Source: http://news.feedzilla.com/en_us/stories/politics/top-stories/319913714?client_source=feed&format=rss
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Friday, July 19, 2013
Thursday, July 18, 2013
Seattle Mayor's Race Debate To Feature All Nine Candidates Ahead Of Primary
The Downtown District Council of Seattle and KCTS 9 will host the nine Seattle mayoral candidates for a live debate ahead of the August 6 primary. The first hour of the debate will be televised and simulcast? on KUOW starting at 7:00 p.m. Following the first hour, an additional half hour of debate time will continue online only at KCTS 9.
The debate will feature questions on transportation, public safety, police accountability, coal trains and legalized marijuana. All nine candidates are expected to take part and the discussion will be moderated by Enrique Cerna of KCTS 9 and Joni Balter, Seattle Times assistant political editor.
KUOW's Deborah Wang reported from the contentious CityClub of Seattle debate?on Tuesday. ?The evening started with fireworks when candidate Kate Martin was escorted from the stage. CityClub had not extended an invitation for her to take part in the debate and instead chose five of the nine mayoral candidates that were determined to be ?most viable,? according to executive director Diane Douglas.
The tension continued through the debate with bickering and accusations flying. Balter moderated the CityClub event as well.
Earlier this week, KUOW interviewed all nine candidates during midday programming. You can listen to them and follow the coverage of the mayor's race and others at our elections page.
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Wednesday, July 17, 2013
Post-op phone checkups save time and travel
By Kathryn Doyle
NEW YORK (Reuters Health) - In a preliminary study of patients who had simple surgeries, most did well and seemed satisfied with post-operative checkups by telephone instead of seeing their surgeon in a clinic visit.
The phone follow-up saved doctors and patients the time and effort involved in clinic visits without compromising patient care, according to the study of California patients.
"These clinic visits are usually five minutes or less, very brief, the doctor asks ?how are you, do you feel well, are you going to the bathroom okay, that kind of thing," said senior author Dr. Sherry Wren of the Stanford University School of Medicine.
Those questions can easily be asked over the phone, and only patients with unusual symptoms need to come see a doctor in person, she told Reuters Health. The study included patients who had hernia repairs and gallbladder removals, both routine surgeries with very low post-op complication rates.
But so-called telehealth follow-up would not be appropriate for all surgeries Wren said; for cancer patients, for example, follow-up doctors' visits include discussions of continuing care and treatment plans.
For the new study, Wren and her colleagues identified patients of the Palo Alto Veterans Administration Health Care System who were scheduled for one of two surgeries.
In total, 115 patients had hernia repairs and 26 had gallbladders removed. All were scheduled for a follow-up clinic visit three weeks after their surgeries. But two weeks post-surgery the patients were called by a physician assistant.
The assistant asked scripted questions about the patient's pain and activity levels, swelling, the look and feel of the incision, appetite and bowel movements.
If patient responses indicated normal recovery, the patient's scheduled follow-up clinic visit was canceled with the patient's consent. If recovery seemed abnormal, the patient was encouraged to keep the clinic appointment. Any patients who wanted in-person follow-up were also allowed to keep their appointment.
Calls went through to 110 of the patients; 63 hernia patients and 19 gallbladder patients agreed to have surgical follow up by phone only and canceled their clinic appointments.
None of the gallbladder patients and three hernia patients had surgical complications up to 10 months after surgery, which is comparable to complication rates in the general population, according to the results published in the journal JAMA Surgery.
The authors did not compare the outcomes of the telehealth group to a group going to traditional clinic visits.
Of the patients who said they wanted to visit the clinic, even after the phone checkup, most wanted to pick up a return-to-work form and thought they had to do so in person, whereas it can actually be mailed or faxed, Wren said.
Most patients said they were very satisfied with the telehealth checkups and seemed grateful that they didn't have to drive to the clinic, Wren said,
Of the patients who accepted the telehealth follow-up, the average round-trip travel distance from their homes to the hospital was 141 miles, and the average driving time Wren's team calculated would have been about two and a half hours.
Though research supports the safety and efficacy of telehealth, it is only used in some pockets of healthcare, Wren said. Some physicians balk at leaving behind the "gold standard" of in-person visits, she said.
The current study indicates that even the relatively low-tech telephone call can be a reliable telehealth option, and it may be more appealing to people, she said.
"Nothing about this was surprising, especially in this patient population and with what we would consider relatively routine procedures, especially if they travel great distances, we know people would like an alternative," said Dr. Glenn Ault of the department of surgery at the University of Southern California in Los Angeles.
