Americans angry with Obama over gas prices

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Source: http://news.yahoo.com/poll-most-americans-disapprove-obama-gas-prices-214038703.html

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House Republican Study Committee: We can balance budget in 5 years

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Source: http://news.yahoo.com/house-republican-study-committee-balance-budget-5-years-140625840.html

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Sleep apnea puts patients at risk for delirium after surgery

[ Back to EurekAlert! ] Public release date: 27-Mar-2012
[ | E-mail | Share Share ]

Contact: Mary Jane Gore
mary.gore@duke.edu
919-660-1309
Duke University Medical Center

DURHAM, N.C. An anecdotal observation of a possible link between sleep apnea and post-surgical delirium has been measured and confirmed by a team of researchers at the Duke University Medical Center.

"The association between sleep apnea and postoperative delirium is big news because it may offer us a way to control postoperative delirium which can be devastating," said senior author Madan Kwatra, Ph.D., who is associate professor of anesthesiology at Duke.

The study appears in the April 2012 issue of Anesthesiology.

Delirium is not a minor consequence. The condition involves an acute and fluctuating consciousness and ability to understand, and is associated with health problems and higher risk of death right after surgery. Delirium is a strong predictor of mortality even 10 years after surgery.

There is hope for prevention, Kwatra said. "If the association between pre-existing sleep apnea and postoperative delirium discovered in this study is confirmed by a larger study, we may be able to prevent postoperative delirium by treating sleep apnea before and immediately after surgery."

The prospective study investigated patients who were having a total knee replacement, a routine procedure for older patients that restores function and reduces pain.

Out of 106 patients in the study, 27 developed delirium after surgery. Eight out of the 15 patients in the study who had been diagnosed with obstructive sleep apnea experienced post-operative delirium, or 53 percent. By comparison, 20 percent of the patients without apnea (19 out of 91) experienced delirium.

In the analysis, apnea was the only statistically significant factor that predicted delirium out of many medical conditions that were analyzed.

The study provides early evidence that doctors might do better presurgical screening for sleep apnea and introduce effective therapy for obstructive sleep apnea as a way to reduce the risk of delirium, Kwatra said. The causes of postsurgical delirium are still unknown, but lack of oxygen before or after surgery or possibly immune factors that lead to inflammation may play a role, he said.

The study findings support recent recommendations to screen for and treat obstructive sleep apnea in an effort to reduce respiratory and cardiovascular problems associated with obstructive sleep apnea.

###

Authors include lead author Benjamin J. Flink, a student in the Duke School of Medicine, Sarah K. Rivelli of the Duke Department of Psychiatry and Behavioral Sciences; Elizabeth A. Cox, a Duke resident physician; William D. White of the Duke Department of Biostatistics and Bioinformatics; Grace Falcone and Andrew D. Krystal of the Duke Department of Psychiatry and Behavioral Sciences; Thomas P. Vail, Department of Orthopedic Surgery, University of California San Francisco; Christopher C. Young, Duke Department of Anesthesiology; Michael P. Bolognesi, Duke Department of Surgery; Paula T. Trzepacz, Lilly Research Laboratories, Indianapolis, Indiana; and Richard E. Moon of Duke Anesthesiology and the Duke Department of Medicine.

The study was supported by a National Institutes of Health/National Institute of Aging grant.



[ 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.


[ Back to EurekAlert! ] Public release date: 27-Mar-2012
[ | E-mail | Share Share ]

Contact: Mary Jane Gore
mary.gore@duke.edu
919-660-1309
Duke University Medical Center

DURHAM, N.C. An anecdotal observation of a possible link between sleep apnea and post-surgical delirium has been measured and confirmed by a team of researchers at the Duke University Medical Center.

"The association between sleep apnea and postoperative delirium is big news because it may offer us a way to control postoperative delirium which can be devastating," said senior author Madan Kwatra, Ph.D., who is associate professor of anesthesiology at Duke.

The study appears in the April 2012 issue of Anesthesiology.

Delirium is not a minor consequence. The condition involves an acute and fluctuating consciousness and ability to understand, and is associated with health problems and higher risk of death right after surgery. Delirium is a strong predictor of mortality even 10 years after surgery.

There is hope for prevention, Kwatra said. "If the association between pre-existing sleep apnea and postoperative delirium discovered in this study is confirmed by a larger study, we may be able to prevent postoperative delirium by treating sleep apnea before and immediately after surgery."

The prospective study investigated patients who were having a total knee replacement, a routine procedure for older patients that restores function and reduces pain.

Out of 106 patients in the study, 27 developed delirium after surgery. Eight out of the 15 patients in the study who had been diagnosed with obstructive sleep apnea experienced post-operative delirium, or 53 percent. By comparison, 20 percent of the patients without apnea (19 out of 91) experienced delirium.

In the analysis, apnea was the only statistically significant factor that predicted delirium out of many medical conditions that were analyzed.

