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‘Ralph Breaks the Internet’ tops thanksgiving box office

By - Nov 27,2018 - Last updated at Nov 28,2018

A scene from ‘Ralph Breaks the Internet’ (Photo courtesy of imdb.com)

LOS ANGELES — Disney’s “Ralph Breaks the Internet” dominated the Thanksgiving box office, generating a massive $84.8 million at 4,017 locations over the five-day holiday period and $56.2 million for the weekend.

Propelled by solid word of mouth, the Disney animated sequel now ranks as the second-best Thanksgiving debut ever, behind another Disney title, “Frozen”, which earned $93.6 million during its first five days. “Ralph Breaks the Internet” carries a hefty $175 million production budget, so it will need to keep up momentum worldwide to turn a profit. “Ralph Breaks the Internet” sees John C. Reilly and Sarah Silverman reprise their roles from “Wreck It Ralph” as the video game villain and his best friend navigate the internet. The original film picked up $49 million over its first three days of release.

“Whenever we look at sequels, they have to be addicted,” Cathleen Taff, Disney’s president of global distribution, said of “Ralph Breaks the Internet’s” impressive opening. “The filmmakers built this world out with such attention to detail that people were ready to come back and enjoy these characters. We’re really excited about the momentum as we head into the holidays.”

“Ralph” wasn’t the only sequel to thrive this weekend. MGM and New Line’s “Creed II” was a knockout as the boxing drama earned $56.6 million from 3,350 venues over the five days and $35.6 million for the weekend. That marks the best debut for a live-action film during the holiday frame. Those numbers also top the start of “Creed”, which launched with $29 million over the three-day frame. “Creed II” stars Michael B. Jordan as Donnie Creed, the son of heavyweight champ Apollo Creed. Sylvester Stallone returns as Rocky Balboa.

“It’s a thrill to see both its legacy and new generation of audiences continue to respond to Rocky Balboa and Adonis Creed in this time when we need uplifting stories,” said Jonathan Glickman, president of MGM’s motion picture group.

The crowded Turkey Day did not just bring back solid receipts, it set a new record, according to Comscore. This five-day outing surpassed $314 million, exceeding the record set in 2013 with $294 million.

Unfortunately, it is not all holiday cheer at the box office. Lionsgate’s “Robin Hood” pocketed a tepid $14.2 million at 2,715 venues for the five-day period and $9.2 million for the weekend, a potentially disastrous result given the live-action adventure’s roughly $100 million production budget. Taron Egerton and Jamie Foxx lead “Robin Hood” in the latest rendition of the swashbuckling bandit.

Meanwhile, awards hopeful “Green Book” had a disappointing expansion. It moved into 1,063 theatres and made $5.5 million for the weekend and a lacklustre $7.5 million during the five-day frame. Universal is distributing “Green Book”, which was co-produced by DreamWorks and Participant. Viggo Mortensen, who drew controversy after using of the N-word at a screening, co-stars alongside Mahershala Ali in the comedic drama that centres on a renowned black pianist’s tour through the Deep South during the Jim Crow era.

Universal’s domestic distribution chief Jim Orr stressed that word of mouth will be exceptionally important for “Green Book’s” life at the box office.

“It’s definitely going to be a marathon, not a sprint,” Orr said. “We think it’s going to be in theatres and an award darling for quite some time.”

As new releases swarmed multiplexes, a number of holdovers still managed to draw crowds. Warner Bros.’ “Fantastic Beasts: The Crimes of Grindelwald” picked up $43.7 million for the five-day outing and $29.4 million its sophomore frame. That brings its domestic tally to $116.5 million.

Universal’s “The Grinch” is still doing formidable business in its third week of release, and the family-friendly film will duke it out with the “Fantastic Beasts” sequel for third and fourth place once final numbers come in Monday. The animated adaptation of the Dr Seuss holiday classic stole another $42 million for a Stateside haul of $180 million.

Rounding out the top five is Fox’s “Bohemian Rhapsody”. The Queen biopic drummed up another $19 million during the five-day holiday, $14 million over the weekend, bringing its North American total to $151 million.

In limited release, Fox Searchlight’s “The Favourite” bowed in four theatres in New York and Los Angeles, earning $420,000. That averages out to $105,500 per location, marking the best theatre average of the year. Yorgos Lanthimos directed “The Favourite”, an absurdist period drama that is seen as a solid Oscar contender. Set in the early 18th century, it centres on the drama between two cousins (Rachel Weisz and Emma Stone) jockeying to be court favourites during the reign of Queen Anne (Olivia Colman).

“There is so much competition in the overall marketplace, but it shows there’s room for other movies,” said Frank Rodriguez, Fox Searchlight’s head of distribution. “Thank god for exhibitors knowing their audience was passionate about seeing the film.”

Also at the specialty box office, Magnolia’s “Shoplifters” opened in five locations where it made $88,000, for a per-screen average of $17,600. The drama about an impoverished family living on the margins took home the Palme d’Or at Cannes and is Japan’s entry for best foreign language film at the Academy Awards.

