Angioplasty costs are higher at non-surgery hospitals
















LOS ANGELES (Reuters) – Angioplasty to clear blocked arteries costs more at hospitals not equipped for emergency heart surgery, according to a study presented on Sunday at the American Heart Association scientific meeting.


Elective angioplasty is becoming increasingly common at hospitals that do not conduct more complicated heart procedures. During angioplasty, doctors insert a balloon-tipped catheter into an artery and inflate a balloon to open the narrowed blood vessel.













Researchers from Duke University Medical School in North Carolina analyzed billing data from more than 18,000 patients and found that the average cumulative medical costs were $ 23,991 in surgery-equipped hospitals, versus $ 25,460 in those without surgical centers.


“Surprisingly, there was no difference in procedure cost,” said Dr. Eric Eisenstein, lead author of the study and assistant professor of medicine at Duke. “We did find a difference in follow-up cost.”


The difference was due mainly to the fact that non-surgery hospitals used intensive care units for post-angioplasty care, as required by the study, and patients treated at these hospitals were more likely to be readmitted nine months after treatment.


“Rising costs of medical care make it very pertinent for us to assess value,” said Dr. Mark Hlatky, director of the cardiovascular outcomes research center at Stanford University.


Eisenstein said, “there is no guarantee that a community hospital can provide angioplasty services at costs comparable with those of major hospitals with on-site cardiac surgery.”


More than 1 million coronary artery opening procedures are performed in the United States each year, according to the American Heart Association.


(Reporting By Deena Beasley; Editing by Stacey Joyce)


Health News Headlines – Yahoo! News



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India’s Outsourcing Firms Must Boost Morale
















12da4  JaiGill 75x75 Indias Outsourcing Firms Must Boost Morale

India’s business-process-outsourcing (BPO) companies have a problem. The $ 50 billion industry has enjoyed phenomenal growth: The top 20 BPO companies’ employee base grew 12 percent in 2011, according to Dataquest, and the domestic market is expanding.













Yet BPO companies are struggling to attract the right talent. Not long ago, a BPO job was considered prestigious and financially beneficial, but lately potential candidates have opted for jobs in more traditional sectors such as banking, retail, and manufacturing. One of the critical issues facing business leaders today is the people perception that BPO jobs are unattractive. Rebranding could help change this view, but leaders can only achieve a true shift in people’s perceptions of BPO jobs when professionals in the industry view them as an attractive career option. When BPO employees feel loyalty to their companies and advocate for them, they provide excellent images of the industry to the outside world.


However, a study based on Gallup data indicates that BPO companies are unlikely to change people’s perspectives of them while the industry continues on its current path. A Gallup analysis of more than 75,000 respondents across eight BPO organizations over a two-year period indicates that a mere 28 percent of employees strongly agree that they intend to stay with their organization for the next two years; the same number strongly agree that they would recommend their organization to friends or family members.


The low level of loyalty shown by this number should worry any business leader concerned about employee turnover costs and lost productivity. But there is another issue here: When less than one in three employees strongly believes in a BPO employer, it is unlikely that young aspirants looking to embark on a career will meet mentors or advisers who would urge them to pursue a job with a BPO organization. This is true in any industry, but it is especially true in India: Indians typically rely on advice from people in their social networks, especially when it comes to big decisions such as choosing a school, a neighborhood, or a profession. While industry specific information is typically publicly available, many Indians tend to make key decisions after receiving direct advice from a trusted person.


That leads to the critical roadblock to acquiring talent in the BPO industry: Because of current experience in their organizations, these trusted sources are more likely to guide young, aspiring professionals into other industries.


The first step in reshaping the BPO industry’s image is to focus on existing BPO professionals’ needs. Gallup investigated the difference between extremely loyal advocates of the industry and those who take the opposite view and found two critical factors separating the groups: first, the contribution an employee’s job makes to the mission and purpose of the organization and second, the opportunities each employee has to learn and grow on the job.


While these factors are common across industries, the range of their effect on engagement and subsequently loyalty and advocacy in the BPO industry is tremendous. For example, when employees can strongly agree with two statements from Gallup’s engagement assessment designed to measure employee-engagement conditions, (“The mission or purpose of my organization makes me feel my job is important” and This last year, I have had opportunities at work to learn and grow”), their engagement levels increase to the 92nd engagement percentile of the overall workforce in India. Indeed, at those levels these workers become some of the most engaged employees. Being able to strongly agree with just one of the two items boosts employee engagement to above-average levels—into the 69th percentile of the workforce in India.


However, when an employee cannot strongly agree with either item, his or her engagement level falls to the 20th percentile of the India database. Such low levels of engagement drastically affect employees’ ability to be successful at work and ultimately their overall well being.


This lack of employee agreement with the key factors of loyalty and advocacy is an important signal to BPO company leaders. Increasing employee engagement affects loyalty and advocacy in the industry. Gallup data show that “engaged” employees are at least four times more likely than employees who are “not engaged” and 15 times more likely than “actively disengaged” employees to become advocates for their organizations in their social networks. Gallup has seen similar trends among employees regarding loyalty.


However, three out of five employees do not understand their role in fulfilling their organization’s mission and are unclear on how they will grow in their organization. The critical goal for BPO industry leaders is to connect their employee base with the vision of the company and to explain to employees how to achieve this vision and what the path forward will look like. If BPO companies can show workers the direction forward, the industry’s path will suddenly look a lot clearer, too.



