Palestinians win de facto U.N. recognition of sovereign state

UNITED NATIONS (Reuters) - The 193-nation U.N. General Assembly on Thursday overwhelmingly approved the de facto recognition of the sovereign state of Palestine after Palestinian President Mahmoud Abbas called on the world body to issue its long overdue "birth certificate."


The U.N. victory for the Palestinians was a diplomatic setback for the United States and Israel, which were joined by only a handful of countries in voting against the move to upgrade the Palestinian Authority's observer status at the United Nations to "non-member state" from "entity," like the Vatican.


Britain called on the United States to use its influence to help break the long impasse in Israeli-Palestinian peace talks. Washington also called for a revival of direct negotiations.


There were 138 votes in favor, nine against and 41 abstentions. Three countries did not take part in the vote, held on the 65th anniversary of the adoption of U.N. resolution 181 that partitioned Palestine into separate Jewish and Arab states.


Thousands of flag-waving Palestinians in the West Bank and the Gaza Strip set off fireworks and danced in the streets to celebrate the vote.


The assembly approved the upgrade despite threats by the United States and Israel to punish the Palestinians by withholding funds for the West Bank government. U.N. envoys said Israel might not retaliate harshly against the Palestinians over the vote as long as they do not seek to join the International Criminal Court.


If the Palestinians were to join the ICC, they could file complaints with the court accusing Israel of war crimes, crimes against humanity and other serious crimes.


U.S. Secretary of State Hillary Clinton called the vote "unfortunate and counterproductive," while the Vatican praised the move and called for an internationally guaranteed special status for Jerusalem, something bound to irritate Israel.


The much-anticipated vote came after Abbas denounced Israel from the U.N. podium for its "aggressive policies and the perpetration of war crimes," remarks that elicited a furious response from the Jewish state.


"Sixty-five years ago on this day, the United Nations General Assembly adopted resolution 181, which partitioned the land of historic Palestine into two states and became the birth certificate for Israel," Abbas told the assembly after receiving a standing ovation.


"The General Assembly is called upon today to issue a birth certificate of the reality of the State of Palestine," he said.


Israeli Prime Minister Benjamin Netanyahu responded quickly, condemning Abbas' critique of Israel as "hostile and poisonous," and full of "false propaganda.


"These are not the words of a man who wants peace," Netanyahu said in a statement released by his office. He reiterated Israeli calls for direct talks with the Palestinians, dismissing Thursday's resolution as "meaningless."


ICC THREAT


A number of Western delegations noted that Thursday's vote should not be interpreted as formal legal recognition of a Palestinian state. Formal recognition of statehood is something that is done bilaterally, not by the United Nations.


Granting Palestinians the title of "non-member observer state" falls short of full U.N. membership - something the Palestinians failed to achieve last year. But it does have important legal implications - it would allow them access to the ICC and other international bodies, should they choose to join.


Abbas did not mention the ICC in his speech. But Palestinian Foreign Minister Riyad al-Maliki told reporters after the vote that if Israel continued to build illegal settlements, the Palestinians might pursue the ICC route.


"As long as the Israelis are not committing atrocities, are not building settlements, are not violating international law, then we don't see any reason to go anywhere," he said.


"If the Israelis continue with such policy - aggression, settlements, assassinations, attacks, confiscations, building walls - violating international law, then we have no other remedy but really to knock those to other places," Maliki said.


In Washington, a group of four Republican and Democratic senators announced legislation that would close the Palestinian office in Washington unless the Palestinians enter "meaningful negotiations" with Israel, and eliminate all U.S. assistance to the Palestinian Authority if it turns to the ICC.


"I fear the Palestinian Authority will now be able to use the United Nations as a political club against Israel," said Republican Senator Lindsey Graham, one of the sponsors.


Abbas led the campaign to win support for the resolution, which followed an eight-day conflict this month between Israel and Islamists in the Gaza Strip, who are pledged to Israel's destruction and oppose a negotiated peace.


The vote highlighted how deeply divided Europe is on the Israeli-Palestinian conflict.


