Tuesday, November 27, 2012

Syrian rebels, civilians brace for long civil war

In this Saturday, Nov. 17, 2012 photo, Syrian Mohammed Quweiri, 63, stands near the grave of his son and others killed in fighting between rebels and the Syrian army in Harem, Syria. A dark realization is spreading across north Syria that despite 20 months of violence and recent rebel gains, an end to the war to topple President Bashar Assad is nowhere in sight. (AP Photo/ Ben Hubbard)

In this Saturday, Nov. 17, 2012 photo, Syrian Mohammed Quweiri, 63, stands near the grave of his son and others killed in fighting between rebels and the Syrian army in Harem, Syria. A dark realization is spreading across north Syria that despite 20 months of violence and recent rebel gains, an end to the war to topple President Bashar Assad is nowhere in sight. (AP Photo/ Ben Hubbard)

FILE - In this Thursday, June 7, 2012 file photo, Free Syrian Army members raise their weapons during a training session on the outskirts of Idlib, Syria. A dark realization is spreading across north Syria that despite 20 months of violence and recent rebel gains, an end to the war to topple President Bashar Assad is nowhere in sight. (AP Photo/Khalil Hamra, File)

FILE - In this Tuesday, Oct. 30, 2012 file photo, a group of Free Syrian Army fighters carry a wounded comrade to cover in the town of Harem, Syria. A dark realization is spreading across north Syria that despite 20 months of violence and recent rebel gains, an end to the war to topple President Bashar Assad is nowhere in sight. (AP Photo/Mustafa Karali, File)

FILE - In thisTuesday, Oct. 30, 2012 file photo, Mustafa, a rebel from the town of Bennish, watches for a sniper firing down a street in the town of Harem, Syria. A dark realization is spreading across north Syria that despite 20 months of violence and recent rebel gains, an end to the war to topple President Bashar Assad is nowhere in sight. (AP Photo/Mustafa Karali, File)

FILE - In this Thursday, Nov. 8, 2012 file photo, a Syrian man who fled from the violence in his village, sits for a haircut next to his tent at a camp, in the Syrian village of Atmeh, near the Turkish border with Syria. A dark realization is spreading across north Syria that despite 20 months of violence and recent rebel gains, an end to the war to topple President Bashar Assad is nowhere in sight. (AP Photo/Khalil Hamra, File)

(AP) ? Before the civil war, Ramiz Moussa was a middle class civil servant who processed fines for littering, illegal construction and disturbing the peace in Aleppo, Syria's largest city.

Now, the 40-year-old squats with other rebels in damaged, abandoned homes in this embattled town. He rarely sees his family and thinks of little beyond the next attack on government soldiers.

"We no longer count the days," he said, standing in a rubble-strewn alley, holding a rifle and two rocket-propelled grenades. "Today we're in a battle, but we can't remember when it started, much less the past battles. You could ask me what day it is, but I can't tell you."

A dark realization is spreading across northern Syria that despite 20 months of violence and recent rebel gains, an end to the war to topple President Bashar Assad is nowhere in sight.

As a result, civilians and rebel fighters are digging in, building an infrastructure to secure rebel towns, care for the wounded and escalate the fight against Assad's forces.

Although incomplete and often hobbled by competition between factions, these efforts have produced a rebel force capable of victories nearly unimaginable months ago. And recent interviews in the northern provinces of Idlib and Aleppo with more than a dozen rebels and civilian activists gave no sign that they would give up soon.

"At the start I never imagined it would last this long," said rebel field commander Abdulllah Qadi, 25. "We have been at it for 20 months and we could be at it for 20 more. All we can do is keep fighting."

Syria's uprising started with protests calling for political change in March 2011. Like many in the opposition, Qadi said the successful toppling of dictators in Egypt and Tunisia gave him hope that Assad, too, would soon fall.

Instead, his regime launched a relentless crackdown, causing many to take up arms. The conflict escalated this year into a civil war with scores of rebel groups fighting Assad's military. Activists say more than 40,000 people have been killed.

Syria's rebels have claimed a string of victories in recent weeks, storming military bases, boosting their armories with looted munitions and overrunning a hydroelectric dam that powers a large swath of the country.

