JERUSALEM (AP) ? Israel has started allowing long-banned building materials into the Gaza Strip, its first key concession to the Palestinian territory's ruling Hamas movement under the cease-fire that ended eight days of fighting last month, the military said Monday.
The military says the shipments will continue so long as the border remains quiet. But a Hamas official said the amount sent so far is "cosmetic," and Gaza economists say it would take years of round-the-clock shipments to even make a dent in the gap left by five years of blockade.
Israel imposed a wide-ranging embargo on Gaza after Hamas seized it in 2007. Building materials like cement, gravel and metal rods were largely banned, as Israel argued they could be used to make fortifications and weapons to attack the Jewish state.
The military says it began allowing shipments of gravel to Gaza's private sector on Sunday because the Israeli attacks on Hamas' military operations in November cowed the militant group into quiet.
After the November hostilities, Israel and Hamas began indirect, Egyptian-led talks over new border arrangements. The militant group wants Israel to lift what remains of a sweeping land and naval embargo it imposed after the Hamas takeover. In return, Israel demands an end to arms smuggling into Gaza.
With limited exceptions, Israel had blocked construction materials from entering Gaza.
"Now we're talking about a permanent easing," said Maj. Guy Inbar, a military spokesman, adding that 20 truckloads a day could enter Gaza, depending on Palestinian demand. Other concessions could follow, he said.
"The longer the calm persists, the more we'll weigh additional easings of restrictions that will benefit the private sector," he said.
Israel recently authorized the entry of 60 trucks and buses for the first time since Hamas' 2007 Gaza takeover, though there are conflicting reports on whether vehicles have actually gone through.
Another major concession the Gazans seek would be a lifting of a near-ban on exports from the impoverished territory. Exports, especially to the West Bank, the Palestinian territory on the opposite side of Israel, once formed the backbone of Gaza's economy.
Exports might be expanded, Inbar said, "depending on the continuation of the calm."
Critics contend the export ban punishes ordinary Gazans instead of pressuring Hamas, hurting four in five Gaza factories and contributing heavily to an unemployment rate of about one-third of the work force. Eighty percent of Gaza's 1.6 million people rely on U.N. handouts.
Israel lifted its restrictions on consumer goods entering Gaza overland after a deadly Israeli naval raid on a blockade-busting flotilla in 2010 drew international attention to the Israeli embargo. But the blockade on construction materials remained intact, save for shipments used to build U.N. schools and a pilot project of shipments to the private sector a year ago.
"The Israelis promised to undertake further measures to alleviate the difficult economic situation in Gaza as a result of the calm," said Palestinian crossing official Raed Fattouh in Gaza, confirming that the Israelis had agreed to send in 20 trucks of gravel daily, five days a week. "This move had been expected as part of the deal."
Israel has not eased its naval blockade of the territory, which it says is imperative to keep weapons from being smuggled into Gaza by sea.
Egypt, which had joined the Israeli blockade, similarly eased its own restrictions on Saturday, allowing in 1,400 tons of gravel paid for by Qatar. The oil-rich emirate recently pledged $425 million to build housing, schools, a hospital and roads in Gaza as part of its attempt to build its influence in Palestinian politics and its power in the region, at the expense of regional rival Iran, Hamas' longtime patron.
Shipments from Egypt are expected to be ramped up to 4,000 tons daily, said Yassir al Shanti, Gaza's deputy minister of housing and public works. He estimated Gaza needs up to 3 million tons of gravel to build roads and that the Qatar-funded projects need more than 1 million tons.
The shipments from Egypt were launched following consultation with Israeli officials, who were in Cairo Thursday to discuss the cease-fire and other matters, an Egyptian official said last week.
Under former President Hosni Mubarak, Israel's longtime ally, Egypt had poor relations with Hamas, and teamed up with Israel to blockade Gaza. Egypt's new president, Mohammed Morsi, comes from Hamas' parent group, the Muslim Brotherhood, and has vowed not to abandon the Palestinians. But he is moving cautiously, in part to avoid alienating Cairo's biggest patron, the United States.
Palestinian economist Mouin Rajab said the new shipments would go only a small way to meet the needs Gaza has accumulated throughout six years of blockade, during which time Hamas and Israel warred twice.
"Gaza needs more than what Israel has allowed and what Egypt has promised to allow. We are talking about six years of blockade, no real economy and no projects in addition to what Gaza lost during two wars in 2009 and 2012."
"This amount which has been sent by the Israelis still is cosmetic," a Hamas government official in Gaza said. "Israel, according to the understanding, should allow more building materials into Gaza as part of the understandings reached by Cairo. We are waiting and we told the Egyptians that."
He spoke on condition of anonymity because he was not authorized to discuss the understandings.
Reconstruction since the 2009 fighting has been slow, in large part because of the blockades. To make up the shortage, a bustling smuggling industry through underground tunnels along the Egyptian border has sprung up. While prices for key construction goods have come down, they still remain expensive for the majority of Gaza's 1.6 million people, 80 percent of whom rely on U.N. handouts.
Israel and Hamas shun each other, so Egypt is mediating the new border arrangements. A Hamas official, speaking on condition of anonymity because he wasn't authorized to disclose confidential contacts, said a Hamas delegation arrived Sunday night in Cairo to meet with Egyptian security officials for a second round of talks on the border arrangements.
Sunni protesters attack Iraq official's convoy, guards wound two
RAMADI, Iraq (Reuters) - Bodyguards for Iraq's deputy prime minister wounded two people when they fired warning shots at Sunni protesters who pelted his convoy with bottles and stones on Sunday, witnesses said.
The incident took place the city of Ramadi in western Anbar province, to where Deputy Prime Minister Saleh al-Mutlaq had travelled to address people in an attempt to defuse sectarian tensions.
Thousands of Iraqi Sunnis have taken to the streets and blocked a main highway over the past week in protest against Shi'ite Prime Minister Nuri al-Maliki, whom they accuse of discriminating against their community and being under the sway of non-Arab neighbor Iran.
"Leave! Leave!" the protesters shouted at Mutlaq, himself a Sunni.
Mutlaq's guards opened fire to disperse the crowd after they threw objects at his convoy. Two people were wounded, the witness said
"It's only now Mutlaq comes to attend the protest and after seven days. He came to undermine the protest," Saeed al-Lafi, a spokesman for the protesters, told Reuters.
Protesters are demanding an end to marginalization of Iraq's Sunni minority, which dominated the country until the U.S.-led invasion of 2003 that toppled Saddam Hussein.
They want Maliki to abolish anti-terrorism laws they say are used to persecute them.
Echoing slogans used in popular revolts that brought down leaders in Egypt, Yemen, Tunisia and Yemen, protesters have also been calling on Maliki to step down.
"Is this the way to deal with peaceful protesters? To shoot them? This is really outrageous," said protester Ghazwan al-Fahdawi, displaying empty bullet casings from shots he said had been fired by Mutlaq's guards.
In the northern city of Mosul, the provincial council called a three-day strike starting from next Friday to press Baghdad to release women prisoners and stop targeting Sunni politicians.
Protests flared last week in Anbar province after troops loyal to Maliki detained bodyguards of his finance minister, a Sunni.
That came just hours after Iraqi President Jalal Talabani, a Kurd seen as a steadying influence on the country's tumultuous politics, was flown abroad for medical care.
