dr. price?g÷ >> thank you so much. great questions spg ,%9ñ i just have one additional question to dr. farkas.t you talked about some of the challenges in addressing and 7ps studying driving risk through naturalistic and epidemiologic n approaches and alluded to simulator studies as one 2 promising approach that is being employed.73tr can you tell us more about if iñ,e drugmakers are actively using -í> things like skills testing or 6d?÷? simulator testing, and what g0 would be the role of both the )8ek fda and the drugmakers in doing those types of testing? 3[,bku á (áh'ew drugs, there" o; isn't of course experience in the community or prescribers if p>aéñ those drugs are to what degree ó-aes those drugs might impair driving. and so when sponsors now or drug developers are coming in with new drugs, we're taking a look q$uñ6ramt the kinds of characteristics that came out of this white paper that was organized by the ="twz ntsb or nhtsa and the other 6nbokhny3p;y-a"ñs$ federal agencies, and the fda can ask drug developer

dr. g? >> doctors price and mckay, thank you for the invitation.ppreciate the opportunity to be here. so i'm going to be talking about this health conditions that lead to daytime sleepiness and the process by which was illustrated so beautifully in her talk. what determines how alert we are at any given 24-hour period. it fluctuates over the course of the day and determined by two different processes. one is called the homeio static process and that is indicated by the downward pointing arrows at the top of the slide. that said the longer we are awake the greater the drive to fall asleep. the longer we have been asleep and the less our drive to continue to sleep. that process is counter balanced by another process which is an alerting process that is driven by a pacemaker. that has us be the most alert late in the day and early in the evening. there is a dip that is our siesta time but that drives they incredible sleepiness we feel in the early morning hours. of course our behavioral capability to operate a motor vehicle varies according to the lev

the second thing is clearly the sleep apnea issues we've had from dr. g, the prevalence of that is increasing as the obesity rates increase. it's not a hard condition to identity and it's extremely treatable and so i think that's a very important thing. given where we're at now in health care with emrs and so on and people filling out questionnaires and electronic websites, identification of this is pretty straightforward, and making that systematic, and i know the american academy of sleep medicine now has a task force talking to the emr companies about can we get that stuff programmed into emrs. it's something that's extremely doable. >> would anyone else like to chime in? >> i guess i would just proffer a little bit of a warning to whatever goes on needs to be very judicial. you're talking about what's going on in people's bedrooms literally and in a lot of cases their livelihoods. so when -- and this is the same as when you're going in looking at a shift work organization. when you start telling people that fatigue -- we're going to start cracking dow

dr. g. >> hi member rosekind doctors price and mckay, thank you for the invitation. appreciate the opportunity to be here. so, i'm going to be talking diseases and health conditions that lead to daytime sleepiness and i'm going to begin by reiterating the process that dr. carskadon illustrated so beautifully in her talk. what determines how alert we are at any given 24 hour period, our alertness fluctuates over the course of the day. and it's determined by two different processes. one is called the home yo static process, or process h. and that's indicated by the downward pointing arrows on the top of the slide. and what that says is that the longer we are awake as the day goes on the greater the drive to fall asleep. and after we fall asleep the longer we've been asleep, the less our drive to continue to sleep. now that process is counterbalanced by another process which is an alerting inging process that's driven by an androgynous pacemaker and that has us be the most alert late in the day and in the early evening. there is a dip in the middle afternoon. that's our

kehimontf oprtitota oth thoehe ad grte liradbo r e bteen afhe naon drs e g su bor u thk u m pridt. ts idt an adurd ti9: a. torr a des sas fuhe mk rpeto th fmesetoroth cor tof sshutt coonalf maacses. >>icpridt bn ld sarg eron aenatheenng t cgrs atheld sete cmb. e fialeron ocrr erlr t setelor. is gi wh n na mory ad riar cdl whhiwi rm lor scrar. naib cveatnsnaib] aaythe spo tonidtes nstuon queru lean tth na t precyose rll wiouan rertin diono eotf ngssourebo to te coralaon >>yaute >>owreyo ia eareo e u. hoar yu? [lghr] ana n tk a moat aute crloarthst he tig. sre t s y. naib nvsaon ngtutis. spdi tn eesof e mi >>oo cod. aute >> oay uphe. thyokn, hamyda ed sy? thmo iorntne naib cveatns tnkg mh. thkou ch. tt ulbe wdeul >>o t oerid >>hi te u veo gn >>o t oerid n aonndhoh ge aindauteis a dugerothre o heli. thk u. [iudlecoertis] iis pase mt u. rae yrit hnd. semy eayowi suornd dfe t nstuonf na stesfmecagast l emi fei or dostt br ue itanlgicetohe mend y te is obgaonrey tht anrervioorurse eviotaifuy scrgthuts t ofceoue outo dso lpouod thk u. io. >>idouge t pt th yand? ay. ne year'hstsar coralaon

