Saturday, February 2, 2013

Arabs, Tuaregs in Mali face hostility amid war

MOPTI, Mali (AP) ? Bawba Mint Baba Ahmed's sewing teacher singled her out in front of the class, telling her: "You look like a rebel." Others threatened to slit her throat, she says, drawing a finger across her neck.

Now the 29-year-old has dropped out of school and spends her days hiding inside her mud-walled home with her mother and two sisters, fearing retaliation from those who accuse her of being an Islamist simply because she is Arab.

"We are truly afraid," she says, tugging at the azure-colored scarf that covers her head and hides her light skin as she sat cross-legged in the shade on a woven mat. "They say 'You're the same color as the ones who have attacked us.'"

As the French and Malian forces oust al-Qaida-linked militants from the towns of Gao, Timbuktu and Kidal, ethnic tensions exacerbated by months of political upheaval are putting Mali's minorities in danger.

Most members of the Islamic groups that took over last year are from Tuareg and Arab ethnic groups. Northerners living in the central and southern parts of Mali say they have faced discrimination and fear of reprisals by those who blame the country's problems on anyone who looks Tuareg or Arab.

Less than 15 percent of Mali's population of some 16 million are Tuareg or Arab, and the vast majority live across northern Mali.

Activists also fear that as tens of thousands return home to the north, there may be more such attacks against those suspected of links to Ansar Dine or NMLA ? a secular Tuareg rebel group.

"Given its history and this high level of ethnic tension, we're really concerned that as local populations who suffered tremendously under the NMLA and the Islamists return to their towns and villages in the north that the incidents of reprisals could dramatically increase," said Corinne Dufka, a senior researcher with Human Rights Watch.

Already in the town of Gao, she said, there have reports that people have targeted the homes of individuals who either housed Islamist fighters or are accused of collaborating with them, notably Arab traders.

And in the market of Timbuktu, over a dozen shops owned by the city's Arab population have been gutted, pillaged by the population because the town's Arab citizens were suspected of having been allied with the Islamists.

Malian military forces are also facing accusations of targeting Tuaregs and Arabs especially in the last month.

International human rights group have expressed concerns about soldiers attacking civilians, including violence directed toward Tuaregs and those suspected of links to the Islamists. One witness told The Associated Press last month that he saw soldiers kill three men in Sevare, including an older man with a beard who had been reading the Quran at a bus stop.

The country's current chaos began a year ago when Tuaregs from the north who have long sought autonomy launched another rebellion.

Backlash against Tuaregs and other light-skinned northerners soon began, and only intensified after radical Islamists took advantage of the chaos to seize northern Mali and implement a harsh version of Islamic law known as Shariah.

While most of Mali's Arab community lives in the north, the family of Bawba Ahmed, the woman who dropped out of her class, has lived in the central town of Mopti since 1963 ? almost as long as Mali has been an independent nation.

Last year, Bawba fled to neighboring Burkina Faso with her mother and sisters 21-year-old Aguida and 33-year-old Mounaicha out of concern for their safety in Mopti.

They rented an apartment there for about a month, but decided to come back as money ran low and those in Mopti reassured them things were getting better back home.

Now they rarely venture outside, fearing attacks from unruly Malian soldiers patrolling the area or neighbors who view them with suspicion.

"There are certain neighbors who are kind and have protected us and others who have not," says Fatouma Arby, the 72-year-old matriarch of the family, dressed in a black robe and headscarf.

The four unmarried women survive off only their small herd of livestock ? including two sheep tied to trees out front and a pile of baby goats sleeping in the shade that they can sell one by one for cash.

"I just want people to know I have nothing to do with the Islamists," Bawba says softly as her sister Aguida prepares tea. "I just want to live in peace."

Source: http://news.yahoo.com/arabs-tuaregs-mali-face-hostility-amid-war-143551441.html

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22 veterans commit suicide each day: VA report

By Bill Briggs, NBC News contributor

An estimated 22 veterans committed suicide in America each day in 2010, according to a report released Friday by the U.S Department of Veterans Affairs.

