U2′s Bono to urge U.S. politicians not to cut aid programs
















WASHINGTON (Reuters) – Irish rocker and anti-poverty campaigner Bono will appeal to Democrats and Republicans during a visit to Washington this week to spare U.S. development assistance programs from cuts as Congress tries to avert the looming “fiscal cliff” of tax hikes and spending reductions early next year.


The U2 lead singer’s visit comes as the Obama administration and congressional leaders try to forge a deal in coming weeks to avoid the economy hitting the “fiscal cliff” – tax increases and spending cuts worth $ 600 billion starting in January if Congress does not act.













Analysts say the absence of a deal could shock the United States, the world’s biggest economy, back into recession.


Kathy McKiernan, spokeswoman for the ONE Campaign, said Bono will hold talks with congressional lawmakers and senior Obama administration officials during the November 12-14 visit.


During meetings he will stress the effectiveness of U.S. foreign assistance programs and the need to preserve them to avoid putting at risk progress made in fighting HIV/AIDS, tuberculosis and malaria, she said.


Bono, a long-time advocate for the poor, will argue that U.S. government-funded schemes that support life-saving treatments for HIV/AIDS sufferers, nutrition programs for malnourished children, and emergency food aid make up just 1 percent of the U.S. government budget but are helping to save tens of millions of lives in impoverished nations.


The One Campaign would not elaborate which lawmakers and senior Obama administration officials Bono will meet.


On Monday, Bono will discuss the power of social movements with students at Georgetown University. He will also meet new World Bank President Jim Yong Kim for a web cast discussion on Wednesday on the challenges of eradicating poverty.


(Editing by W Simon)


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Spinal steroid shots may have little effect on sciatica
















NEW YORK (Reuters Health) – Despite the growing popularity of steroid injections to treat various kinds of back pain in recent years, a new review of past research finds the shots do little to alleviate sciatica, a common condition that causes leg and back pain.


Analyzing results from nearly two dozen clinical trials on thousands of patients, Australian researchers found that epidural injections (into the spine) of corticosteroids had no long- or short-term effect on sciatica back pain, and such a small short-term effect on leg pain it would make no difference to the patient.













“I think it’s pretty clear that this treatment is not good to do,” said Chris Maher, of The George Institute for Global Health in Sydney, Australia, who worked on the study.


Nonetheless, the use of epidural steroid injections to treat back pain of all sorts among Medicare patients nearly doubled from 741,000 in 2000 to about 1,438,000 in 2004, according to the researchers.


In the U.S., the cost of one shot can be several hundred dollars.


And a tainted supply of one of the steroids included in the trials under analysis – methylprednisolone – recently caused a nationwide outbreak of fungal meningitis that infected 400 people and led to 31 deaths, according to the Centers for Disease Control and Prevention.


For sciatica, which is thought to be caused by nerve damage, past studies have already questioned the effectiveness of spinal steroid shots.


In April, for instance, a study of 81 people found that whether they received steroids or a placebo for sciatica, their condition ended up improving about the same amount. (see Reuters Health article of April 16, 2012.)


Maher and his colleagues set out to see whether past studies supported the use of epidural corticosteroid injections to help manage sciatica, and collected results from “gold standard” randomized controlled trials.


Overall, 23 trials were included in the final analysis, which represented about 2,300 patients, whose pain was ranked on a scale from zero to 100 – with higher scores representing worse pain.


For the back pain component of sciatica, the researchers found that the injections didn’t seem to make a difference over short or long periods of time.


When it came to leg pain, there was no difference a year or so after the injection, but there was a statistically significant six-point drop in pain scores over the short term – about 2 weeks to 3 months.


But that, according to Maher, is not enough to mean anything to a doctor or patient.


“You can appreciate that six points on a hundred-point scale is a tiny difference, and in our view that is probably not clinically important,” he said.


‘QUESTION IS CLOSED’


“We really think the question is closed,” said Maher. “So in terms of our research agenda, we’re moving on to other treatments for sciatica.”


Maher told Reuters Health that, instead of steroid injections, people suffering with sciatica should consult their doctor, but other options include simple pain relievers, such as acetaminophen, drugs that treat pain by working throughout a person’s nervous system and, as a last resort, surgery.


Not everyone agrees that steroid injections should be excluded from the hierarchy of treatments for sciatica.


“In general, I think we’ve learned over the years that the epidural injections are turning out to be less and less successful… but there are times when they should be considered,” said Dr. Kirkham B. Wood, chief of the orthopedic spine service at Boston’s Massachusetts General Hospital.


He told Reuters Health that he believes an injection should be considered, for example, in someone with sciatica resulting from a relatively recent herniated disc, “who time and medication has not helped.”


