ˆˇ˘ˆ˛˙ˇ study shows influenza linked to increased …69 minerva’s greek counterpart 71...

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F r a n k a n d Y o s h i G e r n e r Frank and Yoshi Gerner c elebrated their 50t h wedding anniversary on February 15th, renewing their vows at Most Pure Heart of Mary Catholi c Church. M i k e a n d A n g e l a B y t t n e r Mike and Angela Byttner were married Feb. 21 , 1 969 at Hope Lutheran Church in Topeka, Kan- sas. They have two chil- dren, Michael C. Byttner and Kristine M. Zeller and three grandchildren. They plan to continue their ex- ploration of the USA. R a y a n d P a t C h e n h a l l R ay and Pat Chenhal l o f Lecompton, KS c elebrated their 50t h wedding anniversary on Feb 16th with a dinner cruise off Naples FL on the Gulf of Mexico. They have 1 son, Jeff and wife Christie of McLouth KS and 3 grandsons, Brett & Aaron Chenhall of Topeka and Jerrick Chenhall of McLouth KS. S u b m i t y o u r a n n o u n c e m e n t For info on how to sub- mit your announcement go to www.cjonline.com/ send-us-your-news or call B renda Kipp 785-295- 1 204. Announcements are p rinted for a charge. The deadline to submit a n announcement and photo is 10 days prior to Sunday publication. D o r o t h y W i l s o n Dorothy Wilson wil l celebrate her 90t h birthday at a buffet reception from noon-4:00 on Sunday, February 17 at her home. Hosts will be her daughters, Wand a Metzger and Diana Kurdziel. Friends are invited. H A P P Y 8 8 T H B I R T H D A Y G O L D I E K O O S E R G o l d i e w i l l b e c e l e b r a t i n g h e r 8 8 t h b i r t h d a y o n F e b r u a r y 2 0 . P l e a s e s e n d c a r d s a n d w e l l w i s h e s t o 3 3 5 S W H a r r i s o n , T o p e k a , K S 6 6 6 0 3 M e r l e F . E n g e l k e Merle F. Engelke, o f Topeka, celebrated hi s 85th birthday on Sunday, January 20, 2019. Many family and friends braved the cold and snow to wish Merle a "Happ y Birthday". The birthday party was held at th e Rockfire Clubhouse , Topeka. Hosting the party were his children John Engelke (Overland Park), Diana (David) Brosa (Tecumseh), and Debbie (Jim) Olsson (Topeka). T h a n k Y o u Thank you for all the cards and prayers for Maxine. -Steve Carver and family �� The Topeka Capital-Journal Sunday, February 17, 2019 E3 “GETTING AHEAD” By ED SESSA ACROSS 1 Unstressed, as a syllable 7 Painter of melting watches 11 iPhone purchase 14 A deadly sin 18 It’s split in a boat 19 Command to a junkyard dog 20 Early internet pioneer 21 Not fooled by 22 *Online business- building method 24 Common Woody Allen character disorders 26 Send back, as into custody 27 *Las Vegas pros 29 Iraq’s main port 33 In the past 34 Comic actor Amsterdam of old TV 35 “Be thine own palace, or the world’s thy jail” writer 36 Call into question 38 Features of academic gowns 40 Less lax 41 St. Patrick’s land 42 F equivalent 45 Like radon, say 47 “Norma __” 48 *Guinness entries 51 Pre-flight frisking gp. 54 One may be played with sticks or brushes 56 Misplay with matches? 57 Hawkish god 58 Composer Milhaud 59 Hard-to-meet condition 61 Apple browser 63 Former Bears coach 65 Satan 68 Tips, as a hat 69 Minerva’s Greek counterpart 71 Smith, at times 72 End in grand style 74 Baseball’s Speaker 75 1970 Neil Diamond hit 77 Deactivating 80 Author Rand 81 *User’s nightmare 84 Company VIP 85 Prom attendees 86 Out of class 87 Open a bit 88 Muted to the max 91 Bill’s attorney general 93 Remove by melting, say 95 Pungent green 96 Indelicate 98 Friend of TV’s Sheldon 101 “__ World”: “Sesame Street” segment 102 *Zapping direction 104 Seasonal song words after “gay apparel” 106 Superhero- themed kids’ wear 107 *Nine-to-fiver 113 Future viewer 114 See 103-Down 115 Main blood vessel 116 Manly 117 Nine-digit IDs 118 “Psst!” 119 Visual okays 120 Tinier than tiny DOWN 1 Easy comparative 2 Paving material 3 Strawberry Fields benefactor 4 Rural turndown 5 Like some “La Cage Aux Folles” dancers 6 Rick’s, in film 7 Followed a Hippocratic dictum 8 Corrosive stuff 9 Novelist Deighton 10 “No more for me” 11 Docudramas airer 12 35-Across output 13 Choice 14 Observation point 15 Not yet posted 16 “Tristram Shandy” author 17 Salad preparer 19 Reel trouble 23 Actress Thurman 25 Navigation aids 28 “Frasier” bros., e.g. 29 Transvaal settlers 30 Like lives in hives 31 *Overextended 32 Have remorse for 34 Cleaning tools 37 “__ say more?” 39 Chicago airport code 40 Beach divers 43 Clean with S.O.S 44 Provides home care services? 45 “There’s no use” 46 New start? 