Friday, August 17, 2012

Families of ‘Little Boy’ and ‘Fat Man’ Victims Still Struggling


INTER PRESS SERVICE

TOKYO, Aug 11 2012 (IPS) - Sachiko Masumura (79) was standing just two kilometres away from the hypocentre of Little Boy, the atomic bomb that was dropped on Hiroshima, Japan over six and a half decades ago.
She lost her mother and two siblings to the horrific heat, flames and radiation that engulfed the prefecture on Aug. 6, 1945, instantly wiping out 120,000 people.
Three days later the United States dropped a second plutonium bomb, ‘Fat Man’, on Nagasaki, killing 74,000 people according to government records.
Thousands of others, like Masumura’s father, who died last year from leukaemia, suffered the after-effects of radiation for years.
Masumura’s son is disabled from a brain disorder, a disease she links to the long-term impact of radiation. Though it is certainly horrifying, her family’s story is not one of a kind.
The 67th anniversary of the 1945 U.S. bombing, the world’s only nuclear attacks on a country, is felt most sharply by thousands of second generation bomb survivors, whom the Japanese government refuses to recognise as ‘official’ victims of the tragedy.
Kasuki Aoki, a second generation ‘hibakusha’, the Japanese term for atomic bomb survivor, told IPS that children of Hiroshima and Nagasaki victims face a double struggle: first, to gain recognition and insurance from the state as legitimate victims suffering from genetic side-effects of radiation; and secondly as bearers of their parents wishes for a nuclear-free world.
“My parents, whose lives were torn apart when the bomb was dropped, wanted (nothing more) than to see a world rid of nuclear weapons and radiation. This is a fight we children have to follow through by speaking up on their behalf,” Aoki, who now works in the Hiroshima Kyoritsu hospital, told IPS.
He also pointed out that the responsibility of carrying the torch for family members that suffered enourmous physical and mental damage from the bomb is daunting for the second generation, now in their fifties and sixties, who are themselves struggling to secure welfare protections from the state, such as free medical support.
The government justifies its position by stating that there is a lack of concrete evidence of health risks among the offspring of survivors of the explosion.
But those born after 1945 point to countless studies and reports by Japanese and U.S. research organisations that prove a much higher genetic risk of cancer for children of bomb survivors.
Further, scientific research conducted by numerous organisations including the Hiroshima Red Cross and Atomic-bomb Survivors hospital has proved time and again that those who were directly affected suffer higher rates of cancer, especially leukaemia, from exposure to high doses of radiation.
Hiroko Sakaguchi, who makes annual trips to the U.S. to speak out against nuclear weapons, states she has cousins who have died of cancer. Her own mother was affected by the bombing in Nagasaki that left her weakened and infirm for the rest of her life.
Shinichi Oonaka (64) is a second-generation hibakusha in Hiroshima and spokesperson for a recently formed group under the umbrella Japan Atomic Bomb Sufferers Organisation, one of the largest in Japan, with more than 200,000 members.
He told IPS that members of his group have begun to retire from their jobs and now find themselves facing a vulnerable future.
“While we had jobs we were entitled to regular medical check-ups, but that will no longer be the case,” he pointed out.
Oonaka plans to form a lobby to pressure the government to permit free and regular cancer check-ups by extending official hibakusha recognition to second-generation survivors.
But there are many obstacles to this process. Oonaka told IPS that second generation victims remain scattered and reluctant to speak up for better treatment, fearing the same social discrimination that plagued their parents for decades.
“Physical scarring and particularly the risk of cancer made marriage and jobs almost impossible for hibakusha,” said Oonaka, whose father, a former Japanese soldier stationed in Hiroshima city when the bomb was dropped, subsequently married a hibakusha, a common practice among first generation survivors.
In response to the government’s indifference, Masumura launched the Kogane Friendship Organisation for people with brain disorders in July. “ We cannot wait for the government to help us anymore,” she said.
“My death wish is to see my son, who represents the second generation of hibakusha, live independently,” she told IPS.
High-profile international personalities, including the eldest grandson of former U.S. President Harry Truman, who ordered the bombings, attended the memorials this week in the two cities.
Clifton Truman, attending the functions out of respect for the dead, listened to the stories of the survivors and said, “ It is now my responsibility to do all I can to make sure we do not use nuclear weapons again.”
Oonaka says he is content to hear such comments from the former enemy, which he views as a step towards hibakusha’s dream of ensuring such suffering is never repeated.
(END)