Fueling these advances is greater organization among rebel brigades. At least three major umbrella groups have formed to solicit private aid from abroad and shuttle arms and ammunition to brigades inside Syria.

"At first, the regime's presence in many places prevented us from bringing our forces together, but after we liberated some areas, we saw that we needed to unify the forces on the ground," said Gen. Ahmed al-Faj of the so-called Joint Command. The other groups are the Syria Liberation Front and the Military Councils of the Free Syrian Army.

In one striking example of the opposition's new capabilities, hundreds of rebels recently stormed the base of the Syrian army's 46th Regiment near Aleppo after a coordinated two-month siege, taking away tanks, armored vehicles and truckloads of munitions they plan to use against Assad's forces.

But rebel advances remain limited. While they control a strip of territory along the Turkish border and have carved out pockets near Damascus and in the sparsely populated eastern provinces, much of the country remains beyond their reach. Even in Idlib, a center of rebel activity, the army still has four major towns and two bases, plus a half-dozen checkpoints to prevent rebel expansion to the west and south.

The rebels also remain largely helpless against the regime's air power, whose daily air raids often kill civilians. Many fighters are bitter that the U.S. and others have not intervened to stop Assad's air force as they did in Libya against Moammar Gadhafi last year.

"We saw in Libya the aid that the U.S. and NATO gave and how quickly the battle went," said fighter Abdullah Biram. "So why don't they come here? Don't they see all the people dying?"

One recent evening, a helicopter dropped a bomb on the village of Maaret al-Naasan in Idlib. Moments later, Bilal Haidar emerged from the stairwell he was hiding under to find that his parents, six of his siblings, his sister-in-law and three neighbors were killed when their houses collapsed.

"I have no one left," he said the next day, standing in the rubble of his former home. "My whole family is gone."

Civilian leaders have scrambled to fill the void left by the government's withdrawal, setting up hospitals with operating rooms and security brigades to prevent crime.

A half-dozen Idlib towns have also set up Islamic courts under the jurisdiction of a High Judicial Council, said Salah Hablas, a Muslim cleric involved in the effort.

When asked what the most common crimes were, he read off the names of a dozen people, all wanted on suspicion of spying for the regime.

Hablas, sporting a long gray beard, dark sunglasses and a black track suit, said the courts apply a mix of Syrian and Islamic law and have sentenced one person to death. While that sentence has yet to be carried out, others have.

"If there a punishment for anyone, whether whipping or anything else, it is carried out in the public square," he said.

The complete mobilization for war is clear in Harem, a scenic town rich with orange and persimmon groves, built around an imposing, hilltop castle near the Turkish border.

After months of clashes, rebels managed to besiege the remaining troops inside the castle. They try daily to force them out.

Sniper fire, artillery blasts and near-daily government airstrikes have sent most residents fleeing through rubble-strewn streets. Rebels squat in abandoned homes, smashing holes in walls to create passages to the front line. Between clashes, they make tea on wood fires or pick fruit, much of it about to rot because farmers can't harvest it.

Captured regime soldiers are held in a former police station and medics treat the wounded in a farmhouse before they return to battle or are driven to hospitals.

Rows of fresh graves line a grassy, tree-covered compound abutting the barbed wire of the Turkish border.

Mohammed Quweiri, 63, pointed to the grave of his son, killed by a sniper. Next to him lay a school principal and a mosque preacher, also slain by snipers, and a rebel commander who died in an airstrike that also killed 15 others, Quweiri said.

Four graves nearby held the remains of some of the 10 people killed in another airstrike near the town's mosque.

Sitting in the dirt nearby, Sobhia Qarboulad, 55, said her brother Mohammed was among the dead. When the first missile hit near their house, he rushed to help the wounded. A second missile hit soon after and he never came back.

Since then, the family has been living in the abandoned bakery where her brother once worked. When they hear a fighter jet, they collect the children and flee to the olive groves, she said, where no roof can collapse on their heads.

"We have no money to leave and no place to go," she said. "Only God can provide protection."