Wood does believe, however, that the injections are overused, and said there was a time when the injections were the go-to treatment for simple back pain.


“I think the pendulum is certainly swinging away from their broad use,” he said.


The meningitis outbreak in the U.S. will also likely dampen enthusiasm for the shots, researchers acknowledged.


“If this was a treatment that worked, then you’d have to weigh the benefits and the harm,” Maher said, but it doesn’t work (for sciatica), he emphasized.


Maher and his team, who published their results in the Annals of Internal Medicine on Monday, hope doctors will pick up on their findings.


But Maher told Reuters Health that it may take some time to change how doctors see the injections.


“It’s been around for decades and it will take a while to stop,” he said.


SOURCE: Annals of Internal Medicine, online November 12, 2012.


Seniors/Aging News Headlines – Yahoo! News



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Japan’s economy shrinks 3.5 percent in 3rd quarter
















TOKYO (AP) — Japan‘s economy contracted in July-September, its first contraction in three quarters, foiling hopes for a rebound and signaling to many economists it may already be in recession.


The minus 3.5 percent annual growth rate for the quarter reported Monday was in line with gloomy forecasts for the world’s third-largest economy, which has suffered as a territorial dispute with China hammered exports already weakened by feeble global demand.













Based on the most recent data, economists are forecasting a further decline in October to December, which would officially put Japan in recession, marked by two consecutive quarterly contractions.


The government also said Monday that consumer spending fell 0.5 percent as subsidies for auto purchases expired and corporate capital spending fell 3.2 percent. Spending on reconstruction from the country’s March 2011 disasters has also weakened.


The drop for the current quarter may not be as severe as that in July-September.


“How far is hard to tell,” said David Rea, an economist in London with Capital Economics, adding that the decline could be a couple of percentage points.


“If the economy does recover in any way it will be a minute rebound,” he said.


More than two decades after Japan’s asset bubble burst in the early 1990s, its policymakers have yet to devise an effective strategy to help the economy break out of its deflationary funk. Meanwhile, the Japanese yen remains stubbornly high, discouraging its companies from investing either at home or abroad and undermining its export competitiveness, especially against rivals Germany and South Korea.


Strangled by weak consumer spending and public investment, the economy grew at an anemic 0.7 percent annual pace in April-June, according to figures that were revised down by half from the originally reported 1.4 percent.


Until recently, the government was still forecasting growth at about 2 percent for the year. It earlier was predicting a turnaround late in the year, but the renewed tensions with China over disputed islands in the East China Sea, coupled with sluggish growth in Europe and other key export markets, have doused hopes for a significant rebound before 2013.


A slew of dismal recent data releases offers little encouragement.


Squeezed by surging costs for imported fuel and sinking exports, Japan’s current account surplus plunged to 2.72 trillion yen ($ 34 billion) in April-September, its lowest level since monthly data began in 1985, as the trade deficit surged.


Although Japan will likely continue to run current account surpluses for some time to come, its decline is a stark reminder of the country’s persisting reliance on exports to support its energy-intensive standard of living through massive imports of food, fuel and other resources.


Adding to the squeeze on pocketbooks from hikes in electricity rates, winter bonuses are falling by an average of 4 percent this year.


Machinery orders for September fell twice as fast as expected. Meanwhile, the job market weakened, likely hurting prospects for stronger consumer spending to help offset weak exports. Slower-than-anticipated government spending on reconstruction has further undermined demand.


Japan’s local governments are running short of funds as lawmakers dicker over legislation needed to authorize bonds to pay for deficit financing.


Though the government and opposition parties look likely to reach a compromise on financing that would avert Japan’s own version of a “fiscal cliff,” the standoff has done little to inspire confidence in the potential for a strong rebound, says Klaus Baader, a regional economist with Societe Generale Cross Asset Research in Hong Kong.


Economy News Headlines – Yahoo! News



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BBC must reform or die, says Trust chairman
















LONDON (Reuters) – The BBC could be doomed unless it makes radical changes, the head of its governing trust said on Sunday, after its director general quit to take the blame for the airing of false child sex abuse allegations against a former politician.


Chris Patten, chairman of the BBC Trust, said confidence had to be restored if the publicly funded corporation was to withstand pressure from rivals, especially Rupert Murdoch‘s media empire, which would try to take advantage of the turmoil.













“If you’re saying, ‘Does the BBC need a thorough structural radical overhaul?’, then absolutely it does, and that is what we will have to do,” Patten, a one-time senior figure in Prime Minister David Cameron‘s Conservative Party and the last British governor of Hong Kong, told BBC television.


“The basis for the BBC’s position in this country is the trust that people have in it,” Patten said. “If the BBC loses that, it’s over.”


George Entwistle resigned as director general on Saturday, just two months into the job, to take responsibility for the child sex allegation on the flagship news programme Newsnight.


