Thursday, February 28, 2013

Macy's 'Coincidentally' - Business Insider

Macy's ended its relationship with the Emeril Lagasse brand, which is owned by Martha Stewart Living Omnimedia, on Tuesday,?Alexandra Steigrad at Women's Wear Daily reported.

The cookware brand has been dropped from Macy's 800 stores.

The move came a day after Macy's CEO Terry Lundgren testified in New York State Court during a trial over Macy's claims that MSLO broke an exclusive deal?with the retailer.

Macy's said that the decision had nothing to do with the ongoing court battle. A spokesperson told the NY Daily News that the timing was??pure coincidence? and that it was done ?on the basis of sales performance.?

But it's already evident that Macy's executives were disgusted with Martha Stewart and her decision to sign with rival department store JCPenney.

Lundgren said that he and Stewart were friends, but no longer have a relationship. Others execs said that they felt like they were stabbed in the back and were angry about how things went down.

An MSLO lawyer dropped the news about Lagasse's line while questioning Macy's merchandising president Leonard Marcus, who said that he didn't know about the deal's termination.

WWD overheard the Macy's legal team say that they had "no idea" Macy's had cut the Emeril brand and they couldn't believe that it happened so soon after Lundgren had testified.

Source: http://www.businessinsider.com/macys-martha-stewart-drops-emeril-lagasse-brand-2013-2

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New Jersey passes online gaming bill: the key players react ...

Here?s a roundup of statements from various interested parties on Tuesday?s passage of the internet gambling bill in Trenton.

The most pointed comments, I think were by Governor Christie (on his reluctance) and by state Senate President Stephen Sweeney (Division of Gaming Enforcement in his crosshairs).

First up, Governor Christie:

?I am pleased to say that today I signed New Jersey?s Internet Gaming Bill, opening the way for new opportunity to bolster our efforts to continue the revival of Atlantic City, its casinos and entertainment offerings. This was a critical decision, and one that I did not make lightly. But with the proper regulatory framework and safeguards that I insisted on including in the bill, I am confident that we are offering a responsible yet exciting option that will make Atlantic City more competitive while also bringing financial benefits to New Jersey as a whole. I want to thank the sponsors for working quickly to include my recommendations to improve the bill.?

Then Senator Sweeney:

?I want to thank Senators Lesniak and Whelan for their tireless advocacy on Internet gaming. Their work will ensure that New Jersey remains ahead of the curve on this issue. It will also help bring jobs to a state that has seen decades? high unemployment and stagnant economic growth.

The Senate President also expressed hope, in light of recent events, that the Attorney General?s office will maintain vigilant supervision over the Division of Gaming Enforcement (DGE), who is given vast authority under the legislation to license and regulate Internet gaming. Senate President Sweeney had requested for months that the DGE maintain close watch over a variety of issues at Revel in Atlantic City. Those requests were largely ignored. Revel filed for bankruptcy last week.

?New Jersey must maintain its excellent reputation as one of the most stringent regulators of gaming activities in the world,? added Sweeney. ?In light of what has occurred with Revel and the DGE?s blatant mishandling of that entire situation, it is my hope that the Attorney General?s office will keep a watchful eye over this process. The people of New Jersey are counting on them to adequately oversee the implementation of this new law.?

Matthew Levinson, chairman of the Casino Control Commission:

?Today the Legislature passed and the Governor signed a bill that lets Atlantic City?s casinos offer gambling over the internet. This is another example of Gov. Christie?s commitment to the growth and development of Atlantic City and its gaming industry. In addition, the Legislature?s quick action to incorporate the Governor?s suggested changes in the bill demonstrates that it also supports the effort to broaden Atlantic City?s appeal.

?Internet gambling holds the potential to provide a boost to the city?s casino operators as they rebound from the effects of the economy and increased competition, while adding another dimension to efforts to reinvigorate the City. In addition, it places New Jersey in the forefront of developing the regulatory model for on-line wagering.?

John Pappas, executive director of the Poker Players Alliance:

?New Jersey has gone ?all in.? Residents now will have access to a safe and regulated online gaming market, and the state will have a new source for revenue and job creation ? something the federal government has failed to do thus far. The U.S. represents the largest percentage of Internet poker players worldwide, so there is clearly a want and a need for a legal and regulated online gambling market. New Jersey will now serve as a leader in this thriving industry.?

