Sunday, May 5, 2013

Tensions spike after new Israeli strikes in Syria

In this image taken from video obtained from the Ugarit News, which has been authenticated based on its contents and other AP reporting, smoke and fire fill the the skyline over Damascus, Syria, early Sunday, May 5, 2013 after an Israeli airstrike. Israeli warplanes struck areas in and around the Syrian capital Sunday, setting off a series of explosions as they targeted a shipment of highly accurate, Iranian-made guided missiles believed to be on their way to Lebanon's Hezbollah militant group, officials and activists said. The attack, the second in three days, signaled a sharp escalation of Israel's involvement in Syria's bloody civil war. Syria's state media reported that Israeli missiles struck a military and scientific research center near the Syrian capital and caused casualties. (AP Photo/Ugarit News via AP video)

In this image taken from video obtained from the Ugarit News, which has been authenticated based on its contents and other AP reporting, smoke and fire fill the the skyline over Damascus, Syria, early Sunday, May 5, 2013 after an Israeli airstrike. Israeli warplanes struck areas in and around the Syrian capital Sunday, setting off a series of explosions as they targeted a shipment of highly accurate, Iranian-made guided missiles believed to be on their way to Lebanon's Hezbollah militant group, officials and activists said. The attack, the second in three days, signaled a sharp escalation of Israel's involvement in Syria's bloody civil war. Syria's state media reported that Israeli missiles struck a military and scientific research center near the Syrian capital and caused casualties. (AP Photo/Ugarit News via AP video)

In this image taken from video obtained from the Ugarit News, which has been authenticated based on its contents and other AP reporting, a Israeli airstrikes hit Damascus, Syria, early Sunday, May 5, 2013. Israeli warplanes struck areas in and around the Syrian capital Sunday, setting off a series of explosions as they targeted a shipment of highly accurate, Iranian-made guided missiles believed to be on their way to Lebanon's Hezbollah militant group, officials and activists said. The attack, the second in three days, signaled a sharp escalation of Israel's involvement in Syria's bloody civil war. Syria's state media reported that Israeli missiles struck a military and scientific research center near the Syrian capital and caused casualties. (AP Photo/Ugarit News via AP video)

In this image taken from video obtained from Shaam News Network, which has been authenticated based on its contents and other AP reporting, smoke and fire fill the skyline over Damascus, Syria, early Sunday, May 5, 2013 after an Israeli airstrike. Israeli warplanes struck areas in and around the Syrian capital Sunday, setting off a series of explosions as they targeted a shipment of highly accurate, Iranian-made guided missiles believed to be on their way to Lebanon's Hezbollah militant group, officials and activists said. The attack, the second in three days, signaled a sharp escalation of Israel's involvement in Syria's bloody civil war. Syria's state media reported that Israeli missiles struck a military and scientific research center near the Syrian capital and caused casualties. (AP Photo/Shaam News Network via AP video)

FILE -- In this Thursday, Nov. 15, 2012 file photo, the Iron Dome defense system fires to intercept an incoming missiles from Gaza in the port town of Ashdod, Israel. Israel's military has deployed Iron Dome defense system to the north of the country following Israeli airstrikes in neighboring Syria targeting weapons believed to be destined for Lebanon's Hezbollah militants. Iron Dome protects against short-range rockets and Hezbollah has thousands of such projectiles. (AP Photo /Tsafrir Abayov, File)

FILE - In this Saturday, Nov. 17, 2012 file photo, an Israeli Iron Dome missile is launched near the city of Be'er Sheva, southern Israel, to intercept a rocket fired from Gaza. Israel's military has deployed Iron Dome defense system to the north of the country on Sunday May 5, 2013 following Israeli airstrikes in neighboring Syria targeting weapons believed to be destined for Lebanon's Hezbollah militants. Iron Dome protects against short-range rockets and Hezbollah has thousands of such projectiles. (AP Photo/Ahikam Seri, File)

(AP) ? Israeli warplanes struck targets in the Syrian capital Sunday for the second time in three days, officials and activists said, unleashing a series of massive explosions and raising fears of possible wider conflict in the region.

