Flu shot doing a poor job of protecting elderly

ATLANTA (AP) — It turns out this year's flu shot is doing a startlingly dismal job of protecting senior citizens, the most vulnerable age group.

The vaccine is proving only 9 percent effective in people 65 and older against the harsh strain of the flu that is predominant this season, the Centers for Disease Control and Prevention said Thursday.

Health officials are baffled as to why this is so. But the findings help explain why so many older people have been hospitalized with the flu this year.

Despite the findings, the CDC stood by its recommendation that everyone over 6 months get flu shots, the elderly included, because some protection is better than none, and because those who are vaccinated and still get sick may suffer less severe symptoms.

"Year in and year out, the vaccine is the best protection we have," said CDC flu expert Dr. Joseph Bresee.

Overall, across the age groups studied, the vaccine's effectiveness was found to be a moderate 56 percent, which means those who got a shot have a 56 percent lower chance of winding up at the doctor with the flu. That is somewhat worse than what has been seen in other years.

For those 65 and older, the vaccine was only 27 percent effective against the three strains it is designed to protect against, the worst level in about a decade. It did a particularly poor job against the tough strain that is causing more than three-quarters of the illnesses this year.

It is well known that flu vaccine tends to protect younger people better than older ones. Elderly people have weaker immune systems that don't respond as well to flu shots, and they are more vulnerable to the illness and its complications, including pneumonia.

But health officials said they don't know why this year's vaccine did so poorly in that age group.

One theory, as yet unproven, is that older people's immune systems were accustomed to strains from the last two years and had more trouble switching gears to handle this year's different, harsh strain.

The preliminary data for senior citizens is less than definitive. It is based on fewer than 300 people scattered among five states.

But it will no doubt surprise many people that the effectiveness is that low, said Michael Osterholm, a University of Minnesota infectious-disease expert who has tried to draw attention to the need for a more effective flu vaccine.

Among infectious diseases, flu is considered one of the nation's leading killers. On average, about 24,000 Americans die each flu season, according to the CDC.

This flu season started in early December, a month earlier than usual, and peaked by the end of year. Hospitalization rates for people 65 and older have been some of the highest in a decade, at 146 per 100,000 people.

Flu viruses tend to mutate more quickly than others, so a new vaccine is formulated each year to target the strains expected to be the major threats. CDC officials have said that in formulating this year's vaccine, scientists accurately anticipated the strains that are circulating this season.

Because of the guesswork involved, scientists tend to set a lower bar for flu vaccine. While childhood vaccines against diseases like measles are expected to be 90 or 95 percent effective, a flu vaccine that's 60 to 70 percent effective in the U.S. is considered pretty good. By that standard, this year's vaccine is OK.

For senior citizens, a flu vaccine is considered pretty good if it's in the 30 to 40 percent range, said Dr. Arnold Monto, a University of Michigan flu expert.

A high-dose version of the flu shot was recently made available for those 65 and older, but the new study was too small to show whether that has made a difference.

The CDC estimates are based on about 2,700 people who got sick in December and January. The researchers traced back to see who had gotten shots and who hadn't. An earlier, smaller study put the vaccine's overall effectiveness at 62 percent, but other factors that might have influenced that figure weren't taken into account.

The CDC's Bresee said there is a danger in providing preliminary results because it may result in people doubting — or skipping — flu shots. But the figures were released to warn older people who got shots that they may still get sick and shouldn't ignore any serious flu-like symptoms, he said.

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Online:

CDC report: http://www.cdc.gov/mmwr

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Wall Street ends lower on growth worries

NEW YORK (Reuters) - U.S. stocks fell for a second straight day on Thursday and the S&P 500 posted its worst two-day loss since November after reports cast doubt over the health of the U.S. and euro-zone economies.

But a late-day rally helped stocks erase some of their losses with most of the pullback concentrated in the technology- heavy Nasdaq. The move suggested investors were still willing to buy on dips even after the sharp losses in the last session.

In Europe, business activity indexes dealt a blow to hopes that the euro zone might emerge from recession soon, showing the downturn across the region's businesses unexpectedly grew worse this month.

