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Sunday, January 29, 2012

911 call reveals frantic efforts to help Moore

Demi Moore arrives at Variety's 3rd Annual Power of Women Luncheon in Beverly Hills, Calif., in this Sept. 23, 2011 photo. A 911 recording released Friday Jan. 27, 2012 by Los Angeles fire officials revealed frantic efforts by friends of Demi Moore to get help for the actress who was convulsing as they gathered around her and tried to comfort her. Moore was "semi-conscious, barely," according to a female caller on the recording. (AP Photo/Matt Sayles)

LOS ANGELES (AP) ? A 911 recording revealed frantic efforts by friends of Demi Moore to get help for the actress who was convulsing as they gathered around her and tried to comfort her.

Moore was "semi-conscious, barely," according to a female caller on the recording released Friday by Los Angeles fire officials.

The woman tells emergency operators that Moore, 49, had smoked something before she was rushed to the hospital on Monday night and that she had been "having issues lately."

"Is she breathing normal?" the operator asks.

"No, not so normal. More kind of shaking, convulsing, burning up," the friend says as she hurries to Moore's side, on the edge of panic.

Another woman is next to Moore as the dispatcher asks if she's responsive.

"Demi, can you hear me?" she asks. "Yes, she's squeezing hands. ... She can't speak."

When the operator asks what Moore ingested or smoked, the friend replies, but the answer was redacted.

Asked if Moore took the substance intentionally or not, the woman says Moore ingested it on purpose but the reaction was accidental.

"Whatever she took, make sure you have it out for the paramedics," the operator says.

The operator asks the friend if this has happened before.

"I don't know," she says. "There's been some stuff recently that we're all just finding out."

Moore's publicist, Carrie Gordon, said previously that the actress sought professional help to treat her exhaustion and improve her health. She would not comment further on the emergency call or provide details about the nature or location of Moore's treatment.

The past few months have been rocky for Moore.

She released a statement in November announcing she had decided to end her marriage to fellow actor Ashton Kutcher, 33, following news of alleged infidelity. The two were known to publicly share their affection for one another via Twitter.

Moore still has a Twitter account under the name mrskutcher but has not posted any messages since Jan. 7.

Meanwhile, Millennium Films announced Friday that Sarah Jessica Parker will replace Moore in the role of feminist Gloria Steinem in its production of "Lovelace," a biopic about the late porn star Linda Lovelace. A statement gave no reason for the change. The production, starring Amanda Seyfried, has been shooting in Los Angeles since Dec. 20.

During the call, the woman caller says the group of friends had turned Moore's head to the side and was holding her down. The dispatcher tells her not to hold her down but to wipe her mouth and nose and watch her closely until paramedics arrive.

"Make sure that we keep an airway open," the dispatcher says. "Even if she passes out completely, that's OK. Stay right with her."

The phone is passed around by four people, including a woman who gives directions to the gate and another who recounts details about what Moore smoked or ingested. Finally, the phone is given to a man named James, so one of the women can hold Moore's head.

There was some confusion at the beginning of the call. The emergency response was delayed by nearly two minutes as Los Angeles and Beverly Hills dispatchers sorted out which city had jurisdiction over the street where Moore lives.

As the call is transferred to Beverly Hills, the frantic woman at Moore's house raises her voice and said, "Why is an ambulance not on its way right now?"

"Ma'am, instead of arguing with me why an ambulance is not on the way, can you spell (the street name) for me?" the Beverly Hills dispatcher says.

Although the estate is located in the 90210 ZIP code above Benedict Canyon, the response was eventually handled by the Los Angeles Fire Department.

By the end of the call, Moore has improved.

"She seems to have calmed down now. She's speaking," the male caller told the operator.

Moore and Kutcher were wed in September 2005.

Kutcher became a stepfather to Moore's three daughters ? Rumer, Scout and Tallulah Belle ? from her 13-year marriage to actor Bruce Willis. Moore and Willis divorced in 2000 but remained friendly.

Moore can be seen on screen in the recent films "Margin Call" and "Another Happy Day." Kutcher replaced Charlie Sheen on TV's "Two and a Half Men" and is part of the ensemble film "New Year's Eve."