A year after U.S. troops left, sectarian friction, as well as tension over land and oil between Arabs and ethnic Kurds, threaten renewed unrest and are hampering efforts to repair the damage of years of violence and exploit Iraq's energy riches.
(Reporting by Kamal Naama, Ahmed Rasheed and Sufyan al-Mashhadani in Mosul; Writing by Isabel Coles; Editing by Angus MacSwan)
(Reuters) - Heads continued to roll for under-achieving head coaches across the National Football League as the Philadelphia Eagles' Andy Reid, Buffalo Bills' Chan Gailey and Cleveland Browns' Pat Shurmur were all fired on what has become known as Black Monday.
The unemployment ranks are expected swell even further with reports that the Chicago Bears' Lovie Smith is also out of a job.
The 5-11 Browns, who closed out the season on Sunday with a 24-10 loss to the Pittsburgh Steelers, were among the first to begin house cleaning by announcing Shurmur and general manager Tom Heckert had both been relieved of their duties.
The news was quickly followed by the 6-10 Bills confirming they had sacked Gailey and the 4-12 Eagles announcing Reid was being relieved of his duties after 14 years in charge.
Reid's departure had been widely expected but still came as shock to many after a mostly successful tenure in Philadelphia leading the Eagles to six NFC East titles, five NFC championship games and a Super Bowl appearance in 2004.
His 140 victories are a franchise record and rank 22nd on the all-time NFL coaching list.
But a bitterly disappointing 2012 campaign that ended in 42-7 loss to the New York Giants on Sunday signaled to owner Jeffrey Lurie that is was time for a change.
"Andy Reid won the most games of any head coach in Eagles' history and he is someone I respect greatly and will remain friends with for many years to come," said Lurie in a statement. "But, it is time for the Eagles to move in a new direction.
"Andy leaves us with a winning tradition that we can build upon and we are very excited about the future."
JETS KEEP RYAN
Black Monday began with the Jacksonville Jaguars announcing they had fired general manager Gene Smith and was followed by the New York Jets dumping GM Mike Tannenbaum.
The Jets, however, ended the speculation swirling around Rex Ryan by confirming the under-fire head coach would be back next season.
"Rex Ryan will remain the head coach of our football team. I believe that he has the passion, the talent, and the drive to successfully lead our team," said Jets owner Woody Johnson on the team's website.
After a tumultuous 6-10 season, overshadowed by a quarterbacking controversy around the use of incumbent Mark Sanchez and polarizing Tim Tebow, Ryan was widely expected to pay for the Jets under-achieving results with his job.
With Ryan back for next season the speculation will now center on the futures of Sanchez and Tebow in New York.
The Jets sputtering offense ranked 30th among 32 teams, generating an average of just 299 yards per game.
Changes had been expected in Jacksonville after the toothless Jaguars finished the season tied with Kansas City Chiefs for the NFL's worst record (2-14).
"Now it is time for the Jacksonville Jaguars to begin a new chapter," new owner Shahid Khan said in a statement. "We're not looking back.
"I've made it clear from Day One that we pledge nothing less than to deliver the first Super Bowl championship to Jacksonville.
(Reporting by Steve Keating in Toronto, editing by Ed Osmond and Gene Cherry)
NEW YORK ? Lots of questions, but still no answers in the NHL labor?fight.
The league and the players? association spent much of Saturday talking to each other via conference call. The conversations were strictly for the purpose of sharing information regarding the new contract offer the NHL made to the union late?Thursday.
The initial thought was that the sides would get together today in New York to hold official negotiations for the first time in weeks, but those weren?t scheduled before discussions ended?Saturday.
Staff-level calls were expected to resume today, which could include face-to-face talks at some point, but no actual bargaining meetings have been?set.
?Some more informational sessions in the morning,? NHL deputy commissioner Bill Daly told The Associated Press regarding today. ?Nothing planned beyond?that.?
The union pored over the latest NHL proposal aimed at ending the lockout that reached its 105th day Saturday and saving the delayed hockey season. The league would like to reach a deal no later than Jan. 11, which would allow training camps to start the following day, and a 48-game season to begin Jan.?19.
Saturday?s conference calls were scheduled Friday night so the union could ask league officials questions about the nearly 300-page proposal. Whether enough progress will be made to lead to face-to-face talks remains to be?seen.
The sides haven?t gotten together since Dec. 13 with federal mediators. Bargaining sessions with only the NHL and union involved haven?t been held since Dec. 6, when talks abruptly ended after the players? association made a counterproposal to the league?s previous offer. The league said that offer was contingent on the union accepting three elements unconditionally and without further?bargaining.
The NHL then pulled all existing offers off the table. Two days of sessions with mediators the following week ended without any progress?made.
The players? association?s executive board and negotiating committee went over the new proposal during an internal conference call?Friday.
A person familiar with key points of the offer told The Associated Press that the league proposed raising the limit of individual free-agent contracts to six years from five ? seven years if a team re-signs its own player; raising the salary variance from one year to another to 10 percent, up from 5 percent; and one compliance buyout for the 2013-14 season that wouldn?t count toward a team?s salary cap but would be included in the overall players? share of?income.
The latest proposal is for 10 years, running through the 2021-22 season, with both sides having the right to opt out after eight?years.
The lockout has reached a critical stage, threatening to shut down a season for the second time in eight?years.
All games through Jan. 14, plus the Winter Classic and the All-Star game already have been called off. The next round of cuts could claim the entire?schedule.
The NHL is the only North American professional sports league to cancel a season because of a labor dispute, losing the 2004-05 campaign to a lockout. A 48-game season was played in 1995 after a lockout stretched into?January.
It is still possible this dispute could eventually be settled in the courts if the sides can?t reach a deal on their?own.
The NHL filed a class-action suit this month in U.S. District Court in New York in an effort to show its lockout is legal. In a separate move, the league filed an unfair labor practice charge with the National Labor Relations Board, contending bad-faith bargaining by the?union.
Those moves were made because the players? association took steps toward potentially filing a ?disclaimer of interest,? which would dissolve the union and make it a trade association. That would allow players to file antitrust lawsuits against the?NHL.
? Copyright 2012 Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
FILE - In this June 17, 2010 file photo, former South African President, Nelson Mandela leaves the chapel after attending the funeral of his great-granddaughter Zenani Mandela in Johannesburg, South Africa. Mandela was released Wednesday, Dec. 26, 2012 from the hospital after being treated for a lung infection and having gallstones removed, a government spokesman said. (AP Photo/Siphiwe Sibeko, Pool, File)
FILE - In this June 17, 2010 file photo, former South African President, Nelson Mandela leaves the chapel after attending the funeral of his great-granddaughter Zenani Mandela in Johannesburg, South Africa. Mandela was released Wednesday, Dec. 26, 2012 from the hospital after being treated for a lung infection and having gallstones removed, a government spokesman said. (AP Photo/Siphiwe Sibeko, Pool, File)
An unidentified woman and chilldren leave the Johannesburg home of former president Nelson Mandela after a visit Friday, Dec. 28, 2012. Mandela who was admitted to hospital Dec 8, with a lung infection and underwent gall stone surgery, is now receiving medical care at home after being discharged Wednesday. (AP Photo/Denis Farrell)
A elderley neighbour strolls past the Johannesburg home, unseen left, of former president Nelson Mandela's Friday, Dec. 28, 2012. Mandela who was admitted to hospital Dec 8, with a lung infection and underwent gall stone surgery, is now receiving medical care at home after being discharged Wednesday. (AP Photo/Denis Farrell)
JOHANNESBURG (AP) ? South Africa's presidency says it has no updates on the condition of former leader Nelson Mandela, who is convalescing at home after a hospital stay and is reported to be doing better.