The attacks, which Israeli officials said targeted sophisticated, Iranian-made guided missiles believed to be bound for Lebanon's Hezbollah militant group, marked a sharp spike in Israel's involvement in Syria's bloody civil war. Syrian state media reported that Israeli missiles struck a military and scientific research center near Damascus and caused casualties.

Syria's government called the attacks against its territory a "flagrant violation of international law" that has made the Middle East "more dangerous." It said "Israel should know that our people and state do not accept humiliation" and warned Syria has the right "to defend its people by all available means."

The generally muted response, read out by the information minister after an emergency government meeting, and appeared to signal that Damascus did not want the situation to escalate.

Instead, it tried to use the strikes to taint the opposition, claiming the attacks were evidence of an alliance between Israel and Islamic extremist groups trying to overthrow President Bashar Assad.

The air raids pose a dilemma for the regime: Failure to respond could make it look weak and open the door to more strikes, but retaliating militarily against Israel would risk dragging the Jewish state and its powerful army into a broader conflict.

The tempo of the new strikes added a dangerous dynamic to the conflict, fueling concerns that events could spin out of control and spark a regional crisis.

Israel's military, possibly bracing for Syrian retaliation, deployed two batteries of its Iron Dome rocket defense system to the north of the country on Sunday. It described the move as part of "ongoing situational assessments."

A senior Israeli official, who spoke on condition of anonymity in order to disclose information about a secret military operation, confirmed that Israel launched an airstrike in the Syrian capital early Sunday but did not give more precise details about the location. The target was Fateh-110 missiles, which have precision guidance systems with better aim than anything Hezbollah is known to have in its arsenal, the official told The Associated Press.

The airstrikes come as Washington considers how to respond to indications that the Syrian regime may have used chemical weapons in its civil war. President Barack Obama has described the use of such weapons as a "red line," and the administration is weighing its options ? including possible military action.

The White House declined for a second day to confirm or comment directly on the airstrikes in Syria, but said Obama believes Israel has the right to defend itself against threats from groups like Hezbollah.

"The Israelis are justifiably concerned about the threat posed by Hezbollah obtaining advanced weapons systems, including some long-range missiles" White House spokesman Josh Earnest told reporters aboard Air Force One as Obama traveled to Ohio.

Iran, a close ally of the Assad regime and Hezbollah, condemned the airstrikes, and a senior official hinted at a possible response not from Tehran but rather its proxy, Hezbollah.

Gen. Masoud Jazayeri, assistant to the Iranian chief-of-staff, told Iran's state-run Arabic-language Al-Alam TV that Tehran "will not allow the enemy (Israel) to harm the security of the region" and that "the resistance will retaliate against the Israeli aggression against Syria."

Israel has said it wants to stay out of the Syrian war on its doorstep, but Prime Minister Benjamin Netanyahu has repeatedly stated the Jewish state would be prepared to take military action to prevent sophisticated weapons from flowing from Syria to Hezbollah or other extremist groups.

Israel and Hezbollah have a long history of enmity, and fought a punishing monthlong war in mid-2006. The militant group fired thousands of rockets at Israel, while Israeli warplanes destroyed large areas of southern and eastern Lebanon during a conflict that ended in stalemate.

With Syria now engulfed in an internal conflict, Israel is especially concerned that Hezbollah will take advantage of the chaos and try to smuggle advanced weapons into Lebanon, particularly those that could hamper Israel's ability to operate in Lebanese skies.

Officials in Israel say they have identified several "game changing" weapons that would trigger military intervention in Syria: chemical weapons, long-range Scud B missiles, the Fateh-110s, land-to-sea Yakhont missiles and SA-17 anti-aircraft missiles.

Israeli officials believe that Iran and Hezbollah are stepping up their efforts to smuggle weapons because they think Assad's days are numbered. They also think the Syrian leader is cooperating because he is weak and he owes Hezbollah, which is understood to be sending men to fight alongside government troops, for its support.

The officials, who spoke on condition of anonymity because they were not authorized to brief the media, said Israel will continue to strike Syria if the smuggling attempts continue.

