The eye-opening costs of America’s insomnia






By Quentin Fottrell


In yet another sign Americans are sleeping less, the number of sleep clinics has reached an all-time high. And while sleeplessness is big business, worth over $ 32 billion, it’s an even bigger economic problem — costing nearly twice that in lost productivity.






More Americans are seeking help for sleep-related conditions like insomnia and sleep apnea. On Wednesday, the American Academy of Sleep Medicine accredited its 2,500th sleep center, reporting that the number of sleep centers has doubled over the past five years and increased fivefold over the past decade.


The economic costs now run into billions of dollars a year. Nearly a quarter of all workers are affected by sleeplessness, according to a 2011 study by Harvard Medical School. And insomnia costs an average of $ 2,280 per worker in reduced productivity every year — a total cost of $ 63.2 billion to the economy, the study says. That equates to 11 working days lost annually for each worker, says Ronald C. Kessler, lead author of the study and McNeil Family Professor of Health Care Policy at Harvard Medical School.



The prescription drug epidemic


More Americans now die each year from prescription drug overdoses than from cocaine, heroin and other illegal drugs.



So why are Americans losing sleep? Since the 2008 recession, more people are lying awake at night worrying about their financial situation and job security, says Nathaniel F. Watson, president of the American Board of Sleep Medicine. (In fact, one-third of Americans lose sleep over the economy, according to one 2009 poll by the National Sleep Foundation.) The rise in U.S. obesity rates is another major factor, Watson says. But others are less certain. “There are lots of pop-psychology theories,” Kessler says. “One thing we do know — it’s pervasive through all sections of society.”


Whatever the causes, consumers are spending billions of dollars to get some shut-eye. The “sleep market” industry is currently worth over $ 32 billion, up from nearly $ 24 billion four years ago, according to John LaRosa, research director at MarketData Enterprises, a market research company in Tampa. Some 70 million Americans suffer from sleeplessness. Desperate for the perfect night’s sleep, they’re buying sleeping pills, premium mattresses, white noise machines, sleeping masks, mobile phone apps and other sleep-related paraphernalia.


But people need help staying awake too, which is compounding the problem. “There’s an enormous amount of self-medication for sleeplessness in America,” Kessler says. “That’s one reason why the sales of supercaffeinated energy drinks are skyrocketing.” Sales of energy drinks in the U.S. grew by around 16% last year to $ 8.9 billion, according to “Beverage Digest,” an industry publication. There are better ways of dealing with insomnia, Kessler says, like cutting down on caffeine and not playing on your smartphone or watching TV in bed late at night.


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U.S. state, local spending expands for first time in 3 years






WASHINGTON (Reuters) – State and local government spending grew at a 0.3 percent annual rate in the third quarter, after 11 straight quarters of contraction, the U.S. Commerce Department said on Thursday.


The last time state and local spending expanded was in the third quarter of 2009, at a much more robust rate of 2.2 percent. Then, for nearly three years, spending contracted sharply, with the biggest drop in the first quarter of 2010 at 5.5 percent.






States are pinching pennies, keeping spending growth slow as the economy recovers from the 2007-09 recession and the federal government sends them fewer funds.


“The recent improvement in the national economy has not translated to strong growth in total state expenditures,” said the National Association of State Budget Officers (NASBO) in a report also released on Thursday.


Total state spending likely grew only 0.1 percent in fiscal 2012, the lowest level since the group began tracking state spending in 1987, NASBO said. Most states’ fiscal years end in June, which means that many have already started fiscal 2013.


The 2007-09 recession caused states’ revenues to plunge and, because all states except Vermont must end their fiscal years with balanced budgets, many slashed spending, calling special legislative sessions to make emergency mid-year cuts.


The federal government stepped in to help with the 2009 economic stimulus plan known as the American Recovery and Reinvestment Act (ARRA), which included the largest transfer of federal funds to states in U.S. history.


NASBO said state expenditures grew 3.8 percent in fiscal 2010 and 2.8 percent in fiscal 2011, mostly due to the assistance. By fiscal 2010 federal money made up nearly 35 percent of state spending, compared with 26.3 percent in fiscal 2008.


Now that the burst of stimulus money is over, states must once again shoulder the costs of public programs, even though their revenues are only beginning to return to pre-recession levels. Federal funds likely only represented 31.2 percent of state spending in fiscal 2012 and will continue to shrink, NASBO said.