The South African Press Association quotes presidential spokesman Mac Maharaj as saying Saturday that he has no new information on 94-year-old Mandela, who was released from a hospital on Wednesday. The former president, who spent 27 years in prison under apartheid, was admitted Dec. 8 and received treatment for a lung infection.
He also had a procedure to remove gallstones.
Maharaj previously said doctors have noted progress in Mandela's condition but will continue to treat him at his home in the Johannesburg neighborhood of Houghton.
Student Aid Report: Read it and Weep - How Will I Pay for College?
How quickly you receive the SAR depends on how you filed your FAFSA. If you file a paper FAFSA, it may take 2-3 weeks, or more. If you file electronically through the Department of Education website, your SAR can be available in 3 to 10 days. However, if you do not receive your SAR within 4 weeks, ?you should call the Federal Student Aid Information Center at 1-800-4-FED-AID or 1-319-337-5665. ?They will ask for some identification information (Social Security number, date of birth, etc), and then they will let you know if your FAFSA has been processed. You can also write to the?Federal Student Aid Information Center?for the status of your FAFSA at:
Federal Student Aid Programs
Washington, DC 52243-4038
The SAR will summarize the information on the FAFSA, and tell ?you how much Pell Grant money you qualify for, your calculated Expected Family Contribution (EFC), as well as a summary of any outstanding loans. Note also that the SAR will contain a Data Release Number (DRN), a four-digit reference number that you will need if you want to send the SAR to additional schools that you did not include when you filed your FAFSA. Students should keep a copy of their SAR in their college folder (you did start a folder, didn't you?). If you review your SAR and find a mistake, you will need to correct or update your FAFSA. ?You can ?make changes to the FAFSA in one of three different ways:
Online FAFSA Corrections?You can go to the FAFSA website and make online corrections by selecting "Make FAFSA Corrections" after logging in. This is the fastest way to update your application, and highly recommended. You will need the student PIN you received when initially registering at the FAFSA website.?If the student is a dependent, a parent PIN is required as well.?You can correct anything on the application except for the student's Social Security Number (SSN). If you made a mistake in reporting your SSN, ask the financial aid office at the school you plan to attend whether you should start over again and submit a new FAFSA.?The financial aid office might be able to make other changes for you electronically, as well.?
Paper FAFSA Corrections?Write the corrections or changes directly on your paper SAR, sign it, and mail it to the address provided on the SAR (keep a copy in your folder, remember?)
Phone FAFSA Corrections You can add a school to your FAFSA by calling the Federal Student Aid Information Center at 1-800-433-3243. You will need to provide your DRN, which is found both on your SAR and online on the FAFSA website.
After your target schools receive your SAR and prepare your financial aid package, they will send an award letter to you (which you will keep in your folder). This Financial Aid Award Notice can be confusing (perhaps even misleading), though the Department of Education is attempting to clarify and standardize this (see the second paragraph of this post).? After you receive all of your financial aid notices, you can follow these steps to figure out your ?net cost for each school on a comparable basis, to see which school is most affordable for you.
First, find the total cost of attendance for your program on the aid letter (you may need to?ask the financial aid office of that school if it is not clearly listed in the letter). Be ?sure it includes what you pay directly to the school (tuition, room & board, and fees) as well as other costs (living expenses, books & supplies, and transportation).
Next, subtract the grant and scholarship amounts (Pell Grants, FSEOG, school grants/scholarships, etc) on your aid offer from the cost of attendance. This is free money that does not have to be repaid, and reduces your tuition directly. Also subtract any savings you have available to put toward your school costs for the upcoming school year (either a 529 plan or other savings). The remaining amount is your net out-of-pocket cost.
Finally, compare the net costs for all of the schools you are considering. The net cost is the amount you will have to pay out of your pocket, using earnings from work or from student loans that you will need to apply for (or perhaps from your crowdfunding efforts!)
While all of this government paperwork might remind of filing your income taxes, I highly recommend that you do not hire one of the organizations that offer to fill out your FAFSA (or help you to fill it out). The questions are really quite simple (though some terms and acronyms can slow you down), and many won't apply to you. Just take your time, get educated, and read the paperwork carefully, and you can get through this in no time.
China tightens control over Internet, passes new rules | Firstpost
Beijing: China?s government tightened controls on Internet users Friday by enacting rules requiring them to register their names. The new rules follow online postings about graft and abuses that rattled the ruling party.
The country?s rubber-stamp legislature approved the Internet measures at a closing meeting of a five-day session.
Real-name registration will curtail the Web?s status as a freewheeling forum to complain, often anonymously, about corruption and official abuses.
The government says the latest regulation is aimed at protecting Web surfers? personal information and cracking down on abuses such as junk email.
The measure will ?ensure Internet information security, safeguard the lawful rights and interests of citizens, legal entities or other organisations and safeguard national security and social public interests,? the official Xinhua News Agency cited the regulation as stating.
Representational Image. Getty Images
The measure would require network service providers to ask users to provide their real names and other identifying information to allow users to post information publicly or when signing agreements for access to the Internet, fixed telephone lines or mobile phones, Xinhua said.
Beijing promotes Internet use for business and education but bans material deemed subversive or obscene and blocks access to many websites.
The main ruling party newspaper, People?s Daily, has called in recent weeks for tighter Internet controls, saying rumors spread online have harmed the public. In one case, it said stories about a chemical plant explosion resulted in the deaths of four people in a car accident as they fled the area.
Until recently, Web surfers could post comments online or on microblog services without leaving their names, giving ordinary Chinese a unique opportunity to express themselves to a public audience in a society where newspapers, television and other media are state-controlled.
The Internet also has given the public an unusual opportunity to publicize accusations of official misconduct.
A local party official in China?s southwest was fired in November after scenes from a videotape of him having sex with a young woman spread quickly on the Internet. Screenshots were uploaded by a former journalist in Beijing, Zhu Ruifeng, to his Hong Kong website, an online clearinghouse for corruption allegations.
Card Games To Help You Celebrate National Card Playing Day!
Card Games For Card Playing Day ~
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December 28th is National Card Playing Day and who doesn?t love a leisurely game of cards? I know that growing up Rummy, UNO and Solitaire were probably my favorite card games. I still love Solitaire {especially on the computer} and I occasionally still play UNO, but I have not played Rummy in so long now, that I am not 100% sure I still know how to play it! However, there are tons of card games to play, so why should I limit myself to Rummy, UNO or Solitaire anyway?
Card playing is so popular worldwide that there is even an?International Card Playing Society. As you might assume, people across the world play card games differently and there has been much change to various card games over the years. You can read more on the evolution of card playing on their site.
Cool fact: Today our card decks feature diamonds, hearts, clubs and spades. But early Eastern playing cards featured coins, cups, swords and polo sticks.
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So, gather up your friends for your favorite card game in honor of National Card Playing Day! Or even try your hand at learning a new game! Don?t own any playing cards? Check out the?United States Playing Card Company?for tons of brand name card choices. Bicycle Cards also offers instructions on how to play several card games including Old Maid, Poker and Blackjack.
