France Sends Troops to Mali to Help Counter Islamist Advance


Romaric Hien/Agence France-Presse — Getty Images


Fighters of the hard-line Salafi group Ansar Dine in August. The group has controlled Timbuktu and much of northern Mali since a coup d’état and a successful revolt against the central authority in March.







BAMAKO, Mali — France sent armed forces into combat in Mali on Friday, answering an urgent plea from the government of its former colony in West Africa to help blunt a sudden and aggressive advance into the center of the country by Islamist extremist militants who have been in control of the north for much of the past year.




French officials confirmed that the French forces, which included paratroopers and helicopter gunships, had engaged in fighting with the Islamists after landing at a major airfield in the central Mali town of Sévaré.


It was unclear how many French troops had been sent or from where, but a Western diplomat in neighboring Niger said the Islamist forces numbered between 800 and 900 fighters, with about 200 vehicles.


“French forces brought their support this afternoon to Malian army units to fight against terrorist elements,” President François Hollande of France said in a statement to reporters in Paris. “This operation will last as long as is necessary.”


Mr. Hollande has been especially outspoken in his animosity toward northern Mali’s Islamist occupiers and their harsh practices, which rights activists say include arbitrary killings, stonings, amputations, forced marriages and the destruction of non-Islamist cultural shrines. Thousands of Malians have sought to flee the north in recent months.


“Mali is dealing with terrorist elements form the north, whose brutality and fanaticism are now clear to the entire world,” Mr. Hollande said. “The very existence of the friendly state of Mali is at stake, as is the security of its people and that of our citizens. There are 6,000 of them there.”


The French president was responding to an urgent request received the day before from Mali’s interim president, Dioncounda Traore, who said Malian government forces were in dire need of help to stop the Islamists, who have turned the northern half of the country into a militant haven since seizing the territory, about twice of the size of Germany, last April.


The United Nations Security Council, which has repeatedly condemned the Islamist takeover of northern Mali and last month authorized an African-led force to enter the country to help drive the Islamists out, said Thursday that it was closely monitoring events there and may take additional steps. Mr. Hollande is also to meet with the Malian president next week.


The swift French response came after two days of clashes between the Malian Army and militants around Konna, a sleepy mud-brick village that for months had marked the outer limit of the Malian Army’s control after it lost half of the country to the Islamists and their allies eight months ago.


“It’s a very serious situation, very dangerous,” said a Malian officer here in Bamako, the capital, who was not authorized to speak publicly.


The Islamists had been threatening a major airfield 25 miles away in Sévaré, also the home of a significant army base. And 10 miles from Sévaré is the historic river city of Mopti, the last major town controlled by the Malian government, with a population of more than 100,000.


“There were hard fights, but we lost,” the officer said.


A spokesman for the Islamists, Sanda Ould Boumana, said Thursday from rebel-held Timbuktu: “We have taken the town of Konna. We control Konna, and the Malian Army has fled. We have pushed them back.” Gen. Carter F. Ham, the commander of the Pentagon’s Africa Command, who was traveling in neighboring Niger, said he understood that French paratroopers and helicopter gunships had landed in Sévaré and had engaged the Islamists in combat. He also said the United States, which shares France’s deep concern about the Islamist seizure of northern Mali, was considering what it could do to help, perhaps by repositioning satellites or sending in surveillance drones.


This week’s clashes were the first time that the two sides had fought since Islamists and their Tuareg rebel allies conquered the north of Mali last spring, splitting the country in two and leaving the Malian Army in disarray.


For months, the United Nations and Mali’s neighbors have been debating and planning a military campaign to retake the north by force, if necessary, an international push that is supposed to be led by Malian forces. Analysts had previously said that the outcome of this week’s fighting at Konna would be a significant indicator of the army’s fitness to undertake the reconquest of the north.


Malian politicians reacted with shock to news of Konna’s loss.


“This is a very disagreeable surprise. Terrible. A dagger blow,” said Fatoumata Dicko, a deputy in Mali’s Parliament in Bamako. “People are fleeing Sévaré. They think there is nothing to hold the Islamists back.”


Adam Nossiter reported from Bamako and Eric Schmitt from Niamey, Niger. Reporting was contributed by Cheick Diouara from Accra, Ghana; Rick Gladstone from New York; and Richard Berry from Paris.



