Friday, October 5, 2012

SlimWare Utilities SlimCleaner 4


Traditionally, PC tune-up utilities have performed a very basic, straightforward function?improve your computer's overall system performance via a number of behind-the-scenes tweaks that ditch unused files. You run it and move on?it was a solitary experience. That changes with SlimCleaner, a new, free tune-up utility that uses aggregated data collected from its user base to recommend the optimal settings for your PC. It even rewards you with badges for contributing accurate information back to the community. In short, SlimCleaner is a mashup of social network and utility that does a fine job of identifying, explaining, and removing trouble files so that your PC once again runs like new.

System Requirements and Interface
Compatible with Windows 7, Vista, XP, and 2000 PCs, SlimCleaner requires just an Internet connection for downloading the software and any updates that may be required during installation. Like Comodo System Utilities and Iolo System Mechanic 11 , SlimCleaner gives users permission to install the software on an unlimited number of systems. This gives it the edge over TuneUp Utilities 2013 and other tools when it comes to cleaning up computers in multi-PC households.

SlimCleaner's new, attractive interface features a pleasant color scheme that deftly balances blacks and grays with a bright blue gradient. Clicking one of the categories located in the column located left of the main content area?Cleaner, Optimize, Software, Browsers, Disk Tools, Windows Tools, and Hijack Log?highlights the selection and displays that individual interface to the right. SlimCleaner also displays your PC's operating system, CPU, and GPU information just south of that.

Cleaner, Optimizer, Social Features
The "Cleaner" area?the section that contains tabs for Windows, Applications, Broswers, Advanced, and Registry?is what you'll encounter upon firing up the application. Clicking the "Analyze" button causes SlimCleaner to run and spit back a list of problems?my initial scan uncovered dozens upon dozens on my test computer. The "Clean" button removed all the problem files and Web cookies, but I preserved the log-in cookies of Facebook and other sites I frequent using the IntelliCookie Filter. That's a great touch.

That's far from the only tool at your disposal. "Optimize" lets you alter which programs boot at launch?handy for those who may not realize that resource hogs are slowing the boot process and hindering the overall system performance. Here you can find detailed file information so you know exactly what it does before taking action, sort software (based on user feedback) using an adjustable, color-coded slider, and rate programs yourself using drop-down menu selections and mini-reviews?all very useful. I especially liked that SlimCleaner gives you a warning if you are about to remove software that's been well-received by the community; it's a nice way to safeguard yourself from removing a file that may prove vital to the computing experience.

Taking a cue from popular social networking sites like Facebook, SlimCleaner gives users a wall where they can display personal information and view badges, awards that are given for users with helpful useful reviews. In order to have badges saved to your wall, you need to create an account from scratch, or log in with your Facebook account. Personally, I could do without the badges, but I suppose they're carrots that will entice some users to contribute ratings, which improves everyone's experience.

Uninstaller, Browsers, Shredder, Hijack Log
Running "UnInstaller" causes SlimCleaner to scan your computer and display the total number of software installs. I began scrolling through the long list of software, uninstalling unwanted applications such as BlackBerry Device Manager, Yahoo Toolbar, and a number of others. My only gripe was that I couldn't select multiple applications at once; I had to uninstall applications one at a time, which quickly became a chore.

When I visited the "Browsers" section, it highlighted an Internet Explorer icon?the installed browser?but it also Chrome, Firefox, Opera, and Safair (although they were grayed out). Clicking the icon brought up an impressive amount of information on that particular browser including the default homepage, and the toolbars, extensions, and plug-ins that were installed. It amazed me that I had so many junk installs, and that I had become blind to them in my daily use. Once cleaned, Internet Exploer opened far swifter than it had in months. I could also select a new search engine for the browser, which was an unexpected extra.

"Shredder" lets you delete files or entire folders by overwriting them with data. There are different shredding levels, each with an increasing security level?Quick (one overwrite), Safe (3 overwrites), Thorough (7 overwrites), and Guttman (a whopping 35 overwrites). Once a file has been overwritten, it can't be recovered, so use this feature carefully.

"HighJack Log" lists all of the programs and plug-ins that are vulnerable to third-party attacks that can take over the system. "Windows Tools" organizes system tools (Device Manager, System Information, and more) in one easily navigated interface. Another aspect of SlimCleaner that I liked a lot?there's a "Revert Optimizations" button on each screen which lets you roll back the settings should you have need for it.

You can schedule tune-ups to run on a daily or weekly basis, or make a portable version by taking a trip to Settings.

Source: http://feedproxy.google.com/~r/ziffdavis/pcmag/~3/1nu3gMky3HY/0,2817,2388692,00.asp

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Web24: Squidoo : Fresh Lenses in Sports & Recreation: Beautiful ...

If you want to see great surfing pictures, then come on in and check out the surf action in these photos. You can also find colorful posters, photographic prints, cool wood signs, tin signs and art work that would look great on your walls. Surfing is one of my favorite water sports, and represents a culture and an attitude that binds people around the world to a common interest and art form.