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Perhaps one of the most famous card players was ?The Gambler? {aka Kenny Rogers}. ?The Gambler? went on to score a #1 hot for Kenny Rogers and the song also earned him a Grammy. Pretty smooth for a card player, eh? Remember, you better know when to hold ?em and know when to fold ?em.
Learn a new game and be sure to add a link to yours!
Charity:Water, Other Nonprofits Get Help From Tech Innovators To ...
WASHINGTON -- Scott Harrison knows his charity has funded nearly 7,000 clean water projects in some of the poorest areas of the world in the past six years. How many of those wells are still flowing with drinking water months or years later, though? That's a tough question to answer.
His organization called Charity: Water has funded projects in 20 different countries. It's committed to spend 100 percent of each donation in the field to help reach some of the 800 million people who don't have clean water and resort to drinking from swamps, unhealthy ponds or polluted rivers. Organizers send donors photos and GPS coordinates for each water project they pay for.
Still, Harrison, a former New York promoter for nightclubs and fashion events, didn't want to guess at how many water projects were actually working. He wanted to give donors more assurance, knowing as many as a third of hand pumps built by various governments or groups stop functioning later. His solution: why not create sensors to monitor the water flow at each well? But raising millions for a new innovation could prove impossible.
Few funders want to pay for a nonprofit's technical infrastructure or take the risk of funding a dreamy idea. They'd rather pay for real work on the ground.
This month, Google stepped in with major funding to create and install sensors on 4,000 wells across Africa by 2015 that will send back real-time data on the water flow at each site. The $5 million grant could be a game changer for Charity: Water to ensure its projects are sustainable, to raise money for maintenance and to empower developing countries to maintain their infrastructure with new data.
"You could imagine a water minister salivating over this technology, even a president of a country being able to hold his water ministers in different districts accountable, saying, `Hey, look, I want a dashboard in my office where I can see how my small, rural water projects are performing,'" Harrison said.
The grant is part of the first class of Google's Global Impact Awards totaling $23 million to spur innovation among nonprofits. Experts say the new annual grants are a part of a growing trend in venture philanthropy from funders who see technology as an instrument for social change. Such donors say they can have a bigger impact funding nonprofits that find ways to multiply their efforts through technology.
The gifts also represent a shift in the tech company's approach to philanthropy.
Google's Director of Charitable Giving Jacquelline Fuller said the company analyzed its giving, including $115 million in grants last year. It decided it could have a greater impact by funding nonprofit tech innovation, rather than specific issue areas or existing projects. Its grants will come with volunteer consulting on each project from Google engineers or specialists.
"We're really looking for the transformational impact" from clever uses of technology, Fuller said. But that sometimes involves risk that new technologies and innovations may not work.
"Informed risk is something Google understands," she said. "There's actually very few dollars available that's truly risk capital, lenders willing to take informed risk to help back some of these new technologies and innovations that may not pan out."
The largest source of funding for U.S. nonprofits is government, mostly through contracts that come with strings attached. Individual donors contribute significant support to charities as well, and the nation's foundations give about 14 percent of overall philanthropy to nonprofits.
"There is sort of a new breed of philanthropists coming into the field," including many who made money in the tech sector at a young age, said Bradford Smith, president of the Foundation Center, an information clearinghouse on nonprofits. "There I think you're seeing a really interesting sort of confluence of almost kind of a venture, risk-taking approach and technology as an instrument for social change."
Google zeroed in on projects that could develop new technology to scale up smaller projects targeting the environment, poverty, education and gender issues.
It's giving $5 million to the World Wildlife Fund to develop high-tech sensors for wildlife tagging to detect and deter poaching of endangered species. Another $3 million is going to a project at the Smithsonian Institution to develop DNA barcoding as a tool to stop illegal trading of endangered plants or animals smuggled across borders. That project could give six developing countries DNA testing materials with fast results to use as evidence to prosecute smugglers.
To fuel future innovation, Google is giving Donorschoose.org $5 million to create 500 new Advanced Placement courses in math, science and technology for U.S. schools that are committed to enrolling girls and minority students.
The charity GiveDirectly will receive $2.4 million to expand its model of direct mobile cash transfers to poor families in Kenya as a new method for lifting people out of poverty.
A charity run by actress Geena Davis that studies gender portrayals in the media will use a $1.2 million Google grant to develop new automated software that analyzes how females are portrayed in children's media worldwide, speeding up a previously manual process.
"It was looking prohibitively expensive to do a global study," Davis said, adding that developing new technology seemed like a far-flung wish. "It seems so science future that we weren't really raising money to do it."
While the grant may be a relatively small investment for a major tech company, it represents one of the largest gifts ever for the Geena Davis Institute on Gender in Media.
Innovation and technology among nonprofits have long been underfunded with traditional funders often feeling averse to risk and more often seeking to fund specific types of existing programs.
Momentum has been building for the past decade for funders pursuing venture philanthropy, said Matt Bannick, managing partner of the Omidyar Network founded by eBay founder Pierre Omidyar. Since 2004, the group has given out $310 million in grants to nonprofits, including the Sunlight Foundation and DonorsChoose.
Seeking out ideas to fund, rather than existing projects, turns traditional notions of philanthropy on its head, Bannick said.
"Rather than looking for organizations that could do this specific work that we're hoping to get accomplished, let's look for fabulous entrepreneurs ... that have a new and innovative idea that we can get behind," he said.
Silicon Valley philanthropists are fueling some growth in funding for nonprofit innovators, but some older foundations also have turned to funding innovation and nonprofit entrepreneurs.
The John S. and James L. Knight Foundation in Miami, born from a newspaper chain, has turned its focus to media innovation. The Alfred P. Sloan Foundation, founded in 1934 by a General Motors chief, focuses on science and technology to drive the nation's prosperity. Sloan was an early funder of the Smithsonian's DNA barcoding project.
Such funders are betting that early seed money can have a big impact with the right ideas and entrepreneurs.
"If there was more funding," Bannick said, "there would be a lot more great ideas that could emerge."
Westboro threat to picket Newtown sparks call for action
Allison Joyce / Getty Images
A man wearing the school colors of Sandy Hook Elementary School links arms with people in anticipation of blocking the view of the protesters from the Westboro Baptist Church near the wake of school principal Dawn Hochsprung on Dec. 19 in Woodbury, Conn.
By Reuters
More than 475,000 people have signed petitions asking the White House to crack down on Westboro Baptist Church after the group, known for holding anti-gay demonstrations at funerals, threatened to picket in Newtown, Conn.
Newtown was the site of a school massacre on December 14 in which 20 young children and six adults were killed.
Newtown victims honored
Five petitions posted on the White House website since the shootings have asked the government to name the church, based in Topeka, Kan., a hate group or end its tax-exempt status. The requests were among the most popular on the White House site on Thursday.
The Southern Poverty Law Center, a civil rights organization, has called the church "arguably the most obnoxious and rabid hate group in America" because of the anti-gay signs its members have carried at hundreds of military funerals. Church members say the protests reflect their view that God is punishing America for tolerance of gays and lesbians.
The church has successfully defended its right to free speech in court. The church could not be immediately reached for comment.
The White House did not respond to a request for comment on whether it would address the petitions.
The White House has a policy of responding to petitions that reach a threshold of 25,000 signatures but does not comment on certain law enforcement issues that are within the jurisdiction of federal agencies or courts.