48 Played again on TV 49 Hankering 50 Windy City newspaper, for short 51 *Where one might idle away the time? 52 Feudal worker 53 Sale stipulation 55 Tools with tines 57 CIO partner, familiarly 59 Bud’s promise 60 Suffix often meaning “to make” 62 Acrobat maker 63 Facts and figures 64 Modest admission 66 Jennifer of “Zero Dark Thirty” 67 Deck crew boss 70 Thus far 73 Medicare component 76 QVC sister station 77 Draws attention (from) 78 “Terrif!” 79 Injures, as a matador 81 Motion detector, e.g. 82 Cheerful group? 83 Debater of Stephen in 1858 85 Marketing hirees 87 Tide competitor 88 Speedy ski run 89 Dunne and Ryan of cinema 90 Plodding 91 Sporty wheels, briefly 92 Art movement typified by Sloan’s “McSorley’s Bar” 94 Michael Jackson hit ... or what you can do to the start of each answer to a starred clue 96 After-school job 97 Not without danger 99 __-Seltzer 100 Hinged mouth part 103 114-Across builder 104 Shallow crossing 105 Kilauea flow 108 Canterbury can 109 Vel follower 110 “Tell __”: Streisand/Dion duet 111 Yalie 112 Remote button Los Angeles Times Sunday Crossword Puzzle Edited by Rich Norris and Joyce Nichols Lewis 2/17/19 Dear Doctor: Last year, my best friend, who was home in bed with a bad case of the flu, died of a heart attack. He was fit, strong and relatively young — only 42 years old — and his death was a shock. But now research suggests having the flu actually increases the risk of a heart attack. Can we protect ourselves? Dear Reader: We're very sorry for your loss and understand why it would be shocking. When we think of the complica- tions that arise from the flu, it's usually some- thing like an ear or sinus infection. When things get more serious, flu can lead to pneumonia. However, inflamma- tion caused by the influ- enza virus can affect the body in even more severe and unexpected ways. This includes developing encephalitis or myocardi- tis, which are inflamma- tion of the brain and the heart respectively, or sep- sis, a full-body inflam- matory response that can lead to multiple-organ failure and death. Individuals with the flu can also sometimes experience a worsen- ing of chronic medi- cal conditions, such as asthma or heart disease. Now, as you mention, researchers have uncov- ered what they believe is a surprisingly strong connection between influenza infection and heart attack. In a study published last year in the New England Journal of Medicine, scientists at the Institute for Clinical Evaluative Sciences in Toronto reported that in the seven days following a lab-confirmed diagnosis of influenza, heart attacks were six more times as likely as they were either a year prior to or follow- ing the diagnosis. The researchers arrived at this conclusion using details from hospital admissions in Ontario between 2008 and 2015. They analyzed data from individuals with confirmed cases of influenza, as well as 364 heart attacks. According to the data, the hospital saw 3.3 heart attack admissions per week in the year before and after a flu diagnosis. But during the week of a flu diagnosis, the heart attack rate rose to 20 admissions per week. Of the 332 people in the study who had a heart attack during the seven- day window following a flu diagnosis, 69 per- cent had not received a flu shot that year. The data also suggested that individuals older than 65 were at a slightly higher risk than younger people of suffering a post-flu heart attack. Other acute respira- tory infections can also increase heart attack risk, although not as sharply as influenza, according to the study. Previous studies have tied influenza infection to a three-fold increase in the risk of stroke. This range of extreme com- plications is believed to arise in response to the sudden and sys- temic inflammation that accompanies an acute respiratory infection. The best way to pro- tect yourself against the flu is by getting your annual flu shot. Research has shown that hospi- talizations and deaths are markedly lower among people who get a flu vaccine when com- pared with those who do not. People who get the flu despite being vaccinated tend to have milder and shorter ill- nesses. Anyone who experiences heart attack symptoms during or shortly after an acute respiratory illness, including chest pain, arrhythmia, shortness of breath, exhaustion or edema, should seek immediate medical care. Eve Glazier, M.D., MBA, is an internist and associ- ate professor of medi- cine at UCLA Health. Elizabeth Ko, M.D., is an internist and assis- tant professor of medi- cine at UCLA Health. ASK THE DOCTORS Study shows influenza linked to increased heart attack risk SEE MORE ONLINE AT CJONLINE.COM 2/10/19 ANSWER TO LAST WEEK’S PUZZLE Dr. Elizabeth Ko & Dr. Eve Glazier

