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( CNN Student News) - - October 22, 2009 Quick Guide - Assess the problems that Afghanistan faces in assembling a runoff election. - Find out how public settings help germs spread from person to person. - Examine the rising costs of college and how some students are paying tuition. Transcript THIS IS A RUSH TRANSCRIPT. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. CARL AZUZ, CNN STUDENT NEWS ANCHOR: On HLN, online, on i. Tunes.

However you' re watching us, thanks for checking out CNN Student News. Bringing you today' s headlines, I' m Carl Azuz.

First Up: Terror Charge AZUZ: First up, authorities have charged a man in Massachusetts with planning to provide material support to terrorists overseas. The U.

S. attorney for Massachusetts says Tarek Mehanna tried to get training from the Taliban and hoped to attack members of the U. S. government. The official added that those people were never in any danger. The U. S. attorney claims that Mehanna, who you see in this file video, was involved in this conspiracy that lasted for about seven years.

If he' s convicted on the material support charge, Mehanna could face up to 15 years in prison.

TARP Report AZUZ: A new report says last year' s $ 700 billion could cost the government more than just money. Neil Barofsky, who oversees the program for the Treasury Department, says it could damage the government' s reputation with taxpayers, and there' s also a risk of rewarding companies that took big chances. The Troubled Asset Relief Program, or TARP, was passed following last year' s financial crisis.

Its goal was to help struggling banks and companies. So far, about 17 percent of the loans that were given out as part of TARP have been repaid.

IAEA Talks AZUZ: Iran has signed off on an agreement to send some of the uranium it makes to other countries for further enrichment. This was the result of talks between Iran, the U. S. , France, Russia and the International Atomic Energy Agency.

Iran says part of the reason it accepted the deal was to prove that its nuclear activities are only for peaceful purposes. Other nations have accused the Middle Eastern country of trying to develop nuclear weapons. AZUZ: President Obama says that the U. S. will continue to work with the Afghan government no matter who wins that country' s runoff election next month.

As we told you about yesterday, the leading candidates from August' s election are going to take part in the runoff on November 7th. But as Chris Lawrence explains, there are some potential problems in putting together an election that soon. CHRIS LAWRENCE, CNN CORRESPONDENT: Afghanistan is trying to pull off an election on little more than two weeks' official notice. And these are the problems it' s facing: logistics, lack of awareness, fraud and fear.

DR. ABDULLAH ABDULLAH, AFGHANISTAN PRESIDENTIAL CANDIDATE: The people of Afghanistan were threatened. They lost their fingers in the last round of elections. LAWRENCE: Ink- stained fingers were proof of voting, which made them targets of the Taliban. But a U.

S. defense official says there are more American and Afghan troops in place now than in August. And a U. N. official says they' re reducing the number of polling stations so security teams won' t be spread so thin.

On Thursday, the U. N. is launching TV and radio spots, trying to make voters aware there is another election. It' s not a given that people know; less than 30% of Afghans can read.

A high turnout and a safe election. Those are fine goals for politicians and officials to have. But what about the Afghan people, the ones who may be risking their lives to come out again to cast their vote? We found mixed opinions in this crowded Kabul market.

MAN ON THE STREET: We want to build up our country. So despite the problems, I will go to vote in the next election.

LAWRENCE: Officials threw out more than a million votes because of suspected fraud. And now, a European Union official says there will be far fewer election monitors for the runoff because the EU can' t deploy them all on such short notice. LAWRENCE: Do you trust that your vote will be counted fairly? HABIB HAKIM, KABUL RESIDENT: Uhhh, I don' t think so.

LAWRENCE: And Habib Hakim can' t see how President Karzai or his challenger will improve security. HAKIM: And I' m not sure Dr. Abdullah Abdullah will be able to stop the insurgency in Afghanistan, or at least to limit the level of insurgency in Afghanistan. LAWRENCE: At the least, they want to limit the reach of that insurgency on election day. Chris Lawrence, CNN, Kabul.

Shoutout RICK VINCENT, CNN STUDENT NEWS: Time for the Shoutout! Who is the U. S. secretary of Health and Human Services? If you think you know it, shout it out! Is it: A) Kathleen Sebelius, B) Thomas Vilsack, C) Janet Napolitano or D) Timothy Geithner?

You' ve got three seconds - - GO!

Kathleen Sebelius heads up the Health and Human Services Department, which is responsible for protecting Americans' health. That' s your answer and that' s your Shoutout! AZUZ: And that puts Secretary Sebelius in charge of the U.

S. response to H1N1. Sebelius, who was recently treated for skin cancer above her eye, talked to a Senate committee yesterday about some of the differences between H1N1 and the seasonal flu.