NRA chief wants armed officers in schools
More than 48,000 people have signed a petition that they posted on the White House website demanding that British CNN talk show host Piers Morgan be deported over comments he made on air about gun control. ?Morgan lambasted pro-gun guests on his show after the mass shooting at Sandy Hook Elementary School.?
"We demand that Mr. Morgan be deported immediately for his effort to undermine the Bill of Rights and for exploiting his position as a national network television host to stage attacks against the rights of American citizens," the petition said.
Obama last week asked Americans to pressure Congress to help tighten gun laws. He responded after several hundred thousand people signed a dozen petitions calling for tougher gun laws following the Newtown attack.
Twenty-year-old Adam Lanza used a military-style assault rifle to kill 20 elementary school children and seven adults, including his mother shot earlier at the family home, then he took his own life.
Obama has called for Congress to approve a ban on the sale of military-style assault weapons and a ban on the sale of high-capacity ammunition clips, as well as measures to ensure background checks for gun purchases at gun shows.
Brendan Smialowski / AFP - Getty Images
A nation mourns after the second deadliest school shooting in U.S. history at Sandy Hook Elementary, which left 20 children and six staff members dead.
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YANGON (Reuters) - Myanmar's president called on Wednesday for a shake-up in the running of his fast-changing country, which he said was still mired in corruption and inefficiency and lagging behind its international peers.
Thein Sein, the unlikely reformer to emerge from within a military junta 19 months ago, called for big improvements across Myanmar's outdated bureaucracy to strengthen democracy and the economy, as foreign firms weigh whether to invest in the resource-rich country.
"When it comes to measuring good governance, our country still falls far short of the international standards," the former general told a meeting of cabinet ministers, regional leaders and civil service chiefs aired on television and radio.
"There is still a lack of the characteristics of clean government and good governance ... reforms are needed from the grassroots to the union (national) levels."
World leaders like U.S. President Barack Obama have praised Thein Sein for spearheading political, democratic and social reforms since the military stopped ruling, but his government faces problems in ridding Myanmar of its reputation for being an army-dominated state and a risky place to do business.
Western diplomats and analysts believe the central government has the political will to drive reforms but question the limits of its influence, pointing to several standoffs with parliament, sectarian violence in Rakhine state, heavy-handed police and the president's inability to halt fighting between the army and ethnic Kachin rebels as signs of problems ahead.
Another challenge was implementing a raft of policy changes complicated by an outdated and inefficient bureaucracy, which Thein Sein said would need to be vastly improved, from top to bottom.
"For the prevalence of democratic practice and for the development of the nation, it is necessary to transform the administration system, under which the people can participate and cooperate," he said.
(Reporting by Aung Hla Tun; Writing by Martin Petty; Editing by Robert Birsel)
Elevated levels of C-reactive protein appear associated with psychological distress, depression
Dec. 24, 2012 ? Elevated levels of C-reactive protein, a marker of inflammatory disease, appear to be associated with increased risk of psychological distress and depression in the general population of adults in Denmark, according to a report published Online First by Archives of General Psychiatry, a JAMA Network publication.
Depression is one of the leading causes of disability and previous studies suggest that low-grade systemic inflammation may contribute to the development of depression. C-reactive protein (CRP) is a commonly used marker of inflammation, and inflammatory disease is suspected when CRP levels exceed 10 mg/L. Researchers are unclear whether and to what extent elevated CRP levels are associated with psychological distress and depression in the general population, according to the study background.
Marie Kim Wium-Andersen, M.D., of Herlev Hospital and Copenhagen University Hospital, Denmark, and colleagues examined whether elevated plasma levels of CRP were associated with distress and depression. Researchers analyzed CRP levels using data from two general population studies in Copenhagen, which included 73,131 men and women ages 20 to 100 years.
"The main finding of this study consisted of an association of elevated CRP levels with an increased risk for psychological distress and depression in the general population," the authors comment.
Increasing CRP levels were associated with increasing risk for psychological distress and depression in analyses. For self-reported antidepressant use, the odds ratio was 1.38 for CRP levels of 1.01 to 3 mg/L, 2.02 for 3.01 to 10 mg/L, and 2.7 for greater than 10 mg/L compared with 0.01 to 1 mg/L. For prescription of antidepressants, the corresponding odds ratios were 1.08, 1.47 and 1.77, respectively; for hospitalization with depression they were 1.30, 1.84 and 2.27 respectively. Other analyses suggest that increasing CRP levels also were associated with increasing risk for hospitalization with depression, according to the study results.
"More research is needed to establish the direction of the association between CRP and depression because this study and others are primarily cross-sectional. The results also support the initiation of intervention studies to examine whether adding anti-inflammatory drugs to antidepressants for treatment of depression will improve outcome," the authors conclude.
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Journal Reference:
Wium-Andersen M, ?rsted D, Nielsen S, Nordestgaard B. Elevated C-Reactive Protein Levels, Psychological Distress, and Depression in 73?131 IndividualsElevated CRP Levels and Psychiatric Illness. Archives of General Psychiatry, 2012; DOI: 10.1001/2013.jamapsychiatry.102
Note: If no author is given, the source is cited instead.
Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.
Many diabetics learn about diabetes after many years of the disease. The reason for being unaware of diabetes is the lack of know-how of the symptoms, which are subtle in the initial stages.
The common symptoms of diabetes are listed below:
Increased Hunger: Individuals succumbing to diabetes start eating more than usual and become hungry more often. Their body fails to use the glucose in the blood (as the insulin in the body is not working well). Because of this, cells of the body that lack in energy makes individual feel hungry more frequently.
Increased Thirst and Frequent Urination: Besides increase in hunger, diabetics feel like going to the toilet more often and are always thirsty. Increase in blood sugar levels make fluids overflow from cells, only to make one thirsty. As a result of increased thirst, one's tendency to drink more water increase which in turn leads to frequent urination.
Weight Gain: Most of the diabetes symptoms are related. Weight gain, one of the common signs of diabetes, is a consequence of increased hunger and frequent eating. In case of type 1 diabetes, body loses the ability to use glucose. This leads to fat and muscle break down, which causes loss of weight.
Fatigue and Irritability: In diabetes, cells starve of energy despite of ample glucose in the blood. As cells don't get essential energy, diabetics feel tired and fatigued. As a result of feeling tired and fatigued, diabetics may become irritated.
Slow-healing and frequent infections: Cuts and bruises take much long to heal, as increase in blood sugar (glucose) level impairs the ability of your body to heal. Owing to this, diabetics may have frequent infections (yeast and candida). In women, the risk of incidence of bladder and vaginal infections increases considerably.
Numbness or tingling of limbs: Tingling of hands and feet is due to the damage to the nerves owing to high blood sugar level.
Vision Problems: Dehydration due to high glucose levels may affect the eyes. Diabetics may have vision problems such as drying of lenses and blurred vision. Uncontrolled or untreated diabetes may even lead to blindness.
Sexual problems among men: Men having surpassed 50 years of age may experience sex problems such as erectile dysfunction.
If a diabetic is hyperglycaemic: If there is too much sugar in the blood, the common symptoms of diabetes include dehydration, difficulty in breathing, confusion, giddiness on standing, loss of consciousness or coma and drowsiness.
Author's Bio:?
Author Vidiya sharma writes this article to provide the infomation about symptoms of diabetes and early signs of diabetes. To know about information about diabetes visit at onlymyhealth.
How Many People Have Been Killed by Guns Since Newtown?