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/3d281c11a96b4ad082fe88aa0db04305/Article_2012-01-28-People-Demi%20Moore/id-f8df779117d14f14be66bbb28d422eaa

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Saturday, January 28, 2012

Test Might Predict Risk of Lung Cancer's Return (HealthDay)

THURSDAY, Jan. 26 (HealthDay News) -- A new industry-funded study suggests that a molecular test can provide insight into whether patients are at high risk of a relapse after surgical treatment for a form of lung cancer.

The test, which is currently available, could help doctors decide whether the patients should undergo chemotherapy to prevent the cancer from returning.

There are caveats: The test is expensive, and researchers don't yet know whether patients determined to be at high risk will live longer if they undergo chemotherapy.

Still, "this may be one of the very first examples of where we understood enough about the molecular biology of a cancer to truly personalize the treatment of patients and actually improve the cure rate for that cancer," said study co-author Dr. Michael Mann, an associate professor of surgery at the University of California, San Francisco.

At issue is non-small-cell lung cancer, by far the most common kind of lung cancer. Even if tumors are diagnosed early and removed, the cancer will spread and kill 35 percent to 50 percent of patients.

In these cases, "even when the tumor is small and they got it all, microscopic disease has spread around the body," said Dr. John Minna, co-author of a commentary accompanying the study. He is a cancer researcher and professor of medicine at the University of Texas Southwestern Medical Center in Dallas.

Scientists are trying to find a way to predict what will happen to patients after surgery so they can figure out if chemotherapy treatment is a good idea.

In the new study, researchers gave the molecular test to 433 lung cancer patients in California and 1,006 patients in China. The researchers found that the test helped them to predict the likelihood that patients would survive for five years.

Conceivably, physicians could adjust the treatment of patients after surgery to coincide with the risk of a recurrence of their cancer. For now, though, that's not proven. The research "doesn't tell you that if you had a bad prognosis and you were treated with chemotherapy, then you'd do better," Minna said.

Still, information about the risks faced by a patient could help doctors make choices about treatments, said Minna, who called the test "promising."

Study co-author Mann agreed: "There may be an important conversation that you can have with your oncologist about potential benefit from additional therapy to reduce the likelihood of the cancer coming back."

Mann said the test -- which is currently available -- could cost several thousand dollars. Minna, the commentary co-author, said any cost over a few hundred dollars could be an issue for insurors.

The research was funded by the firm that developed the molecular test, and several of the study authors serve as consultants to the firm.

The study appears in the Jan. 27 online issue of The Lancet.

More information

For more about lung cancer, try the U.S. National Library of Medicine.

Source: http://us.rd.yahoo.com/dailynews/rss/health/*http%3A//news.yahoo.com/s/hsn/20120127/hl_hsn/testmightpredictriskoflungcancersreturn

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Video: Santelli on Inflation

Discussing the recent durable goods data and capital expenditures data and what it is signifying for the economy, with James Bianco, Bianco Research president and CNBC's Rick Santelli.

Friday, January 27, 2012

Clarknt67: Newark Mayor @CoryBooker delivers a heroic, spontaneous case for #MarriageEquality in #NJ. Well done, sir. #LGBT http://t.co/c1l4QTVE

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Newark Mayor @CoryBooker delivers a heroic, spontaneous case for #MarriageEquality in #NJ. Well done, sir. #LGBT dailykos.com/story/2012/01/? Il y a environ 4 heures via Twitter for iPhone from Baltimore, MD??

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Thursday, January 26, 2012

CT scans for dizziness in the ER: Worth the cost?

Public release date: 26-Jan-2012
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Contact: Krista Hopson
khopson1@hfhs.org
313-874-7207
Henry Ford Health System

DETROIT Performing CT scans in the emergency department for patients experiencing dizziness may not be worth the expense an important finding from Henry Ford Hospital researchers as hospitals across the country look for ways to cut costs without sacrificing patient care.

According to the Henry Ford study, less than 1 percent of the CT scans performed in the emergency department revealed a more serious underlying cause for dizziness intracranial bleeding or stroke that required intervention.

The findings suggest that it may be more cost effective for hospitals to instead implement stricter guidelines for ordering in-emergency department CT scans of the brain and head for patients experiencing dizziness.