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Page 1: ˆˇ˘ˆ˛˙ˇ Study shows influenza linked to increased …69 Minerva’s Greek counterpart 71 Smith, at times 72 End in grand style 74 Baseball’s Speaker 75 1970 Neil Diamond hit

Anniversaries

Frank and YoshiGerner

Frank and Yoshi Gernercelebrated their 50thwedding anniversary onFebruary 15th, renewingtheir vows at Most PureHeart of Mary CatholicChurch.

Mike and AngelaByttner

Mike and Angela Byttnerwere married Feb. 21,1969 at Hope LutheranChurch in Topeka, Kan-sas. They have two chil-dren, Michael C. Byttnerand Kristine M. Zeller andthree grandchildren. Theyplan to continue their ex-ploration of the USA.

Ray and PatChenhall

Ray and Pat Chenhallo f L e c o m p t o n , K Scelebrated their 50thwedding anniversary onFeb 16th with a dinnercruise off Naples FL onthe Gulf of Mexico. Theyhave 1 son, Jeff and wifeChristie of McLouth KSand 3 grandsons, Brett &Aaron Chenhall of Topekaand Jerrick Chenhall ofMcLouth KS.

Submit yourannouncement For info on how to sub-mit your announcementgo to www.cjonline.com/send-us-your-news or callBrenda Kipp 785-295-1204. Announcements areprinted for a charge. The deadline to submitan announcement andphoto is 10 days prior toSunday publication.

Birthday

Dorothy WilsonD o r o t h y W i l s o n w i l lc e l e b r a t e h e r 9 0 t hbirthday at a buffetreception from noon-4:00on Sunday, February 17 ather home. Hosts will beher daughters, WandaM e t z g e r a n d D i a n aKurdziel . Friends areinvited.

HAPPY 88THBIRTHDAY

GOLDIE KOOSERGoldie will be celebrating

her 88th birthday on February 20. Please sendcards and well wishes to

335 SW Harrison, Topeka, KS 66603

Merle F. EngelkeMerle F . Engelke, ofTopeka, celebrated his85th birthday on Sunday,January 20, 2019. Manyfamily and friends bravedthe cold and snow to wishM e r l e a " H a p p yBirthday". The birthdayparty was held at theR o c k f i r e C l u b h o u s e ,Topeka. Hosting the partywere his children JohnEngelke (Overland Park),D iana (David) Brosa(Tecumseh), and Debbie(Jim) Olsson (Topeka).

Card of Thanks

Thank YouThank you for all thecards and prayers forMaxine.