SECRETARY OF HEALTH AND HUMAN SERVICES KATHLEEN SEBELIUS: Half the hospitalizations for flu- like illness are for people under the age of 25; very different picture than seasonal flu. Nearly 90 percent of the deaths from H1N1 are among people under 65. Again, a very different picture than seasonal flu, where 90% of the deaths year in and year out are for Americans over the age of 65. AZUZ: The World Health Organization has classified H1N1 as a pandemic because of how far this thing has spread around the world. CNN' s Senior Medical Correspondent Elizabeth Cohen shows us how germs like the H1N1 virus can transfer from person to person.

ELIZABETH COHEN, SENIOR MEDICAL CORRESPONDENT: Let' s pretend that you and I are going to get on the subway. We stand in line at this kiosk, and let' s say I' m sick. I go like this, I touch this, you' re right behind me, now it' s your turn.

DR. RHONDA MEDOWS, GEORGIA DEPARTMENT OF COMMUNITY HEALTH: And I' m not so happy with you right now. What happens is, and commonly it happens every single day, is that people who have different illnesses, different symptoms, coughing, sneezing, runny nose, sinus infections, whatever, do the same thing you just did without even thinking about it. H1N1 virus can live on an inanimate object for 2- 8 hours. This is a virus that our bodies have never seen before, so all those people who have touched it, if they have H1N1, they have no immunity and neither do you.

And this is where the adventure actually starts COHEN: So, we are now standing behind a whole bunch of people. If one of them were sick and sneezed, could we get sick? MEDOWS: Yes, we can. COHEN: Even at this distance?

MEDOWS: It' s less than six feet. So that spray, the air droplet spray, could actually come into your being.

You' re inhaling, you' re breathing respiratory droplets.

No More Fountains AZUZ: A few moments ago you heard Secretary Sebelius mention it. The H1N1 virus seems to be affecting large numbers of people your age.

In order to keep it from spreading, some schools have temporarily shut down, while one Kansas school district is planning to shut down drinking fountains. Students are being urged to bring their own water to class. School officials are even propping doors open to try and keep the handles and the students germ free. Word to the Wise TOMEKA JONES, CNN STUDENT NEWS: A Word to the Wise. . . tuition ( noun) a charge or fee for instruction, specifically at a private school, college or university source: www. dictionary. com AZUZ: You know you have to pay tuition when you go to college.

But universities get money from alumni and states as well. And when that money decreases, due to a recession, for example, the tuition you pay can increase. For a lot of people, what you can afford is a big part of determining where you' re gonna go. And right now, tuition costs are higher than ever.

AZUZ: Higher education is coming with a higher price tag. Unlike housing in America, college is a serious seller' s market. PATRICK CALLAN, NATIONAL CENTER FOR PUBLIC POLICY & amp; HIGHER EDUCATION: Both the cost and price of higher education have gone up faster than almost anything else in the American economy for 25 years.

AZUZ: So, how much money are we talking? According to a new survey by the College Board, if you' re planning to go to a public, four- year university in your own state, you' re looking at a 6. 5 percent increase to around $ 7, 000 dollars per year just for tuition and fees. Public schools in another state: 6. 2 percent increase, or more than $ 18, 500 tuition.

Private schools: 4. 4 percent increase, more than $ 26, 000 per year, tuition. I keep saying & quot; tuition& quot; because room and board in each of these categories is also going up, making the yearly totals even more expensive.

There is a silver lining, though. About two- thirds of full- time students are getting help in the form of financial aid. And that doesn' t have to be paid back.

Fine.

But what about the third that doesn' t get financial aid? Student loans often come into play here, and not surprisingly, borrowing went up five percent for the ' 08- ' 09 academic year. Before We Go AZUZ: Before we go today, we' re talking about video games. They' re not just for young people. This bowling tournament is strictly for seniors and it' s all about the Wii.

About 600 older rollers took to the virtual lanes at this tournament recently in Texas. The goal of these gamers wasn' t just to set a world record - - which they did.

The event was also designed to encourage seniors to stay fit in order to avoid injuries. Goodbye AZUZ: Plus, it looks like everyone had a Wii- ly good time.

Aw yeah, that' s how we roll.

For CNN Student News, I' m Carl Azuz.

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Piers Morgan blasts British MP' s ' lie' Geyser of water lifts car into air House vote ' one way of herding the cats' Cops: Son parties with parents' bodies in house Migraines a deal breaker for Bachmann?

Gay man turns himself ' straight' Could you hug your kids every day? Murray to blame for Jackson' s death? Tot mom allegedly spotted at airport Chihuahua chases off robbers Fallout after Murdoch testimony Geyser of water lifts car into air Bolden: NASA is very busy Are fast food calorie counts accurate? Hacking groups' possible agendas Astronauts aboard Atlantis reflect UK vs.