To burn most calories, it helps to heed clock

By - Nov 26,2018 - Last updated at Nov 26,2018

Photo courtesy of healthline.com

Next time you stagger into a Waffle House in the wee hours of the morning and order the Texas sausage egg & cheese melt (1,040 calories), consider this new research finding: At roughly that hour, the most basic operations of the human body throttle back their caloric needs by about 10 per cent compared to the rate at which they will burn calories in late afternoon or early evening.

Maybe you would prefer to come back around dinnertime.

This pattern of calorie use does not significantly vary based on whether you are the waitress working the graveyard shift or a 9-to-5’er stopping in for breakfast after eight hours of shut-eye, the researchers found. Humans’ “resting energy expenditure” — the body’s use of calories to power such basic functions as respiration, brain activity and fluid circulation — follows a predictable cycle that waxes as the day progresses and wanes as night sets in.

The new study, published this week in the journal Current Biology, offers further evidence that circadian rhythms dictate not just when we feel the urge to sleep but how complex mechanisms like metabolism operate across a 24-hour period. It may help explain why people who keep irregular sleep schedules, including swing shift workers, have higher rates of obesity and are more likely to develop metabolic abnormalities such as type 2 diabetes.

And it demonstrates that whether we hear it or not, our body’s clock is always ticking, locating us in our daily cycle with uncanny precision.

At “hour zero” — roughly corresponding to somewhere between 4 and 5am — our core body temperature dips to its lowest point and our idling fuel use reaches its nadir. From that point, at first quickly and then a bit more slowly, the body’s “resting energy expenditure” rises until the late afternoon/early evening. After reaching its peak at roughly 5 pm, the number of calories we burn while at rest plummets steadily for about 12 hours.

And then, just as surely as day follows night, we start again.

These new findings are a reminder that no matter how 24/7 our schedules have become, our bodies were built for a slower, simpler world in which humans moved around all day in search of food, ate while the sun was up, and slept when the sky was dark.

Today, our appetites and the all-night availability of tempting food may induce us to eat well after sundown. And our jobs may demand that we sleep during the day and wait tables, care for patients or drive trucks through the night. But our bodies still adhere to their ancient, inflexible clocks.

The study’s findings also come with an implicit warning: When we disregard the biological rhythms that rule our bodies, we do so at our peril.

Resting energy expenditure accounts for the majority of the minimum calories we burn in a day. Just to spend a day eating, sleeping and breathing uses up 60 per cent to 70 per cent of our “resting energy expenditure”. So a serious mismatch in the time when calories are consumed and the time when most of them are burned could prompt the body to make decisions — like storing calories as fat — that are not necessarily healthy.

The new study adds to a growing body of evidence suggesting that a good 12-hour fast, when aligned with darkness and our bodies’ nocturnal response, may be a way to prevent or reverse obesity. In lab animals and a growing number of people, Salk Institute researcher Satchin Panda has demonstrated the impact of dietary obedience to our circadian rhythms.

Others have demonstrated the power of timing by showing how readily it can be disrupted.

In a 2014 study, 14 lean, healthy adults agreed to turn their days upside-down over a six-day period. Fed a diet sufficient to maintain their weight, the subjects quickly adapted by turning their thermostats down. Compared to the baseline readings taken upon their arrival (when they were awake by day and asleep eight hours at night), the subjects burned 52 fewer calories on day 2 of their swing-shift schedule, and 59 fewer calories on day 3 of that schedule.

Do that for a couple of days and you might feel a little off. Do it for months, years or a lifetime, and the result could be too much stored fat and metabolic processes that go haywire.

“One take-away is indeed that for optimal health, including metabolic health, it’s best for us to have a regular schedule seven days a week — getting up and going to bed at the same time and eating our meals at the same time,” said senior author Jeanne F. Duffy, a neuroscientist and sleep specialist at Brigham & Women’s Hospital in Boston. “We have these powerful clocks in ourselves and they’re prepared to deal with certain events — eating and sleeping — at particular times everyday. So we want them to be optimally prepared for that.”

To get to these findings, the researchers had to coax seven people to spend three weeks sequestered in windowless rooms without clocks, cellphones or Internet service. In what is called a “forced desynchrony protocol”, the researchers extended the subjects’ days by four hours. All got a minimum of eight hours in bed at the end of their extended day, but then woke up and marched through an 18-hour period of artificial “daylight” before being allowed to sleep again.

At first, they seemed to race to keep up with this odd clock. But after three weeks of such discombobulation, subjects essentially come to rely on their own internal clocks to set the duration of their days and separate their days from nights.

The individual rhythms that each subject fell back into did not show that much variation: Without alarm clocks or other cues, they eventually found their way back to a cycle of sleeping and waking that hovered closely around 24 hours, Duffy said.

By the end of week one, the patterns in their hour-by-hour resting energy expenditure had become clear: In a span of time ranging from 23 to 24.5 hours, subjects who were disconnected from day and night cues showed patterns of resting energy use that were remarkably similar, and that followed the same daytime rise and nighttime decline. These patterns remained unchanged until the end of week three.

