Thursday, March 15, 2012

Colin Powell worries Obama tackling too much

Colin Powell worries that President Barack Obama is trying to tackle too many big issues at one time and he offers this advice: take a hard look at costs and consider the additional red tape that will be created.

"The right answer is, `Give me a government that works,'" the former secretary of state said in a television interview to be aired Sunday. "Keep it as small as possible," added Powell, who said he has spoken recently with Obama and stays in touch with him. Powell, a Republican, endorsed Obama last year over the GOP presidential nominee, Arizona Sen. John McCain.

Obama wants to overhaul the health care system and take on climate …

Rookie May Catch On as Starter

PLATTEVILLE, Wis. There was nothing the matter with thepre-training camp goals of Ryan Wetnight, who shot for the clouds andhit the stars.

It's what the rookie free agent tight end could beaccomplishing that is goofy.

Wetnight, who was only trying to eke out a spot on the team,now finds himself on the verge of being the Bears' starting tightend. Granted, it is by default, as the only other healthy tight endin camp is free agent Danta Whitaker, but it is quite anaccomplishment nonetheless.

"I never thought I'd end up starting," Wetnight said beforethe Bears broke camp Friday. "I was just happy to get anopportunity here."

The hopes …

Merkel: still no quick fix to euro crisis

BERLIN (AP) — German Chancellor Angela Merkel is brushing aside pressure for a quick-fix solution to the euro crisis even as market tensions mount, arguing that spreading debt liability could ruin Europe's competitiveness and a massive European Central Bank bond-buying drive wouldn't resolve its problems.

Merkel also argued in a speech Thursday to an economic conference that Europe needs to consider growth-promoting measures that don't immediately cost money, such as labor-market reforms — and that such measures will require patience.

Merkel noted that Europe has been discussing "one quick solution after another" — such as the introduction of jointly backed so-called …

Ariz. lawmakers target ethnic studies program

A week after signing an immigration bill that has drawn ire and praise from people around the country, Arizona Gov. Jan Brewer has another bill on her desk targeting classes that the state schools chief says promote "ethnic chauvinism."

The measure targets an ethnic studies program from a Tucson school district. It would prohibit classes that advocate ethnic solidarity, that are designed primarily for students of a particular race or that promote resentment toward a certain ethnic group.

The Tucson Unified School District program allows students to take history and literature courses that include information about the influence of a particular …

Wednesday, March 14, 2012

Rickles, Letterman Exchange Zingers

One exchange between Don Rickles and Dave Letterman on his "LateShow" Monday didn't make it on the air. Rickles apparently wasunhappy to be sent, by Dave, down to the souvenir shop next to thetheater where Letterman's show is filmed.

Rickles zinged Dave by saying "Gotta go. I'm due at Jay Leno'shouse for dinner later tonight." Letterman shot back with: "I'm sureyou'll enjoy the peace and quiet." The studio audience roared, …

Hunger grows in Dallas, the world

DALLAS - At Crossroads Community Services in downtown Dallas, hunger is not an abstract concept.

As families across North Texas feast on turkey and dressing during the holiday season, Jay Cole is seeing more people than ever walk through his doors asking for food.

"It's unbelievable this year," said Cole, director of Crossroads, a First United Methodist Church ministry and one of the largest distributors for the North Texas Food Bank. "We distribute food to up to 40 families a day, and it used to take until about 11 a.m. for our sign-up sheet to be filled. Now, the list is filled by 9 a.m., and we have a line going out the door."

Crossroads -- 55 percent of whose …

American school still open in Syria despite order

An American school and cultural center in Syria remains open despite a Syrian government order to shut down.

The order was made in retaliation for a deadly U.S. military raid this weekend.

Students and teachers are attending classes as usual at the Damascus Community School Wednesday and an employee at the cultural center says it is also …

New Mercedes coupe's dressed to impress ; In order to fully appreciate the Mercedes CLC, you'll need to collaborate with its game of dressing up. ANDY ENRIGHT reports

DESPITE looking for all the world like a truncated version of thelatest Mercedes C-Class, the CLC rides on the chassis of the older CClass.

This is perhaps no bad thing as Mercedes needed a budget coupethat looked agreeably modern. Don't go expecting cutting-edgehandling and the CLC shouldn't disappoint.

Replacing the successful C-Class Sports Coupe has proved rather aknotty issue for Mercedes. The reason why this car has traditionallybeen such a strong seller is, rather unusually for a Mercedesproduct, price. To put that into perspective, you could buy one ofthe old sport coupes for less than Pounds 2,000 -- more than you'dpay for a top Hyundai Coupe. …

Unmasked Big Man Leads Carolina Past MSU

WINSTON-SALEM, N.C. - The mask protecting his broken nose kept sliding around, frustrating Tyler Hansbrough as he tussled in the paint with Michigan State's physical defenders. So North Carolina's big man tossed it off, then helped the Tar Heels dispose of the determined Spartans.

The sophomore finished with 33 points and nine rebounds to help the Tar Heels hold off Michigan State 81-67 on Saturday night, giving the East Regional's top seed a record 27th trip to the NCAA tournament's round of 16.

"It was like a little bee flying around your face that you try to slap away," Hansbrough said of the mask. "And it won't go away."

Hansbrough's 33 points were the most …

South Africa reaches 148-1 at lunch in 3rd test

South Africa ground their way to a strong position at lunch on the second day of the third test on Friday, reaching 148 for one wicket in reply to Australia's 209 in their first innings.

Ashwell Prince, in his new role as opening batsman, was watchful in the first hour, adding just eight runs to his overnight score of 37, but later in the day's first session he picked up a few boundaries. Fast bowler Mitchell Johnson came in for some punishment as the left-handed batsman drove, pulled and hooked him to the fence.

At lunch Prince was on 70, off 114 balls, and had added 83 for the second wicket with Hashim Amla, …

PLUS ENTERTAINMENT

BONO TO SELL EATERY: Sonny Bono, the mayor of Palm Springs, Calif.,is selling his namesake Italian restaurant and tennis club. "Arestaurant is a full-time job, and so is politicking," explainedBono, owner of Bono's Restaurant since 1985 and mayor since 1988. "Ioriginally came to Palm Springs to semiretire and I'm busier now thanI've ever been in my life, including the time of `Sonny and Cher,' "Bono said of the hitmaking 1960s singing group. He said he will sellthe 5 1/2-acre property, appraised at $3 million, to the owners of aneighboring hotel. Some residents speculated that controversy over aVirginia Slims women's tennis tournament planned this year at Bono'scomplex also …

Terror suspect gets victim status in Polish probe

WARSAW, Poland (AP) — Lawyers for a Palestinian terrorism suspect being held at Guantanamo Bay have won the right to review evidence and call witnesses in a criminal investigation about a secret CIA prison in Poland where terrorist suspects allegedly were abused.

The case is being closely watched by human rights groups because Poland is the only country known to be investigating the secret CIA operation that spirited terrorism suspects across the globe and subjected them to harsh interrogation methods after Sept. 11, 2001.

Polish prosecutor Robert Majewski said Thursday that suspect Abu Zubaydah, an alleged facilitator for al-Qaida, has received so-called "victim status" in …

Inspectors find traces of weapons uranium in Iran

VIENNA, Austria--UN inspectors discovered traces of weapons-gradeuranium at an Iranian nuclear facility, a report by the UN nuclearagency says. Iran said Tuesday the traces came with equipmentpurchased abroad decades ago.

The find heightened fears that Tehran may be running a secretnuclear weapons program.

International Atomic Energy Agency inspectors found "particles" ofhighly enriched uranium that could be used in a weapons program atthe facility at Natanz, said the report prepared for a meeting of theUN agency's board Sept. 8. Contents of the report were made known bydiplomats who requested anonymity.

The United States has accused Iran of developing a clandestinenuclear weapons program, violating the Nuclear NonproliferationTreaty barring the spread of atomic weapons.

Iran has denied the allegations, insisting its programs aredevoted only to generating electricity.

Ali-Akbar Salehi, Tehran's ambassador to the IAEA, said theequipment was "contaminated" with enriched uranium before it waspurchased by Iran.

Salehi said the equipment in question was "brought many years agofrom intermediaries" and so it was impossible to name the countriesof origin.

Separately, Salehi also said Iran was ready to negotiate an IAEArequest that it sign an additional agreement throwing open itsnuclear programs to more intrusive inspections.

Salehi said the offer, made Monday, indicates "for the first time... that the government of Iran is ready to enter negotiations intothe additional protocol."

IAEA spokesman Mark Gwozdecky called Iran's overture "a positivestep."

