Tuesday, May 21, 2013

Ferris wheel ride world record broken in Chicago

FILE - In this June 13, 2012 photo, visitors ride on the Ferris Wheel and Wave Swinger at Chicago's nearly century-old Navy Pier. Clinton Shepherd, park operations manager at the Navy Pier, rode the tourist spot?s Ferris wheel for more than 2 days over the weekend of May 18-19, 2013, bringing the world record for the longest ride to the birthplace of the amusement park favorite. (AP Photo/Charles Rex Arbogast, File)

FILE - In this June 13, 2012 photo, visitors ride on the Ferris Wheel and Wave Swinger at Chicago's nearly century-old Navy Pier. Clinton Shepherd, park operations manager at the Navy Pier, rode the tourist spot?s Ferris wheel for more than 2 days over the weekend of May 18-19, 2013, bringing the world record for the longest ride to the birthplace of the amusement park favorite. (AP Photo/Charles Rex Arbogast, File)

(AP) ? A manager of Chicago's Navy Pier rode the tourist spot's Ferris wheel for more than two days, bringing the world record for the longest ride to the birthplace of the amusement park favorite.

Clinton Shepherd spent 48 hours, 8 minutes and 25 seconds riding Navy Pier's Ferris wheel over the weekend. Shepherd is park operations manager at Navy Pier.

He calls it "a very overwhelming experience," made easier by the support of friends, family and the city of Chicago.

Guinness World Records allowed him to have one five-minute break each hour. He played hours of videogames to stay awake during the ride, and watched James Bond and Batman movies. Supporters followed him on Twitter.

The first Ferris wheel was built in 1893 in Chicago for the World's Columbian Exposition.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/aa9398e6757a46fa93ed5dea7bd3729e/Article_2013-05-20-Ferris%20Wheel-Record%20Attempt/id-2d4d0086b1b042fbbe8b7220d322f1cd

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Developing Adaptive Leaders for Turbulent Times: The Michigan ...

developing-adaptive-leaders-for-turbulent-times

By D. Scott DeRue, Gretchen Spreitzer, Brian Flanagan, & Benjamin Allen

In complex and dynamic times, the Michigan Model of Leadership enables leaders to recognise and effectively manage competing tensions in organisational life. Leaders who utilise the process of Mindful Engagement learn to balance these tensions and make an impact in a world where there are no easy answers. We need leaders with empathy, drive, integrity, and courage ? across society and throughout organisational hierarchies ? whose core purpose is to make a positive difference in the lives of others.

Our generation has been witness to revolutionary advancements in industrial and information technology. Yet, modern organisations face challenges that are unprecedented in complexity and scale. The globalisation of international trade is creating more complex flows of people, goods, funds, and technology across national and political boundaries. Economic institutions that were historically independent are now part of a global ecosystem that, upon its collapse in 2008-2009, erased $14.5 trillion, or 33 per cent, of the value of the world?s companies in only 6 months. Furthermore, the addition of 80 million people each year to an already overcrowded planet is exacerbating the problems of pollution, desertification, underemployment, epidemics, and famine. Two billion people lack access to clean water, 80% of people live on $10 or less per day, only 53% of students in U.S. cities graduate high school, and climate change threatens to alter our way of life. These challenges will define the future of business and society, but how business and society respond to these challenges will define our generation?s legacy. Leadership has always been important, but the need for leaders who embrace this responsibility and can mobilise collective action in service of bringing about positive change has never been greater.

Historically, societies have looked to leaders as heroic figures with the charisma to charm the hearts of people and show them the way forward. Think about Martin Luther King Jr. during the civil rights movement of the 1960s in the United States, or Winston Churchill leading the United Kingdom during the Second World War. Unfortunately, Adolf Hitler had similar charismatic qualities that allowed him to capture the hearts of the Nazi party, leading to the death of millions. To address the political, economic and social challenges of our generation, we need more than charismatic figures. We need leaders whose core purpose in life is to make a positive difference in the lives of others, and who embody the courage, empathy, integrity and drive that is necessary to tackle tough challenges. Moreover, people routinely confuse leadership with formal or hierarchical power, expecting leadership only of those who hold lofty titles or positions of authority. Instead, we need leadership from all corners of society and at all levels of organisations. Today?s challenges are simply too complex and the need too immediate for people to be waiting for direction from a single leader. Leadership is not a right that is afforded to some but not others. Neither is leadership merely a position. Rather, leadership is a set of actions that anyone can engage, and we need each person to have a bias towards action with a commitment to the collective good. Finally, most people look to leaders for answers, but given the challenges we face, leaders must understand that there is rarely a single answer. Rather, there is a competing set of tensions and trade-offs that must be considered, and leadership is about making tough choices and balancing those competing tensions.

?We need leaders whose core purpose in life is to make a positive difference in the lives of others, and who embody the courage, empathy, integrity and drive that is necessary to tackle tough challenges.?

Our purpose in this article is to introduce a model of leadership that illustrates the core purpose, values and actions that are necessary for leading in today?s complex and dynamic world. In the 1950s, scholars from the University of Michigan ? Daniel Katz, Robert Kahn, and Rensis Likert ? conducted ground-breaking leadership research that spawned the Human Relations movement. Based on their research, managers were encouraged to adopt leadership styles that were less job-oriented and more employee-oriented by showing consideration for the needs of employees and enabling their participation in organisational decisions. What may sound obvious today was revolutionary in the 1950s, at which point leadership was mostly about providing structure and ensuring jobs were completed within specification. In this article, we hope to stand on the shoulders of Katz, Kahn and Likert (and others) to introduce a new way of thinking about leadership as a means to positive change in business and society. This new model ? called the Michigan Model of Leadership ? brings to the foreground the core purpose of making a positive impact on business and society, and articulates the values and actions that are needed to balance tensions between stability and change, and internal versus external stakeholders. After introducing the model, we identify strategies and practices for developing responsible, purpose-driven leaders in your organisation.

