Saturday, February 4, 2012

Gulet Charter Turkey Holidays at Sea | ArticleGoes - Free Dofollow ...

The dream gulet sailboat holiday. The gulet charter Turkey sailing holiday that many wait all year long for? The holidays at sea on a gulet charter from Marmaris to wherever you want the breeze to take you. Motorsailers otherwise known as gulets are a combination of sailing and motor driven vessels, characteristic to Turkey and a few other countries on the Aegean and Mediterranean.

Marmaris gulet charters are very popular in these parts. Depending on the size of your group, a gulet charter in Marmaris can be hired for Blue cruises to journey to many amazing harbours and private bays to the east and west of Marmaris.

The nearest blue cruise gulet charters to the west is the culturally colorful Bodrum, historical Datca and the ancient Greek Islands of Rhodes, Kos and others in the North Dodecanese. Heading east some of the gulet charters take route to alluring Gocek port, bustling port of Fethiye and all the little hidden bays in between, inclusive of the Gulf of Gokova.

So where to go? Well you could start with a shorter trip for your first time ? first week, just to get the feel of how wonderful a gulet cruise charter holiday is in Turkey. The authentic elegance cannot be found elsewhere. The gulet is a luxurious vessel and is yours for that week. A private luxury gulet cruise for your group to do whatever you like, participate in water sports, or just be lazy, and every so often go ashore and visit ancient cities from the ?way? past from thousands of years ago.

You will feel on top of the world with the personal around the clock services by the crew on board. The captain will follow you? or you can follow the captain ? he is the expert in these waters afterall. :) The cabins come in VIP, Master, Triple, Double, Twin and Single types. Each gulet is different in length, amenities (most common in general), and cabins sizes and types ? from 4 to 16 guests.

Gulet charter Turkey is a phrase most commonly used on the internet when looking for a yacht charter holiday. But when you add Marmaris to your search phrase ? Marmaris gulet charter, I would say you are off to a fair start.

Gulet cruises originated in Bodrum, east of Marmaris, but has spread quite rapidly to other major seaside cities such as Marmaris and Fethiye. Today these areas have shipyards, building some of the world?s most top quality gulet / motorsailers.

So it?s fair to say that you would be in the right region for a gulet sailboat holiday!

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Source: http://articlegoes.com/gulet-charter-turkey-holidays-at-sea.html

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Friday, February 3, 2012

Filipino troops still searching for terrorist (AP)

MANILA, Philippines ? A day after proclaiming the death of a top regional terrorist suspect in a U.S.-backed airstrike, the Philippine military acknowledged Friday that his remains still have not been found.

Troops were searching the jungle camp that was hit Thursday for the body of Malaysian Zulkifli bin Hir, also known as Marwan, said regional military spokesman Lt. Col. Randolph Cabangbang.

Military officials said at least 15 people were killed in the dawn strike on a militant camp on remote southern Jolo Island, including two other high-level leaders. A national military spokesman, Col. Marcelo Burgos, initially reported that Marwan was among them.

Marwan's death would mark a major success in disrupting the Jemaah Islamiyah terror network blamed for some of the most spectacular bombing attacks in Southeast Asia in recent years. But if the initial report proves incorrect, it would turn a largely successful strike into a partial embarrassment for the Philippine military, while burnishing the reputation of the elusive terrorist.

The U.S. has offered a $5 million reward for the capture of Marwan, a U.S.-trained engineer accused of involvement in deadly bombings in the Philippines and in training militants.

Cabangbang said the announcement of Marwan's killing was based on information provided by informants. He refused to elaborate, saying it would compromise intelligence assets.

"We are still searching. Our troops are still there," Cabangbang said.

He suggested that the blast could have obliterated Marwan's body, saying the process of verification linked to the possible disbursement of the reward money to informants will be "more tedious" and could include DNA testing.

Two Philippine security officials with knowledge of the airstrike who spoke to The Associated Press also said Marwan's body was not found, though bombs shattered the house where he was believed to have been.