As she spoke, rebels crowded around the bodies of two fighters killed that day while an old man dug a new grave.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/cae69a7523db45408eeb2b3a98c0c9c5/Article_2012-11-27-Syria-The%20Long%20War/id-516c993359fb42388a3af3e043808a53

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Monday, November 26, 2012

House of Light: Hospice Care: After the Death of Patient, Part 2

(Editor's Note: This is the second part of a piece about what happens after the death of a hospice patient. Read the first part here.)

Before calling the mortuary, I ask if other family members will be arriving at the home to pay respects, and if there will be a viewing. We figure out the best time for the mortuary to pick up the body.? (The patient and family will hopefully have already selected a mortuary through previous conversations about final arrangements. The hospice social worker is available to assist in making funeral arrangements.) When I call the mortuary with the official pronouncement and the requested pick-up time, I also let them know if there are known infectious diseases. I also fill out a form with the deceased's information that goes with the body to the mortuary.

I believe information helps, so I explain to the family what happens next. When the mortuary staff arrives, they will meet the family, get the form the nurse has filled out, and look at the room arrangements so they can move the body gracefully. They leave briefly and return with a gurney. Family may observe the body transfer if they wish. The body is wrapped in a plain white sheet or placed in a white plastic zippered bag. On the gurney, two seatbelts secure the body and then a blanket or quilt is placed over the body to the shoulders. The mortuary staff will bring the body out to the living room or entryway and allow the family to say a last goodbye. When the family is ready, the body is moved to the mortuary vehicle.

At the mortuary, the body is placed in a cold, safe room. The funeral director calls the family within 24 hours to arrange a meeting at the mortuary to finalize arrangements and sign papers. Whether the body is to be buried or cremated, nothing is done to the body until the physician signs the death certificate and the family papers are signed.

The narcotics are disposed of in a ziplock bag of dish soap or kitty litter. I offer some final advice about caring for oneself while grieving, and encourage the family to call the hospice with any questions and for emotional support. Bereavement services are explained. Then I leave.

In less than two hours, people's lives are changed forever, and I have been honored to help them take a few steps along their paths.

By Mary Toren, RN

Source: http://www.houseoflightblog.com/2012/11/death-of-patient-part2.html

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Microbial 'missing link' discovered after man impales hand on tree branch

ScienceDaily (Nov. 26, 2012) ? It all started with a crab apple tree. Two years ago, a 71-year-old Indiana man impaled his hand on a branch after cutting down a dead tree. The wound caused an infection that led scientists to discover a new bacterium and solve a mystery about how bacteria came to live inside insects.

On Oct. 15, 2010, Thomas Fritz, a retired inventor, engineer and volunteer firefighter, cut down a dead, 10-foot-tall crab apple tree outside his home near Evansville, Ind.

As he dragged away the debris, he got tangled in it and fell. A small branch impaled his right hand in the fleshy web between the thumb and index finger.

A former emergency medical technician, Fritz dressed the wound, which became swollen. Then he waited for a scheduled visit with his doctor a few days later. By then, a cyst formed at the wound site. The doctor put Fritz on an antibiotic after sending a sample of the cyst to a lab.

The pain and swelling persisted and the wound became abscessed.

About five weeks after the accident, an orthopedic surgeon removed several pieces of bark from the wound, which finally healed without further incident.

Only later did Fritz find out that his infected wound contained a previously unknown bacterium that scientists say could be used to block disease transmission by insects and prevent crop damage.

Scientists call the new strain human Sodalis or HS; it's related to Sodalis, a genus of bacteria that lives symbiotically inside insects' guts.

The journal PLOS Genetics published a paper detailing the discovery November 26.

"Symbiotic interactions between microorganisms and insects are common, and biologists suspect that they're an important driver of biological diversification," says Matt Kane, program director in the National Science Foundation's Division of Environmental Biology, which funded the research.

"But how such symbioses came to be is often a mystery," Kane says. "This particular story has a happy ending, but also an interesting one, because researchers used it to gain insight into how insects and microbes can form symbiotic partnerships in the first place."

As in the case of the crab apple tree, "there are bacteria in the environment that form symbiotic relationships with insects," says University of Utah biologist Kelly Oakeson, the study's lead co-author. "This is the first time such a bacterium has been found and studied."

Identifying a New Strain of Bacteria

The lab that first received the sample from Fritz's infected wound couldn't identify the bacterium once it was isolated. So the organism was shipped to ARUP Laboratories, a national pathology reference library operated by the University of Utah.