The Michigan Model of Leadership
The Michigan Model of Leadership (MMoL) explains how people can lead positive change in their lives, teams, organisations, and society. The MMoL is deeply embedded in the leadership research conducted by many prominent scholars across an array of organisations, market sectors and national boundaries.

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To be clear, we make several assumptions about leadership in the 21st century. First, leadership is not defined as a position or title. Instead, it is a set of actions that anyone can engage in regardless of where they sit in an organisational hierarchy. As Robert Quinn (University of Michigan) describes in his research on the fundamental state of leadership, at any time, each of us can choose to be and act as a leader. Second, effective leaders do not lead by commanding compliance of others. Instead, effective leaders empower, challenge, and support others to accomplish shared goals. In this sense, leadership is not something you do to people, but rather is about how you work through other people to enable excellence. Third, effective leaders are acutely aware of their personal strengths and how to leverage those strengths to bring out the best in themselves and others. No leader is perfect. All leaders have weaknesses, but the effective ones understand how to complement their weaknesses and leverage their strengths to enable their own and others? best selves. These assumptions are important because they make leadership accessible to people young and old, with power and without it. Leadership is a choice, and all of us can choose to lead.

At the centre of the MMoL is a core purpose: to make a positive difference in the world. What do we mean by positive difference? It is about impact and legacy ? leaving your team, organisation, or even the world a better place than you found it. Researchers such as Adam Grant (University of Pennsylvania) have shown that focusing people on the impact of their work ? for example, the positive impact on customers ? is not only motivating and inspiring, but it also results in sustainable performance improvement. We are teaching leaders to visualize the impact of their work, use that positive impact as a calling to mobilise their teams, and ultimately achieve greater performance by embracing as their own purpose to make a positive difference in the world.

?What do we mean by positive difference? It is about impact and legacy ? leaving your team, organisation, or even the world a better place than you found it.?

Surrounding this core purpose ? what we refer to as the positive core ? is a set of values describing how the mission is achieved. Our research shows that the most effective leaders (1) are empathetic and committed to seeing the world through others? eyes; (2) are driven and routinely stretch to achieve challenging goals; (3) have integrity and are committed to doing the right thing even if it is not the popular thing; and finally (4) are courageous and consider risk and failure to be necessary ingredients for innovation. These values form a strong foundation for action and serve as guideposts for leaders as they work to make a positive difference in the world.

With the core purpose and values as its foundation, the MMoL then describes the leadership actions that are necessary for thriving in today?s global, dynamic and complex environments. Leadership is not only about painting inspirational visions, or structuring organisational processes for execution, or fostering collaboration and innovation. All of these actions are important, but to be effective, leaders must balance a set of competing forces. Leaders must simultaneously balance the stability required for execution with the change required for innovation. Leaders must balance the need for internal collaboration and community with external performance pressures from outside the team. Building on research by Robert Quinn and Kim Cameron (University of Michigan), we have identified four leadership archetypes that embody these competing tensions. Each archetype has inherent strengths and weaknesses. Only by juxtaposing and managing the competing tensions can leaders create sustained effectiveness over time.

?Too much emphasis on innovation and change can produce inefficiencies or even organisational chaos that keeps the organisation from implementing new ideas.?

Robust Results (blue) represents the actions that leaders engage in to foster competition, perform under pressure, and deliver short-term results. This archetype is often in direct tension with Collaborative Communities (yellow), which represents the actions involved in building high-quality relationships, empowering people, and cultivating trust and cohesion within teams. In many organisations, competition and an emphasis on short-term performance undermine collaboration and the importance of community. Yet, in other organisations, too much of an emphasis on harmony within the community produces a happy yet under-performing culture where people are unwilling to challenge each other in service of achieving higher performance.

Strategic Structures (red) represents the actions that leaders engage in to establish accountability, ensure reliable processes, and optimize efficiency. This archetype is often in direct contrast with Creative Change (green), which represents the actions required to enable change, inspire innovation and co-create new opportunities. In many organisations, an over-emphasis on structure and process can root out innovation, but at the same time, too much emphasis on innovation and change can produce inefficiencies or even organisational chaos that keeps the organisation from implementing new ideas.

?Too much emphasis on innovation and change can produce inefficiencies or even organisational chaos that keeps the organisation from implementing new ideas.?

Unlike traditional models of leadership that prescribe a menu of leadership behaviours, the MMoL illustrates how well-intended leadership behaviours can solve one problem while introducing a new problem. Consider the contrast between Steve Jobs, the legendary founder of Apple, and current Apple CEO Tim Cook. Jobs, strong in the green Creative Change quadrant, was a prolific visionary with numerous path-breaking products to his name. But he neglected key issues regarding Apple?s supply chain (witness the repeated problems with Apple?s Chinese suppliers). Cook, in contrast, lacks the brilliant mind of a designer, but he brings important strengths in the red Strategic Structures quadrant. He streamlined Apple?s supply chain, reduced inventory levels and increased margins while building confidence in the integrity of suppliers. The implication for leadership development is profound. Every person has a unique set of strengths, but in line with these competing tensions, those strengths will inevitably introduce a unique set of weaknesses that can undermine sustainable performance. It is a rare person who can perform all of these leadership functions well. What we need are leaders who not only recognize the competing tensions but also understand that their role as a leader is not to resolve the tension. Rather, leadership is about helping the organisation dynamically manage these paradoxes.