US tabloid culture Talking to teens about health, obesity Welcome home to U. Womens soccer team Could eye exams detect Alzheimer' s?

Legal analysis of phone hacking scandal Man faked his identity for decades Murdoch in the hot seat Ex- nuclear plant operator speaks out CNN' s new video experience on i. Pad The Shot: Caption casts spell on Cooper Report: Murdoch to step down as CEO? Prioritizing federal spending Tea Party leader on default threat Could Rick Perry shake up GOP W. H. race?

GOP pushes ' cut, cap, and balance' Anderson Cooper answers your questions Marcus Bachmann defends clinic 9/ 11 families to meet with Justice Dept. PM Cameron addresses hacking allegations Debt talks - what' s the solution? Bachmann questions farmers' claims Mrs.

Murdoch to the rescue Granderson: Debt talks need more women Murdoch' s wife stands by her man James Murdoch discusses 9/ 11 victims Counting calories while eating out Hacking: ' Who signed the checks? ' Murdoch: ' Transparent, open society' Murdochs won' t disclose payout Dr. Drew Murray to blame for Jackson' s death? Casey interview: Bonanza or backlash?

Preview: Dr.

Drew with Bristol Palin Is Casey Anthony mentally ill?

Summers on America' s growth prospects Fareed' s Take: Afghanistan' s future What in the World: Brazil overheating? Most expensive city in the world Lawmakers fighting like cats and dogs Fareed Zakaria answers your questions Bernard- Henri Levy speaks out on DSK Peter Godwin on Sudan Getting a Picasso into a war zone House vote ' one way of herding the cats' Campbell: Cameron should admit ' error' Experts skeptical of Murdoch' s ignorance ' Revolving door' guarded Murdoch paper? Who is winning debt ceiling debate? Hacking whistle- blower was ' a good guy' Abrams: How far will hacking scandal go?

Former editor cites Murdoch son, Brooks Gay man turns himself ' straight' Can Casey Anthony ever be forgiven? Roseanne: I' m not good at marriage Chubby teen becomes beauty queen Shannon Tweed walks out on Gene Simmons Would Casey' s attorney let her babysit?

Larry David: I want to do standup again My father was ' The Grim Reaper' Fergie: I' m addicted to being liked Will migraines impact Bachmann campaign? Murdoch acting like himself? Gadhafi: Brega will be ' hell' Republican social issues in 2012 Tot mom allegedly spotted at airport Cops: Son kills parents, throws party Where is Casey Anthony? Piers Morgan blasts Mensch' s ' lie' Murdoch takes pie in the face Piers Morgan: CNN host, ' AGT' judge Tom Arnold discusses his dark past Nancy Grace opens up on fiance' s murder Tom Arnold talks Arnold Schwarzenegger Piers Morgan believes Murdoch Murdoch done with newspapers? Nancy Grace: Jury wasn' t listening to me Nancy Grace speaks about fiance' s murder Claustrophobic fighter pilot Brain injury patient back on the road Bounty hunter wants to sue Casey Anthony Khloe Kardashian' s Twitter outrage Hollywood hacking outrage J.

Lo and Marc Anthony split shocker Justin and Selena: Wedding crashers? Casey Anthony in disguise? Kim Kardashian' s mom gets facelift Hackers turn tables on Murdoch empire Migraines a deal breaker for Bachmann? ' Nobody proved Murdoch was involved' Computer hackers attack ' Sun' Congressman battles home intruder Murdoch scandal: Who' s next? Herman Cain against proposed mosque? Warren: " I Really Don' t Get it" Bachmann backs ' cut, cap and balance' Politicos agree: GOP field leaderless Sound of Sunday with Candy Crowley How Giuliani would negotiate debt talks How Giuliani would negotiate debt talks Giuliani: ' Not sure' I could win in NH Candy' s post- show analysis Graham has no confidence in compromise WH Budget chief: Time to act is now Rudy Giuliani on Murdoch, 9/ 11 and more Candy' s pre- show rundown

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WASHINGTON ( CNN) - - President Obama nominated a Republican U. S. congressman from New York on Tuesday to be secretary of the Army. Obama' s nomination of Rep. John M. Mc.

Hugh, ranking Republican on the House Armed Services Committee, must be reviewed and voted on by the Senate. The president announced his choice at a news conference. & quot; John understands personally and deeply the sacrifices soldiers and their families make every day, & quot; Obama said.

Mc. Hugh, he said, has been in public service at local, state and national levels and because of this is & quot; uniquely qualified to lead& quot; the Army. & quot; John shares my belief that a sustainable national security strategy must include a bipartisan consensus at home. He hasn' t agreed with every decision my administration has made, but he brings patriotism and a pragmatism that has won him respect on both sides of the aisle, & quot; Obama said.