Gill is a Senior Consultant with the strategic consulting firm Gallup in India. He works with clients in the technology, hospitality, financial services, and business services sectors in India, Australia, and Japan.


Businessweek.com — Top News



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As foreigners go, Afghan city is feeling abandoned

























KANDAHAR, Afghanistan (AP) — By switching from studying business management to training as a nurse, 19-year-old Anita Taraky has placed a bet on the future of the southern Afghan city of Kandahar — that once foreign troops are gone, private-sector jobs will be fewer but nursing will always be in demand.


Besides, if the Taliban militants recapture the southern Afghan city that was their movement’s birthplace and from which they were expelled by U.S.-led forces 11 years ago, nursing will likely be one of the few professions left open to women.





















Taraky is one of thousands of Kandaharis who are weighing their options with the approaching departure of the U.S. and its coalition partners. But while she has opted to stay, businessman Esmatullah Khan is leaving.


Khan, 29, made his living in property dealing and supplying services to the Western contingents operating in the city. Property prices are down, and business with foreigners is already shrinking, so he is pulling out, as are many others, he said.


Many are driven by a certainty that the Taliban will return, and that there will be reprisals.   


“From our baker to our electrician to our plumber, everyone was engaged with the foreign troops and so they are all targets for the Taliban. And unless the government is much stronger, when the foreign troops leave, that is the end,” Khan said.


The stakes are high. Kandahar, Afghanistan’s second city, is the southern counterweight to Kabul, the capital. Keeping Kandahar under central government control is critical to preventing the country from breaking apart into warring fiefdoms as it did in the 1990s.


“Kandahar is the gate of Afghanistan,” said Asan Noorzai, director of the provincial council. “If Kandahar is secure, the whole country is secure. If it is insecure, the whole country will soon be fighting.”


Even though Kandahar city has traffic jams and street hawkers to give it an atmosphere of normality, there are dozens of shuttered stores on the main commercial street, it’s almost too easy to find a parking space these days, and shopkeepers are feeling the pinch.


Dost Mohammad Nikzad said his profits from selling sweets have dropped by a half or more in the past year, to about $ 30 a day, and he has had to cut back on luxuries.


He said that every month he would buy a new shalwar kameez, the tunic favored by Afghan men; now he buys one every other month.


“I only go out to eat at a restaurant once a week. Before I would have gone multiple times a week,” Nikzad said, as he stood behind his counter, waiting for customers to show.


The measurements of violence levels contradict each other. On the one hand, many Kandaharis say things are better this year. On the other hand, the types of violence have changed and, to some minds, gotten worse.


“Before, we were mostly worried about bomb blasts. Now … we are afraid of worse things like assassinations and suicide attacks,” said Gul Mohammad Stanakzai, 34, a bank cashier.


Prying open the Taliban grip on Kandahar and its surrounding province has cost the lives of more than 400 international troops since 2001, and many more Afghans, including hundreds of public officials who have been assassinated by the Taliban.


Kandahar province remains the most violent in the country, averaging more than five “security incidents” a day, according to independent monitors. In Kandahar city, suicide attacks have more than doubled so far this year compared with the same period of 2011, according to U.N. figures.


“They are not fighting in the open the way they were before. Instead they are planting bombs and trying to get at us through the police and the army,” said Qadim Patyal, the deputy provincial governor.


The Taliban have said in official statements that they are focusing more on infiltrating Afghan and international forces to attack them. In the Kandahar governor’s office, armed Afghan soldiers are barred from meetings with American officials lest they turn on them, Patyal said.


And many point out that the “better security” is only relative. By all measures — attacks, bombings and civilian casualties — Kandahar is a much more violent city now than in 2008, before U.S. President Barack Obama ordered a troop surge.


There are no statistics on how many people have left the city of 500,000, but people are fleeing the south more than any other part of the country, according to U.N. figures. About 32 percent of the approximately 397,000 people who were recorded as in-country refugees were fleeing violence in the south, according to U.N. figures from the end of May.


The provincial government, which is supposed to fill the void left by the departing international forces, has suffered heavily from assassinations. It suffered a double blow in July last year with the killing of Ahmed Wali Karzai, the half-brother of President Hamid Karzai who was seen as the man who made things work in Kandahar, and Ghulam Haider Hamidi, the mayor of the city.


Now, Noorzai says, he can neither get the attention of ministers in Kabul nor trust city officials to do their jobs.


He remembers 2001, when he and others traveled to the capital flying the Afghan flag which had just been reinstated in place of that of the ousted Taliban. “People were throwing flowers and money on our car, they were so happy to have the Afghan flag flying again,” he said.


“When we got power, what did we give them in return? Poverty, corruption, abuse.”


Mohammad Omer, Kandahar’s current mayor, insists that if people are leaving the city, it is to return to villages they fled in previous years because now security has improved.


Zulmai Hafez disagrees. He has felt like a marked man since his father went to work for the government three years ago, and is too frightened to return to his home in the Panjwai district outside Kandahar city. He refused to have his picture taken or to have a reporter to his home, instead meeting at the city’s media center.


“It’s the Taliban who control the land, not the government,” Hafez said. He notes that the government administrator for his district sold off half his land, saying he would not be able to protect the entire farm from insurgents. Many believe the previous mayor was murdered because he went after powerful land barons.