-Steve Carver and family

�����������������������������������

�������������������������

�������������������������������

The Topeka Capital-Journal Sunday, February 17, 2019 E3

“GETTING AHEAD” By ED SESSA

ACROSS 1 Unstressed, as

a syllable 7 Painter of

melting watches 11 iPhone

purchase 14 A deadly sin 18 It’s split in a

boat 19 Command to a

junkyard dog 20 Early internet

pioneer 21 Not fooled by 22 *Online

business-building method

24 Common Woody Allen character disorders

26 Send back, as into custody

27 *Las Vegas pros 29 Iraq’s main port 33 In the past 34 Comic actor

Amsterdam of old TV

35 “Be thine own palace, or the world’s thy jail” writer

36 Call into question

38 Features of academic gowns

40 Less lax 41 St. Patrick’s

land 42 F equivalent 45 Like radon, say 47 “Norma __” 48 *Guinness

entries 51 Pre-flight

frisking gp. 54 One may

be played with sticks or brushes

56 Misplay with matches?

57 Hawkish god 58 Composer

Milhaud 59 Hard-to-meet

condition 61 Apple browser 63 Former Bears

coach 65 Satan 68 Tips, as a hat 69 Minerva’s Greek

counterpart 71 Smith, at times 72 End in grand

style 74 Baseball’s

Speaker 75 1970 Neil

Diamond hit 77 Deactivating 80 Author Rand 81 *User’s

nightmare

84 Company VIP 85 Prom attendees 86 Out of class 87 Open a bit 88 Muted to the

max 91 Bill’s attorney

general 93 Remove by

melting, say 95 Pungent green 96 Indelicate 98 Friend of TV’s

Sheldon 101 “__ World”:

“Sesame Street” segment

102 *Zapping direction

104 Seasonal song words after “gay apparel”

106 Superhero-themed kids’ wear

107 *Nine-to-fiver 113 Future viewer 114 See 103-Down 115 Main blood

vessel 116 Manly 117 Nine-digit IDs 118 “Psst!” 119 Visual okays

120 Tinier than tiny

DOWN 1 Easy

comparative 2 Paving material 3 Strawberry

Fields benefactor

4 Rural turndown 5 Like some

“La Cage Aux Folles” dancers

6 Rick’s, in film 7 Followed a

Hippocratic dictum

8 Corrosive stuff 9 Novelist

Deighton 10 “No more for

me” 11 Docudramas

airer 12 35-Across

output 13 Choice 14 Observation

point 15 Not yet posted 16 “Tristram

Shandy” author 17 Salad preparer 19 Reel trouble

23 Actress Thurman

25 Navigation aids 28 “Frasier” bros.,

e.g. 29 Transvaal

settlers 30 Like lives in

hives 31 *Overextended 32 Have remorse

for 34 Cleaning tools 37 “__ say more?” 39 Chicago airport

code 40 Beach divers 43 Clean with

S.O.S 44 Provides home

care services? 45 “There’s no use” 46 New start? 48 Played again on

TV 49 Hankering 50 Windy City

newspaper, for short

51 *Where one might idle away the time?

52 Feudal worker 53 Sale stipulation

55 Tools with tines 57 CIO partner,

familiarly 59 Bud’s promise 60 Suffix often

meaning “to make”

62 Acrobat maker 63 Facts and

figures 64 Modest

admission 66 Jennifer of “Zero

Dark Thirty” 67 Deck crew boss 70 Thus far 73 Medicare

component 76 QVC sister

station 77 Draws attention

(from) 78 “Terrif!” 79 Injures, as a

matador 81 Motion detector,

e.g. 82 Cheerful group? 83 Debater of

Stephen in 1858 85 Marketing

hirees 87 Tide competitor 88 Speedy ski run

89 Dunne and Ryan of cinema

90 Plodding 91 Sporty wheels,

briefly 92 Art movement

typified by Sloan’s “McSorley’s Bar”