The congressman has made several trips to Iraq and Afghanistan. Mc.

Hugh said, & quot; I am deeply proud of this nomination. & quot; He explained that he grew up near Fort Drum Army Base and through the years has had lots of interaction with military families. Fort Drum is in his congressional district. & quot; The Army' s always had a special place in my heart, & quot; he added. Mc.

Hugh, who lives in Pierrepont Manor, New York, about 60 miles north of Syracuse, was elected to the House in 1992 and has served on the Armed Services Committee since 1993. He was a state senator from 1984 to 1992. He would replace Army Secretary Pete Geren, who has had the job since July 16, 2007. A special election would be called to replace Mc. Hugh, whose New York district covers the northern part of the state, including the Fort Drum Army Base.

Geren became acting secretary of the in March 2007, after news emerged of substandard conditions at Walter Reed Army Medical Center in Washington. The revelations forced Secretary of the Army Francis Harvey to resign.

In a speech last month to the Council on Foreign Relations, , 60, said he feels that Republicans can have an effect on the national security debate even without control of the White House or either branch of Congress.

And in an editorial in The Hill newspaper, he described three areas in which he believes Republicans can be more effective in shaping defense policy, saying, & quot; Indeed, if we do our job well with respect to these objectives, it is quite possible that President Obama might well partner with congressional Republicans to carry out many of his defense policies. & quot; His three & quot; pillars of national security& quot; are promoting policies that ensure the war on terrorism remains & quot; global and a war in which we are fully engaged, & quot; maintaining good relations with allies while interacting with U. S. rivals, and promoting & quot; a robust commitment to defense spending. & quot; Obama previously chose another House Republican, Ray La. Hood of Illinois, to be his secretary of transportation. All About & bull; & bull;

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If you have symptoms associated with heart failure or arrhythmia & mdash; such as shortness of breath or fatigue & mdash; your doctor will order tests to check your heart' s function, identify possible causes of your illness and decide on treatment. For some of the exams, your doctor may refer you to a heart specialist ( cardiologist) or specialized technicians. The results of some tests may help your doctor decide what additional tests to order.

Physical examination. Your doctor reviews your lifestyle habits ( such as exercise, diet, smoking history and alcohol use) , recent changes in weight, any signs and symptoms you' ve observed, and the history of heart disease and other medical conditions in your family.

Your doctor will also check for signs such as irregular heartbeats, abnormal heart sounds ( heart murmurs) , the accumulation of fluids in the lungs, swelling in the legs or feet, or coolness in the limbs due to poor blood circulation. Blood tests. Your doctor may order a series of blood tests that may show evidence of poor heart function or factors that can cause dilated cardiomyopathy.

These may tests may reveal if you have an infection, a metabolic disorder or toxins in your blood that can cause dilated cardiomyopathy.

Chest X- ray.

Your doctor may order a chest X- ray to check your heart and lungs. Although these images don' t provide enough information alone for making a diagnosis, they can reveal abnormalities in the heart' s structure and size and can detect fluid in or around your lungs. The chest X- ray can provide a baseline record of your heart from which to check for subsequent changes associated with your condition.

Electrocardiogram ( ECG) . An electrocardiogram & mdash; also called an ECG or EKG & mdash; records electrical signals as they travel through your heart. Your doctor can look for patterns among these signals that show an abnormal heart rhythm or problems with the left ventricle. Echocardiography.

An echocardiogram uses sound waves to produce images of the heart.

This common test lets your doctor see your ventricles squeezing and relaxing and valves opening and closing in rhythm with your heartbeat. The echocardiogram is the primary tool for diagnosing dilated cardiomyopathy.

If you have dilated cardiomyopathy, your doctor will be able to observe enlargement of the left ventricle. An echocardiogram can also reveal how much blood is ejected from the heart with each beat and whether blood is flowing in the right direction. Exercise stress test. Your doctor may have you perform an exercise test, either walking on a treadmill or riding a stationary bike. Electrodes attached to you during the test help your doctor measure your heart rate and oxygen use.

This type of test can show the severity of problems caused by dilated cardiomyopathy.

Computerized tomography ( CT) or magnetic resonance imaging ( MRI) scan. In some situations your doctor may order a computerized tomography ( CT) or a magnetic resonance imaging ( MRI) scan of your heart.

These tests can check the size and function of your heart' s pumping chambers and can sometimes provide clues to suggest unusual disorders that cause dilated cardiomyopathy. Cardiac catheterization.