Land reform is badly needed, and the mayor is angry about people who steal land, but he offers no solution. Kandahar only gets electricity about half the day. The mayor says it’s up to the Western allies to fix that. But the foreign aid is sharply down. Aid coming to Kandahar province through the U.S. Agency for International Development, the largest donor, has fallen to $ 63 million this year from $ 161 million in 2011, according to U.S. Embassy figures.


The mayor prefers to talk about investing in parks and planting trees. “I can’t resolve the electricity problem, but at least I can provide a place in the city for people to relax,” he said.


The only people thinking long-term appear to be the Taliban.


“The Americans are going and the Taliban need the people’s support, so they are trying to avoid attacks that result in civilian casualties,” said Noor Agha Mujahid, a member of the Taliban shadow government for Kandahar province, where he oversees operations in a rural district. “After 2014 … it will not take a month to take every place back.”


One of the biggest worries is the fate of women who have made strides in business and politics since the ouster of the Taliban.


“What will these women do?” asked Ehsanullah Ehsan, director of a center that trains more than 800 women a year in computers, English and business. It was at his center where Anita Taraky studied before switching to nursing.


“Even if the Taliban don’t come back, even if the international community just leaves, there will be fewer opportunities for women,” he said.


On the outskirts of the city stands one of the grandest projects of post-Taliban Kandahar — the gated community of Ayno Maina with tree-lined cement homes, wi-fi and rooftop satellite dishes.


Khan, the departing businessman, says he bought bought 10 lots for $ 66,000 in Ayno Maina and has yet to sell any of them despite slashing the price,


He recalled that when he first went to the project office it was packed with buyers. “Now it is full of empty houses. No one goes there,” Khan said.


Only about 15,000 of the 40,000 lots have been sold, and 2,400 homes built and occupied, according to Mahmood Karzai, one of the development’s main backers and a brother of President Karzai. He argues, however, that prices are down all over Afghanistan, and that Ayno Maina is still viable, provided his brother gets serious about reform that will attract investors.


“Afghanistan became a game,” he said over lunch at the Ayno Maina office. “The game is to make money and get the hell out of here. That goes for politicians. That goes for contractors.”


He shrugged off allegations that he skimmed money from Ayno Maina, saying the claims were started by competitors in Kabul who assume everyone who is building something in Afghanistan is also stealing money.


He said the money went where it was needed: to Western-style building standards and security.


In downtown Kandahar, a deserted park and Ferris wheel serve as another reminder of thwarted hopes. Built in the mid-2000s, the wheel has been idle for two years according to a guard, Abdullah Jan Samad. It isn’t broken, he said, it just needs electricity. A major U.S.-funded project to get reliable electricity to the city has floundered and generators that were supposed to provide a temporary solution only operate part-time because of fuel shortages.


“The government should be paying for maintenance for the Ferris wheel,” the guard said. “When you build something you should also make sure to maintain it.”


____


Associated Press Writer Mirwais Khan contributed to this report from Kandahar.


Asia News Headlines – Yahoo! News



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As foreigners go, Afghan city is feeling abandoned

























KANDAHAR, Afghanistan (AP) — By switching from studying business management to training as a nurse, 19-year-old Anita Taraky has placed a bet on the future of the southern Afghan city of Kandahar — that once foreign troops are gone, private-sector jobs will be fewer but nursing will always be in demand.


Besides, if the Taliban militants recapture the southern Afghan city that was their movement’s birthplace and from which they were expelled by U.S.-led forces 11 years ago, nursing will likely be one of the few professions left open to women.





















Taraky is one of thousands of Kandaharis who are weighing their options with the approaching departure of the U.S. and its coalition partners. But while she has opted to stay, businessman Esmatullah Khan is leaving.


Khan, 29, made his living in property dealing and supplying services to the Western contingents operating in the city. Property prices are down, and business with foreigners is already shrinking, so he is pulling out, as are many others, he said.


Many are driven by a certainty that the Taliban will return, and that there will be reprisals.   


“From our baker to our electrician to our plumber, everyone was engaged with the foreign troops and so they are all targets for the Taliban. And unless the government is much stronger, when the foreign troops leave, that is the end,” Khan said.


The stakes are high. Kandahar, Afghanistan’s second city, is the southern counterweight to Kabul, the capital. Keeping Kandahar under central government control is critical to preventing the country from breaking apart into warring fiefdoms as it did in the 1990s.


“Kandahar is the gate of Afghanistan,” said Asan Noorzai, director of the provincial council. “If Kandahar is secure, the whole country is secure. If it is insecure, the whole country will soon be fighting.”


Even though Kandahar city has traffic jams and street hawkers to give it an atmosphere of normality, there are dozens of shuttered stores on the main commercial street, it’s almost too easy to find a parking space these days, and shopkeepers are feeling the pinch.


Dost Mohammad Nikzad said his profits from selling sweets have dropped by a half or more in the past year, to about $ 30 a day, and he has had to cut back on luxuries.


He said that every month he would buy a new shalwar kameez, the tunic favored by Afghan men; now he buys one every other month.


“I only go out to eat at a restaurant once a week. Before I would have gone multiple times a week,” Nikzad said, as he stood behind his counter, waiting for customers to show.