New Jersey is the third state, behind Nevada and Delaware, to legalize online gambling. The online gambling industry in New Jersey is expected to grow to $1.5 billion over the next five years, providing up to $150 million in annual tax revenue to the state and bringing in thousands of high tech jobs, according to a January 2013 Wells Fargo study. In addition, the relationship between online gambling and ?brick and mortar? casinos is expected to attract new audiences to Atlantic City.

New Jersey?s online gambling market will serve as an example to pave the way for other states wanting to adopt similar structures and could potentially lead to online interstate gambling among participating states. The law not only includes standard language to create interstate compacts with states which have regulated online gaming, but it ensures a truly competitive marketplace by retaining the state gaming regulator?s authority to determine suitable online operators.

?As a poker player and a lifelong resident of New Jersey, I thank Governor Christie and state lawmakers for giving New Jersey residents the safety of a regulated online gambling market and for protecting their freedom to play the game they enjoy in any format they prefer,? said PPA?s State Director Anthony Salerno. ?This law will invigorate Atlantic City and will position New Jersey as national online gaming epicenter.?

State Senator Ray Lesniak, D-Union, the chief cheerleader for the bill for the past three years:

?Internet gaming is a significant accomplishment that will generate lasting economic benefits for the casinos, for Atlantic City and for the State of New Jersey. It will provide immediate benefits by extending a financial lifeline to the casinos that have been struggling with gaming losses in recent years, preventing some from closing their doors and allowing their workers to keep their jobs. It will be a boost for Atlantic City and for the state, generating new economic opportunities and new jobs for years to come.

?Online gaming can bring visitors back to Atlantic City and customers back to our casinos. An analysis by Wells Fargo Securities determined that Internet gaming would attract more visitors to the casinos, create more jobs and generate up to $1.5 billion in new revenue. Another study by Econsult says that New Jersey casinos would win back customers lost to competition from other states and that a new pool of customers would be drawn to Atlantic City. This will help restore financial stability and drive future growth.

?By capitalizing on this opportunity we are giving Atlantic City casinos the opportunity to be the ?Silicon Valley of internet gaming? and we are positioning them to be the hub of future expansion into other states. We can build on this to make sure that New Jersey is a leader in the gaming industry, that we continue to grow and add jobs and, at the same time, generate funding for the important services for seniors and the disabled that are supported by Atlantic City gaming.?

State Senator James Whelan, D-Atlantic, another crucial advocate:

?The New Jersey gaming industry, a vital part of Atlantic City?s economy, has taken heavy hits over the past few years as neighboring states have increasingly competed in the market. An innovative approach to wagering is essential to ensure that New Jersey?s gaming industry continues to grow and thrive and to protect the thousands of New Jersey jobs tied to the industry.

?Online gaming could be a real shot in the arm for Atlantic City by bringing thousands of high-tech jobs into the region and billions of dollars in revenue. With today?s approval of the Governor?s recommendations we are one step closer to ensuring the long-term stability of Atlantic City and gaming throughout the state.?

Assemblyman John Burzichelli, D-Gloucester, the prime sponsor in that chamber:

?We must position New Jersey?s gaming industry to thrive in the 21st Century, and that involves authorizing a legally sound Internet gaming law such as the one now on the table. This will be another key piece of our effort to boost New Jersey?s gaming industry by expanding and modernizing our wagering options, and I look forward to it becoming law.?

Assemblyman Vincent Prieto, D-Hudson:
?New Jersey?s gaming industry must, like just about everything else in today?s economy, offer an Internet option if it?s to remain competitive. This is a carefully crafted plan designed to ensure Internet gaming on casino games is offered the right way and is a much-needed competitive step forward for our casinos that could also raise more revenue to benefit senior and disabled citizens.?
Assemblyman Ruben Ramos, D-Hudson:
?The Internet has long been a reality, and Internet gaming in New Jersey should now be reality too. This bill will thoughtfully position our gaming industry to succeed, and it will mean economic growth and job creation for our state.?