Your doctor may order a procedure called cardiac catheterization, which is used to check for factors that may cause dilated cardiomyopathy. A long, narrow tube is threaded through a blood vessel and into the heart with the use of X- ray technology to guide the cardiologist.

The test can be used to see your coronary arteries on an X- ray, measure pressure in your heart, and collect a sample of muscle tissue to check for damage that shows you have dilated cardiomyopathy. Genetic screening or counseling.

If your doctor can' t identify the cause of dilated cardiomyopathy, he or she may suggest screening of other family members to see if the disease is inherited in your family. No single test can determine if you carry a disease- related gene mutation. However, a thorough and detailed family history may reveal who' s most at risk of dilated cardiomyopathy or whether there' s evidence of other conditions that may contribute to the disease. Genetic testing is performed in some situations, usually as part of a research study. & copy; 1998- 2011 Mayo Foundation for Medical Education and Research ( MFMER) .

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Editor'

s note: Daniel Levinson is the inspector general for the in the Department of Health and Human Services. ( CNN) - - When a loved one moves into a nursing home, the support of family and friends is particularly important. This is especially true when the nursing home patient has dementia and can' t adequately advocate on his or her own behalf. A from my office - - the Office of the Inspector General for the Department of Health and Human Services - - makes clear just how crucial it is for families to monitor and ask questions about medications that such patients receive.

The report found that too often, elderly residents are prescribed antipsychotic drugs in ways that violate government standards for unnecessary drug use. Frequently, they are prescribed in ways that don' t qualify as medically accepted for Medicare coverage. In addition, the drugs were predominately prescribed for uses that are not approved by the Food and Drug Administration. But the most potentially troubling finding of the study is this: Researchers found that 88% of the time, these drugs were prescribed for elderly people with dementia. This is precisely the population that faces an increased risk of death when using this class of drugs, according to the FDA.

That' s why the agency puts its strongest safety warning, called a & quot; black box warning& quot; on these antipsychotic drugs, cautioning about the risk of death when taken by elderly people with dementia.

The report didn' t investigate why patients with dementia are prescribed antipsychotic drugs so often. But a series of lawsuits and settlements that my office helped bring about suggests that many pharmaceutical companies have improperly promoted these drugs to doctors and nursing homes for many years. The study began a few years ago, when a member of Congress questioned how many nursing home residents received a class of antipsychotic drugs introduced in the 1990s, among them risperidone and olanzapine. These drugs are known as & quot; atypical& quot; or & quot; second generation& quot; antipsychotics. They replaced the antipsychotic drugs introduced in the 1950s and 1960s to treat schizophrenia - - and, incidentially, are far costlier.

The report found about 305, 000 nursing home residents ( about 14% ) had Medicare claims for atypical antipsychotic drugs. Of these, about one in five residents was prescribed these antipsychotics in a way that violated government standards for their use. For example, residents were on a drug for too long, or at too high a dose. Another finding: A little more than half the antipsychotic drug claims for which Medicare paid should not have been covered.

Why? The claimed drugs were not used for medically accepted reasons or there were no records the drugs were actually provided. To be clear: Most physicians and nursing homes dispense antipsychotic drugs with the best interests of patients in mind. Physicians can use their medical judgment to prescribe drugs for uses unapproved by the FDA, and also to patients for whom the boxed warning applies.

Ideally, however, doctors who prescribe in such ways first determine that the benefits outweigh the risks. Yet it remains a concern that so many elderly nursing home residents with dementia are prescribed antipsychotics.

And, unfortunately, examples abound of companies' improper promotion of these drugs. Government investigations of Bristol- Myers Squibb, Astra. Zeneca and Pfizer found that they improperly promoted their antipsychotic drugs for unapproved uses.

Federal prosecution is pending against Johnson & amp; Johnson for allegedly paying millions of dollars in kickbacks to induce Omnicare, the nation' s largest long- term care pharmacy, to recommend the use of Risperdal in treating nursing home patients, many of whom had dementia.

And Eli Lilly pleaded guilty to criminal charges associated with illegally marketing its drug Zyprexa, including to doctors who treat elderly nursing home patients. Pharmaceutical companies have paid billions to resolve civil and criminal liabilities under federal health and safety laws.

But money can' t adequately compensate for corporate campaigns that could put vulnerable, elderly patients at risk. How do we solve this problem?

There' s plenty to do. Family members of nursing home residents must learn about their loved ones' medications, the reasons for their use, proper dosages and possible side effects.

Nursing homes and pharmacies that serve the elderly must keep the best interests of the patient in mind when dispensing pharmaceuticals and not base the decision on the improper influence of drug companies. Doctors, too, should rely on their best medical judgments and engage in an especially careful analysis when prescribing drugs for off- label use. Government must combat illegal off- label promotion of these powerful and potentially lethal drugs and uphold nursing home safety standards. And drug companies should follow the laws, and refrain from promoting drugs for unapproved uses - - or paying kickbacks to influence doctors and institutions.

