Saturday, December 17, 2011

Occupy Wall Street's center shows some cracks

FILE - In this Nov. 15, 2011 photo, Occupy Wall Street protesters hold a general assembly meeting inside an enclosed site near Canal Street in New York hours after police made an early-morning raid of the park that had become the epicenter of the OWS movement and evicted all the protesters occupying it. In the disorganized democracy that Occupy prides itself on, everything is up for debate. A new, more scattered leadership has crept into the movement since its largest encampments shut down. (AP Photo/Seth Wenig, File)

FILE - In this Nov. 15, 2011 photo, Occupy Wall Street protesters hold a general assembly meeting inside an enclosed site near Canal Street in New York hours after police made an early-morning raid of the park that had become the epicenter of the OWS movement and evicted all the protesters occupying it. In the disorganized democracy that Occupy prides itself on, everything is up for debate. A new, more scattered leadership has crept into the movement since its largest encampments shut down. (AP Photo/Seth Wenig, File)

Austin Guest, left, and Sandra Nurse pose for a picture in New York, Wednesday, Dec. 14, 2011. Instead of 24-hour base camps, Occupy Wall Street's center of gravity has devolved into dozens of smaller groups with different agendas and objectives. Some want to find other places to occupy. Others want to shut down the ports, march for Egypt, move the downtrodden into foreclosed homes. (AP Photo/Seth Wenig)

(AP) ? Before the housing, sanitation and nonviolent communication groups had their say, the Occupy Wall Street facilitator began the night meeting with guided meditation. Someone stood up to object, saying all that controlled, deep breathing was oppressive.

In the disorganized democracy that Occupy prides itself on, everything ? even the right way to breathe ? is up for debate.

The moment exposed the new, more scattered leadership that has crept into the movement since its largest encampments shut down.

Instead of 24-hour base camps, Occupy Wall Street's center of gravity has devolved into dozens of smaller groups with different agendas and objectives. Some want to find other places to occupy. Others want to shut down the ports, march for Egypt, move the downtrodden into foreclosed homes.

Some protesters say the smaller groups are getting in the way of the larger message of bridging the country's gap between the superrich and the poor.

"I'm going to set up a committee to disband all committees," joked Andrea Townsend, who has led general assembly meetings in Portland, Ore.

Key organizers ? they don't call themselves leaders, because they say no one person is in charge ? say the movement and its protesters are staying true to the mission of embracing and promoting every member's issue.

"I think we're big enough at this point that people can be working on different things," said Sandy Nurse, a member of New York's direct action committee. "I don't think anyone's in competition with anybody."

But experts say that as the presidential campaign season heats up, Occupy could become a powerful force at political conventions if it got on the same page and pushed key issues. Time magazine named "The Protester" its Person of the year on Wednesday, citing Occupy Wall Street as one of many movements "redefining people power" around the world.

"You cannot run a movement as if it's a participatory democracy," said Mitchell Moss, a New York University urban planning professor. "An effective movement is not about being unhappy, but about getting things done."

When Occupy Wall Street encampments in New York and elsewhere were going strong, the decision-making centered on the movement's general assembly and spokescouncil meetings, held daily. But since New York's main camp at Zuccotti Park was shut down on Nov. 15, members say groups are working more separately on pet causes.

"You see kind of new people emerging all the time," said Mario Rodriguez, a union organizer who belongs to New York's direct action group. "Are they all on the same page? In terms of strategy and tactics, I don't think they are."

An email that recently passed through Rodriguez's inbox talked of 101 working groups that were now part of Occupy in New York ? direct action and facilitation are a bit more visible than others focused on things such as the principles of solidarity, for example. More than 40 groups had meetings scheduled on one recent day (Music, Earth Summit, Occupy Educated, Yoga), several at the same time.