An amateur video said to be shot early Sunday in the Damascus area showed a massive explosion followed by fire lighting up the night sky. The video appeared genuine and corresponded to other AP reporting.

The state news agency said the Jamraya military and scientific research center near Damascus was hit. It added that there were casualties but did not give a number.

Damascus-based activist Maath al-Shami said the strikes occurred around 3 a.m. and that one of them hit near Qasioun mountain that overlooks Damascus. He added that the raid targeted a military position for the elite Republican Guards unit that is in charge of protecting the capital.

Mohammed Saeed, another activist who lives in the Damascus suburb of Douma, said "the explosions were so strong that earth shook under us." He said the smell of the fire caused by the air raid near Qasioun was noticeable kilometers (miles) away.

In Jerusalem, Israeli media reported that Netanyahu held an emergency meeting of his inner Security Cabinet. The prime minister's office declined comment.

The strikes are a calculated risk for Israel. Officials there say they do not think Assad will retaliate in the immediate future, but they hedged their bets with the deployment of Iron Dome batteries to Israel's north.

Earlier this year, the Iron Dome system was credited with shooting down hundreds of rockets during a round of fighting against Hamas militants in the Gaza Strip.

Amos Yadlin, a former head of Israel's military intelligence, said the strikes on Syria are a signal to Damascus' ally, Tehran, that Israel is serious about the red lines it has set.

"Syria is a very important part in the front that Iran has built. Iran is testing Israel and the U.S. determination in the facing of red lines and what it sees is in clarifies to it that at least some of the players, when they define red lines and they are crossed, take it seriously," he told Army Radio.

Like the Syrian regime, Iran also portrayed the strike as evidence of collusion between Israel and Syria's rebels.

Iranian Defense Minister Gen. Ahmad Vahidi was quoted by the official IRNA news agency as saying the attacks show a growing alliance of convenience between the Syrian opposition and Israel.

"These vain moves are not a sign of Israel's power," he said. "It rather shows the (Israeli) regime's despair in the face of regional developments."

Iran has provided both financial and military support to Hezbollah for decades, and has used Syria as a conduit for both. If Assad were to fall, that pipeline could be cut, dealing a serious blow to Hezbollah's ability to confront Israel.

The Fateh-110, or "Conqueror" in Farsi, is a short-range ballistic missile developed by Iran and first put into service in 2002. The Islamic Republic unveiled an upgraded version in 2012 that improved the weapon's accuracy and increased its range to 300 kilometers (185 miles).

Vahidi said at the time that the solid-fueled missile could strike with pinpoint precision, making it the most accurate weapon of its kind in Iran's arsenal.

Israeli officials say that Hezbollah managed to get an older version of Fateh-110s back in 2010, but the missiles that were destroyed in the recent airstrikes are an upgraded version. Israeli intelligence thinks Hezbollah has not succeeded in getting any of these game changing weapons since the Syrian civil war erupted, according to the officials.

An Israeli airstrike in January also targeted weapons apparently bound for Hezbollah, Israeli and U.S. officials have said.

Hezbollah's Al-Manar TV said the research center in Jamraya was not hit, but instead an army supply facility that produced food products for the military. It quoted unnamed Syrian security officials as saying that three sites including military barracks, arms depots and air defense center were targeted by the strike.

The station aired footage showing a heavily damaged building as well as what appeared to be a chicken farm with some chickens pecking around in debris scattered with dead birds.A road apparently next to the site was filled with debris, and shell casings were strewn on the ground.

Lebanon's Al-Mayadeen TV, which has several reporters around Syria, said one of the strikes targeted a military position in the village of Saboura, west of Damascus and about 10 kilometers (six miles) from the Lebanon border.

___

Deitch reported from Jerusalem. Associated Press writers Ryan Lucas in Beirut and Brian Murphy in Dubai, United Arab Emirates, contributed to this report.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/3d281c11a96b4ad082fe88aa0db04305/Article_2013-05-05-Israel-Syria/id-e3d6615ad24849a7bb6197349a88ab83

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Kobe Bryant Embroiled In Auction Lawsuit Involving His Mother

The past few months haven?t been great for Los Angeles Laker Kobe Bryant. In April the player tore his anterior cruciate ligament, and now he is involved in a legal battle involving his mother, Pamela Bryant.

