Friday, July 12, 2013

Trapped in a Military Marriage - HealthyCal

Photo: Flickr/European Parliament

By Mary Flynn
California Health Report

Tiffany Ketterman didn?t realize that her husband was violent until they were already married. When she met him in April 2003, she thought he was ?the most caring, gentle person I had ever met in my life.? She learned he was joining the Air Force. ?I was like, ?Yeah, this is the guy for me.??

She had no idea that within a year she would be 2,000 miles from home and trapped in a relationship with an emotionally volatile and abusive person.

They married quickly, and before long he received his orders to a military base in Texas. The move meant that Ketterman had to get rid of her two dogs, basset hounds she?d had for years. The night she left the dogs with their new family, she stayed up after her new husband had gone to bed, crying by herself in their home office.

?The door swung open and he just rushed into the room and got about two inches from my face and just started screaming in the most violent way you can even imagine,? she says. ?I had never seen anyone do that before at all. I just froze. I remember my tears froze; I couldn?t move. I just couldn?t understand.?

?He was telling me to stop crying and that I?d better shut up or he was going to go over and get the dogs and kill them? repeating over and over that the dogs needed to be dead.?

Ketterman didn?t know how to respond. They went to bed as if it were any other night. ?We ended up moving three or four days later like nothing ever happened,? she says. ?And then he did it again.?A few days later he blew up in front of other people, including other new arrivals to the base and Ketterman?s 13-year-old daughter from a previous relationship.

The outbursts started coming every few days after that incident. Yelling fights would turn into his breaking down the door. She awoke one night to his hands around her throat, and she recalled how after one fight she came back to the living room to find her husband slowly and calmly sharpening his hunting knife. ?It was very clear he was trying to send a message,? she says.

Lindsay Sweetnam is the community programs director at La Casa de las Madres, an organization that offers shelter and support services to those at risk of domestic violence. ?Abuse is really about power and control,? says Sweetnam. ?The dynamic is that the abusive partner is trying to gain the power and keep the control over their partner, and all the different types of abuse?economic, threats, physical, psychological, sexual? are tactics to gain that power.? The abuse usually gets worse over time, she notes.

Over the years, Ketterman endured fits of rage, physical violence, threats to kill her or her daughter and other family members, being trapped in rooms, being threatened with weapons and the destruction of her personal property at her husband?s hands.

An estimated 19,000 incidents of domestic abuse between spouses were reported to the military?s Family Advocacy Program in 2011. Calculating how often domestic abuse happens in the military is difficult, as it is elsewhere. Domestic violence is one of the most chronically underreported crimes, according to the National Coalition Against Domestic Violence. The actual number of occurrences is likely much higher.

Abusive relationships take many forms, ranging from emotional abuse to brutal physical assaults. But they all share one trait?a spouse who sets out to control his or her partner. That makes it especially tough for military spouses to leave marriages marked by violence. Their isolation can be profound?and getting help from the military can be a daunting proposition.

Ketterman stayed in the marriage for six years, which is not unusual for victims of abuse. Some of the circumstances that trapped her are common in abusive relationships. But for those whose lives are intertwined with the military, leaving can be even more difficult.

Isolation and military life

Victims of domestic abuse often have great difficulty coming to terms with the tragic turn their marriage took. Ketterman recalls hearing a domestic violence victim, Leslie Morgan Steiner, describe her experience in a TED talk. ?I never once thought of myself as a battered wife,? Steiner said. ?Instead I thought of myself as a very strong woman in love with a deeply troubled man that I loved very much.? This resonated with Ketterman. ?That?s the way it happened,? she says. ?You don?t think of it as being ?battering.? It?s just like, ?I love this person so much. What?s wrong? What can I do to help him???

Fear also keeps victims with abusive spouses, trapped by fear of retribution and by low self-esteem and financial dependence. Victims of domestic abuse who are in the military or are the spouse of a service member may face even more barriers. While economic abuse is seen across all populations, says Sweetnam, a victim married to a service member may also fear losing access to housing and medical benefits.