Along with that were similar patterns of “macronutrient utilisation”. Subjects burned the most carbohydrates early in their waking day. Carbohydrate use then declined steadily, with a small jump in the middle of the night. The burning of fat was lowest in the morning, peaked in early evening and declined from there.

“We were impressed by the fact that these patterns were so similar between individuals,” Duffy said. “That told us this was something real.”

The number of calories we burn — or store as fat — is likely influenced not just by our size, what we eat and the amount of exercise we get, Duffy said. The timing of our eating matters too.

When we sleep late on weekends, hopscotch across time zones, or work on schedules that have us up all night then back on the day-shift, “we’re disrupting our clocks and making our metabolisms inefficient, and in the long term, that will lead to disease”, she said. “Staying on the same schedule is the best way to prevent that.”

Lada 4x4 Urban 5-Door: Unpretentious utility and affordable ability

By - Nov 26,2018 - Last updated at Nov 26,2018

Photos courtesy of Lada

Capping its fourth decade of production this year, the Lada 4x4 has over the years undergone subtle development and improvement, and been offered under a variety of names depending on market and era. 

A rugged, practical, manoeuvrable and comfortably riding cross between compact daily driver and genuine off-roader, the 4x4 may not have the luxury, refinement or high speed performance of modern upmarket and mainstream SUVs. It instead trades on a now iconic appeal and highly affordable utility with huge off-road capability that puts to shame most SUVs at a fraction of the price demanded by upscale luxury SUVs with similar off-road talents.

Unpretentious charm

Formerly and best known as the Niva, the Lada 4x4 is now produced in three trim levels including the slightly more city-oriented Urban model driven, with body colour integrated bumpers and slightly bigger alloy wheels. Driven in longer 5-Door guise, its 500mm longer wheelbase measures 2,700mm and lends it a slightly elongated look. If ultimately not as aesthetically well-proportioned or feisty in demeanour as the iconic 3-Door model, the longer wheelbase and extra rear doors do, however, provide improved daily family use practicality, stability at speed and truly generous legroom that belies its still compact 4,140mm length, 1,680mm width and 1,640mm height.

Unpretentious, uncomplicated and utilitarian, the Lada 4x4 is unmistakable in appearance, with low-slung round headlights and rectangular turn signals above. Now bearing vertical rear lights, its small dimensions, boxy design, low waistline and big glasshouse ensure good interior space efficiency and excellent visibility and manoeuvrability for pinpoint accuracy when placing it in a tight parking spot or traversing the narrowest off-road trails. Honest and minimalist in aesthetic appeal, the 4x4 is well-packaged, with its spare tyre placed under its unintentionally stylish reverse-swing clamshell bonnet to maximise cargo room and also not increasing length or decreasing clearance by mounting it externally or underneath.

Minimalism over excess

A triumph of function over form and minimalism over excess in every aspect of its design and engineering, the Lada 4x4’s weight remains restrained even in 5-Door guise at 1425kg, as does its small, effective and rugged 1.7-litre naturally-aspirated 8-valve SOHC four-cylinder engine. Uncomplicated and able to run on cheaper lower octane 90RON fuel, the 4x4’s engine provides comparatively healthy low-end torque for effective off-road driving. Not the most economical engine for its size, it, however, returns frugal consumption at lower speeds and rpm, with the benefit of the 4x4’s light weight, and not the disadvantage of its boxy wind resistance at speed. 

Positioned in-line and driving the rear wheels in normal on-road conditions, the 4x4’s engine develops adequate, if not spirited performance, but delivery is progressive for accurate throttle control. Developing 82BHP at 5000rpm and 95lb/ft at 4000rpm, the Lada 4x4 5-Door accelerates through 0-100km/h in 19-seconds and tops out at a comfortably achievable 137km/h. Certainly livelier and more eager keeping up with traffic at the higher end of its rev range, if not quick in absolute terms, the 4x4 is nonetheless a fun and engaging driving, with its narrow tyres, light weight, minimal sound deadening and engagingly mechanical controls, feels brisk even at lower speeds.

Engaging and intuitive

Driving the rear wheels on road through a brilliantly mechanical and analogue feel 5-speed manual gearbox shifter and an accurate and intuitive clutch pick-up point, the Lada 4x4 is balanced and well-weighted through corners. Working the gearbox through switchbacks to maintain momentum and power, the 4x4 is an engaging and not surprisingly agile and rewarding drive. Turning tidy, crisp and alertly into a corner like the shorter more nimble 3-Door, the 5-Door Lada would seem to have slighty more inclination for under-steer — and better rear grip — when pushed to the limit. 

Its recirculating ball steering and slim tyres provide intuitive road feel, but require more steering turn input than quicker more modern systems, while steering angle was surprisingly modest, owing to its four-wheel-drive system. Sprung softly and riding on double wishbone front and a more sophisticated trailing arm live axle rear suspension setup, the Lada 4x4 is quick and eager turning in yet leans somewhat through a corner, but nevertheless remains committed and reassuring through corners, and without electronic stability assistance or interference.