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Video game retail sales continued to slide in December, down 22% from 2011









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Eager Chudzinski takes over new-look Browns


CLEVELAND (AP) — The Browns have always been a part of Rob Chudzinski's life. Now, he's the man in charge.


Chudzinski, who spent the past two seasons as Carolina's offensive coordinator, was introduced as the club's sixth fulltime coach on Friday, a once-in-a-lifetime opportunity for the 44-year-old who as a kid pretended he played tight end for the Browns during games in his backyard in Toledo, Ohio.


"It is a dream come true," Chudzinski said. "I can't wait to get started."


Chudzinski will inherit a young roster he'll try to develop into a contender with the Browns, who have lost at least 11 games in each of the past five seasons and made the playoffs only once since 1999.


Chudzinski previously worked as an assistant with the Browns, most recently as their offensive coordinator in 2008. Although he has no previous head coaching experience, owner Jimmy Haslam and CEO Joe Banner are confident they hired the best possible candidate available to turn their club into a consistent winner.


"I would not miss the chance for the world." Chudzinski said. "We're going to win here."


The Browns hauled their search to find the 14th coach in franchise history to Arizona and back. They talked to high-profile college coaches, NFL assistants and a fired pro coach who took a team to a Super Bowl.


None of them was hired.


Instead, Chudzinski became their pick.


"I believe we came back with the best coach for the Cleveland Browns," said Haslam, who flew to Charlotte, N.C. on Thursday night with Banner to offer Chudzinski the job. "He is one of the brightest young coaches in the business."


Chudzinski's first move will be to hire his staff. He will immediately meet with the assistants currently working for the Browns. Chudzinski would not comment on any possible candidates to become his coordinators. There are reports he is considering former San Diego coach Norv Turner to run his offense. Chudzinski worked for Turner with the Chargers.


"I have a plan in place," he said. "We're going to get a great staff. We have a young group of players. This is going to be about the process. Lots of people are worried about the end result, but this is going to be the right process to get us where we want to be."


Now that they've hired their coach, Haslam and Banner will focus on finding a new general manager to help pick players for Chudzinski, who will be involved in finding the GM.


The new coach — "Chud," as he's known to players and friends — worked with the Browns' tight ends in 2004 and was their offensive coordinator in 2007, when the team won 10 games — their most since an expansion rebirth in 1999. He was released when Romeo Crennel was fired in 2008.


Chudzinski said when he walked off the field after the final game that season he knew he would be coming back to Cleveland "someday, somehow."


Chudzinski replaces Pat Shurmur, another first-time coach when he was hired, who was fired on Dec. 31 after a 5-11 season. For the past two years, Chudzinski has worked with talented Panthers quarterback Cam Newton and resuscitated Carolina's offense, which was one of the league's worst before he arrived.


When Haslam and Banner embarked on their coaching search as 2013 began, the pair vowed they would wait as long as necessary to find "the right coach" for Cleveland. They promised to give their new coach final say over the roster and planned to pair him with an executive to help pick players.


Chudzinski wasn't seen by many as an option.


And then he became the choice.


Haslam said Chudzinski's passion for the Browns was a bonus, but he had all the credentials and characteristics they were looking for in a new coach.


"If Rob was from Plano, Texas, we would have hired him," Haslam said.


Chudzinski said he wants a team that attacks on both sides of the ball. He would not comment on any of Cleveland's players, and sidestepped a question about rookie Brandon Weeden, who had an uneven first season with the Browns.


Chudzinski interviewed with the team on Wednesday, when the club also visited with Cincinnati defensive coordinator Mike Zimmer. Chudzinski appeared to be a long shot for the job, not because he wasn't qualified, but because it was thought Haslam wanted to make a big splash with his first coaching hire.


However, Chudzinski wowed Haslam and Banner during his meeting and the team decided it was time to end its search in its second week. Haslam said 10 minutes into the interview that he nodded at Banner that they had found their man.


In his first season in Carolina, Chudzinski turned Newton, the No. 1 overall draft pick, loose and the Panthers set club records for total yards (6,237) and first downs (345). Carolina also scored 48 touchdowns after getting just 17 in the season before Chudzinski arrived. The Panthers jumped from last in the league in total yardage to seventh, the biggest improvement since 1999.


Haslam pointed out the Panthers scored 88 touchdowns the past two seasons. Cleveland scored 44.