Life on a series of military bases may also translate into little financial freedom for spouses who once had their own jobs. Unemployment among military spouses is consistently high?26 percent?and they have an average wage gap of 25 percent compared to their civilian counterparts. Seventy-seven percent of these spouses want or need work, but find it difficult to obtain due to frequent relocations. Ketterman gave up her career in marketing to follow her husband to his duty stations. Her attempts to find work near the base yielded low-wage jobs at places like the base commissary. ?I was completely financially dependent on him at that time,? she says.

Military spouses are more likely to be geographically isolated, or be removed from their support network, Sweetnam says, as service members move frequently. Ketterman?s first move from her home in Idaho was to Texas, and later they were relocated to Mississippi. ?I was 2,000 miles from home. No family nearby, no friends nearby except for the new ones that I had met, and who of them do you want to tell what?s going on?? she says. ?I was so isolated.?

The military culture itself?one that emphasizes being strong, sacrifice, patriotism, pride in one?s service or as a military spouse?made it difficult to do anything about her abuse, she adds. Ketterman says she felt caught up in the military culture, particularly because the country was heavily involved in conflicts overseas in Iraq and Afghanistan. Being a military spouse was a source of pride, she says, and she felt she was part of something bigger than herself. Reporting the abuse and turning in her husband felt like going against the prevailing support- the-troops culture.

Underneath it all was her fear for her safety. ?If I turned him in and destroyed his career?I knew he?d kill me,? she says. ?He would have nothing left because his military career meant everything to him, so I was terrified of that.?

Ketterman says that husband was well behaved in public. She recalls speaking with his supervisor at the time, when she started seeking help about the abuse. ?I said, ?You don?t understand. He acts so perfectly because he wants a military career, but as soon as the doors are closed, he is just insanely crazy.??

Ketterman would eventually report the abuse in two separate incidents. Both were ruled as unsubstantiated, and her husband was not required to seek treatment. Frustrated with the military system, she sought support off the base. The couple divorced in 2009.

A changing system

In the past, advocates expressed deep dissatisfaction with the military?s response to domestic violence. They convinced Congress to create a task force of military and civilian experts. The resulting Department of Defense Task Force on Domestic Violence, which met from 2001 to 2003, made recommendations for improving systems and collaborating with civilian groups. An updated version of the written guidelines was established in 2004, and several updates have been made since. Each branch is at a different stage of implementing some of these changes leading to a unified approach to handling domestic violence.

But implementation across the bureaucracy of several branches of service?Army, Air Force, Marines, Navy, Coast Guard?is slow. Glenna Tinney is the military advocacy program coordinator with the Battered Women?s Justice Project. She is also a former Navy captain and served on the Department of Defense Task Force on Domestic Violence. She explains that each branch of service takes the DOD directive and develops a framework for implementation. Then each installation develops its own plans for responding to domestic violence. As a result, policy and procedure for dealing with abuse cases vary from one branch of the service to the next, and even one base to the next. Ketterman?s abuse took place on an Air Force base from 2003 to 2007, in rural Mississippi. Her attempts to get help then would differ from the experience of someone today who may be based, for example, at Camp Pendleton, a large Marine and Naval base in San Diego.

Now, when victims associated with the military want to report an incident, they have two options: a restricted report and an unrestricted report. In a restricted report, the information is kept private. It allows the victim an opportunity to survey the options without getting law enforcement or the abuser?s command involved.

When an incident is reported within the Navy Fleet in San Diego?whether through the hotline, the hospital or another source?that information gets to the Family Advocacy Program, according to Dr. Morris Touriel, director of the Navy?s San Diego Family Advocacy Center. The program?s first step is to contact the victim and try to understand the situation. If the victim decides to make an unrestricted report, an investigation is conducted. Family Advocacy staff collects whatever information might be available around the incident: medical evaluation, mental health and social assessments of both the alleged abuser and the victim, and any information from the law enforcement investigation. Not all of this information is available in each case; for example, law enforcement is not always involved.

