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


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Obama promotes tax agenda, Congress in stand-off












WASHINGTON (Reuters) – President Barack Obama on Tuesday launched a public relations push for his bid to raise taxes on wealthy Americans, but U.S. lawmakers remained deadlocked over dramatic, year-end tax increases and spending cuts known as the “fiscal cliff.”


At the White House, small business leaders emerged from a one-hour meeting with Obama to voice support for his goal of extending low tax rates for the middle class beyond the end of the year, while letting rates rise for wealthier taxpayers.












The business owners urged Obama “to fight to keep the middle class tax cuts,” said Lew Prince, co-founder of Vintage Vinyl, an independent music store in St. Louis, Mo.


“What grows jobs in America is consumers spending money, and the average person needs that two or three thousand dollars a year in his pocket to help drive the economy,” Prince told reporters at a news conference outside the White House.


Republicans want to extend low tax rates – enacted a decade ago under the administration of former Republican President George W. Bush – for all taxpayers, including households earning more than $ 250,000 a year.


Raising tax rates on the wealthy would discourage investment and hiring at a time of high unemployment, Republicans say.


Congressional Democrats allied with the president showed no signs of backing down from his stance on raising taxes for the wealthy. But both sides have softened on some long-held positions: Republicans have been showing a willingness to consider new revenue increases while Democrats have relaxed their hard line against new savings to the Medicare and Medicaid healthcare programs.


With just a month left before the Bush tax cuts expire and automatic spending cuts begin to take hold, markets were anxious about predictions that falling off the “fiscal cliff” could trigger another recession.


“There remains no clarity on the ultimate status on the Bush tax cuts, which have to be resolved before you can move forward with the remainder of the fiscal cliff,” said Chris Krueger, an analyst at Guggenheim Securities’ Washington Research Group.


MARKETS DOWN MODESTLY


Stock prices declined modestly despite government reports that planned U.S. business spending rose again in October and that single-family home prices rose again in September.


Despite a mild sell-off in stocks, the Dow Jones industrial average closed at about 12,878, up 14 percent from a year ago.


Brian Gardner, an analyst at financial firm Keefe Bruyette & Woods, said a limited deal would likely be struck to avert the fiscal cliff, with larger fiscal issues pushed into 2013.


“Fiscal cliff headlines could have the biggest impact on the market,” he said. “Over the coming weeks, we expect many headlines that will raise and then dash investors’ hopes … The next three weeks could be a bumpy ride.”


Fresh from his November 6 re-election, Obama was set to hold another meeting with business executives from larger companies on Wednesday and then to travel to a toy factory in Pennsylvania on Friday to press his case on taxes.


Senate Republican leader Mitch McConnell ripped into Obama for planning to take his agenda to the public. “Rather than sitting down with lawmakers of both parties and working out an agreement, he’s back out on the campaign trail,” McConnell roared on the Senate floor.


“We already know the president is a very good campaigner. What we don’t know is whether he has the leadership qualities necessary to lead his party to a bipartisan agreement.”


Obama last met with congressional leaders on November 16. A follow-up session was not expected this week, but could come next week, congressional aides said.


In the interim, little progress was made over the holidays in meetings between the staffs of the White House and Republican Speaker of the House of Representatives John Boehner, aides said.


LEADERS CANVAS RANKS


Ron Bonjean, a former aide to Republican leaders in the House and Senate, said leaders were still checking with their rank-and-file to gauge what concessions they might be able to stomach. In a week or so, Bonjean said, “the level of intensity will go up” with more meetings.


Senate Democratic leader Harry Reid said he was disappointed there has been “little progress” on a deal to avoid the “fiscal cliff” and warned that “we only have a couple weeks to get something done.


Despite frustration, Reid said he was optimistic lawmakers would avoid plunging off the “cliff,” a convergence of an estimated $ 600 billion in tax increases and spending cuts. “I’m extremely hopeful, and I do not believe that the Republicans are going to allow us to go over the cliff,” he said.