One of the officials confirmed the deaths of the other two high-level leaders: Umbra Jumdail, who led the Philippine-based Abu Sayyaf militant group, and a Singaporean leader in Jemaah Islamiyah, Abdullah Ali, who used the guerrilla name Muawiyah. The other official confirmed only the death of Jumdail, also known as Dr. Abu Pula, and his son.

Both officials spoke on condition of anonymity because they were not authorized to talk to reporters.

Cabangbang said the decision to announce the killings, including that of Marwan, was made by the chief of staff of the Armed Forces of the Philippines, Gen. Jessie Dellosa, after he was briefed by commanders.

"There are details that we cannot divulge because of operational security," he said when pressed for details.

A U.S. official in Washington confirmed the strike on Jolo Island, an impoverished region 600 miles (950 kilometers) south of Manila, and said the Pentagon provided assistance in one of the region's most successful anti-terror operations in years. The strike debilitated a regional militant network that has relied on the restive southern Philippines ? sometimes called Southeast Asia's Afghanistan ? as a headquarters for planning bombings and a base for training and recruitment.

About 30 militants were at the camp near Parang town on Jolo, the stronghold of the Abu Sayyaf and their allies from the mostly Indonesian-based Jemaah Islamiyah, when it was bombarded by two OV10 aircraft with 500-pound (227-kilogram) bombs at 3 a.m., regional military commander Maj. Gen. Noel Coballes said.

"Our report is there were at least 15 killed, including their three leadership," he said. "This is a deliberate, fully planned attack coming from our forces."

The rest of the militants escaped and no one was captured, Coballes said.

American counterterrorism troops have helped ill-equipped Filipino troops track Marwan for years using satellite and drone surveillance. About 600 U.S. special forces troops have been deployed in the southern Philippines since 2002, providing crucial support for the Philippines' counterterrorism operations. U.S.-backed Philippine offensives have been credited for the capture and killing of hundreds of Abu Sayyaf fighters and most top leaders since the 1990s.

In Washington, a U.S. official, speaking to the AP on condition of anonymity because he was not authorized to speak on the record about the operation, confirmed the Pentagon had aided the strike. He was not specific about the contribution and did not know how many people had been killed in the operation.

Marwan's death would represent the most important success against Jemaah Islamiyah since the January 2011 arrest of Indonesian suspect Umar Patek in Pakistan's garrison town of Abbottabad, where Osama bin Laden was killed in a U.S. commando attack four months later.

Patek and Marwan allegedly collaborated with the Abu Sayyaf in training militants in bomb-making skills, seeking funding locally and abroad and plotting attacks, including against American troops in the southern Philippines.

Patek is believed to have returned to Indonesia then gone to Pakistan, leaving Marwan to take charge in the southern Philippines, military officials say.

The attack in Jolo also represents a huge blow to the Abu Sayyaf's ability to recover from years of setbacks through fund raising and training of militants.

Abu Sayyaf is behind numerous ransom kidnappings, bomb attacks and beheadings that have terrorized the Philippines for more than two decades.

Jumdail had eluded troops in numerous offensives and emerged as a key figure in the radical movement.

Most recently, all three of the militant leaders were among the prime suspects in the kidnappings of three Red Cross workers from Switzerland, Italy and the Philippines in 2009. The hostages regained their freedom months later.

Abu Sayyaf militants, numbering about 400 by military estimates, are still considered a key threat to regional security and are suspected in the kidnapping of a former Australian soldier, as well as a Malaysian, a Japanese and an Indian.

On Wednesday, gunmen in nearby Tawi-Tawi island province seized Dutch and Swiss tourists. Officials said they were trying to move the hostages to Jolo.

___

Gomez contributed from Bangkok. Associated Press writers Oliver Teves in Manila, Philippines, and Pauline Jelinek in Washington contributed to this report.

Source: http://us.rd.yahoo.com/dailynews/rss/asia/*http%3A//news.yahoo.com/s/ap/20120203/ap_on_re_as/as_philippines_terror_leaders

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Thursday, February 2, 2012

Ferry sinks off Papua New Guinea; 350 aboard

(AP) ? A ferry carrying 350 people sank Thursday off northern Papua New Guinea in the South Pacific, officials said.

