AP PHOTOS: Stars come out for Sandy victims’ show

























NEW YORK (AP) — For the victims of Superstorm Sandy, it was a sorely needed message delivered.


From “Livin’ on a Prayer” to “The Living Proof,” every song Friday at NBC’s benefit concert became a message song.





















New Jersey‘s Jon Bon Jovi gave extra meaning to “Who Says You Can’t Go Home.” Billy Joel worked in a reference to Staten Island, the decimated New York City borough.


The hourlong event, hosted by Matt Lauer, was heavy on stars and lyrics identified with New Jersey and the New York metropolitan area, which took the brunt of this week’s deadly storm. The telethon was a mix of music, storm footage and calls for donations from Jon Stewart, Tina Fey, Whoopi Goldberg and others.


The show ended, as it only could, with Bruce Springsteen and the E Street Band, tearing into “Land Of Hope and Dreams.”


“God bless New York,” Springsteen, New Jersey‘s ageless native son, said in conclusion. “God bless the Jersey shore.”


Here, in pictures, are some of the performers on this somber but hopeful night:


Entertainment News Headlines – Yahoo! News



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How Computational Models Are Improving Medicine [Video]

























Click here to view the video


High-resolution electromechanical model of a heart; courtesy of N. Trayanova




















The more we learn about cancer, heart disease and Alzheimer’s, the more vexingly complex they seem–and the more elusive their cures. Even with cutting-edge imaging technology, biomarker tests and genetic data, we are still far from understanding the multifaceted causes and varied developmental stages of these illnesses. With the advent of powerful computing, better modeling programs and a flood of raw biomedical data, researchers have been anticipating a leap forward in their abilities to decipher the intricate dynamics involved human disease. Now, these computational capabilities are starting to arrive, according to a new analysis published online this week in Science Translational Medicine. In fact, “the field has exploded,” Raymond Winslow, director of the Johns Hopkins Institute for Computational Medicine, and co-author of the review, said in a prepared statement. Medicine and medical research largely have been focused on small specialties and narrow studies. But the body is a whole system–not isolated organ groups–and it is in constant interaction with the wider environment, including pollutants, toxins and other stressors. The resulting interactions do not only work in a single direction; instead, we have learned that there are feed-forward and feedback loops and crosstalk on cellular, molecular and genetic levels. This nexus is where advances in computational medicine are poised to make a large contribution. “Computational medicine can help you see how the pieces of the puzzle fit together to give a more holistic picture,” Winslow said. “We may never have all of the missing pieces, but will wind up with a much clearer view of what causes disease and how to treat it.” Models comparing gene expression in different patients have already successfully helped to determine different grades of prostate cancer, predict how different patients will respond to breast cancer treatment and find different types of stomach cancer. Scientists are also taking advantage of more advanced anatomical data to model whole organs and their function–and dysfunction. Using, for example, diffusion tensor magnetic resonance imaging, researchers can collect detailed information about heart anatomy, fiber and structure. This macro structure can be combined with more cellular-based models for “unprecedented structural and biophysical detail, including cardiac electromechanics,” the researchers noted in their paper. With this information, scientists are learning more about blood-flow dynamics, arrhythmia and heart attacks. These new models are now starting to be translated back to individual patients, to help find better treatments. Computational-medicine algorithms from detailed brain maps have already been used to develop an iPad app that is being used clinically to help doctors decide on deep brain stimulation locations and strengths. These models, however, also need to be checked frequently against real-world data and adjusted accordingly. But researchers who are armed to deal with this once unusual cross-discipline endeavor are growing more common. “There is a whole new community of people being trained in mathematics, computer science and engineering, and they are being cross-trained in biology,” Winslow said. “This allows them to bring a whole new perspective to medical diagnosis and treatment.” The myriad applications for computational medicine approaches are only beginning to be explored, the researchers noted. “As we gain confidence in the ability of computational models to predict human biological processes, they will help guide us through the complex landscape of disease, ultimately leading to more effective and reliable methods for disease diagnosis, risk stratification and therapy,” the researchers wrote. “We are poised at an exciting moment in medicine.”