At least 17 European nations voted in favor of the Palestinian resolution, including Austria, France, Italy, Norway and Spain. Abbas had focused his lobbying efforts on Europe, which supplies much of the aid the Palestinian Authority relies on. Britain, Germany and many others chose to abstain.


The traditionally pro-Israel Czech Republic was unique in Europe, joining the United States, Israel, Canada, Panama and the tiny Pacific Island states Nauru, Palau, Marshall Islands and Micronesia in voting against the move.


'HOPE SOME REASON WILL PREVAIL'


Peace talks have been stalled for two years, mainly over Israeli settlements in the West Bank, which have expanded despite being deemed illegal by most of the world. There are 4.3 million Palestinians in the West Bank and Gaza.


After the vote, U.S. Ambassador to the United Nations Susan Rice called for the immediate resumption of peace talks.


"The Palestinian people will wake up tomorrow and find that little about their lives has changed save that the prospects of a durable peace have only receded," she said.


She added that both parties should "avoid any further provocative actions in the region, in New York or elsewhere."


Palestinian Prime Minister Salam Fayyad said he hoped all sides would use the vote to push for new breakthroughs in the peace process.


"I hope there will be no punitive measures," Fayyad told Reuters in Washington, where he was attending a conference.


"I hope that some reason will prevail and the opportunity will be taken to take advantage of what happened today in favor of getting a political process moving," he said.


Britain's U.N. ambassador, Mark Lyall Grant, told reporters it was time for recently re-elected U.S. President Barack Obama to make a new push for peace.


"We believe the window for the two-state solution is closing," he said. "That is why we are encouraging the United States and other key international actors to grasp this opportunity and use the next 12 months as a way to really break through this impasse."


(Additional reporting by Andrew Quinn in Washington, Noah Browning in Ramallah, Jeffrey Heller in Jerusalem, Robert Mueller in Prague, Gabriela Baczynska and Reuters bureaux in Europe and elsewhere; Editing by Eric Beech and Peter Cooney)


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The X Factor Announces Top 6






The X Factor










11/29/2012 at 09:40 PM EST







From left; Demi Lovato, Britney Spears and Simon Cowell


FOX


Mario Lopez called the first elimination on Thursday's The X Factor a "bit of a shocker."

And so was the second.

The top eight contestants sang No. 1 hits Wednesday in an emotional night. Keep reading to find out which two performers were sent packing – and who's in season 2's top six ...

Paige Thomas was the first to go – which is shocking because she toned down her over-the-top performing style to sing Rick Astley's "Never Gonna Give You Up" like a like a "legitimate pop star," according to Simon Cowell.

That left Demi Lovato with just one singer on her team: CeCe Frey, who was told (by Cowell) to "pack her bags" Wednesday after her performance of "Lady Marmalade."

But L.A. Reid's contestant Vino Alan and Team Britney's Diamond White were in the bottom two and had to sing for survival. He performed "Trouble" and she sang Beyoncé's "I Was Here."

L.A. voted to send home Diamond; Britney returned the favor and voted to send home Vino. Demi voted Vino out as well. That left Simon ... and he fell in line with the female panelists, voting to get rid of Vino. Either one would have been a shock but Vino had been ranked third last week.

Here's how the top six rank this week:
1. Carly Rose Sonenclar
2. Tate Stevens
3. Emblem3
4. Fifth Harmony
5. CeCe Frey
6. Diamond White

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Clinton releases road map for AIDS-free generation

WASHINGTON (AP) — In an ambitious road map for slashing the global spread of AIDS, the Obama administration says treating people sooner and more rapid expansion of other proven tools could help even the hardest-hit countries begin turning the tide of the epidemic over the next three to five years.

"An AIDS-free generation is not just a rallying cry — it is a goal that is within our reach," Secretary of State Hillary Rodham Clinton, who ordered the blueprint, said in the report.

"Make no mistake about it, HIV may well be with us into the future but the disease that it causes need not be," she said at the State Department Thursday.

President Barack Obama echoed that promise.

"We stand at a tipping point in the fight against HIV/AIDS, and working together, we can realize our historic opportunity to bring that fight to an end," Obama said in a proclamation to mark World AIDS Day on Saturday.