to them g it was our dr.e cirigliano who picked up that something was wrong in simple psa blood test and acted fast. >> it turned out that he had prostate cancer that was enclosed within the prostate early stage. this was removed robot klee and as far as i can tell and everyone else can he's cancer free. >> reporter: every year 250,000 men will be diagnosed with prostate cancer. more than 20,000 will die. that's why steve is telling his story right now hoping to motivate others to get checked out and safe lives. >> i was diagnose with it, had surgery, had no pain, never used a painkiller i'm back to nine 5% of what i was before surgery and right now as everything looks i'm cans sr. free. >> steve says he was so lucky on this one he didn't need to have radiation or chemotherapy and he's back up walking around hours after surgery. now there's some controversy about getting your psa levels tested. but many of the experts are recommending that african-american men get tested when they're about 40. caucasian men w

>>os wt ncsis u dr authe be et nat ris in autheero dr go al etwh yocaan obl u syemndtytt e g mpheivbll? gstokpoitcay unrsndheah mael arme it hukher egnt ra enu t cf af ofheimwa gint an gug heah nunc rerm ts smllli aa me th i obi itth ony erits. ucscumhasa aer puicowe elabtti nuerhr ithu. sat t y lk t ity merpridtsig n ani y drn gg cko e styarmt t colimesh b colimes tirwn enhapeine rs ar inheesofheixr nang ofns mfo o anheormang e w prle. y lk ifr a stic pesptithyer rit dwhev itued thk eesn ne pridt gngoheani thk clbehero leonho-tm cae ey in oulo tobmas ccs gti hltca faurtoo miatn d ile c-a-tden ile d om tes otr in ty' gngo okacans holdav thwn e t steinhe rstwyes. u' me t esto ge yo andthug itou bhw tu pridtscae u a dyo rkofoam, sh inn d c gba t rean d g t ermn e la t yrtouto cko j. 's min scayyo ta alr nd ousheow agdan ndgh backobma isu'vdo imgrioeay,hod ve enapndra ely itveoathsyema habenr to elot st. ht:ouri aneoi oispl tlf sao scatg ss atoam isnds'as lde wh dyome bba? >>ue:t pdu s ccs. e l ilgo eadu. bppad,nthe mec taay. e lfwereti tinto meuri. 'semkae erth o we. so j wl ne. atehae a

g children. our dr. holly phillips is here whiff the reasons behinds the numbers. good morning.the it's no the most effective vaccine this seasonsp and now it's almost everywhere the country? >> it is. overall this year the vaccine is only 23% effective. that means specifically it lowers your risk of needing to go to the doctor with simple tops of the flu by 23%. now, this is an average. the effective niz ranges. in kids it's more effective. kids between the ages of 6 and 17. but for people over the age of 50, it's only 14% effective. so these aren't great numbers we're seeing this year. >> how do they compare to other years? >> this is the second least effective vaccine in the last ten years. so it compares poorly. that's ultimately because it's not well-matched with the predominant strain circulating now, which is h3n2. basically, that strain drifted or mutated in some way after the flu vaccine was already made. the reason this is is a big sprob that the left year wegvsaw h3n2 as a predominant strain aní; nasty flu season. 29,000 people died. atmosphere strain of the flu. >> p