Suspicion about Iran's nuclear program prompted Mohamed ElBaradei,director-general of the IAEA, to tour Iran's nuclear facilities inFebruary. AP

Foreword from the Assembly of Manitoba Chiefs

In the language of my people, the Ojibway or Anishinaabeg, "Pimatiziwin" is the concept we use to describe health, as walking in balance of all aspects of our lives - emotional, mental, spiritual, physical. This is a concept shared by the Ojibway, Cree, OjiCree, Dakota and Dene peoples within our region called Manitoba, where the Great Spirit sits. This view of the holistic nature of health is shared by indigenous peoples around the world. As such, health is the foundation of all that we do, and remains a priority for our people.

It was an honour for me to open the Manitoba First Nations Centre for Aboriginal Health Research at the University of Manitoba in April 2001, and it is an honour now to see the first publication of some results of our research and collaboration. We support these types of research partnerships which address some of the major concerns we have, such as chronic diseases and suicide. And we welcome the increasing numbers of our own people who are undertaking research and addressing the issues from our own perspectives, and challenging the 'status quo' in health concepts, health care, and First Nations governance.

We are proud of the work of the First Nations health technicians serving on the AMC Health Information Research Committee, who review proposals for research for First Nations to ensure First Nations rights to be fully involved in all aspects of research, and to ensure the benefits flow to the First Nations. We applaud the leadership of the original First Nations people working in Manitoba on the 1997 Regional Health Survey, and across Canada in the National survey, and encourage our leaders in continuing with this important work.

The cover design of this supplement speaks to the role that modern biomedicine may have within the holistic framework of traditional health and medicine. We anticipate that First Nations will have an ever-increasing role in determining the research to be undertaken and the methodologies used, as self-determination is the universal watchword for indigenous peoples in all aspects of our lives. This CJPH supplement will serve as a milestone in partnership development in First Nations health research.

Meegwetch!

[Author Affiliation]

Grand Chief Dennis White Bird

Tuesday, March 13, 2012

Caribbean storm drenches Bahamas, Cuba as death toll rises to 115

A powerful Caribbean storm drenched the Bahamas and Cuba while rescue workers in the Dominican Republic headed out in boats and helicopters to reach dozens of communities isolated by floods and mudslides. The death toll rose to 115.

Noel was upgraded to a hurricane Thursday evening. But it did most of its damage as a tropical storm as it became the year's deadliest tempest in the Atlantic region. Hurricane Felix, a devastating Category 5 storm, killed 101 people when it lashed the Caribbean and slammed into the Nicaraguan and Honduran coasts in early September.

Hurricane Noel's sustained winds had increased to 80 mph (129 kph) late Thursday night as it moved away from the Bahamas, the National Weather Service said.

Earlier Thursday, muddy rain-swollen waters overflowed a dam in Cuba, washing into hundreds of homes, over highways and knocking out electricity and telephone service. Dozens of small communities were cut off.

Cuban soldiers went door-to-door in low-lying areas and evacuated about 24,000 people, according to state radio and television reports. At least 2,000 homes were damaged by flood waters, but there was no official word of deaths.

In Ciego de Avila province in central Cuba, flooding wiped out nearly 2,000 tons of corn, potato, banana, cucumber and tomato harvests, said Jose Ramon Machado Ventura, a vice president.

The storm brought a record 15 inches of rain to the Bahamas, Prime Minister Hubert Ingraham said. Flooding killed at least one man in the Bahamas and forced the evacuation of almost 400 people. Ingraham said the majority of the evacuees were from the northeast Bahamian island of Abaco.

Residents of Andros Island, one of the least-developed in the Bahamas, hunkered down as Noel's winds howled and rain pelted windowpanes.

"The walls were rattling, but we rode it out pretty well," said Angela Newton, who was waiting Thursday for the power to come back on.

Electricity also was turned off in Long Island, in the southeastern part of the Atlantic archipelago.

Nassau International Airport closed but was expected to reopen Friday. Only one of 10 cruise ships arrived on schedule.

Rescuers in Dominican Republic took off in helicopters and boats to reach isolated residents for the first time in three days. Hundreds of volunteers joined Dominican civil defense forces to help stranded residents, as rescue teams left at dawn Thursday _ many in boats loaned by private owners.

"We will go to each point where there have been people affected who require the government's help ... so that we can return to a normal situation in the shortest amount of time possible," said Dominican President Leonel Fernandez.

On the southeastern Dominican coast, the U.S. Coast Guard was helping to free a Liberian gas carrier that broke loose from its moorings and ran aground on a reef. The 551-foot (168-meter) SCF Tomsk is carrying 1.9 million gallons (7.2 million liters) of oil but is not leaking, according to a statement from the guard.

More than three days of heavy rain caused an estimated US$30 million (21 million) in damages to the Dominican Republic's rice, plantain and cacao plantations, said Minister of Economy Juan Temistocles Montas. Government officials will request loans from the Inter-American Development Bank to help with the recovery.

Rescuers in Hispaniola, the island shared by the Dominican Republic and Haiti, found a rising toll of death and damage: at least 73 dead in the Dominican Republic and 40 in Haiti, where the majority of bodies were found in and around the capital of Port-au-Prince. One person was killed in Jamaica.

Fernandez declared a state of emergency and asked for international help, especially rescue teams and helicopters.

At least 62,500 Dominicans fled their homes, said Luis Antonio Luna, head of the Emergencies Commission.

In Haiti, civil protection crews confirmed 16 more deaths, boosting the national toll to 40, said Marie Alta Jean-Baptiste, director of Haiti's civil protection agency.

At 11 p.m. EDT (0300 GMT), the hurricane's center was about 180 miles (290 kilometers) north-northeast of Nassau, or 760 miles (1,225 kilometers) west-southwest of Bermuda, according to U.S. forecasters. It was moving north-northeast around 20 mph (32 kph).

A tropical storm warning and watch for parts of southeastern Florida were canceled and officials said coastal communities from the Georgia border south to Miami were largely spared major damage.

But several dozen structures up and down the Florida coast were threatened. In St. Johns County, at least a half dozen homes were in danger after beaches washed away, leaving little barrier between them and the waves.

The city of Fernandina Beach near the Georgia border declared a local emergency Wednesday, and waves continued Thursday lapping at the foundations of several homes and at least one motel in Brevard County.

Only "isolated instances" of damage were reported statewide, said Mike Stone of the Florida Division of Emergency Management.

"The primary effect is some coastal erosion and some flooding issues, but we don't have any other real big concerns," Stone said.

Over the next 24 hours, Noel was expected to become an extratropical storm, which gets its energy from the collision of warm and cold fronts, not the steamy ocean waters that tropical systems feed on.

___

Associated Press writers Ramon Almanzar in Santo Domingo, Dominican Republic, and Jonathan M. Katz in Port-au-Prince, Haiti, contributed to this report.

___

On the Net:

U.S. National Hurricane Center: http://www.nhc.noaa.gov/

Police: Brazil boy stuck with needles in rituals

The stepfather of a 2-year-old boy claimed he pushed 42 "blessed" sewing needles deep into the toddler because his lover told him to while in a trance, saying it would keep the couple together, according to police.

Roberto Carlos Magalhaes, a 30-year-old bricklayer, told detectives the woman would enter a trance and "command him to stick the needles in the boy's body," police inspector Helder Fernandes Santana told The Associated Press by telephone.

The lover, Angelina Ribeiro dos Santos, paid to have the needles measuring up to 2 inches (5 centimeters) blessed by a woman who practiced the Afro-Brazilian religion Candomble, and convinced Magalhaes that inserting them into the boy would somehow allow them to be together, Santana said.

Police, however, believe Dos Santos was out for revenge on the boy's mother, though they did not say why.

"According to his confession, he acted under influence of the woman, but it was he who stuck the needles in the boy's body," the inspector said.

The child was airlifted to a hospital in northeastern Brazil on Thursday because two of the needles inside him were close to his heart, but it was not immediately clear when doctors might be able to remove them. The boy was in stable condition after the 240-mile (390-kilometer) flight to the coastal city of Salvador.

Surgeons in the city of Barreiras in Bahia state, where the boy had been hospitalized since Sunday, had decided not to try to remove any needles immediately for fear they could cause more damage.

Hospital spokeswoman Susy Moreno said an evaluation of when to perform surgery on the boy probably would not be finished until Friday. He was in an intensive care unit but was conscious.

Magalhaes and dos Santos were both arrested, though no charges have yet been filed.

Dos Santos is not believed to be a member of any religious or occult group, and authorities believe she came up with the idea of the rituals on her own, Santana said.