About 46 million people are enrolled in Medicare. That will only grow as the huge baby boomer population retires.

We cannot afford to leave unaddressed the urgent problem of antipsychotic drug use among elderly nursing home residents. The opinions in this commentary are solely those of Daniel Levinson.

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( CNN) - - As part of the Catholic wedding vows they took four years ago, Melissa and Jacob Arnold promised to be & quot; open to children. & quot; Choosing not to use birth control, the couple dreamed of having a large family. Six months later, Arnold' s period was late. & quot; One day at work, a friend came up to me and said, ' I' ve got a bun in the oven! ' & quot; Arnold says. & quot; I thought, ' Maybe I do too! ' So I ran home at lunch to take a pregnancy test. My husband read it and said to me, ' You' re going to be a mommy! ' We were so thrilled. I ran back to work and said, ' Guess what, I' m pregnant, too! ' & quot; But Arnold, who was 23 at the time, wasn' t going to be a mother, at least not yet.

When she was eight weeks pregnant, she miscarried. A few months later she was pregnant again, and again she miscarried, this time at 10 weeks. Finally, she had a healthy baby girl, but then she miscarried twice more, including one pregnancy with twins. In all, Arnold had four miscarriages, losing five babies in less than three years. & quot; I read a lot of books, and I learned there are tests you can do to see if there' s a reason you' re having a lot of miscarriages, & quot; she says. & quot; But my doctor said the miscarriages were just nature' s way, and we didn' t need to do any testing. & quot; Her doctor told her it was inappropriate to do testing until she' d had three consecutive miscarriages without a live birth. By this time, Arnold was feeling defeated, and her marriage was strained. & quot; I was so bitter and angry, I couldn' t even cry after I lost the twins, & quot; she says. & quot; This can be very frustrating for patients& quot; There' s no consensus among doctors about when miscarriages go from being a fluke that most likely won' t happen again to being a pattern that needs investigating.

This can leave many patients like Arnold at a loss for what to do.

In 2001, the American College of Obstetricians and Gynecologists devised guidelines for doctors on how to manage recurrent pregnancy loss, but the group rescinded those guidelines last year and has not replaced them, according to Greg Phillips, a spokesman for ACOG. & quot; This can be very frustrating for patients, & quot; says Dr. Elwyn Grimes, professor of obstetrics and gynecology at the University of North Texas Health Science Center in Fort Worth. & quot; There' s no easy answer. I tell patients to go on the Internet and do their own research and lay it all on the table for the doctor, and to just persevere finding a doctor who can help them. & quot; Melissa' s story Dissatisfied with her obstetrician' s response, Arnold set out to find a doctor to do testing to find a cause for her miscarriages.

She says doctor after doctor refused, citing the same three- consecutive- miscarriage & quot; rule. & quot; & quot; This theory about three consecutive miscarriages was promulgated back in the 1930s, based on no evidence and no research, & quot; Grimes says, adding that even so, there are still doctors who believe it. After asking her family to pray for her, Arnold contacted Darci Klein, another woman who suffered recurrent miscarriages and wrote the book & quot; . & quot; Klein encouraged her to keep looking for a doctor who would do testing. It was especially urgent, as Arnold had just found out she was pregnant again. Finally, her phone calls worked: She found a doctor who would do the testing in Houston, not far from her home in Spring, Texas. & quot; The nurse told me to come in, and I said, ' You mean, you' re going to accept me as a patient? ' and she said, ' Yes, sweetheart.

Something' s wrong.

It' s not normal to have four miscarriages, especially at your age, ' & quot; Arnold remembers. & quot; I cried out of relief and happiness and hope for this baby I was carrying. & quot; That doctor found that Arnold carried a genetic mutation that some researchers say is linked to miscarriages.

She was prescribed baby aspirin to prevent clotting. On Monday, Anthony Arnold was born full term, weighing 6 pounds, 12 ounces. & quot; I was very grateful that Darci encouraged me to fight, & quot; Arnold says.

Miscarriages often a random event Many times when a woman has a miscarriage, it truly is a roll of the dice - - an unfortunate event due to a chromosomal abnormality that' s random and not caused by any defect in the mom or dad. There' s no treatment for such events, and patients are encouraged to try to get pregnant again. In fact, before six weeks, 70% of all miscarriages are associated with random chromosomal abnormalities, according to Dr.

Mary Stephenson, director of the Recurrent Pregnancy Loss Program at the University of Chicago.

