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Farmer Still Under Consideration For Obama Administration Position, Takes Harvard Medical School Appointment
While Partners in Health co-founder Paul Farmer is still being considered for a senior role in the Obama administration, Farmer has been appointed chair of Harvard Medical School"s Department of Global Health and Social Medicine -- Jeffrey Flier, the medical school"s dean, said on Wednesday -- the Boston Globe reports. Flier said that Farmer will take a leave of absence from the medical school if he is offered a position with the administration. For now, Farmer is slated to succeed the current chair, Jim Kim, on July 1 (Smith, Boston Globe, 5/28). Foreign Policy"s "The Cable" reports that Farmer is "under consideration to head" USAID or "serve in a top administration international assistance post that would encompass it." An unnamed "international health activist" said that Farmer might be appointed USAID administrator "as an interim thing" and that he might go on to lead a new position focused on "global health in the process of foreign assistance reform over the coming year." Rep. Howard Berman (D-Calif.), chair of the House Foreign Affairs Committee, is organizing efforts to reform the Foreign Assistance Act later this year. The act was originally written in 1961 (Rozen, "The Cable," Foreign Policy, 5/26).On Tuesday, Jack Lew, Deputy Secretary Of State for Management and Res, said that the government is considering ways to significantly improve coordination of various agencies that work with global health assistance. "We"re open to creative ideas about how to bring appropriate res to bear," Lew said, adding, "When we look at public-private partnerships and recruiting, we"re looking at how to cast the broadest net to bring in the right talent and commitment to address the challenge" (Boston Globe, 5/28). Partners in Health said it is pleased that Farmer is being considered along with other strong candidates. Wendy Sherman, an advisor to Secretary of State Hillary Clinton, and Aaron Williams, a former USAID official who is now with RTI International, are among some of the "[p]reviously rumored contenders for the USAID administrator job," according to "The Cable." Last week, Farmer had a meeting with Clinton, Partners in Health said. Andrew Marx, a spokesman for the group, said that one of the reasons why people are "excited about the idea of Paul is that he and Partners in Health in the past have been quite prepared to challenge the accepted wisdom." According to Marx, Farmer did not buy into the conventional approach to multi-drug resistant tuberculosis in the 1990s, when WHO"s official policy was not to treat people who were diagnosed with the disease because it was complicated and the costs were high. When asked if Farmer would be interested in a USAID administrator position that has strong democracy and governance components, Marx said, "Good governance and democracy are important to us," adding that the group"s work focuses on building up countries" public health systems rather than creating independent health clinics. David Bryden, senior program policy officer for the Center for Global Health Policy, said, "There are many exciting things about Paul Farmer." According to Bryden, Farmer "has been a person with a very practical mindset, he knows how to get the job done, put aside conventional wisdom when it"s wrong. ... It"s really exciting" ("The Cable," Foreign Policy, 5/26).
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Twin Study Examines Associations Between Depression And Coronary Artery Disease
Major depression and coronary artery disease are only modestly related throughout an individual"s lifetime, but studying how the two interact over time and in twin pairs paints a more complex picture of the associations between the conditions, according to a report in the August issue of Archives of General Psychiatry, one of the JAMA/Archives journals. For example, the association between coronary artery disease onset and major depression risk is much stronger over time than vice versa.
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New Measures To Promote Quality In Darzi's One Year On Progress Report, UK
Plans to scrap some centrally driven targets and proposals for giving doctors and nurses control of their budgets were announced by Health Minister Lord Darzi today.
Mental Health

Gpx5: Sperm Shouldn't Leave The Testes Without This Protein

Joel Drevet and colleagues, at Clermont Universitç©, France, have identified a protein that helps protect immature mouse sperm after they have been released into a region of the testis known as the epididymis, which is where they undergo maturation. Although male mice lacking this protein, Gpx5, had normal looking sperm and were equally as efficient as normal male mice at fertilizing female mice, an increased incidence of miscarriages and fetal developmental defects were observed when normal female mice were mated with Gpx5-deficient males over 1 year old compared with normal male mice of the same age. Further analysis indicated that Gpx5 acts as an antioxidant in the epididymis, protecting the sperm from oxidative stress. As discussed by the authors, and, in an accompanying commentary, John Aitken, at the University of Newcastle, Australia, these data have immense clinical relevance as age-related DNA damage to human sperm has been associated with a range of adverse outcomes including decreased fertility, and increased rates of miscarriage and childhood disease. TITLE: Epididymis seleno-independent glutathione peroxidase 5 maintains sperm DNA integrity in mice AUTHOR CONTACT: Joel R. Drevet CNRS UMR 6247, INSERM U931, Clermont Universitç©, Aubiç¨re, France. PDF of this article. ACCOMPANYING COMMENTARY TITLE: Gpx5 protects the family jewels AUTHOR CONTACT: R. John Aitken University of Newcastle, Newcastle, New South Wales, Australia. PDF of this article. Karen Honey Journal of Clinical Investigation


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