Since the shootings at Sandy Hook Elementary in Newtown, Conn., on Dec. 14, we at Slate have been wondering how many people are dying from guns in America every day.
That information is surprisingly hard to come by. The Brady Center to Prevent Gun Violence, for example, has a tally atop its website of ?people shot in America.? That number, though, is an estimate, based on the number of gun injuries and deaths recorded by the CDC in 2008 and 2009, the most recent years for which statistics are available. It seems shocking that when guns are in the headlines every day, there?s no one attempting to create a real-time chronicle of the deaths attributable to guns in the United States.
Well, someone is. Since this summer, the anonymous creator of the Twitter feed @GunDeaths has been doing his best to compile those statistics, tweeting every reported death he can find. He was inspired, he told us in a phone interview, by the Aurora, Colo., shootings and simply wanted to call daily attention to the toll that guns take. Now Slate is partnering with @GunDeaths to create this interactive feature, ?Gun Deaths in America Since Newtown.?
Deaths since Newtown:
Age:
All
Adult
Teen
Child
Each victim under 13 years of age is designated "child"; from 13 to 17: "teen"; 18 and older: "adult."
Of course, this data is incomplete. Not all reports get caught by @GunDeaths? news alerts or his followers. Suicides, which are estimated to make up as much as 60 percent of gun deaths, typically go unreported. Nevertheless, we at Slate want to assemble this data as best we can.
And the more people who are paying attention, the better the data will be. You can help us draw a more complete picture of gun violence in America. If you know about a gun death in your community that isn?t represented here, please tweet @GunDeaths with a citation, and he?ll add it to his feed. (If you?re not on Twitter, you can email slatedata@gmail.com.) His data feeds our interactive feature.
And if you?d like to use this data yourself for your own projects, it?s open. You can download it here.
Hawaii Lt. Gov. Brian Schatz speaks the state Capitol in Honolulu on Wednesday, Dec. 26. 2012 after Gov. Neil Abercrombie, right, announced he was appointing Schatz to fill the seat vacated by the late U.S. Sen. Daniel Inouye. (AP Photo/Audrey McAvoy)
Hawaii Lt. Gov. Brian Schatz speaks the state Capitol in Honolulu on Wednesday, Dec. 26. 2012 after Gov. Neil Abercrombie, right, announced he was appointing Schatz to fill the seat vacated by the late U.S. Sen. Daniel Inouye. (AP Photo/Audrey McAvoy)
FILE- In this Nov. 3, 2010 file photo, a supporter congratulates then-Lt. governor-elect Brian Schatz, center, as his wife Linda looks on at the Neil Abercrombie-Brian Schatz Hawaii governor's post election party in Honolulu. Schatz was appointed by Gov. Neil Abercrombie Wednesday, Dec. 26, 2012 to succeed the late U.S. Sen. Daniel Inouye. (AP Photo/Eugene Tanner, File)
Hawaii Lt. Gov. Brian Schatz, left, shakes hands with Gov. Neil Abercrombie at the state Capitol in Honolulu on Wednesday, Dec. 26. 2012 after the governor announced he was appointing Schatz to fill the seat vacated by the late U.S. Sen. Daniel Inouye. (AP Photo/Audrey McAvoy)
HONOLULU (AP) ? Hawaii Lt. Gov. Brian Schatz on Wednesday was appointed the state's next U.S. senator, bucking the dying wishes of U.S. Sen. Daniel Inouye to win the support of Gov. Neil Abercrombie.
Schatz, a 40-year-old former nonprofit CEO who ran with Abercrombie for the state's top two offices in 2010, beat out U.S. Rep. Colleen Hanabusa and Esther Kiaaina, a deputy director in the state Department of Land and Natural Resources. The three candidates were selected by state Democrats earlier in the day.
Four days after eulogizing Inouye in the courtyard of the Hawaii Capitol, Abercrombie said he had to consider more than just Inouye's wishes in filling his seat.
"Of course Sen. Inouye's views and his wishes were taken into account fully, but the charge of the central committee, and by extension then myself as governor, was to act in the best interests of the party ... the state and the nation," Abercrombie said.
"The law makes explicitly clear, as do the rules of the Democratic Party, that while everyone's voice is heard and everyone's view is taken into account, nonetheless, no one and nothing is preordained."
Under state law, the successor had to come from the same party as the prior incumbent.
Inouye, by far Hawaii's most influential politician and one of the most respected lawmakers in Washington after serving five decades in the Senate, died last week of respiratory complications at the age of 88. He sent Abercrombie a hand-signed letter dated the day he died, saying he would like Hanabusa to succeed him, calling it his "last wish."
"While we are very disappointed that it was not honored, it was the governor's decision to make," Jennifer Sabas, Inouye's chief of staff, said in a statement. "We wish Brian Schatz the best of luck."
Inouye would be "very happy" with the choice, Hawaii Democratic Party chairman Dante Carpenter said. Schatz has less experience than some older politicians in the Senate but he will be building seniority, which is "critical" to the state of Hawaii, he said.
"In the words of Sen. Dan Inouye ? invoked more than once ? seniority in the United States Congress is everything," Carpenter said.
Selecting Hanabusa, 61, would have required a special election in Hawaii's 1st Congressional District. Last time that happened, Hanabusa lost to Republican Charles Djou because of a winner-take-all format that split votes between Democrats.
Abercrombie said the possibility of a special election was a factor, as well as Hanabusa's "key position" on the House Armed Services Committee. The governor said she was on her way toward establishing a senior position on that panel, and it's important for Hawaii ? with its four-member delegation ? to establish seniority in both chambers.
Schatz will serve until an election is held in 2014. He said he will run for re-election to try to keep the Senate seat until 2016 ? the end of Inouye's original term ? and would run again for Senate in 2016 if given the chance.
"I can assure you this: I will give every fiber of my being to doing a good job for the state of Hawaii," Schatz said at a news conference. "We have a long and perhaps difficult road ahead of us, but we can succeed if we work together. I understand the magnitude of this obligation and this honor, and I won't let you down."
Hanabusa congratulated Schatz in a statement.
"Having served as chair of the Hawaii Senate Judiciary Committee when the succession law was passed, I fully respect the process and the governor's right to appoint a successor," she said.
Senate Majority Leader Harry Reid had urged Abercrombie to name Inouye's successor before the end of the year. Schatz said he will leave Hawaii for Washington on Wednesday night and be prepared to be sworn in on Thursday. That would make him Hawaii's senior senator heading into the new Congress, which begins Jan. 3.
Sen. Daniel Akaka is retiring at the end of this Congress, after 22 years in the Senate. Democratic Rep. Mazie Hirono was elected in November to succeed him.
Schatz, 40, is a former state representative and a former chairman of the state Democratic Party. He also was a leader of President Barack Obama's campaign in Hawaii in 2008.
Even before winning the 2010 general election, Abercrombie expressed faith in Schatz, saying he would put him in charge of attracting more private and federal investment in Hawaii. Other responsibilities included leading the state's clean energy efforts and Asia-Pacific relations.
In making his case before the party's central committee earlier Wednesday, Schatz said that if he was appointed, he would strive to make serving in the Senate his life's work.
First in line to replace Schatz as lieutenant governor is Senate President Shan Tsutsui, who said he planned to discuss the prospect with his family before deciding.
___
Becky Bohrer can be reached on Twitter at http://twitter.com/bbohrerap .