Occupy members say they're still accomplishing a lot without camping out. On Monday, protesters forced shipping terminals from Washington state to California to halt parts of their operations. New York members sat down in the middle of Wall Street, have marched on the Egyptian consulate and Goldman Sachs Group Inc. Portland, Ore., members are protesting in the parks; cities from Seattle to Atlanta reclaimed foreclosed homes and boarded-up properties, moving struggling families into them.

Nurse said her efforts are focused on finding a new encampment in New York to replace Zuccotti Park. A church-owned building in downtown Manhattan ? occupied by protesters on the day they were evicted ? is a possibility. "Whichever space we find that works for that, we're gonna take," she said.

Nurse said no one is in charge of the group ? one member who had been previously referred to as head of finance now says he is a member of the accounting group. The movement is united in its separateness, organizers say.

"There's no one group that is in charge of all the other groups," said New York member Austin Guest. "We're kind of inviting each other to each other's meetings, trying to be autonomous and in coordination with each other."

Without the 24-hour presence of the encampments, however, cracks have crept into the unity. Members in some cities say that the general assembly is where everything is decided.

In Portland, organizer Gina Ronning said, "the (general assemblies) are for the visionary elements, the values," not to decide and plan major actions.

But since the Oregon camp was evicted on Nov. 13, meetings of several subgroups are drawing people away from the formerly well-attended general assemblies. When the camp existed, it had a PR team, a web team, a social media team, an action committee and a finance committee. But now there is also a Women's Caucus, an Elders Council, The Bike Swarm, Unsettle Portland (focused on foreclosures) and Occupy Voices, which seeks to document the people at the city's marches and rallies.

In New York, Rodriguez said a top agenda item of the general assembly is reworking itself. "They're looking a lot at our structure, our spokescouncil and the GA," he said. "How they could make those bodies work more smoothly."

There are rules of conduct. No one can be interrupted. No one can clap to support an idea, because that's an interruption. Supportive members are asked to wave fingers in the air. Some assemblies stop considering big-decision items if the meeting gets too small after several hours, because not enough people are there to represent the group.

"Even though it's inefficient and can be frustrating, I love it," said Meagan Moroney, 24, a San Francisco member. "Because everyone has not only a voice, but an equal voice."

The general assembly still meets every day in San Francisco, where police moved in on Moroney and others sleeping in a downtown park last week. The group has been protesting in different neighborhoods, focusing on marches for human rights, and expanding its membership.

Losing the encampment may be the best thing that ever happened, she said. It forced members to stop thinking about the city's regulations and police actions and start thinking about the issues that got them involved ? the income gap between the rich and the poor.

"I told (the police) yesterday, 'Thank you so much for raiding us,'" she said. "We've gotten so bogged down dealing with all the city's concerns that we weren't thinking enough about our movement. It made us kind of clean up our act."

___

Associated Press writers Nigel Duara in Portland, Ore., Deepti Hajela and Meghan Barr in New York contributed to this story.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/386c25518f464186bf7a2ac026580ce7/Article_2011-12-14-Occupy-Leadership/id-dee42053a86c4af89864d410a9d8510a

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Friday, December 16, 2011

Palm-sized baby, 2nd smallest in US, is growing

This undated photo provided by Melinda Guido?s family shows Melinda, with her mother's fingers in the scene, in the neonatal intensive care unit at the Los Angeles County-USC Medical Center. Melinda was born premature at 24 weeks weighing 9.5 ounces. She?s believed to be the second smallest surviving baby in the United States and third smallest in the world. (AP Photo/Haydee Ibarra)

This undated photo provided by Melinda Guido?s family shows Melinda, with her mother's fingers in the scene, in the neonatal intensive care unit at the Los Angeles County-USC Medical Center. Melinda was born premature at 24 weeks weighing 9.5 ounces. She?s believed to be the second smallest surviving baby in the United States and third smallest in the world. (AP Photo/Haydee Ibarra)

This undated photo provided by Melinda Guido?s family shows Melinda in the neonatal intensive care unit at the Los Angeles County-USC Medical Center. Melinda was born premature at 24 weeks weighing 9.5 ounces. She?s believed to be the second smallest surviving baby in the United States and third smallest in the world. (AP Photo/Haydee Ibarra)