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Source: http://blog.northjersey.com/meadowlandsmatters/5134/new-jersey-passes-online-gaming-bill-the-key-players-react/

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Bangladesh sentences Islamic party leader to death

DHAKA, Bangladesh (AP) ? A special tribunal in Bangladesh on Thursday sentenced a leader of an Islamic political party to death for crimes during the nation's 1971 war for independence, a politically charged decision that sparked violent protests that left at least 12 people dead across the nation.

Delwar Hossain Sayedee, one of the top leaders of Jamaat-e-Islami, was found guilty on eight of 20 counts involving mass killings, rape and atrocities committed during the nine-month war against Pakistan, prosecutor Syed Haider Ali said.

"Justice has been done to those who lost their loved ones at the hands of Sayedee," Ali said.

Sayedee, 73, is the third defendant to be convicted of crimes against humanity since Prime Minister Sheikh Hasina's government initiated the war crimes tribunal in 2010.

Lawyers for Sayedee boycotted the announcement of the verdict, which they said was politically motivated. Sayedee's lawyer Abdur Razzak said they would appeal.

Jamaat-e-Islami, the largest Islamic party in Muslim-majority Bangladesh, campaigned against the independence war more than 40 years ago but denies committing any atrocities. It is a key ally of the largest opposition group, the Bangladesh Nationalist Party, which says the trials are aimed at destroying the opposition.

Jamaat-e-Islami enforced a nationwide general strike Thursday to denounce the trial and demand that Sayedee be freed from detention, and announced another strike on Sunday and Monday.

Security forces fired rubber bullets and tear gas at dozens of Jamaat supporters who smashed vehicles and attacked an office of the ruling Awami League party in Rangpur district, killing two people, police said.

Supporters of Sayedee clashed with police in Sirajganj district, leaving two people dead, private television channel Ekattar TV reported.

Stone-throwing Jamaat supporters also clashed with police in southeastern Chittagong city, injuring dozens of people, Ekattar TV reported. At least 60 vehicles were smashed, it said.

Police confirmed eight more deaths in clashes across the country.

Sayedee was a teacher at an Islamic school during the war. Prosecutors said he was directly involved in the deaths of three people, guided Pakistani soldiers to kill dozens of others, and forced 150 Hindus to convert to Islam.

In January, the tribunal sentenced former Jamaat leader Abul Kalam Azad to death for crimes during the war. Another Jamaat leader, Abdul Quader Mollah, was sentenced to life in prison in February on similar charges. Seven other top party leaders are currently on trial.

International human rights groups have questioned the fairness of the trials, including the disappearance of a witness for Sayedee.

Bangladesh says the 1971 war left 3 million people dead, 200,000 women raped and forced millions to take shelter in neighboring India.

Source: http://news.yahoo.com/bangladesh-sentences-islamic-party-leader-death-085846472.html

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Wednesday, February 27, 2013

First lady's anti-obesity campaign prompts change

(AP) ? Wal-Mart is putting special labels on some store-brand products to help shoppers quickly spot healthier items. Millions of schoolchildren are helping themselves to vegetables from salad bars in their lunchrooms, while kids' meals at Olive Garden and Red Lobster restaurants automatically come with a side of fruit or vegetables and a glass of low-fat milk.

The changes put in place by the food industry are in response to the campaign against childhood obesity that Michelle Obama began waging three years ago. More changes are in store.

Influencing policy posed more of a challenge for the first lady, and not everyone welcomed her effort, criticizing it as a case of unwanted government intrusion.

Still, nutrition advocates and others give her credit for using her clout to help bring a range of interests to the table. They hope the increased awareness she has generated through speeches, her garden and her physical exploits will translate into further reductions in childhood obesity rates long after she leaves the White House.

About one-third of U.S. children are overweight or obese, which puts them at increased risk for any number of life-threatening illnesses, including diabetes, high blood pressure and heart disease.

While there is evidence of modest declines in childhood obesity rates in some parts of the country, the changes are due largely to steps taken before the first lady launched "Let's Move" in February 2010.