Surfers of all experience levels, (even just observers), will enjoy the images, videos and fine art work included below.

Slow down and take a little time to embrace the "Hang Ten" attitude. Enjoy!

(Image courtesy Amazon)

Source: http://webhott.blogspot.com/2012/10/squidoo-fresh-lenses-in-sports_2621.html

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Thursday, October 4, 2012

Health insurer Highmark asks court to block West Penn deal talks

(Reuters) - Health insurer Highmark Inc wants a state court to block any possible deal talks with rivals involving Pennsylvania's West Penn Allegheny Health System, which last week ended a planned $475 million alliance with Highmark.

One of the 10 largest U.S. health insurers, with 4.9 million people on its rolls, Highmark said in a news release on Tuesday that it had asked a Pennsylvania Court of Common Pleas for a temporary restraining order to keep West Penn from pursuing affiliation or acquisition talks with third parties.

Pittsburgh-based Highmark, which is readying for major shifts in healthcare funding under U.S. reforms by assembling an integrated health-delivery network, and West Penn struck an affiliation agreement last November.

In ending the planned alliance, non-profit West Penn said Highmark had not lived up to the terms of the affiliation agreement and had insisted that financially strapped West Penn restructure its debt through bankruptcy.

The lawsuit also asks that West Penn immediately repay $200 million in grants and loans provided by Highmark.

A spokesman for Highmark was not immediately available to comment. The company has denied violating the terms of its affiliation and described a possible financial restructuring as just one potential route for improving West Penn's finances.

Last Friday, after West Penn announced the termination of the alliance, Moody's Investors Service and Fitch Ratings warned they may cut credit ratings on West Penn, a regional operator of five hospitals and other healthcare and research facilities.

Moody's placed its Caa1 bond rating for West Penn on review for a downgrade. Fitch also put the system's B-plus rating on rating watch negative. About $737 million in outstanding revenue bond debt issued by the Allegheny County Hospital Development Authority in 2007 is affected by the actions.

(Reporting by Michael Connor in Miami; Editing by Leslie Adler)

Source: http://news.yahoo.com/health-insurer-highmark-asks-court-block-west-penn-191236769--finance.html

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FACT CHECK: Presidential debate missteps

WASHINGTON (AP) ? President Barack Obama and Republican rival Mitt Romney spun one-sided stories in their first presidential debate, not necessarily bogus, but not the whole truth.

They made some flat-out flubs, too. The rise in health insurance premiums has not been the slowest in 50 years, as Obama stated. Far from it. And there are not 23 million unemployed, as Romney asserted.

Here's a look at some of their claims and how they stack up with the facts:

OBAMA: "I've proposed a specific $4 trillion deficit reduction plan. ... The way we do it is $2.50 for every cut, we ask for $1 in additional revenue."

THE FACTS: In promising $4 trillion, Obama is already banking more than $2 trillion from legislation enacted along with Republicans last year that cut agency operating budgets and capped them for 10 years. He also claims more than $800 billion in war savings that would occur anyway. And he uses creative bookkeeping to hide spending on Medicare reimbursements to doctors. Take those "cuts" away and Obama's $2.50/$1 ratio of spending cuts to tax increases shifts significantly more in the direction of tax increases.

Obama's February budget offered proposals that would cut deficits over the coming decade by $2 trillion instead of $4 trillion. Of that deficit reduction, tax increases accounted for $1.6 trillion. He promises relatively small spending cuts of $597 billion from big federal benefit programs like Medicare and Medicaid. He also proposed higher spending on infrastructure projects.

___

ROMNEY: Obama's health care plan "puts in place an unelected board that's going to tell people ultimately what kind of treatments they can have. I don't like that idea."

THE FACTS: Romney is referring to the Independent Payment Advisory Board, a panel of experts that would have the power to force Medicare cuts if costs rise beyond certain levels and Congress fails to act. But Obama's health care law explicitly prohibits the board from rationing care, shifting costs to retirees, restricting benefits or raising the Medicare eligibility age. So the board doesn't have the power to dictate to doctors what treatments they can prescribe.

Romney seems to be resurrecting the assertion that Obama's law would lead to rationing, made famous by former Alaska Gov. Sarah Palin's widely debunked allegation that it would create "death panels."

The board has yet to be named, and its members would ultimately have to be confirmed by the Senate. Health care inflation has been modest in the last few years, so cuts would be unlikely for most of the rest of this decade.

___

OBAMA: "Over the last two years, health care premiums have gone up ? it's true ? but they've gone up slower than any time in the last 50 years. So we're already beginning to see progress. In the meantime, folks out there with insurance, you're already getting a rebate."

THE FACTS: Not so, concerning premiums. Obama is mixing overall health care spending, which has been growing at historically low levels, and health insurance premiums, which have continued to rise faster than wages and overall economic growth. Premiums for job-based family coverage have risen by nearly $2,400 since 2009 when Obama took office, according to the nonpartisan Kaiser Family Foundation. In 2011, premiums jumped by 9 percent. This year's 4 percent increase was more manageable, but the price tag for family coverage stands at $15,745, with employees paying more than $4,300 of that.