Haydee Ibarra, looks at her 14-week-old daughter, Melinda Star Guido, at the Los Angeles County-USC Medical Center in Los Angeles, Wednesday, Dec. 14, 2011. At birth, Melinda Star Guido tipped the scales at only 9 1/2 ounces, a tad less than the weight of two iPhone 4S. Most babies her size don?t survive, but doctors are preparing to send her home as soon as the end of the month. Melinda is believed to be the second smallest baby to survive in the United States and the third smallest in the world. (AP Photo/Jae C. Hong)

14-week-old Melinda Star Guido holds her mother's little finger while lying in an incubator at the Los Angeles County-USC Medical Center in Los Angeles, Wednesday, Dec. 14, 2011. At birth, Melinda Star Guido tipped the scales at only 9 1/2 ounces, a tad less than the weight of two iPhone 4S. Melinda is believed to be the second smallest baby to survive in the United States and the third smallest in the world. (AP Photo/Jae C. Hong)

14-week-old Melinda Star Guido holds her mother's little finger while lying in an incubator at the Los Angeles County-USC Medical Center in Los Angeles, Wednesday, Dec. 14, 2011. At birth, Melinda Star Guido tipped the scales at only 9 1/2 ounces, a tad less than the weight of two iPhone 4S. Most babies her size don?t survive, but doctors are preparing to send her home as soon as the end of the month. Melinda is believed to be the second smallest baby to survive in the United States and the third smallest in the world. (AP Photo/Jae C. Hong)

(AP) ? At birth, Melinda Star Guido was so tiny she could fit into the palm of her doctor's hand. Weighing just 9 1/2 ounces ? less than a can of soda ? she is among the smallest babies ever born in the world. Most infants her size don't survive, but doctors are preparing to send her home by New Year's.

Melinda was born premature at 24 weeks over the summer and spent the early months cocooned in an incubator in the neonatal intensive care unit in Southern California. Almost every day, her 22-year-old mother sits at her bedside and stays overnight whenever she can.

The day before her Thursday due date, Haydee Ibarra visited Los Angeles County-USC Medical Center where her daughter has been since her birth in late August. Melinda is believed to be the second-smallest baby to survive in the U.S. and third smallest in the world.

Ibarra caressed Melinda through the portholes of the incubator where nurses pinned up a homemade sign bearing her name. Now weighing 4 pounds, Melinda gripped Ibarra's pinky finger and yawned.

"Melinda, Melinda," she cooed at her daughter dressed in a polka dot onesie. "You're awake today."

During her pregnancy, Ibarra suffered from high blood pressure, which can be dangerous for both mother and fetus. She was transferred from a hospital near her San Fernando Valley home to the county's flagship hospital, which was better equipped to handle high-risk pregnancies.

There was a problem with the placenta, the organ that nourishes the developing fetus. The fetus, however, was not getting proper nutrition, blood and oxygen. Doctors knew Melinda would weigh less than a pound, but they were surprised at how small and fragile she was.

"The first few weeks, it was touch and go. None of us thought the baby was going to make it," said Dr. Rangasamy Ramanathan, who oversees premature infants.

Even if she survived, doctors told Ibarra and her husband Yovani Guido, children born this extremely premature can have developmental delays and impairments such as blindness, deafness or cerebral palsy.

Ibarra, who previously had a stillborn, told doctors to do whatever necessary to help her baby.

"They said, 'We'll take the chance. Please try.' So we said. 'OK we'll try,'" Ramanathan recalled.

Melinda was delivered by cesarean section at 24 weeks and was immediately transferred to the NICU where a team of doctors and nurses kept watch around the clock. Infants born before 37 weeks are considered premature.

Melinda was kept insulated in an incubator and was hooked up to a machine to aid her breathing. She got nutrition through a feeding tube. Her mother said her skin felt like plastic because it was so thin.