The measurements of violence levels contradict each other. On the one hand, many Kandaharis say things are better this year. On the other hand, the types of violence have changed and, to some minds, gotten worse.


“Before, we were mostly worried about bomb blasts. Now … we are afraid of worse things like assassinations and suicide attacks,” said Gul Mohammad Stanakzai, 34, a bank cashier.


Prying open the Taliban grip on Kandahar and its surrounding province has cost the lives of more than 400 international troops since 2001, and many more Afghans, including hundreds of public officials who have been assassinated by the Taliban.


Kandahar province remains the most violent in the country, averaging more than five “security incidents” a day, according to independent monitors. In Kandahar city, suicide attacks have more than doubled so far this year compared with the same period of 2011, according to U.N. figures.


“They are not fighting in the open the way they were before. Instead they are planting bombs and trying to get at us through the police and the army,” said Qadim Patyal, the deputy provincial governor.


The Taliban have said in official statements that they are focusing more on infiltrating Afghan and international forces to attack them. In the Kandahar governor’s office, armed Afghan soldiers are barred from meetings with American officials lest they turn on them, Patyal said.


And many point out that the “better security” is only relative. By all measures — attacks, bombings and civilian casualties — Kandahar is a much more violent city now than in 2008, before U.S. President Barack Obama ordered a troop surge.


There are no statistics on how many people have left the city of 500,000, but people are fleeing the south more than any other part of the country, according to U.N. figures. About 32 percent of the approximately 397,000 people who were recorded as in-country refugees were fleeing violence in the south, according to U.N. figures from the end of May.


The provincial government, which is supposed to fill the void left by the departing international forces, has suffered heavily from assassinations. It suffered a double blow in July last year with the killing of Ahmed Wali Karzai, the half-brother of President Hamid Karzai who was seen as the man who made things work in Kandahar, and Ghulam Haider Hamidi, the mayor of the city.


Now, Noorzai says, he can neither get the attention of ministers in Kabul nor trust city officials to do their jobs.


He remembers 2001, when he and others traveled to the capital flying the Afghan flag which had just been reinstated in place of that of the ousted Taliban. “People were throwing flowers and money on our car, they were so happy to have the Afghan flag flying again,” he said.


“When we got power, what did we give them in return? Poverty, corruption, abuse.”


Mohammad Omer, Kandahar’s current mayor, insists that if people are leaving the city, it is to return to villages they fled in previous years because now security has improved.


Zulmai Hafez disagrees. He has felt like a marked man since his father went to work for the government three years ago, and is too frightened to return to his home in the Panjwai district outside Kandahar city. He refused to have his picture taken or to have a reporter to his home, instead meeting at the city’s media center.


“It’s the Taliban who control the land, not the government,” Hafez said. He notes that the government administrator for his district sold off half his land, saying he would not be able to protect the entire farm from insurgents. Many believe the previous mayor was murdered because he went after powerful land barons.


Land reform is badly needed, and the mayor is angry about people who steal land, but he offers no solution. Kandahar only gets electricity about half the day. The mayor says it’s up to the Western allies to fix that. But the foreign aid is sharply down. Aid coming to Kandahar province through the U.S. Agency for International Development, the largest donor, has fallen to $ 63 million this year from $ 161 million in 2011, according to U.S. Embassy figures.


The mayor prefers to talk about investing in parks and planting trees. “I can’t resolve the electricity problem, but at least I can provide a place in the city for people to relax,” he said.


The only people thinking long-term appear to be the Taliban.


“The Americans are going and the Taliban need the people’s support, so they are trying to avoid attacks that result in civilian casualties,” said Noor Agha Mujahid, a member of the Taliban shadow government for Kandahar province, where he oversees operations in a rural district. “After 2014 … it will not take a month to take every place back.”


One of the biggest worries is the fate of women who have made strides in business and politics since the ouster of the Taliban.


“What will these women do?” asked Ehsanullah Ehsan, director of a center that trains more than 800 women a year in computers, English and business. It was at his center where Anita Taraky studied before switching to nursing.


“Even if the Taliban don’t come back, even if the international community just leaves, there will be fewer opportunities for women,” he said.


On the outskirts of the city stands one of the grandest projects of post-Taliban Kandahar — the gated community of Ayno Maina with tree-lined cement homes, wi-fi and rooftop satellite dishes.


Khan, the departing businessman, says he bought bought 10 lots for $ 66,000 in Ayno Maina and has yet to sell any of them despite slashing the price,


He recalled that when he first went to the project office it was packed with buyers. “Now it is full of empty houses. No one goes there,” Khan said.


Only about 15,000 of the 40,000 lots have been sold, and 2,400 homes built and occupied, according to Mahmood Karzai, one of the development’s main backers and a brother of President Karzai. He argues, however, that prices are down all over Afghanistan, and that Ayno Maina is still viable, provided his brother gets serious about reform that will attract investors.


“Afghanistan became a game,” he said over lunch at the Ayno Maina office. “The game is to make money and get the hell out of here. That goes for politicians. That goes for contractors.”


He shrugged off allegations that he skimmed money from Ayno Maina, saying the claims were started by competitors in Kabul who assume everyone who is building something in Afghanistan is also stealing money.


He said the money went where it was needed: to Western-style building standards and security.