Following last season, Chudzinski interviewed for head coaching jobs with St. Louis, Jacksonville and Tampa Bay before returning to Carolina.


In getting the Browns' job, Chudzinski was picked over Zimmer, Montreal Alouettes coach Marc Trestman, fired Arizona coach Ken Whisenhunt and Cardinals defensive coordinator Ray Horton. Whisenhunt was in Cleveland for a second interview on Thursday, and appeared to be the front-runner. The Browns also were expected to interview Indianapolis offensive coordinator Bruce Arians.


Chudzinski's hiring may have shocked some Cleveland fans, many of whom at fantasies about Nick Saban or Jon Gruden or Kelly brining his supersonic offense to the NFL.


But his selection is in keeping with at least one of Banner's past moves. When he was in Philadelphia's front office, Banner went outside the box and hired Green Bay assistant Andy Reid, a relative unknown who spent 14 seasons with the Eagles.


___


Online: http://pro32.ap.org/poll and http://twitter.com/AP_NFL


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Well: Calling All Cauliflower

At my house we eat cauliflower like popcorn. Using a simple recipe from Alice Waters, we slice it thin, toss in olive oil and salt, and roast. One head of cauliflower is never enough.

This week in Recipes for Health, Martha Rose Shulman takes us on a trip to Sicily, where cauliflower is a favorite food. She writes:

Every once in a while I revisit the cuisine of a particular part of the world (usually it is located somewhere in the Mediterranean). This week I landed in Sicily. I was nosing around my cookbooks for some cauliflower recipes and opened my friend and colleague Clifford A. Wright’s very first cookbook, “Cucina Pariso: The Heavenly Food of Sicily.” The cuisine of this island is unique, with many Arab influences – lots of sweet spices, sweet and savory combinations, saffron, almonds and other nuts. Sicilians even have a signature couscous dish, a fish couscous they call Cuscusù.

Cauliflower is a favorite vegetable there, though the variety used most often is the light green cauliflower that we can find in some farmers’ markets in the United States. I adapted a couple of Mr. Wright’s pasta recipes, changing them mainly by reducing the amount of olive oil and anchovies enough to reduce the sodium and caloric values significantly without sacrificing the flavor and character of the dishes.

I didn’t just look to Sicily for recipes for this nutrient-rich cruciferous vegetable, but I didn’t stray very far. One recipe comes from Italy’s mainland, and another, a baked cauliflower frittata, is from its close neighbor Tunisia, fewer than 100 miles away across the Strait of Sicily.

Here are five new ways to cook with cauliflower.

Sicilian Pasta With Cauliflower: Raisins or currants and saffron introduce a sweet element into the savory and salty mix.


Baked Ziti With Cauliflower: A delicious baked macaroni dish that has a lot more going for it nutritionally than mac and cheese.


Cauliflower and Tuna Salad: Tuna adds a new element to a classic Italian antipasto of cauliflower and capers dressed with vinegar and olive oil.


Tunisian Style Baked Cauliflower Frittata: A lighter and simpler version of an authentic Tunisian frittata.


Sicilian Cauliflower and Black Olive Gratin: A simple gratin that is traditionally made with green cauliflower, but is equally delicious with the easier-to-obtain white variety.


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Your Money: She’ll Tell You, It’s Time to Think Ahead


Stuart Isett for The New York Times


Once Chanel Reynolds had enough emotional distance from her husband's death, she built the site that attempts to convince others to take a couple of hours now to spare themselves countless hours of hardship later.





In the days after Chanel Reynolds’s husband was hit while riding his bicycle near Lake Washington here and the best-case possibilities just kept getting worse, she was not yet consumed by grief. There were no dogged middle-of-the-night Web searches for faraway cures for his crushed upper spine or tearful bedside vigils with their 5-year-old son.


Instead, the buzz in her brain came from a growing list of financial tasks that grown-ups are supposed to have finished by the time they approach middle age. And she and her husband, José Hernando, had not finished them.


“I was finding it really hard for me to stay present and in the room and to be able to hear what the doctors were saying because I was so overwhelmed with not knowing how much money we had in our checking account, and the fact that we had our wills drafted but not signed,” she said. “I didn’t know whether I was going to be able to float a family by myself.”


In the many months of suffering after Mr. Hernando’s death in July 2009, she beat herself up while spending dozens of hours excavating their financial life and slowly reassembling it. But then, she resolved to keep anyone she knew from ever again being in the same situation.