The two were taken to an undisclosed lockup for their own protection after a mob threw stones at the police station where they were being held in the small northeastern city of Ibotirama. It was not immediately clear whether they had legal representation.

Authorities also detained the woman who blessed the needles so she could be questioned, but Santana said he expects she will be released without charge because she did not know how they were being used.

The boy's mother, a maid, took him to a hospital in Ibotirama, population about 25,000, on Dec. 10, saying he was complaining of pain.

After X-rays revealed the cause, the mother told police she didn't know how the needles got inside her son, whose name was not released because of his age.

Police and doctors concluded it would have been impossible for the boy to have ingested the needles _ which have been also been found in a lung, his left leg and spread throughout his abdomen.

Afro-Brazilian religions practiced in Brazil have no ceremonies, rituals or practices involving harm to people, said Nelson Inocencio, director of African-Brazilian studies at the University of Brasilia.

He worried that the incident could hurt the image of the religions, of which Candomble is the most popular, and concentrated most in Bahia state.

"What happened to this boy without a doubt could feed into the prejudice against Afro-Brazilian traditions," he said.

___

Associated Press writer Alan Clendenning in Sao Paulo contributed to this report.

Israel charges 6 with aiding Hezbollah-linked gang

Israeli police have charged six Arab citizens, including a career soldier, with assisting Lebanese drug-runners close to the militant Hezbollah.

Police spokesman Micky Rosenfeld said Wednesday the soldier allegedly passed sensitive information about Israeli army positions to the smugglers, and they transferred it to Hezbollah.

The Israeli military says the soldier _ from the Arab Druse minority _ admitted to sharing information about infiltrating Israel. But he said he only wished to assist with drug trafficking and did not intend to jeopardize Israeli security interests.

The officer's lawyer says he never contacted enemy agents.

In recent weeks, Israel charged two prominent Arab-Israeli activists with spying for Hezbollah.

Couple in iconic photo still happy together

For many Americans of a certain age, the Woodstock Music and Art Fair is a hazy memory.

Not for Bobbi and Nick Ercoline -- the "hugging couple" whose photo ended up on the cover of the Woodstock soundtrack album.

Forty years ago, they were girlfriend and boyfriend. She lived in Pine Bush, N.Y., and worked at a bank.

He lived in Middletown, N.Y., and worked two jobs while going to college.

When they heard about the huge musical festival, "We just had to go," Bobbi Ercoline told the Albany Times Union.

They stayed only one night, and never saw the stage.

"Woodstock was a sign of the times," Bobbi told the paper.

"So many things were churning around in our world at that time: civil rights, the Vietnam War, women's rights. It was our generation," she said.

They married two years after Woodstock and have children ages 28 and 30. They live in Pine Bush.

Bobbi Ercoline is a school nurse who started a food pantry. Her husband is a house inspector.

"I think the further we get from the original event the more meaningful it becomes, the more we realize how phenomenal it was: all those people coming together with no violence, just peace, love and sharing," Bobbi Ercoline said. "Forty years later, it's just remarkable that it could have occurred."

Color Photo: AP / Bobby and Nick Ercoline are still together 40 years after their photo became a Woodstock icon. ;

Argentina's president drops export tax hike

President Cristina Fernandez canceled a widely protested farm export tax hike on Friday following months of protest and a stunning rejection by the Senate.

Cabinet Minister Alberto Fernandez told reporters at a news conference that the government will comply with a Senate vote on Thursday rejecting the tax package. The Senate vote itself was not enough to cancel the tax hike because it has been issued by executive order.

The president announced the sliding-scale export taxes in March, hoping they would hold down prices by encouraging farmers to sell grains locally rather than take advantage of soaring export prices.

Farmers revolted, staging a series of food and transport strikes that disrupted the economy and eroded the president's popularity.

Farm leaders welcomed cancellation of tax hike.

"The conflict is over," said Luciano Miguens, head of the Argentina's Rural Society, to local television station C5N.

Wednesday's early morning Senate vote against the tax increase created divisions in Fernandez's Peronist party and her broader coalition, which controls the chamber.

Mergers and acquisitions: Merger of Dow and Union Carbide gets the OK

The Dow Chemical Co. (Midland, MI) has received clearance from the U.S. Federal Trade Commission, as well as from the European Commission, the Canadian Competition Bureau, and other jurisdictions, for its merger with Union Carbide Corp. (Danbury, CT), under which Union Carbide will become a wholly owned subsidiary of Dow. As part of the regulatory approval process, several assets will change hands:

* Dow will transfer to BP Chemicals Ltd. its interest in technology developed jointly with BP and Chevron Phillips Chemical Co. LP under two research programs aimed at developing metallocene catalysts for gas-phase polyethylene.

* Univation Technologies, a joint venture between Union Carbide and ExxonMobil, will become a 50/50 joint venture between Dow and ExxonMobil. Union Carbide will contribute the Unipol polyethylene process technology licensing and conventional catalyst businesses to Univation. The venture's polyethylene catalysts include Ziegler-Natta, chrome-based, metallocene, and others.

* Dow will sell its global ethanolamines (EOA) business and North American Gas/Spec business to INEOS plc (Southampton, U.K.). The transaction includes manufacturing facilities in Plaquemine, LA, as well as the U.S. and Canadian Gas/Spec customer base, associated technology, trade names, and access to all of the MDEA capacity of Dow's Freeport, TX, plant (which Dow will continue to own and operate). INEOS will operate Dow's polyglycols and glycol ethers facilities in Plaquemine as a contract manufacturer.

* Huntsman International, LLC, will acquire Dow's global ethyleneamines (EA) business and Dow's Castmate ceramic processing additive business. The agreement includes Dow's manufacturing plant in Freeport, TX, with a nameplate capacity of 160 million lb/yr, and a long-term option to purchase 30 million lb/yr of ethyleneamines from Dow's Terneuzen, Netherlands, plant.

* Dow will acquire the polyurethanes business of Italy's EniChem S.p.A. and will divest Union Carbide Corp.'s 50% interest in Polimeri Europa. This will give Dow its first European source for toluene-diisocyanate (TDI) and enhances its methylene-diphenylene isocyanate (MDI), polyol, and polyurethane systems capability. The company expects to add approximately 118,000 m.t./yr TDI capacity, 80,000 m.t./yr MDI capacity, and 160,000 m.t./yr polyols capacity to its global manufacturing capabilities.

Ward rounds: the next focus for quality improvement?

Abstract.

The Garling Report, published in November 2008, was a public inquiry into the provision and governance of Acute Care Services in New South Wales Public Hospitals. Garling's 139 recommendations, aimed at modernising clinical care and equipment, include better supervision of junior staff, multidisciplinary teamwork, structured clinical handover and improved culture within health services. Garling also made specific recommendations about ward rounds, arguing that they should be daily, supervised and multidisciplinary. Given the importance of ward rounds in planning and evaluating treatment, implementation of these recommendations will require further evidence, engagement of senior clinicians and cultural change. This article discusses some of the barriers to Garling's recommendations.

Introduction: the Garling Report

The Final Report of the Special Commission of Inquiry into Acute Care Services in New South Wales Public Hospitals, led by Commissioner Peter Garling SC, ('the Report') was published on 27 November 2008.' The Inquiry was initiated after highly publicised adverse incidents occurred at Sydney's Royal North Shore Hospital: one involving a miscarriage in an emergency department toilet.2'3 The full report is 1195 pages long and contains 139 recommendations that aim to modernise clinical processes, management and equipment.2'3 Garling also called for better supervision of junior staff, multidisciplinary teamwork, structured clinical handover and improved culture within health services.2'3

Along with these recommendations, Garling proposed a state-wide policy in NSW that ward rounds be daily, supervised and multidisciplinary. The ward round has been a central activity of hospital life for hundreds of years4: described as a 'parade' led by the senior doctor, with junior doctors, medical students, nursing staff and allied health staff in tow.4 It is a valuable forum in which health care professionals share clinical information, address patient problems, plan and evaluate treatment and provide practical training for staff and students.4

Given the importance of ward rounds in hospital life, clinical managers must carefully plan any proposed changes. This requires evidence, collaboration, engagement and consideration of the cultural, financial and practical challenges. This paper discusses the implications of implementing Garling's ward round recommendations within the Australian acute public hospital setting.

Evaluating these recommendations: are they evidencebased?