To Kobe?s dismay, his mother wants to auction off some of his childhood posessions -- including old basketball trophies and championship rings he designed for his parents -- in order to pay for a new house in Nevada, per the Philadelphia Inquirer. The items are expected to sell for $1.5 million in June, via Goldin Auctions L.L.C. of West Berlin, N.J.

On Tuesday Kobe sent a cease-and-desist letter to the auctioneer, ordering the company to cancel the sale and return the objects to him. The auction house filed a countersuit Friday that asks for the right to sell the player?s items, according to the Associated Press.

ESPN reports that the objects Pamela wants to sell are ?the NBA star's jerseys, practice gear and sweatsuits from Lower Merion High School; varsity letters; a trophy for being the outstanding player at the 1995 Adidas ABCD basketball camp; and a signed basketball from the 2000 NBA championship game,? in addition to several high school and NBA championship rings.

Goldin Auctions contends that the basketball player previously told his mother he no longer wanted the items, writes the AP. However, Kobe?s lawyer, Mark Campbell, told the Philadelphia Inquirer, "Mr. Bryant's personal property has ended up in the possession of someone who does not lawfully own it.?

Earlier on HuffPost:

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Source: http://www.huffingtonpost.com/2013/05/03/kobe-bryant-auction-lawsuit-mother_n_3211560.html

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GOP Rep. Calls Out Hill Leadership, Including Paul Ryan: His Budget ?Didn?t Cut Spending at All?

After serving in the House for over five years, Georgia Republican Paul Broun is now running to replace retiring Sen. Saxby Chambliss in 2014. Endorsed by Ron Paul, would Broun be a shill for leadership in the upper chamber? Likely not, judging by his comments in a recent exclusive interview with TheBlaze.

"Harry Reid is an obstructionist," Broun told TheBlaze senior contributor Mallory Factor.?"We've got problems in the Republican Party in the House, too."

Broun said one of the reasons Congress has been unable to get anything done is a failure of leadership from both parties.

"Everything I've been doing in Washington has been geared at going back to constitutional limited government," Broun said Monday, adding that his main focus as Senator would be to bring our nation back to the right course financially.

Through his career in Congress,

Republican Congressman Paul Broun Calls Out Leadership on Hill: Harry Reid Is an Obstructionist, Ryan Budget Didnt Cut Spending at AllPaul Broun

U.S. Rep. Paul Broun, R-Georgia, gestures as he finishes announcing his plans to run for the U.S. Senate. Credit: AP

Broun has received?high marks from anti-tax advocates and government waste watchdogs. At TheBlaze New York City newsroom Monday, Broun told Factor that he believes we need to eliminate the Department of Education and Environmental Protection Agency, and return the federal government back to focusing on issues laid out in the?Constitution.

"We've got too many people who look to government, who want to continue to spend more and more. The Ryan Budget itself didn't cut spending at all. It just cuts the growth of spending," Broun said of the budget he voted against from the former Republican candidate for Vice President. If elected to the Senate, Broun said he could see himself working well with Sens. Rand Paul, Mike Lee and Ron Johnson.

Broun serves on the House Homeland Security Committee, and discussed with Factor Monday the security concerns following the Boston Marathon bombing two weeks ago.

"Our government has failed in this case, and it's apparent that we got to make big changes," Broun said of the breakdown of communications with the CIA and FBI, and other contributing factors that led to the inability to stop the Tsarnaev brothers before it was too late. "Under the Constitution national security, national defense, should be the major function of the federal government. That's where we should be spending money."

Broun cites the communication failures that still exist post 9/11 between the investigative and national security?bureaus?of the federal government, as well as the degradation of the quality of U.S.?Intelligence?since the George H.W. Bush?administration, as partially to blame for us not picking up this threat sooner. Broun told Factor that securing our borders and more boots on the ground in regions of the world where we know there are individuals who want hurt Americas, rather than chasing the weapons of?law-abiding?citizens or intrusive TSA procedures, will better protect the country from future attacks.

