, supposedly transformed into a ripped hulk of himself by his own program available at the upscale Las Vegas-based Cenegenics Elite Health. (He declined to be interviewed.)
These promoters of HGH say there is a connection between the drop-off in growth hormone levels through adulthood and the physical decline that begins in late middle age. Replace the hormone, they say, and the aging process slows.
"It's an easy ruse. People equate hormones with youth," said Dr. Tom Perls, a leading industry critic who does aging research at Boston University. "It's a marketing dream come true."
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Associated Press Writer David B. Caruso reported from New York and AP National Writer Jeff Donn reported from Plymouth, Mass. AP Writer Troy Thibodeaux provided data analysis assistance from New Orleans.
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