Building leaders with the cognitive and behavioural complexity of the Michigan Model of Leadership is difficult. In this next section, we introduce our approach ? called Mindful Engagement ? to developing leaders who learn from experience how to navigate the choices and trade-offs required to thrive in today?s complex and dynamic environment.

Mindful Engagement: A Process for Developing Leaders Who Thrive in Complex Environments
Drawing from research in for-profit companies and governmental agencies around the world, with Susan Ashford (University of Michigan), we developed an approach to leadership development called Mindful Engagement. This approach is appropriate for developing leaders who thrive in complex environments where there is no single answer and the primary source of learning is experience. The process of Mindful Engagement is based on three basic principles: (1) Readying for Growth, (2) Taking Action to Learn, and (3) Reflecting to Retain.

Readying for Growth
Readying for growth is about preparing oneself to learn in complex, dynamic environments. It includes three specific steps: (1) building an awareness of strengths in context, (2) identifying specific, learning goals, and (3) developing a learning mind-set.

Leaders must be aware of and understand how to leverage their own strengths. To build this awareness, we use a series of strengths-based assessments and exercises such as the Reflected Best Self (http://www.centerforpos.org/the-center/teaching-and-practice-materials/teaching-tools/reflected-best-self-exercise/). Best-self stories help individuals discover their strengths and realise their own potential and possibility as leaders. At the same time, leaders must understand that too much emphasis on any particular strength can create an opposing and countervailing force. For example, we are currently coaching an executive who has insatiable drive and an unparalleled commitment to results, but his singular focus on results is reducing cohesion in his senior management team. In complex and turbulent environments, leaders must find a way to leverage their strengths while making sure those strengths do not escalate to become the singular focus of their leadership. For many, this process is difficult because their strengths are exactly the reason they have been so successful. To address this mental hurdle, in our assessments, we not only identify individuals? strengths but also provide real-life examples that offer insight into the potential risks and trade-offs associated with those strengths. We also routinely pair leaders with contrasting strengths to help them develop an appreciation for the risks of their own leadership style.

The second step is the development of specific learning goals. Clearly, if someone is strong in the red Reliable Results quadrant, a natural learning goal will be to learn the core skills in a different quadrant, maybe the green Creative Change quadrant. But we emphasise a different approach. We ask leaders to commit to learning goals that emphasize, not a particular quadrant, but rather goals focused on learning how to navigate the tensions and trade-offs among the four MMoL quadrants. Learning does not happen within quadrants ? learning occurs as leaders focus on and navigate the tensions across quadrants. A recent example comes from an executive who focused her learning goal on stakeholder analysis as a way to understand the distinctive and sometimes conflicting needs and concerns of different stakeholders.

?We ask leaders to commit to learning goals that emphasize, not a particular quadrant, but rather goals focused on learning how to navigate the tensions and trade-offs among the four MMoL quadrants.?

The third step is to develop a learning mind-set. Carol Dweck (Stanford University) suggests that people either have a performance mind-set (focused on achievement focused on proving yourself) or a learning mind-set (focused on the belief that everyone can change and grow through experience). A performance mind-set values perfection or looking smart. A learning mind-set values experimentation and pushing the boundaries of our comfort zones. In a world where competing forces and trade-offs are the norm, perfection is a myth and thus a performance mind-set impedes leader development. A learning mind-set, in contrast, encourages leaders to get out of their comfort zone and trying new things. Mistakes in today?s complex world are inevitable. The challenge is to make sure you and your team learn from the mistake, and never make the same mistake twice.

Taking Action to Learn
Taking action to learn is about transforming the leader into his or her own R&D lab, where the leader is proactively experimenting with new ways of leading and taking steps to learn from those experiments. It is ?skunk works? for proactive, self-directed leader development. To motivate taking action to learn, follow these steps:

First, leaders need to see, feel and experience the competing forces inherent in the MMoL. High-impact experiences are high-stakes (blue quadrant) and require individuals to organise diverse groups of people with limited time and resources (yellow and red quadrants) in service of facilitating innovation and change (green quadrant). At the Ross School of Business, for example, we created the Ross Impact Challenge where 48 student teams have six days to develop a new, for-profit venture that creates economic and social value in Detroit, MI. The teams are composed of 500 people from 36 countries, granted limited time and resources, and challenged to create real impact that is visible in the Detroit community. To excel, the teams must navigate the need for innovation with the need for structure, and the need for team cohesion with a need for results. As individuals work to transcend above the competing tensions rather than compromising amongst the competing tensions, deep learning occurs.

Second, taking action for learning requires that leaders commit to personal experimentation. At Ross, we encourage our students to see each and every experience, no matter how big or small, as an opportunity to experiment with new ways of leading. Recognising that experimentation will sometimes result in failure and mistakes ? think about a pharmaceutical firm experimenting with new drug possibilities ? we encourage leaders to commit to multiple, small experiments and to fail fast and early. Of course, the organisational culture and reward systems must allow and even support failure when that failure is in service of learning.