SKY News television reported in Australia that the ferry had been found and that four ships and two helicopters were involved in a rescue operation.

Australian Prime Minister Julia Gillard said Australia was providing its near neighbor with assistance.

"There has been a boat go down in PNG with, as we understand it, 350 people on board," Gillard told reporters. "This is obviously a major tragedy."

PNG's National Maritime Safety Authority said the ferry was between the northern coastal towns of Lae and Kimbe when it sent a distress signal early Thursday.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/3d281c11a96b4ad082fe88aa0db04305/Article_2012-02-01-AS-Papua-New-Guinea-Ferry-Sinking/id-9573633f3d4e46eca6c8d54928da54f4

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NASA's GCPEx mission: What we don't know about snow

ScienceDaily (Feb. 1, 2012) ? Predicting the future is always a tricky business -- just watch a TV weather report. Weather forecasts have come a long way, but almost every season there's a snowstorm that seems to come out of nowhere, or one that's forecast as 'the big one' that turns out to be a total bust.

In the last ten years, scientists have shown that it is possible to detect falling snow and measure surface snowpack information from the vantage point of space. But there remains much that is unknown about the fluffy white stuff.

"We're still figuring out how to measure snow from space," says Gail Skofronick-Jackson, a specialist in the remote sensing of snow at NASA's Goddard Space Fight Center, Greenbelt, Md. "We're where we were with measuring rain 40 years ago."

Skofronick-Jackson is part of a team of scientists from NASA and Environment Canada who are running a large experiment in Southern Ontario to improve snow detection. Their GPM Cold-season Precipitation Experiment (GCPEx) supports the new Global Precipitation Measurement (GPM) mission whose Core satellite is scheduled to launch in 2014.

GPM is an international satellite mission that will unify and set new standards for precipitation measurements from space, providing the next-generation observations of rain and snow worldwide every three hours.

As part of their snow detection efforts, the GCPEx science team is collecting as much data as they can to improve understanding of snow dynamics inside clouds, because they relate to how snow moves through Earth's water and climate cycles.

Accurate snowfall measurements are important for more than just weather forecasts. Snow is one of the primary sources of water in mountainous regions. For example, the snow pack on the Sierra Nevada Mountains accounts for one-third of the water supply for all of California. The snowmelt that enters the water cycle in spring and summer provides both drinking water and irrigation for California's $37.5 billion dollar agricultural industry. Droughts and climate change are making the snow pack a shrinking water resource, and managers have a greater need than ever to know exactly how much water is locked in snow.

But to know that, scientists first have to know just how much water snow carries as it falls to the ground.

Rain vs. Snow

Figuring out how much water comes down as snow first requires being able to tell snow from rain. On the surface, it's obvious, rain is liquid and wet, snow is solid and frozen. But rain and snow often happen at the same time or snow can melt into rain.

To tell the difference between rain and snow from space, scientists use an instrument called a microwave radiometer. It works by measuring the microwaves that naturally radiate from Earth all the time. Different natural phenomena radiate at different frequencies. For example rain causes a response at lower frequency microwaves while falling snow affects higher frequency microwave measurements. A radiometer, like a car radio picking up different stations, picks up responses at different frequencies and thus distinguishes between rain and snow. The signal gets stronger for heavy rain or intense snow rates.

Currently radiometers on some satellites can tell the difference between rain and snow -- but only to a point. Complications occur where the frequencies respond to both liquid rain and falling snow or even to Earth's surface, says Skofronick-Jackson. "There's a mixed response in those channels, so you kind of have to know what you're looking at."

In those overlapping frequencies, what distinguishes rain from snow is temperature, size and shape, a current unknown in most precipitation detection.

"What we know about rain is that raindrops are spherical or slightly flattened spheres. So they all basically have one shape," says Skofronick-Jackson. "With snow we have so many different shapes."

Needles in a Stack of Snowflakes

Snowflakes come in a wide variety of shapes and sizes. Individual flakes can be long thin needles, hollow columns, or flat plates with millions of different patterns. Their fluffy shapes and sheer variety are what make measuring snow rates tricky.