In downtown Kandahar, a deserted park and Ferris wheel serve as another reminder of thwarted hopes. Built in the mid-2000s, the wheel has been idle for two years according to a guard, Abdullah Jan Samad. It isn’t broken, he said, it just needs electricity. A major U.S.-funded project to get reliable electricity to the city has floundered and generators that were supposed to provide a temporary solution only operate part-time because of fuel shortages.


“The government should be paying for maintenance for the Ferris wheel,” the guard said. “When you build something you should also make sure to maintain it.”


____


Associated Press Writer Mirwais Khan contributed to this report from Kandahar.


Asia News Headlines – Yahoo! News



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Softbank changes eAccess share swap ratio after stock decline

























TOKYO (Reuters) – Japan’s Softbank Corp said on Friday it will change its share swap ratio with eAccess Ltd, which it acquired in a $ 1.84 billion deal at the start of last month.


Softbank said it will change the swap ratio to 20.09 from 16.74. The decision follows a decline in Softbank’s share price that took place after it announced in October that it would buy a 70 percent stake in Sprint Nextel Corp, the third-largest U.S. carrier.





















(Reporting by Shinichi Saoshiro; Editing by Matt Driskill)


Internet News Headlines – Yahoo! News



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“Transformers” ride to open at Universal Orlando next summer

























LOS ANGELES (TheWrap.com) – Watch out, Florida; Optimus Prime is coming your way.


The Universal Orlando Resort theme park will open “Transformer: The Ride – 3D” in July 2013, bringing the experience of the hugely successful film franchise to the thrill-seeking public in ride form.





















Already in place in Universal Studios Singapore and Universal Studios Hollywood, the “Transformers” ride will be “a mind-blowing, action-packed ride experience,” Universal Orlando said in a statement.


“You will come face to face with Megatron,” Universal said. “You will dodge explosions and attacks by the Decepticons. You will fight to save mankind alongside Optimus Prime and the Autobots. It will be the greatest battle you’ll ever ride.”


“Transformers” director Michael Bay worked with Universal to develop the ride, which combines the “Transformers” characters with high-definition CGI media, 3D technology and other special effects.


“We broke the mold and have taken this ride to a new technological level in terms of blending seamless 3D,” Bay said.


Movies News Headlines – Yahoo! News



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Nurses Who Saved NICU Babies Remember Harrowing Hurricane Night

























Nurses at the Neonatal Intensive Care Unit at New York University’s Langone Medical Center have challenging jobs, even in the best of times. Their patients are babies, some weighing as little as 2 pounds, who require constant and careful care as they struggle to stay alive.


On Monday night, as superstorm Sandy bore down on Manhattan, the nurses’ jobs took on a whole new sense of urgency as failing power forced the hospital’s patients, including the NICU nurses’ tiny charges, to evacuate.





















“20/20″ recently reunited seven of those nurses: Claudia Roman, Nicola Zanzotta-Tagle, Margot Condon, Sandra Kyong Bradbury, Beth Largey, Annie Irace and Menchu Sanchez. They described how they managed to do their jobs – and save the most vulnerable of lives – under near-impossible circumstances.


On Monday night, as Sandy’s wind and rain buffeted the hospital’s windows, the nurses were preparing for a shift change and the day nurses had begun to brief the night shift nurses. Suddenly, the hospital was plunged into darkness. The respirators and monitors keeping the infants alive all went silent.


For one brief moment, everyone froze. Then the alarms began to ring as backup batteries kicked in. But the coast wasn’t clear – the nurses were soon horrified to learn that the hospital’s generator had failed, and that the East River had risen to start flooding the hospital.




Vanishing America: Jersey Shore Boardwalks Washed Away Watch Video



“Everybody ran to a patient to make sure that the babies were fine,” Nicola Zanzotto-Tagle recalled. “If you had your phone with a flashlight on the phone, you held it right over the baby.”


For now, the four most critical patients – infants that couldn’t breathe on their own – were being supplied oxygen by battery-powered respirators, but the clock was ticking. They had, at most, just four hours before the machines were at risk of failing.


Annie Irache tended to the most critical baby — he had had abdominal surgery just the day before – as an evacuation of 20 NICU babies began.


“[He] was on medications to keep up his blood pressure,” Irache said, “and he also had a cardiac defect, so he was our first baby to go.”


One by one, each tiny infant, swaddled in blankets and a heating pad, cradled by one nurse and surrounded by at least five others, was carried down nine flights of stairs. Security guards and secretaries pitched in, lighting the way with flashlights and cell phones.


The procession moved slowly. As nurses took their careful steps, they carefully squeezed bags of oxygen into the babies’ lungs.


“We literally synchronized our steps going down nine flights,” Zanzotto-Tagle said. “I would say ‘Step, step, step.”


With their adrenaline pumping, the nurses said, it was imperative that they stay focused.


“We’re not usually bagging a baby down a stairwell … n the dark,” said Claudia Roman. “I was most worried about, ‘Let me not trip on this staircase as I’m carrying someone’s precious child, because that would be unforgivable.”


When the medical staff and the 20 babies emerged, a line of ambulances was waiting. A video of Margot Condon cradling a tiny baby as she rode a gurney struck a chord worldwide. But Condon said she had a singular goal.


“I was making sure the tube was in place, that the baby was pink,” she said. “I was not taking my eyes off that baby or that tube.”