That rate has edged higher from 1999 when an estimated 20 veterans took their lives every day, the report noted. In 2007, the veteran suicide pace temporarily dipped to 18 per day.?

Nearly 70 percent of all veteran suicides were among men and women aged 50 or older, the VA said.

"The mental health and well-being of our courageous men and women who have served the nation is the highest priority for VA, and even one suicide is one too many,? VA Secretary Eric K. Shinseki said in a news release. ?We have more work to do and we will use this data to continue to strengthen our suicide prevention efforts and ensure all Veterans receive the care they have earned and deserve.?


The report notes that while the numbers of veterans who die by suicide each day "has remained relatively stable over the past 12 years," the overall percentage of people who die by suicide in America who are veterans has decreased slightly. The share of all suicides reported as "veterans" on state-issued death certificates was 25 percent in 1999 versus slightly more than 20 percent in 2010, according to VA researchers.?

"This provides preliminary evidence that the programs initiated by VA are improving outcomes," read an accompanying "executive summary" signed by Dr. Robert A. Petzel, the VA's under secretary for health. "As long as veterans die by suicide, we must continue to improve and provide even better services and care."

Also Friday, the U.S. Army released its monthly suicide report, offering a preliminary tally for 2012 in that branch: 325 "potential" suicides among active and reserve troops ? the highest number in history, Army officials noted. More than 50 of those deaths remain "under investigation," awaiting a final ruling. If that bleak total remains at 325, the toll in 2012 would have risen by 15 percent over 2011 when the Army sustained 283 suicides.?

Meanwhile, Iraq and Afghanistan Veterans of America, a nonprofit advocacy group representing more than 200,000 members, said the nation should be "outraged" by rate of veterans who are taking their own lives ? nearly one per hour.?

?This VA suicide report is the most important piece of data to be released since 2007,? said IAVA founder and CEO Paul Rieckhoff. ?Our leaders in Washington need to accelerate efforts to shrink wait times for mental health care and find more creative solutions like the Veteran Crisis Line" ??800-273-TALK.?

"The country should be outraged that we are allowing this tragedy to continue?The trends are headed in the wrong direction,? Rieckhoff added. ?As veterans, we at IAVA understand the spectrum of challenges facing veterans transitioning home, including the struggle with invisible wounds. One thing is clear, we need more research and more collaboration.?

VA leaders vowed "immediate actions" to curb the suicide rate among former service members. The top strategy on the agency's list: A task force ? already established ? that will "provide recommendations for innovating mental health care" within the VA system," VA officials said.?

That panel also has been tasked with "reassessing the value of traditional suicide risk assessments at screening" and "adding ways to identify life stressors and concerns earlier," read Petzel's summary.?

Friday's report also identified female veterans and Vietnam-era veterans as two demographic groups that require extra urgency when it comes to suicidal behaviors. VA officials said they will be developing "additional training programs" to help better target those segments of the U.S. veteran population.?

The veteran-suicide statistics are likely to become a topic on Feb. 13 when the U.S. House Committee on Veterans' Affairs holds a hearing to explore whether veterans are "overcoming barriers to quality mental health care."?

Related:?

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Source: http://usnews.nbcnews.com/_news/2013/02/01/16811249-22-veterans-commit-suicide-each-day-va-report?lite

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Friday, February 1, 2013

Gotta go?! It may not be the 'pause | FlashFree : Not Your Mama's ...

Posted by Liz on Feb 1, 2013 in Uncategorized, urinary incontinence/stress incontinence/overactive bladder |

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Urinary incontinence, that is, involuntary leakage of urine, affects up to 30% of women in the United States and is expected to grow exponentially as the population ages. Usually classified by type, it can be devastating to quality of life and overall wellbeing. The three main types include:

  • Stress urinary incontinence (stress incontinence), i.e. involuntary loss of urine caused by physical stress (coughing, lifting, heavy activity) and is often related to the weakening of the pelvic floor muscles after pregnancy.
  • Overactive bladder (urge urinary incontinence), that is characterized by an urgent and mostly unavoidable need to urinate relating to a dysfunction of the bladder muscle and how it contracts.
  • Mixed incontinence, i.e. a combination of the two.