"Raindrops are going to pretty much fall straight down as fairly dense liquid particles. Snowflakes wobble; they're blown by the wind. They're going to have all these different characteristics as to how they fall. And that makes a difference in what the satellite sees," says Skofronick-Jackson.

The variety of snowflake shapes also complicate estimates of how much water snow holds. A "wet" snow of fluffy flakes has more water per unit volume than "dry" snow. On the ground, the same physical volume of those types of snow contain very different amounts of water, and this water, called snowmelt, is what ultimately ends up in reservoirs, rivers and other sources of freshwater.

The GPM satellite will measure global precipitation, be it heavy tropical rain, moderate rain, light rain or snow. GPM's radar instrument, built by mission partner, the Japanese Aerospace Exploration Agency, provides essential measurements of the size of the flakes and how much water they hold. The radar works by actively sending out microwaves on two different frequencies. When the microwave pulses encounter a raindrop or snowflake, it reflects part of both pulses back to the radar's sensors. By timing the interval between when the pulse was sent and then received the radar knows how far away the particles are in the cloud.

Add up all the particles and you get a full picture of all the rain and snow in one weather event. "It's like a CAT-scan," says Skofronick-Jackson. "You can actually see layer by layer what's in the cloud."

Atmospheric Layer Cake With Marble Swirl Frosting

The atmosphere does not lend itself to easy understanding. Temperature, humidity and winds change with altitude, creating many layers of air with different properties. The topography of land surfaces and oceans affect global weather patterns. Those conditions then combine to create both short-term weather and long-term climate. Part of resolving that picture at high latitudes is to understand snow's dynamics inside clouds.

"We know most clouds don't have just one classic snowflake shape, but what we don't know is what are the mixtures of snowflake types," says Skofronick-Jackson.

By combining the broader radiometer measurements that distinguish liquid from ice and tell how much water the clouds hold with the vertical details provided by the radar, the GPM science team may be able to see what mixture of particles are falling to the ground, or if a snowflake makes it all the way to the ground at all.

"As they're falling, snowflakes will sometimes go through warm layers and start to melt and start to look like raindrops," says Skofronick-Jackson. "So do you call that rain or do you call that snow?"

Finding that line is one of the goals of the cold-season experiment.

How Many Ways Can You Measure a Snowflake?

The GPM GCPEx field mission is currently underway just north of Toronto, Canada in Egbert, Ontario. Located near Lake Huron, the region is prone to both lake effect snow squalls and widespread snowstorms. NASA is working with Environment Canada to measure snow as many ways as possible to match snow on the ground with snow in the clouds and with simulated satellite passes measured from aircraft flying overhead.

Instruments on the ground at the Center for Atmospheric Research Experiments measure the quantity of snow, how fast it falls and how much water it holds. Radar and radiometers on the ground also get an up-close look at the snow as it falls from clouds to the surface. Meanwhile, two research planes, the University of North Dakota's Citation and the Canadian National Research Council Convair 580, fly though the clouds measuring snowflake sizes and water content, temperature and cloud water. "They'll do spirals so you can see all the way from the top of the cloud to the bottom of the cloud," says Skofronick-Jackson.

Above the clouds at 33,000 feet, a third plane, NASA Dryden's airborne laboratory DC-8, carries NASA Goddard-developed Conical Scanning Millimeter-wave Imaging Radiometer (CoSMIR) radiometer and NASA's Jet Propulsion Laboratory-developed Airborne Precipitation Radar-2 (APR-2). Together these two instruments simulate the instruments that the GPM satellite will carry into orbit.

The datasets will complement current measurements made by radiometers on Earth-observing satellites Aqua and Soumi NPP and the Cloud Profiling Radar on CloudSat.

"What we can do with all these measurements is learn these relationships between what the radar and the radiometer sees, what's in the cloud, and what's falling out," says Skofronick-Jackson.

The GCPEx campaign, running from January 17 through February 29, is on its way to filling in that picture.

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The above story is reprinted from materials provided by NASA/Goddard Space Flight Center.