Third, leaders must commit to a set of actions focused on seeking feedback. Learning only occurs when leaders have deep insight into how their actions affect, positively and negatively, the willingness and ability of others to achieve organisational goals. The problem is that most organisations provide too little feedback, or feedback that is not constructive for learning how to lead in complex, dynamic environments. Rather than trying to change the feedback system, we find that a more effective point of intervention is teaching people how to proactively seek feedback that leads to deep insight and personal change. Basic principles include (a) create a routine question or prompt for feedback such as ?What input can you give me on???; (b) seek feedback as close to the event in question as possible; (c) make it routine and part of your ?style?; and (d) seek input from people besides your supervisor or subordinate, such as your customer or peers.

Reflecting to Retain
Reflecting to retain is about practices that enable people to capture and apply the lessons of experience for self-improvement. The roadblock to learning for most people is themselves ? the psychological biases that create excuses, flawed attributions, or blinders that get in the way of learning from experience. To address these challenges, we developed and validated a structured reflection process that attacks the biases and enables people to learn in complex, dynamic environments. Most people and organisations avoid reflection altogether, focusing instead on the next task or the next emergency without giving much thought to the past. Even more problematic is that, according to our research, the typical reflection conversation (?What happened? How did it go? What did we learn??) does not foster learning. Drawing from the military?s after-event review procedure, we develop a new structured process for reflection. The process asks leaders to: (a) describe the experience; (b) explain their reactions to the experience; (c) discuss ?what if? scenarios that test alternative explanations for their performance; (d) identify insights about new behaviours that would improve performance; and (e) commit to at least two behaviour changes and specific milestones for making those behaviour changes. We have begun using this structured reflection process to build learning communities of peers where they routinely discuss their experiences, test assumptions about their own performance, and help each other identify insights and actions steps that will enable positive behaviour change in the future. The holy grail for most organisations is building a learning culture where individuals commit not only to their own personal growth but also the personal growth of their colleagues. Our research shows that building structured reflection practices into the normal course of work is one way of building a learning organisation that cultivates leaders who can thrive in complex, dynamic environments.

?The holy grail for most organisations is building a learning culture where individuals commit not only to their own personal growth but also the personal growth of their colleagues.?

Our world is filled with challenges. More than ever before, we need leaders who commit to living a life of mindful engagement in reach of their best selves. We need leaders who understand how to leverage the competing values inherent to business, who elevate society to higher ideals and standards. Finally, we need leaders with empathy, drive, integrity, and courage ? across society and throughout organisational hierarchies ? whose core purpose is to make a positive difference in the lives of others.

Are you that kind of leader?

About the Authors
D. Scott DeRue
is a management professor at the University of Michigan?s Stephen M. Ross School of Business. Reported by CNN/Money to be one of the top 40 business school professors under the age of 40, Scott?s teaching and research focus on how leaders and teams learn, adapt, and develop in complex and dynamic environments. (dsderue@umich.edu)

Gretchen Spreitzer
is a management professor at the University of Michigan?s Stephen M. Ross School of Business.? She is the author of four books on leadership and is a thought leader in the new field of Positive Organisations.? Her research focuses on employee empowerment and leadership development, particularly within a context of organisational change and decline. (spreitze@umich.edu)

Brian Flanagan is managing director of the Ross Leadership Initiative at the University of Michigan?s Stephen M. Ross School of Business. His work applies cutting-edge leadership research to development programs for students. He is interested in developing leaders who mobilize the highest potential in people, organisations, and society. (btflan@umich.edu)

Benjamin Allen is former assistant director of the Ross Leadership Initiative (RLI) at the University of Michigan?s Stephen M. Ross School of Business and current talent management specialist at Chrysler, LLC. During his tenure at RLI, Ben developed, planned, and executed leadership programs for students. He seeks to maximize the potential impact of all leaders and organisations. (BMA15@chrysler.com)

Source: http://www.europeanbusinessreview.com/?p=8950

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Honestly, do those who entertain at Walmart shareholders' meetings ...

Honestly, do those who entertain at Walmart shareholders? meetings really deserve all the press coverage they receive?

Posted by Richard Drake on Sun, May 19, 2013 at 11:34 AM

Local media - especially television news, which greets each new Walmart press release as though it were manna from Heaven - has never had a particularly critical eye when it comes to the behemoth of the retail world.

Never is that adulation more in play than during the annual shareholders? meeting, when thousands of Walmart employees are trundled together to hear inspiring messages of hope and faith from those at the top of the Walmart food chain, and be entrained by various entertainers.

The pep talks from top management never fail to make it onto the news, as if somehow the folks at Walmart have said said something new, and wondrous.

But the performers? Really? Honestly?

It has always been sort of difficult to take someone like past Walmart entertainer Celine Dion seriously at the best of times, especially after the grotesque performance she gave on Larry King a few years ago, when she warbled a few lines to inspire the folks who were stuck in New Orleans because of Hurricane Katrina.

That most of them didn?t have electricity, and probably weren?t listening to her song of hope went completely over her head.

Leaving the unfortunate Ms. Dion aside, this year's shareholders? meeting will be chock-full of such entertainers - who will receive top coverage from Walmart?s handmaidens in the media.

But just imagine how much cheering might fill Bud Walton Arena should Walmart decide to follow the example of competitor Costco, and pay a starting wage of $11.50, or if the Walton family decided to take a stand to raise the minimum wage in this country.

Now, that would be worthy of front page news.