"When a patient comes into the emergency department experiencing dizziness, a physician's first line of defense is often to order a CT scan to rule out more serious medical conditions. But in our experience it is extremely rare that brain and head imagining yields significant results," says study author Syed F. Ahsan, M.D., a neuro-otologist in the Department of Otolaryngology-Head & Neck Surgery at Henry Ford.

"It is our hope that our investigation into our own practices will shed light on avenues to run leaner practices within our institution, as well as serve as a model for other health systems."

The study will be presented Jan. 26 in Miami Beach at the annual Triological Society's Combined Sections Meeting.

The Henry Ford study was a retrospective review of 1,681 patients with dizziness or vertigo who came into a Detroit metropolitan emergency department between January 2008 and January 2011.

Of those patients, nearly half (810 patients) received a CT scan of the brain and head, but only 0.74 percent of those scans yielded clinically significant results that required intervention. In all, the total cost for the CT scans during the three-year period was $988,200.

The analysis also revealed that older patients and those with a lower income were more likely to receive a CT scan for dizziness when they came into the emergency department.

While dizziness may signal intracranial bleeding or stroke, it is more likely that the cause is due to dehydration, anemia, a drop in blood pressure with standing (orthostatic hypotension), problems or inflammation in the inner ear such as benign paroxysmal postional vertigo, labyrinthitis or meniere's disease, or vestibular neuritis.

And, Dr. Ahsan notes, in previous studies it has been well documented that CT scans are not very effective in detecting stroke or intracranial bleeding in the acute (emergency room) setting.

Ultimately, the study shows that there is potential for cost savings by creating and implementing stronger guidelines to determine when it is medically necessary for patients with dizziness to undergo CT imaging in the emergency department.
###

Funding: Henry Ford Hospital

Along with Dr. Ahsan, Henry Ford study co-authors are Mausumi N. Syamal, M.D., and Kathleen Yaremchuk, M.D.

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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.

CT scans for dizziness in the ER: Worth the cost? Public release date: 26-Jan-2012
[ | E-mail | Share ]
Contact: Krista Hopson
khopson1@hfhs.org
313-874-7207
Henry Ford Health System

DETROIT Performing CT scans in the emergency department for patients experiencing dizziness may not be worth the expense an important finding from Henry Ford Hospital researchers as hospitals across the country look for ways to cut costs without sacrificing patient care.

According to the Henry Ford study, less than 1 percent of the CT scans performed in the emergency department revealed a more serious underlying cause for dizziness intracranial bleeding or stroke that required intervention.

The findings suggest that it may be more cost effective for hospitals to instead implement stricter guidelines for ordering in-emergency department CT scans of the brain and head for patients experiencing dizziness.

"When a patient comes into the emergency department experiencing dizziness, a physician's first line of defense is often to order a CT scan to rule out more serious medical conditions. But in our experience it is extremely rare that brain and head imagining yields significant results," says study author Syed F. Ahsan, M.D., a neuro-otologist in the Department of Otolaryngology-Head & Neck Surgery at Henry Ford.

"It is our hope that our investigation into our own practices will shed light on avenues to run leaner practices within our institution, as well as serve as a model for other health systems."

The study will be presented Jan. 26 in Miami Beach at the annual Triological Society's Combined Sections Meeting.

The Henry Ford study was a retrospective review of 1,681 patients with dizziness or vertigo who came into a Detroit metropolitan emergency department between January 2008 and January 2011.

Of those patients, nearly half (810 patients) received a CT scan of the brain and head, but only 0.74 percent of those scans yielded clinically significant results that required intervention. In all, the total cost for the CT scans during the three-year period was $988,200.

The analysis also revealed that older patients and those with a lower income were more likely to receive a CT scan for dizziness when they came into the emergency department.

While dizziness may signal intracranial bleeding or stroke, it is more likely that the cause is due to dehydration, anemia, a drop in blood pressure with standing (orthostatic hypotension), problems or inflammation in the inner ear such as benign paroxysmal postional vertigo, labyrinthitis or meniere's disease, or vestibular neuritis.