Using telemedicine to make sure only surgical patients who need to be seen end up going to a clinic could help cut down on crowds and wait times, said Ault, who wrote a commentary to accompany the research.
He already uses telemedicine in his practice in L.A. health system, and has also had patients send pictures of their wounds before coming in to the office. The next step will be to study telehealth options for other procedures, he said.
"Healthcare as we view it will undergo some significant transformation in the years ahead, the status quo cannot continue," he said. "We are going to have to look for different ways to safely and efficiently provide care," and telehealth could play an important role, he said.
SOURCE: http://bit.ly/16GIKzS JAMA Surgery July 10, 2013.
(This story is refiled to include source link to JAMA Surgery article)
Source: http://news.yahoo.com/post-op-phone-checkups-save-time-travel-150246222.html
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Auburn University implements smoke-free campus initiative
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Source: www.bizjournals.com --- Wednesday, July 17, 2013
Source: http://feeds.bizjournals.com/~r/vertical_38/~3/41J1GlbisRE/auburn-university-implements.html
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Monday, July 1, 2013
Texas Rangers sit Lance Berkman for another game with injury suffered in tumble down airplane stairs
Texas Rangers designated hitter Lance Berkman, left, reacts to taking a strike in front of Toronto Blue Jays catcher J.P. Arencibia during the baseball game Thursday, June 13, 2013, in Arlington, Texas. (AP Photo/LM Otero)
ARLINGTON ? In what is bound to become the most famous accident involving airplane stairs since President Gerald Ford tumbled down the stairs of Air Force 1 more than 30 years ago, Rangers DH Lance Berkman missed his third consecutive game due to a twisted right knee suffered when he fell down the stairs exiting the Texas Rangers charter early Friday morning.
Berkman said he did not think he was a candidate for the DL. The Rangers are hopeful that with Monday?s off day, he could get rested and healthy enough to return to the lineup Tuesday when the Rangers face Seattle.
?It was a nasty fall, Rangers manager Ron Washington said.
Berkman has had four surgeries on the knee in his career, including one after tearing his anterior cruciate ligament in a flag football game after the 2004 season.
The knee, however, is becoming more and more of a concern. After playing in 20 games in April and 27 in May, Berkman has played in just 16 games in June. While the knee has not often been painful, Berkman has had trouble keeping it straight when hitting from the left side and that forms the foundation for his swing.
After hitting .309 in April and .265 in May, Berkman hit just .194 in June with only two extra-base hits, both home runs. His last double was on May 18.
The Rangers full lineup for the series finale against Cincinnati: 2B Ian Kinsler, SS Elvis Andrus, DH Nelson Cruz, 3B Adrian Beltre, 1B Mitch Moreland, LF David Murphy, C Geovany Soto, CF Engel Beltre, RF Leonys Martin and RHP Yu Darvish.
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House Dems seek path to final immigration deal
FILE - This April 22, 2013 file photo shows Janet Murguia, president and CEO, National Council of La Raza, on Capitol Hill in Washington. Minorities _ Hispanics, women, blacks, Asians _ stand as the majority among House Democrats, giving them considerable clout in pushing for the most massive rewrite of the nation?s immigration laws in a generation. As the immigration fight shifted to the House, rank-and-file Democrats delivered a simple message to their party leader on Friday: If Republicans who call the shots make good on their promise to bring up single-issue legislation, we?ll only go along if it gets us to negotiations with the Senate. (AP Photo/Jacquelyn Martin, File)
FILE - This April 22, 2013 file photo shows Janet Murguia, president and CEO, National Council of La Raza, on Capitol Hill in Washington. Minorities _ Hispanics, women, blacks, Asians _ stand as the majority among House Democrats, giving them considerable clout in pushing for the most massive rewrite of the nation?s immigration laws in a generation. As the immigration fight shifted to the House, rank-and-file Democrats delivered a simple message to their party leader on Friday: If Republicans who call the shots make good on their promise to bring up single-issue legislation, we?ll only go along if it gets us to negotiations with the Senate. (AP Photo/Jacquelyn Martin, File)
FILE - In this July 2, 2012 file photo, Rep. Peter Welch, D-Vt. speaks in Montpelier, Vt. Minorities _ Hispanics, women, blacks, Asians _ stand as the majority among House Democrats, giving them considerable clout in pushing for the most massive rewrite of the nation?s immigration laws in a generation. As the immigration fight shifted to the House, rank-and-file Democrats delivered a simple message to their party leader on Friday: If Republicans who call the shots make good on their promise to bring up single-issue legislation, we?ll only go along if it gets us to negotiations with the Senate. (AP Photo/Toby Talbot, File)