Quality and safety should be the first priority when considering clinical change. This requires evidence. Senior doctors are key stakeholders in any change process within public hospitals and are keenly interested in evidence-based practice. They are more likely to engage with management when a proposed change is supported by data that shows better patient outcomes. Not only does this build trust with staff and confidence in management, but this also resolves conflicts of opinion. Unfortunately, not all of Garling's proposed recommendations are supported by evidence from either a quality and safety perspective, or a cost-effectiveness analysis. This will make it challenging to implement many of those recommendations.

First, Garling recommends that ward rounds be multidisciplinary. Multidisciplinary ward rounds are generally thought to be more friendly, open and respectful, and improve staff communication and treatment planning.5'6 In some situations, they also improve patient safety.5 For instance, pharmacists on ward rounds reduce the rate of preventable adverse drug events from medication errors by 66%.7'8 Some multidisciplinary ward rounds have also been shown to reduce the average length of hospital stay without compromising morbidity or mortality,9 suggesting that there are cost savings to be gained. As a result, the US Joint Commission on Accreditation for Health Care Organizations states that patient care, treatment, and rehabilitation should be planned, evaluated, and revised by an interdisciplinary collaborative team."1 Thus, it seems that effective collaboration between health care professionals may produce better patient outcomes and can reduce health expenditure in some situations. Of course, the devil is in the detail. Achieving this will require health services to redesign long-established ward-based routines and practices. Arguably, more direct and rigorous evidence is needed before this could be justified. Moreover, change is seldom easy.

Second, Garling recommends that senior doctors supervise and approve the written records of ward rounds. Research shows that records of ward rounds are often incomplete, especially with respect to documentation of patient questions." Patient care relies on communication and communication failure is the most common cause of adverse events in Australian hospitals.1^ Intuitively, the implementation of Garling's recommendation should improve the accuracy of written communication and, therefore, should improve patient safety. There is overwhelming evidence that closer clinical supervision of junior doctors results in better patient outcomes,14 in the same way that double-checking reduces medication errors in a nursing context.13 There is also evidence that the use of a ward round 'checklist tool' improves trainees' performance during ward rounds, including with respect to communication and documentation. However, none of this evidence directly shows that the additional time and effort invested in this type of supervision and training of junior medical staff results in better outcome for their patients.

Third, to avoid 'bed blocks' and 'traffic jams'1, Garling recommends ward rounds be conducted daily. Currently, there is little evidence to support this recommendation, partly because of the heterogeneity of patients and wards: whilst Intensive Care Units conduct ward rounds several times per day, Coronary Care Units perform ward rounds daily and psychiatric wards might conduct rounds only weekly. Although this recommendation is intuitive, it is unsupported by research. There is even a question of whether the increased time spent conducting daily ward rounds may impair the ability of medical staff to adequately care for all of their patients within existing rostered hours. Clearly, the gaps in our understanding regarding the utility of daily ward rounds provide an opportunity for further health services research.

Unless or until these important questions can be answered, it would be imprudent and premature to consider implementing these recommendations at anything other than the level of the individual health service. However, even at this level, several other barriers to implementation should be considered. These are discussed below.

Implementing these recommendations

Vision

Models of organisational change highlight the importance of both fonnal and informal philosophies to guide the strategic direction of the change process. Articulating a cohesive and unifying vision of patient safety is now firmly embedded into the vision of many Australian health services. Arguably, it is not difficult to see that the implementation of Garling' s recommendations is another way of advancing this vision. The difficulties arise when devising the mission.

Setting priorities

It would be difficult to mandate daily ward rounds across an entire hospital in the short term because this would require employment of additional equivalent full time senior medical staff, particularly over weekends. Such an expense would be financially prohibitive for most health services without the provision of additional funding from the State and Temtory Health Departments. Within each health service, the greatest impact of this recommendation would be felt within the subacute areas, including mental health, where ward rounds may be conducted only weekly. Funding the additional clinical time needed to implement this recommendation in those areas could be particularly challenging, particularly given existing workforce shortages in mental health. Similarly, for small rural hospitals staffed by general practitioners in communities that already face significant medical workforce shortages, this recommendation seems conspicuously unrealistic and burdensome. Greater clarification, planning and leadership would be required from the States before this recommendation could be fully implemented. Although it would seem sensible to conduct daily ward rounds within high acuity units (intensive care and coronary care) in line with current practice, it is difficult to see how this could be expanded to other wards at present, given the current financial and workforce limitations.

Possibly the simpler, quicker and less expensive recommendation to implement would be the creation of systems that facilitate multidisciplinary and supervised ward rounds. Supervision could be linked to existing policies and procedures regarding perfonrrance management and credentialing, whereas the use of multidisciplinary teams could be incorporated into existing clinical guidelines and pathways. Despite this, it is likely that this recommendation could engender disquiet among staff who are unaccustomed to multidisciplinary teamwork and see this process as an unnecessary incursion into existing medical decision-making hierarchies. Indeed, critical to implementing Garling's recommendations at a local level is to successfully engage with doctors, clinicians and executives, and to successfully create an organisation that embraces multidisciplinary teamwork.

Influencing medical culture

The ward round is the centre-piece ofthe apprenticeship model of medical education and training. It typically involves a specialist medical practitioner reviewing selected patients with the junior medical staff (registrar and resident medical officer) attached to that treating team. They may spend anywhere from several minutes to half an hour reviewing each patient. During this time, they may discuss the patient's current medical problems, formulate a treatment plan (including medications) and discuss further diagnostic or therapeutic interventions. This process is often used as an opportunity for specialists to teach junior doctors. Specialists will observe junior doctors perfonning physical examinations and eliciting symptoms. Although this is a valuable experience for junior medical staff, these ward rounds all too often isolate and exclude other health professionals from clinical input.17 Nurses and allied health staff frequently report difficulties raising important issues and feel intimidated by senior doctors.17

Fifty years ago, public hospital doctors were honorary visiting medical officers who 'donated' their services.1 Even today, many doctors working in private hospitals continue to function relatively independently from the hospital. Medical students, often taught by these doctors, are trained to be relatively autonomous decision-makers, rather than employees or team-members. Therefore, both pre-vocational and vocational medical training inculcate personal responsibility for decisions and patient outcomes, which often dissuades doctors from embracing multidisciplinary teamwork.18 If the responsibility that senior doctors feel for their patients could be extended to a holistic team approach that transcends the traditional doctor-patient relationship, junior doctors would likely follow, as they would learn and develop these skills through observation and experience.

Therefore, for ward rounds to become truly multidisciplinary, an egalitarian culture must be embraced by medical staff in which they use their specialised knowledge to guide, rather than control, the multidisciplinary team. They must move from independence to interdependence." After all, today's complex healthcare setting relies on input from not only doctors, but also nurse specialists, pharmacists, technologists and medical administrators.5

Clearly, engaging doctors in organisational quality and safety initiatives is a challenge lx and requires a strong argument for change.19 As champions of evidence-based practice, doctors are more likely to embrace arguments for change that are supported by evidence. Unfortunately, as discussed above, the evidence supporting Garling's proposed changes to ward round practices is indirect and circumstantial. This will only add to the challenge of engaging medical staff on this journey of change. The Report does not specifically identify this as an area of need for further research.

Executive commitment

Visible involvement of the chief executive and senior executive management is essential in setting standards for service delivery and demonstrating a hospital-wide commitment to improving patient safety.20 Executive managers often share the commitment of clinicians to improving clinical outcomes and work practices. They are keen for their hospital to be seen as committed to achieving better outcomes for patients and staff, while maintaining a sharp focus on organisational performance. Often, accreditation is rightfully seen by executive managers as an opportunity to showcase achievements, improvements and organisational perfonnance,"' particularly through benchmarking. However, implementing Garling's recommendations could be viewed by some executives as another opportunity to benchmark, without necessarily having regard for the lack of evidence underpinning those recommendations. This is where executive managers with a clinical background, such as the Chief Medical Officer or Director of Medical Services, can play a pivotal role in championing not only evidence-based clinical care, but also evidence-based management. Otherwise, the risk is that clinical process reforms led by non-clinical managers will continue to lack credibility in the eyes of some clinicians.

Non-medical clinicians

Many nurses and allied health staff often report feeling disempowered during ward rounds, believing that this form of clinical care planning is the sole domain of doctors.22 Many also report wanting to be more involved in clinical decisionmaking.23 Therefore, encouraging and valuing the contributions of all team members and overcoming professional hierarchies and egos leads to clinicians sharing the responsibility for clinical decisions. This not only creates a culture of patient safety,"4 but has been shown to improve employee wellbeing and satisfaction."" Hence, engagement from non-medical clinicians is unlikely to be problematic in effectively implementing these recommendations at a local level. Vocal nursing and allied health staff could become champions and leaders for change.

