boring day,,,Peer Review: Microhoo! Yahosoft. Moo. What people are saying about the potential merger

so i'll post something I read...
from dvice . com
Peer Review: Microhoo! Yahosoft. Moo. What people are saying about the potential merger


Early Friday morning Microsoft made an unsolicited bid to buy Yahoo for $44.6 billion. The goal? Microsoft wants to bring Google down and thinks that Yahoo's huge traffic numbers might help.

How does all this affect us, the web surfers? It's more than a stock portfolio issue. Hundreds of millions of people rely on dozens of Yahoo! web services, any one of which could change significantly under Microsoft ownership. The Yahoo! name is valuable, so don't expect your email address to disappear, but the feel of many Yahoo!-run websites (including Flickr and del.icio.us) could change significantly if the merger goes through. An unsuccessful merger could be disastrous, driving more users to Google. Click continue to read recent vehement views reflecting on the merger and its likely consequences.

they have some good stuff...

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Depression and Stroke

Laurie Udesky
CONSUMER HEALTH INTERACTIVE

For all of his advantages, there was a moment when actor Kirk Douglas was so despondent after suffering a stroke that he opened a drawer, grabbed the pistol he had used in the film Gunfight at the OK Corral, and put the gun in his mouth. But he accidentally knocked the barrel against his teeth. The pain made him laugh at himself long enough to reconsider pulling the trigger.

In the years following his stroke in 1995, the macho film legend recovered his ability to speak, and went on to write a book about his experience to inspire other stroke victims during their recovery. But if severe depression could overtake Kirk Douglas, who had the best of everything -- a parade of household help, the support of his family and thousands of adoring fans -- think how emotionally devastating a stroke can be for the rest of us.

As many as half of all people who suffer a stroke become clinically depressed, according to Dr. Mustapha Ezzeddine, a stroke neurologist with the National Institute of Neurological Disorders and Stroke. It's certainly understandable that a person's outlook would be directly connected to how much he or she has lost. After having a stroke, people can experience full or partial paralysis of the muscles in their faces or limbs. They can also lose the ability to speak, significantly jeopardizing their connection to the rest of the world.

When book editor Robert McCrum suffered a stroke at age 42, he felt an overwhelming sense of failure and depression. "Every time I got into the wheelchair I felt vulnerable and helpless, stupid and ashamed," writes McCrum in his book My Year Off. Some people, like Douglas, even feel suicidal.

Unfortunately, depression can delay or damage the prospects for recovering from a stroke, according to several medical studies. One report in the journal Stroke examined the functioning of 55 patients treated for depression after having a stroke. Researchers found that 21 patients whose depression lifted after treatment had "a significantly greater recovery in activities of daily living" than the 34 patients whose mood did not improve.

Although it's understandable to feel overwhelming anguish, there are ways to recover from depression with the help of your friends, family, and support groups as well as professionial care.

How can I distinguish between depression and the effects of a stroke?

If a stroke has caused dramatic changes in your behavior or diminished your ability to function or communicate, it may be hard for people around you to distinguish disability from depression. For example, it could be harder to recognize depression in a stroke survivor who has trouble speaking or understanding language (aphasia). Sometimes family members think that it's natural for a stroke victim to mourn the loss of function, and so they fail to recognize true depression.

If you have crying outbursts that last for a few minutes and suddenly stop, it may seem like depression, but it may not be. It's a condition that doctors call "emotional lability." This is most prominent in the first few months after a stroke, and could also include outbursts of inappropriate laughter.

You should, however, suspect that you are depressed if you have experienced at least five of the following symptoms for two weeks or more: feelings of hopelessness, fatigue or lack of energy, no interest in activities you previously enjoyed, sleeping too little or too much, overeating or loss of appetite, low self-esteem, sadness, or suicidal thoughts or attempts. If you experience any of these things, ask your doctor to refer you to a mental health professional. If you feel suicidal, you should contact your doctor or a mental health professional immediately and seek out a friend or family member for company. Anyone who feels suicidal shouldn't be alone.

What causes depression in stroke survivors?

Some scientists believe that the stroke-induced brain injury itself can cause it. "In most patients, they develop depression secondary to brain injury," says Ezzeddine. "The hypothesis is that some of the brain circuits known to be involved in depression can be affected by stroke. If you had bouts of depression before the stroke, it's more likely you'll develop it after."

Besides psychological issues, it's hardly surprising that the more disabling the stroke, the more likely it is that the survivor will experience depression. One study, in the journal Hospital Medicine, equated severe post-stroke disability with a two to three times greater risk for depression than the people who experienced little or no disability.

What's the treatment for post-stroke depression?

The treatment can differ from the usual remedies because some medicines commonly used to treat depression are dangerous for stroke survivors. Tricyclic antidepressants, for example, can inhibit recovery in a stroke survivor, according to Ezzeddine. Other medications commonly taken by people who have had strokes -- like beta blockers, a type of heart medication -- can also deepen depression. But there are many other medication choices.

In addition, seeking psychotherapy, setting goals for recovery, and getting involved in social activities can all help. Here are some other ways for stroke survivors to free themselves from depression:

•Get involved in daily activities with friends or family. Many stroke survivors feel isolated and alone, even if they aren't physically incapacitated from the stroke.
•Find a support group with a trained facilitator. It could help provide emotional support as well as useful tips for managing your disabilities. Consult the National Stroke Association for groups near you.
•The American Heart Association now recommends aerobic and strengthening exercise for stroke survivors. If you're capable of exercising, ask your doctor for a referral to an exercise class. Many hospitals or senior centers offer exercise classes for stroke survivors.
•Ask your doctor how to relieve any physical discomforts like pain, muscle spasms, and constipation that can all add to depression.
•If you're capable of volunteering, even if it's just an hour or two a week, it will not only help others, but could also help you feel better about yourself.

-- Laurie Udesky is an award-winning health and medical reporter and a frequent contributor to Consumer Health Interactive.


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