FILE - In this March 10, 2011 file photo, Rep. Al Green, D-Texas, listens during a hearing on Capitol Hill in Washington. Minorities _ Hispanics, women, blacks, Asians _ stand as the majority among House Democrats, giving them considerable clout in pushing for the most massive rewrite of the nation?s immigration laws in a generation. As the immigration fight shifted to the House, rank-and-file Democrats delivered a simple message to their party leader on Friday: If Republicans who call the shots make good on their promise to bring up single-issue legislation, we?ll only go along if it gets us to negotiations with the Senate. (AP Photo/Alex Brandon, File)
In this photo taken June 27, 2013, House Minority Leader, Democrat Nancy Pelosi of California, speaks at a Capitol Hill news conference in Washington. The Republican chairman of the House Judiciary Committee said Sunday, June 30, that any attempt at comprehensive immigration legislation cannot offer a "special pathway to citizenship" for those in the United States illegally. That approach, said Pelosi Sunday, could block the GOP's hopes of ever winning the White House. (AP Photo/Susan Walsh)
WASHINGTON (AP) ? Hispanics, blacks, Asians and women who together stand as the majority in the House Democratic caucus publicly disparage Republicans' piecemeal approach to immigration and their pointed omission of any legalization path for the 11 million immigrants living here unlawfully.
Privately and pragmatically, Democrats recognize that the GOP's strategy may be their only route available to an historic policy change.
"House Democrats want to get this done," said Rep. Joaquin Castro, D-Texas, a second-generation Mexican-American. "We want to get immigration reform done in 2013 and it's on Republicans now who run the show in the House of Representatives to figure out how to work with us to get this done."
Speaker John Boehner, R-Ohio, who controls the agenda in the Republican-led House, has said flatly that lawmakers will not consider the bipartisan, Senate-passed bill with the promise of U.S. citizenship for millions and billions of dollars in new spending for more border security. That leaves Democrats with few options in their quest for the most sweeping immigration changes in a generation and a chance to deliver on President Barack Obama's top domestic priority.
The question of process and strategy is nettlesome for Democrats, but the single-issue bills pushed by Republicans represent the most expedient path to negotiations with the Democratic-controlled Senate and a chance for final, comprehensive legislation.
Publicly, Democrats are adamant.
"Piecemeal is no deal. Piecemeal is a deal-breaker," said Rep. Al Green, D-Texas.
But Democrats left the Capitol for their July 4th recess this week determined to rally support for immigration legislation and willing to support the single-issue bills as long as it gets them to talks with the Senate. Members of the Congressional Hispanic Caucus who spoke privately with Democratic Leader Nancy Pelosi last Friday made clear they wouldn't back the stand-alone GOP bills if Republicans expected the Senate to act on each one individually, a surefire path to legislative oblivion.
Rewriting the nation's immigration rules is far more than an abstract policy debate for many House Democrats who are first- and second-generation Americans. The issue is a chance to pay tribute to grandparents and parents who sought and found opportunity in the United States.
These minorities add up to a majority in the Democratic caucus to pressure party leaders. Their presence also creates a pronounced racial and political divide in the House, where the large Republican caucus is overwhelmingly white and male, and underscores the difficulties for immigration legislation.
Of the 201 Democrats, less than half are white men while 41 are blacks, 25 are Hispanic and nine are Asian. There are 60 Democratic women. Of the 234 Republicans, 207 are white men, eight are Hispanic, two are native Americans and 19 are women. There are no black House Republicans.
After last year's elections, Pelosi boasted about the numbers, saying it "reflects the great diversity and strength of our nation." Within the caucus she leads, the numbers add up to a force that can't be ignored.
"We have leverage," said Rep. Mike Honda, D-Calif., a member of the Asian Pacific American Caucus and the grandson of Japanese immigrants who spent the first few years of his life at a Japanese-American internment camp in Colorado during World War II.
The Democrats have tried unsuccessfully to change or scuttle the individual bills from the House Judiciary Committee, none including a path to citizenship and several they've described as mean-spirited.
One provides for a crackdown on immigrants living in the United States illegally. Another sets up a temporary program for farm workers to come to the United States, but without the opportunity for citizenship that the Senate-passed measure includes.