When it comes to insurance rebates under Obama's health care law, less than 10 percent of people with private health insurance are benefiting.

More than 160 million Americans under 65 have private insurance through their jobs and by buying their own policies. According to the administration, about 13 million people will benefit from rebates. And nearly two-thirds of that number will only be entitled to a share of it, since they are covered under job-based plans where their employer pays most of the premium and will get most of the rebate.

___

ROMNEY on the failure of Obama's economic policy: "And the proof of that is 23 million people out of work. The proof of that is 1 out of 6 people in poverty. The proof of that is we've gone from 32 million on food stamps to 47 million on food stamps. The proof of that is that 50 percent of college graduates this year can't find work."

THE FACTS: The number of unemployed is 12.5 million, not 23 million. Romney was also counting 8 million people who are working part time but would like a full-time job and 2.6 million who have stopped looking for work, either because they are discouraged or because they are going back to school or for other reasons.

He got the figure closer to right earlier in the debate, leaving out only the part-timers when he said the U.S. has "23 million people out of work or stopped looking for work." But he was wrong in asserting that Obama came into office "facing 23 million people out of work." At the start of Obama's presidency, 12 million were out of work.

His claim that half of college graduates can't find work now also was problematic. A Northeastern University analysis for The Associated Press found that a quarter of graduates were probably unemployed and another quarter were underemployed, which means working in jobs that didn't make full use of their skills or experience.

___

OBAMA: It's important "that we take some of the money that we're saving as we wind down two wars to rebuild America."

THE FACTS: This oft-repeated claim is based on a fiscal fiction. The wars in Iraq and Afghanistan were paid for mostly with borrowed money, so stopping them doesn't create a new pool of available cash that can be used for something else, like rebuilding America. It just slows down the government's borrowing.

___

ROMNEY: "At the same time, gasoline prices have doubled under the president. Electric rates are up."

THE FACTS: He's right that the average price has doubled, and a little more, since Obama was sworn in. But presidents have almost no influence on gasoline prices, and certainly not in the near term. Gasoline prices are set on financial exchanges around the world and are based on a host of factors, most importantly the price of crude oil used to make gasoline, the amount of finished gasoline ready to be shipped and the capacity of refiners to make enough to meet market demand.

Retail electricity prices have risen since Obama took office ? barely. They've grown by an average of less than 1 percent per year, less than the rate of inflation and slower than the historical growth in electricity prices. The unexpectedly modest rise in electricity prices is because of the plummeting cost of natural gas, which is used to generate electricity.

___

OBAMA: "Gov. Romney's central economic plan calls for a $5 trillion tax cut ? on top of the extension of the Bush tax cuts, that's another trillion dollars ? and $2 trillion in additional military spending that the military hasn't asked for. That's $8 trillion. How we pay for that, reduce the deficit, and make the investments that we need to make, without dumping those costs onto middle-class Americans, I think is one of the central questions of this campaign."

THE FACTS: Obama's claim that Romney wants to cut taxes by $5 trillion doesn't add up. Presumably, Obama was talking about the effect of Romney's tax plan over 10 years, which is common in Washington. But Obama's math doesn't take into account Romney's entire plan.

Romney proposes to reduce income tax rates by 20 percent and eliminate the estate tax and the alternative minimum tax. The Tax Policy Center, a Washington research group, says that would reduce federal tax revenues by $465 billion in 2015, which would add up to about $5 trillion over 10 years.

However, Romney says he wants to pay for the tax cuts by reducing or eliminating tax credits, deductions and exemptions. The goal is a simpler tax code that raises the same amount of money as the current system but does it in a more efficient manner.

The knock on Romney's plan, which Obama accurately cited, is that Romney has refused to say which tax breaks he would eliminate to pay for the lower rates.

___

ROMNEY: What would I cut from spending? Well, first of all, I will eliminate all programs by this test, if they pass it: Is the program so critical it's worth borrowing money from China to pay for it?

THE FACTS: China continues to be portrayed by Romney and many other Republicans as the poster child for runaway federal deficits. It's true that China is the largest foreign holder of U.S. debt, but it only represents about an 8 percent stake. And China has recently been decreasing its holdings, according to the Treasury Department. Some two-thirds of the $16 trillion national debt is owed to the federal government, with the largest single stake the Federal Reserve, as well as American investors and the Social Security Trust Fund.

___

OBAMA: "Independent studies looking at this said the only way to meet Gov. Romney's pledge of not ... adding to the deficit is by burdening middle-class families. The average middle-class family with children would pay about $2,000 more."

THE FACTS: That's just one scenario. Obama's claim relies on a study by the Tax Policy Center, a Washington research group. The study, however, is more nuanced than Obama indicated.

The study concludes it would be impossible for Romney to meet all of his stated goals without shifting some of the tax burden from people who make more than $200,000 to people who make less.