Stable at speed and in town, the 4x4 maybe noisier inside than a more luxurious car but rides with a forgiving suppleness over jaded bumps, lumps and severe imperfections that very few modern cars can match, which is partially due to its narrow, and tall sidewall 185/75R16 tyres. Driven during recent heavy rains, the Lada’s slim tyres also proved highly resilient to aquaplaning on partially flooded roads. Conceived as a modern civilised car-like off-roader with unibody construction, yet it is now more capable than most current SUVs, and offers high water and snow fording ability.

Comfort and capability

With its lightweight, compact size and high 200mm clearance and short overhangs, the 4x4 benefits delivers excellent approach and departure angles, in addition to a generous ramp angle, evenif it is slightly less in the 5-Door version, Engaging its four-wheel-drive hardware through two additional stubby levers, the Lada only really needs to engage four-wheel drive and low gear ratios for truly demanding terrain, while the rear differential can be locked for the most extreme and low traction conditions.

Supple and settled on pavement, dirt roads and more rugged off-road terrain, the Lada 4x4 Urban is a comfortable drive and is spacious inside for so small a vehicle, including a minimum 420-litre boot that expends to much more with rear seats folded. Designed as a rugged machine with few, if any, frills, the modern 4x4 may feature hard shiny plastics aplenty inside and no central locking, but comes with a stereo system, electric windows, steering rake adjustment and air conditioning. Seating is comfortable and well adjustable in front and spacious in the rear, but more front lumbar support and rear headrests would be welcome additions.

Launched back in 1978 as a rugged, capable and affordable car of a Soviet milieu and harsh Russian conditions, the Lada 4x4 small dimension, spacious interior, forgiving ride comfort, high clearance, economical running costs and high value JD15,000 pricing remains relevant in Jordan today, with its high car import duties, rugged roads and crowded city streets.

TECHNICAL SPECIFICATIONS

  • Engine: 1.7-litre, in-line 4-cylinders
  • Bore x stroke: 82 x 80mm
  • Compression ratio: 9.3:1
  • Valve-train: 8-valve, SOHC
  • Gearbox: 5-speed manual, four-wheel-drive
  • Driveline: low gear transfer, locking rear differential
  • Final drive: 3.9:1
  • Power, BHP (PS) [kW]: 82 (83) [61] @5000rpm
  • Specific power: 48.5BHP/litre
  • Power-to-weight: 57.5BHP/tonne (kerb)
  • Torque, lb/ft (Nm): 95 (129) @4000rpm
  • Specific torque: 100.4Nm/litre
  • Torque-to-weight: 90.5Nm/tonne (kerb)
  • 0-100km/h: 19-seconds
  • Top speed: 137km/h
  • Fuel consumption, combined: 9.9-litres/100km
  • Fuel capacity: 65-litres
  • Length: 4140mm
  • Width: 1680mm
  • Height: 1640mm
  • Wheelbase: 2700mm
  • Overhang, F/R: 650/780mm
  • Track, F/R: 1440/1420mm
  • Minimum ground clearance: 200mm
  • Cargo volume, min: 420-litres
  • Water fording: 510-600mm (est.)
  • Snow fording: 1000mm (est.)
  • Slope angle 58° (est.)
  • Unladen weight: 1425kg
  • Gross weight: 1850kg
  • Towing capacity, braked/unbraked: 600/300kg
  • Suspension, F: Independent, Double wishbones, coilovers
  • Suspension, R: Trailing arm, Panhard rod, coil springs
  • Steering: Power-assisted recirculating ball
  • Brakes, F/R: Discs/drums
  • Tyres: 185/75R16

Price, on the road: JD15,000

 

 

Ready to trade in your burger for vegan tofu sandwich? Start slow

By - Nov 25,2018 - Last updated at Nov 25,2018

Photo courtesy of wordpress.com

Vegan cookies, vegan burgers, vegan water — if it seems like you are seeing vegan everywhere you go, that is because you probably are.

Even though only 3 per cent of Americans identified as vegan in a recent Gallup poll, almost 20 per cent of food sales came from plant-based products and the category is surpassing overall food sales.

Generally, a vegetarian avoids eating meat, poultry, shellfish — sometimes referenced as “anything with a face”. A vegan is someone who refrains from eating all animal products. So while some vegetarians eat things such as eggs, cheese and yogurt, vegans do not eat dairy or any animal byproducts, like gelatin.

Sometimes veganism extends beyond the person’s diet and into their lifestyle, with some choosing not to wear leather or silk and even feeding their pets a vegan diet. It just depends on the individual.

What the Gallup poll does not take into account are those who are part-time vegans or are simply reducing their intake of animal products. Sales of vegan food grew 8.1 per cent from 2016 to 2017, totalling $3.1 billion.

A primarily plant-based diet can help those looking to lose weight, but the benefits do not stop there. Studies have shown that a vegan diet can decrease the risk of stroke and heart disease and protect against cancer.