With the program entering its fourth year, Mrs. Obama heads out Wednesday on a two-day promotional tour with stops in Mississippi, Illinois and Missouri. She has been talking up the program on daytime and late-night TV shows, on the radio and in public service announcements with Big Bird. She also plans discussions next week on Google and Twitter.

"We're starting to see some shifts in the trend lines and the data where we're starting to show some improvement," the first lady told SiriusXM host B. Smith in an interview broadcast Tuesday. "We've been spending a lot of time educating and re-educating families and kids on how to eat, what to eat, how much exercise to get and how to do it in a way that doesn't completely disrupt someone's life."

Larry Soler, president and chief executive of the Partnership for a Healthier America, said Mrs. Obama has "been the leader in making the case for the time is now in childhood obesity and everyone has a role to play in overcoming the problem." The nonpartisan, nonprofit partnership was created as part of "Let's Move" to work with the private sector and to hold companies accountable for changes they promised to make.

Conservatives accused Mrs. Obama of going too far and dictating what people should ? and shouldn't ? eat after she played a major behind-the-scenes role in the passage in 2010 of a child nutrition law that required schools to make foods healthier. Former Alaska Gov. Sarah Palin, the Republican Party's vice presidential nominee in 2008, once brought cookies to a school and called the first lady's efforts a "nanny state run amok."

Other leaders in the effort, such as New York Mayor Michael Bloomberg, have felt the backlash, too. Last fall, Bloomberg helped enact the nation's first rule barring restaurants, cafeterias and concession stands from selling soda and other high-calorie drinks in containers larger than 16 ounces.

Despite the criticism, broad public support exists for some of the changes the first lady and the mayor are advocating, according to a recent Associated Press-NORC Center for Public Affairs Research poll.

More than eight in 10 of those surveyed, 84 percent, support requiring more physical activity in schools, and 83 percent favor government providing people with nutritional guidelines and information about diet and exercise. Seventy percent favor having restaurants put calorie counts on menus, and 75 percent consider overweightness and obesity a serious problem in this country, according to the Nov. 21-Dec. 14 survey by telephone of 1,011 adults.

Food industry representatives say Mrs. Obama has influenced their own efforts.

Mary Sophos of the Grocery Manufacturers Association, which represents the country's largest food companies, including General Mills and Kellogg's, said an industry effort to label the fronts of food packages with nutritional content gained momentum after Mrs. Obama, a mother of two, attended one of their meetings in 2010 and encouraged them to do more.

"She's not trying to point fingers," Sophos said. "She's trying to get people to focus on solutions."

A move by the companies signaling willingness to work with Mrs. Obama appears to have paid off as the Obama administration eased off some of the fights it appeared ready to pick four years ago.

The Food and Drug Administration has stalled its push to mandate labeling on the front of food packages, saying it is monitoring the industry's own effort. A rule that would require calorie counts on menus has been delayed as the FDA tries to figure out whom to apply it to. Supermarkets, movie theaters and other retailers have been lobbying to be exempted.

The industry also appears to have successfully warded off a move by the Federal Trade Commission to put in place voluntary guidelines for advertising junk food to kids. Directed by Congress, the guidelines would have discouraged the marketing of certain foods that didn't meet government-devised nutritional requirements. The administration released draft guidelines in 2011 but didn't follow up after the industry said they went too far and angry House Republicans summoned an agency official to Capitol Hill to defend them.

Besides labeling its store brands, Wal-Mart, the world's largest retailer, also pledged to cut sodium and added sugars by 25 percent and 10 percent, respectively, by 2015, and remove industrially produced trans fats.

Leslie Dach, an executive vice president, said sodium in packaged bread has been cut by 13 percent, and added sugar in refrigerated flavored milk, popular among kids, has been cut by more than 17 percent. He said Wal-Mart shoppers have told the company that eating healthier is important to them. Giving customers what they want is also good for business.

New York reported a 5.5 percent decline in obesity rates in kindergarteners through eighth-graders between the 2006-07 and 2010-11 school years, according a report last fall by the Robert Wood Johnson Foundation, which studies health policy. In Philadelphia, the decline was 4.7 percent among students in grades K-12 between the 2006-07 and 2009-10 school years, the foundation said.