___
Associated Press writer Audrey McAvoy contributed to this report.
Sales Message for the Holidays: A Time for Honesty and Reflection
Sales Message for the Holidays: A Time for Honesty and Reflection
Posted by Jill Perez on Wed, Dec 26, 2012 @ 07:00 AM
By John Holland, Chief Content Officer, CustomerCentric Selling? - The Sales Training Company
As another year comes to a close, many take the opportunity to review the events of the last 12 months before trying to anticipate what 2013 will bring. The business climate has and will continue to be a strange combination of hope and fear. Watching our politicians? awkward dance in approaching the ?financial cliff? can?t give businesses a warm feeling that consensus can be reached on a solid path forward. If by some strange series of events our politicians reach agreement, the health of the world economy looms. ? Adding to the uncertainty for sales organizations are the well-documented changes in buying behavior that the Internet and social networking have fueled. There seem to be far more evaluations initiated and controlled by mid to low level buyers than sales cycles. Along with that trend, transactions are more competitive as buyers identify all competitors in a given space and invite many of them to compete for their business. ? Most vendors are seeing a trend of shorter product cycles. The prospects for enjoying long-term competitive advantages are a distant memory. Vendors are having less success in developing offerings in a vacuum and bringing them to market hoping for acceptance. Purchases without strong cost vs. benefits will be difficult to get approved. ? The concept of being customer centric has more relevance that ever before. That said, merely saying an organizations is customer centric doesn?t make it so. Companies that want to get serious may want to take a hard look at the status of their current sales process. Do you continue to spend time and resources inundating your salespeople with product training that requires them to condense all that knowledge into coherent messages for the senior executives you want them to call on? When is the last time you looked at the sales ready messaging? that has been created to support sellers in calling on Key Players? ? Make a New Years resolution to leverage a valuable untapped resource: your client base. Choose titles that are involved in making buying decisions. Have sellers interview them by asking their opinions about the menus of goals you have created for each title. After reviewing them with the buyer, have sellers ask: ? 1. Are the goals valid in today?s environment? 2. What, if any goals are missing? 3. For each goal, can the buyer quantify what benefits they?ve realized? 4. What business challenges are they facing that your company may be able to develop offerings to address? ? One of the best ways to energize your salespeople to spread the word to prospects is by leveraging customer results. By doing these interviews you can have buyers realize what value they?ve achieved and update/enhance your library of Success Stories using measureable results. ? With all the uncertainties, one of the few variables you can control is the way your salespeople approach the marketplace. Leveraging results achieved by executives within your customer base is a great way to start buying cycles with prospects. Your prospects for 2013 will improve if you build pipeline by proactively approaching Key Players rather than waiting for inbound visitors to your Website. Make the way you approach prospects a competitive advantage. Need some help with your sales performance? Take a look at the sales training workshops available to you and improve sales performance.
Read more sales training articles from CustomerCentric Selling? - The Sales Training Company.
How to start your Day After on the BEST real estate foot-ing
Merry Christmas to All. ?Be Safe ? Enjoy the show showing 5 tips to being prepared in 2013 when it comes to buying a home.
We posted up a great article about if I only had 1 day to sell a home and if that day was Christmas.
How would you?
Top Tips for the Buyers in Real Estate:
Thanks for listening and reviewing our Santa Clarita radio show notes about First Time Buyer requests and needs.
Santa Clarita real estate and community events written about by Connor and Paris MacIvor with REMAX of Santa Clarita CA.? Turning to the most current real estate and housing market trends and news ? they release that information in the form of a Daily Santa Clarita real estate news update. They are also recognized authors on Google Plus and within the Santa Clarita real estate community.
Autopsy-based study examines prevalence of atherosclerosis among US service members
Autopsy-based study examines prevalence of atherosclerosis among US service membersPublic release date: 25-Dec-2012 [ | E-mail | Share ]
Contact: Sharon Willis sharon.willis@usuhs.edu 301-295-3578 JAMA and Archives Journals
Among deployed U.S. service members who died of combat or unintentional injuries between 2001-2011 and underwent autopsies, the prevalence of coronary atherosclerosis was 8.5 percent, with factors associated with a higher prevalence of the disease including older age, lower educational level and prior diagnoses of dyslipidemia, hypertension, and obesity, according to a study in the December 26 issue of JAMA.
"An early breakthrough in the understanding of the natural history of atherosclerotic heart disease was achieved in 1953, when Enos and colleagues at the Armed Forces Institute of Pathology reported a 77 percent prevalence of coronary atherosclerosis among U.S. soldiers killed in the Korean War. By demonstrating anatomically that atherosclerosis affected a large proportion of young individuals without clinical evidence of heart disease, their study revolutionized the understanding of the onset and progression of cardiovascular disease. A follow-up report in the Vietnam War era, along with a number of autopsy studies in the civilian population provided additional evidence that the onset of atherosclerosis may occur at an early age," according to background information in the article. Since the publication of these studies, health policies have been implemented to reduce the risk of cardiovascular disease associated with risk factors such as hypertension, diabetes, cholesterol, and smoking.
Bryant J. Webber, M.D., of the Uniformed Services University of the Health Sciences, Bethesda, Md., and colleagues conducted a study to assess the prevalence of atherosclerosis in the U.S. armed forces. The study included all U.S. service members who died of combat or unintentional injuries in support of Operations Enduring Freedom and Iraqi Freedom/New Dawn between October 2001 and August 2011 and whose cardiovascular autopsy reports were available at the time of data collection in January 2012. Prevalence of atherosclerosis was analyzed by various demographic characteristics and medical history. Classifications of coronary atherosclerosis severity were determined prior to data analysis and designed to provide consistency with previous military studies: minimal (fatty streaking only), moderate (10 percent - 49 percent luminal [interior of the vessel] narrowing of one or more vessels), and severe (50 percent or more narrowing of one or more vessels). Of the 3,832 service members included in the analysis, the average age was 26 years.
The overall prevalence of coronary or aortic atherosclerosis was 12.1 percent. The prevalence of any coronary atherosclerosis was 8.5 percent; severe coronary atherosclerosis was present in 2.3 percent, moderate in 4.7 percent, and minimal in 1.5 percent. The researchers found that age consistently produced the strongest association with prevalent atherosclerosis. Service members with atherosclerosis (average age, 30.5) were approximately 5 years older than those without; those 40 years of age and older had about 7 times the prevalence of disease as compared with those 24 years of age and younger (45.9 percent vs. 6.6 percent)
Lower education level and higher military entrance body mass index (BMI) were significantly associated with prevalent atherosclerosis, after adjusting for age. As compared with those who completed high school or less, those who completed at least some college had lower prevalence of disease. As compared with those with a normal BMI on military entrance, those with a BMI in the overweight or obese range had a significantly higher prevalence of atherosclerosis
The authors also found that age-adjusted atherosclerosis prevalence was associated with several diagnoses. As compared with those with no major cardiovascular risk factor diagnoses, those with a diagnosis of dyslipidemia (50.0 percent vs. 11.1 percent), hypertension (43.6 percent vs. 11.1 percent), or obesity (22.3 percent vs. 11.1 percent) had a significantly higher prevalence of atherosclerosis.
The researchers note that the prevalence rates found in this study demonstrate a decline from the rates of 77 percent noted in the Korean War and 45 percent in the Vietnam War, but add that targets for further improvement remain.