The result is a Web site named for the scolding, profane exhortation that her inner voice shouted during those dark days in the intensive care unit. She might have called it Getyouracttogether.org, but she changed just one word.


The site offers some basic financial advice, gives away free templates for a master checklist and provides starter forms to draft a will, living will and power of attorney. There’s also a guide to starting a list of all of the accounts in your life that someone might need to access and shut down in your absence.


All of these forms and lists are already out there on the Web in various places, though rarely in one place. But there are two things that make Ms. Reynolds’s effort decidedly different.


First, the world of personal finance suffers from an odd sort of organizational failure. We tend to organize our thinking around products: retirement accounts, mortgages, long-term care insurance.


But in the real world, it’s a big life event that often governs our hunt for solutions. Sometimes, it’s a happy one, like getting married. But there are few ready-made tool kits like the one Ms. Reynolds has assembled for people considering the possibility of serious illness or death.


The other thing that compelled me to sprint here right after I stumbled across her site Tuesday night was that it is not neutered, stripped of the mess of feelings that govern much of what we do with our money. Sometimes, we just need to meet the person in personal finance. Maybe, just maybe, hearing the story of someone who has been there, in the worst possible way, can finally push us all into action.


And we desperately need to act. According to a survey that the legal services site Rocket Lawyer conducted in 2011, 57 percent of adults in the United States do not have a will. Of those 45 to 64 years of age, a shocking 44 percent still have not gotten it down.


People who get a fatal diagnosis from a doctor at least have a bit of time to sort things out. But Ms. Reynolds and her husband had made only a few plans.


Mr. Hernando was 43 years old on the day in July 2009 when a van mowed him down while making a left turn into the path of his bicycle. He was a self-taught engineer who played guitar in a band called Moonshine back when Seattle was the world capital of rock. At the time of his death, he rode for a cycling team and was a Flash developer working at the highly regarded firm Frog Design.


Given all that vitality, death was the farthest thing from Ms. Reynolds’s mind when she kissed him goodbye after failing to persuade him to take their son along for the ride. Which was why she was confused when she checked her phone from a party two hours later and found 14 missed calls, none of which were from numbers she recognized.


After his death, this much was clear: The family with the six-figure income and the four-bedroom house that they had bought in the Mount Baker neighborhood one year before had a will with no signature, little emergency savings and an unknown number of accounts with passwords that had been in Mr. Hernando’s head.


What saved Ms. Reynolds, now 42, from ruin was life insurance. They didn’t have a lot, but they had just enough (a couple of hundred thousand dollars in the end) to keep her from having to go right back to work as a freelance project manager and sell the house at a big loss right away. It helped pay for the education of their son, Gabriel, who is now 9, and for Mr. Hernando’s daughter from a previous relationship, Lyric, who is 16 and still close to Ms. Reynolds and her brother. Ms. Reynolds now carries a $1,000,000 term policy on her own life.


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Japan and Philippines to Bolster Maritime Cooperation





TOKYO — In a telling sign of how China’s rise has helped turn former wartime foes into allies, Japan and the Philippines agreed on Thursday to cooperate more closely on maritime security.




During talks in Manila, the foreign ministers of Japan and the Philippines proclaimed their nations to be strategic partners that would collaborate more in resolving their separate territorial disputes with China, news reports said. They also expressed “mutual concern” over increasingly assertive claims by China that have embroiled both nations, according to Kyodo News.


Japan is in a tense showdown over islands in the East China Sea, while the Philippines has wrangled with China over control of islands and fishing grounds in the South China Sea. The two nations agreed to exchange information and discuss each other’s strategies for responding to China, the ministers were quoted as saying. The Philippine minister, Albert del Rosario, said the discussion included a request by his country for 10 new patrol ships from Japan to strengthen the Filipino coast guard.


His Japanese counterpart, Fumio Kishida, was appointed last month by Japan’s new conservative prime minister, Shinzo Abe. The decision to have Mr. Kishida visit the Philippines for his first trip was seen as a symbolic gesture by Mr. Abe, who has vowed to strengthen security ties with other democracies in the region in an effort to offset China’s growing military and political clout.