Declines also were reported in California and in Mississippi, where Mrs. Obama stops Wednesday.

In Philadelphia, an organization called the Food Trust has worked since 1992 to help corner stores offer fresh foods, connect schools with local farms, bring supermarkets to underserved areas and ensure that farmers' markets accept food stamps, according to Robert Wood Johnson.

New York City requires chain restaurants to post calorie information on menus. Licensed day care centers also must offer daily physical activity, limit the amount of time children spend in front of TV and computer screens, and set nutrition standards.

Both cities also made changes to improve the quality of foods and beverages available to students in public schools.

___

Online:

Let's Move: http://www.letsmove.gov

___

Follow Darlene Superville and Mary Clare Jalonick on Twitter: http://www.twitter.com/dsupervilleap and http://www.twitter.com/mcjalonick

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/f70471f764144b2fab526d39972d37b3/Article_2013-02-27-Michelle%20Obama/id-f458882bef7147f78987cb585db37037

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PTSD symptoms common among ICU survivors

PTSD symptoms common among ICU survivors [ Back to EurekAlert! ] Public release date: 26-Feb-2013
[ | E-mail | Share Share ]

Contact: Stephanie Desmon
sdesmon1@jhmi.edu
410-955-8665
Johns Hopkins Medicine

Condition long linked to war veterans found in one in 3 ventilated patients

One in three people who survived stays in an intensive care unit (ICU) and required use of a mechanical ventilator showed substantial post-traumatic stress disorder (PTSD) symptoms that lasted for up to two years, according to a new Johns Hopkins study of patients with acute lung injury.

Because acute lung injury (ALI) a syndrome marked by excessive fluid in the lungs and frequent multi-organ failure is considered an archetype for critical illness, the researchers suspect PTSD is common among other ICU survivors as well.

"We usually think of PTSD as something you develop if you go to war, are sexually assaulted or suffer a similar emotional trauma," says Dale Needham, M.D., Ph.D., a critical care specialist at the Johns Hopkins University School of Medicine and senior author of the study published online in Psychological Medicine. "Instead, it may be as common, or more common, in ICU patients as in soldiers, but it's something many doctors including psychiatrists don't fully appreciate."

"Physical weakness usually gets better, but these mental symptoms often just linger," says study leader O. Joseph Bienvenu, M.D., Ph.D., an associate professor of psychiatry and behavioral sciences at Johns Hopkins. "We need to pay more attention to preventing and treating PTSD in these patients."

Bienvenu says the unusual thing about PTSD in ICU survivors is that they often experience flashbacks about delusions or hallucinations they had in the hospital, rather than events that actually occurred. Having a life-threatening illness is itself frightening, but delirium in these patients who are attached to breathing machines and being given sedatives and narcotics may lead to "memories" of horrible things that didn't happen, he adds.

"One woman thought her husband and the nurse were plotting to kill her," Bienvenu recalls.

For the study, the Johns Hopkins team observed 520 mechanically ventilated patients with ALI, recruited from 13 ICUs at four Baltimore hospitals between October 2004 and October 2007. Fifty-three percent survived their hospitalization, and 186 patients had at least one research visit over the subsequent two-year follow-up period.

The researchers found that 66 of the 186 patients (35 percent) had clinically significant symptoms of PTSD, with the greatest apparent onset occurring by the initial, three-month follow-up visit. Sixty-two percent of the survivors who developed PTSD still had symptoms at their two-year visit. Half of this same group was taking psychiatric medications, and 40 percent had seen a psychiatrist in the two years since being hospitalized with ALI.

The researchers also found that patients with depression before hospitalization were twice as likely to develop PTSD, and that those who spent more time in the ICU were more likely to experience symptoms.

Those who had sepsis (a severe response to infection) during their ICU stay, and those who were given high doses of opiates, were more likely to develop PTSD as well. Those given corticosteroids while in the ICU were less likely to develop PTSD, though the exact reasons why are unknown.

The delirium often associated with ICU stays and post-ICU PTSD may be partially a consequence of inflammation caused by sepsis. This inflammation may lead to a breakdown in the blood-brain barrier, which alters the impact on the brain of narcotics, sedatives and other drugs prescribed in the ICU.