The witness in the report, who says he suffered sexual abuse at a care home in the late 1970s, said on Friday he had misidentified the politician, Alistair McAlpine. Newsnight admitted it had not shown the witness a picture of McAlpine, or approached McAlpine for comment before going to air.


Already under pressure after revelations that a long-time star presenter, the late Jimmy Savile, was a paedophile, Entwistle conceded on the BBC morning news that he had not known – or asked – who the alleged abuser was until the name appeared in social media.


The BBC, celebrating its 90th anniversary, is affectionately known in Britain as “Auntie”, and respected around much of the world.


But with 22,000 staff working at eight national TV channels, 50 radio stations and an extensive Internet operation, critics say it is hampered by a complex and overly bureaucratic and hierarchical management structure.


THOMPSON’S LEGACY


Journalists said this had become worse under Entwistle’s predecessor Mark Thompson, who took over in the wake of the last major crisis to hit the corporation and is set to become chief executive of the New York Times Co on Monday.


In that instance, both director general and chairman were forced out after the BBC was castigated by a public inquiry over a report alleging government impropriety in the fevered build up to war in Iraq, leading to major organisational changes.


One of the BBC’s most prominent figures, Newsnight presenter Jeremy Paxman, said since the Iraq report furore, management had become bloated while cash had been cut from programme budgets.


“He (Entwistle) has been brought low by cowards and incompetents,” Paxman said in a statement, echoing a widely-held view that Entwistle was a good man who had been let down by his senior staff.


Prime Minister Cameron appeared ready to give the BBC the benefit of the doubt, believing that “one of the great institutions of this country” could reform and deal with its failings, according to sources in his office.


Patten, who must find a new director general to sort out the mess, agreed that management structures had proved inadequate.


“Apparently decisions about the programme went up through every damned layer of BBC management, bureaucracy, legal checks – and still emerged,” he said.


“One of the jokes I made, and actually it wasn’t all that funny, when I came to the BBC … was that there were more senior leaders in the BBC then there were in the Chinese Communist Party.”


Patten ruled out resigning himself but other senior jobs are expected to be on the line, while BBC supporters fear investigative journalism will be scaled back. He said he expected to name Entwistle’s successor in weeks, not months.


Among the immediate challenges are threats of litigation.


McAlpine, a close ally of former prime minister Margaret Thatcher, has indicated he will sue for damages.


Claims for compensation are also likely from victims who say Savile, one of the most recognisable personalities on British television in the 1960s, 70s and 80s, sexually abused them as children, sometimes on BBC premises.


INQUIRIES


Two inquiries are already under way, looking at failures at Newsnight and allegations relating to Savile, both of which could make uncomfortable reading for senior figures.


Police have also launched a major inquiry into Savile’s crimes and victims’ allegations of a high-profile paedophile ring. Detectives said they had arrested their third suspect on Sunday, a man in his 70s from Cambridgeshire in central England.


Funded by an annual licence fee levied on all TV viewers, the BBC has long been resented by its commercial rivals, who argue it has an unfair advantage and distorts the market.


Murdoch’s Sun tabloid gleefully reported Entwistle’s departure with the headline “Bye Bye Chump” and Patten said News Corp and others would put the boot in, happy to deflect attention after a phone-hacking scandal put the newspaper industry under intense and painful scrutiny.


He said that “one or two newspapers, Mr. Murdoch’s papers” would love to see the BBC lose its national status, “but I think the great British public doesn’t want to see that happen”.


Murdoch himself was watching from afar.


“BBC getting into deeper mess. After Savile scandal, now prominent news program falsely names senior pol as paedophile,” he wrote on his Twitter website on Saturday.


It is not just the BBC and the likes of Entwistle and Patten who are in the spotlight.


Thompson, whom Entwistle succeeded in mid-September, has also faced questions from staff at the New York Times over whether he is still the right person to take one of the biggest jobs in American newspaper publishing.


Britain’s Murdoch-owned Sunday Times queried how Thompson could have been unaware of claims about Savile during his tenure at the BBC as he had told British lawmakers, saying his lawyers had written to the paper addressing the allegations in early September, while he was still director general.


(Editing by Kevin Liffey and Sophie Hares)


Europe News Headlines – Yahoo! News



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HTC shares jump after settles patent issues with Apple
















TAIPEI (Reuters) – Shares of HTC Corp jumped by their permitted daily limit on Monday after the Taiwanese smartphone maker announced a global patent settlement and 10-year licensing agreement with Apple Inc, allowing the struggling company to focus on product development.


The settlement would give HTC a short-term boost, analysts suggested, but long-term performance would still depend on the company’s ability to deliver competitive products to grab back some of the market share it has lost to Apple and South Korea’s Samsung Electronics Co.