The study provides early evidence that doctors might do better presurgical screening for sleep apnea and introduce effective therapy for obstructive sleep apnea as a way to reduce the risk of delirium, Kwatra said. The causes of postsurgical delirium are still unknown, but lack of oxygen before or after surgery or possibly immune factors that lead to inflammation may play a role, he said.

The study findings support recent recommendations to screen for and treat obstructive sleep apnea in an effort to reduce respiratory and cardiovascular problems associated with obstructive sleep apnea.

###

Authors include lead author Benjamin J. Flink, a student in the Duke School of Medicine, Sarah K. Rivelli of the Duke Department of Psychiatry and Behavioral Sciences; Elizabeth A. Cox, a Duke resident physician; William D. White of the Duke Department of Biostatistics and Bioinformatics; Grace Falcone and Andrew D. Krystal of the Duke Department of Psychiatry and Behavioral Sciences; Thomas P. Vail, Department of Orthopedic Surgery, University of California San Francisco; Christopher C. Young, Duke Department of Anesthesiology; Michael P. Bolognesi, Duke Department of Surgery; Paula T. Trzepacz, Lilly Research Laboratories, Indianapolis, Indiana; and Richard E. Moon of Duke Anesthesiology and the Duke Department of Medicine.

The study was supported by a National Institutes of Health/National Institute of Aging grant.



[ 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/2012-03/dumc-sap032712.php

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THE USAGE OF THE PRIVATE JET CHARTER

The usage of the private jet charter had been increased rapidly. Most probably it?s been used mostly by the business men?s for business travelling. The UK had started rising to meet the demand and it results in the private jet charter to have remained and it?s become very competitive. The usage of the private jet has become one of the best ways to maximize the usage of the time to top executives and it might even reduce the costs. It?s been restricted in the private jets to travel at the time of your choosing in the scheduled timetables. Because they check in time within 20 minutes and they will travel to thousands of destination not on scheduled flight paths. This would help you to save your hours on travel times. And the businessmen could conduct the business meetings in the air so that they could able to work in peace and quiet. Private Jet Charter?arrives at your destination by making you feeling relaxed and refreshed rather than tired and stressed from having a deal with the commercial flights. And it makes you minimize the way from your home and office. You can also use the private jet charter for other needs like leisure, trips and also to visit friends and the family.

Source: http://www.niluferaramakurtarma.org/the-usage-of-the-private-jet-charter/

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Hacker 'command' servers seized in US: Microsoft

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Source: http://news.yahoo.com/hacker-command-servers-seized-us-microsoft-182718142.html

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Aide says Cheney had heart transplant

FILE - In this Aug. 31, 2011 file photo, former Vice President Dick Cheney is interviewed in New York. Former Vice President Dick Cheney is recovering after having a heart transplant. That's according to his office. It released a statement Saturday, March 24, 2012 disclosing the surgery, and saying that Cheney has been on the transplant list for more than 20 months. (AP Photo/Richard Drew, File)

FILE - In this Aug. 31, 2011 file photo, former Vice President Dick Cheney is interviewed in New York. Former Vice President Dick Cheney is recovering after having a heart transplant. That's according to his office. It released a statement Saturday, March 24, 2012 disclosing the surgery, and saying that Cheney has been on the transplant list for more than 20 months. (AP Photo/Richard Drew, File)

WASHINGTON (AP) ? Former Vice President Dick Cheney had a heart transplant Saturday, after five heart attacks over the past 25 years and countless medical procedures to keep him going. Cheney, 71, waited nearly two years for his new heart, the gift of an unknown donor.

An aide to Cheney disclosed the surgery after it was over, and said the ex-vice president was recovering at a Virginia hospital.

"Although the former vice president and his family do not know the identity of the donor, they will be forever grateful for this lifesaving gift," aide Kara Ahern said in a written statement that was authenticated by several of the Republican politician's close associates.

Cheney was recovering Saturday night at the intensive care unit of Inova Fairfax Hospital in Falls Church, Va., after surgery earlier in the day.

More than 3,100 Americans currently are on the national waiting list for a heart transplant. Just over 2,300 heart transplants were performed last year, according to the United Network for Organ Sharing. And 330 people died while waiting.

According to UNOS, 332 people over age 65 received a heart transplant last year. The majority of transplants occur in 50- to 64-year-olds.

The odds of survival are good. More than 70 percent of heart transplant recipients live at least five years, although survival is a bit lower for people over age 65.

The former vice president suffered a heart attack in 2010, his fifth since the age of 37.

That same year, he had surgery to have a small pump installed to help his heart keep working.

Called a "left ventricular assist device," or LVAD, that device took over the job of the heart's main pumping chamber, powered by special batteries worn in a fanny pack. It helps a person live a fairly normal life while awaiting a heart transplant, although some people receive it as permanent therapy. It was one of the few steps left, short of a transplant, to stay alive in the face of what he acknowledged was "increasing congestive heart failure."

In January 2011, Cheney said he was getting by on the battery-powered heart pump, which made it "awkward to walk around." He also said he hadn't made a decision yet on a transplant, but that "the technology is getting better and better."