"The PMI numbers out of Europe were really a blow to the market," said Jack De Gan, chief investment officer at Harbor Advisory in Portsmouth, New Hampshire. "The market was expecting signs that recovery is still there, but the numbers just highlighted that the euro-zone problem is still persistent."

U.S. initial claims for unemployment benefits rose more than expected last week while the Federal Reserve Bank of Philadelphia said its index of business conditions in the U.S. mid-Atlantic region fell in February to the lowest in eight months.

Gains in Wal-Mart Stores Inc shares helped cushion the Dow. The shares gained 1.5 percent to $70.26 after the world's largest retailer reported earnings that beat expectations, though early February sales were sluggish.

The Dow Jones industrial average <.dji> fell 46.92 points, or 0.34 percent, to 13,880.62 at the close. The Standard & Poor's 500 Index <.spx> lost 9.53 points, or 0.63 percent, to 1,502.42. The Nasdaq Composite Index <.ixic> dropped 32.92 points, or 1.04 percent, to close at 3,131.49.

The two-day decline marked the U.S. stock market's first sustained pullback this year. The Standard & Poor's 500 has fallen 1.8 percent over the period and just managed to hold the 1,500 level on Thursday. Still, the index is up 5.3 percent so far this year.

The abrupt reversal in markets, which started on Wednesday after minutes from the Federal Reserve's January meeting suggested stimulus measures may end earlier than thought, looks set to halt a seven-week winning streak for stocks that had lifted the Dow and the S&P 500 close to all-time highs.

Wall Street will soon face another test with the upcoming debate in Washington over the automatic across-the-board spending cuts put in place as part of a larger congressional budget fight. Those cuts, set to kick in on March 1 unless lawmakers agree on an alternative, could depress the economy.

Semiconductor stocks ranked among the weakest of the day, pressuring the Nasdaq as the Philadelphia Semiconductor Index <.sox> fell 1.8 percent. Intel Corp fell 2.3 percent to $20.25 while Advanced Micro Devices lost 3.7 percent to $2.60 as the S&P 500's biggest percentage decliner.

The Dow also got a helping hand from personal computer maker Hewlett-Packard Co , which rose 2.3 percent to end the regular session at $17.10. The company was scheduled due to report first-quarter results after the closing bell.

Shares of Boeing Co rose 1.6 percent to $76.01 as a senior executive was set to meet with the head of the U.S. Federal Aviation Administration on Friday and present a series of measures to prevent battery failures that grounded its 787 Dreamliner fleet, according to a source familiar with the plans.

In other company news, shares of supermarket operator Safeway Inc jumped 14.1 percent to $22.97 after the company reported earnings that beat expectations.

Shares of VeriFone Systems Inc tumbled nearly 43 percent to $18.24 after the credit-card swipe machine maker forecast first- and second-quarter profits well below expectations.

Of the 427 companies in the S&P 500 that have reported results so far, 69.3 percent have exceeded analysts' expectations, compared with a 62 percent average since 1994 and 65 percent over the past four quarters, according to Thomson Reuters data through Thursday morning.

Fourth-quarter earnings for S&P 500 companies are estimated to have risen 5.9 percent, according to the data, above a 1.9 percent forecast at the start of the earnings season.

Berry Petroleum Co jumped 19.3 percent to $46.02 after oil and gas producer Linn Energy LLC said it would buy the company in an all-stock deal valued at $4.3 billion, including debt. Linn Energy shares advanced 2.8 percent to $37.68.

About two stocks fell for everyone that rose on the New York Stock Exchange and Nasdaq. About 7.64 billion shares changed hands on the New York Stock Exchange, the Nasdaq and NYSE MKT, well above the 20-day moving average of around 6.6 billion shares.

(Editing by Jan Paschal)

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The Lede: Syrian Television's Most Outraged Bystander

Last Update, 4:47 p.m. In the aftermath of a deadly bombing in Damascus on Thursday, a man emerged from a small knot of bystanders crowded around a camera crew from Syrian state television to vent his anger at the foreign Islamist fighters he held responsible. “We the Syrian people,” he said, “place the blame on the Nusra Front, the Takfiri oppressors and armed Wahhabi terrorists from Saudi Arabia that are armed and trained in Turkey.”