Whether you are looking to go vegan for environmental reasons, health reasons or just because, the journey to a plant-based lifestyle does not have to be a daunting one.

Those who have extensive experience with vegan diets and lifestyles agree that the most important thing about trying out veganism is to come to it with an open mind and start off slowly rather than diving in headfirst.

So, be a part-time vegan and see if it is for you. You might be surprised at how little you find yourself giving up or missing from your normal diet.

Kirsten Ussery, co-owner of Detroit Vegan Soul, says that even though vegan food is never going to taste exactly like meat, you can make it pretty similar by using the right flavours and textures, which is mostly what people are after.

Ussery and partner Erika Boyd started Detroit Vegan Soul as a meal delivery service in 2012 because of their own personal journeys and the lack of vegan options in the city. They wanted to break the cycle of disease within their families, but also did not want to have to give up the cuisine they were raised on — soul food.

“People will enjoy good food whether it’s vegan or not,” Ussery says. “We believed that given the option, more people would be interested in plant-based food once they experience it and see that the stereotypes they have about it aren’t true.”

Michael Hornick, the vice president of the Chicago Diner — meat-free since 1983 — says that the transition to plant-based foods has to be small.

“It’s getting people to open up and see that they can eat vegetarian and vegan without missing the flavours that they grew up on,” Hornick says.

“It’s important to present the food in a way that… isn’t intimidating and is a similar experience to what they might be used to.”

Hornick understands that there’s nothing comforting about trying new food, so he tries to make “something new taste like something familiar”.

The restaurant serves comfort foods like country fried steak and corned beef sandwiches — all vegan. It all comes down to making the right substitutions. By using ingredients like beans, seitan and tofu, Hornick is able to practically replicate any meat favourite as a vegan dish.

“Just give it a chance, there are plenty of vegetarian restaurants in every city — it’s one meal. If you didn’t like it, you’re going to have another meal later,” Hornick says.

Celebrity chef Matthew Kenney, who was named one of Food & Wine magazine’s Best New Chefs in 1994, has been vegan for 16 years, agrees that the transition to vegan food is only getting easier.

“One of the first things that I encourage people to do is substitute dairy with dairy alternatives — there’s just so many great products on the market already, so it’s an easy transition,” Kenney says.

He says he also finds vegan food the most exciting way to eat these days, given the rise in plant-based products and all the unique things chefs are learning to do with plants.

“Try it, one meal a day, one meal a week, and incorporate plants in a space where you normally wouldn’t,” says Kenney. “Listen to your palate, listen to your body.”

Choose love in every situation

Are you driven by love or fear?

By , - Nov 25,2018 - Last updated at Nov 26,2018

Photo courtesy of Family Flavours magazine

It is a common misconception that hate is the opposite of love. It might even surprise you to know that it is in fact fear that is the opposite of love. Confused?

The first thought behind any action comes either from love or fear, both being on opposite poles. All other positive and negative emotions that fall in between manifest from these two emotions.

Just as love and fear are opposites, emotions associated with each are also different: 

• Love brings contentment, inner peace, forgiveness 

• Fear generates anger, anxiety, hate, guilt

 

Understanding fear

 

To achieve success, or to achieve any goal, you need to cross the murky waters of fear and move into love. You cannot count on fear to simply go away with time. But if you wait for fear to pass on its own, it might be too late for you to do the things you have always wanted.

Whether you suffer from the fear of heights, the sea, closed areas, failure, financial insecurity or loneliness, fear is one of your worst enemies. It holds you back and blocks you from living life to its fullest potential.

How many times do you say I fear this and that? For example, you may set your alarm at seven in the morning for a meeting at nine because you want to sleep early and you “fear arriving late to the meeting”. What would happen if you said instead that you wanted to sleep early because you “love arriving to the meeting on time”? The action is the same, but the intention is different and that makes all the difference.

 

Choosing love

 

Choose love in everything you think, you say and you do. Love is the ultimate goal and with it comes manifestations in the form of harmony, financial abundance, good health and meaningful and rewarding relationships.

Choosing love does not mean you will not feel instinctual fear, which is the fear that is adopted when identifying a physical threat upon encountering it, like fire or a wild animal. Choosing love simply means that you will not attract your compulsive fears.

The key message is for you to choose love in every situation. This is the only way to eliminate the chance of fear (or a similar negative emotion) to take its place.

By ridding yourself of hidden negative beliefs through ThetaHealing, you are reprogramming the subconscious with new, empowering and positive beliefs, and radiating a true self-love from within that can help you create a different reality. 

ThetaHealing has the ability to reach your very core and eradicate your biggest fears, giving you the chance to start over. All you have to do is be open to the process.

With love and gratitude…

 

Reprinted with permission from Family Flavours magazine

ICU stay can lead to depression

By - Nov 24,2018 - Last updated at Nov 24,2018

Photo courtesy of tmhome.com

Patients who are treated in an intensive care unit (ICU) and survive are at increased risk of depression, a new study suggests. And depression in ICU survivors was linked with a higher risk of death in the next two years, researchers found.