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Source: http://feeds.sciencedaily.com/~r/sciencedaily/~3/KPCElIkri9g/120201181457.htm

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Wednesday, February 1, 2012

US, allies urge UN action to end violence in Syria (AP)

UNITED NATIONS ? Vowing to avoid "another Libya," the U.S. and its allies challenged Russia on Tuesday to overcome its opposition to a U.N. draft resolution demanding that Syrian President Bashar Assad yield power and end the violence that has killed thousands.

"It is time for the international community to put aside our own differences and send a clear message of support to the people of Syria," Secretary of State Hillary Rodham Clinton told the U.N. Security Council in backing an Arab League plan for the country.

Russia, one of Assad's strongest allies, has signaled it would veto any U.N. action against Damascus, fearing it could open the door to eventual international military involvement, the way an Arab-backed U.N. resolution led to NATO airstrikes in Libya.

But Clinton said U.N. action in Syria would not involve military intervention, unlike the NATO-led efforts that resulted in the ouster of Moammar Gadhafi.

"I know that some members here may be concerned that the Security Council is headed toward another Libya," Clinton said. "That is a false analogy."

The top diplomats from Britain, France and Arab League pressed the same point: The objective of the draft resolution was not military involvement and a continued delay would come at the cost of the lives of innocent civilians.

"We all have a choice: Stand with the people of Syria and the region or become complicit in the continuing violence there," Clinton told council members.

"Despite its ruthless tactics, the Assad regime's reign of terror will end and the people of Syria will have the chance to chart their own destiny," she said. "The question for us is: How many more innocent civilians will die before this country is able to move forward toward the kind of future it deserves?"

The diplomatic showdown came as Syrian government forces took back control of the eastern suburbs of the capital, Damascus, after rebel soldiers briefly captured the area in a startling advance last week. The two-day offensive left more than 100 people dead, making it among the bloodiest days since the uprising began in March, according to the British-based Syrian Observatory for Human Rights and the Local Coordination Committees, an opposition group.

The U.N. estimated several weeks ago that more than 5,400 people have been killed in the Syrian government crackdown, but has not been able to update the figure.

Russia has stood by Assad as he tries to crush the uprising. In October, Moscow vetoed the first Security Council attempt to condemn Syria's crackdown and has shown little sign of budging in its opposition.

Moscow's stance is motivated in part by its strategic and defense ties, including weapons sales, with Syria. Russia also rejects what it sees as a world order dominated by the U.S.

Russian Foreign Minister Sergei Lavrov told the Australian Broadcasting Corp. that Moscow "would never allow the Security Council to authorize anything similar to what happened in Libya."

Saying the U.N. should not choose sides, Lavrov told the ABC that all parties should cease violence and engage in dialogue. Russia "would not support anything that would be imposed on Syria," he said.

Australian Foreign Minister Kevin Rudd emphasized that Assad must go and urged Russia to overcome its reservations regarding the Security Council resolution in lengthy discussions Tuesday with Lavrov.

"We cannot stand idly by while we see the death of Damascus unfold before us," Rudd told reporters in his hometown of Brisbane on Wednesday. "It's time that we had action from the U.N. Security Council to start to draw this appalling conflict ? this appalling loss of life ? to a close."

"Australia's position is clear as we put it to the Russian foreign minister yesterday and that is we need to take action in New York through the U.N. Security Council. President Assad must go, he must step down, a government of national unity must be formed which brings together elements of the Syrian opposition as well as all those other elements representatives of Syrian society," he added.

Russia's Deputy Foreign Minister Gennady Gatilov also criticized the Western draft Security resolution on Syria. He wrote Tuesday on Twitter that it "does not lead to a search for compromise. Pushing this resolution is a path to civil war."

Still, Russian Ambassador Vitaly Churkin indicated in his address to the council that agreement could still be reached with more negotiation. He said his country found "some of the elements of our text" in the current draft, "and that gives rise for hope."

An earlier proposal on Syria circulated by Russia had been rejected by some Western and Arab nations for not being strong enough. "We hope the council will come to consensus," Churkin said.

Clinton suggested that more negotiation on the text was necessary before a vote later in the week. "We will have a concerted effort over the next days to reach agreement in the Security Council to put forth a resolution that sends a message to President Assad and his regime," she told reporters.