Thursday, August 16, 2012

CDC Expanded Hepatitis C Testing Recommendations

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CDC now recommends that all U.S. baby boomers get a one-time test for the hepatitis C virus. Data show that 1 in 30 baby boomers has been infected with hepatitis C and this population is five times more likely than other adult Americans to be infected with the virus. In addition, more than 15,000 Americans, most of them baby boomers, die of hepatitis C-related illness each year. CDC has put together a digital press kit full of helpful resources for your readers, viewers, and listeners. 

This kit includes key messages, charts, related links, and quotes from CDC hepatitis C experts. >Learn more

Dept of Health and Human Services Logo
Learn Vital Information on Walking. Learn more. CDC Vital Signs www.cdc.gov/VitalSigns

Training Opportunity: SBA Texas. Looking for Small Business Capital or Counseling



Houston District Office

Learn How to Access SBA Loan Programs and Services

SBA offers a variety of loan programs.  Understanding how SBA works is the first step towards receiving assistance.  

Whether you are just getting started or you are an existing business looking to expand, you will learn about our loan programs and how our resource partners, SCORE, SBDC, and WBC can help.  

When:    Wednesday, August 22, 2012
                3:00pm to 5:00pm
Where:   8701 South Gessner
                12 Flr. Conference Room
                Houston, TX  77074
 RSVP:    Sonia Maldonado 
                SBA Lender Relations Specialist
                713-773-6554
The workshop is free and registration is required.  Limited seating is available, register now.
Houston District Office
8701 South Gessner, Ste. 1200
Houston, TX 77074
713-773-6500

DHS Case Study. Hurricane Irene


OEC Case Study:  Hurricane Irene Response in North Carolina

As part of our efforts to share the progress made by the Nation’s emergency response community in enhancing interoperable communications, the DHS Office of Emergency Communications is developing a series of case studies using real-world examples on how training and planning have made a difference in responding to natural disasters and other emergencies.  Attached is a case study about how emergency communications training helped North Carolina emergency responders keep communication systems operational during Hurricane Irene in August 2011. 

This is only one of several case studies under development, and we welcome your suggestions on other topics.  If you have a real-world example that you would like to share, please contact OEC External Affairs at: OECExternalAffairs@hq.dhs.gov.

We appreciate all of the work you do to ensure our emergency communications capabilities help keep our country safe.

DHS Office of Emergency Communications 

How to Find Out If a Social Media Account is from the Government


Every day, the government uses social media services like Twitter, Facebook, and YouTube to communicate with you and provide easy access to government benefits and services.

But unlike most government websites, which are hosted on a .mil or a .gov domain, social media sites are hosted on commercial domains. Without the .gov or the .mil, it can be difficult to determine which social media accounts are official government sources of information and which are impersonators.

To help solve that problem, we recently launched a social media registry in English and Spanish, where you can confirm the validity of a variety of government social media accounts. Learn more about the social media registry.

Visit the social media registry to check the validity of government social media accounts.

Training Opportunity: SBA. Los Angeles District




SBA Los Angeles District Office

Register here unless otherwise indicated.

August 2012

Veteran Webinar – Summer Speaker Series

8/22 10:00AM
Presented by Debbie Cabriera-Johnson and Alice Estrada, Procurement Technical Assistance Center, (PTAC)
The Summer Speaker Series will feature a variety of topics presented by private sector consultants, government small business advisors, higher education program directors and non-profit executives who will speak on their subject matter expertise – all of them catering to aspiring and existing veteran business owners.
Webinars are online and via telephone and allow two-way communication between presenter and attendee. You will be asked to input your name and email address then AT&T Teleconference program will request a phone number to call you. For further information, please call Patrick Rodriguez PIO/Veteran Outreach Coordinator 818-552-3222