In one scenario, the study says, Romney's proposal could result in a $2,000 tax increase for families who make less than $200,000 and have children.

Romney says his plan wouldn't raise taxes on anyone, and his campaign points to several studies by conservative think tanks that dispute the Tax Policy Center's findings. Most of the conservative studies argue that Romney's tax plan would stimulate economic growth, generating additional tax revenue without shifting any of the tax burden to the middle class. Congress, however, doesn't use those kinds of projections when it estimates the effect of tax legislation.

___

ROMNEY on cutting the deficit: "Obamacare's on my list. ... I'm going to stop the subsidy to PBS. ... I'll make government more efficient."

THE FACTS: Romney has promised to balance the budget in eight years to 10 years, but he hasn't offered a complete plan. Instead, he's promised a set of principles, some of which ? like increasing Pentagon spending and restoring more than $700 billion in cuts that Democrats made in Medicare over the coming decade ? work against his goal. He also has said he will not consider tax increases.

He pledges to shrink the government to 20 percent of the size of the economy, as opposed to more than 23 percent of gross domestic product now, by the end of his first term. The Romney campaign estimates that would require cuts of $500 billion from the 2016 budget alone. He also has pledged to cut tax rates by 20 percent, paying for them by eliminating tax breaks for the wealthiest and through economic growth.

To fulfill his promise, then, Romney would require cuts to other programs so deep ? under one calculation requiring cutting many areas of the domestic budget by one-third within four years ? that they could never get through Congress. Cuts to domestic agencies would have to be particularly deep.

But he's offered only a few modest examples of government programs he'd be willing to squeeze, like subsidies to PBS and Amtrak. He does want to repeal Obama's big health care law, but that law is actually forecast to reduce the deficit.

___

ROMNEY: "Simpson-Bowles, the president should have grabbed that."

OBAMA: "That's what we've done, made some adjustments to it, and we're putting it before Congress right now, a $4 trillion plan."

THE FACTS: At first, the president did largely ignore the recommendations made by his deficit commission headed by Democrat Erskine Bowles and Republican Alan Simpson. He later incorporated some of the proposals, largely the less controversial ones. He did not endorse some of the politically troublesome recommendations, such as trimming popular tax deductions like the one for home mortgage interest.

___

Associated Press writers Andrew Taylor, Stephen Ohlemacher, Jonathan Fahey, Ricardo Alonso-Zaldivar, Tom Raum and Christopher S. Rugaber contributed to this report.

EDITOR'S NOTE _ An occasional look at political claims that take shortcuts with the facts or don't tell the full story

Source: http://news.yahoo.com/fact-check-presidential-debate-missteps-015421565.html

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Newborn mortality was higher for several years after large-scale closures of urban maternity units

Newborn mortality was higher for several years after large-scale closures of urban maternity units [ Back to EurekAlert! ] Public release date: 3-Oct-2012
[ | E-mail | Share Share ]

Contact: John Ascenzi
ascenzi@email.chop.edu
267-426-6055
Children's Hospital of Philadelphia

Mother-baby outcomes eventually leveled off, say Children's Hospital of Philadelphia researchers

After a series of Philadelphia hospitals started closing their maternity units in 1997, infant mortality rates increased by nearly 50 percent over the next three years. The mortality rates subsequently leveled off to the same rate as before the closures, but pediatric researchers say their results underscore the need for careful oversight and planning by public health agencies in communities experiencing serious reductions in obstetric services.

Between 1997 and 2007, 9 of 19 obstetric units closed in Philadelphia, resulting in 40 percent fewer obstetric beds. Other research suggests that increased malpractice insurance costs and reduced reimbursements are the primary reasons for the closures. (An additional three obstetrics units have closed in Philadelphia since the study period.)

"Previous research on patient outcomes after hospital closure have focused on the impact of closing rural hospitals or single hospitals in a large metropolitan area," said study leader Scott A. Lorch, M.D., a neonatologist and researcher in the Center for Outcomes Research at The Children's Hospital of Philadelphia. "Our study was the first to systematically analyze the effects of large-scale urban obstetric service reductions on the outcomes of mothers and babies."

Lorch and colleagues published their study online August 10 in the journal Health Services Research.

The before-and-after study analyzed all Philadelphia births between Jan. 1, 1995 and June 30, 2007 (over 150,000 births) and compared them to two geographic control groups. One control group drew on birth records from the five suburban counties surrounding Philadelphia, the other group was from eight urban counties in California and Pennsylvania. The researchers analyzed 3.1 million births in all.

Compared to the two years before the closures, the difference in neonatal hospital mortality increased by 49 percent in Philadelphia between 1997 and 1999, and the difference in all perinatal mortality increased by 53 percent, compared to both control groups. These researchers adjusted for differences in patient characteristics in each county. The results are approximately equivalent to a rise from 5 deaths per 1,000 newborns to 8 per 1,000.