******

Quote of the Day

I never knew how soothing trees are - many trees and patches of open sunlight, and tree presences; it is almost like having another being. - D.H. Lawrence

rsdrake@cox.net

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}); } }); } function editCommentCancel(e){ e.preventDefault(); var editCont = $(this).closest(".commentEditCont"); var toolbar = $(this).closest(".brandNewComment").find(".commentToolbar"); editCont.fadeOut("fast", function(){ editCont.prev(".description").fadeIn("fast"); toolbar.fadeIn("fast"); editCont.remove(); }); } $("#BlogComments").on('click', ".bottomOptionBar a#doSubscribe", activateSubscribe); $("#BlogComments").on('click', ".bottomOptionBar a.togglePanelClose", function(){$(this).parent().fadeOut("fast"); return false;}); $("#BlogComments").on('click', ".brandNewComment a.commentDeleteLink", deleteComment); $("#BlogComments").on('click', ".brandNewComment a.commentEditLink", editComment); $("#BlogComments").on('click', ".brandNewComment a.doneEditLink", editCommentSave); $("#BlogComments").on('click', ".brandNewComment a.cancelEditLink", editCommentCancel); })(jQuery); jQuery(document).ready(function($){ $("#BlogComments").on('click', '#showMoreComments,#showAllComments', getMoreComments); $("#BlogComments #sortSelect").change(getMoreComments); getMoreComments(); new Foundation.PostCommentComponent(componentId); var nc = Foundation.NotificationCenter.sharedNotificationCenter(); nc.observe("comment:added", function (e) { var comment = e.data; getComment(comment.get("oid")); // clear rating if (jQuery(".commentFormRating").length!=0){ jQuery(".commentFormRating input[name='reviewRating']").val(""); jQuery(".commentFormRating .goldStarContainer").css("left", zeroPos+"px"); } }); var subscribeCheckBox = $("#BlogComments_commentSubscribe"); subscribeCheckBox.prop("checked", getCookie("subscribeToThread") === "true" ? true : false); subscribeCheckBox.change(function (e) { var subscribeToThread = $(this).prop("checked"); setCookie("subscribeToThread", subscribeToThread ? "true" : "false", 30); }); var shareFacebookBox = $("#BlogComments_postCommentToFacebook"); shareFacebookBox.prop("checked", getCookie("shareOnFacebook") === "true" ? true : false); shareFacebookBox.change(function (e) { var shareOnFacebook = $(this).prop("checked"); setCookie("shareOnFacebook", shareOnFacebook ? "true" : "false", 30); }); $("#BlogComments").on('click', 'a.likeLink', doLikeComment); $("#BlogComments").on('click', 'a.reportCommentLink', reportComment); });

Source: http://www.arktimes.com/StreetJazz/archives/2013/05/19/honestly-do-those-who-entertain-at-walmart-shareholders-meetings-really-deserve-all-the-press-coverage-they-receive

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Monday, May 20, 2013

New study identifies risk factors for depression among COPD patients

New study identifies risk factors for depression among COPD patients [ Back to EurekAlert! ] Public release date: 20-May-2013
[ | E-mail | Share Share ]

Contact: Nathaniel Dunford
ndunford@thoracic.org
American Thoracic Society

ATS 2013, PHILADELPHIA ? Patients suffering from chronic obstructive pulmonary disease (COPD) typically suffer from depression more frequently than those without COPD, resulting in higher levels of disability and illness and increasing the overall healthcare burden for the COPD population. Now, a study from researchers in Argentina indicates female COPD patients and patients who experience significant shortness of breath may have the greatest risk for developing depression.

The results of the study will be presented at the ATS 2013 International Conference.

"About 10 percent of the general population suffers from depression, and studies have shown that rate to be significantly higher in patients with COPD," said study lead author Orlando Lopez Jove, MD, chief of the pulmonary laboratory at the Hospital Cetrangolo in Buenos Aires. "Not every COPD patient will suffer from depression, and being able to identify which patients are most at risk could be a valuable tool in ensuring those patients receive counseling and other treatment that could help improve their quality of life.

"In this study, we wanted to learn if factors including gender, lifestyle habits, COPD severity, shortness of breath and overall quality of life were related to the frequency of depression in COPD patients, and if they were related, to try to determine the extent of that relationship," he said.

For their study, the researchers evaluated 113 COPD patients who were treated at the Hospital Cetrangolo in Buenos Aires from January 2009 to March 2011 and who had not had exacerbations of their disease within the previous 30-day period. Patients were evaluated for pulmonary function and for the degree of shortness of breath they experienced, as well as other physical characteristics including weight and body mass index (BMI). The researchers used previous diagnoses of depression and the Beck Depression Inventory (BDI) to determine the presence and level of depression and the Saint George's Respiratory Questionnaire (SGRQ) to evaluate quality of life measures for each patient, and they also looked at specific lifestyle factors and habits like smoking and evaluated family history of depression. Patients were considered to be physically active if they engaged in physical activity for at least 150 minutes each week, the amount recommended by the American Heart Association to maintain good health.

At the end of the study, the researchers discovered that while the severity of COPD and smoking had no bearing on whether or not a patient had depression or their level of depression, patients who were female and those experiencing significant shortness of breath were at a significantly greater risk for the condition. They also found that the presence of depression and its intensity had a direct bearing on a patient's quality of life, affecting both the total quality-of-life score and the score for individual factors measured by the SGRQ.

The researchers also identified physical activity as a protective factor against depression, meaning patients who had higher levels of physical activity were less prone to developing depression.

"Depression is a disorder which remains easily undiagnosed due to underpresentation and because the symptoms are not very specific," said Dr. Lopez Jove, who is also vice-director of the pathophysiology department at the Latin American Thoracic Association (ALAT). "Therefore, it is important to consider this disorder in patients with COPD, especially in female patients and patients who experience significant shortness of breath.