State revenues have not increased as fast as ARRA funds have declined, leading to a unique situation in which total state expenditure growth has slowed during the same time that the national economy has been improving,” it reported.


Meanwhile, spending demands continue to grow, particularly for the Medicaid healthcare program for the poor that states operate with partial reimbursement from the federal government.


Over the last three years, the portion of state spending going to Medicaid has risen to 23.9 percent from 22.2 percent. Many states worry that Medicaid will eat up their budgets, and leave fewer dollars for other areas.


Spending on education dipped to 19.8 percent in fiscal 2012, the first time on record that the portion has been less than 20 percent, NASBO said.


(Reporting by Lisa Lambert; Editing by Nick Zieminski)


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Wounded presage health crisis for postwar Syria






ATMEH, Syria (AP) — A baby boy joined the ranks of Syria’s tens of thousands of war wounded when a missile fired by Bashar Assad‘s air force slammed into his family home and shrapnel pierced his skull.


Four-month-old Fahed Darwish suffered brain damage and, like thousands of others seriously hurt in the civil war, he will likely need care well after the fighting is over. That’s something doctors say a post-conflict Syria won’t be able to provide.






Making things worse, there has been a sharp spike in serious injuries since the summer, when the regime began bombing rebel-held areas from the air, and doctors say a majority of the wounded they now treat are civilians.


This week, Fahed was recovering from brain surgery in an intensive care unit, his head bandaged and his body under a heavy blanket, watched over by Mariam, his distraught 22-year-old mother.


She said that after her first-born is discharged from the hospital in Atmeh, a village in an area of relative safety near the Turkish border, they will have to return to their village in a war zone in central Syria.


“We have nowhere else to go,” she said.


Even for those who have escaped direct injury, the civil war is posing a mounting health threat. Half the country’s 88 public hospitals and nearly 200 clinics have been damaged or destroyed, the World Health Organization says, leaving many without access to health care. Diabetics can’t find insulin, kidney patients can’t reach dialysis centers. Towns are running out of water-purifying materials. Many of the hundreds of thousands displaced by the fighting are exposed to the cold in tents or unheated public buildings.


“You are talking about a public health crisis on a grand scale,” said Dr. Abdalmajid Katranji, a hand and wrist surgeon from Lansing, Michigan, who regularly volunteers in Syria.


No one knows just how many people have been injured since the uprising against Assad erupted in March 2011, starting out with peaceful protests that turned into an armed insurgency in response to a violent government crackdown.


More than 43,000 have been killed in the past 21 months, said Rami Abdul-Rahman, head of the Britain-based Syrian Observatory for Human Rights, basing his count on names and details provided by activists in Syria. He said the number of wounded is so large he can only give a rough estimate, of more than 150,000.


Casualties began to rise dramatically at the start of the summer. At the time, the regime, its ground troops stretched thin, began bombing from the air to prevent opposition fighters from gaining more territory.


Seemingly random bombings have razed entire villages and neighborhoods, driving terrified civilians from their homes, with an estimated 3 million Syrians out of the country’s population of 23 million now displaced.


About 10 percent of the wounded suffer serious injuries and many of those will need long-term care and rehabilitation, said Dr. Omar Aswad of the Union of Syrian Medical Relief Organizations, an umbrella for 14 aid groups.


This includes artificial limbs and follow-up surgery. “This is of course not available and will be one of the major (health) problems in the months right after the war,” said Mago Tarzian, emergency director for the Paris-based Doctors Without Borders.


For now, aid groups are struggling to provide even emergency treatment in under-equipped clinics.


The two dozen small hospitals and field clinics in rebel-run areas of Idlib province in the north only have a few Intensive Care Unit beds between them, said Aswad. None has a CT scanner, an important diagnostic tool.


“We need generators, we need medical supplies and the most pressing is medicine,” he said.


The challenge has been compounded by new types of injuries.


The regime has begun dropping incendiary bombs that can cause severe burns, according to the New York-based Human Rights Watch, citing amateur video and witness accounts.


Ole Solvang, a researcher for the group, said he saw remnants of such a bomb on a recent Syria trip. Aswad said doctors in Idlib and nearby Aleppo province reported seeing patients with burns from such weapons.