HTC’s shares opened up by the maximum allowed 6.86 percent at T$ 241.50, and remained at that level in morning trade in a broader market that slipped 0.15 percent.


The shares have bounced 24.5 percent from a closing low of T$ 194 two weeks ago, which was the lowest since 2005 before the company transformed into a top brand from an obscure contract maker. But the shares remain some 80 percent below their record high last April.


HTC and Apple’s settlement and licensing agreement on Saturday ended one of the first major conflagrations of the smartphone patent wars. The California giant sued HTC in 2010, its first major legal salvo against a manufacturer that used Google’s Android operating system.


“The licensing agreement is beneficial to HTC’s future product development, especially in the U.S. market,” said Gartner analyst C.K. Lu.


“The settlement is positive to the consumer image of both camps (Apple and Google) as they are now unlocked from a constant patent war.”


The two companies did not disclose details of the settlement or the licensing agreement, but HTC said the agreement will not impact its financials and it will not change its fourth-quarter guidance.


HTC said last month it expected its fourth-quarter revenue to be about T$ 60 billion ($ 2.05 billion), down from T$ 70.2 billion in the third quarter and below expectations of T$ 74.0 billion in a poll of 23 analysts by Reuters.


It expected a gross margin and an operating margin of around 23 percent and 1 percent, respectively, falling from 25 percent and 7 percent in the previous quarter.


The company said the operating margin would be hit by higher spending on marketing.


Analysts’ forecasts on how much HTC needs to pay Apple range from “not a very high price” to as much as over $ 10 per phone, though they remain best guesses, based partly on the assumed $ 10 royalty that phone makers pay Microsoft per Windows 7 phone, and on the $ 5-6 dollar that Android phone makers are believed to pay Microsoft after a separate lawsuit last year.


However, some analysts warn that HTC’s other challenges outweigh the settlement.


Its phones have lost a lot of their appeal among consumers as Apple’s iPhones and Samsung’s Galaxy series dominate shopping lists, drawing parallels with the decline of Finland’s Nokia, once one of the dominant mobile phone players.


“Nokia settled with Apple in 2011 by winning royalties from Apple, but it did not change the landscape at all for smartphone competition. Samsung continued to win market share despite the losses to Apple,” wrote Barclays analyst Dale Gai in a research note.


“We believe the lawsuits remain non-events in terms of HTC’s fundamentals. HTC’s challenges remain and could get worse into 2013 from more competition.”


(Editing by Jonathan Standing)


Wireless News Headlines – Yahoo! News



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HTC shares jump after settles patent issues with Apple
















TAIPEI (Reuters) – Shares of HTC Corp jumped by their permitted daily limit on Monday after the Taiwanese smartphone maker announced a global patent settlement and 10-year licensing agreement with Apple Inc, allowing the struggling company to focus on product development.


The settlement would give HTC a short-term boost, analysts suggested, but long-term performance would still depend on the company’s ability to deliver competitive products to grab back some of the market share it has lost to Apple and South Korea’s Samsung Electronics Co.













HTC’s shares opened up by the maximum allowed 6.86 percent at T$ 241.50, and remained at that level in morning trade in a broader market that slipped 0.15 percent.


The shares have bounced 24.5 percent from a closing low of T$ 194 two weeks ago, which was the lowest since 2005 before the company transformed into a top brand from an obscure contract maker. But the shares remain some 80 percent below their record high last April.


HTC and Apple’s settlement and licensing agreement on Saturday ended one of the first major conflagrations of the smartphone patent wars. The California giant sued HTC in 2010, its first major legal salvo against a manufacturer that used Google’s Android operating system.


“The licensing agreement is beneficial to HTC’s future product development, especially in the U.S. market,” said Gartner analyst C.K. Lu.


“The settlement is positive to the consumer image of both camps (Apple and Google) as they are now unlocked from a constant patent war.”


The two companies did not disclose details of the settlement or the licensing agreement, but HTC said the agreement will not impact its financials and it will not change its fourth-quarter guidance.


HTC said last month it expected its fourth-quarter revenue to be about T$ 60 billion ($ 2.05 billion), down from T$ 70.2 billion in the third quarter and below expectations of T$ 74.0 billion in a poll of 23 analysts by Reuters.


It expected a gross margin and an operating margin of around 23 percent and 1 percent, respectively, falling from 25 percent and 7 percent in the previous quarter.


The company said the operating margin would be hit by higher spending on marketing.


Analysts’ forecasts on how much HTC needs to pay Apple range from “not a very high price” to as much as over $ 10 per phone, though they remain best guesses, based partly on the assumed $ 10 royalty that phone makers pay Microsoft per Windows 7 phone, and on the $ 5-6 dollar that Android phone makers are believed to pay Microsoft after a separate lawsuit last year.