After 2000, the adjusted neonatal mortality rates in Philadelphia returned to pre-closure levels, although the outcomes did not improve over the baseline. Possible reasons for this leveling off, said the study team, include increased cooperation among obstetric departments, higher monitoring of the care delivery system by the public health department, or adjustments that the remaining open hospitals made to accommodate higher numbers of deliveries.

Lorch and colleagues said the initial adverse newborn outcomes are similar to results found by other researchers after the closure of smaller, adult hospitals in Los Angeles. Future studies in other locations may reveal whether the results found in Philadelphia are generalizable to other cities experiencing closures in obstetric units, or whether the large-scale closures in Philadelphia resulted in outcomes unique to the city.

Lorch added, "There are a variety of questions for hospital and public health officials to consider when obstetric units shut down. For instance, where will expectant mothers go for services, especially lower-risk mothers who typically deliver at the nearest hospital? How will remaining obstetric units handle a surge in patients?"

He continued, "Will there be reduced usage in prenatal services, especially in areas where hospitals provide both delivery care and prenatal services, as they frequently do in large cities like Philadelphia? Will the obstetric units have access to these prenatal health records? Addressing such issues may aid in transition planning, improve the efficiency of obstetric care, and provide better outcomes."

###

Grants from the National Institutes of Health supported this study (Agency for Healthcare Research and Quality grant HS015696 and the Eunice Kennedy Shriver National Institute of Child Health and Human Development grant HD001265). Lorch's co-authors were Sindhu K. Srinivas, M.D., Corinne Ahlberg, and Dylan S. Small, Ph.D. Lorch is in the Department of Pediatrics and Srinivas is in the Department of Obstetrics and Gynecology, both in the Perelman School of Medicine at the University of Pennsylvania, while Small is in the Wharton School of the University of Pennsylvania.

"The Impact of Obstetric Unit Closures on Maternal and Infant Pregnancy Outcomes," Health Services Research, published online August 10, 2012. doi: 10.1111/j.1475-6773.2012.01455.x

About The Children's Hospital of Philadelphia: The Children's Hospital of Philadelphia was founded in 1855 as the nation's first pediatric hospital. Through its long-standing commitment to providing exceptional patient care, training new generations of pediatric healthcare professionals and pioneering major research initiatives, Children's Hospital has fostered many discoveries that have benefited children worldwide. Its pediatric research program is among the largest in the country, ranking third in National Institutes of Health funding. In addition, its unique family-centered care and public service programs have brought the 516-bed hospital recognition as a leading advocate for children and adolescents. For more information, visit http://www.chop.edu.


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Newborn mortality was higher for several years after large-scale closures of urban maternity units [ Back to EurekAlert! ] Public release date: 3-Oct-2012
[ | E-mail | Share Share ]

Contact: John Ascenzi
ascenzi@email.chop.edu
267-426-6055
Children's Hospital of Philadelphia

Mother-baby outcomes eventually leveled off, say Children's Hospital of Philadelphia researchers

After a series of Philadelphia hospitals started closing their maternity units in 1997, infant mortality rates increased by nearly 50 percent over the next three years. The mortality rates subsequently leveled off to the same rate as before the closures, but pediatric researchers say their results underscore the need for careful oversight and planning by public health agencies in communities experiencing serious reductions in obstetric services.

Between 1997 and 2007, 9 of 19 obstetric units closed in Philadelphia, resulting in 40 percent fewer obstetric beds. Other research suggests that increased malpractice insurance costs and reduced reimbursements are the primary reasons for the closures. (An additional three obstetrics units have closed in Philadelphia since the study period.)

"Previous research on patient outcomes after hospital closure have focused on the impact of closing rural hospitals or single hospitals in a large metropolitan area," said study leader Scott A. Lorch, M.D., a neonatologist and researcher in the Center for Outcomes Research at The Children's Hospital of Philadelphia. "Our study was the first to systematically analyze the effects of large-scale urban obstetric service reductions on the outcomes of mothers and babies."

Lorch and colleagues published their study online August 10 in the journal Health Services Research.

The before-and-after study analyzed all Philadelphia births between Jan. 1, 1995 and June 30, 2007 (over 150,000 births) and compared them to two geographic control groups. One control group drew on birth records from the five suburban counties surrounding Philadelphia, the other group was from eight urban counties in California and Pennsylvania. The researchers analyzed 3.1 million births in all.

Compared to the two years before the closures, the difference in neonatal hospital mortality increased by 49 percent in Philadelphia between 1997 and 1999, and the difference in all perinatal mortality increased by 53 percent, compared to both control groups. These researchers adjusted for differences in patient characteristics in each county. The results are approximately equivalent to a rise from 5 deaths per 1,000 newborns to 8 per 1,000.

After 2000, the adjusted neonatal mortality rates in Philadelphia returned to pre-closure levels, although the outcomes did not improve over the baseline. Possible reasons for this leveling off, said the study team, include increased cooperation among obstetric departments, higher monitoring of the care delivery system by the public health department, or adjustments that the remaining open hospitals made to accommodate higher numbers of deliveries.