A report on Thursday’s bombing in Damascus from Syrian state television’s YouTube channel.

Pointing at the ruined street near the headquarters of President Bashar al-Assad’s ruling Baath Party, the man described the location as “a civilian place — a mosque, an elementary school, the homes of local families.”

Watching a copy of the report online, Rime Allaf, a Syrian writer monitoring the conflict from Vienna, noticed that this man on the street, whose views so closely echoed those of the Syrian government, had a very familiar face. That is because, as opposition activists demonstrated last June, the same man had already appeared at least 18 times in the forefront or background of such reports since the start of the uprising.

Man who appears on #Syria TV as “innocent bystander” with every Damascus car bomb has again appeared today. http://t.co/PmPRhzUUBN

— Rime Allaf (@rallaf) 21 Feb 13

After she posted a screenshot of the man’s latest appearance, Ms. Allaf observed on Twitter that “it would be funny if there weren’t so many victims of Syria regime terrorism!”

As The Lede noted last year, the man was even featured in two reports the same day during a small pro-Assad rally in Damascus.

Two pro-Assad television channels in Syria interviewed the same man on the street at a rally in July 2012.

Mocking the dark comedy of government-run channels recycling the same die-hard Assad supporter in so many reports, activists put together several video compilations of his appearances in the state media. The most comprehensive, posted online last June, featured excerpts from 18 reports.

A compilation of Syrian state media reports featuring the same Assad supporter again and again.

Another highlight reel, uploaded to YouTube 13 months ago by a government critic, showed that after the man had spoken at least five times on state-run television, he appeared in the background of a BBC report wearing a military uniform.

A man who is frequently interviewed on Syrian state television in civilian dress appeared in the background of a BBC report wearing a military uniform.

As longtime readers of The Lede may recall, during the dispute over Iran’s 2009 presidential election, opposition bloggers noticed that one particularly die-hard supporter of Mahmoud Ahmadinejad also appeared again and again and again in photographs of pro-government rallies.

While there is no way to determine just who is responsible for Syrian television’s frequent interviews with this same man on the street, there is some evidence that Iran has advised Syria on how to report bombings on state television.

Last year, when The Guardian published a trove of hacked e-mails taken from the in-boxes of Syrian officials, one message forwarded to the president appeared to include advice from Iranian state television’s bureau chief in Damascus on what his Syrian counterparts should report after bombings. That e-mail, from Hussein Mortada, a Lebanese journalist who runs coverage of Syria for the Iranian government’s satellite news channels, complained that the government was not heeding directions he had received “from Iran and Hezbollah,” the Lebanese militant group, about who Syria should blame for bomb attacks. “It is not in our interest to say that Al Qaeda is behind” every bombing, Mr. Mortada wrote, “because such statements clear the U.S. administration and the Syrian opposition of any responsibility.”

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Why Twitter Makes Us Want to Add Extra Letterssss

For the March issue of The Atlantic, I spoke with linguists about this thingggg we’re doing with words — a growing habit in which otherwise reasonable people cavalierly add extra letters to the words in their texts, emails, tweets, and so forth — to find out why. One of the experts I met while working on that piece was Tyler Schnoebelen, a recent PhD from Stanford who wrote his dissertation on emotion in language and blogs about newsworthy word-findings at Corpus Linguistics. He’s been focusing lately on the phenomenon of word lengthening or “expressive lengthening” on Twitter. (He’s also one of the researchers behind a recent study about how men and women tweet.) For his dissertation, he analyzed data consisting of 3,775,174 tweets from 102,304 different English-speaking authors, tweeted in the six months between January to June of 2011 in the U.S. He was looking at the way people used emoticons in their tweets, but in that exploration he found something else: Along with those emoticons, people were adding letters to their words, too. Or toooooo. In the interest of learning more about why word lengthening exists, even on an inherently character-limited social media platform like Twitter, I turned to him with a few questions. 