More than half of former ICU patients reported symptoms of psychological disorders, including anxiety, depression and past-taumatic stress disorder (PTSD), according to the study published in Critical Care.

“Psychological problems — anxiety, depression, PTSD — after being treated for a critical illness in the ICU are very common and often complex when they occur,” said the study’s lead author Robert Hatch, NIHR academic clinical fellow in Intensive Care Medicine and honorary clinical research associate at the University of Oxford. “Patients who reported symptoms of depression were 47 per cent more likely to die from any cause during the first two years after discharge from the ICU than those who did not report these symptoms.”

Hatch and his colleagues followed 4,943 ICU patients who had spent at least 24 hours in one of 26 ICUs in the UK between 2006 and 2013. The patients were asked to fill out questionnaires at three and 12 months following discharge from intensive care.

The questionnaires probed for signs and symptoms of psychological disorders. When the responses were analysed, the researchers determined that 46 per cent of the patients were experiencing symptoms consistent with a diagnosis of anxiety, 40 per cent reported depression symptoms, and 22 per cent reported symptoms of PTSD. Often, patients had symptoms of more than one disorder. In fact, 18 per cent of the patients met the criteria for all three psychological conditions.

Patients who reported symptoms consistent with a diagnosis of depression were 47 per cent more likely to die from any cause during the first two years after discharge from the ICU than those who did not report these symptoms. Increased risk of death was not associated with symptoms of anxiety or PTSD.

 “The reason detecting and recognising psychological problems is so important, is that they are a major cause of poor quality of life following critical illness and they are potentially treatable,” Hatch said in an e-mail. “Our findings suggest that depression following care of a critical illness in the ICU may be a marker of declining health and clinicians should consider this when following up with former ICU patients.”

The new findings were somewhat of a surprise for Dr John Bienvenu, an associate professor of psychiatry at Johns Hopkins Medicine.

“We knew that symptoms of depression were associated with a worse quality of life after a critical illness,” Bienvenu said. “But this shows that they are also associated with mortality. I was struck by the fact that they were 47 per cent more likely to die.”

Bienvenu said that a similar study in the US would most likely find similar results.

While the study does not explain why depression might shorten life, there are studies in other areas of medicine that might help shed light on the subject, Bienvenu said. “In patients with diabetes and heart disease, depression doesn’t just affect how they feel, it affects their behaviour,” he explained. “From the diabetes literature we know that depressed patients are often not taking as good care of themselves: they don’t take their medications and they miss appointments with their doctors.” 

The solution may be better monitoring of patients after they leave the ICU, Bienvenu said. “At Hopkins we’ve been talking about doing a better job of screening patients for psychological symptoms after they’ve been treated and released from the ICU,” he added. “Then we can get treatment for all of those who screen positive.” 

Your imagination could help conquer your fears

By - Nov 22,2018 - Last updated at Nov 22,2018

Photo courtesy of wordpress.com

Therapists often use a technique that involves exposing patients to the source of their fears to conquer them, but a new study suggests that guided imagining of the source of fear can be just as effective. 

The traditional method, called threat extinction, relies on triggering areas of the brain involved in perception, memory, learning and imagination, and the authors of the new study show the same processes occur when the fear source is “simulated” by imagining it. 

“The most interesting aspect was that we could measure neural responses and look at the brain’s state during imagination and see that it was similar to what happens during real exposure,” said senior author Daniela Schiller, an associate professor of psychiatry and neuroscience at the Icahn School of Medicine at Mount Sinai in New York City. “By doing mental action we can bring our brains to a state that resembles what happens when there is real exposure.” 

One of the drawbacks of traditional exposure therapy is that it can be difficult or impractical to try to confront the actual source of a patient’s fears: if they arise from trauma in a war zone, for example. And sometimes the fear is so intense that real exposure therapy can be overwhelming. 

To test the principle of imagined exposure, Schiller and her colleagues set up an experiment involving 68 volunteers who would be conditioned to link a certain sound with a mild electric shock. The researchers repeatedly played two tones to the volunteers and during one tone the volunteers got the mild shock. Eventually, just the sound was enough to make them react. 

Then Schiller and her colleagues divided the volunteers into three groups. One group got exposed over and over to the sound that had been linked to a shock, but now with no shock. A second group was told to imagine the sound without a shock accompanying it. The third group, which served as a control, was told to just imagine two neutral sounds from nature, birds singing and rain falling. 

The volunteers’ brains were scanned with functional MRI during this phase of the experiment. Sensors on the volunteers’ arms also measured skin conductance, “an arousal measurement”, Schiller explained. 

When the researchers examined the brain scans they found that “when you undergo exposure therapy, either real or imagined, a network in the ventromedial prefrontal cortex [kicks into action]”, Schiller said. “That network is important to extinction learning.” 

In people with anxiety disorders, that network can be impaired. The study results, published in Neuron, show that it can be set in motion by both actual exposure to frightening experiences and imagined exposure, Schiller said. 

