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If you're in your mid-40s and haven't had your colon checked, it might be time.The American Cancer Society's newly updated guidelines for colon and rectal cancer screening recommend that adults at average risk get screened starting at age 45 instead of 50, as previously advised.The updated guidelines come on the heels of what seems to be a rise in colorectal cancer among younger adults.Those at higher risk include African Americans, Alaska Natives, and people with a family history or a personal history of colon or rectal polyps; risk factors such as these could require screening earlier.Published in CA: A Cancer Journal for Clinicians on Wednesday, the updated guidelines also indicate that there are six screening test options for adults, ranging from noninvasive stool tests to visual exams like colonoscopy, depending on the preference of the patient and availability of the test.Other health organizations in the United States -- such as the US Preventive Services Task Force -- still recommend routine screening for colon and rectal cancers starting at age 50. 1081

If you're trying to avoid political ads in the closing days of the campaign, you might want to avoid morning shows and daytime TV. Using data provided by the data firm Kantar Media / CMAG, Cover/Line looked at the TV shows that have aired the most political ads in 2018 as of October 30, about how much was spent to air them, and who aired the most.The top buyers for these shows were all either the Republican PAC Congressional Leadership Fund, the Democratic group Senate Majority PAC, or Sen. Jon Tester, a Montana Democrat whom President Trump has campaigned to replace with Republican Matt Rosendale and who was able to air more ads on top shows for a much lower rate in Montana.Here's the top ten: 711

HOUSTON (AP) — Despite the miles traveled, the tens of millions of dollars raised and the ceaseless churn of policy papers, the Democratic primary has been remarkably static for months with Joe Biden leading in polls and Elizabeth Warren and Bernie Sanders vying to be the progressive alternative. That stability is under threat on Thursday.All of the top presidential candidates will share a debate stage, a setting that could make it harder to avoid skirmishes among the early front-runners. The other seven candidates, meanwhile, are under growing pressure to prove they're still in the race to take on President Donald Trump next November.The debate in Houston comes at a pivotal point as many voters move past their summer vacations and start to pay closer attention to the campaign. With the audience getting bigger, the ranks of candidates shrinking and first votes approaching in five months, the stakes are rising."For a complete junkie or someone in the business, you already have an impression of everyone," said Howard Dean, who ran for president in 2004 and later chaired the Democratic National Committee. "But now you are going to see increasing scrutiny with other people coming in to take a closer look."The debate will air on a broadcast network with a post-Labor Day uptick in interest in the race, almost certainly giving the candidates their largest single audience yet. It's also the first debate of the 2020 cycle that's confined to one night after several candidates dropped out and others failed to meet new qualification standards.If nothing else, viewers will see the diversity of the modern Democratic Party. The debate, held on the campus of historically black Texas Southern University, features several women, people of color and a gay man, a striking contrast from the increasingly white and male Republican Party. It will unfold in a rapidly changing state that Democrats hope to eventually bring into their column.Perhaps the biggest question is how directly the candidates will attack one another. Some fights that were predicted in previous debates failed to materialize with candidates like Sanders and Warren in July joining forces to take on their rivals.The White House hopefuls and their campaigns are sending mixed messages about how eager they are to make frontal attacks on anyone other than President Donald Trump. That could mean the first meeting between Warren, the rising progressive calling for "big, structural change," and Biden, the more cautious but still ambitious establishmentarian, doesn't define the night. Or that Kamala Harris, the California senator, and Pete Buttigieg, the mayor of South Bend, Indiana, look to reclaim lost momentum not by punching upward but by reemphasizing their own visions for America.Biden, who has led most national and early state polls since he joined the field in April, is downplaying the prospects of a titanic clash with Warren, despite their well-established policy differences on health care, taxes and financial regulation."I'm just going to be me, and she'll be her, and let people make their judgments. I have great respect for her," Biden said recently as he campaigned in South Carolina.Warren says consistently that she has no interest in going after Democratic opponents.Yet both campaigns are also clear that they don't consider it a personal attack to draw sharp policy contrasts. Warren, who as a Harvard law professor once challenged then-Sen. Biden in a Capitol Hill hearing on bankruptcy law, has noted repeatedly that they have sharply diverging viewpoints. Her standard campaign pitch doesn't mention Biden but is built around a plea that the "time for small ideas is over," an implicit criticism of more moderate Democrats who want, for example, a public option health care plan instead of single-payer or who want to repeal Trump's 2017 tax cuts but not necessarily raise taxes further.Biden, likewise, doesn't often mention Warren or Sanders. But he regularly contrasts the price tag of his public option insurance proposal to the single-payer system that Warren and Sanders back. The former vice president, his aides say, is willing to have discussion over health care, including with Warren.Ahead of the debate, the Biden campaign also emphasized that he's released more than two decades of tax returns, in contrast to the president. That's a longer period than Warren, and it could reach back into part of her pre-Senate career when she did legal work that included some corporate law.Biden's campaign won't say that he'd initiate any look that far back into Warren's past, but in July, Biden was ready throughout the debate with specific counters for rivals who brought up weak spots in his record.There are indirect avenues to chipping away at Biden's advantages, said Democratic consultant Karen Finney, who advised Hillary Clinton in 2016. Finney noted Biden's consistent polling advantages on the question of which Democrat can defeat Trump.A Washington Post-ABC poll this week found that among Democrats and Democratic-leaning voters, Biden garnered 29% support overall. Meanwhile, 45% thought he had the best chance to beat Trump, even though just 24% identified him as the "best president for the country" among the primary field."That puts pressure on the others to explain how they can beat Trump," Finney said.Voters, Finney said, "want to see presidents on that stage," and Biden, as a known quantity, already reaches the threshold. "If you're going to beat him, you have to make your case."Some candidates say that's their preferred path.Harris, said spokesman Ian Sams, will "make the connection between (Trump's) hatred and division and our inability to get things done for the country."Buttigieg, meanwhile, will have an opportunity to use his argument for generational change as an indirect attack on the top tier. The mayor is 37. Biden, Sanders and Warren are 76, 78 and 70, respectively — hardly a contrast to the 73-year-old Trump.There's also potential home state drama with two Texans in the race. Former Rep. Beto O'Rourke and former Obama housing secretary Julian Castro clashed in an earlier debate over immigration. Castro has led the left flank on the issue with a proposal to decriminalize border crossings.For O'Rourke, it will be the first debate since a massacre in his hometown of El Paso prompted him to overhaul his campaign into a forceful call for sweeping gun restrictions, complete with regular use of the F-word in cable television interviews.O'Rourke has given no indication of whether he'll bring the rhetorical flourish to broadcast television. 6612