Earlier in the session, the Arab League made a rare call to the council to condemn violence in a fellow Arab country, and adopt its peace plan.

Arab League Secretary-General Nabil Elaraby told the council that the league wanted the Security Council to act "to support our initiative and not to take its place."

"We are attempting to avoid any foreign intervention, particularly military intervention" in Syria, he said. "We have always stressed full respect of the security, sovereignty and territorial integrity of the Syrian people."

British Foreign Minister William Hague called for speedy action.

"How long do Syrian families have to live in fear that their children will be killed or tortured, before the Security Council will act?" Hague asked. "How many people need to die before the consciences of world capitals are stirred?"

In its current form, the resolution demands that Assad halt the crackdown and implement an Arab League peace plan calling for him to hand over power to his vice president. If Assad fails to comply within 15 days, the council would consider "further measures," a reference to a possible move to impose economic or other sanctions.

In his response, Syria's U.N. Ambassador Bashar Ja'afari lashed out at the league, accusing it of acting without consulting the Syrian leadership. "How strange it is for us to see some members of the League of Arab States seeking the support of the Security Council against Syria," Ja'afari said. He noted that the Security Council often has voted in support of Israel against Arab-backed measures.

U.N. Secretary-General Ban Ki-moon said Tuesday at a news conference in Amman, Jordan, that he was "encouraged by the League of Arab States' initiative to seek a political solution" to the Syrian crisis.

"It is more urgent than ever to put an end to this bloodshed and violence, to start a credible political solution that addresses the legitimate aspiration of the Syrian people and to protect their fundamental freedoms," Ban said.

___

Associated Press writer Eileen Alt Powell at the United Nations, and Elizabeth A. Kennedy in Beirut contributed to this report.

Source: http://us.rd.yahoo.com/dailynews/rss/un/*http%3A//news.yahoo.com/s/ap/20120201/ap_on_re_us/un_un_syria

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UK Islamists who targeted US Embassy admit plot

By msnbc.com staff and news services

This is a breaking news story. More updates will be posted later.

LONDON - Four British men pleaded guilty on Wednesday to involvement in an al-Qaida inspired plot to bomb the London Stock Exchange.

The men were among nine defendants facing trial in London over an alleged plot to attack the exchange and several other high-profile targets, including the American Embassy, in December 2010. All had initially pleaded not guilty to all the charges against them.

Lewis Whyld / PA via AP, file

Mohammed Chowdhury, 20, one of nine men remanded in custody charged with planning an alleged pre-Christmas terror attack leaves Westminster Magistrates Court in London in a police van Monday Dec. 27, 2010.


But on Wednesday four of the defendants pleaded guilty at Woolwich Crown Court to involvement in the Stock Exchange plot, and the five other British citizens to lesser charges.

The suspects, aged between 20 and 30, were arrested in London, Cardiff and Stoke-on-Trent in central England, in what police called the biggest anti-terror raid for two years.

Prosecutors said they planned to send mail bombs to various targets in the run-up to Christmas 2010 and had discussed launching a "Mumbai-style" atrocity ? referring to the bomb blasts that killed 166 people in India's financial center in 2008.

The nine defendants were accused of agreeing on targets, discussing materials and methods, and researching files "containing practical instruction for a terrorist attack."

A handwritten target list found at one of the men's home listed the names and addresses of London Mayor Boris Johnson, two rabbis, the American Embassy in the city's Grosvenor Square and the Stock Exchange.

Andrew Parsons / PA via AP, file

The American Embassy in London's Grosvenor Square. The Embassy plans to move to a new site in future.

The Daily Telegraph reported that?torn pieces of paper showing a sketch of what is believed to be a car bomb were also found.

Mohammed Chowdhury, 21, Shah Rahman, 28, Gurukanth Desai, 30, and Abdul Miah, 25, all admitted preparing for acts of terrorism by planning to plant an improvised explosive device in the toilets of the London Stock Exchange.

The other five defendants admitted attending planning meetings, fundraising for terrorism or possessing copies of the al-Qaida magazine, Inspire.

They will be sentenced next week.