RELATED: Exploring the Character of a Bad Word

What words get lengthened the most on Twitter, and why? The main ones are the expressive things you don’t think of as words — mmmm, oh, ah, aw. You can put as many letters on those as you want. That gets extended to words like hey, no, yes, and the letters that get extended are usually the ones you can hold onto, vowels or ns or ses. Then it gets even crazier — OMgggg or LMAOoo or LOLlll, though you’re not actually saying “laughing my ass off off off” or “laugh out loud loud loud loud.” From that there’s extending real words you can’t pronounce, shittttt or happppppy or amazinggggg. You start with these expressions that don’t have a proper spelling, things no one tells you how to write, and you add and go beyond that to make words more affective and expressive.

RELATED: David Cameron’s Semantic Chauvinism

You wrote a post about a friend who’d seen the word dumb tweeted as DUMBBB, which inspired you to take a look at which specific letters were added most frequently and why. Ooo was a big winner. Why do you think people pick the particular letters they do?  People love the o! I think it’s something about rounding your lips; it’s iconic of getting your mouth around something. Your lips, pursing forward, going out into the world … there’s something there. 

RELATED: The Ways in Which We Mistake Our Words

What about the more unusual added letters, like b or g? I think the gs are the most fun. People who use them are really taking this idea that you can extend things and going crazy with it. You can’t pronounce a word like Omgggg, but it’s been lifted away from the speech itself. In real speech, which is normally face to face, there are so many different ways to communicate — I’m not just happy but really happy — but we don’t have that in a tweet or text or email. Adding letters is a version of a big intonation, raised eyebrows. 

RELATED: Geoffrey Chaucer Coined ‘Twitter’

In terms of voicing, vowels make sense to lengthen because when we’re speaking that’s what we’re doing. Sometimes there are consonants, s or n, we do that in speech, too. But you don’t pronounce the b in dumb in English, so what does adding that letter mean? The end is a nice attractive spot, maybe, that gets across that you’re doing something. Clearly when people are doing this they’re being playful.  

RELATED: Embracing the Age of Autocorrect

So this is all about adding feeling to our too-brief 140-character missives? It’s not a waste of space, I guess, because of emotional layering gained? If you look at these words, a lot of them are from the expressive class. You’re already expressing some emotional state with them — aw — or you’re using them for augmentative purposes, like so and lots of affirmatives and negations: yeahhh, nooo, yesssss. But I think it’s telling that some of the other more frequent words that get extra letters are unpronounceable. People are trying to give some flavor to the communication. These additions really help get the point across and share intonation. That’s part of it: You can hear them in your ear.

Are specific usages unique to different people or subsets of Twitter? People using LMFAOOO tend to talk about Chris Brown and Nicki Minaj; there’s a hip-hop feel to that. People who write knowww with extra ws or youuu with extra us also use the word mum, they spell thankyou as one word, and they use xoxoxo.

Do you add letters to tweets or emails or texts? I’m a fond of adding extra ooos like most poeple. I don’t think I do it excessively. I tend to make my hms a single. 

There’s also a kind of a social meme-ing to these things. I’m tempted to use v. for very but I can’t help but associate that with Bridget Jones, who does that in her diary, and I have a problem with someone reading me as Bridget Jones. I tentatively aded a v. in a tweet the other day. I rearranged and deleted and put it back several times. Other people may not have a reference like this.

It makes you wonder how long the “curse of Bridget Jones” will hold. Speaking of things evolving and changing, this kind of behavior tends to inspire rants about how proper language and grammar is dying. What do you think about that?  As far as I understand, [the ranters] are full of it. This represents changing conventions; we’re not becoming impaired. We all have cues, while we’re talking on the phone, for instance, and we’d have even more if we were face to face. What we’re usually doing is negotiating what we know about a particular person and what we know about people in general. It has to do with expectations, my experience with you and everybody else. We generally accommodate each other. Over the course of a conversation, our vowels become more alike. Any of these things can be going on below our level of awareness, or they can come up to our level of awareness. We can tweak them, we can notice them.