Therapists already are using imagination therapy, even without the proof that it causes actual brain changes, said Robert Hudak, an associate professor of psychiatry at the University of Pittsburgh School of Medicine in Pennsylvania who was not involved in the study. “We do it all the time with OCD patients.” 

For example, someone leaving home for a few hours may pull the plugs out of every socket in the house hoping that will stop it from catching on fire, Hudak said. Repeatedly having the person imagine leaving the house without pulling out the plugs can eventually dampen the anxiety they feel about their home catching on fire. 

Eventually, the person in the company of a therapist might do the exposure therapy for real. “Imagination exposure in this case can be a first step,” Hudak said. 

Hudak does not recommend people try doing imagination exposure on their own. That is because it takes practice to just sit there and allow the anxiety to dissipate on its own, he said. 

Facebook seeks to patent software to figure out profiles of households

By - Nov 22,2018 - Last updated at Nov 22,2018

Photo courtesy of spousehood.com

Facebook Inc. is applying to patent software that it could use to create profiles of users’ households by making educated guesses about how many people live in the household, what their relationships to each other are, what interests they share and what electronic devices they use.

The system would draw on the wealth of information Facebook already has about its users — including their photos, comments, messaging history and web browsing activities — and could be used to help target ads, according to the patent application.

“Without such knowledge of a user’s household features, most of content items that are sent to the user are poorly tailored to the user and are likely ignored,” says the patent application, which was filed last year and made public Thursday.

The software would analyse images posted to Instagram or Facebook. (Even users who never upload photos still can be tagged in other users’ photos.) To help determine whether people live in the same home, the patent application says, the software could look at how often people are tagged in pictures together and at the photos’ captions. The software would not be limited to using photos that include everyone in the household; rather, the patent application shows, it would take into account pictures of individuals and pairs.

The application indicates Facebook could also incorporate “past posts, status updates, friendships, messaging history, past tagging history” and web browsing history to put together a profile of a household or family. Those profiles, in turn, could be made available to third parties that want to target “content” to users, it says.

Facebook declined to comment Friday on the details of the patent application but said that applying for the patent does not necessarily mean it will build or use the software.

“We’ve often sought patents for technology we never implement, and patents should not be taken as an indication of future plans,” a Facebook representative said in a statement.

The Menlo Park, Calif., company, which has struggled this year to maintain the public’s trust in the security of its platform, rolled out a device this month that will help it gather more information about people in their homes called Portal, which has smart-speaker functions and is optimised for video chatting.

In the past, Facebook contracted with third-party data brokers such as Acxiom and Experian to offer ad targeting based on users’ family makeup, income levels and other data. It stopped that practice in March, however, after the revelation that another third-party firm, Cambridge Analytica, may have violated Facebook policy by sharing and storing Facebook user data.

Security concerns have continued. This fall, Facebook disclosed a breach that affected 29 million user accounts; hackers accessed user information including name, gender, language, relationship status, religion, birthday, friend lists, timeline posts and titles of recent conversations.

Now there’s concern that the level of predictive analytics proposed in the patent application would introduce additional problems in that vein.

“This is what I would call a classic case of secondary use,” said Pam Dixon, founder and executive director of the World Privacy Forum. “Someone is signing up to Facebook, or Instagram for that matter, to post photos or maybe keep in touch with old college friends. I don’t think people intend to have all their relational outlines queried and mapped by Facebook and used for purposes that people aren’t expecting.”

Based on a profile of a household of seven children, Facebook could make economic inferences, for instance, Dixon said. She also said that using artificial intelligence to analyse pictures of a family could run the risk of drawing false conclusions based on ethnicity or gender.

“Today, Facebook allows people to target ads based on information that is available already about you. It’s just on a fact basis,” Dixon said. “But with this [proposed system], it’s traditional data broker predictive analytics. It puts people in categories based on who Facebook predicts them to be. This is where we enter the realm of unfairness and potential bias and discrimination.”

Of mobile devices batteries

By - Nov 22,2018 - Last updated at Nov 22,2018

I recently realised why I love my smartphone more than my laptop computer. It is because the battery of the first lasts much longer than the second’s. Typically, the phone’s battery lasts a full day whereas the laptop’s works for a mere three hours. I must admit that my phone is much newer than my old laptop, which perhaps is a partial explanation. The most recent laptop model feature batteries that can last up to eight hours and even an exceptional 12 hours in some instances.

Battery autonomy in mobile devices is a critical technical aspect of the technology. For some users it is as important as the screen resolution or the quality of the camera in the device, if not more, sometimes. With extensive usage outdoors and while on the road, the demand for long duration mobile power is increasing all the time.

Manufacturers find it hard to indicate the exact battery autonomy (or duration) of the devices they are making and selling, for it greatly varies depending on what you may be doing with the device. If, for example, you are watching videos while at the same time several other applications are also running in the background, and you have also set the screen brightness to its maximum, then your battery duration may be cut in half of what its best performance would be. The numbers usually indicated by the maker are but a rough average.