While Republicans have not shifted from their opposition to tax rate increases, a few have publicly disavowed a no-new-taxes pledge to which most of them have adhered for years, putting tax revenues, if not higher rates, on the negotiating table.


Also on Tuesday, Dick Durbin, a senior Senate Democrat and close Obama ally, urged fellow liberals to consider reforming the costly Medicare and Medicaid healthcare programs, signaling possible Democratic compromise in an area where they have steadfastly resisted change.


“Progressives should be willing to talk about ways to ensure the long-term viability of Medicare and Medicaid” for the elderly and poor, Durbin said in excerpts from a speech.


But he added that Medicare and Medicaid should not be part of the current negotiations on averting the fiscal cliff. On that front, Durbin stood firmly with Obama, urging extension of middle class tax cuts for 98 percent of Americans.


(Additional reporting by Thomas Ferraro, Kim Dixon, Patricia Zengerle, Lucia Mutikani and Mark Felsenthal, with Adam Kerlin in New York. Writing by Kevin Drawbaugh. Editing by Karey Wutkowski, Jackie Frank and Vicki Allen)


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Rugby-England add flyhalf Burns to squad for All Blacks’ test












LONDON, Nov 27 (Reuters) – England called up uncapped Gloucester flyhalf Freddie Burns on Tuesday to their squad for Saturday’s test against New Zealand in place of the injured Toby Flood.


Flood sustained ligament damage to a big toe during the 16-15 loss to South Africa at Twickenham last Saturday.












Owen Farrell, whose last start was in the first test in South Africa this year, is set to replace Flood in the starting XV against the world champions.


Lock Courtney Lawes, who missed England’s first three tests of the November series because of a knee injury, has also been included in the 23-man squad. Two other locks, Mouritz Botha and Tom Palmer, have been omitted.


After beating Fiji in their opening match, England have lost to Australia and the Springboks and now face a daunting match against the All Blacks who are unbeaten in 20 tests since the start of their victorious World Cup campaign last year.


“For those in Saturday’s squad the message is clear – last week we went toe to toe with the second best team in the world and felt we should have won,” England head coach Stuart Lancaster said in a statement.


“Now we have a chance to take on the number one side in front of a passionate Twickenham crowd, who have been fantastic throughout the Internationals, and it is a challenge we will meet head on.” (Reporting by John Mehaffey; Editing by Ken Ferris)


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Nintendo Unveils Wii Mini for the Canucks












Nintendo‘s pushing the new $ 299 Wii U console hard (and has already sold 400K units in the process), but in at least one region, the gaming company has a new back-up plan: The $ 99 Nintendo Wii Mini.


[More from Mashable: Wii U Sells 400,000 Units in First Week]












The new smaller, black box with red trim is a simpler game console. It offers no Internet access and cannot play older GameCube console games. What it does do is play virtually all Wii games (Nintendo says there are around 1,300 of them). The other major caveat is that the console is only available in Canada. According to a Nintendo press release on the new system, “Wii Mini is available exclusively in Canada during the holiday season. No information is available about its potential availability in other territories in the future.”


Nintendo also left out some details on the console itself. We do not know the exact size or weight of the box, though judging from the above image, it’s not much wider than a Wii Remote.


[More from Mashable: Meet the Super Fan Who Waited in Line for a Month for a Wii U [VIDEO]]


As Nintendo describes it, the Wii Mini is “all about games,” and without the Internet, it has to be. No Web browsing, cavorting with other Mii’s or multi-player gaming. It’s also worth noting that while the Wii Mini ships with a single Wii Remote Plus and Nunchuk (both red), a brand new Black Wii with Wii Sports and Wii Sports Resort (including Remote and Nunchuk) is currently $ 119 at Best Buy.


What do you think of the Wii Mini? Would you game without the Internet? Is this the perfect gift for young, Canadian children? Let us know in the comments.


GamePad


The Wii U GamePad has a 6.2-inch touchscreen.


Click here to view this gallery.


This story originally published on Mashable here.