Doctors and hospitals have also been targeted. Aswad, who fled the city of Idlib in March after regime forces entered it, said five friends in a secret association of anti-regime physicians have been arrested. Hospitals, ambulances and doctors have been attacked, Solvang said, calling it “a worrying trend that makes the medical situation even worse.”


One of the bright spots is a 50-bed emergency care clinic set up six weeks ago in a former elementary school in Atmeh.


Largely funded by a wealthy Syrian expatriate, the Orient clinic, with five ICU beds, handles some of the most serious cases in a radius of some 150 kilometers (90 miles), said its director, orthopedic surgeon Abdel Hamid Dabbak.


In the past, seriously wounded patients had to go to Turkey, risking dangerous delays at the border, he said. Now, once patients are stabilized in Atmeh, they are sent to a sister clinic across the border for follow-up care.


In Orient’s ICU, a 24-year-old rebel fighter was breathing oxygen through a mask. He had been brought in a day earlier, bleeding heavily from stomach wounds and close to death, said Dr. Maen Martini, a volunteer physician from Joliet, Illinois. After surgery, he stabilized and was taken off a respirator. A delayed crossing into Turkey would have killed him, Martini said.


The fighter’s neighbor was little Fahed, whose house had been struck by a missile on Saturday in the village of Kafr Zeita in Hama province. “The roof collapsed on us,” his mother said of the attack. “We ran out … I saw him bleeding from his head, but it was just a small cut.”


The local clinic said the injury was more serious than it seemed and the family rushed to Atmeh, more than 100 kilometers (60 miles) to the north.


Since surgery, Fahed has been nursing and has moved his arms and legs, and the doctor is hoping for a near-complete recovery.


“Clinically, he has improved dramatically,” he said.


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Google launches ‘scan and match’ music service






LOS ANGELES (AP) — Google is turning on a “scan and match” service for Google Music users to store copies of their songs online, offering for free what Apple charges $ 25 a year for.


The service, which launched Tuesday, cuts uploading time for those who want to save their music libraries online. It scans a user’s computer and gives them online access to the songs it finds, as long as they match the songs on its servers. Otherwise, it will upload songs to a user’s online locker.






The service is similar to Apple Inc.‘s iTunes Match, which includes online storage for 25,000 songs. Google Inc. allows storage for 20,000 songs and allows users to re-download the songs only at the same quality as they were at previously. Apple upgrades songs to iTunes quality.


Amazon runs a similar matching and uploading service called Cloud Player. It costs $ 25 a year for 250,000 songs. A free version is limited to 250 songs.


Google is still a fledgling entrant into music sales since debuting its store in November 2011, though it expects to benefit from the hundreds of millions of devices that use its Android operating system on mobile devices.


According to the NPD Group, Apple accounted for 64 percent of U.S. music sales online, followed by Amazon at 16 percent. Google has no more than 5 percent, according to NPD. Other services make up the rest.


Google had sold songs at a discount at the start, but that is less so the case now. For example, it was selling the top-ranked Bruno Mars song “Locked Out of Heaven” for $ 1.29 on Wednesday, the same as iTunes, and above the 99 cents on Amazon. But its album price was lower at $ 10.49 versus $ 10.99 at both iTunes and Amazon.


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“Ai Weiwei: Never Sorry,” “Bully” first theatrical releases to win duPont awards






LOS ANGELES (TheWrap.com) – Two documentary films were among the 14 winners of the 2013 Alfred I. duPont-Columbia University Award, making them the first theatrical releases to be honored with the prize. USA Today also won its first duPont award.


“Ai Weiwei: Never Sorry,” Alison Klayman‘s profile of the Chinese artist-activist, and Emmy-winning filmmaker Lee Hirsch‘s tale of schoolyard torment, “Bully,” won alongside reporting from Current TV, CBS News, NPR, PBS’s “Frontline” and USA Today.






USA Today was honored for multimedia reporting on abandoned lead factories, and NPR’s “StoryCorps” will win its first silver baton.


Five awards will go to local television and radio stations: KCET in Southern California, KLAS-TV in Las Vegas, WVUE-TV in New Orleans, Detroit’s WXYZ-TV and partnerships with WHYY and NPR.


“This exceptional group of journalists represents the best of broadcast, documentary and digital news reporting today,” Bill Wheatley, the outgoing duPont Jury chair and the former executive vice president of NBC News, said in a statement. “These groundbreaking stories set the standard for excellent reporting; journalists gained access and insight into critical issues in the public interest, and they are telling these important stories in new ways.”