Your research focused on tweets in which people had used emoticons. Do you think emoticon-users are more likely to add letters to the words they tweet?  They very much do exist together, emoticons and adding letters. It’s easy to call these habits nonstandard, but whether they’re really nonstandard …10 percent of tweets use emoticons. As for the percent of letters added to words, I don’t know. They’re clearly very frequent, especially the expressive sound ones. Emoticons and added letters are not warring with each other; in fact, they go together very well. It’s speculation, but my guess is, if you’re fine with lengthening, you’re probably fine adding emoticons.

What other things do people do on Twitter in order to convey emotion?  Other types of punctuation. You can underline, you can bold, you can do all caps. People do all caps all the time. Putting asterisks around words has existed for a long time, and tends to be used on the internet with verbs indicating what you are doing at the moment (*smiles*). Or you see underscore, word, underscore. Those punctuation techniques will give you a sense that this is important, but not a sense of how it’s said. The all-caps gives you a sense of how it’s said, but many people hear or read it as shouting, and you don’t always mean to do that. The awwwww (expressing condolences) is not something you shout. You can’t shout mmmm.

Mmmmm. Do you see an end to the “trend” of adding letters? Once we get to the point of digesting audio tweets, we won’t need to add letters.

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Do the Hemsworth Brothers Have a Type?

Stylewatch
Style News Now

02/20/2013 at 04:30 PM ET

AKM-GSI (2)

Miley Cyrus has been very open about fiancé Liam Hemsworth’s fondness for her bold new do — and he’s obviously a fan of her increasingly funky ensembles as well.

And now that we’ve spotted Hemsworth’s brother Chris out with his wife, Elsa Pataky, who’s rocking a Cyrus-esque ensemble herself, we have to wonder: do the Hemsworth boys have a type?

Both of the Aussie hotties’ significant others share an affinity for shredded denim, chunky engineer boots and choppy, super-short blonde hair.

And when we spotted the tiny girls standing next to the bulky brothers, both clad in V-necks, slouchy jeans and aviators, we admit we had to do a double take to deduce which couple was which.

Fortunately, Chris travels with the ultimate accessory — his adorable baby daughter — which makes them a bit easier to tell apart. But we still have to guess there’s a lot of confusion around the Hemsworth household at holidays.

Tell us: Do you and your siblings go for the same “type?” Are you amused that the Hemsworth boys seem to?

–Alex Apatoff

GET MORE STAR DATE STYLE INSPIRATION HERE!

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Scientists use 3-D printing to help grow an ear

WASHINGTON (AP) — Printing out body parts? Cornell University researchers showed it's possible by creating a replacement ear using a 3-D printer and injections of living cells.

The work reported Wednesday is a first step toward one day growing customized new ears for children born with malformed ones, or people who lose one to accident or disease.

It's part of the hot field of tissue regeneration, trying to regrow all kinds of body parts. Scientists hope using 3-D printing technology might offer a speedier method with more lifelike results.

If it pans out, "this enables us to rapidly customize implants for whoever needs them," said Cornell biomedical engineer Lawrence Bonassar, who co-authored the research published online in the journal PLoS One.

This first-step work crafted a human-shaped ear that grew with cartilage from a cow, easier to obtain than human cartilage, especially the uniquely flexible kind that makes up ears. Study co-author Dr. Jason Spector of Weill Cornell Medical Center is working on the next step — how to cultivate enough of a child's remaining ear cartilage in the lab to grow an entirely new ear that could be implanted in the right spot.

Wednesday's report is "a nice advancement," said Dr. Anthony Atala, director of the Institute for Regenerative Medicine at Wake Forest Baptist Medical Center, who wasn't involved in the new research.

Three-dimensional printers, which gradually layer materials to form shapes, are widely used in manufacturing. For medicine, Atala said the ear work is part of broader research that shows "the technology now is at the point where we can in fact print these 3-dimensional structures and they do become functional over time."