Some 34 million people worldwide are living with HIV, and despite a decline in new infections over the last decade, 2.5 million people were infected last year.

Given those staggering figures, what does an AIDS-free generation mean? That virtually no babies are born infected, young people have a much lower risk than today of becoming infected, and that people who already have HIV would receive life-saving treatment.

That last step is key: Treating people early in their infection, before they get sick, not only helps them survive but also dramatically cuts the chances that they'll infect others. Yet only about 8 million HIV patients in developing countries are getting treatment. The United Nations aims to have 15 million treated by 2015.

Other important steps include: Treating more pregnant women, and keeping them on treatment after their babies are born; increasing male circumcision to lower men's risk of heterosexual infection; increasing access to both male and female condoms; and more HIV testing.

The world spent $16.8 billion fighting AIDS in poor countries last year. The U.S. government is the leading donor, spending about $5.6 billion.

Thursday's report from PEPFAR, the President's Emergency Plan for AIDS Relief, outlines how progress could continue at current spending levels — something far from certain as Congress and Obama struggle to avert looming budget cuts at year's end — or how faster progress is possible with stepped-up commitments from hard-hit countries themselves.

Clinton warned Thursday that the U.S. must continue doing its share: "In the fight against HIV/AIDS, failure to live up to our commitments isn't just disappointing, it's deadly."

The report highlighted Zambia, which already is seeing some declines in new cases of HIV. It will have to treat only about 145,000 more patients over the next four years to meet its share of the U.N. goal, a move that could prevent more than 126,000 new infections in that same time period. But if Zambia could go further and treat nearly 198,000 more people, the benefit would be even greater — 179,000 new infections prevented, the report estimates.

In contrast, if Zambia had to stick with 2011 levels of HIV prevention, new infections could level off or even rise again over the next four years, the report found.

Advocacy groups said the blueprint offers a much-needed set of practical steps to achieve an AIDS-free generation — and makes clear that maintaining momentum is crucial despite economic difficulties here and abroad.

"The blueprint lays out the stark choices we have: To stick with the baseline and see an epidemic flatline or grow, or ramp up" to continue progress, said Chris Collins of amFAR, the Foundation for AIDS Research.

His group has estimated that more than 276,000 people would miss out on HIV treatment if U.S. dollars for the global AIDS fight are part of across-the-board spending cuts set to begin in January.

Thursday's report also urges targeting the populations at highest risk, including gay men, injecting drug users and sex workers, especially in countries where stigma and discrimination has denied them access to HIV prevention services.

"We have to go where the virus is," Clinton said.

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Shares edge lower as U.S. budget talks stall

LONDON (Reuters) - Concerns about the deadlock in crucial U.S. budget talks capped gains in world equity markets on Friday, while falling yields on Spanish and Italian bonds kept the euro near a one-month high.


Markets are on edge over the lack of progress by political leaders in Washington as a failure to resolve their differences by year-end would trigger automatic spending cuts and tax rises that will tip the U.S. economy into recession.


Many investors also expect that once the so called 'fiscal cliff' is resolved, the brighter economic outlook for China and the U.S., along with signs of stabilization in the euro zone will fuel a major rally in riskier assets like equities.


"The market is subject to mood swings by investors who pay close attention to small developments in the U.S. budget talks," said Takuya Takahashi, an analyst at Daiwa Securities.


In the latest development the leading Republican politician, House of Representatives Speaker John Boehner, dampened hopes for a early deal on Thursday, less than 24 hours after he said he was "optimistic" about reaching a pact.


The lack of progress saw European shares edge lower at the start of trading but they remain on course for their best month since August and their sixth straight monthly gain.


The FTSEurofirst 300 index <.fteu3> of top European shares was down 0.2 percent at 1,119.74 in early trade, having jumped 1.1 percent on Thursday to its highest close since July 2011. London's FTSE 100 <.ftse>, Paris's CAC-40 <.fchi> and Frankfurt's DAX <.gdaxi> were flat to slightly lower.