Cheney said then that he'd "have to make a decision at some point whether I want to go for a transplant."

By that point, Cheney had been dealing with cardiovascular problems for more than two decades.

In 1988, he had quadruple bypass surgery, two artery-clearing angioplasties and the operation to implant a pacemaker, a device that monitored his heartbeat.

In 2005, Cheney had six hours of surgery on his legs to repair a kind of aneurysm, and in March 2007, doctors discovered deep venous thrombosis in his left lower leg. An ultrasound a month later showed the clot was getting smaller.

In July 2007, he had had a minor surgical procedure to replace the pacemaker.

Cheney served as former President George W. Bush's vice president for eight years, from 2001 until 2009. Cheney was a lightning rod for criticism during Bush's presidency, accused by opponents of often advocating a belligerent U.S. stance in world affairs during wars in Iraq and Afghanistan.

Former Massachusetts Gov. Mitt Romney, the front-runner for the Republican presidential nomination, wished Cheney a "fast and full recovery" in a post on Twitter. Former Pennsylvania Sen. Rick Santorum, Romney's chief challenger, sent a written statement wishing Cheney and his family well and offering his thoughts and prayers.

Like 5 million other Americans, Cheney has had congestive heart failure, meaning his heart had become too weakened to pump properly. That can happen for a variety of reasons, but Cheney's was due to cumulative damage from his multiple heart attacks.

Heart failure kills 57,000 Americans a year and contributes to many more deaths.

Shortly after Cheney's surgery was disclosed, one prominent cardiologist ? Dr. Eric Topol of Scripps Health in La Jolla, Calif. ? raised the issue of whether someone so old should have received a new heart.

"The ethicists will get into this case," he wrote on Twitter.

Others disagreed.

"It is not too old. Age is really not a factor," said Dr. William Zoghbi of Methodist Hospital's DeBakey Heart and Vascular Center in Houston. He is incoming president of the American College of Cardiology, and he spoke from the group's annual conference in Chicago on Saturday.

Zoghbi said Cheney may even fare better than younger people whose immune systems more actively fight new organs, raising concern about rejection.

"I don't see any ethical issues here," Zoghbi said, because a transplant is clearly indicated for someone whose heart is as weak as Cheney's was.

A heart transplant is a race against time. Doctors look to the waiting list for the next qualified candidate who is a good match to the newly donated heart, which typically comes from an accident victim. The patient must get to the operating room quickly, as a newly donated heart stays fresh for only about four to six hours.

During a heart transplant, a mechanical pump keeps blood flowing through the body while surgeons remove the diseased heart ? and in Cheney's case, the previously implanted LVAD ? and connect the new one.

Patients must take immune-suppressing medication for life, to keep their body's immune system from attacking the new, foreign organ. They typically stay in the hospital for a week or two, and require intensive cardiac rehabilitation.

__

Associated Press writers Nancy Benac and Will Lester and AP Medical Writer Lauran Neergaard, and AP Chief Medical Writer Marilynn Marchione in Chicago contributed to this report.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/3d281c11a96b4ad082fe88aa0db04305/Article_2012-03-24-Cheney-Heart%20Surgery/id-d7e65e734e8348d5b7c26b839393e2c3

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GOP rule could sink Gingrich, Paul hopes to win at contested Republican convention

The RNC has violated its own rules and apparently is guilty of skullduggery during the primary?to benefit Romney, such as the late reporting of the Iowa victory for Santorum, vote counting, shutting down caucuses, refusing Newt the delegates in FL that were supposed to be divided between winners. Every decision has been made in Romney?s favor.

If they try to float Jeb in 2016 ? I hope I?m still alive to vote for the candidate who wins the first primary in the new Conservative Party made up of Tea Party/Reagan conservatives and whose mascot is either the (Mama Grizzly) Bear, the American Buffalo or the Eagle?or maybe even the (wounded) Wolverine.

Don?t push us too far, RINOs and CINOs.

Source: http://www.therightscoop.com/gop-rule-could-sink-gingrich-paul-hopes-to-win-at-contested-republican-convention/

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2001-2010 warmest decade on record: WMO

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Source: http://news.yahoo.com/2001-2010-warmest-decade-record-wmo-164932621.html

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Real World Advice on Fighting Colorectal Cancer Recurrence | Fight ...

In last night?s monthly webinar, colorectal cancer patients were given access to a nutritionist who specializes in helping cancer patients. Kimberly Moore Petersen of the Minnie Pearl Cancer Foundation?was the presenter for our March 2012 webinar, ?Shape Your Plate to Fight Colorectal Cancer.?

Extensive research has shown that diet and?physical?activity can significantly reduce your risk of tumor recurrence.?Recently, the American Cancer Society issued new Guidelines on Nutrition and Physical Activity for Cancer Prevention.

But what does that mean for patients making day to day lifestyle choices??Find out in this webinar.

Source: http://fightcolorectalcancer.org/c3_news/2012/03/real_world_advice_on_fighting_colorectal_cancer_recurrence

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