"Military and civilian health care systems should continue to help patients reduce their cardiovascular risk factors, beginning in childhood and continuing throughout adult life. Despite remarkable progress in prevention and treatment, cardiovascular disease remains the leading cause of death in the United States and other developed nations, and even small improvements in the prevalence of smoking and other risk factors may reduce death rates further and prolong healthy lives."
(JAMA. 2012;308(24):2577-2583; Available pre-embargo to the media at http://media.jamanetwork.com)
Editor's Note: This study was supported by the Uniformed Services University of the Health Sciences, Armed Forces Medical Examiner System, and Armed Forces Health Surveillance Center. All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.
Please Note: For this study, there will be multimedia content available, including the JAMA Report video, embedded and downloadable video, audio files, text, documents, and related links. This content will be available at 3 p.m. CT Tuesday, December 25 at this link.
Editorial: Combating the Epidemic of Heart Disease
Daniel Levy, M.D., of the National Heart, Lung, and Blood Institute, Bethesda, Md., comments on the findings of this study in an accompanying editorial.
"Autopsy studies have demonstrated that coronary disease begins at a young age. Consequently, primary prevention campaigns to address obesity and related risks should begin in childhood. Declines in cardiovascular disease risk factors have almost certainly contributed to the observed reductions in prevalence of subclinical atherosclerosis, incidence of clinical atherosclerotic disease, and deaths from heart disease. Although age-adjusted heart disease death rates have declined by 72 percent since their peak during the Vietnam War years, cardiovascular disease remains the leading cause of death in the United States. The national battle against heart disease is not over; increasing rates of obesity and diabetes signal a need to engage earlier and with greater intensity in a campaign of pre-emption and prevention.
(JAMA. 2012;308(24):2624-2625; Available pre-embargo to the media at http://media.jamanetwork.com)
Editor's Note: The author has completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.
###
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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.
Autopsy-based study examines prevalence of atherosclerosis among US service membersPublic release date: 25-Dec-2012 [ | E-mail | Share ]
Contact: Sharon Willis sharon.willis@usuhs.edu 301-295-3578 JAMA and Archives Journals
Among deployed U.S. service members who died of combat or unintentional injuries between 2001-2011 and underwent autopsies, the prevalence of coronary atherosclerosis was 8.5 percent, with factors associated with a higher prevalence of the disease including older age, lower educational level and prior diagnoses of dyslipidemia, hypertension, and obesity, according to a study in the December 26 issue of JAMA.
"An early breakthrough in the understanding of the natural history of atherosclerotic heart disease was achieved in 1953, when Enos and colleagues at the Armed Forces Institute of Pathology reported a 77 percent prevalence of coronary atherosclerosis among U.S. soldiers killed in the Korean War. By demonstrating anatomically that atherosclerosis affected a large proportion of young individuals without clinical evidence of heart disease, their study revolutionized the understanding of the onset and progression of cardiovascular disease. A follow-up report in the Vietnam War era, along with a number of autopsy studies in the civilian population provided additional evidence that the onset of atherosclerosis may occur at an early age," according to background information in the article. Since the publication of these studies, health policies have been implemented to reduce the risk of cardiovascular disease associated with risk factors such as hypertension, diabetes, cholesterol, and smoking.
Bryant J. Webber, M.D., of the Uniformed Services University of the Health Sciences, Bethesda, Md., and colleagues conducted a study to assess the prevalence of atherosclerosis in the U.S. armed forces. The study included all U.S. service members who died of combat or unintentional injuries in support of Operations Enduring Freedom and Iraqi Freedom/New Dawn between October 2001 and August 2011 and whose cardiovascular autopsy reports were available at the time of data collection in January 2012. Prevalence of atherosclerosis was analyzed by various demographic characteristics and medical history. Classifications of coronary atherosclerosis severity were determined prior to data analysis and designed to provide consistency with previous military studies: minimal (fatty streaking only), moderate (10 percent - 49 percent luminal [interior of the vessel] narrowing of one or more vessels), and severe (50 percent or more narrowing of one or more vessels). Of the 3,832 service members included in the analysis, the average age was 26 years.
The overall prevalence of coronary or aortic atherosclerosis was 12.1 percent. The prevalence of any coronary atherosclerosis was 8.5 percent; severe coronary atherosclerosis was present in 2.3 percent, moderate in 4.7 percent, and minimal in 1.5 percent. The researchers found that age consistently produced the strongest association with prevalent atherosclerosis. Service members with atherosclerosis (average age, 30.5) were approximately 5 years older than those without; those 40 years of age and older had about 7 times the prevalence of disease as compared with those 24 years of age and younger (45.9 percent vs. 6.6 percent)
Lower education level and higher military entrance body mass index (BMI) were significantly associated with prevalent atherosclerosis, after adjusting for age. As compared with those who completed high school or less, those who completed at least some college had lower prevalence of disease. As compared with those with a normal BMI on military entrance, those with a BMI in the overweight or obese range had a significantly higher prevalence of atherosclerosis
The authors also found that age-adjusted atherosclerosis prevalence was associated with several diagnoses. As compared with those with no major cardiovascular risk factor diagnoses, those with a diagnosis of dyslipidemia (50.0 percent vs. 11.1 percent), hypertension (43.6 percent vs. 11.1 percent), or obesity (22.3 percent vs. 11.1 percent) had a significantly higher prevalence of atherosclerosis.
The researchers note that the prevalence rates found in this study demonstrate a decline from the rates of 77 percent noted in the Korean War and 45 percent in the Vietnam War, but add that targets for further improvement remain.
"Military and civilian health care systems should continue to help patients reduce their cardiovascular risk factors, beginning in childhood and continuing throughout adult life. Despite remarkable progress in prevention and treatment, cardiovascular disease remains the leading cause of death in the United States and other developed nations, and even small improvements in the prevalence of smoking and other risk factors may reduce death rates further and prolong healthy lives."
(JAMA. 2012;308(24):2577-2583; Available pre-embargo to the media at http://media.jamanetwork.com)
Editor's Note: This study was supported by the Uniformed Services University of the Health Sciences, Armed Forces Medical Examiner System, and Armed Forces Health Surveillance Center. All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.
Please Note: For this study, there will be multimedia content available, including the JAMA Report video, embedded and downloadable video, audio files, text, documents, and related links. This content will be available at 3 p.m. CT Tuesday, December 25 at this link.
Editorial: Combating the Epidemic of Heart Disease
Daniel Levy, M.D., of the National Heart, Lung, and Blood Institute, Bethesda, Md., comments on the findings of this study in an accompanying editorial.
"Autopsy studies have demonstrated that coronary disease begins at a young age. Consequently, primary prevention campaigns to address obesity and related risks should begin in childhood. Declines in cardiovascular disease risk factors have almost certainly contributed to the observed reductions in prevalence of subclinical atherosclerosis, incidence of clinical atherosclerotic disease, and deaths from heart disease. Although age-adjusted heart disease death rates have declined by 72 percent since their peak during the Vietnam War years, cardiovascular disease remains the leading cause of death in the United States. The national battle against heart disease is not over; increasing rates of obesity and diabetes signal a need to engage earlier and with greater intensity in a campaign of pre-emption and prevention.
(JAMA. 2012;308(24):2624-2625; Available pre-embargo to the media at http://media.jamanetwork.com)
Editor's Note: The author has completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.
###
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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.