Lorch and colleagues said the initial adverse newborn outcomes are similar to results found by other researchers after the closure of smaller, adult hospitals in Los Angeles. Future studies in other locations may reveal whether the results found in Philadelphia are generalizable to other cities experiencing closures in obstetric units, or whether the large-scale closures in Philadelphia resulted in outcomes unique to the city.

Lorch added, "There are a variety of questions for hospital and public health officials to consider when obstetric units shut down. For instance, where will expectant mothers go for services, especially lower-risk mothers who typically deliver at the nearest hospital? How will remaining obstetric units handle a surge in patients?"

He continued, "Will there be reduced usage in prenatal services, especially in areas where hospitals provide both delivery care and prenatal services, as they frequently do in large cities like Philadelphia? Will the obstetric units have access to these prenatal health records? Addressing such issues may aid in transition planning, improve the efficiency of obstetric care, and provide better outcomes."

###

Grants from the National Institutes of Health supported this study (Agency for Healthcare Research and Quality grant HS015696 and the Eunice Kennedy Shriver National Institute of Child Health and Human Development grant HD001265). Lorch's co-authors were Sindhu K. Srinivas, M.D., Corinne Ahlberg, and Dylan S. Small, Ph.D. Lorch is in the Department of Pediatrics and Srinivas is in the Department of Obstetrics and Gynecology, both in the Perelman School of Medicine at the University of Pennsylvania, while Small is in the Wharton School of the University of Pennsylvania.

"The Impact of Obstetric Unit Closures on Maternal and Infant Pregnancy Outcomes," Health Services Research, published online August 10, 2012. doi: 10.1111/j.1475-6773.2012.01455.x

About The Children's Hospital of Philadelphia: The Children's Hospital of Philadelphia was founded in 1855 as the nation's first pediatric hospital. Through its long-standing commitment to providing exceptional patient care, training new generations of pediatric healthcare professionals and pioneering major research initiatives, Children's Hospital has fostered many discoveries that have benefited children worldwide. Its pediatric research program is among the largest in the country, ranking third in National Institutes of Health funding. In addition, its unique family-centered care and public service programs have brought the 516-bed hospital recognition as a leading advocate for children and adolescents. For more information, visit http://www.chop.edu.


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Source: http://www.eurekalert.org/pub_releases/2012-10/chop-nmw100312.php

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Tuesday, October 2, 2012

Can the World Save Lives and Combat Climate Change?

Environmental, humanitarian and economic challenges do not exist in isolation, but that is how the world most often deals with them. To take just one example: one of the key challenges facing cities around the globe in the 21st century is flooding. Flooding is determined by environmental factors, from climate change to overcrowding of floodplains with habitation. Flooding is also often a humanitarian disaster when it strikes and can be an aftereffect of big development projects, like hydroelectric dams.

Or take the metals in a cell phone. As Judith Rodin, president of the philanthropic Rockefeller Foundation, noted at her organization's event about "resilient livelihoods" on September 25, tungsten is the "metal that puts the buzz in your cell phone." Mining that tungsten is an economic development opportunity but also too often creates a humanitarian crisis when such economically valuable minerals become a source of conflict?as has been the case in the eastern Congo. At the same time, the mining practices used to extract such metals can be more or less bad for the environment and human health.

The U.N. buzz phrase of the last decade?"sustainable development"?is slowly morphing into a new sustainable buzzword for the development and humanitarian communities: resilience. Resilience means, at its core, an ability to bounce back from stress in a healthy way, Rodin said. But, as development expert Edward Carr of the University of South Carolina rightly notes, resilience of what, to what? Enabling the poor to be resilient in the face of challenges like climate change may require a fundamental rethinking of the methods used to address both poverty and global warming.

After all, poverty and climate change are inextricably linked: The developed world has progressed, thanks to fossil fuels, and burning them has resulted in the elevated levels of greenhouse gases in the atmosphere trapping heat, raising global temperatures and spawning weird weather. To resolve the energy poverty of billions will likely require burning more fossil fuels, but preventing catastrophic climate change definitely requires reducing concentrations of atmospheric greenhouse gas. "You cannot tackle one without the other," Rodin noted.

Thus far, despite some recent success in reducing poverty thanks to rising living standards in China, the world has mostly failed to truly tackle either. Although drought in the Horn of Africa is predictable and cyclical even under the present climate, famine still stalks the region. "To have drought at the level of 2011 and no deaths in Ethiopia? That was progress," argued Ertharin Cousin, executive director of the United Nations World Food Programme at the Rockefeller event. Yet, thousands perished of starvation throughout the region and populations in Somalia, Kenya and elsewhere remain reliant on aid?a decades-long failure that also encompasses civil war and political instability. "How do you eventually graduate from aid?" asks Mikkel Vestergaard Frandsen, CEO of Vestergaard Frandsen, a Denmark-based company that makes disease-control products.