Conclusions

According to the UK National Health Service, up to 50% of all healthcare redesign is not maintained.26 Without the appropriate planning, prioritisation and funding (all of which require clinical leadership), Garling's recommendations will become yet another one-off, crisis-driven response.20 Ward rounds are an intrinsic and time-honoured part of the hospital routine. Reforming health services at such a fundamental level requires courage, vision, engagement, leadership and an egalitarian philosophy. Garling has been criticised2'3 for commanding a litany of reforms, without fully considering their financial or practical implications. Above all, fundamental health refonri requires evidence. At present, the evidence in support of Garling's recommendations is parsimonious. Despite these shortcomings, the Report champions new models of care delivery that seek to improve patient safety and improve the profile of nursing and allied health staff in ways never previously espoused. However, unless or until the State Departments of Health provide the necessaiy policy frameworks and funding to support these recommendations, including addressing the gaps in the current evidence, the success of the Report as a meaningful catalyst for change will be limited.

[Reference]

References

1 Garling P. Final report of the Special Commission of Inquiry: Acute Care Services in NSW Public Hospitals. Sydney: NSW Government, 27 November 2008. Available at http://www.lawlink.nsw.gov.au/ lawlink/SpeciaLProjects/ll_splpiOJects.nsf/pages/acsi_finalreport [verified 3 April 2009].

2 Skinner CA, Braithwaite J, Frankum B, Kerridge RK, Goulston KJ. Reforming New South Wales public hospitals: an assessment of the Garling inquiry. Med J Aust 2009; 190(2): 78-9. [On behalf of the Hospital Reform Group]

3 Van Der Weyden MB. In the wake of the Garling inquiry into New South Wales public hospitals: a change of cultures? Med J Aust 2009; 190(2): 51-2.

4 O'Hare JA. Anatomy of the ward round. Eur J Intern Med 2008; 19: 309-13. doi: 10.101 6/j.ejim.2007.09.016

5 Halm MA. Gagner S, Goering M, Sabo J, Smith M. Zaccagnini M. Interdisciplinary rounds: impact on patients, families, staff. Clin Nurse Spec 2003; 17(3): 133 -42. doi: 10. 1097/00002800-200305000-000 13

6 Moroney N, Knowles C. Innovation and teamwork: introducing multidisciplinary team ward rounds. Nurs Manage 2006; 13(1): 28-31.

7 Fertleman M. Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post admission ward rounds. Quul Saf Health Care 2005; 14: 207-11. doi: 10.1136/ qshc.2004.011759

8 Fortescue EB, Kaushal R, Landrigan CP. Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients. Pediatrics 2003;111:722-9. doi: 10. 1542/peds.111.4.722

9 Zwarenstein M. Bryant W. Interventions to promote collaboration between nurses and doctors. Cochrane Datahase Syst Rev 2000; (2): CD000072.

10 Sierchio GP. A multidisciplinary approach for improving outcomes. ./ Infus Nurs 2003; 26(1): 34-43. doi: 10. 1097/00 129804-20030 100000005

11 Femando KJ. Siriwardena AK. Standard of documentation of the surgeon-patient consultation: current surgical practice. Br J Surg 2001; 88: 309-12. doi: 1 0. 1 046/j. 1 365-2 1 68.200 1 .0 1 666.x

12 Thompson AG, Jacob K, Fulton J, McGavin CR. Do post-take ward round proformas improve communication and influence quality of patient care? Postgrad Med J 2004; 80: 675-6. doi:10.1136/ pgmj. 2003. 01 6097

13 Bomba DT, Prakash R. A description of handover processes in an Australian public hospital. Ausi Health Rev 2005; 29(1): 68-79. doi:10.1071/AH050068

14 Kennedy TJT, Lingard L, Baker GR, Kitchen L, Regehr G. Clinical oversight: conceptualizing the relationship between supervision and safety. ,7 Gen Intern Med 2007; 22: 1080-5. doi: 10.1007/sl 1606-0070179-3

15 O'Connell B. Crawford S, Tuli A, Gaskin CJ. Nurses" attitudes to single checking medications: before and after its use. InI J Nurs Pract 2007; 13:377-82. doi: 10.1 11 1/J.1440-172X.2007.00653.X

16 Norgaard K, Ringsted C, Dolmans D. Validation of a checklist to assess ward round performance in internal medicine. Med Edite 2004; 38: 700-7. doi: 1 0. 1 1 1 1/j. 1 365-2929.2004.01 840.x

17 Manias E, Street A. Nurse-doctor interactions during critical care ward rounds. J Clin Nurs 2001; 10: 442-50. doi: 10. 1046/j. 13652702.2001.00504.x

18 Loh E. How do we engage doctors in quality and safety? The Quarterly 2008; 41(4): 10-3. Available at http://www.racma.edu.au/ index. php?option=com_content&task=view&id=269&ltemid=523 [verified 30 April 2009].

19 Morjikian RL, Kimball B, Joynt J. Leading change: the nurse executive's role in implementing new care delivery models. J Nurs Adm 2007; 37(9): 399^04. doi: 10. 1097/01. NNA.0000285141.19000.bc

20 McGrath KM, Bennett DM, Ben-Tovim Dl, Boyages SC, Lyons NJ, O'Connell TJ. Implementing and sustaining transformational change in health care: lessons learnt about clinical process redesign. MedJAust 2008; 188(6): S32-5.

21 Australian Council on Healthcare Standards. Available at http://www. achs.org.au/EQUIP4 [verified 24 May 2009].

22 Busby A, Gilchrist B. The role of the nurse in the medical ward round. JAdv Nurs 1992; 17: 339^6. doiTO.l 1 1 1/j. 1 365-2648. 1992.tb0 19 12.x

23 Apker J, Propp KM. Zabava Ford WS, Hofmeister N. Collaboration, credibility, compassion, and coordination: professional nurse communication skill sets in health care team interactions. J Prof Nurs 2006; 22(3): 180-9. doi:10.1016/j.profnurs.2006.03.002

24 Robinson M, Cottrell D. Health professionals in multidisciplinary and multi-agency teams: changing professional practice. J Interprqf Care 2005; 19(6): 547-60. doi: 1 0. 1 080/1356 1 820500396960

25 Laschinger HK, Finegan J. Empowering nurses for work engagement and health in hospital settings. J Nurs Adm 2005; 35(10): 439^49. doi: 1 0. 1 097/00005 1 1 0-2005 1 0000-00005

26 United Kingdom Department of Health. Policy and guidance. Organisation policy. Health reform. Available at http://www.dh.gov. uk/en/Policyandguidance/Organisationpolicy/Healthreform/index.htm [verified 23 May 2009].

Manuscript received 17 June 2009, accepted 9 February 2010

[Author Affiliation]

Owen M. Bradfield MB BS(Hons), BMedSc(Hons), LLB, MBA

PO Box 2085, Preston, VIC 3072, Australia. Email: owenbrad@yahoo.com.au

Monday, March 12, 2012

Life sentence handed man for killing daughter

CHICAGO - A man found guilty of torturing and beating to death his 12-year-old daughter was sentenced Thursday to natural life in prison.

Larry Slack, 46, of Chicago will have no chance of parole under the sentence handed down by Cook County Circuit Judge Thomas Sumner on the first-degree murder conviction. Slack also was sentenced to 30 years in prison for the aggravated battery of his son, the Chicago Tribune reported on its Web site.

"Of the cases I have presided over myself or seen go. through this building, this situation, bar none, is the worst I have ever seen or heard," Sumner said when he sentenced Slack.

Jurors found Slack guilty last month of Laree Slack's whipping death in November 2001. Slack's other children say he tied their sister to a bed frame, put a gag in her mouth, partially stripped her and then beat her chest, back and legs with an electrical cord for more than two hours.

Prosecutors said Slack was upstairs watching a DVD as his daughter died of internal bleeding in a basement bedroom.

The Slack children said the beating began as a punishment because they could not find their mother's lost credit card. They say their father singled Laree out for more violence because she wouldn't withstand the beating quietly.

Slack's defense attorneys had argued that he hadn't meant to kill the girl.

Slack's wife, Constance, who had worked as a nurse at La Rabida Children's Hospital on the Chicago's South Side, pleaded guilty to murder charges and was sentenced May 1 to 25 years in prison. AP

Culture Team Backs 'Great Briton' Brunel

The team leading Bristol's bid to be European Capital of Culturein 2008 are urging Bristolians to vote for Isambard Kingdom Brunel inthe BBC's quest to find the Greatest Briton.