Video of electromechanical heart model courtesy of N. Trayanova


Follow Scientific American on Twitter @SciAm and @SciamBlogs. Visit ScientificAmerican.com for the latest in science, health and technology news.
© 2012 ScientificAmerican.com. All rights reserved.


Health News Headlines – Yahoo! News



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Power sputters back in New York following Sandy

NEW YORK (AP) — More New Yorkers awoke Saturday morning to power being restored for the first time since Superstorm Sandy pummeled the region, and those whose lights were back on celebrated it, but patience was wearing thin among those in the region who had been without power for most of the week.

From storm-scarred New Jersey to parts of Connecticut, a widespread lack of gasoline frustrated people who were just trying to get to work or pick up a load of groceries. Gas was to be rationed starting at noon Saturday in northern New Jersey, where drivers will be allowed to buy it only every other day, the governor declared.

The ongoing recovery also forced the cancellation of Sunday's New York City Marathon. Mayor Michael Bloomberg reversed himself Friday and yielded to mounting criticism that this was no time to run the race, which starts on hard-hit Staten Island and wends through all five of the city's boroughs.

Bloomberg, who as late as Friday afternoon insisted the world's largest marathon should go on as scheduled Sunday, changed course shortly afterward amid intensifying opposition from the city comptroller, the Manhattan borough president and sanitation workers unhappy they had volunteered to help storm victims but were assigned to the race instead. The mayor said he would not want "a cloud to hang over the race or its participants."

Many runners understood the rationale behind the decision. The death toll in the city stood at 41 and thousands of people were shivering without electricity, making many New Yorkers recoil at the idea of police officers protecting a foot race and evicting storm victims from hotels to make way for runners.

But the suddenness of it all forced runners to deal with an unexpected twist: what to do with no race.

Well over half of the 40,000 athletes were from out of town. Their entry fees were paid. Their airline tickets were purchased. Their friends and family had hotel rooms. And all week the race was a go, even after Sandy came ashore Monday.

"I understand why it cannot be held under the current circumstances," Meb Keflezighi, the 2009 men's champion and 2004 Olympic silver medalist, said in a statement. "Any inconveniences the cancellation causes me or the thousands of runners who trained and traveled for this race pales in comparison to the challenges faced by people in NYC and its vicinity."

ING, the financial company that is the title sponsor of the marathon, said it supported the decision to cancel. The firm's charitable giving arm has made a $500,000 contribution to help with relief and recovery efforts and is matching employee donations. Sponsor Poland Spring said it would donate the bottled water earmarked for the marathon to relief agencies, more than 200,000 bottles.

"When you have a significant amount of people voicing real pain and unhappiness over its running, you have to hear that. You have to take that into consideration," said Howard Wolfson, deputy mayor for government affairs and communications.

"Something that is such a celebration of the best of New York can't become divisive," he said. "That is not good for the city now as we try to complete our recovery effort, and it is not good for the marathon in the long run."

Each day has brought signs of recovery in the region. Fewer than 1 million customers in New York were without power Saturday, the lowest the number has been since the storm hit.

Aida Padilla, 75, was thrilled that the power at her large housing authority complex in New York City's Chelsea section had returned late Friday.

"Thank God," said Padilla, 75. "I screamed and I put the lights on. Everybody was screaming. It was better than New Year's."

Asked about whether she had heat, she replied, "hot and cold water and heat! Thank God, Jesus!"

NYU Langone Medical Center, one of two New York hospitals that had to evacuate patients at the height of the storm, said it would reopen Monday, though some doctors would see patients at alternate sites.

Seven backup generators at the hospital failed during the storm surge on Monday night, forcing the evacuation of 300 patients.

At Bellevue Hospital Center, some 700 patients had to be evacuated after the power failed. An official there said Thursday the hospital could be out of commission at least two more weeks.

In New Jersey, Gov. Chris Christie announced that he would make public a list of when utility companies intend to restore power to each community. Even if they end up working faster or slower, he said, residents will have a sense of when they will have power restored so they can plan their lives a bit better.