Boot Camp for Small Business Owners

8/21 6:00PM-8:00PM
Presented by: Victor Green, author of "How to Succeed in Business - by really trying"
Boot Camp for small business owners is an ongoing business learning curve for all progressive business people. A unique opportunity to meet regularly to discuss issues such as: how to grow and expand your business. The moderator for this 2 hour Boot Camp is Victor Green, an International Entrepreneur. He has a vast amount of business experience and is regarded as a serial entrepreneur. He will share with you his experiences and guide you to better and greater things in your business.
Some topics for discussion are:
Improving profitability
Identifying your customers
Expanding your business
Prompting your business
What promotional ideas work
How to be motivated all the time
Please register separately for each class. Register for one class or for all.
Workshop series are scheduled for June 12, July 10, July 24, August 7, and August 21 2012

Veteran Webinar – Summer Speaker Series

8/29 10:00AM
Presented by William Osgood, ELITE SDVOB
The Summer Speaker Series will feature a variety of topics presented by private sector consultants, government small business advisors, higher education program directors and non-profit executives who will speak on their subject matter expertise – all of them catering to aspiring and existing veteran business owners.

Webinars are online and via telephone and allow two-way communication between presenter and attendee. You will be asked to input your name and email address then AT&T Teleconference program will request a phone number to call you. For further information, please call Patrick Rodriguez PIO/Veteran Outreach Coordinator 818-552-3222

Proposal Preparation – 7(j)

8/28 8:30AM-5:00PM
Presented by Stover & Associates, Inc.
The U.S. Small Business Administration Office of 8(a) Business Development 7(j) Management & Technical Assistance Program is offering this no cost training for 7(j) eligible businesses. Topics will include: Strategizing for a winning price; how RFP elements influence strategy; developing the tech proposal; past performance; how the winner is selected and the proposal review process.
Workshop information: Phyllis Embree/Chris Strudthoff, 770-423-9888
SBA contact: Beatriz Devis Beatriz.devis@sba.gov or 818-552-3223

Government Contract Negotiations – 7(j)

8/30 8:30AM-5:00PM
Presented by Stover & Associates, Inc.
The U.S. Small Business Administration Office of 8(a) Business Development 7(j) Management & Technical Assistance Program is offering this no cost training for 7(j) eligible businesses. Topics will include: How and when to negotiate during government contracting; cost considerations when negotiating price; tips and techniques for successful negotiations and negotiations with government vs. commercial negotiations.
Workshop information: Phyllis Embree/Chris Strudthoff, 770-423-9888
SBA contact: Beatriz Devis Beatriz.devis@sba.gov or 818-552-3223

September 2012

State Payroll Tax Seminar
9/12      9:00AM – 1:00PM
Presented by the California EDD Tax office
Who would benefit:
•      Those seeking hands-on experience in calculating taxes and completing payroll tax forms.
•      Anyone who has attended a previous Federal/State or State Basic Payroll Tax Seminar.
•     Those familiar with State payroll tax reporting who would like additional practice.

Creating a Service Driven Culture to Expand Your Bottom Line
9/19    1:00PM – 3:00PM
Presented by Diana Price
It’s a brand new world in customer service, and given this trend, everyone serving customers must understand that the ones who will be successful are those who will serve the savvy customers, your livelihood, with Spicy Service Interactions and solutions to their problems. This is a fun interactive presentation that teaches business professionals and front line teams what actions to take to create a sustainable service culture, boost business, and manage the customers’ rising expectations.  The result is a higher quality of service at all business levels. 

Learning Objectives Include:
How to Use Customer Service as a Profit Strategy
Significantly improve your company’s perception and create service value
Understand what your customer expects from you
The secrets to transforming objections/complaints into opportunities
Helpful, practical service recovery techniques

Diana Price has been teaching service leadership for more than 20 years with a focus on how people treat each other. Her passion is teaching professionals on how to make their servicing culture serve them successfully and making it a profitable business strategy. "Service in the Spotlight", Diana's talk radio show on KLASFM 89.7 is heard Sundays afternoons at 4pm. It is also available on the internet at www.KLASFM.com or by mobile phone by dialing 323.461.6676. She is enthusiastic, engaging and caring, making a remarkable difference with every client she encounters.

Financial Strategies for Business Success
9/20    9:00 AM – 12:00 PM
Presented by Kelly Rolfe Financial Services
Finances are the number one reason the majority of businesses fail and yet most small business owners still neglect them. By simply implementing a financial strategy that guides the business through a plan of action to reach the target income level, the business outcome will dramatically improve. Come learn 5 key financial strategies to reach your income goals in 2012.