Brunel's cause was championed by Top Gear presenter JeremyClarkson in a programme last night on BBC2, the first in a series onthe top 10 contenders.

Brunel's rivals are Winston Churchill, Oliver Cromwell, CharlesDarwin, Princess Diana, Queen Elizabeth I, John Lennon, Lord Nelson,Isaac Newton and William Shakespeare.

The 'Great Engineer' owes his place among the top 10 Great Britonsdue to his extraordinary vision and towering technical ability,particularly in creating the Clifton Suspension Bridge and the ssGreat Britain.

Andrew Kelly, Director of Bristol 2008, said: "Brunel fullydeserves his place in the top rank of Great Britons." The BBC isinviting people to vote via the BBC website on www. bbc. co. uk/history/progr ammes/greatbritons/

Uruguay president to annul amnesty decrees

MONTEVIDEO, Uruguay (AP) — Uruguay's government says it will remove obstacles to human rights prosecutions against scores of officials of a past dictatorship.

Earlier administrations issued decrees stating that roughly 80 cases were covered by an amnesty law. Presidential aide Alberto Brescia now says the government will annul those rulings.

Congressional allies of President Jose Mujica tried and failed to revoke the amnesty law in May. That attempt sparked strong criticism from veterans.

In many instances, courts asked earlier governments whether the amnesty law applied before ruling to suspend specific cases.

Uruguay's Congress approved the military amnesty in 1986, after leftist guerrillas who had fought the government received amnesties.

Rader out; Angels job to Rodgers

The California Angels, who fell from first place to last in theAL West in a month, fired manager Doug Rader and replaced him withBuck Rodgers.

Rodgers, fired as manager by the Montreal Expos on June 2,signed a three-year contract Monday.

"This is kind of a dream come true, coming back to a place whereyou were born-type thing," said Rodgers, a member of the originalAngels in 1961.

The Angels moved into first place with a 44-33 record on July 3,but lost 19 of their next 27 games. The New York Yankees and Brien Taylor ended their stalemate when thenation's No. 1 draft pick signed a minor-league contract hours beforea final deadline. Terms were not disclosed.

If the left-handed pitcher had started classes today atLouisburg, N.C., Junior College, major league rules would haveprohibited the Yankees from negotiating with him again until afterLouisburg's baseball season ended in May. Walt Terrell, who pitched two complete-game victories for theTigers, was named AL player of the week. Terrell beat the Mariners4-3 and shut out the White Sox 5-0.

Out of Scope

Gulls Gone Wild

Miami Police are counting on what looks like a flying trash can to hover above downtown Miami and steamy South Beach to keep an eye on criminals, revelers and whatever else catches the robotic drone's roving eye.

Similar drones have been used in Iraq and Afghanistan for years. Miami's $250,000, 16-pound pilotless vehicle, built by Honeywell International, can fly at treetop level and hover to train its electro-optic or infrared sensors on the lawless and, undoubtedly, the underdressed.

Rather than being flown in from a central location, the drone would be carried in a backpack to the site of a disturbance and launched by an operator, according to police. The idea is to give police an extra set of eyes when fighting crime.

Up next: an overhead video compilation of spring breakers that's being pitched on late-night cable TV.

A Web of Deceit

One of the most frightening things trotted out last month at RSA- a show pretty much built on scaring you out of your wits- was research from Secureworks' Joe Stewart on the losing battle against spam and botnets. Stewart's team has identified 11 botnets with more than a million bots responsible for more than 100 billion spam messages a day.

The biggest offender is now the Ukraine-born Srizbi, which boasts 315,000 bots and cranks out some 60 billion junk e-mails every day. It dwarfs the infamous Storm, which has just 85 bots generating 3 billion spam messages daily.

The new kids on Stewart's list also seem to be getting more efficient. Ozdok, also known as the Mega-D botnet, has only 35,000 bots, but it manages an impressive 10 billion spams a day.

Always an encouraging guy, Stewart concludes, "Template-based spam botnets are here to stay. Not only that, based on what we've seen in the lab, we don't believe they've even achieved the level of efficiency of which they could be capable.

What we want to know is, Who is buying the junk advertised in spam? And how is spam still a profitable enterprise?

TECHNOSCOURGE

PR Clunkers

A Bad-Hair Decade

"Subject: our security's In jeopardy, baby- ooh ooh ooh."

(If you don't recall that 1983 song, "Jeopardy," listen here: http://www.apple.com/search/ipoditunes/?q=jeopardy.)

The trouble Is, I do remember the song. And the Greg Kihn Band. And everything else wrong with 1983. Did anyone read past the iTunes link to see what Secure Computing was selling in this RSA release?

BY THE NUMBERS

23% of ClOs report a decline in their IT budgets for 2008.

Source: Gartner global CIO survey

"If we are forced to take an offer directly to your shareholders, that action will have an undesirable impact on the value of your company [and] will be reflected in our proposal."

Microsoft CJiO Steve Ballmer in a letter to Yahoo board members that threatens to turn the acquisition attempt into a nasty battle.

Gays ask Thompson to OK bills

Gay activists dropped off a 26-foot-long petition at Gov.Thompson's office Monday urging him to sign bills on AIDS patientcare and AIDS education, and to amend and sign a bill on AIDS testingconfidentiality.

The 1,800-signature petition was delivered to Thompson's Chicagooffice to remind him that "some good legislation was actuallypassed," and to indicate that "there are a certain number of voters"supporting the bills, said Tim Drake of the Illinois Gay and LesbianTask Force.

Thompson should sign into law a package that addresses issuessurrounding care for people with AIDS and a bill that mandates thestate Board of Education to include AIDS education in school healthcourses, said Drake.

A bill that would require consent and establish confidentialityrules for AIDS antibody tests should be amended to eliminate anexemption for insurance companies and health maintenanceorganizations, he said.

The task force is urging Thompson to veto bills requiringtracing of sexual contacts for people with the AIDS virus and makingAIDS testing mandatory.

US, Colombia sign pact to expand US use of bases

In a private, low-key ceremony, the U.S. ambassador and three Colombian ministers on Friday signed a pact to expand Washington's military's presence, a deal that Venezuela's Hugo Chavez has called a threat to the region's security.

U.S. Ambassador William Brownfield signed along with Colombia's foreign, justice and defense ministers at the Foreign Ministry in Bogota, said U.S. Embassy spokeswoman Ana Duque.

Foreign Minister Jaime Bermudez said that the pact restricts U.S. military operations to Colombian territory _ alluding to fears expressed by leftist leaders in the region that the deal would make Colombia a base for asserting U.S. power in South America.

Although details were not immediately released, a government communique said the pact "respects the principles of equal sovereignty, territorial integrity and nonintervention in the internal affairs of other states."

Officials have said it would increase U.S. access to seven Colombian bases for 10 years without boosting the number of service personnel and contractors beyond the cap of 1,400 specified by U.S. law.

U.S. counter-drug flights that previously operated out of Manta, Ecuador, would be based at the Palanquero base in the central Magdalena valley and Navy port calls would be more frequent.

"We are not bringing U.S. soldiers to Colombia for combat," Bermudez told reporters. "We're not going to see an unusual number of U.S. military personnel, nor U.S. planes in excess. What we're going to see is what we've always seen."

The top U.S. Defense Department official for Latin America, Frank Mora, told The Associated Press in August there would be no "U.S. offensive capacity" such as fighter jets from any of the bases. However, U.S. construction is planned at Palanquero to expand facilities.

President Chavez, who survived a 2002 coup attempt that he claims was U.S.-backed, has said Washington could use the bases agreement to destabilize the region.

However, South America's main power broker, President Inacio Lula da Silva of Brazil, dropped initial objections to the bases agreement after senior U.S. officials and Colombia's conservative president, Alvaro Uribe, made separate visits to explain it.

Uribe also assured regional leaders at an August summit that U.S. military operations would be restricted to Colombian territory, where a half-century-old leftist insurgency persists as well as violence related to drug trafficking.

U.S. law specifies that no more than 800 U.S. military personnel and 600 civilian contractors may be in Colombia at any one time. Currently, there are some 230 U.S. service personnel and 400 contractors in the country, said Bermudez.

Under the pact, U.S. military personnel will continue to enjoy diplomatic immunity from prosecution. Some Colombians had objected to exempting U.S. military personnel from local criminal jurisdiction.

Increased U.S. military aid to Colombia's armed forces since 2000 has been key to the recent weakening of the country's main leftist rebel group. The U.S. military has offices at armed forces headquarters and advisers attached to Colombia's main army divisions.

