Simple measures cut infections caught in hospitals

CHICAGO (AP) — Preventing surgery-linked infections is a major concern for hospitals and it turns out some simple measures can make a big difference.

A project at seven big hospitals reduced infections after colorectal surgeries by nearly one-third. It prevented an estimated 135 infections, saving almost $4 million, the Joint Commission hospital regulating group and the American College of Surgeons announced Wednesday. The two groups directed the 2 1/2-year project.

Solutions included having patients shower with special germ-fighting soap before surgery, and having surgery teams change gowns, gloves and instruments during operations to prevent spreading germs picked up during the procedures.

Some hospitals used special wound-protecting devices on surgery openings to keep intestine germs from reaching the skin.

The average rate of infections linked with colorectal operations at the seven hospitals dropped from about 16 percent of patients during a 10-month phase when hospitals started adopting changes to almost 11 percent once all the changes had been made.

Hospital stays for patients who got infections dropped from an average of 15 days to 13 days, which helped cut costs.

"The improvements translate into safer patient care," said Dr. Mark Chassin, president of the Joint Commission. "Now it's our job to spread these effective interventions to all hospitals."

Almost 2 million health care-related infections occur each year nationwide; more than 90,000 of these are fatal.

Besides wanting to keep patients healthy, hospitals have a monetary incentive to prevent these infections. Medicare cuts payments to hospitals that have lots of certain health care-related infections, and those cuts are expected to increase under the new health care law.

The project involved surgeries for cancer and other colorectal problems. Infections linked with colorectal surgery are particularly common because intestinal tract bacteria are so abundant.

To succeed at reducing infection rates requires hospitals to commit to changing habits, "to really look in the mirror and identify these things," said Dr. Clifford Ko of the American College of Surgeons.

The hospitals involved were Cedars-Sinai Medical Center in Los Angeles; Cleveland Clinic in Ohio; Mayo Clinic-Rochester Methodist Hospital in Rochester, Minn.; North Shore-Long Island Jewish Health System in Great Neck, NY; Northwestern Memorial Hospital in Chicago; OSF Saint Francis Medical Center in Peoria, Ill.; and Stanford Hospital & Clinics in Palo Alto, Calif.

___

Online:

Joint Commission: http://www.jointcommission.org

American College of Surgeons: http://www.facs.org

___

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

Read More..

Baby girl hospitalized after nearly drowning in toilet




A 6-month-old baby was recovering at Children's Hospital Los Angeles on Tuesday after she fell in a toilet and nearly drowned at her Sun Valley home, police said.


The baby's mother called police shortly before 10 a.m. and said her daughter had fallen in the toilet, LAPD Officer Luis Garcia said. The woman said her 2-year-old daughter was playing with the infant in the bathroom and locked the door, and the mother had to kick the door down to get inside.


When officers arrived at the home in the 8200 block of Laurel Canyon Boulevard, the baby wasn't breathing, Garcia said. They performed CPR and managed to resuscitate the girl before she was airlifted to an area hospital.


Garcia said Tuesday afternoon the girl was in stable condition and was expected to be released from the hospital later in the day.


ALSO:


Indictments link Mexican Mafia and street gangs


L.A. marks 100th 'safe surrender' newborn left at hospital


Substance-abuse counselor accused in fatal DUI charged with murder


— Kate Mather


Follow Kate Mather on Twitter or Google+.



Read More..

Protesters Gather Again in Cairo Streets to Denounce Morsi





CAIRO — Thousands of people flowed into the streets of Cairo, the Egyptian capital, Tuesday afternoon for a day of protest against President Mohamed Morsi’s attempt to assert broad new powers for the duration of the country’s political transition, dismissing his efforts just the night before to reaffirm his deference to Egyptian law and courts.




By early Tuesday afternoon in Cairo, a dense crowd of hundreds had gathered outside the headquarters of a trade group for lawyers, and thousands more had filed in around a small tent city in Tahrir Square. In an echo of the chants against Hosni Mubarak, Egyptian’s ousted president, almost two years ago, they shouted, “Leave, leave!” and “Bring down the regime!” They also denounced the spiritual leader of the Muslim Brotherhood, the Islamist group allied with Mr. Morsi.