Christiane Amanpour, CNN’s chief international correspondent and a global affairs anchor for ABC News will present the awards with CBS News’s Byron Pitts on Tuesday, January 22, 2013 at Columbia’s Low Memorial Library.


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24HR HomeCare Now Offers All Services in Walnut Creek






24-Hour Care announced to day that they now offer all in-home care services in Walnut Creek.


Walnut Creek, Ca (PRWEB) December 19, 2012






24-Hour Care announced to day that they now offer all in-home care services in Walnut Creek. 24-Hour Care is a leading provider of in-home services to those in need.


On July 21, the Walnut Creek office opened its doors at 1399 Ygnacio Valley Road, Walnut Creek, California. 24-Hour Home Care is a quality in-home care service for disease specific clients and those in need. They provide care for a few hours a day or round-the-clock.


The client’s needs are reviewed in an in-home consultation process that results in a customized care plan, an on-call emergency guide, client health information, and a caregiver profile. 24-Hour Care develops a profile of a caregiver for a client. Disease specific care includes cancer, Alzheimer’s/dementia, heart disease, hospice and diabetes.


24-Hour Care list of services includes personal care, light housekeeping, meal preparation, medication reminders, companionship, transportation and emergency response system. Personal care includes assistance with bathing, dressing and grooming, and with mobility. Light housekeeping includes cleaning the house, taking out the trash, washing dishes and doing laundry. Meal preparation includes preparing nutritional and proper food. Medication reminders include keeping daily logs and giving right dosages. Companionship includes socialization, walking and playing stimulating games. Transportation includes accompanying the client on trips to the doctor, the hospital, on errands and on long trips to provide companionship. The emergency response system includes the installation of a system that alerts emergency personnel and family of an emergency. A simple push of a button takes care of all the necessary emergency communications.


24-Hour Care thoroughly vets their caregiver candidates for positions with local, state and national background checks in a 24 point screening process. They check candidates against the national criminal child sex offender listings with the Dru Sjodin Registry. Candidates are matched with those in need in a process that guarantees a good pairing.


24-Hour Care stresses punctuality with their employees and ensures they arrive at a client’s home on time with employee phone check-ins. They bond and insure their employees and cover them with worker’s comp insurance. An injury occurring in a client’s home is covered by worker’s comp, according to representatives. Employees are also protected with criminal bonding insurance. According to 24-Hour Care, their liability insurance covers clients from general, non-auto owned, professional, physical and sexual misconduct. They will provide proof of insurance during the client consultation upon request.


24-Hour Care has a quality assurance program that guarantees standards of high quality and service for every client. Along with the newly opened office in Walnut Creek, they serve Culver City, Encino, Irvine and Torrance. In Walnut Creek, contact them by phone at (925) 322-8627 or by visiting their website: 24hrcares.com/caregivers-walnut-creek


David Allerby
24Hr HomeCare
(800) 522-1516
Email Information


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GM to buy stake from Treasury; government may lose billions






(Reuters) – The U.S. Treasury plans to sell its stake in General Motors Co over the coming year, all but assuring a multibillion-dollar loss in a move that will end the automaker’s “Government Motors” era.


Treasury’s plan – a two-step process that includes a $ 5.5 billion stock sale to GM – is part of a broader push to wind down the controversial financial bailout under the Troubled Asset Relief (TARP) program. TARP was created by former president George W. Bush to prevent the collapse of the U.S. banking industry during the 2007-2009 financial crisis.






The planned GM sale will raise the proceeds that Treasury has recovered to $ 28.6 billion of the $ 50 billion bailout GM received. With $ 20.9 billion left from the original bailout, the government would have to sell its remaining shares at an average price of $ 69.72 to break even.


GM shares were up 7.1 percent at $ 27.31 on Wednesday afternoon on the New York Stock Exchange.


If Treasury, which will reduce its stake to about 19 percent when the buyback closes this month from about 26 percent at present, sold its remaining stock at the price GM is paying now, it would come up short by more than $ 12 billion.


“GM wins,” Jefferies analyst Peter Nesvold said, pointing to the elimination of the government stake that has been acting as a drag on the stock price and to eventual higher earnings per share. “From a government standpoint, it’s a mixed bag, but they went into it to save jobs, not as an investment.” He said the buyback was lower than the $ 30 a share he had expected at the very least and was occurring earlier than anticipated.