A 0.2 percent drop in U.S. stock futures also hinted at a weaker Wall Street open. <.l><.eu><.n/>


Earlier MSCI's broadest index of Asia-Pacific shares outside Japan <.miapj0000pus> rose 0.6 percent to its highest since March 1, and was on course for a monthly gain of 2.1 percent.


EUROPEAN FEARS EASE


The euro was up 0.3 percent to just over $1.30 and at a seven-month high against the yen 107.55 yen as hopes the euro zone's crisis was easing supported demand.


A deal agreed earlier this week to release aid funds to Greece and strong demand at an Italian bond auction that cut Rome's borrowing costs to a two year low, have encouraged investors into Europe's peripheral markets and the euro.


Amid the unclear prospects for the U.S. budget talks and the better outlook for Europe's debt crisis, investors sought trade incentives from data out of Asian countries on Friday and Saturday that could offer signals for the likely direction of global economic growth.


India's economy grew at a lower-than-expected annual 5.3 percent in the quarter ending in September, against analysts' forecasts of 5.4 percent. Asia's third largest economy is still growing faster than many other major economies, but it has slowed from 6.5 percent in the 2011/12 fiscal year.


The data followed mixed reports from Japan, the world's third-largest economy, earlier in the day.


Japanese industrial output unexpectedly rose 1.8 percent in October, the first increase in four months, suggesting the negative impact of the global slowdown and a diplomatic row with China may have run its course.


But Japanese manufacturing activity contracted in November at the fastest pace in 19 months, according to a survey indicating it was hurt by falling exports, weak domestic demand and declining capital expenditure.


In South Korea, another big export-reliant economy, industrial output grew for a second month in a row in October, backing expectations for a recovery in the current quarter.


On Saturday, China will release the official manufacturing PMI for November, which is likely to show factory activity expanding at its fastest pace in seven months.


(Reporting by Richard Hubbard; editing by Philippa Fletcher)


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Insight: Cash crisis, Arab ferment threaten Jordan's stability

AMMAN (Reuters) - Violent protests that shocked Jordan this month have mostly subsided, but unprecedented chants for the "fall of the regime" suggested a deeper malaise in a kingdom so far spared the revolts reshaping the Arab world.


Anger over fuel subsidy cuts undoubtedly drove the unrest, in which police shot dead one man during a confrontation at a police station. The government's planned electricity price rises starting next year may well ignite more popular fury.


King Abdullah has made some constitutional reforms and his counselors say turnout at a parliamentary poll in January will test public support for the pace of political change amid an acute financial crisis that has forced Jordan to go to the IMF.


However, the model that has kept Jordan relatively stable for decades is cracking, nowhere more so than in the tribal East Bank provinces long seen as the bedrock of support for the Hashemite monarchy installed here by Britain in 1921.


The formula reinforced after the 1970 civil war between the army and Palestinian guerrillas - a defining national trauma now airbrushed from public discourse - broadly gives East Bankers jobs in the army, police, security services and bureaucracy.


Jordan's Palestinian-origin majority dominates private enterprise, but does not play a commensurate political role, in part because electoral gerrymandering curbs its voting power.


Although the fissure between the two communities is blurred by inter-marriage, long co-existence and, at least among the elite, business ties, it is likely to haunt Jordan as long as the wider Israeli-Palestinian conflict remains unresolved.


Jordanians of all stripes are fearful of the insecurity that stalks their neighbors, but the money that kept discontent in check across a fragmented society is simply no longer there.


An influx of 240,000 refugees from the Syrian conflict next door has further strained the resources of a country of seven million that has almost no oil and precious little water.


"Reform is genuinely difficult because you need to change the economic as well as the political rules," said a European diplomat. "In the past the tribes gave their support in return for jobs and money. Now that this is no longer affordable, they are shouting things like 'We won't pay for your corruption'."


Palestinians, while also hard hit by the austerity measures, have mostly laid low to avoid political flak.


DISGRUNTLED TRIBESMEN


In Kerak, a tribal hilltop town caught up in price protests earlier this month, morose shopkeepers await customers in the narrow market streets below the imposing Crusader citadel.


"Everyone who feels the pinch should go out in the street to express his views peacefully," said Hani Herzallah, 41, a barber with four children. He said he had joined the protests against fuel price rises that included a 54 percent increase in the cost of gas cylinders most Jordanians use for cooking and heating.