The BBC reported that the?four?who pleaded guilty had been inspired by the preachings of the recently killed radical extremist Anwar al-Awlaki.

Msnbc.com's Alastair Jamieson and The Associated Press contributed to this report.

Source: http://worldnews.msnbc.msn.com/_news/2012/02/01/10286571-uk-islamists-who-targeted-us-embassy-admit-plot

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Tuesday, January 31, 2012

Cancer patients' pain can be helped by psychosocial interventions, say researchers

Cancer patients' pain can be helped by psychosocial interventions, say researchers [ Back to EurekAlert! ] Public release date: 30-Jan-2012
[ | E-mail | Share Share ]

Contact: Ferdie De Vega
Ferdinand.DeVega@moffitt.org
813-745-7858
H. Lee Moffitt Cancer Center & Research Institute

Up to one-third of cancer patients experience moderate to severe pain

TAMPA, Fla. -- Researchers at Moffitt Cancer Center, who teamed with colleagues at five universities around the United States, analyzed past studies of cancer-related pain reduction and found that psychosocial interventions can have a beneficial effect on cancer patients' pain severity. They also found that certain psychosocial interventions provide better pain management and are effective in reducing the degree to which pain related to cancer and its treatment interferes with patients' lives.

Their analysis was published in a recent online issue of the Journal of Clinical Oncology.

"Pain is one of the most common, burdensome and feared symptoms experienced by patients with cancer," said Paul B. Jacobsen, Ph.D., associate center director for Moffitt's Division of Population Science. "Our study looked at randomized, controlled studies of psychosocial interventions for pain published between 1966 and 2010 in which pain was measured as an outcome in adults with cancer, or in adults undergoing procedures to diagnose cancer."

According to the authors, cancer-related pain can arise for a variety of reasons, including direct tumor involvement, metastasis to bone or organs, treatment toxicity and diagnostic procedures. Moderate to severe pain suffered by up to one-third of cancer patients often interferes with sleep, daily activities, enjoyment of life, and work and social interactions.

In their analysis of past pain intervention studies, the researchers investigated separately data on pain severity and data on how pain may interfere with daily life. While there is a significant body of literature devoted to study of cancer pain intervention, the authors note that not all studies they surveyed measured pain as a primary outcome. Moreover, pain was measured inconsistently across the studies.

When 37 past studies were analyzed to assess the effects of psychosocial interventions on patient pain, the researchers found that the most successful psychosocial, non-pharmacological pain interventions were either skill-based interventions or educational. Skill-based interventions focused on changes in the ways in which patients interpret pain, while educational approaches provided instruction on how to better use medications or helped patients more effectively communicate with clinicians about their unrelieved pain.

"Skill-based interventions focus on changing a patient's dysfunctional beliefs about pain and promote the use of skills such as distraction and relaxation to manage it," explained Jacobsen.

The authors noted that their findings on the value of psychosocial interventions are consistent with the recommendations of both the Institute of Medicine (IOM) and the American Pain Society. Both organizations recommend the use of psychosocial interventions as part of a "multimodal" approach to the treatment of cancer-related pain as well as the inclusion of experts in psychosocial care as members of the multidisciplinary care team.

The researchers concluded that psychosocial interventions worked equally well in reducing pain across patient demographic characteristics, such as sex and racial/ethnic subgroups. However, because the majority of the available patient data was on white females, the researchers recommend further study to determine if the same interventions could better manage pain across different subgroups of patients with cancer and in different treatment settings a strategy also suggested by the IOM.

"In short, we found that psychosocial interventions, including skills instruction and education can improve cancer pain management," concluded Jacobsen.

###

About Moffitt Cancer Center

Follow Moffitt on Facebook: www.facebook.com/MoffittCancerCenter

Follow Moffitt on Twitter: @MoffittNews

Follow Moffitt on YouTube: MoffittNews

Located in Tampa, Florida, Moffitt Cancer Center is an NCI Comprehensive Cancer Center a designation that recognizes Moffitt's excellence in research and contributions to clinical trials, prevention and cancer control. Moffitt currently has 14 affiliates in Florida, one in Georgia, one in Pennsylvania and two in Puerto Rico. Additionally, Moffitt is a member of the National Comprehensive Cancer Network, a prestigious alliance of the country's leading cancer centers, and is listed in U.S. News & World Report as one of "America's Best Hospitals" for cancer.