GM’s planned buyback of 200 million shares will give it more freedom from government oversight and likely result in a sales boost as some consumers unhappy over the U.S. taxpayer-funded bailout give the automaker a second look, GM Chief Financial Officer Dan Ammann said.


“This is very attractive to the company, to our shareholders,” he told reporters at GM’s Detroit headquarters. “It obviously brings some clarity and certainty around the U.S. Treasury exit.


“It’s obviously good for the business in terms of continuing to remove the perception of government involvement in the company, which is going to be good for sales,” he said, also noting that the reduced share count would boost earnings.


GM approached Treasury officials after the U.S. presidential election in November, but was rebuffed when it offered only to pay market value for the government’s stock, according to a senior Treasury official. Treasury rejected a second offer of a small premium before the sides finalized the deal on Tuesday afternoon, said the Treasury official, who asked not to be identified discussing the negotiations.


“We’ve always looked at this as balancing speed of exit with maximizing return, and GM basically made us what we felt was a very attractive offer,” the Treasury official said.


TARP TRIP NEARS END


TARP was approved by Congress as a $ 700 billion program, though Treasury eventually disbursed $ 418 billion. On Wednesday it said it had recovered $ 381 billion to date, or about 90 percent.


“TARP was always meant to be a temporary, emergency program. The government should not be in the business of owning stakes in private companies for an indefinite period of time,” Treasury Assistant Secretary Timothy Massad said in a statement.


“Moving to exit our investment in GM within the next 12 to 15 months is consistent with our dual goals of winding down TARP as soon as practicable and protecting taxpayer interests.”


Under the deal, GM will pay $ 27.50 a share for the Treasury-held shares, representing a 7.9 percent premium on Tuesday’s closing price.


Treasury said it will then sell its remaining stake of about 300.1 million shares “through various means in an orderly fashion,” and could begin the process, including sales on the open market, as soon as January.


The auto giant was dubbed “Government Motors” by many critics after it received its bailout package as part of the bankruptcy restructuring in 2009 under TARP.


Treasury’s plans echo other recent moves. On Tuesday, Treasury said it would largely sell its remaining shares in bailed-out banks over the coming 12 to 15 months. Last week it sold the last of its common stock in American International Group Inc at a profit.


This also would close Treasury’s involvement with the U.S. auto sector. In June 2011, the agency sold its remaining 6 percent stake in Chrysler to Italy’s Fiat SpA , which controls the U.S. automaker.


U.S. President Barack Obama heavily promoted his decision to use public funds to rescue the auto industry and save jobs as he campaigned for re-election in swing states like Michigan and Ohio. Voters in both states backed him again in the November 6 election, providing critical support in his victory.


Treasury officials reiterated on Wednesday that the auto bailout saved more than 1 million U.S. jobs and was not meant to turn a profit.


With Treasury’s planned exit from GM, auto lender Ally Financial Inc will be the last major TARP recipient that has not yet paid back the government. Of the $ 17 billion it owes, Ally has paid back $ 5.8 billion.


SHOWING CONFIDENCE


Separately on Wednesday, Canada Finance Minister Jim Flaherty said his country had no immediate plans to sell its stake in GM. Canada and the province of Ontario have a combined 9 percent stake.


Ammann said the move and resulting Treasury plans will remove a “significant overhang” on the stock that has hurt sales and bring an “element of closure” to the bailout. Company research suggests eliminating the Treasury stake would benefit sales, he said.


Ammann said the deal was good for shareholders, when asked whether GM might be sued for paying Treasury a higher price than where the stock was trading at the time of the announcement.


However, one large shareholder loved the deal, as a spokesman for hedge fund manager David Einhorn said: “We applaud GM management for unlocking shareholder value by releasing excess capital and beginning a resolution of the government stake overhang.”


Barclays analyst Brian Johnson said that once the government reduces its stake, GM likely will be eligible for inclusion in the Standard & Poor’s 500 index <.spx>, which could serve as a catalyst to drive up the company’s stock price.</.spx>


GM will end the year with estimated liquidity of about $ 38 billion, even after the deal, Ammann said. That will add to earnings per share by reducing the number of outstanding shares by about 11 percent.


Ammann said the deal will be funded through cash and not tap in to the $ 11 billion credit line GM secured last month.