Like other nurses, she did not feel panic. Her precious patient helped keep her calm.


Health News Headlines – Yahoo! News



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Construction output ‘still weak’


























Output in the UK construction sector was fractionally higher in October, a survey had indicated, but new work and employment shrank.





















The Markit/CIPS Construction Purchasing Managers’ Index rose to 50.9 from 49.5 in September, just above the 50 mark that separates growth from contraction.


But new orders fell for a fifth consecutive month and firms cut jobs at the fastest rate since August 2011.


“The bigger picture remains bleak,” said Markit economist Tim Moore.


“The year-ahead business outlook was still relatively subdued during October, as survey respondents cited weak spending patterns and squeezed budgets among clients,” Mr Moore said.


Within the construction sector, only civil engineering saw growth in October, a second consecutive monthly rise.


Residential building activity was the weakest performing sub-sector, with output declining for the fifth successive month. Commercial activity also dropped in October.


‘Long, dark winter’


David Noble, chief executive at the Chartered Institute of Purchasing & Supply, was pessimistic about the future.


“Despite marginal growth in October, the prospects for the construction sector are bleak as firms prepare for the worst,” he said.


“They are heading into a long, dark winter, by shedding jobs and laying off sub-contractors in response to the longest decline in new business since the start of the financial crisis.


“There is contagion right along the supply chain with rising fuel and energy costs and lengthening delivery times ensuring there is little hope of respite in the immediate future. All of this compounds the imminent threat of budget cuts in 2013.”


The PMI survey was released on the same day that the National Institute for Economic and Social Research (NIESR) economic research group warned that the recovery generally remained weak.


In its report, NIESR downgraded its UK growth forecast for next year to 1.1% from 1.3%, due to a weaker global outlook.


NIESR economist Simon Kirby described current business investment as “shockingly low”, noting that it was 14% below pre-recession levels.


BBC News – Business



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Gruesome video raises concerns about Syria rebels

























BEIRUT (AP) — A video that appears to show a unit of Syrian rebels kicking terrified, captured soldiers and then executing them with machine guns raised concerns Friday about rebel brutality at a time when the United States is making its strongest push yet to forge an opposition movement it can work with.


U.N. officials and human rights groups believe President Bashar Assad‘s regime is responsible for the bulk of suspected war crimes in Syria‘s 19-month-old conflict, which began as a largely peaceful uprising but has transformed into a brutal civil war.





















But investigators of human rights abuses say rebel atrocities are on the rise.


At this stage “there may not be anybody with entirely clean hands,” Suzanne Nossel, head of the rights group Amnesty International, told The Associated Press.


The U.S. has called for a major leadership shakeup of Syria’s political opposition during a crucial conference next week in Qatar. Washington and its allies have been reluctant to give stronger backing to the largely Turkey-based opposition, viewing it as ineffective, fractured and out of touch with fighters trying to topple Assad.


But the new video adds to growing concerns about those fighters and could complicate Washington’s efforts to decide which of the myriad of opposition groups to support. The video can be seen at http://bit.ly/YxDcWE .


“We condemn human rights violations by any party,” U.S. State Department spokeswoman Victoria Nuland said, commenting on the video. “Anyone committing atrocities should be held to account.”


She said the Free Syrian Army has urged its fighters to adhere to a code of conduct it established in August, reflecting international rules of war.


The summary execution of the captured soldiers, purportedly shown in an amateur video, took place Thursday during a rebel assault on the strategic northern town of Saraqeb, said the Britain-based Syrian Observatory for Human Rights, an activist group.


It was unclear which rebel faction was involved, though the al-Qaida-inspired Jabhat al-Nusra was among those fighting in the area, the Observatory said.


The video, posted on YouTube, shows a crowd of gunmen in what appears to be a building under construction. They surround a group of captured men on the ground, some on their bellies as if ordered to lie down, others sprawled as if wounded. Some of the captives are in Syrian military uniforms.


“These are Assad’s dogs,” one of the gunmen is heard saying of those cowering on the ground.


The gunmen kick and beat some of the men. One gunman shouts, “Damn you!” The exact number of soldiers in the video is not clear, but there appear to be about 10 of them.


Moments later, gunfire erupts for about 35 seconds, screams are heard and the men on the floor are seen shaking and twitching. The spray of bullets kicks up dust from the ground.


The video’s title says it shows dead and captive soldiers at the Hmeisho checkpoint. The Observatory said 12 soldiers were killed Thursday at the checkpoint, one of three regime positions near Saraqeb attacked by the rebels in the area that day.


Amnesty International’s forensics analysts did not detect signs of forgery in the video, according to Nossel. The group has not yet been able to confirm the location, date and the identity of those shown in the footage, she said.


After their assault Thursday, rebels took full control of Saraqeb, a strategic position on the main highway linking Syria’s largest city, Aleppo — which rebels have been trying to capture for months — with the regime stronghold of Latakia on the Mediterranean coast.


On Friday, at least 143 people, including 48 government soldiers, were killed in gunbattles, regime shelling attacks on rebel-held areas and other violence, the Observatory said.


Of the more than 36,000 killed so far in Syria, about one-fourth are regime soldiers, according to the Observatory. The rest include civilians and rebel fighters, but the group does not offer a breakdown.


Daily casualties have been rising since early summer, when the regime began bombing densely populated areas from the air in an attempt to dislodge rebels and break a battlefield stalemate.