All the information goes before a committee for review of the case. The committee varies from installation to installation, but in general, members include a lawyer (from the Judge Advocate General), a representative of the Family Advocacy Program, someone from the Office of Special Investigations, and the leadership of the abuser?s command and of the entire installation. Basically, all of the alleged abuser?s bosses get together with the legal, law enforcement and advocating entities to make a decision on the case based on the available evidence.

Tinney points out that the resulting report is based on the incident, not on the whole history of the relationship. The committee generally runs each case through an algorithm, a decision-making tool that looks at each specific incident of abuse and determines whether it could be substantiated. This formula helps to standardize the process, rather than leaving it to subjective opinions, she says. But evaluations of domestic abuse may be hard to standardize. In a domestic abuse incident where there may be a lack of physical evidence?no broken bones, for example?the committee needs to determine who is the most credible reporter. If the abuse case is substantiated, Family Advocacy Program services are provided to the victim and the victim?s family, and the abuser is required to attend counseling sessions.

The Family Advocacy Program focuses on intervention and prevention of domestic violence. Its role is not to punish the abuser. Prosecution would come from a criminal prosecution?civilian or military, under the Uniform Code of Military Justice?if the victim were to press charges.

Touriel says that, in the Navy, services are available to both parties, regardless of the ruling. The only difference is that if the incident is ruled unsubstantiated, the abuser is not required to seek treatment.

?There?s a lot more support for people identified as offenders to complete their treatment in our system than in other systems,? Touriel says. ?Out in the community, you may go to court, and if you?re convicted and they say ?Go to treatment,? no one is really monitoring you.? Enforcement of the abuser?s treatment, however, lies in the hands of the chain of command.

This process of reviewing the incident is not the same as a ruling in a military or civilian court, says Mary Kirby, director of the Navy?s Fleet and Family Support Center in San Diego. ?It?s not a guilty or a not guilty verdict,? she says. Victims still have the ability to prosecute the offender in civilian court or through the military court system.

In 2011, of the 19,000 reported cases, about 44 percent were substantiated, and those offenders entered the Central Registry, a system for keeping track of reports of child abuse and domestic violence.

After hearing a brief recount of an incident Ketterman reported, Tinney says she?s not surprised that nothing punitive happened to the husband. Domestic abuse that takes the form of emotional abuse and threats may be more difficult to prove in isolated incidents unless the victim is able to provide evidence that establishes an ongoing pattern of abuse. The same is true, she says, in civilian courts. ?The military is a microcosm of the larger society, so they really experience all the same kinds of issues,? Tinney says. ?I know people want to say how different the military is?how it?s more violent, etc.?but there?s a lot more similarities than differences.?

?We need to be cautious about overstating how difficult the military system is,? she continues, ?because believe me, the civilian system is difficult too.?

Ketterman feels the system did not do enough to help her. Once she filed for divorce, she lost access to things like housing, health insurance and the military community. She was still thousands of miles from home and didn?t know how she?d afford to move herself. Her husband remained in the military, she adds. He transferred to the National Guard, where she says he?s now an officer.

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Source: http://www.healthycal.org/archives/12420

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During Ramadan, Muslims urged to boycott dates linked to Israel

Article source: News - chicagotribune.com
View the original >

Group based in Palos Hills presses for a political statementA Palos Hills-based group asks shoppers to boycott Israeli fruit companies and any brands distributed by an Israeli date consortium -- business that represents about 35 percent of the world's date market.

Source: http://napervillemagazine.com/2013/07/during-ramadan-muslims-urged-to-boycott-dates-linked-to-israel/

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Thursday, July 11, 2013

The Daily Troll: Banking on pot. Bill Gates' summer reading. Will the elderly pick Seattle's mayor?

The Daily Troll: News for your evening commute.