However, some analysts warn that HTC’s other challenges outweigh the settlement.


Its phones have lost a lot of their appeal among consumers as Apple’s iPhones and Samsung’s Galaxy series dominate shopping lists, drawing parallels with the decline of Finland’s Nokia, once one of the dominant mobile phone players.


“Nokia settled with Apple in 2011 by winning royalties from Apple, but it did not change the landscape at all for smartphone competition. Samsung continued to win market share despite the losses to Apple,” wrote Barclays analyst Dale Gai in a research note.


“We believe the lawsuits remain non-events in terms of HTC’s fundamentals. HTC’s challenges remain and could get worse into 2013 from more competition.”


(Editing by Jonathan Standing)


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BBC head says broadcaster must reform or die
















LONDON (Reuters) – Britain‘s BBC could be doomed unless it makes radical changes, the head of its governing trust said, after its director general quit to take the blame for the airing of false child sex abuse allegations against a former politician.


BBC Trust chairman Chris Patten said on Sunday confidence had to be restored if the publicly funded corporation was to withstand pressure from rivals, especially Rupert Murdoch‘s media empire, which would try to take advantage of the turmoil.













“If you’re saying, ‘Does the BBC need a thorough structural radical overhaul?’, then absolutely it does, and that is what we will have to do,” Patten, a one-time senior figure in Prime Minister David Cameron‘s Conservative Party and the last British governor of Hong Kong, told BBC television.


“The basis for the BBC’s position in this country is the trust that people have in it,” Patten said. “If the BBC loses that, it’s over.”


George Entwistle resigned as director general on Saturday, just two months into the job, to take responsibility for the child sex allegation on the flagship news programme Newsnight.


The witness in the Newsight report, who says he suffered sexual abuse at a care home in the late 1970s, said on Friday he had misidentified the politician, Alistair McAlpine. Newsnight admitted it had not shown the witness a picture of McAlpine, or approached McAlpine for comment before going to air.


Already under pressure after revelations that a long-time star presenter, the late Jimmy Savile, was a paedophile, Entwistle conceded on the BBC morning news that he had not known – or asked – who the alleged abuser was until the name appeared in social media.


The BBC, celebrating its 90th anniversary, is affectionately known in Britain as “Auntie”, and respected around much of the world.


But with 22,000 staff working at eight national TV channels, 50 radio stations and an extensive Internet operation, critics say it is hampered by a complex and overly bureaucratic and hierarchical management structure.


THOMPSON’S LEGACY


Journalists said this had become worse under Entwistle’s predecessor Mark Thompson, who took over in the wake of the last major crisis to hit the corporation and is set to become chief executive of the New York Times Co on Monday.


In that instance, both director general and chairman were forced out after the BBC was castigated by a public inquiry over a report alleging government impropriety in the fevered build up to war in Iraq, leading to major organizational changes.


One of the BBC’s most prominent figures, Newsnight presenter Jeremy Paxman, said since the Iraq report furore, management had become bloated while cash had been cut from programme budgets.


“He (Entwistle) has been brought low by cowards and incompetents,” Paxman said in a statement, echoing a widely-held view that Entwistle was a good man who had been let down by his senior staff.


Prime Minister Cameron appeared ready to give the BBC the benefit of the doubt, believing that “one of the great institutions of this country” could reform and deal with its failings, according to sources in his office.


Patten, who must find a new director general to sort out the mess, agreed that management structures had proved inadequate.


“Apparently decisions about the programme went up through every damned layer of BBC management, bureaucracy, legal checks – and still emerged,” he said.


“One of the jokes I made, and actually it wasn’t all that funny, when I came to the BBC … was that there were more senior leaders in the BBC than there were in the Chinese Communist Party.”


Patten ruled out resigning himself but other senior jobs are expected to be on the line, while BBC supporters fear investigative journalism will be scaled back. He said he expected to name Entwistle’s successor in weeks, not months.


Among the immediate challenges are threats of litigation.


McAlpine, a close ally of former Prime Minister Margaret Thatcher, has indicated he will sue for damages.


Claims for compensation are also likely from victims who say Savile, one of the most recognizable personalities on British television in the 1960s, 70s and 80s, sexually abused them as children, sometimes on BBC premises.


INQUIRIES


Two inquiries are already under way, looking at failures at Newsnight and allegations relating to Savile, both of which could make uncomfortable reading for senior figures.


Police have also launched a major inquiry into Savile’s crimes and victims’ allegations of a high-profile paedophile ring. Detectives said they had arrested their third suspect on Sunday, a man in his 70s from Cambridgeshire in central England.


Funded by an annual license fee levied on all TV viewers, the BBC has long been resented by its commercial rivals, who argue it has an unfair advantage and distorts the market.