In a few weeks, thousands of college students will begin their yearly right of fall by returning to the campus of Tufts University in Medford, Massachusetts, but a return to campus life this year will mean testing and quarantining for those students who chose to come back.Like colleges and universities across the country, Tufts is experimenting with a new plan that will allow more than 5,000 students to come back to campus while at the same time, instituting rigorous new guidelines in an effort to keep COVID-19 from spreading.The key to success, testing.“We wanted to test for COVID at a frequency that would catch people when they’re asymptomatic before they have a chance to spread,” explained Tuft’s President Anthony Monaco.Tufts plan for the fall is as complex as the virus itself. Students from outside the Northeast will be brought back to campus first, where they will be forced to quarantine for 14 days. Health officials expect at least a small portion of those students to test positive for COVID-19 the moment they step back on campus. Because of that, the university has constructed an extra 200 modular units of dorm space. The idea of the modular facilities is to give campus health officials a contained area to monitor students who test positive for the virus, while at the same time, keeping them out of the general population.After students from outside the Northeast are brought back to campus, students from the general area around New England will return.Every single student will be tested twice a week for COVID-19, something experts say will be a key component to safely reopening college campuses this fall. Regardless, school officials expect students to test positive for the virus throughout the fall.Researchers at Yale’s School of Public Health have been advising Tufts and hundreds of other colleges who are planning to resume some form of in-person learning this fall.“If we don’t test frequently, we give silent spreaders an opportunity to grab hold and this virus is hard to play catch-up with,” explained Professor A. David Paltiel, who recently published a study on how quickly the virus can spread through colleges if left unchecked.To study the virus, Paltiel and his colleagues used epidemic modeling to assemble hypothetical situations resembling a college campus. The study found that if you take 5,000 healthy students and add in only 10 students who have COVID-19, hundreds, if not thousands, of kids will be sick by Thanksgiving.“At that point, the only thing that keeps the virus from getting out of control is Thanksgiving break,” he said.That is why testing is key, the study found. When Paltiel took those same 5,000 kids and added in 10 students who have COVID-10, but tested every student twice a week, the study found that only about 100 students ended up catching COVID.“Many universities are planning to only test students who have symptoms, in our view that is a recipe for disaster,” he said.Only adding to the uncertainty of the situation, about 40 percent of college students said they would return to live near campus even if classes were held virtually. Paltiel and other health officials say because of that, it’s more beneficial to have students on-campus where they can be monitored and tested frequently.“It’s hard and it could be a nightmare, people who say we shouldn’t open campuses should remember the nightmare doesn’t go away,” he said. 3420

Hundreds of students at Sage Creek High School in Carlsbad witnessed a graphic and emotional presentation about DUI driving Tuesday. The program is called "Every 15 Minutes" is presented by the CHP and other local first responders. Teens saw fellow students injured or dead after a drunk driving crash and also saw another student arrested for getting behind the wheel intoxicated. The two day program will conclude Wednesday with a mock funeral and a presentation by a CHP officer who lost family members in a DUI crash last year.  565