Mr. Abe has also said he wants to work more closely with the United States and Australia to help bolster the capacity of less-developed nations like the Philippines to stand up to China. While long-pacifist Japan has restricted its aid to mostly nonmilitary purposes, like building up coast guards, its leaders have recently begun loosening some of the self-imposed restrictions. Japan is now in talks about providing training to submarine crews from Vietnam, and last year it gave its first limited military aid to East Timor and Cambodia.


Japan has long supplied development aid in the region, but it has operated carefully to avoid stirring bitter memories of its militarism during World War II, when its forces swept across much of Southeast Asia, including the Philippines, then an American colony. However, in recent years Japan’s military has slowly raised its profile by joining regional training exercises and holding its first bilateral military maneuvers with Australia and India.


The building of regional military ties represents a significant strategic departure for the country, which after World War II relied for its defense on the United States and the roughly 50,000 military personnel it bases in Japan. For its part, China has pointed to the moves as proof of a resurgent militarism in Japan, which it says is swinging to the right.


News reports said Mr. del Rosario, the Philippine minister, called China’s territorial claims in the South China Sea a threat to regional stability.


“We also need to be able to address the possibility that the freedom of navigation would be adversely affected,” he was quoted as saying by The Associated Press.


The Japanese foreign minister agreed.


“As the strategic environment is changing, it is necessary for us as foreign ministers to share recognition of the situation,” Mr. Kishida said after the talks, according to Kyodo News. Kyodo said that Mr. Kishida also offered development loans to help build a light-rail system and a new airport.


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Can Social Media Help You Lose Weight?






At the start of the New Year, when weight loss is often a priority, building a support team to help keep us on track can be extremely helpful. This might typically consist of family members, friends, co-workers, or perhaps even a nutritionist or registered dietitian. But today, support can also be found online. Plenty of Web sites focus on losing weight, and include communities that provide support and encouragement. Since many of us spend a lot of time on social media sites–maybe too much if you ask my husband!–why not use these platforms as another tool for support? In fact, one study suggests employees participating in a workplace wellness program who also joined the company’s Facebook page, run by a registered dietitian, stayed with the program longer than those who didn’t.


[See Already Struggling With Your New Year's Resolution?]






Could it actually make sense that gluing ourselves to our mobile device or computer could help us shed pounds? It sounds like quite the oxymoron, since increased screen time doesn’t usually equate to weight loss. But here’s how to make social media sites work for you:


Facebook


Facebook is a place where you can share what’s going on in your life with friends, but you may not feel comfortable announcing what you weigh or that you’re trying to lose weight. On the other hand, you may enjoy posting fitness milestones, such as training for and completing your first marathon, or a bike ride for your favorite charity. Sharing your fitness goals with the Facebook universe may be helpful, because the more people who know about it, the more likely you are to stay committed.


[See Small Steps, Big Change: How to Lose 50 Pounds Without Really Trying]


Rather than simply connecting with friends on the site, you can also connect with health and fitness professionals, such as registered dietitians, or pages for diet books, like mine, The Small Change Diet. You can also “like” the pages of health and fitness magazines and your favorite brands. The folks who run these pages may post articles that provide you with helpful weight-loss tips, and many organize regular Facebook chats, allowing you to ask an expert your questions. The more that healthy information is “in your face,” the more likely you are to stick to it.


Most importantly, you may discover a weight-loss community on Facebook, where like-minded individuals share their weight losses (or gains) and offer support. Daily accountability could be just what you need, and knowing others are rooting for you can make a world of difference. If you can’t find a Facebook community you like, start your own.


Twitter


So many of my patients don’t have Twitter accounts, because they think they have nothing clever or witty to say. My advice to them is always the same: You don’t have to “say” anything; you can just follow, at least at the beginning. Registered dietitians (I’m @kerigans) have great tips and, if they’re like me, are more than happy to answer questions via Twitter. I’ve had followers tweet a picture of their dinner and ask what my dietitian colleagues and I thought of it–priceless information for free.


[See Best Plant-Based Diets]


Just as you do on Facebook, follow fitness professionals, health magazines, and other sources that provide weight-loss motivation. Once you feel comfortable, you may decide to join in the conversation, since that’s what social media is all about. Perfect example of how it can benefit you: One morning, I tweeted that I felt more like staying in my pajamas than going to yoga. Some of my followers chimed in that they were feeling the same way, BUT stressed that we should all still exercise. And so we all did. And trust me, none of us regretted going–rather, we were thankful for each other.