In the interest of full disclosure, I was immersed in the topic for almost 5 years; I was acting in an advisory capacity to Merck Consumer Care who recently received marketing approval for?Oxytrol For Women. Oxytrol for Women is?an over the counter transdermal patch for overactive bladder. However, that?s not why I am writing about it; I have wanted to address urinary incontinence for a long time on this blog but could not do so since I had a conflict of interest. Now that that conflict is gone, I am finally able to share information, and more specifically, whether or not urinary incontinence is linked with menopause and hormone deficiency as estrogen starts to decline. ?Reports suggest that roughly 8% to 27% of menopausal women suffer.

Until now, only a few studies have truly focused on women between the ages of 45 and 60, i.e. what I often call the ?menopausal set.? More importantly (and what you need to know): when French researchers conducted a thorough review of 29 studies, culled down from an initial total of 488, they found that the connection between menopause and urinary incontinence is tenuous at best.

In fact, in one of the largest studies that they looked at ? the Study of Women?s Health Across the Nation (SWAN, which followed 1,529 women annually for 6 years? they found that the data show that during perimenopause, women have a one and a half times greater risk for urinary incontinence, but this risk disappears when they reach menopause. In an associated study, SWAN researchers reported that data linking menopause to a worsening of incontinence symptoms appears to be due to weight gain and not hormones. Ironically, other studies have linked the decline in estrogen to improvements in urine incontinence symptoms.

So, what about HRT? Where does it fit into the picture if the link between menopause/estrogen decline is weak? Well, when the researchers looked at that data, they found that type of incontinence and how HRT is administered does matter. Both the Nurses Health Study and the esteemed Cochrane Database have shown that oral HRT increases incontinence risk and worsens symptoms, while topical treatments may actually improve symptoms and number of episodes.

The researchers write that menopause has little if any impact on the risk of urinary incontinence in general, especially when other factors such as weight gain or age are taken into account. The good news for women with stress incontinence is that the condition appears to decline after menopause, although, granted, a mixed bag may take its place. And oral HRT? Buyer beware! If you?ve got either stress incontinence or overactive bladder, it may worsen your symptoms!

Urinary incontinence may be as much as taboo subject as vaginal atrophy. But it?s definitely one that needs to be talked about, especially as more and more women transition into midlife. Fortunately, it looks like menopause is not the cause, which should bring a sigh of relief. Meanwhile, gotta go? Talk to a health practitioner. Stress incontinence can often be successfully controlled through pelvic floor exercise, and overactive bladder symptoms may benefit through a combination of exercise and drugs. The main thing is to realize that you don?t have suffer alone; there a lot of leakage going on.

Source: http://flashfree.me/2013/02/01/gotta-go-it-may-not-be-the-pause/

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Senators grill Obama's defense chief nominee on Iran, Israel

WASHINGTON (Reuters) - Chuck Hagel, named to be President Barack Obama's defense chief, defended his record on national security matters on Thursday at a heated Senate hearing where a senior Republican accused him of seeking to appease America's enemies.

Critics in Congress have sought to portray Hagel, a former Republican senator and decorated Vietnam war veteran, as a soft on Iran and anti-Israel, pointing to past comments that Hagel's supporters say were taken out of context or distorted.

Although most observers expect Hagel will eventually be confirmed, at least three Republican panel members, including James Inhofe, the party's leader on the Armed Services Committee, have said they did not support his nomination.

Even before Hagel started speaking, Inhofe spelled out his objections, calling him "the wrong person to lead the Pentagon at this perilous and consequential time."