Media release by Florida Science Communications



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Cancer patients' pain can be helped by psychosocial interventions, say researchers [ Back to EurekAlert! ] Public release date: 30-Jan-2012
[ | E-mail | Share Share ]

Contact: Ferdie De Vega
Ferdinand.DeVega@moffitt.org
813-745-7858
H. Lee Moffitt Cancer Center & Research Institute

Up to one-third of cancer patients experience moderate to severe pain

TAMPA, Fla. -- Researchers at Moffitt Cancer Center, who teamed with colleagues at five universities around the United States, analyzed past studies of cancer-related pain reduction and found that psychosocial interventions can have a beneficial effect on cancer patients' pain severity. They also found that certain psychosocial interventions provide better pain management and are effective in reducing the degree to which pain related to cancer and its treatment interferes with patients' lives.

Their analysis was published in a recent online issue of the Journal of Clinical Oncology.

"Pain is one of the most common, burdensome and feared symptoms experienced by patients with cancer," said Paul B. Jacobsen, Ph.D., associate center director for Moffitt's Division of Population Science. "Our study looked at randomized, controlled studies of psychosocial interventions for pain published between 1966 and 2010 in which pain was measured as an outcome in adults with cancer, or in adults undergoing procedures to diagnose cancer."

According to the authors, cancer-related pain can arise for a variety of reasons, including direct tumor involvement, metastasis to bone or organs, treatment toxicity and diagnostic procedures. Moderate to severe pain suffered by up to one-third of cancer patients often interferes with sleep, daily activities, enjoyment of life, and work and social interactions.

In their analysis of past pain intervention studies, the researchers investigated separately data on pain severity and data on how pain may interfere with daily life. While there is a significant body of literature devoted to study of cancer pain intervention, the authors note that not all studies they surveyed measured pain as a primary outcome. Moreover, pain was measured inconsistently across the studies.

When 37 past studies were analyzed to assess the effects of psychosocial interventions on patient pain, the researchers found that the most successful psychosocial, non-pharmacological pain interventions were either skill-based interventions or educational. Skill-based interventions focused on changes in the ways in which patients interpret pain, while educational approaches provided instruction on how to better use medications or helped patients more effectively communicate with clinicians about their unrelieved pain.

"Skill-based interventions focus on changing a patient's dysfunctional beliefs about pain and promote the use of skills such as distraction and relaxation to manage it," explained Jacobsen.

The authors noted that their findings on the value of psychosocial interventions are consistent with the recommendations of both the Institute of Medicine (IOM) and the American Pain Society. Both organizations recommend the use of psychosocial interventions as part of a "multimodal" approach to the treatment of cancer-related pain as well as the inclusion of experts in psychosocial care as members of the multidisciplinary care team.

The researchers concluded that psychosocial interventions worked equally well in reducing pain across patient demographic characteristics, such as sex and racial/ethnic subgroups. However, because the majority of the available patient data was on white females, the researchers recommend further study to determine if the same interventions could better manage pain across different subgroups of patients with cancer and in different treatment settings a strategy also suggested by the IOM.

"In short, we found that psychosocial interventions, including skills instruction and education can improve cancer pain management," concluded Jacobsen.

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Located in Tampa, Florida, Moffitt Cancer Center is an NCI Comprehensive Cancer Center a designation that recognizes Moffitt's excellence in research and contributions to clinical trials, prevention and cancer control. Moffitt currently has 14 affiliates in Florida, one in Georgia, one in Pennsylvania and two in Puerto Rico. Additionally, Moffitt is a member of the National Comprehensive Cancer Network, a prestigious alliance of the country's leading cancer centers, and is listed in U.S. News & World Report as one of "America's Best Hospitals" for cancer.

Media release by Florida Science Communications



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Source: http://www.eurekalert.org/pub_releases/2012-01/hlmc-cpp013012.php

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