A future planned study will help evaluate how treatment of depression affects these patients and their quality of life, he said.

"COPD patients have to deal not only with the physical consequences of the disease, but they also must deal with the psychological consequences of COPD," Dr. Lopez Jove noted. "Patients with depression often suffer from low self-confidence or self-efficacy, and early diagnosis and treatment of depression is very important for improving a patient's quality of life, maximizing healthcare utilization and improving treatment outcomes."

###

* Please note that numbers in this release may differ slightly from those in the abstract. Many of these investigations are ongoing; the release represents the most up-to-date data available at press time.

Abstract 39776

Depression In Patients With Chronic Obstructive Pulmonary Disease (COPD): Relationship To Dyspnea Degrees And Impact On Quality Of Life (Qol)
Type: Scientific Abstract
Category: 09.03 - COPD: Comorbidities (CP)
Authors: O.R. Lopez Jove1, A. Galdames2, V. Barrionuevo2, E. Giugno3, S. Rey2, Y.F. Wu4, G. Tabaj2, E. Lopez Gonzalez5; 1Hopital Cetrangolo - Buenos Aires/AR, 2Hospital "Dr. Antonio A.Cetrngolo" - Vicente Lopez - Buenos Aires/AR, 3Hospital "Dr. Antonio A.Cetrngolo" - 1147912090/AR, 4Hopital Cetrangolo - Vicente Lopez- Buenos Aires/AR, 5Argentine Diabetes Society - Caba/AR

Abstract Body

Background: The prevalence of depression in the general population is around 10%, being higher in patients with COPD. The presence of this comorbidity increases morbidity, disability, and health care burden.

Aims: To evaluate the frequency of depression in COPD patients and its relationship with gender, habits, COPD severity, degree of dyspnea and QoL.

Material and methods: we performed an observational, prospective study at Hospital "Dr. Cetrngolo", Argentina, in patients with COPD according to GOLD criteria (stages I to IV) without exacerbations in the last month. Evaluation included the following issues: anthropometric measures, pulmonary function tests, the Beck Depression Inventory (BDI), the Saint George's Respiratory Questionnaire (SGRQ) and the modified Medical Research Council dyspnea scale (mMRC) from 0 to 4. The SGRQ measures QoL dimensions: symptoms, activity, and impact. It has total and individual scores. Depression was considered in patients who had former diagnosis or with a BDI score >9 points. Physical activity was considered if was performed for more than 150 minutes (=3 times)/week. Statistical

Analysis: Chi2 test, Student's t test, Pearson correlation, and Kruskal-Wallis test. Software: Intercooled STATA.

Results: We evaluated 113 patients, mean age 63.1 8.3 years. 33 females (28.9%). Current smokers: 18.6%. Smoking intensity: 56.129.2 packs/year. Family history of depression: 13(11.2%). GOLD stage: Stage I: 2.6%, Stage II: 47.8%, Stage III: 37.2%, Stage IV: 12.4%. BMI: mean 26.94.7 kg/m2. The mean scores in each dimension of SGRQ were: total 46.2 18.7, symptoms 50.1 20.5, activity 61.1 22.4 and impact 35.4 19.2. Depression n=51 (45.3%): patients who had previous diagnosis 7 (13.7%); diagnosed by BDI 44 (86.3%), BDI mean 11.48.4 points.

Depression was associated with: female gender (rough OR: 4.14, p Risk factors for depression (logistic regression) were: female gender (OR=5.37; IC 1.76-16.37; pDepression impacts on Quality of Life measured by SGRQ in total and in each dimension.

Conclusions: We found depression as a common finding in this sample of COPD individuals. Female gender, and higher degree of dyspnea were predictors. Physical activity was a protective factor. Depression was associated with greater impairment in QoL. Screening for depression may be necessary in COPD patients.


[ 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.


New study identifies risk factors for depression among COPD patients [ Back to EurekAlert! ] Public release date: 20-May-2013
[ | E-mail | Share Share ]

Contact: Nathaniel Dunford
ndunford@thoracic.org
American Thoracic Society

ATS 2013, PHILADELPHIA ? Patients suffering from chronic obstructive pulmonary disease (COPD) typically suffer from depression more frequently than those without COPD, resulting in higher levels of disability and illness and increasing the overall healthcare burden for the COPD population. Now, a study from researchers in Argentina indicates female COPD patients and patients who experience significant shortness of breath may have the greatest risk for developing depression.

The results of the study will be presented at the ATS 2013 International Conference.

"About 10 percent of the general population suffers from depression, and studies have shown that rate to be significantly higher in patients with COPD," said study lead author Orlando Lopez Jove, MD, chief of the pulmonary laboratory at the Hospital Cetrangolo in Buenos Aires. "Not every COPD patient will suffer from depression, and being able to identify which patients are most at risk could be a valuable tool in ensuring those patients receive counseling and other treatment that could help improve their quality of life.

"In this study, we wanted to learn if factors including gender, lifestyle habits, COPD severity, shortness of breath and overall quality of life were related to the frequency of depression in COPD patients, and if they were related, to try to determine the extent of that relationship," he said.