The Congressman suggests a select House committee to look into the events leading up to the Boston bombings, as well as the September 2012 attack on a U.S.?consulate?in Benghazi, as the only way we are ever going to get the answers on what we truly missed and how we can stop events like this from happening again.

"The American people deserve answers for both of those things, and I will not rest until we have those answers," Broun told Factor.

Watch the full interview below with Congressman Paul Broun and TheBlaze:

Source: http://news.yahoo.com/gop-rep-calls-hill-leadership-including-paul-ryan-164232565.html

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Saturday, May 4, 2013

Solar-powered plane takes off for flight across U.S.

SAN FRANCISCO | Fri May 3, 2013 12:56pm EDT

SAN FRANCISCO (Reuters) - A solar-powered airplane that developers hope to eventually pilot around the world took off early on Friday from San Francisco Bay on the first leg of an attempt to fly across the United States with no fuel but the sun's energy.

The plane, dubbed the Solar Impulse, departed shortly after 6 a.m. local time from Moffett Field, a joint civil-military airport near the south end of San Francisco, heading first to Phoenix on a slow-speed flight expected to take 15 to 20 hours.

The spindly looking plane barely hummed as it took flight in the still northern California morning as the sun was just beginning to peek out over the Santa Cruz Mountains to the east.

After additional stops in Dallas, St. Louis and Washington, D.C., with pauses at each destination to wait for favorable weather, the flight team hopes to conclude the plane's cross-country voyage in about two months at John F. Kennedy International Airport in New York.

Swiss pilots and co-founders of the project, Bertrand Piccard and Andre Borschberg, will take turns flying the plane, built with a single-seat cockpit, with Piccard at the controls for the first flight to Arizona. He is tentatively scheduled to land in Phoenix at 1 a.m. local time on Saturday.

The project began in 2003 with a 10-year budget of 90 million euros ($112 million) and has involved engineers from Swiss escalator maker Schindler and research aid from Belgian chemicals group Solvay - backers who want to test new materials and technologies while also gaining brand recognition.

Project organizers say the journey is also intended to boost worldwide support for the adoption of clean-energy technologies.

"I hope people understand the potential of this technology and use it on the ground," Borschberg, who flew for the Swiss Air Force for more than 20 years, told reporters as Piccard suited up for the flight nearby. "If we don't try to fly today using renewable energy, we never will."

With the wingspan of a jumbo jet and the weight of a small car, the Solar Impulse is a test model for a more advanced aircraft the team plans to build to circumnavigate the globe in 2015.

The plane made its first intercontinental flight, from Spain to Morocco, last June.

SOLAR CELLS BUILT INTO WINGS

The aircraft runs on about the same power as a motor scooter, propelled by energy collected from 12,000 solar cells built into the wings that simultaneously recharge batteries with a storage capacity equivalent to a Tesla electric car.

In that way, the Solar Impulse can fly after dark on solar energy generated during daylight hours, and will become the first solar-powered aircraft capable of operating day and night without fuel to attempt a U.S. coast-to-coast flight.

But the plane, which from a distance resembles a giant floating insect in the sky, is unlikely to set any speed or altitude records. It can climb gradually to 28,000 feet and flies at an average pace of just 43 miles per hour (69 km per hour).

The current plane was designed for flights of up to 24 hours at a time, but the next model will have to allow for up to five days and five nights of flying by one pilot - a feat not yet accomplished.

Meditation and hypnosis were part of the training for the pilots as they prepared to fly on very little sleep.

Asked about the downside of solar-powered flight at a news conference in March to unveil the current plane, Piccard acknowledged there was a price paid for the tiny carrying capacity and massive wings.

"In that sense, it is not the easiest way to fly," he said. "But it is the most fabulous way to fly, because the more you fly, the more energy you have on board."

He added: "We want to inspire as many people as possible to have that same spirit: to dare, to innovate, to invent."

The plane's four large batteries, attached to the bottom of the wings along with the plane's tiny motors, account for a quarter of its overall heft.

The aircraft's lightweight carbon fiber design and wingspan allow it to conserve energy, but also make the plane vulnerable to being tipped over.