Bienvenu says patients who have these risk factors need special attention. Simply educating them and their primary care doctors about the increased risk for PTSD would be a step in the right direction, he adds.

Each year, almost 1 million patients in the United States are hooked up to ventilators in an ICU, and 200,000 are estimated to develop ALI, usually as the result of infection. The lungs of healthy people allow the easy exchange of gases to enable oxygen to enter the bloodstream, and carbon dioxide to exit the body. In ALI patients, the normally light and dry lungs become heavy and soggy like a wet sponge.

People with PTSD, a form of anxiety disorder, may feel severely stressed or frightened even when they're no longer in danger. The symptoms fall into three categories: reliving the traumatic experience (flashbacks, nightmares), avoidance (feeling numb, detached, staying away from people and places that serve as reminders of the experience), and hyperarousal (being easily startled, having difficulty sleeping, irritability).

PTSD can impair quality of life and slow patients' recovery from a critical illness, keeping victims from returning to work or performing usual activities of daily life.

Needham, Bienvenu and others at Johns Hopkins are interested in whether changing care in the ICU can reduce the incidence of PTSD. Needham's team has reported on studies showing that early physical rehabilitation for ICU patients can speed and enhance recovery, and he says "psychological rehab" now deserves attention.

One European study looked at the use of ICU diaries, where nurses and family members recorded what was happening with the patients daily while they were in the ICU, sometimes taking photographs. The diaries were then given to the patients a month after leaving the ICU, with phone debriefing from a nurse. The intervention reduced PTSD symptoms by helping patients make sense of their ICU memories, Bienvenu says.

###

Other Johns Hopkins researchers involved in the study include Jonathan Gellar, M.P.H.; Benjamin M. Althouse, Sc.M.; Elizabeth Colantuoni, Ph.D.; Thiti Sricharoenchai, M.D.; Pedro A. Mendez-Tellez, M.D.; Cheryl R. Dennison, R.N., Ph.D.; and Peter J. Pronovost, M.D., Ph.D.

This research was supported by the National Institutes of Health's National Heart, Lung, and Blood Institute (Acute Lung Injury SCCOR Grant P050 HL73994 and R01 HL88045).

For more information:

http://www.hopkinsmedicine.org/psychiatry/expert_team/faculty/B/Bienvenu.html

http://www.hopkinsmedicine.org/pulmonary/faculty/division_faculty/needham_dm.html

http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


PTSD symptoms common among ICU survivors [ Back to EurekAlert! ] Public release date: 26-Feb-2013
[ | E-mail | Share Share ]

Contact: Stephanie Desmon
sdesmon1@jhmi.edu
410-955-8665
Johns Hopkins Medicine

Condition long linked to war veterans found in one in 3 ventilated patients

One in three people who survived stays in an intensive care unit (ICU) and required use of a mechanical ventilator showed substantial post-traumatic stress disorder (PTSD) symptoms that lasted for up to two years, according to a new Johns Hopkins study of patients with acute lung injury.

Because acute lung injury (ALI) a syndrome marked by excessive fluid in the lungs and frequent multi-organ failure is considered an archetype for critical illness, the researchers suspect PTSD is common among other ICU survivors as well.

"We usually think of PTSD as something you develop if you go to war, are sexually assaulted or suffer a similar emotional trauma," says Dale Needham, M.D., Ph.D., a critical care specialist at the Johns Hopkins University School of Medicine and senior author of the study published online in Psychological Medicine. "Instead, it may be as common, or more common, in ICU patients as in soldiers, but it's something many doctors including psychiatrists don't fully appreciate."

"Physical weakness usually gets better, but these mental symptoms often just linger," says study leader O. Joseph Bienvenu, M.D., Ph.D., an associate professor of psychiatry and behavioral sciences at Johns Hopkins. "We need to pay more attention to preventing and treating PTSD in these patients."

Bienvenu says the unusual thing about PTSD in ICU survivors is that they often experience flashbacks about delusions or hallucinations they had in the hospital, rather than events that actually occurred. Having a life-threatening illness is itself frightening, but delirium in these patients who are attached to breathing machines and being given sedatives and narcotics may lead to "memories" of horrible things that didn't happen, he adds.