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Judge bows out of ‘pink slime’ suit over ABC ties












SIOUX FALLS, S.D. (AP) — A federal judge has recused himself from presiding over a $ 1.2 billion defamation lawsuit against ABC because his daughter-in-law works as a producer on one of the network’s morning shows.


Judge Lawrence L. Piersol recused himself from hearing the defamation lawsuit filed by South Dakota-based Beef Products Inc. against ABC because his daughter-in-law works as a producer on “Good Morning America.”












The case has been reassigned to Chief Judge Karen Schreier.


Beef Products Inc. sued ABC in September over its coverage of a meat product called lean, finely textured beef. Critics have dubbed the product “pink slime.” The meat processor claims the network damaged the company by misleading consumers into believing the product is unhealthy and unsafe.


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GSK and J&J lead rivals in drug access for poor












LONDON (Reuters) – Drugmakers – led by GlaxoSmithKline and Johnson & Johnson – are stepping up efforts to ensure their medicines are available and affordable in poor countries, after being attacked in the past for not doing enough.


The Access to Medicines Index, which tracks the actions of the top 20 drugmakers, showed on Wednesday there had been an improvement across the board in the past two years, reflecting both commercial self-interest and a concern for reputation.












Still, the nonprofit group behind the index took companies to task for not being more open about the widespread outsourcing of clinical trials in overseas countries, where many studies are handled by contract research organizations (CROs).


The analysis found no company was fully transparent about all the CROs it used, and only four – Merck & Co, Sanofi, GlaxoSmithKline and Eisai – provided evidence of enforcing codes of conduct to ensure CRO trials met safety and ethical standards.


Companies are increasingly conducting clinical trials in eastern Europe, Asia and Latin America, where costs are often lower and patients easier to recruit.


LOW COST, HIGH VOLUME


With emerging markets now a top priority for pharmaceutical companies worldwide, as sales in Western nations slow, firms are experimenting with a wide variety of low-cost, high-volume models to boost business.


As a result, Wim Leereveld, founder of the Amsterdam-based Access to Medicine Foundation, said companies were becoming much more organized internally in addressing the needs of low-income markets.


More companies are now adopting “tiered” pricing, with prices in poor countries sometimes reduced by 50 to 75 percent, although this varies considerably between companies, products and markets.


Britain’s GlaxoSmithKline came top in the 2012 index, based on an assessment of performance across a range of activities, such as drug donation, patent policy, pricing and research.


Johnson & Johnson was second and Sanofi third, while Japanese drugmakers came bottom of the table.


Significantly, two of the top six companies were mid-sized businesses – the HIV/AIDS specialist Gilead Sciences and diabetes care group Novo Nordisk – reflecting the importance of less-developed countries in both these diseases.


It is the third time the index has been compiled. GSK also led the board in previous rankings in 2008 and 2010.


BOARDROOM ATTENTION


The pharmaceutical industry has often had a stormy relationship with healthcare activists and some governments, leading to a bruising battle a decade ago with South Africa over AIDS drugs patents and access.


Since then, companies have come under increasing pressure to do things differently and make their products more affordable.


“The key is that the boards of these companies understand it is an important issue … in getting them access to markets and maintaining a good reputation with governments,” said David Sampson, author of the latest report.


The 2012 analysis found that the issue was now a board-level matter for more than 60 percent of companies, leading to novel approaches, such as GSK’s recently established developing countries and market access unit.


(Editing by Hans-Juergen Peters)


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Fox News Suddenly Loves Illegal Immigrants












Since the election, there’s been a noticeable change in how Fox News has been covering the delicate issue of illegal immigration. It started with Sean Hannity. On his radio program on Nov. 8, Hannity told listeners that he now supports a path to citizenship for some people living in the U.S. illegally. “We’ve got to get rid of the immigration issue altogether,” Hannity said. “You control the border first. You create a pathway for those people that are here; you don’t say you’ve got to go. And that is a position I’ve evolved on.”


If the “I’ve evolved” language sounds familiar, it’s because that’s what President Obama said when he told the public in May that he’d changed his mind and was now supporting gay marriage. “I’ve evolved” is the way people in Washington signal that they realize they’re out of touch and are now trying to lead from behind.