dr t d 'seuoewcd. naare hihoout o hd tohaspe utteedgoin w e s nc al nsetauswhh intow the ncint supon cs e larr sed dul tik saafeiterto isonru ithstj nk1 t e tdd tyedori helyofndeahyplnoat g velo od o bende ck o seitus oga th esitinan haody eou rion twe tumio icpr t fehis wnuheheotpulpe me cotl heth n pe tt uthte emh aired micci i eryioomsa tt raofostous hi.ad eda a ga oslyadai a s ftodeedavai .ssha fe we ff idt le cu saka roe idt ey.r erd o e, d iop b r ow thpounv ain yeurrcve hwawaol ic xa de w ow e atr atein a can erig ai denay v f csm o. mr weoto.fomome le tn.yby tor, ds e nasar onbveloed coouhponst la oucop stadeo ouont s stto o ths em tm thme wln ntow in tontd ad th ndh ngssotatin te t mni tree nddeytedpoint gh hndis fr sd ri, esenitakor nth w t rdiaief thig besoe s ve h n faustksid hio a anokhacod the h orhefocotitialri it eyru aut 15d e outohetr at me tses. 11, iao ng alof i le theoo ilthedple ichol rannoanherootod uphe wherd nt ue at ieyto ha rtn rmba t th inbt i erthgspt sin ndano ds n,l softing sss ad ns tll thhi s o okat w heayas eret townthl ebeo us ser hes was tly i the eaeaf may toow nor wh i reind fo.igedheco byap me to uert t gpo he t whefhtnth s he are i

dr. martin luther king. >>> lindsey vonn break the record for all-time world cup victories after notching her 63rd win in yesterday's super "gr woods who stole the show when he arrived to support vonn while he is competed. the reason he stole the show -- he was missing his front tooth. his agent explained that the tooth had been knocked out by a camera while standing near the photographers at the awards podium. others speculate that he was having work done to replace a discolored tooth. bill karins, your thoughts? >> i want a side by side of that image with mike tyson. [ laughter ] >> we shall see. >> doesn't look like tiger. >> doesn't. he's incognito for sure. he has a couple of teeth on the skull tooth. >>> the knicks snapped a 16-game losing streak against the pelicans last night. carmelo anthony led the way and the knicks got a four-point lead. they win it 99-92. and then at a dunk contest, the chinese basketball association -- oh, one competitor leaps over five people. comes up short. instead, landing face -- >> wasn't even first. he didn't -- >> oh. >> he couldn't have leapt over one person. could he even dunk? >> let

g consent calendar pr i need a motion and second on the consent calendar. >> so moved. >> any items you withdrawn or corrected by the superintendent? >>yes. dr. murase two corrections one 151 on page 151 in the background section delete the word lesson correction to 151 on page 28 and the last sentence under the program description this is for two fiscal years but payment made in the year 2013? >> any items moved by first meeting by the board. >> commissioner. >> there's several items that i want to pull that are retroactive so item 4 i want to discuss them. >> (inaudible). >> oh, i thought she said remove or severe. >> if there are no items to be removed we'll move to that 0 the stems severed. >> i'd like to severe items 4, 7, 19, 20, 22, 23 and 26. >> roll call vote low take mroos place under oh, yes commissioner wynns. >> i'd like to severe k 53 any other items? seeing none the roll call vote s will take place under section o >> the secretary casco when do we discuss the items. >> (inaudible). >> under n. >> excuse me. commissioners under p item p where they were severed for 47. >> thank you very much they'll be discussed under item p. >>

for me, when i g introduced to dr. king as i intimated earlier it allowed me to see that there was a a roleo play in the world. i didn't quite figure all that life until my years later meet maya angelou, and figured out i had to find my own voice and find my own way in the world. tavis, we find our path by walking it. we findur path by walking it. king lets me know there is a calling for me in the world. maya angelou helps me figure out what that calling is. phyllis on the other hand had her spirit broken by that beating, peter. it broke her spirit and she became crack addict. and had a number of kid out of wedlock. just had aery, very difficult life for a lot of yrs. i'm happy to report tha while it took a long time, a lost rehab, a lot of work, aot of money, a lot of patience, phyllis eventually went to nursing school and eventually graduateand she is doing okay now but it took a long time for her to turn that corner. i just have always felt particular peculiar love for her. that is why i dedicated that book to phyll

g brown, and gloria -- minnie brown and gloria ray and we were going to school again. >> coming up next, the panel reflects on the complicated relationship between president johnson and drmartin luther king jr. speakers include former johnson domestic affairs adviser joseph colophon oh, whose criticism of lbj's per trail in "selma" --