Export Plan Development
9/26    8:00 AM – 12:00 PM
Understand the essentials of an international business plan, the additional costs associated with exporting, product pricing and marketing for international markets, and the importance of receptive markets.
Instructor: Lynn Stewart, MBA
To register please contact: Center for International Trade Development- Long Beach by phone: (562) 938 - 5018 or by email: lbito@lbcc.eduwww.citd.org

Creating a Service Driven Culture to Expand Your Bottom Line
9/26   1:00PM – 3:00PM
Presented by Diana Price
It’s a brand new world in customer service, and given this trend, everyone serving customers must understand that the ones who will be successful are those who will serve the savvy customers, your livelihood, with Spicy Service Interactions and solutions to their problems. This is a fun interactive presentation that teaches business professionals and front line teams what actions to take to create a sustainable service culture, boost business, and manage the customers’ rising expectations.  The result is a higher quality of service at all business levels. 

Learning Objectives Include:
How to Use Customer Service as a Profit Strategy
Significantly improve your company’s perception and create service value
Understand what your customer expects from you
The secrets to transforming objections/complaints into opportunities
Helpful, practical service recovery techniques

Diana Price has been teaching service leadership for more than 20 years with a focus on how people treat each other. Her passion is teaching professionals on how to make their servicing culture serve them successfully and making it a profitable business strategy. "Service in the Spotlight", Diana's talk radio show on KLASFM 89.7 is heard Sundays afternoons at 4pm. It is also available on the internet at www.KLASFM.com or by mobile phone by dialing 323.461.6676. She is enthusiastic, engaging and caring, making a remarkable difference with every client she encounters.
___________________________________________________________________________
Green.SBA.gov helps small businesses find green contracts, grants, and partnerships throughout the federal government.  It promotes sustainable, environmentally friendly procurement practices and lets small businesses share information related to green contracting.
Free Small Business Counseling by Appointment…..Call or Click 

LA SCORE @ 818 552-3206 or www.scorela.org

LA Small Business Development Center @ 562-938-5020 or www.smallbizla.org
The SBA training program is made possible by the generous support of our volunteer teachers and presenters.  We appreciate their time and expertise; however, these presentations do not represent an endorsement of their views, opinions, products, or services by SBA.  All SBA programs are extended to the public on a nondiscriminatory basis. Reasonable arrangements for persons with disabilities will be made, if requested at least 2 weeks in advance.
Date: 8/16/2012  Christina Stace 818-552-3288

Couple's Therapy and PTSD.


JAMA Releases for August 14, 2012 >

http://media.jamanetwork.com/news-item/couples-therapy-appears-decrease-ptsd-symptoms-improve-relationship/

Couple’s Therapy Appears to Decrease PTSD Symptoms, Improve Relationship

EMBARGOED FOR RELEASE: 3 P.M. (CT) TUESDAY, AUGUST 14, 2012
Media Advisory: To contact Candice M. Monson, Ph.D., call Suelan Toye at 416-979-5000, ext. 7161 or email stoye@ryerson.ca. To contact editorial author Lisa M. Najavits, Ph.D., call Gina DiGravio at 617-638-8480 or email gina.digravio@bmc.org.