"Senator Hagel's record is deeply troubling and out of the mainstream. Too often it seems he is willing to subscribe to a worldwide view that is predicated on appeasing our adversaries while shunning our friends," said Inhofe.

Hagel, speaking publicly for the first time since the attacks against his nomination began, sought to set the record straight, assuring the panel that he backed U.S. policies of preventing Iran from obtaining a nuclear weapon and supporting a strong Israel.

"No one individual vote, no one individual quote, no one individual statement defines me, my beliefs, or my record," Hagel said at his confirmation hearing.

"My overall world view has never changed: that America has and must maintain the strongest military in the world."

Committee chairman Carl Levin said his concerns, especially over Hagel's past comments about unilateral sanctions on Iran, had been addressed. "Senator Hagel's reassurance to me ... that he supports the Obama administration's strong stance against Iran is significant," Levin said.

Another member of Obama's second-term national security team, Senator John Kerry, sailed through his nomination hearing before receiving the Senate's overwhelming support on Tuesday.

But Hagel, who broke with his Republican party over the Iraq War, found a much more confrontational panel. Beyond tough questioning on Israel and Iran, he was also was grilled on his view of the Pentagon budget - Hagel is known as an advocate for tighter spending controls.

THE LONE REPUBLICAN

In the entire Senate, which would vote on Hagel if he is cleared by the committee, only one of the 45 Republicans - Mississippi's Thad Cochran - has said he backs Hagel.

Hagel, backed by the White House and Pentagon, has been on a charm offensive to win over recalcitrant senators since Obama nominated him this month to replace outgoing Defense Secretary Leon Panetta. Hagel held one-on-one meetings with 53 senators before his hearing.

Susan Collins of Maine, a moderate Republican, said on Tuesday she had spoken with Hagel for 90 minutes and been satisfied on several issues, but stopped short of endorsing him.

"We had a good discussion, but it's obvious that we have very different views on some fundamental issues," she said.

Hagel also detailed his views in 112 pages of written responses to wide-ranging questions submitted by lawmakers.

In them, he said that if confirmed as the next defense secretary, he would ensure that the military is prepared to strike Iran if necessary but stressed the need to be "cautious and certain" when contemplating the use of force.

In his opening remarks, Hagel said all options must be on the table to prevent Iran from obtaining a nuclear weapon -language used to suggest the possibility of a nuclear strike.

"My policy is one of prevention, and not one of containment," he said.

Hagel also voiced support for a steady U.S. drawdown in Afghanistan, pledged to ensure equal treatment for women and homosexuals in the military and assured the committee that the United States would maintain an "unshakeable" commitment to Israel's security.

"I will ensure our friend and ally Israel maintains its qualitative military edge in the region," he said.

Most observers expect Hagel will be confirmed by the committee, even if he the vote breaks along party lines at 14 Democrats to 12 Republicans.

Democrats control 55 seats in the full Senate and can approve Hagel with no Republican support, but they will need some backing from Hagel's party to overcome procedural hurdles that could stop the nomination.

(Additional reporting by David Alexander; Editing by Jackie Frank)

Source: http://news.yahoo.com/hagel-face-grilling-senate-panel-mideast-budget-080308553.html

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EEA 2013 Work Programme to Address Air Pollution, Climate Change, Energy

28 January 2013: The European Environment Agency (EEA) has released its ?Annual Management Plan 2013,? which outlines?the EEA work programme that?will address a broad range of issues including: air quality and noise; air pollutant emissions; climate change mitigation; climate change adaptation; energy; and transport.

The Annual Management Plan includes sections on: EEA mission statement, vision and strategic objectives; key activities for 2013; EEA 2013 budget outline; EEA performance and strategic indicators; preliminary publication plan 2013; and annual work programme 2013. The Plan identifies the European Commission's ?Year of Air,? including publication of the third ?Annual Air Quality Report? and climate change mitigation and adaptation as priorities for the EEA during 2013.