For Hannity it’s a dramatic about-face. During the 2012 primary election, the GOP was the party of “self-deportation,” a term Mitt Romney coined. Romney was drawing on earlier comments by Hannity, who has called deportation the only solution for the 11 million-plus people living in the country illegally. Hannity described the Dream Act, which offers an opportunity of citizenship to young people who came to the U.S. before they were 16, finished high school, and have no criminal record, “an amnesty nightmare.” In his view at the time, even those illegal immigrants who served in the military didn’t deserve citizenship rights.


The day after Hannity announced his change of heart, Fox (NWSA) ran this news segment:


The following week, Fox provided extensive and generally positive coverage of Florida Senator Marco Rubio’s speech at the Washington Ideas Forum. Rubio appealed to his party to come up with a sensible plan for the illegal aliens living in the U.S., saying, “It’s really hard to get people to listen to you on economic growth, on tax rates, on health care if they think you want to deport your grandmother.”


Appearing on Fox on Sunday, Arizona Senator John McCain added to the chorus. He called on the GOP to heed the lessons of the election, in which minorities provided the margin of victory for Obama in key states. “I think we have to have a bigger tent,” McCain said. “Obviously, we have to do immigration reform.”


McCain has a keen interest in keeping the discussion alive: Back in 2007, he and Senator Ted Kennedy brought an immigration-reform package to Congress. That bill, which was pushed by President George W. Bush and included a path to citizenship, was derailed in part by talking heads such as Hannity. Any attempts by McCain & Co. to get traction for a renewed effort at immigration reform would benefit from a friendly reception on Fox News. It looks like they’ve got it.


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$1,499 Gaming Laptop is Ready for Steam on Linux












Alternative, Linux-based operating systems like Ubuntu haven’t historically carried much weight with PC gamers. Very few PC games have been made for Linux, over the years, ever since the company that was porting AAA gaming titles to Linux (Loki Games) went bankrupt in 2001. And while it’s possible to use a “compatibility layer” such as Wine to run Windows PC games in Linux, the results are mixed at best and require a lot of technical tweaking, sometimes even in between updates.


Colorado-based indie PC hardware company System76, however, clearly expects that not only are there PC gamers on Linux out there, but that some of them are willing to pay $ 1,499 for a tricked-out gaming laptop — the 17.3-inch Bonobo Extreme. Like all of System76′s machines, it runs the Ubuntu flavor of Linux; and its actual price tag is $ 1,599, but it’s gotten a $ 100 discount for the holidays.












Is it ahead of its time, like the Loki Games ports? Or has the time come for a new age of Linux gaming? For whatever reason, Valve — the creators of the Steam social gaming service — seems to think the latter.


​The hardware


The 17.3-inch screen is full 1080p, with a 1920×1080 resolution. Pretty much every spec starts out at “high end” and maxes out at “over the top”; it comes standard with an Intel Core i7 processor, 8 GB of RAM and a 500 GB, 7200 RPM hard drive, with a second drive bay and the option to swap the DVD burner out for a third storage disk. All three have the option of going up to a 512 GB Crucial solid state disk, or a 480 GB Intel SSD.


Gaming graphics are powered by an nVidia GeForce GTX 670MX, with 3 GB of memory. An extra $ 340 will get you a GTX 680M with 4 GB of memory. All told, with every possible hardware upgrade the Bonobo Extreme maxes out at an “extreme” $ 4,333 … and the Alienware-style, multicolored light-up keyboard is included for free.


​But what about the games?


Valve’s Linux Steam client is currently in beta, with another 5,000 testers added over the Thanksgiving holiday. About two dozen games are already available for purchase, including Valve’s free-to-play multiplayer online shooter Team Fortress 2 and a selection of games from previous Humble Indie Bundles.


The HIB previously became famous not just for having nearly all of its games support Linux, but for posting public sales figures online, and showing that a good-sized chunk of each bundle’s sales were for Linux gamers. Efforts such as this helped to convince Valve that supporting Linux would be worthwhile … and also seem to have reached someone at System76.