Commuter rail operator NJ Transit said it would have more service restored in time for the workweek to start Monday, most of Atlantic City's casinos reopened, and many school districts decided to hold classes next Thursday and Friday, days previously reserved for the New Jersey Education Association's annual conference, which has been canceled because of the storm.

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Suicide Silence singer Lucker dies in California motorcycle accident

























LOS ANGELES (Reuters) – Mitch Lucker, the lead singer of extreme heavy metal band Suicide Silence, died on Thursday of injuries suffered in a motorcycle accident in Huntington Beach, California, police said.


The band from Southern California was given the Golden Gods award for best new talent by Revolver magazine in 2009.





















Lucker, 28, was on a new Harley Davidson motorcycle driving in the Orange County city of Huntington Beach on Halloween night when he lost control and crashed into a light pole, according to a statement from the local police department.


He was taken to the University of California, Irvine Medical Center where he later died, police said. Investigators said they were looking into the cause of the collision and whether alcohol was a factor.


“There’s no easy way to say this,” the band said in a post on Facebook. “Mitch passed away earlier this morning from injuries sustained during a motorcycle accident.”


Suicide Silence in 2007 came out with the album “The Cleansing” and followed that up with the 2009 “No Time to Bleed” and last year’s “The Black Crown,” which made its way to No. 9 on the Billboard hard rock chart.


The band, whose musical style is referred to as “deathcore,” is originally from Riverside, California, a working-class community 50 miles east of Los Angeles.


(Reporting by Alex Dobuzinskis; Editing by Cynthia Johnston and Will Dunham)


Music News Headlines – Yahoo! News



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U.S. FDA finds bacteria in New England Compounding drugs

























(Reuters) – U.S. health officials have found bacteria in lots of an injected steroid and a heart drug made by New England Compounding Center, the pharmacy linked to contaminated steroids that have claimed the lives of at least 28 people.


The Food and Drug Administration said it identified different types of bacteria in three separate recalled batches of NECC‘s preservative-free betamethasone and in a single batch of NECC-supplied cardioplegia solution.





















Betamethasone is an injectable steroid, while cardioplegia is used during heart surgery.


The FDA had previously confirmed the presence of a deadly fungus in two different NECC batches of a different injectable steroid tied to the national fungal meningitis outbreak. That drug, preservative-free methylprednisolone acetate, was used to treat back and joint pain.


The agency said it did not know how significant the bacterial contamination was in terms of the risk for human disease and said it had not received reports of confirmed cases of infection related to the organisms found in the two products.


However, the findings “reinforce the FDA’s concern about the lack of sterility in products produced at NECC’s compounding facility,” the agency said in a statement.


Federal health officials previously said they were investigating whether two other NECC products could be linked to fungal infections in three patients, including two who had undergone heart surgery.


NECC, located in Framingham, Massachusetts, shut down in early October and recalled all of its products.


The FDA said tests for fungus in the lots of betamethasone and cardioplegia are still underway.


The latest tally from the Centers for Disease Control and Prevention lists 386 cases of fungal meningitis and 28 deaths linked to injections of NECC steroids.


(Reporting by Deena Beasley; Editing by Andre Grenon and Lisa Shumaker)


Medications/Drugs News Headlines – Yahoo! News



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Will final jobs report affect the election?

President Barack Obama and Republican rival Mitt Romney on Friday seized on the last jobs report before Election Day to reinforce their political arguments about the economy. Neither side, however, expected that the better-than-expected news would change many minds.


In a statement, Romney said that come Tuesday the choice would be "between stagnation and prosperity."


Obama, meanwhile, in front of a rowdy crowd of cheering supporters at the Franklin County Fairgrounds in Hilliard, Ohio, said, "This morning we learned that companies hired more workers in October than at any time in the last eight months.


"We've made real progress--but we are here today because we know we've got more work to do," Obama continued. "As long as there's a single American who wants a job and can't find one, as long as there are families working harder but falling behind, as long as there's a child anywhere in this country who's languishing in poverty and barred from opportunity, our fight goes on, we've got more work to do."


