dr. jon lapook, cbs news, new york. >>> on "cbs moneywatch" now, new safety rules for airline pilots andmbling could be coming to the big apple. alexis christoforous is at the new york stock exchange with the latest. good morning, alexis. >> good morning, anne-marie. tokyo's nikkei gained 1%. hong kong's hang seng was flat. they blame low earnings for a weak day on wall street. the dow jones industrial average lost 20. the nasdaq edged up 3. but all in all the market remains close to record levels. >>> the federal aviation administration has issued the most extensive overhaul of pilot training in two decades. the move was triggered by the 2009 crash of continental express flight 3407 in buffalo. the captain failed to respoond correctly when the plane lost lift, called a staal. under the new requirements airlines will have to provide simulator training for pilots on how to deal with a stall and other expanded training, but the faa is giving airlines five years before they have to implement those new requirements. >>> and here in new york new york has approved an amendment to allow the bui

dr. jon lapook on the results of a new study. and his honor the mayor confesses to less than honorable conduct. he just says this about crack cocaine? >> have i tried it? probably in one of my drunken stupors. captioning sponsored by cbs this is the "cbs evening news" with scott pelley. >> pelley: good evening. has it come to this-- has gunfire in public places become so ordinary? twice in a week, young men have stormed into buildings and started shooting-- last friday at the airport in los angeles, last night at a mall in new jersey. there, the only person killed was the shooter. but we were struck by how the mall's employees and shoppers reacted. elaine quijano is in new jersey. >> reporter: it took six hours for police to locate richard shoop. he was found dead in the basement from a self-inflicted gunshot wound. kevin shoop is his older brother. >> my brother intended to harm nobody else but himself. he just, sadly, decided to make an act of self-indulgence by taking his own life publicly, and it's a tragedy to us all. >> rep

dr. jon lapook report there is may be a flaw in those new guidelines for cholesterol. a traffic stop ends with police firing at a minivan fillith children. john miller investigates. and bob schieffer with a doctor who treated the wounded president kennedy. why he believes what kennedy was wearing may have cost him his life. >> schieffer: doctor, just tell me what's happened here now. captioning sponsored by cbs this is the "cbs evening news" with scott pelley. >> pelley: good evening, tornadoes this late in the year are rare, but this week before thanksgiving dozens of them tore across the nation's mid-section. preliminary estimates from the government say there were 75 tornadoes yesterday in seven states from tennessee to michigan. at least eight deaths are reported. relatively few considering the number of twisters. accurate forecasts and early warning apparently saved lives. illinois was hit hardest. six died there. in the city of whitaker, 82- year-old pat lost her home washington looks like it was hit by a bomb. dean rends is there. dean? >> reporter: since 1986 t

dr. jon lapook on what this means to patients. in a new poll tonight, the president's job approval hits an historic low. how many americans think he's honest and trustworthy? and caroline kennedy takes the oath near the 50th anniversary of her father's assassination, she answers his question. margaret brennan on what she will do for her country. this is the "cbs evening news" with scott pelley. captioning sponsored by cbs >> pelley: good evening. the world is mobilizing to help the philippines, but just a trickle of food and water and medicine has reached the victims of typhoon haiyan. today, president obama phoned the philippine president begnino aquino, promising additional help. about 100 u.s. marines are already on the ground, as many as 2,000 more are expected. the aircraft carrier "george washington" should arrive on thursday. aquino said today the death toll may reach 2,500-- not the 10,000 some had predicted. but a reliable number is days away. we do know at least two americans are among the dead. in tacloban, the city hit

dr. jon lapook and dr. holly phillips. >> we have a do-it-yourself bionic hand.nd his son who turned a dream into reality. >> reporter: grabbing a pack pack is hartley the feat of a superhero unlet use're 12-year-old and your hand looks like it's straight out of a fiction movie. you actually look like a. >> cybor. >> reporter: while he was still in the woman, obstructed blood flow prevented the fingers from growing. >> it was hard for my wife and me. >> reporter: two years ago he began a search for an inexpensive video. he found this site by a man in washington state. owen and a collaborator in south africa designed a mechanical hand that could be made by a three-dimensional printer. >> it's essentially like a hot glue gun. there's plastic that feeds into it. the head gets really hot, creates it layer by layer. >> reporter: the design creates wrist movement. a move upward opens them. the assembly instructions were posted for free on the internet so someone like paul mccarthy in marblehead, massachusetts, could print the idea. he took the idea to his son. i >> i t

dr. jon lapook on what this means to patients. in a new poll tonight, the president's job approval hits an historic low. how many americans think he's honest and trustworthy? and caroline kennedy takes the oath near the 50th anniversary of her father's assassination, she answers his question. margaret bren fan on what she will do for her country. captioning sponsored by cbs this is the "cbs evening news" with scott pelley.