The Daily Troll: News for your evening commute. Art work by Noel Franklin

Mayor's race

Barely one-third of Seattle voters will take part in the primary to select the two finalists for mayor of the city, King County elections officials estimate. After analyzing past voting patterns, The Seattle Times concluded that the skimpy voting will be "dominated by older voters." Maybe the winning pitch in the closing weeks (ballots get mailed next week) will be a promise to protect Social Security and the city's Gold Card for Healthy Aging?from budget-cutters. Candidates, get thee to the senior center.

Banking on pot

Five Washington Democrats and 13 other members of the U.S. House of Representatives have introduced a bill to ensure that pot businesses can use the U.S. banking system,?Joel Connelly reports on seattlepi.com. Without this measure, the sponsors fear, the businesses created by states' pot legalization measures might have to operate as cash-only businesses. It's called the Marijuana Business Access to Banking Act?? a name awkward enough to suggest that perhaps its chances of enactment may not be that good.

Sheriff's shooting review policies

A consultant's report released today says the King County Sheriff's Office needs better reviews of its deputies' use of firearms. The report was done in the wake of a 2012 shooting in which an unarmed man was shot 16 times by deputies looking for his roommate. The county recently paid $3 million to settle a claim of wrongful shooting in the case. Today's report finds that the officers involved in the shooting met the county's guidelines for use of force. (They thought he was reaching for a gun.) King County Sheriff John Urquhart?told KIRO-TV?that he is working on implementing the changes recommended by the report.?

Bill's summer reading

Bill Gates has put out his summer reading list. It's not light reading, starting off with Jared Diamond's "The World Until Yesterday: What Can We Learn from Traditional Societies?" Other such beach reads include "The Box: How The Shipping Container Made the World Smaller" and "Japan's Dietary Transition and Its Impacts." But, hey, we're feeling smarter just typing this. And he is planning to read a novel this year. You can find the whole list here.

Oregon infusion for equal marriage

The Oregon campaigners for an equal marriage initiative received word today of a $250,000 donation from Freedom to Marry, a nationwide marriage equality campaign. "The money represents the first large contribution to either side of what is expected to be a hotly contested issue in Oregon next year," writes Jeff Mapes of The Oregonian.

Renton rep joins Inslee staff

State Rep. Marcie Maxwell, D-Renton, is leaving the House of Representatives to become an advisor on education policy for Gov. Jay Inslee.?Patch.com notes?that she served eight years on the Renton School Board. It could lead to a good race on next year's ballot: She's in the 41st District, where a moderate Republican, Steve Litzow, serves in the state Senate. Democratic Transportation chair Rep. Judy Clibborn is the other representative.

Love the Daily Troll? Now you can?sign up to get it in your inbox every afternoon. And to catch up on the most recent news, click here.

Source: http://crosscut.com/2013/07/10/thedailytroll/115489/daily-troll-seattle-mayor-/

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Nokia to bet on Lumia's camera upgrade to overcome budget handicap

By Ritsuko Ando

HELSINKI (Reuters) - Nokia is expected to unveil a new smartphone with a 41-megapixel camera on Thursday, banking on advanced optics to make up for meager marketing resources and limited phone apps.

Analysts, however, are skeptical that a new camera for the flagship Lumia smartphone will be enough for the Finnish company to regain market share from rivals Samsung and Apple .

Several said that Nokia needs to market the handsets more aggressively - a tough challenge in the face of its dwindling cash reserves after years of poor sales and the decision this month to buy Siemens' stake in their equipment joint venture.

"What I'm expecting to see is a powerful device that will differentiate it from competitors' high-end handsets. But whether this will be enough to compete with Samsung and Apple? I doubt it," said Francisco Jeronimo, of research firm IDC.

"They need to raise the level of awareness. They may have the best camera, the best maps, but if consumers don't really know what they can do, that's not enough."

Nokia Chief Executive Stephen Elop, hired in 2010 to revive the former leader in mobile phones, has bet the company's future in smartphones on Microsoft's Windows Phone operating system.