And, Dr. Ahsan notes, in previous studies it has been well documented that CT scans are not very effective in detecting stroke or intracranial bleeding in the acute (emergency room) setting.

Ultimately, the study shows that there is potential for cost savings by creating and implementing stronger guidelines to determine when it is medically necessary for patients with dizziness to undergo CT imaging in the emergency department.
###

Funding: Henry Ford Hospital

Along with Dr. Ahsan, Henry Ford study co-authors are Mausumi N. Syamal, M.D., and Kathleen Yaremchuk, M.D.

[ | E-mail | 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/2012-01/hfhs-csf012612.php
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Hank Koebler: No Answers, Just Cancer -- Paterno's Death Leaves a Confusing Picture

Joe Paterno leaves behind one of the most incredibly complex legacies in the history of sports.

His tenure at Penn State University was legendary, both for its duration and for its success. Paterno turned Penn State into one of the most recognizable college football powerhouses of all time, and did so while graduating an unbelievable 87 percent of his players.

A darker side to Paterno's legacy will be remembered as well. His failure to do more than he did in the face of sexual abuse allegations against former defensive coordinator Jerry Sandusky cannot be forgotten. Whether or not he fulfilled his legal obligations, he was one of many people -- and the most powerful of those people -- who could have gone further to get to the bottom of horrific accusations that transcend football.

Such is the duality of Paterno's legacy. Media and fans paint pictures in broad strokes of black and white, but Paterno's picture is colored in inscrutable shades of grey. Ignoring Paterno's contributions to Penn State would be shortsighted. Athletic programs are the ultimate form of creating brand recognition for universities. A top-notch football or basketball program attracts more publicity (and more donations from rich alumni) than a top-notch physics or performing arts program does. As a result, athletic success does tend to improve a college, which economically boosts the entire community around the college. Nothing can change the impact Paterno had on Penn State through his success as a football coach.

Nothing can change the impact of Paterno's inactions either. Forget about quibbling over whether meeting legal obligations is the same as meeting moral obligations. At some point, Paterno made either a conscious or unconscious decision that he had done enough with graduate assistant Mike McQueary's shocking claim of walking in on Sandusky raping a young boy in Penn State's locker room showers. When the situation is reframed in terms of "how would you feel if it were your child allegedly being raped by Sandusky in Penn State's showers?", even the most diehard Penn State fans would have a hard time saying Paterno did enough.

The human mind will struggle massively to put both sides of Paterno in perspective. He will be remembered by some as JoePa, the warmhearted football coach who was a fixture of "Happy Valley" for decades, and by others as JoeFraud, the supposed exemplar of morals who looked the other way in the light of horrendous allegations and was so caught up in the myth of his own legacy that he led "We Are... Penn State!" chants on his lawn after the accusations came to light.

Seeing only one of Paterno's two sides, or seeing one as much larger or more important than the other, is willful ignorance. Paterno, despite the legendary career and disgraceful downfall, was human like the rest of us. Both the good and the bad side of Paterno are part of who he was. Because the two sides of Paterno's legacy contrast so strongly with each other, they are nearly impossible to put in context of each other.

I lack the moral authority to tell you what to think of Paterno, and I lack the emotional maturity to process the dual sides of Paterno's legacy and tell you what I think about it. All I can add to the conversation is a request for those discussing the Paterno situation to frame it in realistic terms and keep from resorting to hyperbole.

Regardless of your opinions on Paterno, please do intelligent discourse a favor and don't echo the "broken heart" mantra that several media personalities and former Penn State players have been repeating since Paterno's death. Paterno supporters blaming the Board of Trustees' firing or the media's coverage of Paterno's death are just as incorrect as Paterno critics who say he got what he deserved as karma for his complicity in the Sandusky scandal.

A broken heart didn't kill Joe Paterno. Cancer did. Cancer cells don't care how much you loved your job, and they don't care whether or not you did enough to stop an alleged monster from hurting children. Paterno died because malignant cells multiplied in his body at a rate chemotherapy and other treatments simply could not stop. That's all there is to it.

The Sandusky scandal contrasts starkly against what was previously thought to be known about Paterno. The juxtaposition has created a mountain of perplexing questions about what to think of Paterno's life, so it is only natural to look for answers in Paterno's death. In this case, though, answers and closure are nowhere to be found. Sometimes there are deeper meanings to events, but other times there is nothing but a cold and harsh reality.