For their study, the researchers evaluated 113 COPD patients who were treated at the Hospital Cetrangolo in Buenos Aires from January 2009 to March 2011 and who had not had exacerbations of their disease within the previous 30-day period. Patients were evaluated for pulmonary function and for the degree of shortness of breath they experienced, as well as other physical characteristics including weight and body mass index (BMI). The researchers used previous diagnoses of depression and the Beck Depression Inventory (BDI) to determine the presence and level of depression and the Saint George's Respiratory Questionnaire (SGRQ) to evaluate quality of life measures for each patient, and they also looked at specific lifestyle factors and habits like smoking and evaluated family history of depression. Patients were considered to be physically active if they engaged in physical activity for at least 150 minutes each week, the amount recommended by the American Heart Association to maintain good health.

At the end of the study, the researchers discovered that while the severity of COPD and smoking had no bearing on whether or not a patient had depression or their level of depression, patients who were female and those experiencing significant shortness of breath were at a significantly greater risk for the condition. They also found that the presence of depression and its intensity had a direct bearing on a patient's quality of life, affecting both the total quality-of-life score and the score for individual factors measured by the SGRQ.

The researchers also identified physical activity as a protective factor against depression, meaning patients who had higher levels of physical activity were less prone to developing depression.

"Depression is a disorder which remains easily undiagnosed due to underpresentation and because the symptoms are not very specific," said Dr. Lopez Jove, who is also vice-director of the pathophysiology department at the Latin American Thoracic Association (ALAT). "Therefore, it is important to consider this disorder in patients with COPD, especially in female patients and patients who experience significant shortness of breath.

A future planned study will help evaluate how treatment of depression affects these patients and their quality of life, he said.

"COPD patients have to deal not only with the physical consequences of the disease, but they also must deal with the psychological consequences of COPD," Dr. Lopez Jove noted. "Patients with depression often suffer from low self-confidence or self-efficacy, and early diagnosis and treatment of depression is very important for improving a patient's quality of life, maximizing healthcare utilization and improving treatment outcomes."

###

* Please note that numbers in this release may differ slightly from those in the abstract. Many of these investigations are ongoing; the release represents the most up-to-date data available at press time.

Abstract 39776

Depression In Patients With Chronic Obstructive Pulmonary Disease (COPD): Relationship To Dyspnea Degrees And Impact On Quality Of Life (Qol)
Type: Scientific Abstract
Category: 09.03 - COPD: Comorbidities (CP)
Authors: O.R. Lopez Jove1, A. Galdames2, V. Barrionuevo2, E. Giugno3, S. Rey2, Y.F. Wu4, G. Tabaj2, E. Lopez Gonzalez5; 1Hopital Cetrangolo - Buenos Aires/AR, 2Hospital "Dr. Antonio A.Cetrngolo" - Vicente Lopez - Buenos Aires/AR, 3Hospital "Dr. Antonio A.Cetrngolo" - 1147912090/AR, 4Hopital Cetrangolo - Vicente Lopez- Buenos Aires/AR, 5Argentine Diabetes Society - Caba/AR

Abstract Body

Background: The prevalence of depression in the general population is around 10%, being higher in patients with COPD. The presence of this comorbidity increases morbidity, disability, and health care burden.

Aims: To evaluate the frequency of depression in COPD patients and its relationship with gender, habits, COPD severity, degree of dyspnea and QoL.

Material and methods: we performed an observational, prospective study at Hospital "Dr. Cetrngolo", Argentina, in patients with COPD according to GOLD criteria (stages I to IV) without exacerbations in the last month. Evaluation included the following issues: anthropometric measures, pulmonary function tests, the Beck Depression Inventory (BDI), the Saint George's Respiratory Questionnaire (SGRQ) and the modified Medical Research Council dyspnea scale (mMRC) from 0 to 4. The SGRQ measures QoL dimensions: symptoms, activity, and impact. It has total and individual scores. Depression was considered in patients who had former diagnosis or with a BDI score >9 points. Physical activity was considered if was performed for more than 150 minutes (=3 times)/week. Statistical

Analysis: Chi2 test, Student's t test, Pearson correlation, and Kruskal-Wallis test. Software: Intercooled STATA.

Results: We evaluated 113 patients, mean age 63.1 8.3 years. 33 females (28.9%). Current smokers: 18.6%. Smoking intensity: 56.129.2 packs/year. Family history of depression: 13(11.2%). GOLD stage: Stage I: 2.6%, Stage II: 47.8%, Stage III: 37.2%, Stage IV: 12.4%. BMI: mean 26.94.7 kg/m2. The mean scores in each dimension of SGRQ were: total 46.2 18.7, symptoms 50.1 20.5, activity 61.1 22.4 and impact 35.4 19.2. Depression n=51 (45.3%): patients who had previous diagnosis 7 (13.7%); diagnosed by BDI 44 (86.3%), BDI mean 11.48.4 points.

Depression was associated with: female gender (rough OR: 4.14, p Risk factors for depression (logistic regression) were: female gender (OR=5.37; IC 1.76-16.37; pDepression impacts on Quality of Life measured by SGRQ in total and in each dimension.

Conclusions: We found depression as a common finding in this sample of COPD individuals. Female gender, and higher degree of dyspnea were predictors. Physical activity was a protective factor. Depression was associated with greater impairment in QoL. Screening for depression may be necessary in COPD patients.


[ 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.


Source: http://www.eurekalert.org/pub_releases/2013-05/ats-nsi051313.php

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Cruise Your Way To A Perfect Vacation In The Norfolk Broads With ...

With countless waterways crossing over a hundred square miles of land, there's plenty to see with a trip to the Norfolk Broads. However, as pleasant as a trip down the shore can be, the best way to experience the Broads is by a special boat tour. Before you begin your journey, though, you should ask yourself what sort of trip you actually want to have!