Citi analyst Itay Michaeli said the deal showed GM’s confidence in its ability to generate cash despite worries about the U.S. economy and the recession in Europe. “The ability to spend this amount of money on a share buyback shows they are putting their money where their mouth is,” he said.


The deal also made a winner of Ammann, considered one of a handful of GM executives who could succeed Chief Executive Dan Akerson. Ammann, along with Akerson and GM general counsel Michael Millikin, negotiated the deal with Massad, Treasury Secretary Timothy Geithner, chief investment officer Matt Pendo and government attorneys over several weeks, according to the senior Treasury official and another person familiar with the talks who asked not to be identified.


Ammann did not provide details of the talks with Treasury, when asked whether negotiations picked up following the presidential election. Analysts said Treasury likely did not want this deal to be turned into a political issue.


Treasury also may have wanted to wait for the unveiling of the critical full-size pickup trucks that will go on sale next year, analysts said. GM showed the new Chevrolet Silverado and GMC Sierra on December 13.


GM will take a charge of about $ 400 million in the fourth quarter tied to the buyback.


In addition, Treasury relinquished certain governance rights, including required levels of U.S. manufacturing and barring the purchase of corporate jets, Ammann said. Senior executive payment caps under TARP remain in place.


“For GM management, it was very important to get out from under the ‘Government Motors’ moniker,” Morgan Stanley analyst Adam Jonas said.


(Additional reporting by Alister Bull in Washington, Jennifer Ablan in New York, Paul Lienert in Detroit and Rick Rothacker in Charlotte, North Carolina; Editing by Gerald E. McCormick, Jeffrey Benkoe, Tim Ahmann, Matthew Lewis and Jan Paschal)


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Worries grow in east Congo with fighter buildup






DAKAR, Senegal (AP) — Aid workers warned Wednesday that armed groups are setting up new front lines in and around the city of Goma in eastern Congo, where the U.N. said it now has documented at least 126 rape cases last month.


Thousands of fighters from the M23 rebel group withdrew several weeks ago from Goma, and the fighters have since taken steps toward negotiating with the Congolese government.






However, residents in Goma say M23 and other armed fighters are now positioning themselves in an around the city — including inside camps for people displaced by the violence.


The arrival of several thousand fighters within the last week is prompting fear among civilians, who already have experienced years of fighting and rebellions, said Tariq Riebl, Oxfam’s humanitarian coordinator there.


“They are very concerned — people are seeing this and they don’t know what it means,” he said. “I think what everyone is scared about is that it seems like people are ramping up, ramping up but for what purpose?”


Oxfam warns that more than 1 million people could come under attack if violence again flares in Goma, where more than 100,000 people already have fled from elsewhere in the region.


“Goma is typically the last refuge safe haven and now it’s being directly called into question. If Goma falls in a big battle, where are people going to go?” Riebl said.


“This is very, very disconcerting because you have a population of over 1 million people and if war were to break out, we’re looking at a horrific situation.”


The M23 rebel group, which is believed to be backed by neighboring Rwanda, is made up of hundreds of soldiers who deserted the Congolese army in April.


They took control of many villages and towns in the mineral-rich east over the last seven months, culminating in the seizure of Goma on Nov. 20. It took days of negotiations and intense international pressure, including from the U.N., for the thousands of fighters from M23 to finally withdraw from the regional capital.


The U.N. mission says it’s received allegations of serious rights violations, including killings and wounding of civilians, rape, looting, and forced recruitment of children, by elements of the M23 rebels in Goma and neighboring areas.


Congo’s armed forces are also blamed for a series of attacks as they fled Goma in retreat in late November.


The U.N. said Tuesday it now has been able to document at least 126 rapes during that period in the Minova area, about 60 kilometers (40 miles) south of Goma.


U.N. spokesman Martin Nesirky said that two Congolese soldiers so far have been arrested in connection with the rapes, while seven others had been implicated in looting in the area.


“The Congolese Armed Forces have started investigating those human rights violations,” he said. “The U.N. Mission is supporting the military justice procedure in conducting thorough investigations into these allegations to ensure that the perpetrators are identified and held accountable.”


Rape has long been used as a brutal weapon of war in eastern Congo, where both soldiers and various armed groups use sexual violence to intimidate, punish and control the population.