"It takes a lot of good care and a lot of good luck. Most of them don't survive," said pediatrician Dr. Edward Bell of the University of Iowa who keeps an online database of the world's smallest surviving babies who were less than a pound at birth.

The list currently contains 126 babies dating back to 1936. Since submission is voluntary, it does not represent all survivors.

Ten babies weighing less than a pound were born last year and survived. Melinda joins three other tiny survivors delivered this year in Berkeley; Seoul, South Korea; and Iowa City, Iowa. All are bigger than Melinda, who is not eligible to be listed until she gets discharged.

Most tiny babies who survive tend to be female. That's because female fetuses mature faster than males of the same gestational age. Having more developed lungs and other vital organs increases odds of survival.

Bell published a study last year that found many survivors struggle with health and learning problems. For those for whom growth data are available, many are short and underweight for their age.

There are some success stories.

The smallest surviving baby born weighing 9.2 ounces is now a healthy 7-year-old and another who weighed 9.9 ounces at birth is an honors college student studying psychology. Their progress was detailed in a study published this week in the journal Pediatrics by doctors at Loyola University Medical Center in Illinois where the girls were born.

In the past three years, Los Angeles County-USC Medical Center treated two other babies with extremely low birth weight who survived, but Melinda holds the record at the hospital.

A month after she was born, she was treated for an eye disorder that's common in premature babies. She faced her biggest test last month when she underwent surgery to close an artery that usually seals after birth.

Ybarra held Melinda for the first time after the surgery. Before that, she could only touch her through the incubator. The next challenge is learning to bottle feed before discharge. Ramanathan predicted at least another two-week stay, dashing her parents' hopes of taking her home by Christmas.

Ramanathan said it's too early to know how Melinda will fare when she grows up. Since she did not have major complications such as bleeding in the brain, he held out hope.

Melinda can breathe by herself, but still uses an oxygen tube as a precaution. On Wednesday, an ophthalmologist checked out her eyes and said everything looked good.

After the checkup, Ibarra lifted Melinda out of the incubator and sat in a rocking chair, cradling her.

___

Follow Alicia Chang's coverage at http://www.twitter.com/SciWriAlicia

___

Online:

Tiniest Babies Registry: http://bit.ly/rvglZQ

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/bbd825583c8542898e6fa7d440b9febc/Article_2011-12-15-Tiny%20Baby/id-eea52ea9f7c84f1194df4b26fb7e5f97

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Bonds' sentencing brings BALCO saga near a close

By PAUL ELIAS

Associated Press

Associated Press Sports

updated 3:48 p.m. ET Dec. 14, 2011

SAN FRANCISCO (AP) - The largest federal criminal investigation into sports doping began more than nine years ago with a tax agent digging through the trash of the now notorious Bay Area Laboratory Co-Operative. Barring an appeal, the government's work comes to an anti-climactic end Friday when Barry Bonds - the probe's highest-profile catch - is sentenced for obstruction of justice.

In between, the federal government spent millions of dollars and untold staff hours obtaining the convictions of 11 people. Six of them, including track star Marion Jones, were ensnared for lying to grand jurors, federal investigators or the court. Five men, including Bonds' personal trainer Greg Anderson, pleaded guilty to steroid distribution charges stemming from their BALCO connections.

The investigation in general - and the pursuit of Bonds in particular - ignited a debate over whether the government's long involvement was the best use of public resources.

More than seven years after he testified before a grand jury investigating BALCO, Major League Baseball's all-time home runs leader was convicted on just one of four remaining counts against him. And the jury deadlocked on whether Bonds lied about taking performance enhancing drugs.

Now, federal sentencing guidelines suggest a prison term of between 15 months and 21 months. But federal probation officers are recommending that Bonds receive no time, citing his charitable work, the nature of the crime and his otherwise spotless criminal record. U.S. District Judge Susan Illston has sentenced two other BALCO figures convicted of similar crimes to probation and house arrest.