While simpler feature phones still account for the majority of Nokia's handset sales, smartphones are viewed as crucial for its survival because of their higher margins and the increasing demand for Internet access and consumers' growing tendency to switch to cheaper models made by Asian manufacturers.

While existing Lumias have won positive reviews from critics and technology blogs, they have struggled against Samsung's handsets, which use Google's Android operating system, and Apple's iPhones, which run on iOS.

IDC estimates that Android and iOS accounted for 92.3 percent of all smartphone shipments in the first quarter of this year.

Windows Phone, meanwhile, accounted for 3.2 percent, with a shortage of apps proving a major handicap. It has only 160,000 apps in store, while rivals offer about five times as many because developers prefer to make them for the higher-volume operating systems.

The new phone to be unveiled on Thursday is expected to be the most advanced of the Lumia range. Nokia already has a 41-megapixel camera on its 808 PureView phone, but that model runs on the Symbian platform, which is being phased out.

Nokia has not given details, but a source confirmed that the camera technology would be its main selling point and the company's own website promises "41 million reasons" to tune into the event in New York.

NO SILVER BULLET

While tech industry analysts say it is crucial for Nokia to boost marketing and promotions through its carrier partners, the company is likely to keep a wary eye on its marketing expenses.

Nokia said last week that its net cash position at the end of the second quarter was between 3.7 billion euros and 4.2 billion euros ($4.7 billion to $5.4 billion), indicating that cash burn may have been as high as 800 million euros in the quarter.

It also said that net cash would have been 2 billion euros to 2.5 billion euros had its deal to buy Siemens' 50 percent stake in Nokia Siemens Network closed in the quarter.

Standard & Poor's downgraded Nokia by one notch on Friday to B+ from BB-, forecasting that net cash could fall as low as 1.3 billion euros at the end of the year.

One portfolio manager for one of Nokia's top 10 institutional investors, who declined to be identified, said he is not in favor of Nokia boosting marketing spending too much and is happy with a slowly-but-surely approach.

Alandsbanken analyst Lars Soderfjell, too, said Nokia should aim for modest marketing - enough to improve sales and buy more time for a turnaround without accelerating cash burn.

"This is one of the most-anticipated models and it's important that they continue to renew their product portfolio ... but I look at this as a very gradual turnaround. I don't see there being a silver bullet model," he said.

"The most important thing, really, is to continue to gain market share from their current low level in smartphones, to achieve profitability. If it can gain a couple of percentage points in market share, then it can gradually recover."

IDC's Jeronimo suggested that Microsoft should be doing more heavy lifting to market Windows Phone handsets. Without Nokia's commitment to Windows, Microsoft would have no leading handset partner - a reason the software giant is seen as the most probable buyer if Nokia were to sell its handset business.

"I think Microsoft has relied a lot on Nokia to promote Windows Phone. That's not enough," he said. "It will be hard for Nokia to do the entire investment." (For an Interactive look at Nokia, go to: http://link.reuters.com/guz42t) ($1 = 0.7821 euros)

(Editing by David Goodman)

Source: http://news.yahoo.com/nokia-bet-lumias-camera-upgrade-overcome-budget-handicap-102027568.html

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Country Singer Randy Travis in Critical Condition With Heart ...

TUESDAY, July 9 (HealthDay News) ? Country music icon Randy Travis was listed in critical condition Tuesday following surgery in a Dallas hospital to treat a viral heart infection.

The 54-year-old singer was first admitted on Sunday after he developed what he thought was a cold, but he was later diagnosed with a serious condition known as viral cardiomyopathy.

Viral cardiomyopathy occurs when a virus infects and attacks the heart, leading to inflammation and a reduced ability to pump blood throughout the body, according to the Heart and Vascular Institute at Johns Hopkins in Baltimore. This particular form of cardiomyopathy can progress rapidly, and while it only accounts for 1 percent of all heart disease deaths in the United States, it is one of the most common causes of heart disease in younger people.