Although there's no evidence of any direct correlation, the boost in aid and cooperation also has coincided with a sharp increase in extrajudicial killings by Colombia's military.

Duque said the agreement's text would be published in the U.S. Federal Record within about a month.

Wednesday, March 7, 2012

Fishing tournament scheduled in Nitro

A trout fishing tournament will be sponsored by the city of Nitrofrom 7 a.m. to 4 p.m. Dec. 15 at Ridenour Lake.

Specially tagged fish bringing cash prizes of $25, $50 and $100will be stocked in the lake, and door prizes will be awarded.

Cost is $7 for the first pole and $10 for use of two poles.

The public is invited to the lake stocking at 4 p.m. Dec. 14 nextto the gazebo at Ridenour Lake.

For more information, call Mayor Rusty Casto, 755-0705, or DannyHill, 755-0704.

Two gift ideas could benefit outdoor quests Phones, cameras will stay dry

A little more than a month ago I walked into Burlington CoatFactory in Bangor and was greeted with the sound of Christmas music -it was a little early, I thought for "chestnuts roasting on an openfire." That was the first part of October.

I'm not one to make lots of plans, so even thinking aboutChristmas in October was more than I could wrap my mind around, butit planted a seed, I guess.

Now, close to the middle of November, I figure it isn't too earlyto be thinking about Christmas. And to that end I have a couple ofitems to start you thinking about for the outdoor person on yourlist. (See, I did start thinking Christmas early this year.)

You know I spend some time around the water, usually on top of it.For paddlers who accumulate gear, some of it electronic, there isn'tanything more critical than keeping these toys dry. We go to greatlengths to buy kayaks with watertight bulkheads and hatches. We buyexpensive clothing and spray skirts to keep the water on the outside.And we try like crazy to stow the rest of what we want to have athand in something that will keep it dry.

And then there's the other problem of protecting these trinketsfrom getting banged around and dinged up.

Something like your wallet can be stowed in a small dry-bag, andthat towel you want to use later to dry off your hands and facelikewise can be stowed in a dry bag. But your camera? I don't thinkso. Nor would you want to stow a cell phone or GPS or your MP3 playerin a dry bag. They'll likely remain dry, but there's no protectionfrom impact or crushing.

Hard-shell protection

This is a job for a hard case designed to keep the elements at bayand your valuables dry and protected. One of the brands on the marketis Otter Box. They're made from an ABS plastic that's reinforced withfiberglass. The type of plastic used to make clear Otter Boxes ishigh-impact polycarbonate.

The folks at Fort Collins, Colo., make a line of hard-shell casesthat will fit almost anything. Kristin Golliher, public relationsexecutive with the company, got in touch with me recently and askedif I'd like to try out a box or two. I told her I'd be happy to runthem through their paces.

It happened that I also have a pair of Motorola hand-held walkie-talkies to try out. They fit in one of the boxes with room to spare,so last Sunday on a cold, wet paddle at Pushaw Lake, I popped the tworadios and my cell phone into one of the boxes, clipped it to my deckbungees (using a carabineer and the lanyard that comes with theboxes) and headed out into the wind and waves.

A few weeks had passed since my last paddle and I felt a littlerusty keeping up with paddling friend Karen Francoeur, who was freshback from a 10-day outing on Lake Powell and a kayak symposium inGeorgia. As we neared Hardwood Island, I suggested we stop for aminute or two so I could stretch my legs and get the blood moving inthem - wake them up, actually.

A little walking around and they were fine. The little beach onthe southern end of the island was perfect for launching the OtterBox. I gave it a heave into the water - with a little apprehension, Imust admit. The case with the two radios and my cell phone bobbed onthe water like a cork, its bright yellow case standing out like abeacon. I pushed it under a few times and checked for leaks. None. Imight have guessed since they come with a guarantee to be dry down to100 feet. Bobbing around on the surface is child's play for theseboxes. The real beauty, though, is that the box was sitting right upthere on top of the water. Should you drop your goodies overboard,it's nice knowing they'll be sitting right there waiting for you topick them up.

Since I don't plan to be down 100 feet anytime, it gives me greatconfidence that for my purposes - floating around on the surface inall kinds of weather - these boxes will keep my valuables dry andsafe. And the full-length stainless steel hinge pin should stand upto fresh and salt water no sweat. I like having the clear covers,too; I can see immediately what's inside. Should my cell phone ring,I could see it through the cover - you can't hear the ringing unlessyou're really close because the box is airtight.

The OtterBox 3250, the larger of the two, comes with 1/8-inchfoam padding. The exterior measures 8.813 by 5.175 by 3.081 inchesand inside it is 7.884 by 3.973 by 2.546 inches and retails for$25.49.

There was enough room for two walkie-talkies and a cell phone withroom enough for a set of keys or other small items, say change andcredit cards.

The 2500 also has a clear lid. Its exterior dimensions are 6.857by 4.571 by 1.827 inches and interior dimensions are 6 by 3.374 by1.293 inches, and it sells for $17.95.

This case was just a tad too short overall to hold the walkie-talkies (their antennas make them 6.75 inches tall), but the cellphone fit nicely and I could put a pair of glasses or sun glassesinside along with a digital camera or my ancient little Olympus 35 mmXA camera. (This camera was a tad too tall for the 3250 box.) Thedigital camera and cell phone, both with soft cases, fit with roomfor keys, some change or bills, and a few credit cards.

Without going into all the possible uses for this line of boxes,here are some of the items the company says are perfect fits: cigars(several different sizes and capacities), pager, film and batteries,MP3 player, Gameboy, handheld PC, ski goggles, etc. And there areother models that will protect items up to the size of a tablet PC.Check out the company's Web site at www.otterbox.com.

Otter Boxes come with an unconditional lifetime warranty. Thecompany stands behind its products with a "No questions. No hassles"policy.

If you value your gadgets (or your fine cigars), you owe it toyourself to check out these rugged boxes. I predict you'll find themjust what the doctor ordered.

Hand-held radios

I haven't had a chance yet to give the Motorola two-way radios agood workout. You probably know more than I do about the GeneralMobile Radio Service units. (You're supposed to license them with theFederal Communications Commission.)

This type of two-way radio has been around for years. What'schanging is the range they'll transmit under ideal situations andtheir compact size (see photo).

The SX800 has 22 channels and a selection of 38 standardinterference eliminator codes plus 83 additional (up to 121 total)codes for superior interference protection. You may also tune intothe NOAA weather channels for current weather information. Otherfeatures include a selection of tones to use for calling differentunits in your group and the ability to talk hands-free with voiceactuation transmission. You can scan the frequencies to monitor otherradio traffic as well. You can even plug in an earphone. The unitscome with rechargeable batteries and a re-charger and a belt clip.

Transmission is pretty clear within a mile or so of each other.Here's where my scientific testing began to break down. I handed oneof the units to my wife, who was doing chores around the house, whileI took the other one and headed for the car. I drove here and thereand attempted to reach her from various locations.

We don't have "ideal" conditions in our neighborhood. If you'refamiliar with Bangor, you know the water tower on Thomas Hill is alandmark. You also know it sits on the highest point in town. We livejust down the hill and over a few streets, which translates to beingon one side of the hill.

As long as I was either on top of Thomas Hill or on the side wherewe live, I could raise my wife on the radio. But once I drove underthe lip, so to speak, of the hill, I was incommunicado. I drovearound the "West Side" of the city and had limited luck within a mileor two of the house. But the rub, I think, was that my wife was inthe house and I was outside.

The SX800 series units Motorola sent me are supposed to be able totransmit and receive more than 8 miles away under "ideal"circumstances. I didn't have that experience on my initial outing,but I'm going to try again and see just how far I can go betweenunits and still talk.

I know from experience that they'll do pretty well on water - saya couple or three miles. But when I'm on the ocean, I'm using a VHFhand-held unit (5 watts-plus of output and the ability to talk to anyboat on the water and the emergency frequencies are monitored by theCoast Guard). But I have used two-way radios on the Family RadioService frequency before when a large group of us was on a trip, andit worked well. We were able to stay in touch and not tie up the VHFchannels. We had VHF available for emergencies.

For a family on an outing or camping, for example, these two-wayradios are ideal. They allow each family member to be in touch witheach other and not run up a cell phone bill in the process. Thelimitation seems to be hills. Stay tuned, however. I intend to getthem outside again. I really like the idea of not having to dial anumber to reach someone. You just push the PTT button and talk. Whenyou're done talking, release the button and listen.

Simple as that!

Jeff Strout's column on outdoor recreation is published eachSaturday. He can be reached at 990-8202 or by e-mail atjstrout@bangordailynews.net.