That number goes down to 50% of miscarriages between six and 10 weeks, and 5% of miscarriages after 10 weeks. Tests after a miscarriage Not only is there controversy about when to test, but also what testing should be done on women who' ve had miscarriages, and what treatment, if any, should be given based on the results of those tests. After a woman miscarries, some doctors suggest that a chromosomal analysis be done on the fetal tissue to check for abnormalities. Here are diseases that can be checked for in the mother, and sometimes the father, too.

The American Society for Reproductive Medicine has a .

Clotting disorders Some clotting disorders, such as factor V Leiden and antiphospholipid antibodies, can put women at a higher risk for pregnancy loss.

For a list, see , run by Dr. Stephan Moll, a hematologist at the University of North Carolina School of Medicine. Hyperthyroidism It may be harder for women with hyperthyroidism to become pregnant. The Columbia University Medical Center has . Uterine abnormalities Fibroids and other problems with the uterus or cervix can cause miscarriage, .

Hormone imbalance If progesterone levels are too low early in pregnancy, miscarriage can occur. The American College of Obstetricians and Gynecologists has . Other medical conditions Women with conditions such as kidney disease, diabetes and lupus may have a higher chance of miscarriage, . CNN' s Sabriya Rice and John Bonifield contributed to this report.

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( ) - - If you want to stave off the middle- age spread, get active in your 20s and stay that way through your 30s and 40s, especially if you' re a woman, a new study suggests. In the study, which appears in the Journal of the American Medical Association, researchers followed about 3, 500 people between the ages of 18 and 30 for two decades. Women who maintained a regimen of moderate- to- vigorous exercise throughout the study gained about 13.

5 pounds less, on average, than their least- active counterparts, the study found. The trend was the same among men, but more modest: The most- active men gained about 6 pounds less than the least- active men. & quot; The specific activities that we were looking at in this study included running, brisk walking, bicycling, engaging in recreational sports, even housework that was done briskly, and occupational work, & quot; says the lead researcher, Arlene Hankinson, MD, an instructor in preventive medicine at the Northwestern University Feinberg School of Medicine, in Chicago. The key to maintaining a healthy weight, Dr. Hankinson adds, is to & quot; be active and stay active and integrate activity into your everyday lifestyle in a way that you can maintain it. & quot; Regular exercise helped keep extra pounds off regardless of a person' s initial weight or the amount of calories they typically consumed in a day.

Although the findings aren' t surprising, most research on exercise and weight has looked at the impact of physical activity on weight loss, not weight- gain prevention. In fact, the authors note, there is little evidence to show that the current federal recommendations for physical activity - - at least 30 minutes of moderate exercise, 5 days a week - - are enough to prevent weight gain, especially in the key transition from early adulthood to middle age when many people pack on the pounds. Dr. Hankinson and her colleagues assessed physical- activity levels using questionnaires that measured both the duration and intensity of 13 different types of exercise ( including on- the- job activity) , so the study results can' t be directly translated into a simple weight- loss prescription. Still, Dr.

Hankinson says the study confirms that people who follow federal exercise guidelines will see weight benefits over the long term. Relatively few people were able to maintain a moderate- to- vigorous exercise routine into middle age, however. Only about 12% of men and 11% of women in the study were highly active for the entire 20- year period. The differences in weight gain between those who do and don' t exercise regularly are likely to become even more pronounced as the study participants get older, says Tim Church, MD, of the Pennington Biomedical Research Center, in Baton Rouge, Louisiana. & quot; The difference between these two groups is only going to continue to get bigger as they go to 55 and 65 and 75, & quot; says Dr. Church, who has studied physical activity and health but wasn' t involved with the current research. & quot; The real weight gain hasn' t even begun yet for this group, from an age perspective. & quot; Unlike many studies in which people report their own weight - - a notoriously inaccurate approach - - the research staff on this study personally weighed the study participants and interviewed them about their physical activity in person, Dr.

Church points out. & quot; This is a phenomenal study, & quot; he says. & quot; This data is acquired just about as rigorously as you possibly can. & quot; Copyright

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Farnborough, England ( CNN) - - Spending big to buy airplanes by the dozen is nothing new for Steven Udvar- Hazy: In the last 37 years, the aircraft leasing pioneer has purchased thousands of planes, which were then rented to the majority of the world' s major carriers.

And he did it again this year at the arena of the 47th Farnborough International Airshow.

Udvar- Hazy, who last February quit industry leader International Lease Finance Corporation ( ILFC) , has emerged as the biggest buyer at the world' s largest gathering for the aviation industry, placing orders valued in the region of $ 10 billion. On Monday, his four- month old company, Air Lease Corporation ( ALC) , struck a deal with Airbus for 51 planes of the A320 family, while one day later Hazy' s spending spree continued with the order of up to 60 Next- Generation Boeing 737- 800 models and up to 20 E- 190 jets from Embraer.