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New Android botnet discovered across all major networks






A new Android spam botnet has been discovered across all major networks that sends thousands of text messages without a user’s permission, TheNextWeb reported. The threat, which is known at SpamSoldier, was detected on December 3rd by Lookout Security in cooperation with an unnamed carrier partner. The malware is said to spread through a collection of infected phones that send text messages, which usually advertise free versions of popular paid games like Grand Theft Auto and Angry Birds Space, to hundreds of users each day.


[More from BGR: Facebook’s Instagram monetization plan: License users’ photos without paying for them]






Once a user clicks on the link to download the game, his or her phone instead downloads the malicious app. When the app is downloaded, SpamSoilder removes its icon from the app drawer, installs a free version of the game in question and immediately starts sending spam messages.


[More from BGR: How not to fix Apple Maps]


The security firm notes that the threat isn’t widespread, however it has been spotted on all major carriers in the U.S. and has potential to do serious damage if something isn’t done soon to stop it.


This article was originally published by BGR


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Shorter hospital stays don’t mean worse care: study






NEW YORK (Reuters Health) – U.S. Veterans Affairs hospitals were able to reduce their patients’ length of stay without increasing the number of people who needed to be readmitted later on, according to a new study.


“As hospitals became more efficient there was this growing concern that we were discharging patients – as some would say – sicker and quicker,” said the study’s lead author Dr. Peter Kaboli.






“In fact, we found just the opposite,” said Kaboli, who works at the Iowa City VA Health Care System.


According to the researchers, who published their findings in the Annals of Internal Medicine, hospitals are under pressure to cut the amount of time their patients spend there.


It’s a goal that benefits everyone, they write, because getting patients out of the hospital faster reduces the risk of infection and also cuts costs.


But some worry that discharging patients earlier increases the chance they will return to the hospital for additional care. Such readmissions cost the U.S. Medicare program an estimated $ 17 billion every year, according to a 2009 study.


What’s more, on October 1 of this year, the Centers for Medicare and Medicaid Services started using readmission rates and patient outcomes as a way to determine how much money hospitals should be paid.


For the new study, Kaboli and his colleagues, wanted to see if shorter stays throughout the VA’s 129 centers meant more patients returned to the hospital within 30 days of discharge.


Using the VA’s electronic medical records, the researchers analyzed over 4 million patients’ records from between 1997 and 2010.


They found the average hospital stay decreased from about 5.5 days at the beginning of the study to about 4 days at the end.


As for the number of patients who returned to the hospital within 30 days of their discharge, the researchers found that rate fell by 3 percentage points, from 16.5 percent in 1997 to 13.8 percent in 2010.


“I felt going into this that (length of stay) wouldn’t make a difference, but showing that it reduces readmission was a positive and reassuring find,” said Kaboli.


QUALITY MEASURES


The researcher found, however, that there was a point where a short length of stay was linked to more patients being readmitted. Hospitals with lengths of stay at least one day shorter than the average ended up seeing an increase in readmissions.


There were also concerns that some of the patients died at home instead of returning to the hospital. But the researchers found that the number of people dying within 90 days of leaving the hospital also decreased during those 14 years.


“For patients, we’ve been able to take care of them more efficiently, with better quality and reducing mortality rates all at the same time,” said Kaboli.


But Morris Weinberger, of Duke University, and Dr. Eugene Oddone, of the University of North Carolina at Chapel Hill question whether readmission rates are a good measure of a hospital’s quality.


They write in an editorial accompanying the new study that a number of factors outside of a typical doctor’s control can influence the risk of a person being readmitted to the hospital.


In October, a study suggested that a person’s employment status, living situation and education are all linked to their risk of being readmitted to the hospital (see Reuters Health article of October 19, 2012 here: http://reut.rs/Z7uCy9).


Dr. Manesh Patel, an assistant professor of cardiology at Duke University in Durham, told Reuters Health that this study shows that the VA system improved in areas that patients care about.


“The good news here is that there seems to be a linkage… Some of these measures that we’re using might be reasonable measures,” said Patel, who was not involved in the new research but has studied hospital readmissions.


Kaboli added that it’s also important to not just focus on getting patients out of the hospital. It’s also important to respect their wishes.


“This is a team effort. (Patients) need to communicate their goals and wishes, and have these conversations with the nurse and doctors so everyone is working toward a common goal,” he said.


SOURCE: http://bit.ly/SLWzwm and http://bit.ly/SMrvg5 Annals of Internal Medicine, online December 17, 2012.


Seniors/Aging News Headlines – Yahoo! News





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