At a shop selling live chickens from wire cages, Tahseen al-Tanashat, 64, said he had just drawn his 200 dinar ($280) pension, but only had 50 dinars left after paying his bills.


Tanashat, on a state pension since he retired as a guard 31 years ago, said two of his three sons were soldiers. "I just want my 19-year-old still at home to get a job in the army."


For all their complaints, Kerak, 90 km (56 miles) south of Amman, has been lavished with state funds, thanks perhaps to powerful Majali and Tarawneh tribal figures who have occupied top positions in the government and military for decades.


An illuminated four-lane highway leads to the town of 65,000, passing a power station and an industrial zone that is far from bustling. Kerak boasts a major university, a new public hospital along with training colleges, and a palace of justice.


But jobs are scarce. A government hiring freeze is meant to alleviate the public sector pay and pension burden on a state treasury long reliant on aid from Gulf Arab and Western donors.


A U.S. diplomatic cable published by WikiLeaks said Jordan's "bloated civil service and military patronage system" soaked up 83 percent of the 2010 budget, despite planned spending cuts.


The economy has hit even stormier seas since then. Egypt's new rulers have sharply reduced cheap gas supplies to Jordan, which imports 97 percent of its energy and which has suddenly had to pay an extra $2.5 billion a year for fuel.


This month's protests were the most violent of several bouts of unrest in Jordan since Arab uprisings erupted nearly two years ago and toppled autocrats in Tunisia, Egypt and Libya.


Those in Kerak and other East Bank towns were organized by local opposition movements known collectively as Hirak, whose grievances focus on corruption, poor services and unemployment. They also resent privatization and other market reforms intended to reduce state spending - from which they benefit.


"Hirak is not driven by democracy, but by a sense of entitlement," said Mustafa Hamarneh, a social scientist running for parliament in the provincial town of Madaba. "It has not developed from spontaneous mobilization into a national political movement. It is parochial, with personalized demands."


EMBOLDENED ISLAMISTS


Jordan lacks credible political parties, with the exception of the Muslim Brotherhood's Islamic Action Front, whose power base is mostly, but not exclusively, urban and Palestinian. In some cities Islamists have developed tentative links with Hirak.


The Brotherhood, which has a track record of moderation since its Jordan branch was licensed in 1946, plans to boycott the January election, citing rules it says are meant to keep it from securing the biggest bloc in the 150-seat assembly.


The authorities accuse the Islamists, emboldened by Arab uprisings that led to election wins for their counterparts in Egypt and Tunisia, of fomenting unrest and of refusing to join a reform dialogue launched by King Abdullah in early 2011.


"Apparently the Muslim Brotherhood decided they stood to get more gains if they stayed in the streets," said a senior official source, speaking on condition of anonymity.


He acknowledged that the timing of the subsidy cuts, just as winter and an election were approaching, was far from ideal, but said there was no choice because Jordan risked "insolvency".


In return for a $2 billion standby arrangement agreed in August, the International Monetary Fund wants public sector reform and action on subsidies, including electricity tariffs.


Gulf donors such as Saudi Arabia, which rescued Jordan from an earlier crunch point with $1.4 billion a year ago, have held off from giving direct budget support so far this year, though Riyadh and Kuwait have sent $250 million each for projects.


Speculation about the reasons ranges from heavy spending by Gulf nations to stave off disaffection at home, concern about corruption in Jordan, and more pressing regional priorities - or even irritation that Amman had factored assumptions about Gulf aid into its IMF presentation without asking the donors first.


Saudi Arabia and Qatar may also want Jordan to be more active in the Syria crisis. "They would essentially like to see Jordan becoming the southern equivalent of Turkey in supporting the Syrian opposition," said Amman-based analyst Moin Rabbani.


"The Jordanians however ... prefer to play a less visible role and exercise it more covertly."


The survival of a vengeful Bashar al-Assad or a triumph for his Islamist-dominated foes would both pose dangers for Amman.