Was it all worth it?

"It absolutely was," said MacGregor Scott, the former U.S. attorney for Sacramento, now in private practice at Orrick, Herrington & Sutcliffe. "It brought a focus and awareness to the steroids issue that wasn't there before."

Scott said prosecutors had to go after Bonds once they concluded he lied to the grand jury when he denied knowingly using performance-enhancing drugs and said he allowed only doctors to inject him. Dozens of other athletes testified truthfully, Scott said.

"There aren't two sets of laws, one for Bonds and one for everybody else," Scott said. "The grand jury is the bedrock of the criminal justice system in the United States."

The probe did lead directly to former U.S. Sen. George Mitchell's in-depth investigation of drug use in Major League Baseball and his seminal Mitchell Report, which in turn prompted MLB and its players' union to strengthen their steroids policy.

Yet the relatively short list of convictions leaves some, perhaps most notably the BALCO founder himself, unimpressed.

"Obviously, the BALCO case brought about a greater public awareness regarding the rampant use of drugs at the elite level of sport, which is a good thing," said Victor Conte, the BALCO founder and president - who spent four months in prison after pleading guilty to steroids distribution. "As the BALCO case comes to a close, I don't think it was the highest and best use of the tens of millions of taxpayer dollars that were spent on the case."

Bonds will have 14 days after his sentencing to file a notice of appeal.

The trial itself ended ambiguously in April about three weeks after it began.

The jury concluded Bonds purposely evaded responding during testimony to a grand jury investigating steroids distribution in sports with a rambling non sequitur to a question about drug injections, and the jurors convicted him of obstruction of justice. But they couldn't reach a unanimous agreement on the heart of the case, deadlocking on three charges alleging Bonds lied to the grand jury when he denied knowingly using performance-enhancing drugs and testifying that no one other than his doctors ever injected him.

Prosecutors in September dropped those charges, foregoing another trial and declaring the one conviction showed the value of the Bonds prosecution.

The government's lead investigator, Jeff Novitzky, said Bonds first came to his attention during his weekly Monday night raids of BALCO's trash during the summer and fall of 2002. Novitzky, who was with the Internal Revenue Service then and is now a Food and Drug Administration investigator, said he found a magazine article quoting Bonds as crediting BALCO with helping him pump up and increase his power.

Novitzky gathered more evidence connecting Bonds to BALCO during September 2003 raids of the lab and the home of Greg Anderson, Bonds' personal trainer at the time. Three months later, Bonds was called before the grand jury and granted immunity from prosecution so long as he testified truthfully.

Despite the jury's mixed verdict, prosecutors still insist Bonds lied.

"The evidence at trial demonstrated that Bonds went into the grand jury with the intention of providing false statements and obstructing the grand jury's efforts to get to the truth in the BALCO matter," prosecutors wrote the judge last week seeking a prison sentence of 15 months for the former San Francisco Giants slugger. "Without truthful testimony, the judicial system simply cannot function properly in its mission-to get to justice."

In recommending that Bonds serve a term of house arrest, probation and community service - but no prison time - the federal probation department called Bonds' conviction an "aberration" and cited his "significant history of charitable, civic and prior good works" as reasons for the judge to "downward depart" from federal guidelines.

The department's report is confidential, but was cited in part by Bonds' lawyers last week in arguing for probation and volunteer work. Earlier this year, Bonds announced he would pay for the college education of the two children of Bryan Stow, the Giants fan who remains hospitalized after the highly publicized opening day beating in the parking lot of Dodger Stadium.

Bonds' lawyers quote an unidentified nurse writing in a letter to Illston that Bonds often visits sick children at the University of California, San Francisco's Benioff Children's Hospital. He paid for the 2009 renovation of what is now the Barry Bonds Family Foundation Playroom, which he visited in June.

"Barry Bonds is a hero to us at the UCSF Benioff Children's Hospital," the nurse wrote. "I consider being a character witness for Barry Bonds a privilege."