Two gift ideas could benefit outdoor quests Phones, cameras will stay dry

A little more than a month ago I walked into Burlington CoatFactory in Bangor and was greeted with the sound of Christmas music -it was a little early, I thought for "chestnuts roasting on an openfire." That was the first part of October.

I'm not one to make lots of plans, so even thinking aboutChristmas in October was more than I could wrap my mind around, butit planted a seed, I guess.

Now, close to the middle of November, I figure it isn't too earlyto be thinking about Christmas. And to that end I have a couple ofitems to start you thinking about for the outdoor person on yourlist. (See, I did start thinking Christmas early this year.)

You know I spend some time around the water, usually on top of it.For paddlers who accumulate gear, some of it electronic, there isn'tanything more critical than keeping these toys dry. We go to greatlengths to buy kayaks with watertight bulkheads and hatches. We buyexpensive clothing and spray skirts to keep the water on the outside.And we try like crazy to stow the rest of what we want to have athand in something that will keep it dry.

And then there's the other problem of protecting these trinketsfrom getting banged around and dinged up.

Something like your wallet can be stowed in a small dry-bag, andthat towel you want to use later to dry off your hands and facelikewise can be stowed in a dry bag. But your camera? I don't thinkso. Nor would you want to stow a cell phone or GPS or your MP3 playerin a dry bag. They'll likely remain dry, but there's no protectionfrom impact or crushing.

Hard-shell protection

This is a job for a hard case designed to keep the elements at bayand your valuables dry and protected. One of the brands on the marketis Otter Box. They're made from an ABS plastic that's reinforced withfiberglass. The type of plastic used to make clear Otter Boxes ishigh-impact polycarbonate.

The folks at Fort Collins, Colo., make a line of hard-shell casesthat will fit almost anything. Kristin Golliher, public relationsexecutive with the company, got in touch with me recently and askedif I'd like to try out a box or two. I told her I'd be happy to runthem through their paces.

It happened that I also have a pair of Motorola hand-held walkie-talkies to try out. They fit in one of the boxes with room to spare,so last Sunday on a cold, wet paddle at Pushaw Lake, I popped the tworadios and my cell phone into one of the boxes, clipped it to my deckbungees (using a carabineer and the lanyard that comes with theboxes) and headed out into the wind and waves.

A few weeks had passed since my last paddle and I felt a littlerusty keeping up with paddling friend Karen Francoeur, who was freshback from a 10-day outing on Lake Powell and a kayak symposium inGeorgia. As we neared Hardwood Island, I suggested we stop for aminute or two so I could stretch my legs and get the blood moving inthem - wake them up, actually.

A little walking around and they were fine. The little beach onthe southern end of the island was perfect for launching the OtterBox. I gave it a heave into the water - with a little apprehension, Imust admit. The case with the two radios and my cell phone bobbed onthe water like a cork, its bright yellow case standing out like abeacon. I pushed it under a few times and checked for leaks. None. Imight have guessed since they come with a guarantee to be dry down to100 feet. Bobbing around on the surface is child's play for theseboxes. The real beauty, though, is that the box was sitting right upthere on top of the water. Should you drop your goodies overboard,it's nice knowing they'll be sitting right there waiting for you topick them up.

Since I don't plan to be down 100 feet anytime, it gives me greatconfidence that for my purposes - floating around on the surface inall kinds of weather - these boxes will keep my valuables dry andsafe. And the full-length stainless steel hinge pin should stand upto fresh and salt water no sweat. I like having the clear covers,too; I can see immediately what's inside. Should my cell phone ring,I could see it through the cover - you can't hear the ringing unlessyou're really close because the box is airtight.

The OtterBox 3250, the larger of the two, comes with 1/8-inchfoam padding. The exterior measures 8.813 by 5.175 by 3.081 inchesand inside it is 7.884 by 3.973 by 2.546 inches and retails for$25.49.

There was enough room for two walkie-talkies and a cell phone withroom enough for a set of keys or other small items, say change andcredit cards.

The 2500 also has a clear lid. Its exterior dimensions are 6.857by 4.571 by 1.827 inches and interior dimensions are 6 by 3.374 by1.293 inches, and it sells for $17.95.

This case was just a tad too short overall to hold the walkie-talkies (their antennas make them 6.75 inches tall), but the cellphone fit nicely and I could put a pair of glasses or sun glassesinside along with a digital camera or my ancient little Olympus 35 mmXA camera. (This camera was a tad too tall for the 3250 box.) Thedigital camera and cell phone, both with soft cases, fit with roomfor keys, some change or bills, and a few credit cards.

Without going into all the possible uses for this line of boxes,here are some of the items the company says are perfect fits: cigars(several different sizes and capacities), pager, film and batteries,MP3 player, Gameboy, handheld PC, ski goggles, etc. And there areother models that will protect items up to the size of a tablet PC.Check out the company's Web site at www.otterbox.com.

Otter Boxes come with an unconditional lifetime warranty. Thecompany stands behind its products with a "No questions. No hassles"policy.

If you value your gadgets (or your fine cigars), you owe it toyourself to check out these rugged boxes. I predict you'll find themjust what the doctor ordered.

Hand-held radios

I haven't had a chance yet to give the Motorola two-way radios agood workout. You probably know more than I do about the GeneralMobile Radio Service units. (You're supposed to license them with theFederal Communications Commission.)

This type of two-way radio has been around for years. What'schanging is the range they'll transmit under ideal situations andtheir compact size (see photo).

The SX800 has 22 channels and a selection of 38 standardinterference eliminator codes plus 83 additional (up to 121 total)codes for superior interference protection. You may also tune intothe NOAA weather channels for current weather information. Otherfeatures include a selection of tones to use for calling differentunits in your group and the ability to talk hands-free with voiceactuation transmission. You can scan the frequencies to monitor otherradio traffic as well. You can even plug in an earphone. The unitscome with rechargeable batteries and a re-charger and a belt clip.

Transmission is pretty clear within a mile or so of each other.Here's where my scientific testing began to break down. I handed oneof the units to my wife, who was doing chores around the house, whileI took the other one and headed for the car. I drove here and thereand attempted to reach her from various locations.

We don't have "ideal" conditions in our neighborhood. If you'refamiliar with Bangor, you know the water tower on Thomas Hill is alandmark. You also know it sits on the highest point in town. We livejust down the hill and over a few streets, which translates to beingon one side of the hill.

As long as I was either on top of Thomas Hill or on the side wherewe live, I could raise my wife on the radio. But once I drove underthe lip, so to speak, of the hill, I was incommunicado. I drovearound the "West Side" of the city and had limited luck within a mileor two of the house. But the rub, I think, was that my wife was inthe house and I was outside.

The SX800 series units Motorola sent me are supposed to be able totransmit and receive more than 8 miles away under "ideal"circumstances. I didn't have that experience on my initial outing,but I'm going to try again and see just how far I can go betweenunits and still talk.

I know from experience that they'll do pretty well on water - saya couple or three miles. But when I'm on the ocean, I'm using a VHFhand-held unit (5 watts-plus of output and the ability to talk to anyboat on the water and the emergency frequencies are monitored by theCoast Guard). But I have used two-way radios on the Family RadioService frequency before when a large group of us was on a trip, andit worked well. We were able to stay in touch and not tie up the VHFchannels. We had VHF available for emergencies.

For a family on an outing or camping, for example, these two-wayradios are ideal. They allow each family member to be in touch witheach other and not run up a cell phone bill in the process. Thelimitation seems to be hills. Stay tuned, however. I intend to getthem outside again. I really like the idea of not having to dial anumber to reach someone. You just push the PTT button and talk. Whenyou're done talking, release the button and listen.

Simple as that!

Jeff Strout's column on outdoor recreation is published eachSaturday. He can be reached at 990-8202 or by e-mail atjstrout@bangordailynews.net.

Rothschild lot sets 2011 world wine auction record

HONG KONG (AP) — A 300-bottle collection of Chateau Lafite Rothschild wine has sold at auction in Hong Kong for 4.2 million Hong Kong dollars ($539,280), the highest price for a single lot of wine at auction this year.

Christie's auction house said a private Chinese buyer bought the lot on Saturday, the first day of a two-day sale that raised HK$59.5 million ($7.6 million).

The collection sold for less than the pre-sale estimate's high end of HK$4.5 million. It consisted of 25 cases of 12 bottles from each year from 1981 to 2005.

Hong Kong has become the world's third largest auction hub, after New York and London, thanks to newly wealthy Chinese who are eager to spend on expensive collectibles.