The easiest way to experience the Broads is by a guided tour on one of our many boats that circle throughout the region. Norfolk Broads boating tours allow for custom itinerary plans so that you can spend as much or as little time in each area as you'd like. Whether you want to sit back and enjoy the scenery or use your time on the boat as a way to rest between the many exciting destinations and events that fill the Broads, you'll be able to plan the perfect trip for your whole family.

If that sort of Norfolk Broads boat hire isn't quite what you're looking for, though, then don't worry too much. Herbert Woods is proud to offer a wide selection of other options for you to choose from. On the most personal level, you can rent a day boat or canoe for as little as an hour or as long as the entire day. Take a group out for a picnic or paddle your way through some of the nicest areas of the Broads at the pace you truly want to enjoy.

If that's still not enough to satisfy your taste for tours, then try a cruiser holiday with one of our most luxurious rentals. We currently offer more than one hundred different private cruisers for you to choose from, each with their own size and style for you to pick from. Cruisers can allow anywhere from two to eleven guests to sleep comfortably, and you can rent for as long as three weeks if you plan for a truly serious tour of the Norfolk Broads. Alternately, you can keep it simple with rentals for the middle of the week or over the weekend. However you plan to enjoy your trip, we'll work with you to put the time and the boat together for the perfect vacation.

With so many different ways to experience the Norfolk Broads, there's never been a better time to have the tour of your dreams. Find out more about your rental opportunities on our website or start planning your trip through the Broads today. You probably won't be able to see every bit of them, but with a little planning and some goals in mind, we can help you create the perfect boat rental experience.

Note: Some larger vehicles may have trouble with some passageways in the Norfolk Broads region. If you are renting a private boat, with no guide, you may wish to make yourself familiar with emergency procedures and learn how to read the maps of the Broads so that you can avoid areas that may be difficult for your boat to use.

About the Author:
Norfolk Broads boating by Herbert Woods offers hundreds of miles of exciting river experiences for families, tourists, and all other visitors.

Source: http://www.articlesnatch.com/Article/Cruise-Your-Way-To-A-Perfect-Vacation-In-The-Norfolk-Broads-With-Herbert-Woods/4720247

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AP chief says phone probe makes news sources reluctant to talk

WASHINGTON (Reuters) - The Justice Department's seizure of phone records for journalists at the Associated Press is hurting the agency's ability to gather news, the wire service's Chief Executive and President Gary Pruitt said on Sunday.

"Officials that would normally talk to us and people we talk to in the normal course of news gathering are already saying to us that they're a little reluctant to talk to us," Pruitt said on CBS's "Face The Nation" program. "They fear that they will be monitored by the government."

The Justice Department told the AP on May 10 that it had earlier seized records of more than 20 of its phone lines for April and May 2012. The seizure was part of an investigation of media leaks about a foiled terrorism plot.

"Approximately a hundred journalists use these telephone lines as part of news gathering," Pruitt said. "And over the course of the two months of the records that they swept up, thousands upon thousands of news-gathering calls were made."

The White House has said that President Barack Obama learned about the Justice Department's record seizure from press reports and had no prior knowledge of the action. Obama's administration is fielding concerns on several incidents that raise questions about its transparency.

Pruitt said the Justice Department claimed an exception to its own rules that required them to notify the AP of such a record seizure by saying that such a disclosure would have posed a substantial threat to the investigation.

"But they have not explained why it would and we can't understand why it would," Pruitt said. "We never even had possession of these records, they were in the possession of our telephone service company and they couldn't be tampered with."

Government officials have told Reuters that the AP phone records were just one element in an ongoing sweeping U.S. government investigation into media leaks about a Yemen-based plot to bomb a U.S. airliner, prompted by a May 7, 2012 AP story about the operation to foil the plot.

"We don't question their right to conduct these sort of investigations," Pruitt said. "We think they went about it the wrong way, so sweeping, so secretively, so abusively and harassingly."

Pruitt said the AP would have sought to narrow the scope of the record seizure through courts had it been notified, instead of "the Justice Department acting on its own, being the judge, jury and executioner, in secret."

Reuters was one of nearly 50 news organizations that signed a letter to Attorney General Eric Holder complaining about the AP phone record seizures.

(Reporting by Alina Selyukh; Editing by Cynthia Osterman)

Source: http://news.yahoo.com/ap-chief-says-phone-probe-makes-news-sources-173716388.html

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Jennifer Lawrence, more stars shine at Cannes

Celebs

22 hours ago

The stars continued to sparkle despite the rain falling on the red carpet at the Cannes Film Festival.

Actress Jennifer Lawrence was among the big names to step out on Saturday for the premiere of the film "Jimmy P. (Psychotherapy Of A Plains Indian)" at the 66th annual festival.

Image: Jennifer Lawrence

AFP - Getty Images

Actress Jennifer Lawrence on May 18 in Cannes, France.

Image: Eva Longoria

AP

Actress Eva Longoria.

Image: Cheryl Cole

AP

Singer Cheryl Cole.

Image: Jane Fonda

EPA

Actress Jane Fonda.

Image: Paz Vega

AP

Actress Paz Vega.

Image: Liam Hemsworth

Getty Images

Actor Liam Hemsworth.

Image: Doutzen Kroes

AFP - Getty Images

Model Doutzen Kroes.

Source: http://www.today.com/entertainment/jennifer-lawrence-eva-longoria-more-stars-shine-cannes-1C9984451

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