A few blocks away, in a square near the American Embassy and the Interior Ministry headquarters, groups of young men resumed a running battle that began nine days ago, throwing rocks and tear gas canisters at riot police officers. Although those clashes grew out of anger over the deaths of dozens of protesters in similar clashes one year ago, many of the combatants have happily adopted the banner of protest against Mr. Morsi as well.


Egyptian television had captured the growing polarization of the country on Monday in split-screen coverage of two simultaneous funerals, each for a teenage boy killed in clashes set off by disputes over the new president’s powers. Thousands of supporters of Mr. Morsi and his allies in the Muslim Brotherhood marched through the streets of the Nile Delta city of Damanhour to bury a 15-year-old killed outside a Brotherhood office during an attack by protesters. And in Tahrir Square here in Cairo, thousands gathered to bury a 16-year-old killed in clashes with riot police officers and to chant slogans blaming Mr. Morsi for his death. “Morsi killed him,” the boy’s father said in a video statement circulated over the Internet.


“Now blood has been spilled by political factions, so this is not going to go away,” said Rabab el-Mahdi, a professor at the American University in Cairo and a left-leaning activist, adding that these were the first deaths rival factions had blamed on each other and not on the security forces of the Mubarak government since the uprising began last year. Still larger crowds were expected in the evening, as marchers from around the city headed for the square. Many schools and other businesses had closed in anticipation of bedlam, and on Monday, the Brotherhood called off a rival demonstration in support of the president, saying it wanted to avoid violence.


Egypt’s Supreme Judicial Council met again on Tuesday to consider its response to the president, and the leader of Al Azhar, a center of Sunni Muslim learning that is regarded as the pre-eminent moral authority here, met with groups of political leaders in an effort to resolve the battle over the president’s decree and the deadlock in the constitutional assembly, which is trying to draw up a new constitution.


But even as Mr. Morsi met with top judges Monday night in an effort to resolve the crisis, a coalition of opposition leaders held a news conference to declare that preserving the role of the courts was only the first step in a broader campaign against what Abdel Haleem Qandeil, a liberal intellectual, called “the miserable failure of the rule of the Muslim Brothers.” Mr. Morsi “unilaterally broke the contract with the people,” he declared. “We have to be ready to stand up to this group, protest to protest, square to square, and to confront the bullying.”


Mr. Morsi’s effort to remove the last check on his power over the political transition had brought the country’s fractious opposition groups together for the first time in a united front against the Brotherhood. But the show of unity papered over deep divisions between groups and even within them, said Ms. Mahdi of the American University.


“This is not a united front, and I am inside it,” she said. “Every single political group in the country is now divided over this — is this decree revolutionary justice or building a new dictatorship? Should we align ourselves with folool” — the colloquial term for the remnants of the old political elite — “or should we be revolutionary purists? Is it a conflict between the Muslim Brotherhood and the pro-Mubarak judiciary, or is this the beginning of a fascist regime in the making?”


Mayy El Sheikh contributed reporting.



Read More..

Welcome to the Twisted Age of the Twitter Death Threat












Never believe anyone who tells you that the Internet is all nice or all terrible. Just like real life, there are good people and bad ones here. The majority of people behave badly occasionally and decently most of the time. Yes, there are some truly horrible people lurking and behaving in ways consistent to their form, but the thing is, we’re complicated creatures, online and off. So I don’t buy into theories that the Internet is all nice anymore than I believe all commenters are trolls. Still, there is something worrisome going on online, and if you were the Chicken Little type (which none of us here are, obviously), you might be covering your head and hiding from the Twitterverse. It’s this matter of death threats online. 


RELATED: After His Vulgar Assault on Jenny Johnson, Chris Brown Quits Twitter












The most recent example of this, of course, is the recent Chris Brown/Jenny Johnson nastiness. Brown has his share of on- and offline haters, but he has plenty of adamant supporters, too. This became apparent when Johnson, a comedian who’d been on a Twitter crusade of sorts against Brown since his physical attack on Rihanna, after a stream of tweets intended to shame/provoke the singer, finally hit pay-dirt with a response (other than Brown blocking her at one point). Over the weekend, Chris Brown tweeted: “I look old as fuck! I’m only 23,” to which Johnson tweeted, “I know! Being a worthless piece of shit can really age a person.” (That tweet’s been retweeted by Johnson followers more than 7,000 times.)