dr. jon lapook with the results of a new study.and his honor the mayor confesses to less of this han-honorable conduct. he just says this about crack cocaine? >> have i tried it? probably in one of my drunken stupors. captioning sponsored by cbs this is the "cbs evening news" with scott pelley. >> pelley: good evening. has it come to this-- has gunfire in public places become so ordinary? twice in a week, young men have stormed into buildings a

dr. jon lapook and dr. holly phillips. >> we have a do-it-yourself bionic hand.ter: grabbing a pack pack is hartley the feat of a superhero unlet use're 12-year-old and your hand looks like it's straight out of a fiction movie. you actually look like a. >> cybor. >> reporter: while he was still in the woman, obstructed blood flow prevented the fingers from growing. >> it was hard for my wife and me. >> reporter: two years ago he began a search for an inexpensive video. he found this site by a man in washington state. owen and a collaborator in south africa designed a mechanical hand that could be made by a three-dimensional printer. >> it's essentially like a hot glue gun. there's plastic that feeds into it. the head gets really hot, creates it layer by layer. >> reporter: the design creates wrist movement. a move upward opens them. the assembly instructions were posted for free on the internet so someone like paul mccarthy in marblehead, massachusetts, could print the idea. he took the idea to his son. i >> i thought he was a little crazy. he said we could print

dr. jon lapook on what this means to patients. in a new poll tonight, the president's job approval hits an historic low. how many americans think he's honest and trustworthy? and caroline kennedy takes the oath near the 50th anniversary of her father's assassination, she answers his question.

dr. jon lapook report there is may be a flaw in those new guidelines for cholesterol. a traffic stop ends with police firing at a minivan fillith children. john miller investigates. and bob schieffer with a doctor who treated the wounded president kennedy. why he believes what kennedy was wearing may have cost him his life. >> schieffer: doctor, just tell me what's happened here now. captioning sponsored by cbs this is the "cbs evening news" with scott pelley.

dr. jon lapook has details. >> reporter: a generation of doctors and patients have focused specific targetst the new guidelines say when it comes to preventing heart attacks and strokes, there's no magic number. dr. neil stone led the panel. >> we did a careful study of what number we should use. was it 100, was it 90, was it 80, was it 70 for ldl? do you know what we found? we couldn't find a single number that made any sense. >> reporter: so rather than adjusting the statin dose to reach a certain cholesterol level, the panel now wants doctors to prescribe a moderate or high dose depending on the current cardiovascular disease. patients may benefit from statins if they have a history of heart attack or stroke, ldl or cholesterol of 190 or higher, the onset of diabetes between the ages of 40 and 75, or a ten-year risk of heart attack or stroke of at least 7.5%. to measure that risk, the panel created a calculator that measures other factors including ethnicity. for example, a 50-year-old white male with a total cholesterol of 220 and good cholesterol of 45 has a ten-year risk of cardiovasc

dr. jon lapook on the results of a new study. his honor the mayor confesses to less than honorable conduct. he just says this about crack cocaine? >> have i tried it? probably in one of my drunken stupors. captioning sponsored by cbs this is the "cbs evening news" with scott pelley. >> pelley: good evenin

dr. jon lapook to fill us in. >> reporter: a generation of doctors and patients has focused on specific targets of cholesterol levels when using statins. but the new guidelines say when it comes to preventing heart attacks and stroke there is' no magic number. dr. neil stone led the panel. >> we did a careful study of what number we should use. was it 100? was it 90? was it 80? was it 70 for l.d.l.? we couldn't find a single number that made sense. >> reporter: so rather than adjusting the statin dose to reach a certain cholesterol level, the panel now advises doctors to prescribe er that moderate or high dose depending upon the patient's risk factors for cardiovascular disease. the group says patients may benefit from stat statins if they have a history of heart disease or stroke, l.d.l. or bad cholesterol of 190 or higher, the onset of diabetes between the ages of 40 and 75, or a ten-year risk of heart attack or stroke of at least 7.5%. to measure that risk, the panel created a calculator that considers factors other than just cholesterol including ethnicity. for example, a 50-year-old white