On climate change mitigation, the Plan highlights annual greenhouse gas (GHG) data compilation and capacity building activities to implement MRV under the UN Framework Convention on Climate Change (UNFCCC). On climate change adaptation, the work programme will maintain, update and improve the Climate-ADAPT platform, publish a report on climate change adaptation, and follow up on the EU Adaptation Strategy, expected to be published in March 2013. On energy, the EEA will implement progress tracking on 2020 targets related to renewable energy and energy efficiency, and further develop indicator sets for energy and the environment. [Publication: EEA Annual Management Plan 2013]

Source: http://climate-l.iisd.org/news/eea-2013-work-programme-to-address-air-pollution-climate-change-energy/

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Active duty military personnel prone to sleep disorders and short sleep duration

Jan. 31, 2013 ? A new study found a high prevalence of sleep disorders and a startlingly high rate of short sleep duration among active duty military personnel. The study suggests the need for a cultural change toward appropriate sleep practices throughout the military.

"While sleep deprivation is part of the military culture, the high prevalence of short sleep duration in military personnel with sleep disorders was surprising," said Vincent Mysliwiec, MD, the study's principal investigator, lead author and chief of Pulmonary, Critical Care and Sleep Medicine at Madigan Army Medical Center in Tacoma, Wash. "The potential risk of increased accidents as well as long-term clinical consequences of both short sleep duration and a sleep disorder in our population is unknown."

Results show that the majority of participants (85.1 percent) had a clinically relevant sleep disorder. Obstructive sleep apnea (OSA) was the most frequent diagnosis (51.2 percent), followed by insomnia (24.7 percent). Participants' mean self-reported home sleep duration was only 5.74 hours per night, and 41.8 percent reported sleeping five hours or less per night. According to the AASM, individual sleep needs vary; however, most adults need about seven to eight hours of nightly sleep to feel alert and well-rested during the day.

According to the authors, this is the first study to systemically describe primary sleep disorders and associated comorbidities in accordance with standardized diagnostic criteria in a large cohort of military personnel referred with sleep complaints.

The study, appearing in the February issue of the journal SLEEP, involved a retrospective cross-sectional cohort analysis of 725 diagnostic polysomnograms performed in 2010 at Madigan Army Medical Center. Study subjects were active duty military personnel from the U.S. Army, Air Force and Navy, comprising mostly men (93.2%) and combat veterans (85.2%). Sleep disorder diagnoses were adjudicated by a board certified sleep medicine physician.

Results also show that 58.1 percent of the military personnel had one or more medical comorbidities, determined by medical record review. The most common service-related illnesses were depression (22.6%), anxiety (16.8%), post-traumatic stress disorder (13.2%), and mild traumatic brain injury (12.8%). Nearly 25 percent were taking medications for pain. Participants with PTSD were two times more likely to have insomnia, and those with depression or pain syndrome were about 1.5 times more likely to have insomnia.

"Mysliwiec and colleagues have made a significant contribution to our understanding of the link between sleep disorders and service-related illnesses associated with combat operations," Nita Lewis Shattuck, PhD, and Stephanie A.T. Brown, MS, postgraduate students at the Naval Postgraduate School in Monterey, Calif., wrote in a commentary on the study. "Their findings highlight the need for policy and culture change in our military organizations and continued research to understand and ameliorate the injuries these veterans have sustained. Better appreciation of the causal factors associated with veteran's health will lead to better policies for transition to civilian life and ultimately minimize the cost of veterans' health care to society."

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Story Source:

The above story is reprinted from materials provided by American Academy of Sleep Medicine, via EurekAlert!, a service of AAAS.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.


Journal Reference:

  1. Vincent Mysliwiec, Leigh McGraw, Roslyn Pierce, Patrick Smith, Brandon Trapp, Bernard J. Roth. Sleep Disorders and Associated Medical Comorbidities in Active Duty Military Personnel. SLEEP, 2013; DOI: 10.5665/sleep.2364

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.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/~3/pOpqRY7F_1c/130131154408.htm

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