CHICAGO – Among couples in which one partner was diagnosed as having posttraumatic stress disorder (PTSD), participation in disorder-specific couple therapy resulted in decreased PTSD symptom severity and increased patient relationship satisfaction, compared with couples who were placed on a wait list for the therapy, according to a study in the August 15 issue of JAMA, a theme issue on violence and human rights.
“There are well-documented associations between PTSD and intimate relationship problems, including relationship distress and aggression, and studies demonstrate that the presence of PTSD symptoms in one partner is associated with caregiver burden and psychological distress in the other partner. Although currently available individual psychotherapies for PTSD produce overall improvements in psychosocial functioning, these improvements are not specifically found in intimate relationship functioning. Moreover, it has been shown that even when patients receive state-of-the-art individual psychotherapy for the disorder, negative interpersonal relations predict worse treatment outcomes,” according to background information in the article.
Candice M. Monson, Ph.D., of Ryerson University, Toronto, Canada, and colleagues conducted a study to examine the effect of a cognitive-behavioral conjoint therapy (CBCT) for PTSD, designed to treat PTSD and its symptoms and enhance intimate relationships in couples. The randomized controlled trial, conducted from 2008 to 2012, included heterosexual and same-sex couples (n = 40 couples; n = 80 individuals) in which one partner met criteria for PTSD according to the Clinician-Administered PTSD Scale. Symptoms of PTSD, co-existing conditions, and relationship satisfaction were collected by assessors at the beginning of the study, at mid treatment (median [midpoint], 8 weeks after baseline), and at post-treatment (median, 16 weeks after baseline). An uncontrolled 3-month follow-up was also completed. Couples were randomly assigned to take part in the 15-session cognitive-behavioral conjoint therapy for PTSD protocol immediately (n = 20) or were placed on a wait list for the therapy (n = 20). Clinician-rated PTSD symptom severity was the primary outcome; intimate relationship satisfaction, patient- and partner-rated PTSD symptoms, and co-existing symptoms were secondary outcomes.
The researchers found that PTSD symptom severity and patients’ intimate relationship satisfaction were significantly more improved in couple therapy than in the wait-list condition. Also, change ratios (calculated by dividing the change in the CBCT condition from pretreatment to post-treatment by the change in the wait-list condition over this period) indicated that PTSD symptom severity decreased almost 3 times more in CBCT from pretreatment to post-treatment compared with the wait list; and patient-reported relationship satisfaction increased more than 4 times more in CBCT compared with the wait list.
The secondary outcomes of depression, general anxiety, and anger expression symptoms also improved more in CBCT relative to the wait list.
Treatment effects were maintained at 3-month follow-up.
“This randomized controlled trial provides evidence for the efficacy of a couple therapy for the treatment of PTSD and comorbid symptoms, as well as enhancements in intimate relationship satisfaction. These improvements occurred in a sample of couples in which the patients varied with regard to sex, type of trauma experienced, and sexual orientation. The treatment effect size estimates found for PTSD and comorbid symptoms were comparable with or better than effects found for individual psychotherapies for PTSD. In addition, patients reported enhancements in relationship satisfaction consistent with or better than prior trials of couple therapy with distressed couples and stronger than those found for interventions designed to enhance relationship functioning in nondistressed couples,” the authors write.
“Cognitive-behavioral conjoint therapy may be used to efficiently address individual and relational dimensions of traumatization and might be indicated for individuals with PTSD who have stable relationships and partners willing to engage in treatment with them.”
(JAMA. 2012;308[7]:700-709. Available pre-embargo to the media at http://media.jamanetwork.com)
Editor’s Note: This study was supported by a National Institute of Mental Health grant to Dr. Monson. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, etc.

Editorial: Expanding the Boundaries of PTSD Treatment
Lisa M. Najavits, Ph.D., of the Veterans Affairs Boston Healthcare System and Boston University School of Medicine, comments in an accompanying editorial on the 2 studies in this issue of JAMA on treating PTSD.
“The results of the trials by Mills at al and Monson et al are important scientific attempts to study new options for treatment of PTSD. Overall, comparative studies of PTSD therapies find that they rarely outperform each other in efficacy. Thus, the cost and appeal of treatments to clinicians and patients, their intensity of intervention, and clinical setting and training issues may ultimately be as or more relevant than comparative efficacy in choosing a course of treatment for PTSD. In the current era, there is a focus on short-term treatments (in part an antidote to the overly long psychotherapies of much of the 20th century). However, it is not clear how long treatment needs to be maintained to produce enduring positive outcomes, especially for patients with PTSD and comorbidities and difficult social circumstances. The field of PTSD therapy is still young, and the pursuit of clinically meaningful treatments for all types of patients, like the process of recovery for patients with PTSD, is an ongoing challenge.”
(JAMA. 2012;308[7]:714-716. Available pre-embargo to the media at http://media.jamanetwork.com)
Editor’s Note: The author has completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of interest and reported receiving royalties from Guilford Press and New Harbinger Press and that she is director of Treatment Innovations, which provides consultation, training, and materials related to psychotherapy.

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