? 2011 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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Mailbag: The Ryan Braun mess shows that MLB's strict policy against performance enhancing drugs must continue, and maybe even get tougher. A year-long ban for a first offense would cut way back on cheating.

Source: http://nbcsports.msnbc.com/id/45576568/ns/sports-baseball/

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Wednesday, December 7, 2011

Tim Tebow and Christianity: Is it the secret of his success?

Tim Tebow has been an unexpected success as a pro quarterback. Strong faith might be helping Tim Tebow deal with adversity, say some observers ? but that could be a two-edged sword.

In this football season, Denver Broncos quarterback Tim Tebow has proven to be a magnet for two things: victories and criticism. Does the pairing amount to injustice? Or a match made in heaven?

Skip to next paragraph

Since Tebow took the helm as starting QB in October, the Broncos have gone 6-1. Once among the dregs of the league at 1-4, they are now 7-5 and in a playoff spot. In what is becoming a weekly spectacle, Tebow rallied the Broncos in the fourth quarter Sunday to beat the Minnesota Vikings, 35-32.

But with Tebow, it's never just about winning (or losing). It's about his stiff throwing motion, it's about the unorthodox college-style offense the Broncos have implemented just for him, and above all, it is about his faith ? the regular references to Jesus Christ, the pre-game prayers, the squeaky-clean lifestyle that includes virginity until marriage.

Religion and football have long coexisted without too much comment ? from perfunctory praise in sideline interviews to postgame prayer huddles. But Tebow has gone further, making his career a sermon for his Lord.?

In some ways, Tebow can use the Christian narrative of faith tested by trial not only to cope with adversity, but to thrive on it. But by wearing his convictions so openly, Tebow also risks making his career a referendum on his religious beliefs.?

Either way, observers say they can?t remember a young player who drew so much scrutiny and evoked such strong feelings, both pro and con.

?For the evangelical athlete, sports stardom is an opportunity to give God the credit and give God the glory, but we haven?t seen it go to this Nth degree before,? says Tom Krattenmaker, author of "Onward Christian Athletes: Turning Ballparks into Pulpits and Players into Preachers." ?I can?t think of anybody, other than Tebow, where the whole conversation has been this intense, where the success has been so vivid, and where the criticism has been so vivid.?

For many sports stars, winning tends to silence critics, at least for a little while. But for Tebow, personal attacks are to be expected ? and might even help increase the competitive juices.

?Jesus promises there?s going to be trials and temptations and sufferings for His name?s sake,? says Jarrod Lynn, Brown University campus director of Athletes in Action, a Christian ministry to people in sports. ?I imagine that for Tim Tebow, [the criticism of his style] is confirmation that he?s living out his faith as God wants him to.?

Tebow knows his scriptures. His parents were overseas missionaries. He used to paint chapter-and-verse citations on his eye-black during college games. For him to regard attacks on his religious style as badges of honor would come as no surprise. Then again, he might genuinely not care what such critics say, again for theological reasons.

?He doesn?t fear failure,? says Walt Day, assistant chaplain to the Boston Celtics and former chaplain to the New England Patriots. ?He feels he?s loved and accepted by God no matter what. His success in life isn?t based on his performance. My impression is that he feels freed up [by this understanding] to give it all he?s got.?

Source: http://rss.csmonitor.com/~r/feeds/csm/~3/qMe_6upbiho/Tim-Tebow-and-Christianity-Is-it-the-secret-of-his-success

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Depressive symptoms and intimate partner violence in the 12 months after childbirth

Depressive symptoms and intimate partner violence in the 12 months after childbirth [ Back to EurekAlert! ] Public release date: 7-Dec-2011
[ | E-mail | Share Share ]

Contact: Naomi Weston
nweston@rcog.org.uk
Wiley-Blackwell

Forty percent of women who report depressive symptoms following birth also reported intimate partner violence finds a new study published today (7 December) in BJOG: An International Journal of Obstetrics and Gynaecology.