Today, people who need a new ear often turn to prosthetics that require a rod to fasten to the head. For children, doctors sometimes fashion a new ear from the stiffer cartilage surrounding ribs, but it's a big operation. Spector said the end result seldom looks completely natural. Hence the quest to use a patient's own cells to grow a replacement ear.

The Cornell team started with a 3-D camera that rapidly rotates around a child's head for a picture of the existing ear to match. It beams the ear's geometry into a computer, without the mess of a traditional mold or the radiation if CT scans were used to measure ear anatomy.

"Kids aren't afraid of it," said Bonassar, who used his then-5-year-old twin daughters' healthy ears as models.

From that image, the 3-D printer produced a soft mold of the ear. Bonassar injected it with a special collagen gel that's full of cow cells that produce cartilage — forming a scaffolding. Over the next few weeks, cartilage grew to replace the collagen. At three months, it appeared to be a flexible and workable outer ear, the study concluded.

Now Bonassar's team can do the process even faster by using the living cells in that collagen gel as the printer's "ink." The 3-D technology directly layers the gel into just the right ear shape for cartilage to cover, without having to make a mold first.

The next step is to use a patient's own cells in the 3-D printing process. Spector, a reconstructive surgeon, is focusing on children born without a fully developed external ear, a condition called microtia. They have some ear cartilage-producing cells in that tissue, just not enough. So he's experimenting with ways to boost those cells in the lab, "so we can grow enough of them from that patient to make an ear," he explained.

That hurdle aside, cartilage may be the tissue most amenable to growing with the help of 3-D printing technology, he said. That's because cartilage doesn't need blood vessels growing inside it to survive.

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IHT Special: Women Face Fight to Keep Their Rights in Tunisia

TUNIS — At the funeral this month of Chokri Belaid, the murdered secular opposition leader in Tunisia, his widow Basma Khalfaoui, a prominent feminist, stood on the ambulance carrying his casket, her head uncovered, raising her arm to wave a defiant victory sign.

“My husband was denouncing Ennahda’s double talk and we will continue his struggle,” Ms. Khalfaoui, 42, said at the funeral, referring to the moderate Islamist party that governs the country. “We will not give up the fight.”

Tunisia, perceived by the West as the most secular country in the Arab world and a staunch promoter of women’s rights, has gone through a rocky transition since the revolution two years ago that ousted President Zine el-Abidine Ben Ali. While political pluralism exists for the first time in decades, new freedoms for some are threatening long-cherished ones for others — in particular those for Tunisian women.

After Tunisia gained its independence from France in 1956, the government passed laws to expand women’s rights, including the right to education and gender equality. Over the following decades, Islamists were persecuted and exiled while the government pushed the secularization of society to such an extent that a decree in 1981 banned women from wearing a veil in public buildings and universities.

After the fall of Mr. Ben Ali’s regime, the Ennahda party won elections in October 2011 with a comfortable majority. Since then, worries have grown that one of its aims is to restrict women’s freedoms in a country where, until recently, those rights had been taken for granted for decades.

“I think it’s normal that the Islamists are so vocal — veiled women used to be harassed and the frustration came out all at once,” said Sarah Ben Hamadi, 28, a blogger and journalist. “We are simply paying today for Ben Ali’s mistakes.”

“I don’t think the country is more radical,” she added. “There is more freedom so we see more of the religious people who were hiding in the past.”

Certainly, the religious ultraconservatives known as Salafists are more visible. The University of Manouba, in suburban Tunis, experienced months of tension last year after Salafist students rioted against the ban on the niqab, the face-covering veil.

More worrying are legal overhauls, human rights officials say. As Tunisia’s Constituent Assembly writes a new constitution, there have been repeated confrontations between Islamists, who dominate the assembly and want to roll back some rights acquired by women, and secular liberals, who want an expansion of those rights to include, for example, equal inheritance rights.

“We cannot speak of an obvious rollback since the legal reality is still the same,” said Amna Guellali, the director of Human Rights Watch in Tunis. “But acquired rights are being threatened by repeated attacks by Salafist groups on those they consider infidels or on behavior they deem contrary to Islamic morality.”