drs. dusttin t tese fos g coucnghe ierewar nopreson jrnis he op w st veo on youbani'ju cuou w crl b m ng o didftensnot aville mae vet enhovidos esomof s ggsttha thsteta othunn n wh ius tean yo t of ve az in ua? >> dkn treast as onjonast wtean onnetoab ts t ad a adneo atfft. i nk atyo te ayro is atts vaon a engame satyha e ednrevouye. u llellnthe aerth t stefheunn e esenhartciatd golehaouwi iro acss tecoury. inutherede h de youbeinvied ithe pa b ts jt riio thh tt iss y r psint sa sntim tk abtse isesthewilldcssthe ste uonitinvial th he lae escen ute. dsn te e acofhe ndf n coercehe pridt llonneital y dmo t i dsn take t pce tpuic evtshe pridti afr e atofhendhe hervaosthcotrto lkbo t tnghewil scs h ste t ioades sohi of teat counatnstregto ma su ppl ueranit eieritth presnts ghngorn shgt, c. st. i gdoutneqada llorio bu ntneki oa llorio heaiheillrethe pridt tk uec mni autncptg sses dahahad beeethruses. [iudle] vetis outhnsa. ki oeepratgyin ce ofei ae buse caur hecor. i wdenghath esenseaiotoav men gng henu essesss? >>usn, c s rtnliice atse wi bdiusncyrsury ri t it. thuned stteworver clelh ersha whe

dr. king day, a fairly quiet week. but those rainfall amounts for sunday coming up in just a little bit. >> thanks veronica. g paren choosing move out of the district. a new report tells why. huh, fifteen minutes could save you fifteen percent or more on car insurance. everybody knows that. well, did you know you that former pro football player ickey woods will celebrate almost anything? unh-uh. number 44... whoooo! forty-four, that's me! get some cold cuts... get some cold cuts... get some cold cuts! whooo! gimme some! geico. fifteen minutes could save you fifteen percent or more on car insurance. whoo! forty-four ladies, that's me! whoo...gonna get some cold cuts today! we thought our cable internet was fast. but, our uploads are half the speed of our downloads so our internet is really half-fast. so half-fast. someone did a half-fast job posting our vacation pics. stop living with half-fast internet. only verizon fios comes with speedmatch - uploads as fast as downloads. get a fios triple play for just $79.99 a month online for two years and get a $400 bonus with a two year agreement! hurry! it's your last

dr. tara narula is with us to bring us all the gory details. this is g., so what are they sounding the alarm about? >> we know we have an obesity epidemic in our childhood population. about 20% of our kids are over s ares are obese. we have higher rates of hood blood pressure. pizza is adding to the daily caloric intake. when kids eat pizza on any given day they're increasing their calories anywhere from 400 to 600. we know it's the second largest contributor to daily calories besides desserts. that's staggering. people aren't aware of that. we're making people aware so a, they can eat healthier pizzas. >> it's the type? >> it's the type. if you to italy and eat a pizza in naples you're getting a different pizza. our pizzas are thick, refined, lots of processed fatty that can increase the fat kids are consuming, anywhere from 3 to 5 and sauces that are full of sodium that can increase their sodium content by up to 400 milligrams. >> i've got to say there are a lot of parents with finicky eaters and you say at least there's vegetables. i notice the numbers

dr. recommended brand now introduces ensure active. muscle health. clear protein drink and high protein. targeted nutrition to feed your active life. ensu hey, jennar fuzz mike trooawwwwww scram!g crust mike jubby roll bond chow gonna lean up an kiss bet. peas charty get town down. [laughter] ♪ borf a liver tute face stummy wag ♪ pow pam sha-beeps stella nerf berms. saxa-nay nay? badumps a head. temexiss gurrin. juppa left. fluppa jown! brone a brood. what? catch up on what everyone's talking about with the x1 entertainment operating system. preloaded with the latest episodes of the top 100 shows. only from xfinity. >>> a methamphetamine epidemic has not only ravaged many of the small rural towns of america's heartland, it's changed the face of the inmate population. at prisons like wabash valley correctional facility in southwestern indiana. but wabash also houses many doing time for far more serious crimes. men like jeremy blanchard. >> i have never been a drug abuser. i've never been a drunk. i knew what i done when i done it. i knew the heinous nature of what i done. i can still to this day remember nearly every blood spot that was in that house. i can remember the wallpape