RELATED: The Internet–Not All It’s Cracked Up to Be


You probably know what happened next, even if you don’t: After a pretty gross back-and-forth that doesn’t make either side look great, Brown deactivated his account. But his followers started to pile on, threatening Johnson with—what else?—death. There is no irony here about the followers of a guy who beat his girlfriend offering up a stream of brutish death threats; it is only sad. 


RELATED: Is Twitter for Girls?


Enter the age of the online death threat. It’s scary, yeah, because it’s a death threat. Humans rarely like being threatened with an end to their basic essence, no matter the delivery method for that announcement. And yet, on Twitter, this becomes such a weird, surreal concept: It’s deeply impersonal (these people don’t even know each other and probably never will; NONE of them know each other, likely), fueled by a false kind of rage spawned by the way the Internet works (one side gets self-righteously mad, another side self-righteously madder, and repeat). Fortunately, in most cases, the threat is also incredibly unlikely to be fulfilled. That doesn’t make it pleasant. One might be prone to try to laugh away the kind of death threats Johnson received, from people she doesn’t know (people who don’t know Chris Brown either), who might not recognize her on the street, who most likely live nowhere near where she does and probably also don’t plan to actually kill her. Yet a death threat is pretty much the ultimate “I hate you,” and it’s worth wondering, when “I hate you” doesn’t serve to deliver the message strongly enough and we start saying “I’m going to kill you”/”you deserve to die,” how far has humanity gone down some sick drain?


RELATED: Only Six Percent of Americans Use Twitter


As David Knowles writes for The Daily in a piece titled “Twitter Terror,” Johnson is hardly the first person to be threatened on Twitter. President Obama, Mitt Romney, Ellen Page, Tom Daley, and Taylor Swift can claim this dubious badge of fame, too. The list goes on. But before the little bird was the death-threat method of the year, death threats would arrive to famous people, politicians, and those in the public eye, particularly controversial figures, as a matter of course—on paper, perhaps by telephone, and in the movies, via the weird scrawlings or puzzle-piece letter constructions of madmen. Of course, there’s no handwriting to decipher on Twitter, there are only assumptions of power and education based on icons and followers, word choice and spelling, what the person says and has said, as well as their affiliations. But again, probably, the people threatening Jenny Johnson shouldn’t scare her (if you’re really going to try to kill someone and are dumb enough to publicize it on Twitter, that’s a clear benefit to your intended victim). If there’s anything to be afraid of, it’s this idea that death threats are this kind of new online norm. I think part of that fear, the fear that this is just a regular thing nowadays, is what subconsciously creates the need in us to assume a such a horrified shock-and-outraged position about such death threats. Knowles quotes digital media expert Jeanette Castillio as calling “the Twitterverse … a very uncivil place.” Is it any more uncivil than anywhere else, though? The Internet hardly created hate, or hate-speak, or bullying. Further, do we only increase the levels of that incivility by freaking out about what a bunch of random people are raging about behind the protection, and often anonymity, of Twitter?


RELATED: Friday’s Top Tweets


As Knowles writes, also, Twitter does have a rule against this sort of thing; people aren’t supposed to “publish or post direct, specific threats of violence against others.” Still, like everything online, there is too much information, and not enough time for comprehensive monitoring. Knowles adds, “A small percentage of violent tweets are investigated by police, but even then Twitter is reluctant to betray what it believes is a sacred duty to protect a user’s privacy.” 


That’s the other thing about online threats: They manage to be so incredibly cowardly, and an utterly ineffectual form of communication—until, suddenly, the media is paying attention to said threats and in some ways legitimizing them. I’m honestly not sure what the media’s role should be in acknowledging tweets of the sort that Brown and Johnson and Brown’s followers and Johnson exchanged. Sometimes it seems like that old “ignoring” tactic your mom taught you could work out to everyone’s benefit—and yet these things are bound to go viral; badly behaving celebrities are something TMZ taught us people want to know about. These things are also, when discussed calmly and rationally, fodder for good conversations about how we live now.