An automated analysis at ARUP found that the bacterium from Fritz was E. coli, but scientists doubted the results.

"We had close matches for it, but none were validly described species," says Mark Fisher of the ARUP Institute for Clinical and Experimental Pathology and a co-author of the paper. "It caught my eye because I knew Colin Dale worked on Sodalis."

Dale is the researcher who discovered and named Sodalis in 1999. He is a biologist at the University of Utah and is the study's senior author.

He says that genetic sequencing showed that the HS bacterium is related to bacteria that live symbiotically in 17 insect species, including tsetse flies, weevils, bird lice and stinkbugs, and is most closely related to bacteria in the chestnut weevil and a stinkbug species.

The study compared HS with genomes of the strain Sodalis glossinidius that lives in tsetse fliesand another Sodalis-likebacterium that lives in grain weevils.

Compared with HS, the other two bacterial species have lost or deactivated about half their genes.

A Missing Link

According to Dale, the findings provide "a missing link in our understanding of how beneficial insect-bacteria relationships originate.

"They show that these relationships arise independently in each insect. The insect picks up a pathogen that is widespread in the environment and then domesticates it. This happens independently in each insect."

A competing theory is that parasitic wasps and mites spread symbiotic bacteria from one insect to another.

Dale says that theory cannot explain why such similar types of Sodalis bacteria are found in insects that differ widely in location and diet, including insects that feed either on plants or animals.

The new results support the theory that insects are infected by pathogenic bacteria from plants or animals in their environment, and that the bacteria evolve to become less virulent and to provide benefits to the insect.

Then, instead of spreading from one insect to another, the bacteria spread from mother insects to their offspring.

Taming Invading Bacteria

Various bacteria live symbiotically in blood or fat cells or in special structures attached to the guts of as many as 10 percent of all insects.

The bacteria gain shelter and nutrition from their insect hosts, and they produce nutrients--B vitamins and amino acids--to help feed the insects.

Sometimes they also produce toxins to kill invaders, such as fungi or the eggs laid in an insect by a parasitic wasp.

Sodalis is only one of several types of bacteria that live in insects.

Symbiotic bacteria are known for having the smallest genetic blueprints, or genomes, of any cellular organism because as they evolve inside an insect, they lose genes that would be needed for survival outside the insect.

But when biologists sequenced the new bacterium's genome, they found that HS has a relatively large genetic blueprint and is closely related to Sodalis-like bacteria that have smaller genomes and live in many species of insects, implying that Sodalis-like bacteria all descended from a bacterium like HS.

A Way to Block Some Insect-Spread Diseases?

The researchers believe the discovery could have important implications. They say it may be possible to genetically alter the new bacterium to block disease transmission by insects like tsetse flies and prevent crop damage by insect-borne viruses.

"If we can genetically modify a bacterium that could be put back into insects, it could be used as a way to combat diseases transmitted by those insects," says Adam Clayton, a University of Utah biologist and lead author of the paper unveiling the new bacterium and its genome.

Tsetse flies and aphids both carry symbiotic Sodalis bacteria related to strain HS. Sodalis doesn't grow well outside insects, but HS grows well in the lab.

So it may be possible to insert genes in HS, and then place the bacteria in tsetse flies to kill the protozoan parasites that live in the flies and cause sleeping sickness in people and domestic animals in Africa.

Aphids transmit many plant viruses that attack soybeans, alfalfa, beets, beans and peanuts.

Replacing their normal symbiotic bacteria with a genetically engineered strain of HS could interfere with disease transmission.

The researchers speculate that in addition to the HS bacterium, there are likely many other undiscovered bacteria in the environment that could form symbiotic relationships with insects.

"We have identified very few of the bacteria that exist in nature," says Dale, "and new species and strains like HS are often only discovered when they infect humans."

Additional co-authors of the paper are Maria Gutin, Arthur Pontes, Diane Dunn, Andrew von Niederhausern and Robert Weiss, all of the University of Utah.

The National Institutes of Health also funded the research.

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Story Source:

The above story is reprinted from materials provided by National Science Foundation.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.