g brown, and gloria -- minnie brown and gloria ray and we were going to school again. >> coming up next, the panel reflects on the complicated relationship between president johnson and dr. martin luther king jr. speakers include former johnson domestic affairs adviser joseph colophon oh, whose criticism of lbj's per trail in "selma" -- portrayal in "selma" has recently made news. this is about an hour. [applause] >> good afternoon. i had the honor of chairing the lyndon b. johnson foundation for 30 years. among the finest achievements that the current chairman and i claim is that we recruited the director of this lbj library and this three-day program is a terrific tribute to mark and his wonderful staff. [applause] from 1965 until the end of his term, i served as an aide to president johnson. on april 4, 1968, i had the sad duty of taking a flash associated press message into the oval office and handing it to president johnson that read dr. martin luther king has been shot in memphis. our world changed that tragic day. president johnson had enormous respect for dr. king. they worked together to pass the civil rights act, the voting rights act. what we are celebrating

through monday, get 3 g so >>> we one day live in a nation where they will not be judged by the color of their skin but by the content of their character. i have a dream today. >> dr. martin luther king jr.'s "i have a dream" speech delivered august 28, 1963. calling for an end to racism. his words and legacy live on more than a half century later. this holiday weekend the bay area is planning many events celebrating his life. there is a 26th annual celebration in el cerrito, a 23rd multicultural rally in oakland, a day of community service in richmond. meanwhile tickets for the final freedom train are sold out. the late coretta scott king launched the trains across the country 30 years ago to commemorate the march from selma, alabama to the statecal top. it turned into an oscar nominated film. throughout the years these commemorative trains stopped running due to declining interest. the bay area freedom train, last one in existence runs for the final time tomorrow from san jose to san francisco. ♪ but now i see♪ >> 1,600 passengers will then take part in a march and parade in san francisco starting 11:00 a.m. they will walk from the cal train station to the garde

dr. farkas.x? this obviously is a pretty comp8akxb5[y! t(s ith the health issues related to sleepiness and driving, and so dñ6v this is really a question that i'd like to hear from each of gs? >> well, we're increasing the amount of information that's 2]60ñ available to patients.Ñf so for example, in prescription ]gj insomnia drugs, there's medication guides that go to patients, and describe risks like impaired driving, and describe how the medicine should be taken, and very straightforward language. we also have information, a lot of information available to patients, they're very much saying that so0rugs, even "g3ás over-the-counter drugs, can p!aup0Ñsas impair driving, and that saying éey very clearly that if you're 9a going to drive, you should try to select a medicine that doesn't cause sleepiness, or eqfÑuc5vu anyway that trying to direct 3l!d peo> i &wur+áu$at in some yx of the patients i see particularly at the va, they're not just taking one drug once inkh"vn lot of them are on multiple s jo:ábcz medication, all of which have sedation as a side effect, and many times, all too often they çí- appear unaware, which ones can cause s

g. th yha mentri i hi tlfige anos peleo tirho bo tanyou iemb oni t dr d ge,r. odce -- o e .c etou m ve est. h a youan? > w ou ntstond he? y wt d wh eby? aeeithyo rit inthmilebeuse yo wehed uyth evyo else ce >>hi i msir--l. h aou hi ith hoaryo >>thssis bthdayd wl,ap bthy,m. he g ome ll es. y ey urgatam ma owaou? odo eyo ho a y? plsu tmeu the om. w ? eailch. hor y grt sou. heveantota i thee' alo of us. >>oyount te lite es infrt? > ile. wv gphraerp he. >>llig. ithe bas. >>re >agn,congutis > dnha et aywre y a n'movdo'tmo. ha o rar ha dooomn sarhayo llsuor aefd e nstuonf e it tas gastllnees foig nd meic; tt u llearu itan alginctothsa; tt u tathblaonrey, itutny nt rerti or pupefvaon;ndha yil ll a fthll dihae e ti oth ofcen ic y aouto ent: he u d? > d ndot out > eatose yuys. an ma he m. w aou ice toe. an f nghisgai tand ih mil yoaoi o be d o c anhi y wa. m, rsyoigan ou lelywe tt u ll suorandendhe cotiti othuned at ain a emi ren d meicth y wi br te itan liae tme tt u ta s obgaonrey, witho amalesvaon rpe asn;ndha yoill we d itul isar t dieofhe fi ic y e abt te soelyogo >>o. >nodbt au