Like a rude comment, a Twitter death threat is a way of hiding in your comfy-safe basement in your comfy-safe boxers and saying really gross things to someone in the hopes that they will get upset. These people are bullying, or hope to bully. Which means we shouldn’t take the bait, a thing far more difficult to do than say. Turning the other cheek was hard in real life, too, and you never know, better safe than sorry. But more important than preventing “actual Twitter murders” (which I dare say and hope will not become the norm), it’s worth paying attention to this ratcheting up of the hate ante as a new kind of communication norm. A cynical person would say we no longer need to touch people, instead, we reach out to them online. We no longer need to talk on the phone, we simply tweet or email or text. We certainly don’t write letters, and we hardly write on paper. Instead we blog and Tumbl and Instagram and Facebook. And so, when we get angry, irrationally or otherwise, we take to those methods of communication to speak out, retaliate, vow revenge. The most worrisome thing about the Twitter death threat, I think, that if it’s just something people do now. I don’t want to be in the Age of the Twitter Death Threat. It makes me pretty nostalgic for the good old days of the handwritten love letter, actually. 


Social Media News Headlines – Yahoo! News


Read More..

Charlie Sheen Says Two and a Half Men 'Is Cursed'






People Exclusive








11/27/2012 at 05:30 PM EST







Charlie Sheen and Angus T. Jones


Frank Micelotta/PictureGroup; David Livingston/Getty


After Two and a Half Men star Angus T. Jones called the CBS sitcom "filth" and asked viewers to "please stop watching" in an online video, his former costar Charlie Sheen is speaking out.

"With Angus's Hale-Bopp-like meltdown, it is radically clear to me that the show is cursed," Sheen tells PEOPLE exclusively.

Sheen, 47, who now stars on the FX series Anger Management, was fired from the series in March 2011 following a felony menacing charge as a result of fight with wife Brooke Mueller. The actor later bashed the show's creator Chuck Lorre in a string of interviews.

Ashton Kutcher soon after took over Sheen's role.

In the video, Jones discusses his Christian faith in detail.

"A lot of people don't like to think about how deceptive the enemy is," says Jones. "There's no playing around when it comes to eternity ... People will see us and be like, 'I can be a Christian and be on a show like Two and a Half Men.' You can't. You cannot be a true God-fearing person and be on a television show like that. I know I can't."

A rep for CBS has declined comment.

Read More..

CDC: HIV spread high in young gay males

NEW YORK (AP) — Health officials say 1 in 5 new HIV infections occur in a tiny segment of the population — young men who are gay or bisexual.

The government on Tuesday released new numbers that spotlight how the spread of the AIDS virus is heavily concentrated in young males who have sex with other males. Only about a quarter of new infections in the 13-to-24 age group are from injecting drugs or heterosexual sex.

The Centers for Disease Control and Prevention said blacks represented more than half of new infections in youths. The estimates are based on 2010 figures.

Overall, new U.S. HIV infections have held steady at around 50,000 annually. About 12,000 are in teens and young adults, and most youth with HIV haven't been tested.

___

Online:

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

Read More..

Inglewood educator returns to turn schools around









When he was a kid, Kent Taylor bounced from school to school in South Los Angeles until his family landed in Inglewood. In sixth grade, he started classes at an elementary school under the LAX flight path.

Thirty-six years later, he's back where he began.

"This very classroom set me on my course through life," he told students at Oak Street Elementary on a recent day. As some of them whispered, wondering if the slender African American man before them was President Obama, Taylor spoke of how he struggled to read and do math until one teacher singled him out.








"I understand what you are going through because I have been there, sitting right where you are sitting."

Named recently to turn around Inglewood's insolvent school system, Taylor is offering his life as a symbol for the change that can come to a district long mired in trouble.

But not everyone is cheering for Inglewood's would-be hometown hero, who is known for ruthlessly cutting bloated costs in another school district. One critic refers to his "quiet assassin style. You smile and grin a lot, but you are cutting people off at the knees."