A ground team of weather specialists, air traffic controllers and engineers track the plane's speed and battery levels and help the pilot steer clear of turbulence. Solar Impulse cannot fly in strong wind, fog, rain or clouds. Its machinery is not even designed to withstand moisture.

(Additional reporting by Braden Reddall; Writing by Steve Gorman; Editing by Cynthia Johnston, Lisa Shumaker, Nick Zieminski and Alden Bentley)

Source: http://feeds.reuters.com/~r/reuters/scienceNews/~3/ioSM0kQOgZA/story01.htm

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Friday, May 3, 2013

Angry Birds Star Wars At-At Attack Battle Game {#Review and ...

**Full Disclosure: ?I received Angry Birds Star Wars At-At Attack Battle Game and an Angry Birds Star Wars Foam Flyer for review purposes. ?No other compensation was received. ?All thoughts and opinions are my own.

? Hasbro Angry Birds Star Wars At-At Attack Battle Game

We are a family that loves games. ?My husband and I much prefer card games, but because we have two young kids, we have tried to let go and play what THEY want. ?When I received the box with?Angry Birds Star Wars At-At Attack Battle Game and an Angry Birds Star Wars Foam Flyer, I knew what was in it but the boys didn?t and they were BEGGING me to open it! ?I told them we?d open it after dinner ? and we did!

About ANGRY BIRDS STAR WARS AT-AT ATTACK BATTLE GAME:

Stack, launch and destroy with the AT-AT ATTACK BATTLE GAME, which includes 21 blocks to create the signature AT-AT, a LIGHTSABER LAUNCHER and 12 ANGRY BIRDS?STAR WARS?figures ? including two that are exclusive to this set! ?Players can also unlock ANGRY BIRDS?STAR WARS in-app content with a special code in each pack.

For ages 5+. ?

Approximate retail price: $39.99.

Hasbro Angry Birds Star Wars At-At Attack Battle Game

Hasbro Angry Birds Star Wars At-At Attack Battle Game

About ANGRY BIRDS?STAR WARS?FOAM FLYERS:

Toss around these 3.5-inch soft foam, iconic characters for a new way to play ANGRY BIRDS?STAR WARS! ?Available in Luke Skywalker, Chewbacca, Darth Vader and Stormtrooper. ?Each sold separately.

For ages 5+.

Approximate retail price: $9.99.

Hasbro Angry Birds Star Wars At-At Attack Battle Game

Our Thoughts:?

  • My boys loved the Foam Flyer! ?They threw it around until they got too carried away with it. ?I have a feeling, though, that it won?t be long before it?s forgotten about. ?I am not sure I would spend $9.99 on a foam ball.
  • We had an absolute BLAST with the At-At Attack Battle Game!! ?However it is tedious to set it up. ?Because the goal is to knock it over, we spent more time setting it up than we did trying to knock it down! ?The boys have played it every night since we got it (on Tuesday).

Giveaway | SensiblySara.com

{Prize: Angry Birds Star Wars At-At Attack Battle Game and an Angry Birds Star Wars Foam Flyer}

**NOTE: ?This Rafflecopter giveaway is a 24-hour one! **

a Rafflecopter giveaway
GOOD LUCK!

Only one person per household/IP address may enter. ?This giveaway is open to US residents only and will run through midnight CST?on Friday, May 3, 2013. ?The winner will be randomly chosen using random.org and an email will be sent.??The winner must respond within 48 hours or a new winner will be chosen.? The giveaway item will be shipped directly to the winners from the sponsor. ?NOTE: ?The prize cannot be delivered to a P.O. Box.

Source: http://sensiblysara.com/2013/05/angry-birds-star-wars-at-at-attack-battle-game-review-and-giveaway/

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Wednesday, May 1, 2013

Study finds survival from cardiac arrest highest in the operating room or post-anesthesia care unit

Study finds survival from cardiac arrest highest in the operating room or post-anesthesia care unit [ Back to EurekAlert! ] Public release date: 1-May-2013
[ | E-mail | Share Share ]

Contact: Justin Harris
juaha@umich.edu
734-764-2220
University of Michigan Health System

CHICAGO and ANN ARBOR, Mich. A University of Michigan study from the "Online First" edition of Anesthesiology found cardiac arrest was associated with improved survival when it occurred in the operating room (O.R.) or post-anesthesia care unit (PACU) compared to other hospital locations. The findings offer evidence that the presence of anesthesia providers in these locations may improve outcomes for certain patients.