Murdoch’s Sun tabloid gleefully reported Entwistle’s departure with the headline “Bye Bye Chump” and Patten said News Corp and others would put the boot in, happy to deflect attention after a phone-hacking scandal put the newspaper industry under intense and painful scrutiny.


He said that “one or two newspapers, Mr. Murdoch’s papers” would love to see the BBC lose its national status, “but I think the great British public doesn’t want to see that happen”.


Murdoch himself was watching from afar.


“BBC getting into deeper mess. After Savile scandal, now prominent news program falsely names senior pol as paedophile,” he wrote on his Twitter website on Saturday.


It is not just the BBC and the likes of Entwistle and Patten who are in the spotlight.


Thompson, whom Entwistle succeeded in mid-September, has also faced questions from staff at the New York Times over whether he is still the right person to take one of the biggest jobs in American newspaper publishing.


Britain’s Murdoch-owned Sunday Times queried how Thompson could have been unaware of claims about Savile during his tenure at the BBC as he had told British lawmakers, saying his lawyers had written to the paper addressing the allegations in early September, while he was still director general.


(Editing by Kevin Liffey and Sophie Hares)


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Next-day discharge after C-section may be okay: study
















(Reuters) – Some women who deliver their babies by cesarean section may be able to check out of the hospital the next day without raising their risk of problems, according to a Malaysian study.


The study, which appeared in the journal Obstetrics & Gynecology, looked at 360 women in Malaysia, who were randomly assigned to go home either one or two days after having a C-section.













Both groups were equally satisfied with their care, and the women who were discharged sooner seemed to have no more problems with breastfeeding or mental well-being.


“Day 1 discharge compared with day 2 discharge after a planned cesarean delivery resulted in equivalent outcomes,” wrote lead author Peng Chiong Tan, at the University of Malaya in Kuala Lumpur.


Those results don’t mean that hospitals should start discharging women the day after a C-section, but they do suggest that a next-day discharge is something women can talk about with their doctors, researchers said.


In the United States, where C-sections are done in about one-third of births, women typically stay in the hospital for three to four days after the procedure. That compares with about two days for women who deliver vaginally.


In the past, there were concerns about insurers pushing mothers to leave the hospital before they’re ready. That led to a 1996 law requiring insurers to pay for a 48-hour hospital stay after a vaginal delivery and a 96-hour stay after a C-section.


Still, the American College of Obstetricians and Gynecologists (ACOG) says a shorter stay after a C-section is an option if the baby is ready to go home, though the mother should meet certain requirements first such as normal blood pressure, no signs of infection and adequate pain control.


At Tan’s hospital in Malaysia, women who have a C-section are routinely told to expect just a two-day stay, and some providers there have discharged new mothers the day after.


Tan’s team randomly assigned the 360 women having a planned C-section to go home either one or two days after delivering. In the end, 16 percent of the women in the day-after group were not discharged that early, because either they or their babies were having problems.


But when they did go home the day after, there didn’t seem to be a greater risk of difficulties. When the women were interviewed two weeks later, 87 percent were happy with their discharge timing.


The same was true for almost 86 percent of women who went home two days after their C-section.


While the findings would likely extend to women in other countries too, these Malaysian women typically went home to a lot of support – often, an extended family network, Tan said.


“Where this support is not available, next-day hospital discharge may not be associated with the same degree of satisfaction, acceptability and good outcome as we have found,” she added.


SOURCE:http://bit.ly/TzbGoz


(Reporting from New York by Amy Norton at Reuters Health; editing by Elaine Lies)


Health News Headlines – Yahoo! News



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The Workday After Tomorrow
















What happens when business as usual is impossible? When millions in the Northeast lost power, cell service, Internet access, and running water due to Superstorm Sandy, companies scrambled to find the answer. Some improvised on the spot: Keith McNally’s New York City bistro Balthazar grilled steaks and served lobster on Prince Street, while Katz’s Delicatessen sliced up sandwiches by candlelight. Manhattan’s Equinox fitness clubs started a second business, selling showers for $ 35 a pop. Large financial firms such as Goldman Sachs (GS) began relocating staff and workloads from New York to offices overseas, and tens of thousands of workers turned to the cloud, working from home—or Starbucks (SBUX). Meanwhile, Tim Webster, a customer enablement manager at EMaint Enterprises, an info-tech company in Mount Laurel, N.J., found himself in a Florida Wal-Mart (WMT), picking out a Captain America costume for the company’s impromptu Halloween party. “It’s hard to complain,” he says. “I mean, it’s a bit cold this morning. Maybe you need a light jacket?”