Everyone agrees that Inglewood needs help. The district's standardized test scores are among the worst in California. At Inglewood High, for example, just 25% of students are at grade level in English, and 4% are proficient in math. Enrollment is in free fall, largely because students have been lured away by charter and private schools.

Because state funding is calculated largely based on attendance, the decline has left a gaping hole in the district budget. In September, Inglewood became the ninth school system to be taken over by the state. The district received a $55-million loan to shore up debts, and its leadership was stripped of power.

As state administrator, Taylor's mandate is to stabilize the district's finances — and offer some hope to its students.

In that classroom that had meant so much to him, he told the children he would be there for them. He said he'd keep coming back to their school, that he'd check on their progress. He'd even host a pizza party.

"I am you, many years from now," he said. "I want you to know that you can achieve your dreams — and I'm going to help you get there."

Taylor, the youngest of three, had a turbulent beginning. His father wasn't around much. His mother was an office clerk who at times survived on welfare. Nobody in his extended family had ever gone to college.

"Life was very hard on my son in his younger years, there's no way around that," said his mother, Ivory Wilborne, 70. "I tried my best to provide for them, but nothing was ever settled. It was hard just to pay for food. But life settled down once we got to Inglewood."

Taylor speaks mostly of his sixth-grade teacher, Mrs. Fletcher, crediting her for seeing his promise. She spent extra time with the rambunctious boy who entered her classroom with poor academic skills.

"She didn't give up on me," Taylor said. "Her diligence pushed me to improve, literally gave me the foundation to succeed in later years.... Before that, honestly, I was headed for trouble."

By the time Taylor reached Inglewood High, he had become an "A" student, bookish and by-the-rules, able to read and do math better than most of his peers. He was named class president his freshman and sophomore years. Inglewood was beginning a hard struggle with gangs back then, but the gangs didn't bother kids like him — "the ones who spent our time lugging around heavy backpacks, proudly marching off to the library," he said. "That's the guy I became."

"There was something special inside him that made him stand out," said Mary Boykin, one of his English teachers. "I recall talking to him a great deal about his desire to go to college, his desire to be somebody. He was one of those you don't ever forget."

Taylor went on to UC Riverside, a big move for a kid who'd rarely ventured outside his working-class, mostly black neighborhood. He began to mix with other cultures and classes, even joining a predominantly white fraternity.

"This was another step, leaving Inglewood, expanding my view of the world," he said. "I wasn't sure if I would ever return."

Taylor's career in education took off in the 1990s. He worked as a special education teacher in San Bernardino, became a principal and then a district supervisor overseeing curriculum and intervention programs for struggling students.





Read More..

Egypt’s President Said to Limit Scope of Judicial Decree





CAIRO — President Mohamed Morsi agreed on Monday to limit the scope of a sweeping decree he had issued last week that raised his edicts above any judicial review, according to a report by a television network allied with his party. The agreement, reached with top judicial authorities, would leave most of Mr. Morsi’s actions subject to review by the courts, but it appears to preserve a crucial power: protecting the country’s constitutional council from being dissolved by the courts before it finishes its work.







Ahmed Jadallah/Reuters

Protesters ran for cover during clashes with riot police at Tahrir square in Cairo on Monday.









Tara Todras-Whitehill for The New York Times

Egyptians mourned Mohammed Gaber Salah, an activist who died Sunday from injuries sustained during protests, before his funeral on Monday in Cairo.






The agreement was announced by a spokesman for the president; as of Monday night it had not yet been confirmed by the judges.


The Muslim Brotherhood, the Islamist group that sponsored Mr. Morsi and his party, announced that it was canceling a major demonstration in support of the president that had been planned for Tuesday.


Mr. Morsi’s deal with the judges follows four days of rising tensions and flashes of violence across the country set off by his decree, which removed the last check on his power to rule Egypt.


Mr. Morsi said he was forced to issue the decree in order to protect the constitutional assembly from the courts, which had shuttered Egypt’s first freely elected parliament and disbanded an earlier constituent assembly, both dominated by Mr. Morsi’s Islamist allies. But the scope of the new powers claimed by the president galvanized his political opposition. Vandals attacked more than a dozen offices of his political party, and thousands of people demonstrated in the streets to vent their fears of a new autocracy in a country that had just shaken one off.