Jordan, valued by the West for its peace treaty with Israel and for its role as a stable buffer in a volatile region, still has an ambassador in Damascus, in line with its usual policy of walking a careful line between its more powerful neighbors.


TOP-DOWN REFORM


When Arab revolts began last year, the king, reigning since his father Hussein died in 1999, renewed a political reform drive opposed by conservatives which he had set aside to focus on economic liberalization aimed at expanding the middle class.


"The results remain disappointing," wrote Julien Barnes-Dacey in a paper for the European Council on Foreign Relations. "Despite changes to the constitution, few restrictions have been placed on the king's direct political authority."


King Abdullah, who has replaced his cabinet five times in the past two years, can still appoint and dismiss governments, although he has promised to consult parliament on choosing the next prime minister, who must then win a confidence vote.


"Parliament must become its own master and not get dissolved by the king in two words," said Wisam al-Majali, a Hirak activist in Kerak. "Now if even the best parliament digs deeper on corruption, it is dissolved the next day."


Another Kerak activist, Moaz al-Batoush, said an empowered parliament would obviate the need for street protests against "stupid" decisions that risked igniting revolutionary demands.


"Some people angered by the price rises reacted by calling for the downfall of the regime," he said, adding that this had never been a Hirak demand. "There is a crisis of confidence."


The official source defended the reforms, which include creation of an independent electoral commission, saying an overwhelming majority of Jordanians opposed removing powers from a monarch seen as a safeguard amid competing interests.


He said re-drawing electoral boundaries was not easy, given resistance from now over-represented East Bankers - Amman gets only a fifth of seats in parliament, despite being home to roughly half Jordan's population, many of them Palestinians.


The mood is sour among Palestinians in the Hussein refugee camp, now a scruffy built-up neighborhood of the capital.


"These price rises have slapped people in the face," said Abdul-Moneim Abu Aisha, 52, a butcher dragging on a cigarette as he sold small gobbets of meat in a tiny neon-lit shop.


In a market street where stalls piled high with vegetables jut out into the snarled traffic, people said only minor fuel price protests had occurred in the camp. Some voiced suspicion that even these were the work of outside provocateurs.


"The Palestinian camps will move only when the Jordanian tribal cities move and when the whole country rises up. If the camps rise up on their own they will be put down brutally," said a carpenter, who gave his name only as Abu Omar.


"We are targeted as Palestinians," he said, while having his hair cut. "The first thing they ask when you enter a police station is about your original hometown. But I'm a Jordanian who served in the army, and if anything happens to the country I will be the first to defend it, so why ask where I come from?"


With East Bankers and Palestinians alike feeling aggrieved, tensions might calm if the January election produced a new-look parliament and a government with the popular legitimacy to take tough decisions, but the electoral rules and the planned boycott of the vote by Islamists and others make this unlikely.


While the 50-year-old king seems confident his roadmap is the best route for a divided society, not everyone is so sure.


"Jordan needs an inclusive political reform to cope with the horrendous economic challenges," the European diplomat said.


"What we have is a baby step. The democratic deficit remains and has not been narrowed at a time when you need public confidence to deal with the challenges and the corruption."


(editing by Janet McBride)


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U.S. daily deals website Living Social to cut 400 jobs: WSJ












(Reuters) – U.S. daily deals online firm Living Social Inc is expected to announce on Thursday it is cutting 400 jobs, representing 9 percent of its workforce, as demand for daily deals and emailed daily discounts dries up, the Wall Street Journal reported, citing a source familiar with the plans.


The Washington-based company’s workforce has increased nearly 10-fold since the beginning of 2010 and it currently employs about 4,500 people worldwide, the Journal said. (http://link.reuters.com/rus34t)












Retail website Amazon.Com Inc owns a 30 percent stake in Living Social and booked a third-quarter charge of $ 169 million on the holding.


Living Social declined to comment to Reuters on the Journal report.


(Reporting By Neha Dimri and Alistair Barr; Editing by Muralikumar Anantharaman)


Internet News Headlines – Yahoo! News


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Angus T. Jones Is Not Leaving Two and a Half Men: Source















11/28/2012 at 07:50 PM EST



The Half is back!