Cardiac arrest is a very uncommon complication during the perioperative period, which includes the time during and immediately after surgery and anesthesia. An estimated seven arrests occur per every 10,000 patients undergoing non-cardiac surgery each year. In the past, outcomes of cardiac arrest in the perioperative period have not been well-studied.

To better understand the management and outcomes of cardiac arrests during the perioperative period, researchers used the "Get With The Guidelines - Resuscitation" registry, a national cardiopulmonary resuscitation registry supported by the American Heart Association. Researchers identified more than 2,500 instances of perioperative cardiac arrest from 234 hospitals.

Findings showed one in three patients survived cardiac arrest to hospital discharge. Of these patients, two of three had good brain function.

In addition, survival was approximately 25-65 percent higher if the cardiac arrest occurred in the O.R. or PACU than if it occurred in the intensive care unit (ICU) or general in-patient areas.

Researchers also found asystole, a type of cardiac arrest without electrical activity in the heart, was associated with improved survival in the O.R. and PACU compared to other hospital locations. They also found life-saving treatment was given much faster in these locations. Pulseless electrical activity (PEA), a type of cardiac arrest where the heart rhythm does not produce a pulse, was associated with worse survival to discharge in the ICU.

"The most surprising findings from our research were that very sick patients in the ICU and postoperative low-risk patients in general inpatient areas had the poorest outcomes," said Satya Krishna Ramachandran, M.D., F.R.C.A., assistant professor, Department of Anesthesiology, University of Michigan. "We found outcomes were best when cardiac arrest occurred during or immediately after surgery and anesthesia. This supports the view that the availability of anesthesia providers in the O.R. and PACU may contribute to better outcomes."

###

For more information on Anesthesiology, visit anesthesiology.org.

The American Society of Anesthesiologists

Anesthesiologists: Physicians providing the Lifeline of Modern Medicine. Founded in 1905, the American Society of Anesthesiologists is an educational, research and scientific association with more than 50,000 members organized to raise and maintain the standards of the medical practice of anesthesiology and improve the care of the patient.

For more information on the field of anesthesiology, visit the American Society of Anesthesiologists website at asahq.org. For patient information, visit LifelinetoModernMedicine.com.

The University of Michigan Health System

For more than 160 years, the U-M Health System has been a national leader in advanced patient care, innovative research to improve human health and comprehensive education of physicians and medical scientists. UMHS includes the U-M Hospitals & Health Centers, with its three hospitals and dozens of outpatient health centers and clinics throughout Michigan; the U-M Medical School with its Faculty Group Practice and research laboratories; shared administrative services; and the Michigan Health Corporation. The three U-M hospitals -- University Hospital, C.S. Mott Children's Hospital, and Von Voigtlander Women's Hospital have been recognized numerous times for excellence in patient care, including 17 years on the U.S. News & World Report honor roll of "America's Best Hospitals". The U-M Medical School is one of the nation's biomedical research powerhouses, with total research funding of more than $490 million. Together, the 22,000 members of the UMHS community are creating the future of health care through discovery.


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Study finds survival from cardiac arrest highest in the operating room or post-anesthesia care unit [ Back to EurekAlert! ] Public release date: 1-May-2013
[ | E-mail | Share Share ]

Contact: Justin Harris
juaha@umich.edu
734-764-2220
University of Michigan Health System

CHICAGO and ANN ARBOR, Mich. A University of Michigan study from the "Online First" edition of Anesthesiology found cardiac arrest was associated with improved survival when it occurred in the operating room (O.R.) or post-anesthesia care unit (PACU) compared to other hospital locations. The findings offer evidence that the presence of anesthesia providers in these locations may improve outcomes for certain patients.