Neither campaign expected the new figure to do much to change the dynamic of the race. Aides on both sides have said in recent weeks that Americans' views of the economy are essentially fixed by now, barring a dramatic change.


The Labor Department's monthly jobs report did not provide such a tectonic shift. It showed that the economy added more jobs than experts had predicted and bolstered Obama's argument that he has overseen a slow but steady recovery from the 2007-2008 global economic meltdown.


At the same time, Republicans led by Romney seized on the news to charge that the incumbent has failed to bring about sturdier growth. At the current rate, it would take years to return to pre-recession levels. And no incumbent has faced the voters with unemployment this high since Franklin D. Roosevelt.


"On Tuesday, America will make a choice between stagnation and prosperity," Romney also said. "For four years, President Obama has told us that things are getting better and that we're making progress. For too many American families, those words ring hollow. We can do better."


Non-farm payrolls added 171,000 jobs last month, beating forecasts of about 125,000. The Labor Department also revised its previous estimates of employment growth in August and September upward by 84,000 jobs.


The unemployment rate ticked up from 7.8 percent to 7.9 percent, but chiefly as a result of more Americans getting off the sidelines and looking for work (those not looking are not counted in the jobless rate). Democrats emphasized that Obama had inherited a disastrous economy from George W. Bush and reversed what had been accelerating jobs losses. Republicans noted that the unemployment rate when Obama took office was 7.8 percent.


"Today's increase in the unemployment rate is a sad reminder that the economy is at a virtual standstill," Romney added. "The jobless rate is higher than it was when President Obama took office, and there are still 23 million Americans struggling for work."


One of the political challenges for Romney was that unemployment was lower than the national average in some critical battleground states. In September, it was 7 percent in Ohio, and 5.9 percent in Virginia.


An ABC News/Washington Post poll released on Thursday painted a mixed picture of voters' views about the economy. Fifty-four percent of likely voters expressed confidence that the economy would improve under Romney, against 47 percent for Obama. But 51 percent of those surveyed still blamed George W. Bush for the current conditions, against 36 percent for Obama. The Democrat has made tying Romney to Bush a centerpiece of his closing argument.


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Mexico’s Day of Dead brings memories of missing

























MEXICO CITY (AP) — Maria Elena Salazar refuses to set out plates of her missing son’s favorite foods or orange flowers as offerings for the deceased on Mexico‘s Day of the Dead, even though she hasn’t seen him in three-and-a-half years.


The 50-year-old former teacher is convinced that Hugo Gonzalez Salazar, a university graduate in marketing who worked for a telephone company, is still alive and being forced to work for a drug cartel because of his skills.





















“The government, the authorities, they know it, that the gangs took them away to use as forced labor,” said Salazar of her then 24-year-old son, who disappeared in the northern city of Torreon in July 2009.


The Day of the Dead — when Mexicans traditionally visit the graves of dead relatives and leave offerings of flowers, food and candy skulls — is a difficult time for the families of the thousands of Mexicans who have disappeared amid a wave of drug-fueled violence.


With what activists call a mix of denial, hope and desperation, they refuse to dedicate altars on the Nov. 1-2 holiday to people often missing for years. They won’t accept any but the most certain proof of death, and sometimes reject even that.


Numbers vary on just how many people have disappeared in recent years. Mexico’s National Human Rights Commission says 24,000 people have been reported missing between 2000 and mid-2012, and that nearly 16,000 bodies remain unidentified.


But one thing is clear: just as there are households without Day of the Dead altars, there are thousands of graves of the unidentified dead scattered across the country, with no one to remember them.


An investigation conducted by the newspaper Milenio this week, involving hundreds of information requests to state and municipal governments, indicates that 24,102 unidentified bodies were buried in paupers’ or common graves in Mexican cemeteries since 2006. The number is almost certainly incomplete, since some local governments refused to provide figures, Milenio reported.