That's life.

Follow Hank Koebler on Twitter: www.twitter.com/HankKoebler

Source: http://www.huffingtonpost.com/hank-koebler/no-answers-just-cancer-pa_b_1230095.html

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Wednesday, January 25, 2012

Dyslexia's Brain Changes May Occur Before Kids Learn to Read (HealthDay)

MONDAY, Jan. 23 (HealthDay News) -- New imaging research shows that the reduced brain activity associated with the onset of dyslexia appears to develop before, not after, a child starts to read.

Key parts of the brain's rear left hemisphere critical to language processing do not undergo activity changes as a consequence of dyslexia, the study suggests, but may instead be part of the cause.

The finding could ultimately help clinicians screen for at-risk children at an early pre-reading age, when interventions to reduce the severity of the condition might be most effective.

"We already knew that children and adults with a diagnosis of dyslexia show brain alterations within the left posterior -- back -- part of the brain," said study co-author Nadine Gaab, an assistant professor of pediatrics in the neuroscience program at Harvard Medical School and Children's Hospital Boston. "However, it was unclear whether these alterations are a result of dyslexia [that] show up after years of reading failure or whether they predate the reading onset," she noted.

"[Here] we could show that they predate reading onset," Gaab said. "This suggests that children are either born with it or that it develops within the first few years of life."

The study, published in the Jan. 23 issue of the Proceedings of the National Academy of Sciences, focused on 36 healthy kindergarteners aged 5 and 6 years who had not begun to read.

Half of the children were at a high risk for developing dyslexia, as at least one of their immediate family members had been previously diagnosed with the disability. None of the children had difficulty with hearing or vision, and none had a history of either neurological or psychological illness.

After completing standard pre-reading language and vocabulary skills assessments, all of the children participated in a couple of audio-identification tasks. First, they were asked to listen to a male or female voice uttering a single word twice and then indicate if the two words sounded the same. Next, they listened to a pairing of words and were asked to indicate if the gender of the voice uttering each successive word was the same.

Throughout the testing, the children also underwent functional MRI (fMRI) to monitor their brain activity, with particular focus on two regions of the rear, left brain: the bilateral occipitotemporal and left temporoparietal areas. Both have previously been shown to have a role in dyslexia.

The results: Children in the at-risk group were found to have reduced brain activity in the two key brain areas, compared to their peers with similar age and IQ who did not have family risk factors.

In addition, the research team found that among at-risk pre-reading children there was no evidence of activity increases in key frontal lobe brain regions previously linked to dyslexia. This, they said, suggested that the brain's method for trying to compensate for the problems associated with dyslexia does not appear to be set in motion until after children begin to read.

"Early identification of children at risk in kindergarten or even before then offers a chance to reduce the clinical, psychological and social implications of reading disability/dyslexia," Gaab said. "Identifying early predictors will also help educators, parents and scientists to find ways to support the academic and cognitive development of children with reading disability/dyslexia and may also lead to strategies that will reduce the severity of reading disability."

Guinevere Eden, director of the Center for the Study of Learning and a professor of pediatrics at Georgetown University in Washington, D.C., expressed enthusiasm for what she deemed to be "the first study of its kind."

"The question has always been, are these physiological changes the result of dyslexia or are they there to begin with?" said Eden, who is also the immediate past-president of the International Dyslexia Association.

"And so what's interesting about this study, is that by using non-invasive tools, they were able to find that the kind of differences that have been shown in older people with dyslexia are apparently already present in children at risk for dyslexia before they even begin to read," Eden said.

"And that means they have found a physiological signature for a child who is likely at risk for dyslexia, which will be of great help in doing what everyone really wants to do: identifying and treating children with dyslexia as early as possible," Eden added.

More information

Visit the U.S. National Library of Medicine for more on dyslexia.

Source: http://us.rd.yahoo.com/dailynews/rss/parenting/*http%3A//news.yahoo.com/s/hsn/20120123/hl_hsn/dyslexiasbrainchangesmayoccurbeforekidslearntoread

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