Journal Reference:

  1. Adam L. Clayton, Kelly F. Oakeson, Maria Gutin, Arthur Pontes, Diane M. Dunn, Andrew C. von Niederhausern, Robert B. Weiss, Mark Fisher, Colin Dale. A Novel Human-Infection-Derived Bacterium Provides Insights into the Evolutionary Origins of Mutualistic Insect?Bacterial Symbioses. PLoS Genetics, 2012; 8 (11): e1002990 DOI: 10.1371/journal.pgen.1002990

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/strange_science/~3/IAJFAFXUyoM/121126110737.htm

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Video: Disorder causes lawyer to sleep up to 18 hours a day



>> introduced you to a teenager with a condition that would cause her to sleep for weeks, even months on end. well, this morning you're going to meet a lawyer who suffers from a different sleep disorder , one that can be just as debilitating but one with hope. gabe gutierrez is here with that story, good morning, gabe.

>> reporter: researchers are hoping to revolutionize the treatment of this major sleeping disorder that often affects women, but for one patient it's also a race against time to keep getting the medicine that changed her life.

>> my bed was my health. it was everything.

>> reporter: for everything sleep was an obsess.

>> like an addiction. would i hit a point in the day where i thought if i don't go to sleep right now i will literally not survive.

>> reporter: she was no slacker working at a major law firm in atlanta after graduating from princeton and duke, but anna 's life was falling apart. sleeping up to 18 hours the a day but never feeling rested.

>> my rock bottom was sleeping for 53 hours. i felt helpless.

>> reporter: so she took a leave of absence and headed to emory university 's sleep lab where doctors checked everything. it wasn't a thyroid problem or depression. doctors discovered an entirely new cause, something they found in 31 other patients like anna . their research just published in the medical journal "science translational medicine ."

>> the body is producing a substance that acts very much like a sedative.

>> reporter: that sedative, doctors say acts like anesthesia. in tests, patient response times are as slow as people who are legally drunk and this disorder could affect 1 in 800 people. to treat it doctors are using a drug that's normally used to help surgery patients wake up from anesthesia. vicky rush got the iv drug once during emory's research.

>> the fog was lifted. you just felt like you were really awake.

>> reporter: but so far anna sumner is the only patient taking the medicine daily in bill form thanks to a research donation from a drug company .

>> i was existing before treatment, but i wasn't living.

>> reporter: she's able to do tasks she was never able to do before but her medicine runs out next year.

>> the thought is almost terrorizing.

>> reporter: now she's on a mission to help the drug industry mass produce this drug.

>> it gives me the luxury of life.

>> reporter: a luxury she never thought possible, not just sleep

but rest: doctors say the drug is the only effective treatment of the disorder which is so newly discovered is t doesn't even have a name yet. savannah.

>> gabe gutierrez in atlanta, thank you.

Source: http://video.today.msnbc.msn.com/today/49963811/

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Olympic Champion Li Xuerui proves her mettle on home soil at Li ...

Olympic Champion Li Xuerui proves her mettle on home soil at Li Ning China Open ? Badminton feature

Li Xuerui, the most successful shuttler among the younger Chinese lot, showed a tremendous performance in front of her home crowd and claimed Women?s Singles title at the Li Ning China Open Premier Super Series 2012, which ended on Sunday, November 18, at Shanghai, China.

The ruling Olympic Champion Xuerui, who is currently placed at number two in Women?s Singles world ranking, put up staggering show of top class badminton throughout the tournament and remained successful in claiming the crown proving her consistent performance at world stage.

No one knew Xuerui just a couple of years ago but now, she has become a talk of the town in badminton arena because she surprisingly earned gold medal at Olympic Games 2012 and maintained her aggression in China Open as well grabbing the title to cheer her home fans.

However, it was not an easy road for Xuerui who put in extra effort in training sessions and showed full commitment and dedication that helped her to obtain top class skills which are required to become a refined shuttler in the world of badminton.

In the Women?s Singles first round, Xuerui started her campaign against her younger compatriot Di Suo who participated in tournament as a qualifier. The higher ranked Chinese lady was on a completely different level in the arena as she easily won this battle in straight sets with a dominating margin.

In the second round of the championship, Xuerui took on Thailand?s Busanan Ongbumrungpan who has been showing a good performance in the recent events. However, the local shuttler worked really hard against her Thai rival and managed to win the battle in a hard-fought three games.