And while the number of unidentified dead probably includes some indigents, Central American migrants or dead unrelated to the drug war, it is clear that cities worst hit by the drug conflict also usually showed a corresponding bulge in the number of unidentified cadavers. For example, Mexico City, which has been relatively unscathed by drug violence, listed about one-third as many unidentified burials as the city of Veracruz, despite the fact that Mexico City’s population is about 15 times larger.


Consuelo Morales , who works with dozens of families of disappeared in the northern city of Monterrey, said that “holidays like this, that are family affairs and are very close to our culture, stir a lot of things up” for the families. But many refuse to accept the deaths of their loved ones, sometimes even after DNA testing confirms a match with a cadaver.


“They’ll say to you, ‘I’m not going to put up an altar, because they’re not dead,” Martinez noted. “Their thinking is that ‘until they prove to me that my child is dead, he is alive.”


Martinez says one family she works with at the Citizens in Support of Human Rights center had refused to accept their son was dead, even after three rounds of DNA testing and the exhumation of the remains.


“It was their son, he was very young, and he had been burned alive,” Martinez said by way of explanation.


The refusal to accept what appears inevitable may be a matter of desperation. Martinez said some families in Monterrey also believe their missing relatives are being held as virtual slaves for the cartels, even though federal prosecutors say they have never uncovered any kind of drug cartel forced-labor camp, in the six years since Mexico launched an offensive against the cartels.


But many people like Salazar believe it must be true. “Organized crime is a business, but it can’t advertise for employees openly, so it has to take them by force,” Salazar said.


While she refuses to erect an altar-like offering for her son, she does perform other rituals that mirror the Day of the Dead customs, like the one that involves scattering a trail of flower petals to the doorsteps of houses to guide spirits of the departed back home once a year.


Salazar and her family still live in the same home in Torreon, though they’d like to move, in the hopes that Hugo will return there. They pray three times a day for God to guide him home.


“We live in the same place, and we try to do the same things we used to,” said Salazar, “because he is going to come back to his place, his home, and we have to be waiting for him.”


Mistrust of officials has risen to such a point that some families may never get an answer they’ll accept.


The problem is that, with forensics procedures often sadly lacking in Mexican police forces, the dead my never be connected with the living, which is the whole point of the Mexican traditions.


“As long as the authorities don’t prove the opposite, for us they’re still alive,” Salazar said. “Let them prove it, but let us have some certainty, not just the authorities saying ‘here he is.’ We don’t the government to just give us bodies that aren’t theirs, and that has happened.”


Latin America News Headlines – Yahoo! News



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NBC to hold a benefit concert for Sandy victims

























NEW YORK (AP) — NBC will hold a benefit concert Friday for victims of Hurricane Sandy featuring some artists native to the areas hardest hit.


Bruce Springsteen and Jon Bon Jovi of New Jersey and Billy Joel of Long Island are scheduled to appear at the concert, hosted by “Today” show co-host Matt Lauer.





















Other performers include Christina Aguilera, Sting and Jimmy Fallon.


The telecast will benefit the American Red Cross and will be shown on NBC and its cable stations including Bravo, CNBC, USA, MSNBC and E! Other networks are invited to join in.


“Hurricane Sandy: Coming Together” will air at 8 p.m. EDT and will be taped-delayed in the West.


The telethon will be broadcast from NBC facilities in Rockefeller Center in New York City.


___


NBC is controlled by Comcast Corp.


Entertainment News Headlines – Yahoo! News



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La desvenlafaxina actúa contra los sofocos: estudio

























NUEVA YORK (Reuters Health) – El antidepresivo


desvenlafaxina (Pristiq, de Pfizer) reduce los sofocos en las





















mujeres postmenopáusicas, según señala un equipo médico.


A pesar de este resultado, que surge de un subestudio de un


ensayo aleatorio, la Administración de Alimentos y Medicamentos


de Estados Unidos (FDA, por su sigla en inglés) rechazó la


solicitud de Pfizer de aprobación de desvenlafaxina para el


tratamiento de los síntomas vasomotores de la menopausia, como


los sofocos, moderados a graves.