Karen Abu Zayd, a member of the U.N. panel documenting war crimes in Syria, said the regime is to blame for the bulk of the atrocities so far, but that rebel abuses are on the rise as the insurgents become better armed and as foreign fighters with radical agendas increasingly join their ranks.


“The balance is changing somewhat,” she said in a phone interview, blaming in part the influx of foreign fighters not restrained by social ties that bind Syrians.


Abu Zayd said the panel, though unable to enter Syria for now, has evidence of “at least dozens, but probably hundreds” of war crimes, based on some 1,100 interviews. The group has already compiled two lists of suspected perpetrators and units for future prosecution, she said.


Many rebel groups operate independently, even if they nominally fall under the umbrella of the Free Syrian Army. In recent months, rebel groups have formed military councils to improve coordination, but the chaos of the war has allowed for considerable autonomy at the local level.


“The killing of unarmed soldiers shows how difficult it is to control the escalation of the conflict and establish a united armed opposition that abides by the same ground rules and norms in battle,” said Anthony Skinner, an analyst at Maplecroft, a British risk analysis company.


Rebel commanders and Syrian opposition leaders have promised human rights groups that they would try to prevent abuses. However, New York-based Human Rights Watch said in a report in September that statements by some opposition leaders indicate they tolerate or condone extrajudicial killings.


Free Syrian Army commanders contacted by the AP on Friday said they were either unaware or had no accurate details about the latest video.


Ausama Monajed, a member of the Syrian National Council, the main opposition group in exile, called for the gunmen shown in the video to be tracked down and brought to justice.


He added, however, that atrocities committed by rebels are relatively rare compared to what he said was a “massive genocide by the regime.”


Regime forces have launched indiscriminate attacks on residential neighborhoods with tank shells, mortar rounds and bombs dropped from warplanes, devastating large areas. In raids of rebel strongholds, Assad’s forces have carried out summary executions, rights groups say.


Rebels have also targeted civilians, setting off car bombs near mosques, restaurants and government offices. Human Rights Watch said in September it collected evidence of the summary executions of more than a dozen people by rebels.


In August, a video showed several bloodied prisoners being led into a noisy outdoor crowd in the northern city of Aleppo and placed against a wall before gunmen shot them to death. That video sparked international condemnation, including a rare rebuke from the Obama administration.


The latest video emerged on the eve of a crucial opposition conference that is to begin Sunday in Qatar’s capital of Doha. More than 400 delegates from the Syrian National Council and other opposition groups are expected to attend to choose a new leadership.


U.S. Secretary of State Hillary Rodham Clinton has called for a more unified and representative opposition, even suggesting the U.S. would handpick some of the candidates.


Clinton’s comments reflected growing U.S. impatience with the Syrian opposition, which, in turn, has accused Washington of not having charted a clear path to bringing down Assad.


The Syrian National Council plans to elect new leaders during the four-day conference but is cool to a U.S. proposal to set up a much broader group and a transitional government, said Monajed, the SNC member who runs a think tank in Britain.


U.S. officials have said Washington is pushing for a greater role for the Free Syrian Army and representation of local coordinating committees and mayors of liberated cities in Syria.


Nuland said that it would be easier for the international community to deliver humanitarian assistance to civilians and non-lethal aid to the rebels once a broader, unified opposition leadership is in place.


Such a body could also help persuade Assad backers Russia and China “that change is necessary” and that Syria’s opposition has a better plan for the country than the regime, she said.


___


Associated Press writer Matthew Lee in Washington contributed to this report.


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Gruesome video raises concerns about Syria rebels

























BEIRUT (AP) — A video that appears to show a unit of Syrian rebels kicking terrified, captured soldiers and then executing them with machine guns raised concerns Friday about rebel brutality at a time when the United States is making its strongest push yet to forge an opposition movement it can work with.


U.N. officials and human rights groups believe President Bashar Assad‘s regime is responsible for the bulk of suspected war crimes in Syria‘s 19-month-old conflict, which began as a largely peaceful uprising but has transformed into a brutal civil war.





















But investigators of human rights abuses say rebel atrocities are on the rise.


At this stage “there may not be anybody with entirely clean hands,” Suzanne Nossel, head of the rights group Amnesty International, told The Associated Press.


The U.S. has called for a major leadership shakeup of Syria’s political opposition during a crucial conference next week in Qatar. Washington and its allies have been reluctant to give stronger backing to the largely Turkey-based opposition, viewing it as ineffective, fractured and out of touch with fighters trying to topple Assad.


But the new video adds to growing concerns about those fighters and could complicate Washington’s efforts to decide which of the myriad of opposition groups to support. The video can be seen at http://bit.ly/YxDcWE .


“We condemn human rights violations by any party,” U.S. State Department spokeswoman Victoria Nuland said, commenting on the video. “Anyone committing atrocities should be held to account.”


She said the Free Syrian Army has urged its fighters to adhere to a code of conduct it established in August, reflecting international rules of war.


The summary execution of the captured soldiers, purportedly shown in an amateur video, took place Thursday during a rebel assault on the strategic northern town of Saraqeb, said the Britain-based Syrian Observatory for Human Rights, an activist group.


It was unclear which rebel faction was involved, though the al-Qaida-inspired Jabhat al-Nusra was among those fighting in the area, the Observatory said.