"One woman thought her husband and the nurse were plotting to kill her," Bienvenu recalls.

For the study, the Johns Hopkins team observed 520 mechanically ventilated patients with ALI, recruited from 13 ICUs at four Baltimore hospitals between October 2004 and October 2007. Fifty-three percent survived their hospitalization, and 186 patients had at least one research visit over the subsequent two-year follow-up period.

The researchers found that 66 of the 186 patients (35 percent) had clinically significant symptoms of PTSD, with the greatest apparent onset occurring by the initial, three-month follow-up visit. Sixty-two percent of the survivors who developed PTSD still had symptoms at their two-year visit. Half of this same group was taking psychiatric medications, and 40 percent had seen a psychiatrist in the two years since being hospitalized with ALI.

The researchers also found that patients with depression before hospitalization were twice as likely to develop PTSD, and that those who spent more time in the ICU were more likely to experience symptoms.

Those who had sepsis (a severe response to infection) during their ICU stay, and those who were given high doses of opiates, were more likely to develop PTSD as well. Those given corticosteroids while in the ICU were less likely to develop PTSD, though the exact reasons why are unknown.

The delirium often associated with ICU stays and post-ICU PTSD may be partially a consequence of inflammation caused by sepsis. This inflammation may lead to a breakdown in the blood-brain barrier, which alters the impact on the brain of narcotics, sedatives and other drugs prescribed in the ICU.

Bienvenu says patients who have these risk factors need special attention. Simply educating them and their primary care doctors about the increased risk for PTSD would be a step in the right direction, he adds.

Each year, almost 1 million patients in the United States are hooked up to ventilators in an ICU, and 200,000 are estimated to develop ALI, usually as the result of infection. The lungs of healthy people allow the easy exchange of gases to enable oxygen to enter the bloodstream, and carbon dioxide to exit the body. In ALI patients, the normally light and dry lungs become heavy and soggy like a wet sponge.

People with PTSD, a form of anxiety disorder, may feel severely stressed or frightened even when they're no longer in danger. The symptoms fall into three categories: reliving the traumatic experience (flashbacks, nightmares), avoidance (feeling numb, detached, staying away from people and places that serve as reminders of the experience), and hyperarousal (being easily startled, having difficulty sleeping, irritability).

PTSD can impair quality of life and slow patients' recovery from a critical illness, keeping victims from returning to work or performing usual activities of daily life.

Needham, Bienvenu and others at Johns Hopkins are interested in whether changing care in the ICU can reduce the incidence of PTSD. Needham's team has reported on studies showing that early physical rehabilitation for ICU patients can speed and enhance recovery, and he says "psychological rehab" now deserves attention.

One European study looked at the use of ICU diaries, where nurses and family members recorded what was happening with the patients daily while they were in the ICU, sometimes taking photographs. The diaries were then given to the patients a month after leaving the ICU, with phone debriefing from a nurse. The intervention reduced PTSD symptoms by helping patients make sense of their ICU memories, Bienvenu says.

###

Other Johns Hopkins researchers involved in the study include Jonathan Gellar, M.P.H.; Benjamin M. Althouse, Sc.M.; Elizabeth Colantuoni, Ph.D.; Thiti Sricharoenchai, M.D.; Pedro A. Mendez-Tellez, M.D.; Cheryl R. Dennison, R.N., Ph.D.; and Peter J. Pronovost, M.D., Ph.D.

This research was supported by the National Institutes of Health's National Heart, Lung, and Blood Institute (Acute Lung Injury SCCOR Grant P050 HL73994 and R01 HL88045).

For more information:

http://www.hopkinsmedicine.org/psychiatry/expert_team/faculty/B/Bienvenu.html

http://www.hopkinsmedicine.org/pulmonary/faculty/division_faculty/needham_dm.html

http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Source: http://www.eurekalert.org/pub_releases/2013-02/jhm-psc022513.php

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Griner, No. 1 Baylor women rout Oklahoma 86-64

NORMAN, Okla. (AP) ? Brittney Griner scored 15 points, tied her season-high with 15 rebounds and blocked seven shots to lead top-ranked Baylor to its 25th straight victory, 86-64 Monday night against Oklahoma.