The study also found that most of the women reporting postnatal depressive symptoms first reported this at six months after birth or later.

Intimate partner violence (both physical and emotional abuse) in the perinatal period is associated with a range of physical and psychological health problems including adverse pregnancy and birth outcomes, postnatal depression, and future behavioural problems for children.

This Australian study looked at 1305 nulliparous women. They were recruited from six public hospitals between 6 and 24 weeks of gestation. Written questionnaires were completed at recruitment and at 3, 6 and 12 months postpartum.

Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS) and intimate partner violence was assessed using the short version of the Composite Abuse Scale.

Information on depressive symptoms was collected at multiple time points, while data on intimate partner violence was only collected at the 12 month follow-up.

The study found that one in six women reported intimate partner violence in the year after having their first baby. Emotional violence was more common than physical violence (14% versus 8%).

Sixteen percent of women reported depressive symptoms in the 12 months postpartum, with most women first reporting depressive symptoms in the second 6 months after birth. Factors associated with postpartum depressive symptoms include: emotional abuse alone, physical abuse, depression in pregnancy and unemployment in early pregnancy.

The significant associations between intimate partner violence and depressive symptoms over the course of the first postpartum year persisted after adjusting for the known confounders of prior depression and relevant socio-demographic characteristics (maternal age, relationship status, and employment status in early pregnancy).

Dr Hannah Woolhouse of the Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute in Victoria, Australia and co-author of the paper said:

"Depression after childbirth has received a lot of attention in recent decades. Known risk factors for developing postnatal depression include a history of depression, poor partner relationships, stressful life events/social health issues, low social support, and low income. Our findings indicate that intimate partner violence is very common among women reporting postnatal depressive symptoms, and may be an important factor for health professionals to consider in managing postnatal distress.

"In both the UK and Australia, universal screening for depressive symptoms in the first few months after childbirth is now recommended as part of routine perinatal care. However we found that most of the women reporting postnatal depressive symptoms first reported this at six months postpartum or later.

"This finding has major implications for clinical practice as many women who develop depression after six months will be missed. Health professionals should regularly enquire about a woman's mental health in the 12 months after birth, rather than at one specific time point."

Professor Philip Steer, Editor of BJOG added:

"This study shows that pregnancy and the postnatal period is a good time to identify and support women who experience both depression and partner violence."

###

Full Citation: Woolhouse H, Gartland D, Hegarty K, Donath S, Brown S. Depressive symptoms and intimate partner violence in the 12 months after childbirth: a prospective pregnancy cohort study. BJOG 2011; DOI: 10.1111/j.1471-0528.2011.03219.x.

About BJOG:

BJOG: An International Journal of Obstetrics and Gynaecology is owned by the Royal College of Obstetricians and Gynaecologists (RCOG) but is editorially independent and published monthly by Wiley-Blackwell. The journal features original, peer-reviewed, high-quality medical research in all areas of obstetrics and gynaecology worldwide. Please quote 'BJOG' or 'BJOG: An International Journal of Obstetrics and Gynaecology' when referring to the journal and include the website: http://www.bjog.org as a hidden link online.

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Depressive symptoms and intimate partner violence in the 12 months after childbirth [ Back to EurekAlert! ] Public release date: 7-Dec-2011
[ | E-mail | Share Share ]

Contact: Naomi Weston
nweston@rcog.org.uk
Wiley-Blackwell

Forty percent of women who report depressive symptoms following birth also reported intimate partner violence finds a new study published today (7 December) in BJOG: An International Journal of Obstetrics and Gynaecology.

The study also found that most of the women reporting postnatal depressive symptoms first reported this at six months after birth or later.

Intimate partner violence (both physical and emotional abuse) in the perinatal period is associated with a range of physical and psychological health problems including adverse pregnancy and birth outcomes, postnatal depression, and future behavioural problems for children.