Plus, "we are not winning the war on hunger. We are losing it," argued European Union Commissioner Kristalina Georgieva at the Rockefeller event. One of the big reasons that levels of hunger have started to grow again is the impact of climate change?variable weather means variable harvests whereas programs to reduce the greenhouse gas emissions of cars have ended up taking away food to make biofuels like ethanol. The lack of investment in agricultural innovation and the devastating impact of food aid on local farmers hasn't helped either. "Yes, we feed the hungry but we kill the farmers," Georgieva noted. Or, as food security specialist Amadou Diallo of the government of Niger said: "The basis of peace is food security." When people lack food, they turn to rebellion or terrorism.

Switching from food to cash grants except in those cases where food cannot be provided locally may be the key, argued Degan Ali of Adeso, an advocacy group for development in Africa, at the Rockefeller event. Such "flexible interventions" give the poor the ability to invest in their homes and villages rather than abandon everything and become permanent refugees.

In fact, one of the goals of humanitarian assistance now is preventative: keep people home rather than trekking to refugee camps, argued Rajiv Shah, administrator of the U.S. Agency for International Development, at the event. Interventions that have been proved to work in that regard are as simple as selling off livestock or providing fodder for lactating goats. These ideas "solve the problem in a far more fundamental manner than rushing in with food aid," Shah argued?a fact that has been born out in academic research for the past several decades.

At the same time, the world will continue to urbanize, as one-time villagers abandon everything and move to the city for a better life. That may improve economic circumstances but it also tends to increase the impact of natural disasters. Floods are more devastating, thanks to migrant villagers building in neglected floodplains or other undesirable areas.

So finding new ways to fund environmental improvement and economic development at the same time will be crucial. And a new project in western Kenya may provide an all too unique example of how the two might be linked.

Life saver?
The LifeStraw is a plastic tube with a hollow-fiber membrane tucked inside. The membrane filters out bacteria, particles, viruses and other nasty stuff from freshwater, making it safe for drinking according to both U.S. Environmental Protection Agency and World Health Organization standards. That is no small thing in the all too many parts of the world where there is no guarantee that drinking water will not induce illness. All told, nearly one billion people worldwide lack access to such safe drinking water?a long-standing humanitarian crisis.

More than 870,000 households in western Kenya now have family-size capacity versions of these straws, part of a program to deliver, maintain and make sure such potentially life-saving technology is used. And this humanitarian program is funded by selling carbon dioxide emission reductions.

What's the connection between CO2 and humanitarian aid? One word: firewood. In the absence of the LifeStraw, these Kenyan families must boil their water to ensure its safety. To do so, they must gather extra firewood (more than that they would need just for cooking), which spurs both bigger the cutting down of trees as well as times when such critical safety practices have to be skipped due to a lack of resources. Skipping even one day of safe drinking water can mean a health disaster. "It's not a vaccine. You can't relax and stop using it," Vestergaard Frandsen says. As it stands, more than 1.5 million children die of diarrheal disease annually around the world, mostly due to bad drinking water.

In order to generate its 2.7 million metric tons worth of verified emission reductions to date, the LifeStraw effort sends field workers out every six months to ensure the technology is both working and being used?and have committed to keep doing so for a decade. Already, according to the company, they are "seeing a statistically significant reduction in the odds of a child under five presenting at a clinic with diarrhea," Vestergaard Frandsen says. Each LifeStraw can filter at least 18,000 liters?enough to supply a family of four for three years with their clean drinking water needs.

The carbon credits fetch between $11.50 and $14 per metric ton, generating at least $30 million for the project. But such a charismatic carbon project is all too rare these days, both because the carbon market is dominated by less robust emission reductions from heavy industry in China and India as well as development efforts that proceed with little thought of the environmental cost or co-benefits. At present, there is simply no way to scale up such innovative efforts because there is no larger market for such "premium" credits as well as no interest from aid agencies. "In development aid, we give upfront dollars and start hoping," Vestergaard Frandsen notes. In order to solve environmental and economic problems, that has to change.

Follow Scientific American on Twitter @SciAm and @SciamBlogs. Visit ScientificAmerican.com for the latest in science, health and technology news.
? 2012 ScientificAmerican.com. All rights reserved.

Source: http://news.yahoo.com/world-save-lives-combat-climate-change-113100145.html

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Monday, October 1, 2012

We Believe: Europe pulls off improbable comeback

MEDINAH, Ill. (AP) ? The scoreboard said 10-6 and just about everyone figured the Ryder Cup was over.

Everyone, that is, but the Europeans.

There was so much energy and excitement in Europe's team room Saturday night that Ian Poulter just knew they were on the verge of something special.

"The atmosphere was like we had a two-point lead," Poulter said. "We're four points down. You're not going to turn around and say you're going to win, but we knew we had a little chance."

A chance, and a belief in themselves, was all they needed.