The video, posted on YouTube, shows a crowd of gunmen in what appears to be a building under construction. They surround a group of captured men on the ground, some on their bellies as if ordered to lie down, others sprawled as if wounded. Some of the captives are in Syrian military uniforms.


“These are Assad’s dogs,” one of the gunmen is heard saying of those cowering on the ground.


The gunmen kick and beat some of the men. One gunman shouts, “Damn you!” The exact number of soldiers in the video is not clear, but there appear to be about 10 of them.


Moments later, gunfire erupts for about 35 seconds, screams are heard and the men on the floor are seen shaking and twitching. The spray of bullets kicks up dust from the ground.


The video’s title says it shows dead and captive soldiers at the Hmeisho checkpoint. The Observatory said 12 soldiers were killed Thursday at the checkpoint, one of three regime positions near Saraqeb attacked by the rebels in the area that day.


Amnesty International’s forensics analysts did not detect signs of forgery in the video, according to Nossel. The group has not yet been able to confirm the location, date and the identity of those shown in the footage, she said.


After their assault Thursday, rebels took full control of Saraqeb, a strategic position on the main highway linking Syria’s largest city, Aleppo — which rebels have been trying to capture for months — with the regime stronghold of Latakia on the Mediterranean coast.


On Friday, at least 143 people, including 48 government soldiers, were killed in gunbattles, regime shelling attacks on rebel-held areas and other violence, the Observatory said.


Of the more than 36,000 killed so far in Syria, about one-fourth are regime soldiers, according to the Observatory. The rest include civilians and rebel fighters, but the group does not offer a breakdown.


Daily casualties have been rising since early summer, when the regime began bombing densely populated areas from the air in an attempt to dislodge rebels and break a battlefield stalemate.


Karen Abu Zayd, a member of the U.N. panel documenting war crimes in Syria, said the regime is to blame for the bulk of the atrocities so far, but that rebel abuses are on the rise as the insurgents become better armed and as foreign fighters with radical agendas increasingly join their ranks.


“The balance is changing somewhat,” she said in a phone interview, blaming in part the influx of foreign fighters not restrained by social ties that bind Syrians.


Abu Zayd said the panel, though unable to enter Syria for now, has evidence of “at least dozens, but probably hundreds” of war crimes, based on some 1,100 interviews. The group has already compiled two lists of suspected perpetrators and units for future prosecution, she said.


Many rebel groups operate independently, even if they nominally fall under the umbrella of the Free Syrian Army. In recent months, rebel groups have formed military councils to improve coordination, but the chaos of the war has allowed for considerable autonomy at the local level.


“The killing of unarmed soldiers shows how difficult it is to control the escalation of the conflict and establish a united armed opposition that abides by the same ground rules and norms in battle,” said Anthony Skinner, an analyst at Maplecroft, a British risk analysis company.


Rebel commanders and Syrian opposition leaders have promised human rights groups that they would try to prevent abuses. However, New York-based Human Rights Watch said in a report in September that statements by some opposition leaders indicate they tolerate or condone extrajudicial killings.


Free Syrian Army commanders contacted by the AP on Friday said they were either unaware or had no accurate details about the latest video.


Ausama Monajed, a member of the Syrian National Council, the main opposition group in exile, called for the gunmen shown in the video to be tracked down and brought to justice.


He added, however, that atrocities committed by rebels are relatively rare compared to what he said was a “massive genocide by the regime.”


Regime forces have launched indiscriminate attacks on residential neighborhoods with tank shells, mortar rounds and bombs dropped from warplanes, devastating large areas. In raids of rebel strongholds, Assad’s forces have carried out summary executions, rights groups say.


Rebels have also targeted civilians, setting off car bombs near mosques, restaurants and government offices. Human Rights Watch said in September it collected evidence of the summary executions of more than a dozen people by rebels.


In August, a video showed several bloodied prisoners being led into a noisy outdoor crowd in the northern city of Aleppo and placed against a wall before gunmen shot them to death. That video sparked international condemnation, including a rare rebuke from the Obama administration.


The latest video emerged on the eve of a crucial opposition conference that is to begin Sunday in Qatar’s capital of Doha. More than 400 delegates from the Syrian National Council and other opposition groups are expected to attend to choose a new leadership.


U.S. Secretary of State Hillary Rodham Clinton has called for a more unified and representative opposition, even suggesting the U.S. would handpick some of the candidates.


Clinton’s comments reflected growing U.S. impatience with the Syrian opposition, which, in turn, has accused Washington of not having charted a clear path to bringing down Assad.


The Syrian National Council plans to elect new leaders during the four-day conference but is cool to a U.S. proposal to set up a much broader group and a transitional government, said Monajed, the SNC member who runs a think tank in Britain.


U.S. officials have said Washington is pushing for a greater role for the Free Syrian Army and representation of local coordinating committees and mayors of liberated cities in Syria.


Nuland said that it would be easier for the international community to deliver humanitarian assistance to civilians and non-lethal aid to the rebels once a broader, unified opposition leadership is in place.


Such a body could also help persuade Assad backers Russia and China “that change is necessary” and that Syria’s opposition has a better plan for the country than the regime, she said.


___


Associated Press writer Matthew Lee in Washington contributed to this report.


Middle East News Headlines – Yahoo! News



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