This Australian study looked at 1305 nulliparous women. They were recruited from six public hospitals between 6 and 24 weeks of gestation. Written questionnaires were completed at recruitment and at 3, 6 and 12 months postpartum.

Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS) and intimate partner violence was assessed using the short version of the Composite Abuse Scale.

Information on depressive symptoms was collected at multiple time points, while data on intimate partner violence was only collected at the 12 month follow-up.

The study found that one in six women reported intimate partner violence in the year after having their first baby. Emotional violence was more common than physical violence (14% versus 8%).

Sixteen percent of women reported depressive symptoms in the 12 months postpartum, with most women first reporting depressive symptoms in the second 6 months after birth. Factors associated with postpartum depressive symptoms include: emotional abuse alone, physical abuse, depression in pregnancy and unemployment in early pregnancy.

The significant associations between intimate partner violence and depressive symptoms over the course of the first postpartum year persisted after adjusting for the known confounders of prior depression and relevant socio-demographic characteristics (maternal age, relationship status, and employment status in early pregnancy).

Dr Hannah Woolhouse of the Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute in Victoria, Australia and co-author of the paper said:

"Depression after childbirth has received a lot of attention in recent decades. Known risk factors for developing postnatal depression include a history of depression, poor partner relationships, stressful life events/social health issues, low social support, and low income. Our findings indicate that intimate partner violence is very common among women reporting postnatal depressive symptoms, and may be an important factor for health professionals to consider in managing postnatal distress.

"In both the UK and Australia, universal screening for depressive symptoms in the first few months after childbirth is now recommended as part of routine perinatal care. However we found that most of the women reporting postnatal depressive symptoms first reported this at six months postpartum or later.

"This finding has major implications for clinical practice as many women who develop depression after six months will be missed. Health professionals should regularly enquire about a woman's mental health in the 12 months after birth, rather than at one specific time point."

Professor Philip Steer, Editor of BJOG added:

"This study shows that pregnancy and the postnatal period is a good time to identify and support women who experience both depression and partner violence."

###

Full Citation: Woolhouse H, Gartland D, Hegarty K, Donath S, Brown S. Depressive symptoms and intimate partner violence in the 12 months after childbirth: a prospective pregnancy cohort study. BJOG 2011; DOI: 10.1111/j.1471-0528.2011.03219.x.

About BJOG:

BJOG: An International Journal of Obstetrics and Gynaecology is owned by the Royal College of Obstetricians and Gynaecologists (RCOG) but is editorially independent and published monthly by Wiley-Blackwell. The journal features original, peer-reviewed, high-quality medical research in all areas of obstetrics and gynaecology worldwide. Please quote 'BJOG' or 'BJOG: An International Journal of Obstetrics and Gynaecology' when referring to the journal and include the website: http://www.bjog.org as a hidden link online.

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Source: http://www.eurekalert.org/pub_releases/2011-12/w-brd120511.php

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Sunday, December 4, 2011

Foreign oil workers freed in Nigeria (AP)

LAGOS, NIGERIA ? Authorities say gunmen have released at least two workers who were kidnapped two weeks ago from a ship supplying a Chevron Corp. offshore oil field in waters off Nigeria.

U.S. Embassy spokeswoman Deb MacLean said Friday the workers were released but gave no details.

Eight gunmen boarded the MV C-Endeavour on Nov. 17 and took three hostages about 70 nautical miles off Nigeria's oil-rich southern delta. The three were foreigners and two of them were believed to be American.

In 2006, militants in Nigeria started attacking foreign oil companies, including bombing their pipelines, kidnapping their workers and fighting with security forces. That violence waned in 2009 with a government-sponsored amnesty program promising ex-fighters monthly payments and job training. However, few in the delta have seen the promised benefits.

Source: http://us.rd.yahoo.com/dailynews/rss/energy/*http%3A//news.yahoo.com/s/ap/20111202/ap_on_bi_ge/af_nigeria_oil_unrest

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