94 Michael Jackson hit ... or what you can do to the start of each answer to a starred clue

96 After-school job 97 Not without

danger 99 __-Seltzer 100 Hinged mouth

part 103 114-Across

builder 104 Shallow

crossing 105 Kilauea flow 108 Canterbury can 109 Vel follower 110 “Tell __”:

Streisand/Dion duet

111 Yalie 112 Remote button

RELEASE DATE —Sunday, February 17, 2019

Los Angeles Times Sunday Crossword PuzzleEdited by Rich Norris and Joyce Nichols Lewis

ANSWER TO TODAY’S PUZZLE

2/17/19

2/17/19 ©2019 Tribune Content Agency, [email protected]

Dear Doctor: Last year, my best friend, who was home in bed with a bad case of the flu, died of a heart attack. He was fit, strong and relatively young — only 42 years old — and his death was a shock. But now research suggests having the flu actually increases the risk of a heart attack. Can we protect ourselves?

Dear Reader: We're very sorry for your loss and understand why it would be shocking. When we think of the complica-tions that arise from the flu, it's usually some-thing like an ear or sinus infection. When things get more serious, flu can lead to pneumonia.

However, inflamma-tion caused by the influ-enza virus can affect the body in even more severe and unexpected ways. This includes developing encephalitis or myocardi-tis, which are inflamma-tion of the brain and the heart respectively, or sep-sis, a full-body inflam-matory response that can lead to multiple-organ

failure and death. Individuals with the flu can also sometimes experience a worsen-ing of chronic medi-cal conditions, such as asthma or heart disease.

Now, as you mention, researchers have uncov-ered what they believe is a surprisingly strong connection between influenza infection and heart attack. In a study published last year in the New England Journal of Medicine, scientists at the Institute for Clinical Evaluative Sciences in Toronto reported that in the seven days following a lab-confirmed diagnosis of influenza, heart attacks were six more times as likely as they were either a year prior to or follow-ing the diagnosis. The researchers arrived at this conclusion using details from hospital admissions in Ontario between 2008 and 2015. They analyzed data from individuals with confirmed cases of influenza, as well as 364 heart attacks.

According to the data, the hospital saw 3.3 heart attack admissions per week in the year before and after a flu diagnosis. But during the week of a flu diagnosis, the heart attack rate rose to 20 admissions per week. Of the 332 people in the

study who had a heart attack during the seven-day window following a flu diagnosis, 69 per-cent had not received a flu shot that year. The data also suggested that individuals older than 65 were at a slightly higher risk than younger people of suffering a post-flu heart attack. Other acute respira-tory infections can also increase heart attack risk, although not as sharply as influenza, according to the study.

Previous studies have tied influenza infection to a three-fold increase in the risk of stroke. This range of extreme com-plications is believed to arise in response to the sudden and sys-temic inflammation that accompanies an acute respiratory infection.

The best way to pro-tect yourself against

the flu is by getting your annual flu shot. Research has shown that hospi-talizations and deaths are markedly lower among people who get a flu vaccine when com-pared with those who do not. People who get the flu despite being vaccinated tend to have milder and shorter ill-nesses. Anyone who experiences heart attack symptoms during or shortly after an acute respiratory illness, including chest pain, arrhythmia, shortness of breath, exhaustion or edema, should seek immediate medical care.

Eve Glazier, M.D., MBA, is an internist and associ-ate professor of medi-cine at UCLA Health. Elizabeth Ko, M.D., is an internist and assis-tant professor of medi-cine at UCLA Health.

A S K T H E D O C T O R S

Study shows influenza linked to increased heart attack risk

SEE MORE ONLINE AT CJONLINE.COM

“NOT AGAIN” By DAVID POOLE

ACROSS 1 Pen pals? 5 Complexion

enhancement 10 Email subject

abbr. 13 Get to smile 18 From square

one 19 Steam up 21 John, to Paul,

George and Ringo

22 John, Paul, George and Ringo

23 Chef’s directives involving sieves?

26 Travis of country 27 Tennis’

Goolagong 28 Kia HQ city 29 Widen 30 Old pool people 34 One splitting

firewood? 36 Violin stroke 39 Big chamber

group 41 Candidate’s aim 42 Yearbook sect. 43 Chance for Obi-

Wan to play? 47 Quaint oath 49 Bar quaff, briefly 50 YOLO, in

ancient Rome 52 Actress

Staunton of Harry Potter movies

56 Lemony, say 59 PC bailout key 60 113-Down’s last

words 62 Placed 63 Take in or let out 64 Broadway’s

Hagen 66 Hirsute

Himalayan humanoid of myth

68 Crossed (out) 69 Therapist’s

technique using poetry?