Webster was one of five employees flown down to EMaint’s satellite office in Estero, Fla., on the Saturday before Sandy hit, as part of the company’s business continuity plan. “It looked like we were going to get battered here in South Jersey, with mass power outages and trees down, and we have customers worldwide,” says Jon Hollander, executive vice president of operations. “So we decided to send five of our core-function employees for an expense-paid vacation in sunny Florida.”













Thanks to data stored in the cloud, the company was able to provide service to its clients without interruption. But Webster (who insists “it’s not a vacation—I’m still working”) is still playing it safe. “I’m staying out of the sun,” he says, noting how weird it’s been to see his colleagues wearing shorts.


093af  etc opener46  01  inline405 The Workday After TomorrowIllustration by Marcos Chin


World economic losses to disasters totaled an estimated $ 380 billion in 2011, and nearly every major company now sets up detailed continuity and mitigation plans for everything from terrorist incidents and nuclear attacks to pandemics like bird flu. A cottage industry of in-house sky-is-falling professionals and glass-half-empty consulting firms has sprung up to deal with this need. And as companies become more reliant on digital data and geographically diverse locations, their strategies must evolve, too. “For instance, people don’t warehouse parts anymore,” says Ken Burris, chief executive officer of Witt Associates, a crisis management consultancy. “They rely on just-in-time delivery. But when there’s that hiccup in the supply chain, they’d better have multiple contingencies in place, or work stops.” And Burris points out that the implications are often dire: “Statistics show that, of small businesses impacted by disaster, about a third don’t recover.”


The biggest difference between recent disruptions and those only a decade ago shows up in businesses’ increasing faith in cloud computing, which was sorely tested by Sandy. As Lower Manhattan was swamped, major media companies such as Huffington Post, MarketWatch, and Gawker saw their sites go offline as water flooded the basement floors of the Datagram server building. Gawker Media eventually improvised by redirecting Gawker, Gizmodo, and Deadspin to temporary Tumblr blog pages. “If we’re the indestructible cockroaches of the media world,” Gawker founder Nick Denton e-mailed his staff, “now’s the time to show it.” Still, the network lost nearly all its advertising opportunities, save a cheeky “Back Up Site Covered by State Farm” plug at the top of each site’s Tumblr home page.


Peer1 Hosting, a Net outfit based in Lower Manhattan, thought it was in the clear—it had generators on the 17th floor ready to keep the data servers humming. But when the fuel pump in the basement was flooded, Peer1 was unable to get the necessary diesel fuel upstairs. So it improvised, too. “We had a team of 30 people getting buckets of diesel fuel going up 17 floors to keep the generator working and our customers online,” says Rajan Sodhi, Peer1’s vice president of marketing. Employees hoofed it up darkened stairwells for more than 48 hours, replenishing the tanks.


Shawn White, vice president of operations for Keynote Systems, which monitors online access, says many companies have turned to the cloud primarily for cost savings, not safety. “If you’re going to be in the cloud, you have to make sure they have options for multiple data centers in a geographically distributed base. It’s extra money, but that’s the cost of a robust continuity plan,” he says.


And obviously the cloud can’t help if you don’t have electricity, cell service, or Net access. In the 10 states hit by Sandy, 25 percent of cell towers and land lines were affected by the storm, according to the Federal Communications Commission. Downtown New York lost power for nearly a week. “People keep asking what they can do if there is absolutely no power at all, anywhere,” says Ken Moon, co-founder of Connecticut-based emergency software platform Veoci Systems. “I say, ‘It’s smoke signals and CBs, if you got ’em. And how long the juice lasts on your cell phone, if your cell phone works.’”


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Throughout the Northeast, many of the contingency plans at businesses failed, most notably at several hospitals, which were left without working backup generators and forced to evacuate patients. Now experts are sorting out why. “This notion that big disasters are wake-up calls?” Irwin Redlener, director of the National Center for Disaster Preparedness, asks. “They’re more like snooze alarms. Everyone gets aroused, then we end up repeating mistakes. For too long we’ve depended upon seat-of-the-pants decision-making to determine disaster policy. We have a lot of data about what actually works.”


So how does a company or government stress the importance of disaster planning when a storm isn’t bearing down? By invoking the undead, of course. “Are You Zombie Safe?” asks a Red Cross video promoting its disaster preparedness training program. The Centers for Disease Control and Prevention published a graphic novel, Preparedness 101: Zombie Pandemic. The Federal Emergency Management Agency and the Department of Homeland Security also have so-called zombie-based safety programs. In fact, while the East Coast scrambled to recover from Sandy, thousands of first responders and security firms were preparing for Zombie Apocalypse, an emergency-response training event held at the Paradise Point Resort in San Diego.