there dr jon lapook has details. >> reporter: when restaurant owner luca marcato started feeling tired. he asked his doctor to test his testosterone level. >> i did not have energy right in the morning. in my business you have to go and go and go. >> reporter: his levels were low and his physician prescribed a gel containing testosterone. >> now i feel the way i should be feeling. >> reporter: low testosterone levels are linked to problems like fatigue, muscle, and bone loz, and decreased libido. while replacement therapy is f.d.a. approved for some conditions it's wild me marketed as a way to improve health and stay young but there's little data on its long-term effects. today's study looked at older men, most with heart disease, who had low testosterone level. there was a 29% increased risk of heart attack, stroke, or death in those given testosterone. cardiologist steve nissen of the cleveland clinic said we need better studies to assess the benefits and riskes of testosterone therapy. >> just like women go through menopause, men go through mano pause, and that's probably a normal p

dr. jon lapook with the results of a new study. his honor the mayor confesses to less of this han-honorable conduct. he just says this about crack cocaine? >> have i tried it? probably in one of my drunken stupors. captioning sponsored by cbs this is the "cbs evening news" with scott pelley. >> pelley: good evening. has it come to this-- has gunfire in public places become so ordinary? twice in a week, young

dr. jon lapook and cbs contributor dr.llips. >> first up this morning trans fats are the ingredients that make many processed foods taste better and last longer but this week the food and drug administration says trans fats are no longer recognized as safe and the fda intends to ban them. >> trans fats increase your risk for heart disease. turns out that they elevate the so-called bad cholesterol, ldl. >> will this save lives and avoid heart attacks? >> this will save lives. the cdc says if we can reduce the level of trans fat currently in the american diet we can probably save about 7,000 people from preventable death and prevent about 20,000 heart attacks. >> reporter: trans fat is created by turning liquid vegetable oil into fat. processed food manufacturers use it because it extends the shelf life and improves the flavor of some foods including snack foods such as microwave popcorn, crackers and cookies. packaged sups cakes, pies biscuits, stick margarines and vegetable shortables and ready h of the to-use frostings. a

dr. jon lapook and cbs contributor dr.llips. >> first up this morning trans fats are the ingredients that make many processed foods taste better and last longer but this week the food and drug administration says trans fats are no longer recognized as safe and the fda intends to ban them. >> trans fats increase your risk for heart disease. turns out that they elevate the so-called bad cholesterol, ldl. >> will this save lives and avoid heart attacks? >> this will save lives. the cdc says if we can reduce the level of trans fat currently in the american diet we can probably save about 7,000 people from preventable death and prevent about 20,000 heart attacks. >> reporter: trans fat is created by turning liquid vegetable oil into fat. processed food manufacturers use it because it extends the shelf life and improves the flavor of some foods including snack foods such as microwave popcorn, crackers and cookies. packaged sups cakes, pies biscuits, stick margarines and vegetable shortables and ready h of the to-use frostings. a

dr. jon lapook and holly phillips. >> headlines that made news all over the country. >> vinita, there could in the way doctors prescribe cholesterol medication for millions of americans. a generation of doctors and patients have focus on specific targets of cles a troll levels when using statins, but the new guidelines say when it comes to prevention of heart attacks and strokes, there's no magic number. >> we did a careful study of what number we should use. was it 100, 90 80 70 for ldl. you know what we found? we couldn't find a single number that made any sense. >> reporter: so rather than adjusting the statin dose to reach a certain cholesterol level. the doctors are now to prescribe either a medium or high dose. they should if they have a history of heart attack or stroke, ldl of 150 or higher the onset of diabetes between 45 and 75 or a ten-year risk of heart attack and stroke of 70%. for example, a 50-year-old white male with treated high blood pressure total cholesterol of 220 and good cholesterol of 45 has a 10 year risk of cardio cardiovascular disease of 5%. statin treatment may

dr. jon lapook on what this means to patients.onight, the president's job approval hits an historic low. how many americans think he's honest and trustworthy? and caroline kennedy takes the oath near the 50th anniversary of her father's assassination, she answers his question. margaret bren fan on what she will do for her country. captioning sponsored by cbs

dr. jon lapook and cbs trint b sbs contributors dr. holly phillips and dr. david agus. look at critical issues related to health care. a serious report with costs revealed that the price of health care in the u.s. has climbed significantly. but many medical outcomes for patients are falling behind other developed countries. john, give us the headlines here. >> well, we spent $2.7 trillion every year on health care, okay? that's almost 18% of the gross domestic product and that's a percentage that's doubled in the last 30 years. so we spend a lot of money. >> we consistently hear the dollar amount we're spending but it seems we're no healthier for spending that money. >> no. actually when you compare us to other developed countries, we do not do very well. we spend twice per person on health care and yet when you look at anything we can measure, we're toward the bottom of the measure. we have the heist mortality rate and highest obesity and second for births. >> if the price keeps going up why aren't we getting healthier. >> we're not focusing on prevention. chronic dise