After sitting out the last 11? minutes of the first half with two fouls, Griner returned and hit the first two baskets in a 10-0 run that pushed the Lady Bears' lead out to 47-30. Baylor (27-1, 16-0 Big 12) led by at least 12 the rest of the way,

Griner moved past Connecticut's Maya Moore into fourth in career scoring in women's basketball. Only Jackie Stiles of Missouri State, Patricia Hoskins of Mississippi Valley State and Lorri Bauman of Drake have more than Griner's 3,045 points.

Aaryn Ellenberg had 19 points to lead Oklahoma (19-9, 9-7). Morgan Hook had 15 points and nine turnovers. The Sooners' two post players, Nicole Griffin and Joanna McFarland, combined to go 4 for 23 from the field.

After watching her team's lead shrink from 16 to four while she was out, Griner quickly put the Lady Bears back in control as the national player of the year is accustomed to doing.

Campbell had a pair of baskets during a string of eight straight Oklahoma points that got the deficit down to 57-45 midway through the second half, but Griner stopped the surge with a turnaround jumper in the lane. She also had a layup to start an 8-0 response by the Bears that restored the lead to 69-48.

Destiny Williams chipped in 16 points and Odyssey Sims had 13 points and six assists.

The Lady Bears stumbled with six turnovers in the first 5 minutes, then cleaned up their act to put together a 13-0 run that included a 3-pointer, a fast-break layup and a jumper from the left block by Jordan Madden for a 19-4 edge with 13:25 to go in the first half. But Griner picked up her second foul about 2 minutes later, and coach Kim Mulkey put her on the bench for the rest of the half.

Griner fouled out for just the second time in her college career in the first meeting between the teams this season, even though the Bears were already firmly in control by then, and Mulkey took no chances putting her back in.

About 30 seconds after Griner's second foul, frontcourt partner Brooklyn Pope was called for charging for the second time and also came out.

Baylor didn't make a basket for the first 5 minutes after Griner exited, and Oklahoma took advantage of seldom-used substitutes Kristina Higgins and Sune Agbuke to go on a 14-2 run to get the deficit down to 24-20. Even then, Mulkey didn't make a move to bring Griner back in, and instead it was freshman Alexis Prince that scored eight points over the final 4 minutes of the half to keep the Bears in front 37-30 at halftime.

Oklahoma fell to 0-16 against No. 1 teams.

Source: http://news.yahoo.com/griner-no-1-baylor-women-rout-oklahoma-86-021235271--spt.html

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UFC 157?s Three Stars: Ronda Rousey, Robbie Lawler and Dennis Bermudez shine

UFC 157 completed the rare trick of living up to its intense hype. Who stood out as stars?

No. 1 star ? Ronda Rousey: Is there any better word to describe Rousey than star? After months of Rousey appearing on television, in magazines and on every site on the internet, she showed she's more than a media darling. Rousey not only escaped a submission attempt by Liz Carmouche, but also finished the fight with just 11 seconds to go in the first round. That's a star.

No. 2 star ? Robbie Lawler: Looking at this fight card, would you ever have guessed that Lawler would emerge as a star? Before returning to the UFC on Saturday, he lost three of his last five bouts. He was up against Josh Koscheck, who was eager to get a big win after losing to Johny Hendricks. But the power in Lawler's hands knocked Koscheck out in the first round, and earned Lawler a $50,000 Knockout of the Night bonus.

No. 3 star ? Dennis Bermudez: When the preliminary fights started, the Honda Center wasn't even half full. The UFC's tailgate was still going strong in the parking lot. But as Bermudez's bout with Matt Grice wore on, I noticed the stands filling up. Perhaps they heard about the Fight of the Year candidate happening inside, with Bermudez throwing everything he had at Grice, and Grice not only withstanding the punches but coming back with big punches of his own. They each took home a $50,000 Fight of the Night bonus.

Who were your three stars from the night? Tell in the comments, on Facebook or on Twitter.

Source: http://sports.yahoo.com/blogs/mma-cagewriter/ufc-157-three-stars-ronda-rousey-robbie-lawler-143258534--mma.html

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