Point by point, they painted the scoreboard blue on Sunday. That deficit was gone by the time the first six groups finished, and that's when the fun really began. One, two, three matches flipped in Europe's favor on the last two holes, and 13 years after glumly watching the U.S. celebrate its epic comeback at Brookline, the Europeans had one of their own.

They partied on the 18th green, exchanging hugs with anyone in arm's reach. They wrapped themselves in their own country's flags and climbed the bridge between the clubhouse and the first tee. As giddy fans serenaded them with choruses of "Ole! Ole! Ole!" the players passed around oversized bottles of champagne, taking swigs and spraying the crowd with bubbly.

It was a scene the late Seve Ballesteros would have loved, and European captain Jose Maria Olazabal didn't even bother trying to hide the tears as he looked skyward. His dear friend and "Spanish Armada" partner was never far from the Europeans' minds or hearts this week, and they carried him with them Sunday, wearing his silhouette on their sleeves.

"What you did out there today was outstanding," Olazabal said. "You believed, and you delivered. And I'm very proud that you have kept Europe's hand on this Ryder Cup. All men die, but not all men live. And you made me feel alive again this week."

The Americans could feel nothing but numb, knowing the Ryder Cup had been in their grasp and they'd let it slip away.

The U.S. has now lost five of the last six Ryder Cups, and two of the last three on home soil.

"It was a hell of a lot of fun being on the other end," said Jim Furyk, one of the three Americans who were part of the Brookline squad. "It wasn't very much fun today."

The groundwork for Europe's victory was actually laid Saturday.

After getting trounced in pretty much every match, in pretty much every session, Poulter made five straight birdies to turn a loss into a win in the last Saturday match and swing momentum in Europe's favor ? even if it was only in their own minds.

"The whole atmosphere of the team changed last night," Luke Donald said. "That was just a huge boost to our team and our morale, how we felt about our chances. It gave us a huge lift."

Just as Ben Crenshaw did in Brookline, Olazabal front-loaded his lineup, sending out his best players first in hopes of building a wave of momentum that would lift the rest of the team.

And just as it did in Brookline, the strategy worked perfectly. Even Rory McIlroy's confusion over U.S. time zones turned out OK, with the world's No. 1 player getting a police escort and arriving at Medinah with 10 minutes to spare before his 11:25 a.m. tee time.

"It's my own fault," said McIlroy, who didn't realize the Ryder Cup tee times he was reading on his phone were in Eastern time. "If I let down these 11 other boys and vice captains and captains this week, I would never forgive myself."

McIlroy delivered his point as Europe won its first five matches, an onslaught that knocked the Americans ? and their fans ? flat.

"Coming down the stretch this afternoon, there was some amazing periods where you just didn't hear anything on the golf course," Justin Rose said. "That's really what we were striving for."

It was Rose's match that might have been the most damaging. On the verge of losing to Phil Mickelson, he holed a 12-foot par putt to halve the 16th and made a 35-foot birdie putt from the back of the 17th green to win the hole.

He then closed out the match with a 12-foot birdie on the last hole, and Mickelson could only applaud and congratulate Rose.

"When it looked like I might be able to stop some of the momentum on the board, they were able to get another point," Mickelson said. "I thought that match, as early as it was, was a very pivotal one."

Still, it wasn't until the very end that Europe's victory was assured. Martin Kaymer had to make a 6-foot par putt to win his match against Steve Stricker. If he missed, Tiger Woods was in the fairway behind him, ready to take the final point the Americans needed.

Kaymer poured it in to beat Stricker, and the celebration was on ? at Medinah and back in Germany, which has been looking for a little redemption since Bernhard Langer missed a par putt from about the same length at Kiawah Island in 1991, allowing the Americans to win.

Woods missed a 3?-foot par putt on the 18th hole, and then conceded a par to Francesco Molinari of about that length to halve their match. That extra half-point made it a clear-cut win for Europe, 14?-13?.

"It was already over," Woods said when asked why he conceded. "We came here as a team. This is a team event and the cup had already been retained by Europe, so it was already over."

The only U.S. points came from Dustin Johnson, who went 3-0 in this Ryder Cup, Zach Johnson and unheralded Jason Dufner. Woods and Stricker, the anchors in the lineup, didn't win a single match at Medinah.

"A lot of guys played great," Love said. "They just got beat by a guy that played a little bit better."

And by a team playing with added inspiration.

This is the first Ryder Cup since Ballesteros died in May 2011 of complications from a brain tumor, and his legacy was a key part of Olazabal's preparation. He stitched a silhouette of Ballesteros on the European bags, and his players were dressed Sunday in the navy pants and white polo shirt that were Ballesteros' trademark.

When Olazabal hugged his players at the closing ceremony, he saved the longest embrace for Lee Westwood, the only European who played on the 1997 team with Ballesteros as the captain.

"Seve will always be present with this team," Olazabal said. "He was a big factor for this event for the European side, and last night when we were having that meeting, I think the boys understood."

Understood and believed, even if no one else did.

Source: http://news.yahoo.com/believe-europe-pulls-off-improbable-comeback-072742289--spt.html

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