76 Compress, as a file

79 Resist 80 Pop duo __ &

Him 81 Signs of shock 85 Currier’s partner 87 Andrea __: ill-

fated ship 90 City, informally 92 Magoo’s malady 93 Cooperstown

charter member 95 Abash 98 Prov. at one

end of the Ambassador Bridge

99 Dental image 101 Social event for

British tavern keepers?

104 Latin art 107 Triangle product 109 Tot’s rebuttal 110 Role for Liam 111 Dusting goal? 115 Banded

metamorphic rock

117 Big Sur institute 118 Cambodians’

neighbors 120 Film frames 124 Knighted

British actor Hawthorne

125 License to search for the Holy Grail?

129 “The Canterbury Tales” pilgrim

130 Blast cause 131 Washington city 132 Enterprise

counselor 133 Portfolio part 134 Collecting Soc.

Sec. 135 Enlighten 136 Virgo/Libra mo.

DOWN 1 Project for Poirot 2 Airing 3 Student of

Seneca 4 TV dinner brand 5 “Xena” actress

O’Connor 6 Hush-hush

maritime org. 7 Java holder 8 Witty bit 9 Sensitive issues

for directors 10 __-de-lis 11 Wells title foes 12 Bobs and buns 13 Bloody Civil War

battle site 14 Actress Maples 15 Inuit boats 16 Volleyball

position 17 Fragrant

compounds 20 Put up 24 Bisected 25 Rooster’s last

word? 29 Involve with

reluctantly, as a tough situation

31 __ bene

32 Yellowish tone 33 Answers the call 35 Pollen carrier 36 Erie Canal city 37 One who has

class? 38 Benjamin of

“Law & Order” 40 Kicks out 44 Govt. org. with a

Media Bureau 45 Calendario

square 46 Mil. roadside

danger 48 2017 Best

Director Oscar winner Guillermo __ Toro

51 It may be held in a deli

53 Southern Calif. airport

54 Roller in Vegas 55 Put in 57 MLK’s title 58 Miffed 61 Voice artist

Blanc 65 Shakespearean

cries 67 Pop of punk

70 Snoopy’s nemesis

71 Northern Calif. airport

72 Jane Rochester, née __

73 Uncouth types 74 It’s misleading

when it’s red 75 Ming most look

up to 76 Spot at the

prom? 77 Climbing

greenery 78 Iron pumper’s

pride 82 Versatile utensil 83 Historic nautical

trio member 84 Dionysus

devotee 86 Red or White 88 Little trickster 89 “Aladdin”

monkey 91 Club component 92 AOL alternative 94 Patient’s ID 96 Knack 97 Fill to the max 100 Nikkei index

currency

102 Blog updates 103 Gretzky’s NHL

record 1,963 104 Supreme

Egyptian deity 105 Bar in TV’s

“M*A*S*H” 106 Play grounds? 108 Bring into

harmony 112 Parisian

37-Down 113 “I never give

anything without expecting something in return” speaker

114 Western treaty gp.

116 NBA legend Thomas

119 Little fight 121 Euro

forerunners 122 Programmer’s

“endless” problem

123 Peevish state 125 Game div. 126 Barely make,

with “out” 127 Fjord kin 128 CXL x XV

RELEASE DATE —Sunday, February 10, 2019

Los Angeles Times Sunday Crossword PuzzleEdited by Rich Norris and Joyce Nichols Lewis

ANSWER TO TODAY’S PUZZLE

2/10/19

2/10/19 ©2019 Tribune Content Agency, [email protected]

A N S W E R T O L A S T W E E K ’ S P U Z Z L E

Dr. Elizabeth Ko & Dr. Eve Glazier