“We get all these first responders in here and tell them the sky is falling, the Mayans were right, the clock is ticking, and your bosses are watching,” says Brad Barker, president and founder of Halo, the event’s organizer. In addition to simulating crisis-driven hysteria, he also dresses up actors as zombies in elaborate Hollywood makeup and orders them to eat the humans’ brains. “We got our asses handed to us during Katrina on live TV, and everyone knows it,” says Barker. “We create hyper-realistic training, so you can put together a plan for a mass casualty event of any kind, whether that’s seismic, meteorological, biological, or somebody flies a couple planes into your building. The zombies just make it fun.”


But what happens when every plan has fallen apart and it’s just you, your cubicle, and a horde of alien, radioactive, bird-flu-infected terrorist zombies? “The priorities of survival are always the same, whatever the terrain or disaster,” says Bear Grylls, celebrity survivalist and host of TV show Man vs. Wild. “Protection, rescue, water, food.” Grylls recommends gathering office trash bags and using them for shelter, water collection, or waterproofing your tinder and cell phone. “Remember, you can only last three days without water, but three weeks without food.” On that last note, Grylls says that even in an office environment (the filthier the better), would-be survivalists should look for “bugs, grubs, and worms before rats or bigger game—as well as the obvious, like vending machines and cans.”


Last (and, yes, least), take a page from such fictional companies as Cyberdyne Systems in the Terminator franchise, Weyland Yatuni in Alien, BuyNLarge in Wall-E, and the Trade Federation of the Star Wars prequels. They’re all extraordinarily evil. So evil, in fact, that in most post-apocalyptic fiction, the company last left standing is usually the one that created the catastrophic calamity in the first place. If the collected wisdom of sci-fi is right, a company’s best long-term disaster preparedness strategy is the opposite of Google’s (GOOG): Be Evil.


Businessweek.com — Top News



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Ohio teen gets prison for life in Craigslist murders
















AKRON, Ohio (Reuters) – Seventeen-year-old Brogan Rafferty was sentenced to life in prison without parole Friday for his role in the killing of three men, two of whom were lured by a Craigslist ad promising work on an Ohio farm.


Rafferty was 16 when he was arrested in November 2011, but was tried as an adult. He was convicted late last month in the murders of David Pauley, 51, of Norfolk, Virginia; Ralph Geiger, 56, of Akron, Ohio; and Timothy Kern, 47, of Massillon, Ohio.













Rafferty also got 10 years for the attempted murder of Scott Davis, who was shot in the arm while escaping after meeting Rafferty and alleged triggerman Richard Beasley.


Prosecutors called the teen an apt pupil to Beasley, 53, who is also charged in the murders.


Rafferty testified that he was terrified of the man he had considered a father figure and spiritual adviser after he saw Beasley shoot Geiger in the head execution-style.


Beasley allegedly enticed Geiger with the offer of a non-existent caretaker job, killed him, stole his identity, and then drew other victims by posting the bogus job on Craigslist.


Rafferty, wearing prison stripes with hands clasped in front of him, told the court Friday that Beasley an “evil, deceitful cruel murderer,” but admitted the he bore some responsibility.


“I was involved, I didn’t like it, and now I see there were many options I couldn’t see then that I see now, but I can’t make anything better and I’m sorry,” he said.


Judge Lynn Callahan called Rafferty’s case “heartbreaking” but said she did not accept that he had no way out of his situation.


“You embraced the evil, you studied it,” she said. She said Rafferty had been dealt “a lousy hand in life,” but she found nothing in the case that could be chalked up to the recklessness of youth.


“You could have been so much more; you are so intelligent,” the judge told Rafferty.


During the trial, jurors heard testimony that the teen helped dig graves for some of the men and was found in possession of guns and knives stolen from them after Beasley shot them.


Beasley’s trial is scheduled in the same courtroom for January 7. He faces the death penalty if convicted. Both Rafferty’s and Beasley’s attorneys are under a gag order and are not permitted to talk to the media.


Under Ohio law, juveniles older than 15 who are charged with a serious offense and crimes that involve a firearm are sent to adult court for trial.


Last summer, a U.S. Supreme Court decision struck down mandatory life sentences for juveniles. The high court found that judges and juries passing sentence on juvenile murders must weigh mitigating circumstances, including the youth’s role and family background.


A 2005 Supreme Court decision made it unconstitutional to execute anyone under the age of 18.


Rafferty’s attorney Jill Flagg objected to his sentence and will appeal.


In other incidents involving Craigslist and other social media, people advertising goods for sale or responding to ads have been attacked and killed.


In 2009, a former medical student was accused of killing a masseuse he met through Craigslist. In February, two men in Tennessee were accused of killing a man and a woman for “unfriending” the daughter of one of the suspects on Facebook.


(Reporting by Kim Palmer; Editing by Mary Wisniewski and Eric Walsh)


Internet News Headlines – Yahoo! News



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