One expert explained how viral cardiomyopathy can quickly develop into a life-threatening condition.

?Myocarditis is an inflammatory condition which can occur when the heart is infected by a virus. The condition can range from a minor flu-like illness to critical cardiogenic shock,? said Dr. Sean Pinney, director of the Advanced Heart Failure and Cardiac Transplantation Program at Mount Sinai Medical Center in New York City.

?Most patients will experience only minor degrees of heart dysfunction and will make a full recovery,? Pinney continued. ?For those patients in whom the virus produces greater degrees of heart dysfunction, full recovery is possible, but less likely. About half of these patients will develop chronic heart failure, and another 25 percent will need a heart transplant or a mechanical assist device,? he noted.

?The cornerstone of treatment is to provide excellent supportive care,? Pinney explained. ?This may include the use of ventricular assist devices, which are surgically implanted pumps designed to support the circulation until the heart can recover or until a heart transplant is performed. Antibiotics and anti-inflammatory drugs have been used, but it is not clear whether they are helpful in aiding recovery.?

Another expert outlined a similar prognosis.

?Viral myocarditis is an unfortunate condition where the virus attacks the heart muscle, causing heart damage similar to a heart attack,? said Dr. Suzanne Steinbaum, a preventive cardiologist at Lenox Hill Hospital in New York City. ?In some situations the heart will recover and in others it will not, leading to heart failure. All we can do is give supportive care, careful monitoring and waiting.?

Viral cardiomyopathy can be caused by more than 30 different viruses, according to the U.S. Centers for Disease Control and Prevention. These can include common flu viruses, cold viruses, Epstein Barr virus and hepatitis C.

Travis had been attempting to get his life back on track following numerous public incidents last year that centered around his use of alcohol. The 11-time Grammy winner pleaded guilty to driving while intoxicated in January following his arrest last year when he was found naked after crashing his Pontiac Trans Am.

Some of his most celebrated songs included ?Forever and Ever, Amen? and ?Three Wooden Crosses.? He had 18 singles top the music charts during the 1980s and 1990s.

More information

For more on myocarditis, go to the U.S. National Library of Medicine.

Source: http://news.health.com/2013/07/09/country-singer-randy-travis-in-critical-condition-with-heart-infection/

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Sunday, July 7, 2013

HBT: Carpenter pleased after long bullpen session

Via MLB.com?s Jenifer Langosch:

Cardinals starter Chris Carpenter has been sidelined all season due to thoracic outlet syndrome in his right shoulder, the same injury that kept him out of action for most of the 2012 season, save for some late September and October action. Initially, the Cardinals planned to use Carpenter as a reliever if and when he returned, but as he has made progress coming back from the injury, the trajectory seems to put him back in the starting rotation at some point.

Source: http://hardballtalk.nbcsports.com/2013/07/05/chris-carpenter-encouraged-after-106-pitch-bullpen-session/related/

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Tuesday, July 2, 2013

Apple applies for 'iWatch' trademark in Japan

(AP) ? Apple Inc. has applied for a trademark in Japan for "iWatch" as rumors suggest it may be developing a smart wristwatch.

A document obtained Monday from the Japan Patent Office's website said the application was made June 3 and made public June 27.

It was not immediately clear when the application might be approved. Patent office and Apple officials in Japan were not available for comment late Monday.

Apple is rumored to be working on a smart watch that would run on a version of the operating system used by its iPhone and iPad. The company has not confirmed those rumors, but CEO Tim Cook has hinted that it may be developing a wearable computing device such as a wristwatch.

Applying for a trademark in Japan isn't proof of Apple's intentions. The company based in Cupertino, California, has many patents for devices it will never produce.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/495d344a0d10421e9baa8ee77029cfbd/Article_2013-07-01-AS-Japan-Apple/id-938a7d5af74b4a89a671d24a35557bf0

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