When a young woman was allegedly raped by police officers in September, she was charged with indecency and risked six months in prison before the charges were dropped, after a huge uproar. Human rights organizations cite the case as an example of how rights are under threat.

“Under the old regime, there were similar cases,” Ms. Guellali acknowledged. “Now with the new freedoms in the country, the media is paying attention to these kinds of stories.” Still, she said, even allowing for the amplifying effect of the news coverage, something has changed.

Chema Gargouri, the president of the Tunisian Association for Management and Social Stability, a nongovernmental organization that provides training and microloans for women and young people in poor areas, said women were more secure under Mr. Ben Ali.

“What was really striking to me after the revolution was that women started to lose their self-esteem,” Ms. Gargouri said. “The dictatorship was pro-woman. The hatred against the dictatorship is expressed through action against women.”

The rise of social and religious repression and the loss of self-confidence “prevents any entrepreneurial initiative for women,” she added.

Ms. Gargouri, who is in her 40s, said that women of her generation had never previously had to debate or defend their rights. But recent developments had pushed her to work to raise awareness of the challenge now facing them.

“What scares me is that the Tunisian woman seems lost,” she said. “In many places I go to, people ask what the government can do for them. We try to teach them to do it on their own.”

The fact is that Tunisia has an Islamist majority, said Ms. Ben Hamadi, the blogger. “Article 1 of the Tunisian Constitution states that it is an Islamic state,” she said. “If we want real democracy, we must listen to everyone’s voice.”

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Apple’s Retina display for the next-gen iPad mini is reportedly already in development

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Jodi Arias Testifies: I Don't Remember Stabbing My Lover 27 Times

Update

By Howard Breuer

UPDATED
02/20/2013 at 05:45 PM EST

• Originally published 02/20/2013 at 05:00 PM EST

Jodi Arias

Charlie Leight/The Arizona Republic/AP

Nearly two months into her murder trial in a Phoenix courtroom, Jodi Arias told jurors Wednesday morning that she killed Travis Alexander in self-defense – but doesn't remember stabbing him nearly 30 times.

"I just remember dropping the knife and being very freaked out and screaming," Arias, 32, said after two weeks of explicit direct testimony about her sex life with Alexander, including their kinky sex shortly before his death. She says the knife was the same one Alexander had used that afternoon when he tied her up for sex.

Facing the death penalty if convicted, Arias says her memory of June 4, 2008, clears up when she put the knife in the dishwasher. Driving off barefoot, she brought with her the rope she said Alexander had used to tie her up and a gun that she pulled from the top of his walk-in closet before shooting him.

"I was very scared and very upset. ... I just wanted to die," Arias testified. "I thought, 'My life is probably done now.'"

She says she decided to bury those feelings and try to act normal as she drove north into Utah to visit another man with whom she already had plans to see.

She says she tossed the gun in the desert, dropped the rope in a Dumpster near St. George, Utah, washed the blood from her hands with a case of bottled Costco water she kept in her trunk and put on a spare pair of work shoes.

The man she met, Ryan Burns, earlier testified that Arias was frisky and affectionate when she visited on June 5. Arias testified that she kissed Burns and cuddled with him the day after killing Alexander because, "I felt safe right there and, I figured, I just wanted to seem normal, like I didn't just do what I just did."

Centerpiece of Defense

Arias's testimony was the long-anticipated centerpiece of her defense. Once that's done, prosecutors are expected to spend several days trying to pick apart her story.

Arias also talked about how she and Alexander, a charismatic Mormon motivational speaker, had an off-and-on relationship in which he sometimes become violent or sadistic.

She says she had arrived at his Mesa, Ariz. home at 5 a.m. and although they took photos and video of themselves having sex, Alexander repeatedly became enraged with her – first for giving him badly scratched CDs of photographs of their trips together, then for dropping his camera.

She says that as Alexander chased her through a walk-in closet "like a linebacker," she grabbed a gun that she knew he kept on a top shelf. She says that she held up the gun, expecting that Alexander would stop charging at her, but he didn't.