Cardiac arrest is a very uncommon complication during the perioperative period, which includes the time during and immediately after surgery and anesthesia. An estimated seven arrests occur per every 10,000 patients undergoing non-cardiac surgery each year. In the past, outcomes of cardiac arrest in the perioperative period have not been well-studied.

To better understand the management and outcomes of cardiac arrests during the perioperative period, researchers used the "Get With The Guidelines - Resuscitation" registry, a national cardiopulmonary resuscitation registry supported by the American Heart Association. Researchers identified more than 2,500 instances of perioperative cardiac arrest from 234 hospitals.

Findings showed one in three patients survived cardiac arrest to hospital discharge. Of these patients, two of three had good brain function.

In addition, survival was approximately 25-65 percent higher if the cardiac arrest occurred in the O.R. or PACU than if it occurred in the intensive care unit (ICU) or general in-patient areas.

Researchers also found asystole, a type of cardiac arrest without electrical activity in the heart, was associated with improved survival in the O.R. and PACU compared to other hospital locations. They also found life-saving treatment was given much faster in these locations. Pulseless electrical activity (PEA), a type of cardiac arrest where the heart rhythm does not produce a pulse, was associated with worse survival to discharge in the ICU.

"The most surprising findings from our research were that very sick patients in the ICU and postoperative low-risk patients in general inpatient areas had the poorest outcomes," said Satya Krishna Ramachandran, M.D., F.R.C.A., assistant professor, Department of Anesthesiology, University of Michigan. "We found outcomes were best when cardiac arrest occurred during or immediately after surgery and anesthesia. This supports the view that the availability of anesthesia providers in the O.R. and PACU may contribute to better outcomes."

###

For more information on Anesthesiology, visit anesthesiology.org.

The American Society of Anesthesiologists

Anesthesiologists: Physicians providing the Lifeline of Modern Medicine. Founded in 1905, the American Society of Anesthesiologists is an educational, research and scientific association with more than 50,000 members organized to raise and maintain the standards of the medical practice of anesthesiology and improve the care of the patient.

For more information on the field of anesthesiology, visit the American Society of Anesthesiologists website at asahq.org. For patient information, visit LifelinetoModernMedicine.com.

The University of Michigan Health System

For more than 160 years, the U-M Health System has been a national leader in advanced patient care, innovative research to improve human health and comprehensive education of physicians and medical scientists. UMHS includes the U-M Hospitals & Health Centers, with its three hospitals and dozens of outpatient health centers and clinics throughout Michigan; the U-M Medical School with its Faculty Group Practice and research laboratories; shared administrative services; and the Michigan Health Corporation. The three U-M hospitals -- University Hospital, C.S. Mott Children's Hospital, and Von Voigtlander Women's Hospital have been recognized numerous times for excellence in patient care, including 17 years on the U.S. News & World Report honor roll of "America's Best Hospitals". The U-M Medical School is one of the nation's biomedical research powerhouses, with total research funding of more than $490 million. Together, the 22,000 members of the UMHS community are creating the future of health care through discovery.


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Source: http://www.eurekalert.org/pub_releases/2013-05/uomh-sfs050113.php

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The iTunes influence, part two: Setting the music free

DNP  The iTunes influence, part two Giving the people what they want

"I think the consumer is going to be driving this train for quite a long time."
-- Casey Rae, deputy director, Future of Music Coalition

In 2003, the iTunes Music Store established an environment for downloadable music at exactly the time when consumers needed a safe and stable online music store. iTunes sold a million songs in the first week, 10 million in five months and 25 million songs after eight months.

But the consumer demands of one era do not necessarily hold sway in a different cycle. iTunes is facing powerful competition from Amazon, Google and Microsoft in the pay-per-download business. Meanwhile, streaming platforms like Spotify, Rdio and YouTube are establishing a widespread attitude that music is free, and that downloading from a store isn't as compelling as accessing a service. Apple is still making plenty of sales in the music store (15,000 downloads per minute), but users are also flocking in different directions.

With the state of music industry still in flux, 2013 could be as pivotal as 2003, and the next 10 years could be as eventful as the last 10.

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