[See Are Mobile Health Apps Helpful?]


Seek out people on Twitter and Facebook who you find inspirational, and hopefully a little of what they do will rub off on you. Since nothing is etched in stone, you can unfollow, unlike, or unfriend them if they aren’t helping you. And please keep in mind that while social media can be another tool in your pursuit of weight loss, it’s not the end all. Healthy eating, fitness, and plenty of sleep actually need to happen away from a screen.


Hungry for more? Write to [email protected] with your questions, concerns, and feedback


Keri Gans, MS, RD, CDN, is a registered dietitian, media personality, spokesperson, and author of The Small Change Diet. Gans’s expert nutrition advice has been featured in Glamour, Fitness, Health, Self and Shape, and on national television and radio, including The Dr. Oz Show, Good Morning America, ABC News, Primetime, and Sirius/XM Dr. Radio.


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NFL star Junior Seau suffered from brain disease


Junior Seau, one of the NFL's best and fiercest players for two decades, suffered from a degenerative brain disease often associated with repeated blows to the head when he committed suicide last May, the National Institutes of Health said in a study released Thursday.


The NIH, based in Bethesda, Md., said Seau's brain revealed abnormalities consistent with chronic traumatic encephalopathy or CTE. It said that the study included unidentified brains, one of which was Seau's, and that the findings on Seau were similar to autopsies of people "with exposure to repetitive head injuries."


Seau's family requested the analysis of his brain.


The star linebacker played for 20 NFL seasons with San Diego, Miami and New England before retiring in 2009. He died of a self-inflicted shotgun wound.


He joins a list of several dozen football players who were found to have CTE. Boston University's center for study of the disease reported last month that 34 former pro players and nine who played only college football suffered from CTE.


"I was not surprised after learning a little about CTE that he had it," Seau's 23-year-old son Tyler said. "He did play so many years at that level. I was more just kind of angry I didn't do something more and have the awareness to help him more, and now it is too late.


"I don't think any of us were aware of the side effects that could be going on with head trauma until he passed away. We didn't know his behavior was from head trauma."


That behavior, according to Tyler Seau and Junior's ex-wife Gina, included wild mood swings, irrationality, forgetfulness, insomnia and depression.


The NFL faces lawsuits by thousands of former players who say the league withheld information on the harmful effects concussions. According to an AP review of 175 lawsuits, 3,818 players have sued. At least 26 Hall of Famer members are among the players who have done so.


Seau is not the first former NFL player who killed himself, then was found to have CTE. Dave Duerson and Ray Easterling are the others.


"He emotionally detached himself and would kind of 'go away' for a little bit," Tyler Seau said. "And then the depression and things like that. It started to progressively get worse."


He hid it well in public, they said. But not when he was with family or close friends.


Dr. Russell Lonser, who oversaw the study, said Seau's brain was "independently evaluated by multiple experts, in a blind fashion."


"We had the opportunity to get multiple experts involved in a way they wouldn't be able to directly identify his tissue even if they knew he was one of the individuals studied," he said.


The National Football League, in an email to the AP, said: "We appreciate the Seau family's cooperation with the National Institutes of Health. The finding underscores the recognized need for additional research to accelerate a fuller understanding of CTE.


"The NFL, both directly and in partnership with the NIH, Centers for Disease Control and other leading organizations, is committed to supporting a wide range of independent medical and scientific research that will both address CTE and promote the long-term health and safety of athletes at all levels."


NFL teams have given a $30 million research grant to the NIH.


Before shooting himself, Duerson, a former Chicago Bears defensive back, left a note asking that his brain be studied for signs of trauma. His family filed a wrongful-death suit against the NFL, claiming the league didn't do enough to prevent or treat the concussions that severely damaged his brain.


Easterling played safety for the Falcons in the 1970s. After his career, he suffered from dementia, depression and insomnia, according to his wife, Mary Ann. He committed suicide last April.


Mary Ann Easterling is among the plaintiffs who have sued the NFL.


"It was important to us to get to the bottom of this, the truth," Gina Seau said, "and now that it has been conclusively determined from every expert that he had obviously had it, CTE, we just hope it is taken more seriously.


"You can't deny it exists, and it is hard to deny there is a link between head trauma and CTE. There's such strong evidence correlating head trauma and collisions and CTE."