A third, which drew several Democratic votes, requires establishing a mandatory program within two years for companies to verify the legal status of their workers. The Senate bill sets a four-year phase-in, although supporters of the legislation have also signaled they are agreeable to tighter requirements. A fourth House bill increases the number of visas for highly-skilled workers, also a feature of the Senate bill.
Rep. Bob Goodlatte, R-Va., the chairman of the House Judiciary Committee, rejected a "special pathway to citizenship" to immigrants living in the country illegally, but indicated that he would be receptive to a path to legalization.
Outside groups recognize the political headwinds and are simply pressing for a vote.
"There's a lot of different ways they can get to an outcome on immigration reform and the fact is we can't pretend to be able to control the process. But what we can say is that we want a vote. Just vote on something," said Janet Murguia, president of National Council of La Raza.
"We know that if there is a bill that is voted on in the House of Representatives it will be conferenced with the Senate bill, so just vote on something and let the conference be the place where we can negotiate the differences. ...But for us, give us a vote. We deserve a vote."
Democrats cast the issue as a moment in history for Boehner, with nothing less than the future of the Republican Party at stake in national elections. The Hispanic population in the United States is up 65 percent since 2000, with millions of new voters who delivered a shellacking to the GOP in last year's presidential election.
GOP Nominee Mitt Romney's defeat was blamed in part on his 27 percent of the Hispanic vote.
"It's an existential dilemma for the Republicans," said Rep. Peter Welch, D-Vt. "The folks in gerrymandered (House) districts can just say no, but if they want to have any national future, the adults in the room have to say yes."
Rep. Gerry Connolly, D-Va., motions toward the portraits of past speakers lining the hallway outside the House chamber and asks, "What's the point of having the job and the title if you're not going to do something with it?"
"Immigration reform is one of the top three or four issues in the country and will affect the next generation of Americans and it can't continue to be ignored," he said.
If Congress is unable to produce immigration legislation, Democrats are certain to blame the GOP and look to capitalize politically, not only with Hispanics but independent voters frustrated with the gridlock.
Asked if failure was a winner for Democrats, Connolly said, "We all presume so. In the short run that's less clear than in the long run."
____
Associated Press writers Erica Werner contributed to this report.
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Monday, June 24, 2013
South Africans resigned over 'critical' Mandela
JOHANNESBURG (Reuters) - South Africans appeared resigned on Monday to the inevitability of one day saying goodbye to former president Nelson Mandela after the 94-year-old anti-apartheid leader's condition in hospital deteriorated to critical.
Madiba, as he is affectionately known, is revered among most of South Africa's 53 million people as the architect of the peaceful 1994 transition to multi-racial democracy after three centuries of white domination.
However, with his latest hospitalization - his fourth in six months - a realization has set in that he will not be around for ever.
His deterioration this weekend, two weeks after being admitted in a serious but stable condition with a lung infection, has caused a perceptible switch in mood from prayers for recovery to preparations for a fond farewell.
"If it's his time to go, he can go. I wish God can look after him," said nurse Petunia Mafuyeka, as she headed to work in Johannesburg.
"We will miss him very much. He fought for us to give us freedom. We will remember him every day. When he goes I will cry."
In a statement, President Jacob Zuma's office urged South Africa and the world to pray for Mandela "during this difficult time". But there was some concern among the public about doctors trying to prolong the life of one of the 20th century's most influential figures.
"I'm worried that they're keeping him alive. I feel they should let him go," said Doris Lekalakala, a claims manager. "The man is old. Let nature take its course. He must just rest."
Since stepping down in 1999 after one term as president, Mandela has stayed out of active politics in the continent's biggest and most important economy and his passing is expected to have little political impact.
His last public appearance was waving to fans from the back of a golf cart before the final of the soccer World Cup in Johannesburg's Soccer City stadium in July 2010.
During his retirement, he has divided his time between his home in the wealthy Johannesburg suburb of Houghton, and Qunu, the village in the impoverished Eastern Cape province where he was born.
The public's last glimpse of him was a brief clip aired by state television in April during a visit to his home by Zuma and other senior officials of the ruling African National Congress.
At the time, the 101-year-old liberation movement, which led the fight against white-minority rule, assured the public Mandela was "in good shape", although the footage showed a thin and frail old man sitting expressionless in an armchair.
(Reporting by Ed Cropley and Pascal Fletcher; Editing by Pascal Fletcher)
Source: http://news.yahoo.com/south-africans-resigned-over-critical-mandela-060437497.html
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