Jared Spurbeck is an open-source software enthusiast, who uses an Android phone and an Ubuntu laptop PC. He has been writing about technology and electronics since 2008.
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Berry’s ex says he was threatened before fight












LOS ANGELES (AP) — Halle Berry‘s ex-boyfriend claims the actress’s fiance threatened to kill him during a Thanksgiving confrontation that left him with a broken rib, bruised face and under arrest.


Gabriel Aubry‘s claims are included in court filings that led a judge Monday to grant a restraining order against actor Olivier Martinez, who is engaged to the Oscar-winning actress.












Aubry, 37, was arrested on suspicion of misdemeanor battery after his confrontation with Martinez on Thursday, but he states in the civil court filings that he was not the aggressor and that he was threatened and attacked without provocation. Martinez told police that Aubry had attacked first, the filings state.


A representative for Martinez could not be immediately reached for comment.


Aubry’s filing claims Martinez threatened him the day before the fight at an event at his daughter’s school that he and the actors attended. Aubry, a model, has a 4-year-old daughter with Berry and the former couple have been engaged in a lengthy custody battle.


The proceedings have been confidential, but Aubry states a major aspect of the case was Berry’s wish to move to Paris and take her daughter with her. The request was denied Nov. 9, Berry’s court filings state, and Aubry shares joint custody of the young girl.


Aubry claims Martinez told him, “You cost us $ 3 million,” while he was punched and kicked him in the driveway of Berry’s home. Aubry had gone to the home to allow his daughter to spend Thanksgiving with her mother, the filings state. Aubry claims Martinez threatened to kill him if Aubry didn’t move to Paris.


Berry was not in the driveway during the confrontation and neither was their daughter, the documents state.


Photos of Aubry’s face with cuts and a black eye were included in his court filing.


A judge set a hearing for Dec. 17 to consider whether a three-year restraining order should be granted. Aubry has a Dec. 13 court date for the possible battery case, which has not yet been filed by prosecutors.


___


Anthony McCartney can be reached at http://twitter.com/mccartneyAP .


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FDA suspends peanut butter plant linked to salmonella outbreak












(Reuters) – The U.S. Food and Drug Administration suspended operations on Monday at a New Mexico food producer linked to salmonella-tainted peanut butter that has sickened at least 41 people this year, the agency said in a statement.


The FDA said it had suspended Sunland Inc‘s food facility registration “in the interest of public health,” following the national outbreak and a history of food safety violations reaching back over three years.












“The fact that peanut butter made by the company has been linked to an outbreak … that has sickened 41 people in 20 states, coupled with Sunland’s history of violations led FDA … to suspend the company’s registration,” the FDA statement said, referring to an outbreak that began in June.


Registration with the administration is required for any facility that makes, processes, packs or holds food for consumption in the United States. If a facility’s registration is suspended, it is banned from distributing food for sale.


The FDA said a review of Sunland Inc’s product testing records showed that 11 product lots of nut butter tested positive for salmonella between June 2009 and September 2012.


Between March 2010 and September 2012, at least a portion of eight product lots of nut butter that the firm’s own testing program identified as containing salmonella was distributed by the company to consumers, the organization said.


Additionally, the FDA found the presence of salmonella during its inspection of the plant in September and October, both in samples taken in food production areas and in food products themselves.


Attempts to reach Sunland on Monday were unsuccessful, but in a November 15 statement the company said “at no time in its twenty four year history has Sunland, Inc. released for distribution any products that it knew to be potentially contaminated with harmful microorganisms.”


The company said it “has followed internal testing protocols that it believed resulted in the isolation and destruction of any product that did not pass the test designed to detect the presence of any contaminants.”


Salmonella typically causes diarrhea, fever and abdominal pain. It can be fatal for old people, young children and people with weakened immune systems. The FDA said it would reinstate the firm’s registration only when it determines that the company has implemented procedures to produce safe products.


(Reporting by Tim Gaynor; Editing by Cynthia Johnston and Bob Burgdorfer)


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