Ever since Angus T. Jones bashed Two and a Half Men in a now-viral video, it begged the question: Will the 19-year-old actor return to the hit show?

If he has it his way, he will.

"Angus expects to report to work after the holiday break in January," says a source close to the star. "He intends to honor his contract through the end of the season."

Jones, who called the show "filth" and urged viewers in a video interview on a religious website to stop watching, issued an apology Tuesday night, saying he has the "highest regard" for the "wonderful people" on the show.

Although Jones is not featured in an episode that tapes next week, he intends to show up on schedule after the break, the source says.

In the meantime, the source adds, "Angus is feeling positive and he is concentrating on spending some downtime with family and friends."

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Simple measures cut infections caught in hospitals

CHICAGO (AP) — Preventing surgery-linked infections is a major concern for hospitals and it turns out some simple measures can make a big difference.

A project at seven big hospitals reduced infections after colorectal surgeries by nearly one-third. It prevented an estimated 135 infections, saving almost $4 million, the Joint Commission hospital regulating group and the American College of Surgeons announced Wednesday. The two groups directed the 2 1/2-year project.

Solutions included having patients shower with special germ-fighting soap before surgery, and having surgery teams change gowns, gloves and instruments during operations to prevent spreading germs picked up during the procedures.

Some hospitals used special wound-protecting devices on surgery openings to keep intestine germs from reaching the skin.

The average rate of infections linked with colorectal operations at the seven hospitals dropped from about 16 percent of patients during a 10-month phase when hospitals started adopting changes to almost 11 percent once all the changes had been made.

Hospital stays for patients who got infections dropped from an average of 15 days to 13 days, which helped cut costs.

"The improvements translate into safer patient care," said Dr. Mark Chassin, president of the Joint Commission. "Now it's our job to spread these effective interventions to all hospitals."

Almost 2 million health care-related infections occur each year nationwide; more than 90,000 of these are fatal.

Besides wanting to keep patients healthy, hospitals have a monetary incentive to prevent these infections. Medicare cuts payments to hospitals that have lots of certain health care-related infections, and those cuts are expected to increase under the new health care law.

The project involved surgeries for cancer and other colorectal problems. Infections linked with colorectal surgery are particularly common because intestinal tract bacteria are so abundant.

To succeed at reducing infection rates requires hospitals to commit to changing habits, "to really look in the mirror and identify these things," said Dr. Clifford Ko of the American College of Surgeons.

The hospitals involved were Cedars-Sinai Medical Center in Los Angeles; Cleveland Clinic in Ohio; Mayo Clinic-Rochester Methodist Hospital in Rochester, Minn.; North Shore-Long Island Jewish Health System in Great Neck, NY; Northwestern Memorial Hospital in Chicago; OSF Saint Francis Medical Center in Peoria, Ill.; and Stanford Hospital & Clinics in Palo Alto, Calif.

___

Online:

Joint Commission: http://www.jointcommission.org

American College of Surgeons: http://www.facs.org

___

AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner

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U.S. budget deal hopes buoy global shares and commodities

LONDON (Reuters) - World shares hit three-week peaks and commodities were also higher on Thursday as comments from a senior U.S. lawmaker raised hopes of a budget deal by year-end to avoid a fiscal crisis in the world's biggest economy.


With Asian shares higher and the FTSEurofirst 300 index <.fteu3> of top European shares adding 0.5 percent when trading opened, the MSCI global equities index <.miwd00000pus> was up 0.4 percent at 330.74 points, its highest since November 7.


U.S. shares jumped overnight after House of Representatives Speaker John Boehner voiced optimism that Republicans could broker a deal with the White House to avoid a $600 billion crunch of spending cuts and tax hikes dubbed the "fiscal cliff".


"The default assumption appears to be that a deal will be reached before the year-end deadline," said Ian Williams, equity strategist at Peel Hunt.


London's FTSE 100 <.ftse>, Paris's CAC-40 <.fchi> and Frankfurt's DAX <.gdaxi> were all up between 0.3 and 0.6 percent, adding to the week's gains.


As investors returned to riskier assets, the other side of the coin was a retreat from safe-haven German government bonds, pushing benchmark Bund futures down 18 ticks to 142.77.