The agreement announced on Monday could be a watershed moment for Egypt’s new order: a triumph of respect for the rule of law and the independence of the courts, and a demonstration that Egypt’s new leaders are capable of the kind of compromise in the national interest that often eludes the party leaders in even the most practiced democracies.


But opponents appeared set to hold out for a further withdrawal of presidential authority, as well as the immediate dissolution of the constitutional assembly. Speaking at a press conference while Mr. Morsi was meeting with the judges, the opposition activist and intellectual Abdel Haleem Qandeil called for “a long-term battle,” declaring that the limiting of the decree should only be the first step toward the opposition’s goal of “the withdrawal of the legitimacy of Morsi’s presence in the presidential palace.”


Mr. Morsi’s advisers emphasized on Monday that they had not altered the decree’s language, and they portrayed the agreement with the judges as merely an explanation of the president’s original intent, rather than any pullback.


But the statement Mr. Morsi issued last Thursday to claim his broader powers had explicitly exempted all his future edicts from judicial oversight until a new constitution is ratified, and in recent days Mr. Morsi’s justice minister, Ahmed Mekki, publicly criticized the wording of the decree as over-broad; he argued that the president should add a phrase restricting its application only to presidential edicts related to the constitutional assembly and certain other matters.


Some of the ramifications of the deal remain unclear. Mr. Morsi and the judges of the Supreme Judicial Council agreed to limit the scope of the president’s immunity from judicial review to matters known in Egypt as acts of sovereignty. That is an established formulation in Egyptian law, so interpreting the decree that way meant he would not be claiming new immunity.


By accepting that interpretation, Mr. Morsi in effect pulled back from the aspects of his decree that aroused alarm about a power grab.


Still, the deal appeared to give Mr. Morsi the power he said he had deemed most essential: to protect the constitutional assembly so that it can stay in business long enough to finish a charter and end Egypt’s tortured transition after the overthrow of its former strongman, Hosni Mubarak.


Cracks appeared in Mr. Morsi’s government on Sunday over the decree. At least three other senior advisers resigned over the measure, and the move had also prompted widening street protests and cries from opponents that Mr. Morsi, who already governs without a legislature, was moving toward a new autocracy in Egypt, less than two years after the ouster of the strongman Hosni Mubarak.


With a threatened strike by the nation’s judges, a plunge in the country’s stock market and more street protests looming, Mr. Morsi’s administration initially sent mixed messages on Sunday over whether it was willing to consider a compromise: a spokesman for the president’s party insisted that there would be no change in his edict, but a statement from the party indicated for the first time a willingness to give political opponents “guarantees against monopolizing the fateful decisions of the homeland in the absence of the Parliament.”


Mayy El Sheikh and Mai Ayyad contributed reporting.



Read More..

ChannelAdvisor says eBay sales up 57 percent early on Cyber Monday












(Reuters) – ChannelAdvisor said client sales on eBay Inc‘s online marketplace jumped 57 percent from a year before early on Cyber Monday.


The sales growth rate was five times higher than during the same period last year, said ChannelAdvisor, which helps merchants sell more on websites including Amazon.com Inc and eBay.com.












Client sales on Amazon.com were up 52 percent during the first part of Cyber Monday, ChannelAdvisor also reported.


(Reporting By Alistair Barr; Editing by Gerald E. McCormick)


Internet News Headlines – Yahoo! News


Read More..

Larry Hagman's Ashes to Be Spread 'Around the World'















11/26/2012 at 05:50 PM EST







Larry Hagman as J.R. Ewing


TNT


Larry Hagman will be remembered in two memorials – one in Dallas and one in Los Angeles – with special plans for the ashes of the Dallas star.

Hagman's son Preston "will drop a little of Larry around the world," says John Castonia, who worked with the late actor.

Hagman, who also starred in TV's I Dream of Jeannie, died Nov. 23 at age 81 of complications from cancer. He was surrounded by family and friends.

The two-state, invitation-only "Celebration for Larry" memorials will both take place this weekend. –Champ Clark

Read More..