Udvar- Hazy' s dynamic comeback at Farnborough has been widely described as one of the most encouraging signs that the recession- battered aviation industry is finally bouncing back. & quot; The airline industry is going to go through a tremendous growth period, & quot; Udvar- Hazy told CNN from Farnborough. & quot; There are parts of the world that are growing in traffic, double digit rates every year. The airlines have to replace a lot of aging aircraft, so we think this is a dynamic business with huge opportunities. & quot; For his new venture, Hazy managed to secure about $ 1.

3 billion of equity capital and $ 2 billion of committed debt financing to fund a series of aircraft acquisitions. ALC said that it aims to create a fleet of more than 100 commercial jet planes by spring 2011. & quot; His market timing has always been impeccable for ordering, and I sure hope he' s right because we' re ordering some too, & quot; Norm Liu, president and chief executive of General Electric Co. ' s aircraft leasing unit, said in a report. Budapest- born Udvar- Hazy is regarded as one of the most influential figures in commercial air flight and the creator of the multibillion- worth aircraft leasing industry.

In 1973, he founded ILFC, which in the following years grew to become the market' s dominant leasing company. Udvar- Hazy sold ILFC to AIG in 1990 for $ 1. 3 billion but continued to run it until last February when he stepped down amid ongoing liquidity issues in the wake of the insurer' s near- collapse. However, retirement was not yet an option for the 64- year- old billionaire, who was ranked 363rd on the World' s Richest People list in 2010 by Forbes. & quot; I went home and I was retired for about three hours. And my wife said, ' get out of the house, do something productive. ' So, I formed a new company and we got to work.

And it is very exciting, & quot; he told CNN. When asked about last February' s events and having to part ties with the company that he created and built into an industry giant, Udvar- Hazy said that there was no other option. & quot; It is tragic, & quot; he asserts. & quot; AIG was a great company, ILFC is a great company, and unfortunately circumstances came about that none of us had control over. I felt the time was right to create a new company that is completely from a clean sheet of paper.

And none of these legacy issues of the past. & quot; But for the aviation visionary, who pilots his own Gulfstream V business jet, there is no time for resentment or living in the past. & quot; I' m not bitter, I' m looking forward, & quot; Udvar- Hazy says with a smile. & quot; In aviation we' re all optimists and we all look forward, we can' t look back - - we learn from our experiences but there is no bitterness. & quot;

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& quot; & quot; examines the crisis in our public education system and why America' s financial future is at risk if our students can' t excel math and science.

It airs at 8 p. m. ET May 21 on CNN. Washington ( CNN) - - The perceptions Americans have of how a college degree will affect their average paycheck over a lifetime appear to be close to correct. A recent study called by the Pew Research Center found that those who have a college degree believed that they make about $ 20, 000 more per year than those who didn' t attain a college degree. And vice versa, those who didn' t get a college degree felt that they earned about $ 20, 000 less per year than those who did. from 2010 shows that the median gap in earnings between those with only a high school diploma and those who have a college degree is $ 19, 550. & quot; We find that for the typical person there' s about a $ 550, 000 advantage to going to college in lifetime earnings, & quot; said Paul Taylor, one of the study' s authors.

The study points out that the student' s field of study, among other factors, can also influence income. For example, a college graduate can choose a career that doesn' t come with a high salary and some people with just a high school diploma can earn a lot of money. President Barack Obama clearly believes that a college degree is worth it for most Americans. He has set a goal of having the largest number of college graduates in the United States as compared to other countries by the year 2020. The survey found that a majority of college presidents don' t think it likely that we will make that goal.

Just under a third of the college presidents thought it & quot; somewhat likely& quot; that the United States will meet the goal and only 3% thought it was & quot; very likely. & quot; & quot; People are clearly struggling with the high costs of college, & quot; Taylor said. Three- quarters of those surveyed said college is no longer affordable for most Americans, according to the study. Yet, for those who are college graduates, 86% said college was a good investment for them personally. Although the study found that most adults believe a college education is needed to succeed in the world, they listed a good work ethic and knowing how to get along with people as more important to success. & quot; You have a public that understands that college is important, & quot; Taylor said. & quot; But at the end of the day, if you push them and ask is it college or character, people place more importance on character than a college diploma. & quot; As compared to those who only graduated high school, college graduates did tend to be more satisfied with their work life and they found their work to be more interesting.

For those who did not receive a college degree, 30% said they had wanted to apply for a job, but had not because the job required a college degree. Thirteen percent had been turned down for a job because they did not have a college degree.

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