“El único tratamiento que aprobó la FDA para los sofocos de


la menopausia es la terapia con estrógeno”, dijo por e-mail la


autora principal, doctora JoAnn V. Pinkerton. “Las mujeres


necesitan alternativas no hormonales. Necesitan opciones”.


En Menopause, el equipo de Pinkerton, del Sistema de Salud


de University of Virginia, Charlottesville, publica los


resultados de un subestudio de efectividad de 12 semanas de


duración durante un estudio de un año con desvenlafaxina.


El grupo a tratar incluía 365 mujeres que, al azar, tomaron


100 mg/día de desvenlafaxina o placebo. Comparado con el


placebo, el fármaco redujo significativamente la cantidad y la


gravedad de los sofocos a la cuarta y la decimosegunda semanas.


A la semana número 12, desvenlafaxina redujo un 62 por


ciento la cantidad diaria de sofocos moderados y graves,


mientras que el placebo lo hizo un 38 por ciento, mientras que


la gravedad de los síntomas disminuyó, respectivamente un 25 y


12 por ciento.


Los autores analizaron también “una diferencia clínicamente


poco significativa”, es decir, una reducción de 5,35 sofocos


moderados y graves por día. Este resultado se obtuvo en el 64


por ciento de las mujeres tratadas con desvenlafaxina y en el 41


por ciento del grupo control.


“La desvenlafaxina es un tratamiento no hormonal seguro,


bien tolerado y efectivo, con reducciones estadísticamente y


clínicamente significativas de la frecuencia y la gravedad de


los sofocos en las mujeres postmenopáusicas con sofocos de


rápida aparición”, afirmó el equipo.


Pfizer retiró su solicitud de la FDA en febrero, pero el


producto sigue disponible para tratar el trastorno depresivo


mayor.


Pinkerton agregó por e-mail: “Es importante desarrollar


alternativas porque hasta el 75 por ciento de las mujeres padece


sofocos en la menopausia y el 25 por ciento de ellas necesita un


tratamiento”.


La autora comentó también que existen otros remedios no


hormonales. Dijo a Reuters Health que con su equipo evaluó la


gabapentina de liberación extendida (Serada, de Depomed) versus


placebo en un ensayo durante 24 semanas con 600 mujeres


postmenopáusicas.


La frecuencia y la intensidad de los sofocos disminuyeron


con gabapentina a las 12 y 24 semanas, y los sofocos “mejoraron


mucho” o “mejoraron” a las 24 semanas.


Los resultados fueron presentados este mes en la reunión


anual de la Sociedad Norteamericana de Menopausia. También este


mes, la FDA aceptó una nueva solicitud de aprobación para


Serada.


FUENTE: Menopause, online 25 de octubre del 2012


Seniors/Aging News Headlines – Yahoo! News



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Storm death toll up, gas lines grow

(Reuters) - Rescuers searched flooded streets and swamped houses for survivors, drivers lined up for hours to get scarce gasoline and millions remained without power on Thursday as New York City and nearby coastal towns struggled to recover from one of the biggest storms ever to hit the United States.


New Yorkers heard the rumble of subway trains for the first time in four days as limited service resumed, but the lower half of Manhattan still lacked power and surrounding areas including Staten Island, the New Jersey shore and the city of Hoboken remained crippled from a record storm surge and flooding.


At least 87 people died in the "superstorm" that ravaged the northeastern United States on Monday night. Officials said the number could climb as rescuers searched house-to-house through coastal towns.


The hunt for gasoline added to a climate of uncertainty as the death toll and price tag of the storm rose.


"I'm so stressed out," said Jessica Bajno, 29, a school teacher from Elmont, Long Island, who was waiting in line for gas. "I've been driving around to nearby towns all morning, and being careful about not running out of gas in the process. Everything is closed. I'm feeling anxious."


More deaths were recorded overnight in the New York City borough of Staten Island, where authorities recovered 17 bodies after the storm lifted whole houses off their foundations. Among the dead were two boys, aged 4 and 2, who were swept from their mother's arms by the floodwaters, police said.


In all, 38 people died in New York City, officials said.