To satisfy their need for longer battery autonomy, “power users” buy these popular external battery banks that let you recharge your device when its main internal battery runs out. Anker, for example, makes excellent external battery banks that are very handy and help you run your device for much longer than its internal battery. 

However, these external battery banks have proven to be more efficient and more useful with small devices like smartphones, than with their bigger counterparts, laptop computers or tablets. Indeed, and again as average figures only, a smartphone uses about 1kWh (kilowatt hour) over a one-year period, whereas a laptop would use 70kWh. The difference of 70 to 1 is huge and must be taken into consideration. Which is why external battery banks are more often used to run small devices like smartphones than laptops.

To provide more battery autonomy manufacturers are working in parallel on two strategic frontlines. On the first they try to improve the batteries’ chemistry and design, and on the second they try to make the device less power-hungry and more power-efficient. Judging by what has been achieved over the last five to six years, the industry is doing it right.

Almost all new smartphones, tablets and laptop computers, all those made as of this year, feature batteries that last two to three times longer than similar devices made only five or six years ago. This is the way the industry keeps moving on and it is a significant point.

Which means that if battery autonomy, is a critical point for you, it is worth buying the newest device on the market, if only for this reason, and even if your “older” device is still in perfect working condition.

We are here back to the principle that virtually forces you to keep following technology and buying new devices all the time. Whether it is to have the fastest one, the best looking, the one that is compatible with the most recent operating system, or simply the one with the longest lasting batteries, buying the newest equipment is the rule. This is what our consumer society is about.

Workplace bullying and violence tied to higher risk of heart problems

By - Nov 21,2018 - Last updated at Nov 21,2018

AFP photo by Bill Diodato

People who are bullied or exposed to violence on the job may be more likely to develop cardiovascular disease than individuals who do not deal with these challenges at work, a European study suggests. 

Researchers examined survey data from more than 79,000 working men and women between 19 and 65 years old who did not have a history of heart disease. Overall, about 9 per cent of them reported being bullied and 13 per cent said they had been exposed to violence on the job in the last year. 

After an average follow-up period of more than 12 years, 3,229 people, or about 4 per cent of the workers in the study, were diagnosed with heart disease or hospitalised for related events like a heart attack or stroke. 

Workers who were bullied on the job were 59 per cent more likely to be diagnosed with heart disease or hospitalised for heart attacks or strokes than those who were not bullied, the study found. And workers who were exposed to violence had 25 per cent higher likelihood of developing heart disease or being hospitalised for related events. 

“If we can eliminate workplace bullying and workplace violence, the impact on cardiovascular disease prevention would be similar to if we prevent diabetes and risky alcohol drinking,” said lead study author Tianwei Xu of the University of Copenhagen in Denmark. 

Difficult work conditions, including job strain and excessive hours, have long been linked to an increased risk of cardiovascular disease, but research to date has not offered a clear picture of what role might be played by exposure to bullying and violence, the researchers write in the European Heart Journal. 

Still, stressors like bullying and violence might contribute to mood disorders like anxiety or depression or fuel unhealthy behaviours like smoking or eating and drinking too much, the study authors note. 

Severe stress may also contribute to high blood pressure, which in turn increases the risk of heart disease. 

Bullying, or psychologically aggressive behaviour, affected from 8 per cent to 13 per cent of workers across three different surveys examined in the study. 

Most bullies were colleagues, supervisors or subordinates, rather than clients or other individuals outside the workplace. 

About 7 per cent to 17 per cent of workers were exposed to violence, which included both threatened and actual physical harms. Most perpetrators of physical violence were clients or people served by workers, not supervisors or colleagues. 

Certain professions appeared to have an outsize risk of physical violence: more than 47 per cent of social workers experienced this, as did more than 29 per cent of personal and protective service workers, more than 25 per cent of healthcare workers, and more than 16 per cent of teachers. 

For the analysis, researchers looked at workers in Denmark and Sweden who were participants in three studies that began between 1995 and 2011. Researchers examined national health registry data for evidence of heart disease. 

The new analysis was not designed to prove whether or how exposure to bullying or violence at work might directly cause heart disease or related events like heart attacks or strokes. 

Another limitation is that researchers only assessed exposure to bullying and violence once, when people joined the study, and were unable to see how changes in exposure over time might impact heart health. Researchers also lacked complete data on tobacco use and some other factors that can affect heart disease risk, like marital stress and personality. 

Pre-existing psychological conditions, childhood experiences and coping skills may all influence whether or how much workplace exposure to bullying or violence might contribute to the risk for heart disease, said the author of an accompanying editorial, Christoph Herrmann-Lingen of the University of Gottingen Medical Centre in Germany. 

But that does not mean workers should ignore these problems, Herrmann-Lingen said by e-mail. 

“Workers who feel bullied or those who experience threat of violence or actual violence should take these events seriously and seek support for solving the underlying conflicts and obtaining support in dealing with the resulting emotional distress,” he advised. 

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