"The gun went off, I didn't even mean to shoot, I didn't know my hand was on the trigger," Arias testified. She says that, as they wrestled on the ground, she assumed that she'd shot a hole in the wall, not that she'd hit Alexander. After that, she says, "there's a lot of that day that I don't remember, there's a lot of gaps.

"I have no memory of stabbing him," Arias told jurors, who have heard graphic testimony that Alexander was shot in the head and repeatedly stabbed, and that his throat was slashed ear to ear.

Arias testified she remembers standing in his bathroom, dropping the knife on the hard floor, and thinking, "that I just couldn't believe what had just happened and I couldn't rewind the clock and take it back." She did not recall dragging him to the bathroom or placing him in the shower, she said.

Arias also testified that she still loves Alexander – "It's a different love but yes, I do."

Since the slaying, Arias has changed her story, first saying she had no connection to the crime, then saying two masked intruders killed Alexander and almost killed her. "I basically told everyone what I could remember of the day, and that the intruder story was all B.S.," Arias said Wednesday afternoon at the close of her testimony.

Prosecutors suggest Arias killed Alexander out of jealousy after he pushed her out of his life and started dating someone else, and that the gun was actually a pistol that she stole from her grandparents' home in Yreka, Calif., weeks earlier.

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Drug overdose deaths up for 11th consecutive year

CHICAGO (AP) — Drug overdose deaths rose for the 11th straight year, federal data show, and most of them were accidents involving addictive painkillers despite growing attention to risks from these medicines.

"The big picture is that this is a big problem that has gotten much worse quickly," said Dr. Thomas Frieden, head of the Centers for Disease Control and Prevention, which gathered and analyzed the data.

In 2010, the CDC reported, there were 38,329 drug overdose deaths nationwide. Medicines, mostly prescription drugs, were involved in nearly 60 percent of overdose deaths that year, overshadowing deaths from illicit narcotics.

The report appears in Tuesday's Journal of the American Medical Association.

It details which drugs were at play in most of the fatalities. As in previous recent years, opioid drugs — which include OxyContin and Vicodin — were the biggest problem, contributing to 3 out of 4 medication overdose deaths.

Frieden said many doctors and patients don't realize how addictive these drugs can be, and that they're too often prescribed for pain that can be managed with less risky drugs.

They're useful for cancer, "but if you've got terrible back pain or terrible migraines," using these addictive drugs can be dangerous, he said.

Medication-related deaths accounted for 22,134 of the drug overdose deaths in 2010.

Anti-anxiety drugs including Valium were among common causes of medication-related deaths, involved in almost 30 percent of them. Among the medication-related deaths, 17 percent were suicides.

The report's data came from death certificates, which aren't always clear on whether a death was a suicide or a tragic attempt at getting high. But it does seem like most serious painkiller overdoses were accidental, said Dr. Rich Zane, chair of emergency medicine at the University of Colorado School of Medicine.

The study's findings are no surprise, he added. "The results are consistent with what we experience" in ERs, he said, adding that the statistics no doubt have gotten worse since 2010.

Some experts believe these deaths will level off. "Right now, there's a general belief that because these are pharmaceutical drugs, they're safer than street drugs like heroin," said Don Des Jarlais, director of the chemical dependency institute at New York City's Beth Israel Medical Center.

"But at some point, people using these drugs are going to become more aware of the dangers," he said.

Frieden said the data show a need for more prescription drug monitoring programs at the state level, and more laws shutting down "pill mills" — doctor offices and pharmacies that over-prescribe addictive medicines.

Last month, a federal panel of drug safety specialists recommended that Vicodin and dozens of other medicines be subjected to the same restrictions as other narcotic drugs like oxycodone and morphine. Meanwhile, more and more hospitals have been establishing tougher restrictions on painkiller prescriptions and refills.

One example: The University of Colorado Hospital in Aurora is considering a rule that would ban emergency doctors from prescribing more medicine for patients who say they lost their pain meds, Zane said.

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Stobbe reported from Atlanta.

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Online:

JAMA: http://www.jama.ama-assn.org

CDC: http://www.cdc.gov

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AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com

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