The financial cost of the storm also promised to be staggering. Disaster modeling company Eqecat estimates Sandy caused up to $20 billion in insured losses and $50 billion in economic losses, double its previous forecast.


At the high end of the range, Sandy would rank as the fourth-costliest catastrophe ever in the United States, according to the Insurance Information Institute, behind Hurricane Katrina in 2005, the September 11 attacks of 2001, and Hurricane Andrew in 1992.


JERSEY SHORE STAGGERS


In hard-hit New Jersey, where oceanside towns saw entire neighborhoods swallowed by seawater and the Atlantic City boardwalk was destroyed, the death toll doubled to 12.


Floodwaters finally receded from the streets of Hoboken, just across the Hudson River from Manhattan, leaving behind a stinky mess of submerged basements and displaced cars littering the sidewalks.


"The water was rushing in. It was like a river coming," said Benedicte Lenoble, a photo researcher from Hoboken. "Now it's a mess everywhere. There's no power. The stores aren't open. Recovery? I don't know."


In neighboring Jersey City, drivers negotiated intersections without traffic lights. Shops were shuttered and lines formed outside pharmacies while people piled sodden mattresses and furniture along the streets. The city imposed a curfew and banned driving from 7 p.m. to 7 a.m.


New Jersey favorite son Bruce Springsteen, along with Jon Bon Jovi and Sting, will headline a benefit concert for storm victims Friday night on NBC television, the network announced.


The U.S. government agreed to cover 100 percent of emergency power and public transportation costs through November 9 in eight New Jersey counties. The Federal Emergency Management Agency, which already pledged aid directly to victims and local governments, told New Jersey's U.S. senators of the decision, an aide to Senator Frank Lautenberg said.


Sandy started as a late-season hurricane in the Caribbean, where it killed 69 people, before smashing ashore in the United States with 80 mph winds. It stretched from the Carolinas to Connecticut and was the largest storm by area to hit the United States in decades.


About 4.6 million homes and businesses in 15 U.S. states were without power on Thursday, down from a record high of nearly 8.5 million.

Sandy made landfall in New Jersey with a full moon around high tide, creating a record storm surge that flooded lower Manhattan. By Thursday, the storm had dissipated over the North American mainland.


OBAMA BACK ON CAMPAIGN


After a four-day suspension to deal with the storm, President Barack Obama returned to the campaign trail. Polls show him locked in a virtual tie with Republican challenger Mitt Romney before Tuesday's presidential election.


The president toured devastated New Jersey areas on Wednesday with the state's Republican governor, Chris Christie, a vocal Romney supporter who nonetheless strongly praised Obama's response to the disaster.


Obama received an update on storm recovery efforts Thursday from his crisis management team, White House spokesman Jay Carney told reporters on Air Force One.


More than 36,000 disaster survivors from New York, New Jersey and Connecticut have applied for federal disaster assistance and more than $3.4 million in direct assistance has already been approved, Carney said.


GASOLINE SCARCE


Fuel supplies into New York and New Jersey were being choked off in several ways. Two refineries that make up a quarter of the region's refining capacity were still idle due to power outages or flooding. The New York Harbor waterway that imports a fifth of the area's fuel was still closed to traffic, and major import terminals were damaged and powerless.


In addition, the main oil pipeline from the Gulf Coast, which pumps 15 percent of the East Coast's fuel, remained shut.


The scarcity of fuel, electricity and supplies made cleanup more daunting for barrier towns such as Seaside Heights, part of the Jersey Shore.


Seaside Heights residents who obeyed the mandatory evacuation order were cut off from their homes. The entire community was submerged by the storm surge that washed over the island and into the bay that separates it from the mainland.


"The bay met the ocean," said Frank Meszaros, 43, standing next to the closed bridge that kept him from returning home.


Chris Delman, 30, saw a photograph of his house in a local newspaper Wednesday, noticing it was still standing.


"We ain't living in Seaside no more, that's obvious," Delman said. "I just want to know what I have left."


(Additional reporting by Reuters bureaus throughout the U.S. Northeast; Writing by Daniel Trotta; Editing by Doina Chiacu)


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