In the Women?s Singles quarter-final, Xuerui was up against her team-mate Li Han who has been making her presence felt to the world by playing competitive badminton in the recent months. The second seeded Chinese player had to dig into her arsenal to overpower her younger compatriot in three games with a decent margin on the board.

In the semi-final contest of the tournament, the lofty Xuerui took on Japan?s in-form shuttler Minatsu Mitani who won the Women?s Singles title at the last month?s French Open Super Series 2012. However, the impressive Chinese lady was in her prime form as she played dominating badminton and won the match in straight sets with a reasonable margin.

In the final contest of this championship, Xuerui was up against Thailand?s Ratchanok Intanon who also remained unbeaten throughout the tournament. Many thought it would be a wonderful fight but Xuerui did not let it happen as she played with complete control in her shots and remained in command throughout the match.

Xuerui was in complete control of rallies and she driven her rival in all areas of the court by executing powerful and accurate shots. She showed no mercy to her lower ranked Thai challenger and remained successful in winning the title match in straight sets in a lopsided fashion by a huge total on score board.

The impressive victory of Xuerui in front of her home fans is a proof that her win at 2012 London Olympics was not a fluke. She proved her impressive craft while remaining consistent at international stage and also confirmed that China?s future is in safe hands particularly in Women?s Singles category.

Source: http://blogs.bettor.com/Olympic-Champion-Li-Xuerui-proves-her-mettle-on-home-soil-at-Li-Ning-China-Open-Badminton-feature-a202909

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Giants end slide, rout Packers 38-10

New York Giants quarterback Eli Manning (10) signals a touchdown during the second half of an NFL football game, Sunday, Nov. 25, 2012 in East Rutherford, N.J. After further review Manning's pass to Hakeem Nicks was ruled a touchdown. (AP Photo/Bill Kostroun)

New York Giants quarterback Eli Manning (10) signals a touchdown during the second half of an NFL football game, Sunday, Nov. 25, 2012 in East Rutherford, N.J. After further review Manning's pass to Hakeem Nicks was ruled a touchdown. (AP Photo/Bill Kostroun)

New York Giants wide receiver Hakeem Nicks (88) signals for a touchdown during the second half of an NFL football game against the Green Bay Packers, Sunday, Nov. 25, 2012, in East Rutherford, N.J. After further review quarterback Eli Manning's pass to Nicks was ruled a touchdown. (AP Photo/Julio Cortez)

New York Giants running back Ahmad Bradshaw, right, celebrates with teammate Martellus Bennett, left, after scoring a touchdown during the first half of an NFL football game, Sunday, Nov. 25, 2012, in East Rutherford, N.J. (AP Photo/Bill Kostroun)

New York Giants defensive end Osi Umenyiora (72) knocks the ball away from Green Bay Packers' Aaron Rodgers (12) during the first half of an NFL football game, Sunday, Nov. 25, 2012, in East Rutherford, N.J. (AP Photo/Julio Cortez)

Green Bay Packers quarterback Aaron Rodgers (12) reacts during the first half of an NFL football game against the New York Giants, Sunday, Nov. 25, 2012, in East Rutherford, N.J. (AP Photo/Kathy Willens)

(AP) ? Adam Merchant had a wish and a command for the New York Giants.

The 15-year-old fan from Barre, Vt., attended practice and then Sunday's game with the Packers thanks to the Make-A-Wish Foundation. He wanted the Giants to snap their two-game slide and get out of their offensive funk.

So he ordered the Giants to "play like world champions," and they delivered a 38-10 rout of the Green Bay Packers.

"That was the theme of our meetings," coach Tom Coughlin said.

Eli Manning came back from the bye week with a rested arm, and that offensive slump was tossed aside. The Giants (7-4) said they turned things around for themselves, and for Merchant, who has cancer.

"They have one wish," Manning said after throwing for three scores to set a team record with 200 TD passes for his career. "It is sad when you think about it ? they have one wish, what you want to do, and he wanted to come to Giants practice ... and to a game.

"He said, 'Go show everybody you are the world champions and why you are the world champions and play that way.' Everybody got fired up and played the way we know we can."