Tyler Seau played football through high school and for two years in college. He says he has no symptoms of brain trauma.


Gina Seau's son Jake, now a high school junior, played football for two seasons but has switched to lacrosse and has been recruited to play at Duke.


"Lacrosse is really his sport and what he is passionate about," she said. "He is a good football player and probably could continue. But especially now watching what his dad went through, he says, 'Why would I risk lacrosse for football?'


"I didn't have to have a discussion with him after we saw what Junior went through."


Her 12-year-old son, Hunter, has shown no interest in playing football.


"That's fine with me," she said.


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City Room: How Are You Warding Off the Flu?

Sure, you could go out and get a flu shot like everyone keeps telling you to do. It’s relatively cheap, and available just about everywhere.

But the shot is not 100 percent effective. And it takes two weeks to kick in. And needles are scary. (The spray vaccine, on the other hand — up your nose! — is just gross.) Plus, the flu has its upsides.

If you’re holding out, or procrastinating, or have decided against getting vaccinated altogether, what alternative means are you using to keep those bad bugs away? Comment in the box below.

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F.D.A. Requires Cuts to Dosages of Ambien and Other Sleep Drugs


WASHINGTON -- The Food and Drug Administration announced on Thursday that it is requiring manufacturers of popular pills like Ambien and Zolpimist that help millions of Americans sleep at night to cut the recommended dosage in half for women after laboratory studies showed that the medicines can leave patients drowsy in the morning and at risk for car accidents.


The new requirement applies to drugs containing the active ingredient zolpidem, by far the most widely used sleep aid. Using lower doses means less of the drug will remain in the blood in the morning hours, and will reduce the risk that people who use the drug will be impaired while driving.


The agency told manufacturers that the recommended dosage for women, who eliminate zolpidem from their bodies more slowly than men, should be lowered to 5 milligrams from 10 milligrams for immediate-release products like Ambien, Edluar and Zolpimist. Dosages for extended-release products should be lowered to 6.25 milligrams from 12.5, the agency said. For men, the agency informed manufacturers that labels should recommend that health care providers should “consider” prescribing lower doses.


An estimated 10 to 15 percent of women will have a level of zolpidem in their blood that could impair driving eight hours after taking the pill, while only about 3 percent of men do, said Dr. Robert Temple, deputy director for clinical science in the F.D.A.'s Center for Drug Evaluation and Research.


Patients taking the higher doses should continue them for the time being, agency officials said, but should consult with their doctors about altering the dose. Doctors will still be told that they can prescribe the higher dosage if the lower one does not work, Dr. Temple said.


Sleeping pills have boomed in popularity over the years along with the increasingly frantic pace of modern American life. According to I.M.S., a health care and technology company, about 60 million prescriptions for sleeping pills were dispensed in 2011, up by about 20 percent since 2006. About 40 million of those were for products containing zolpidem.


Reports of ill aftereffects from sleeping pills have circulated for years, and some doctors questioned why the F.D.A. took so long to act. Mishaps with sleepy driving – and even strange acts of texting, eating or having sex in the night without any memory of it in the morning – have been known about for years.


“In this case the F.D.A. may be behind the eight ball,” said Daniel Carlat, an associate clinical professor of psychiatry at Tufts University. “This has been a known problem. Few doctors will be surprised hearing about this. They’ll say, ‘Oh yeah, we’ve already seen this in our patients.'”


He added that Thursday’s announcement, “will be good for public health because it will get patients to ask their doctors about the appropriate dosage.”


Agency officials acknowledged that they have received reports of impaired driving and other problems associated with the drug for years, but said that it wasn’t so easy to draw a direct connection between the reports and the effect of the drug. Patients often did not know what time they took their pill. Sometimes they had been drinking.


It wasn’t until control trials of the drug Intermezzo, which was approved in 2011 for middle-of-the-night waking, that driving simulation tests were done on patients taking zolpidem. Using those results, the agency began to put together a more complete picture of the risks, said Ellis Unger, an official at the F.D.A.'s Center for Drug Evaluation and Research. The agency linked the driving simulation information with data from manufacturers on patients’ blood levels and determined that levels above 50 nanograms per milliliter increased the risk of crashing while driving.


“A lot of people are wondering about the elephant in the room,” Dr. Unger said. “Why did this take so long? This is science and our thinking evolves over time.”


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