The Packers (7-4) certainly did not. The showcase game was decided early as the Giants outscored the Packers 31-10 in the opening half to end Green Bay's five-game winning streak. While New York took a two-game lead in the NFC East, Green Bay fell out of a tie with Chicago atop the NFC North.

The Packers were missing such key starters as linebacker Clay Matthews, defensive back Charles Woodson and receiver Greg Jennings, and it showed. After being manhandled in last season's playoffs by the Giants, who went on to win the Super Bowl, the Packers weren't much more competitive this time. Aaron Rodgers was sacked five times, including twice by Mathias Kiwanuka, who spent much of the game at defensive tackle rather than in his usual linebacker spot.

"When your quarterback is under pressure like that, it affected me tonight," coach Mike McCarthy said of his play-calling. "I probably didn't call the best game I've called. You have to protect your quarterback. It's your No. 1 responsibility. That's not what we're looking for."

New York's balanced attack was guided by Manning, who had his first strong game in a month with 249 yards passing.

"I never thought my arm was tired, never felt like it," Manning said. "After a week off, you come back to practice, it felt good, alive, balls coming out with a little pop on it.

"After 10 weeks, it definitely needed a little rest."

Coughlin knew Manning would return with some extra verve.

"There was no doubt he was going to come back and play well," Coughlin said. "I think the rest really helped him. ... Eli said he felt as if he was coming back for the start of the season. I was very confident he would come back and be Eli."

Ahmad Bradshaw gained a combined 119 yards and scored a touchdown. He had the first big play of the night to begin the offensive onslaught.

New York struck early with a brilliantly conceived screen pass to Bradshaw off a fake reverse to Victor Cruz. Bradshaw sped down the field before being caught at the Green Bay 2, a 59-yard pickup that led to Andre Brown's scoring run.

Brown later broke his leg; Coughlin did not say which leg after the game.

"It will be a tough loss, he is an important player," Manning said.

Green Bay didn't flinch, with Jordy Nelson getting behind Corey Webster in single coverage down the right sideline for a 61-yard TD reception from Rodgers.

The scoring flurry went back in the Giants' favor ? and pretty much stayed there ? when Manning hit Rueben Randle in the back of the end zone for a 16-yard TD. It was the first score for the rookie and Manning's first touchdown throw in four games, and he set it up with, of all things, a scramble in which he laid his shoulder into Packers cornerback Tramon Williams for a 13-yard gain.

"It sparked our sideline," Coughlin said. "It would not be the recommended way. To see him do that kind of sent the message to the rest of our team: Whatever you have to do to succeed, do it."

Webster's interception led to Lawrence Tynes' 43-yard field goal late in the first quarter for a 17-7 lead, and the Giants weren't nearly done. Manning's 9-yard connection with Cruz tied him for the club record with 199 TD passes, and after Osi Umenyiora's strip-sack of Rodgers was recovered by Jason Pierre-Paul at the Green Bay 23, Bradshaw scored from the 13.

The 31 points were the most New York scored in a half all season and nearly equaled the 33 it scored in its two losses before the bye.

And the Giants had more offense in them. Manning threw his 200th TD pass to move ahead of Phil Simms, a 13-yarder over the middle to Hakeem Nicks, who stretched the ball over the goal line as he was tackled.

"There was a different enthusiasm in practices," Manning said, "and I think that paid off in the game."

It paid off for the Giants, and for their young fan.

"It kind of hit home," Justin Tuck said. "You got this kid that don't know us from James and watches us on TV every Sunday and it's so profound."

NOTES; The Giants lost safety Kenny Phillips with a knee injury in the third quarter. He was making his first appearance since Week 4, when he was sidelined with a knee problem. ... Giants right tackle David Diehl sustained a stinger in the first half. ... Green Bay lost safety M.D. Jennings (rib), DE C.J. Wilson (knee), and RB Johnny White (concussion). ... Rodgers was 14 of 25 for 219 yards, one TD, one interception and one lost fumble.

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Associated Press

Source: http://hosted2.ap.org/APDEFAULT/347875155d53465d95cec892aeb06419/Article_2012-11-26-Packers-Giants/id-71ab13792ef747ca870a7a5d9ffc7345

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