The main focus of the day for bond markets will be a 6 billion euro auction of Italian 5- and 10- year debt, which should bring Rome close to completing its funding needs for the year and will give an indication of whether a recent rally in higher-yielding bonds will continue.


On the data front, the European Commission's latest sentiment survey will also be closely watched and is expected to show economic conditions in the bloc stabilized in November, albeit at a three-year low.


Italy's business sentiment survey and German unemployment data are also scheduled for release later in the day.


Commodity prices were also supported by the U.S. fiscal deal hopes. Crude oil futures rose 0.4 percent to $86.86 a barrel, and Brent inched up 0.3 percent to $109.82.


In currency markets, the euro was at $1.2960, well above Wednesday's intraday low of $1.2880.


The dollar, which has seen a corrective pull-back versus the yen since hitting a 7-1/2 month high, edged up 0.1 percent to about 82.15 yen.


"I can feel a bit of long dollar/yen fatigue setting in," said Jeffrey Halley, FX trader for Saxo Capital Markets in Singapore.


(Additional reporting by David Brett; Editing by Will Waterman)


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Egyptians challenge Mursi in nationwide protests

CAIRO (Reuters) - Tens of thousands of Egyptians rallied on Tuesday against President Mohamed Mursi in one of the biggest outpourings of protest since Hosni Mubarak's overthrow, accusing the Islamist leader of seeking to impose a new era of autocracy.


Police fired tear gas at stone-throwing youths in streets near the main protest in Cairo's Tahrir Square, heart of the uprising that toppled Mubarak last year. Clashes between Mursi's opponents and supporters erupted in a city north of Cairo.


But violence could not overshadow the show of strength by the normally divided opponents of Islamists in power, posing Mursi with the biggest challenge in his five months in office.


"The people want to bring down the regime," protesters in Tahrir chanted, echoing slogans used in the 2011 revolt.


Protesters also turned out in Alexandria, Suez, Minya and other Nile Delta cities.


Tuesday's unrest by leftists, liberals and other groups deepened the worst crisis since the Muslim Brotherhood politician was elected in June, and exposed the deep divide between the newly empowered Islamists and their opponents.


A 52-year-old protester died after inhaling tear gas in Cairo, the second death since Mursi last week issued a decree that expanded his powers and barred court challenges to his decisions.


Mursi's administration has defended the decree as an effort to speed up reforms and complete a democratic transformation in the Arab world's most populous country.


"Calls for civil disobedience and strikes will be dealt with strictly by law and there is no retreat from the decree," Refa'a Al-Tahtawy, Mursi's presidential chief of staff, told the Al-Hayat private satellite channel.


But opponents say Mursi is behaving like a modern-day pharaoh, a jibe once leveled at Mubarak. The United States, a benefactor to Egypt's military, has expressed concern about more turbulence in a country that has a peace treaty with Israel.


"We don't want a dictatorship again. The Mubarak regime was a dictatorship. We had a revolution to have justice and freedom," 32-year-old Ahmed Husseini said in Cairo.


The fractious ranks of Egypt's non-Islamist opposition have been united on the street by crisis, although they have yet to build an electoral machine to challenge the well-organized Islamists, who have beaten their more secular-minded rivals at the ballot box in two elections held since Mubarak was ousted.


MISCALCULATION


"There are signs that over the last couple of days that Mursi and the Brotherhood realized their mistake," said Elijah Zarwan, a fellow with The European Council on Foreign Relations. He said the protests were "a very clear illustration of how much of a political miscalculation this was".


Mursi's move provoked a rebellion by judges and has battered confidence in an economy struggling after two years of turmoil. The president still must implement unpopular measures to rein in Egypt's crushing budget deficit - action needed to finalize a deal for a $4.8 billion International Monetary Fund loan.


Some protesters have been camped out since Friday in Tahrir and violence has flared around the country, including in a town north of Cairo where a Muslim Brotherhood youth was killed in clashes on Sunday. Hundreds have been injured.


Supporters and opponents of Mursi threw stones at each other and some hurled petrol bombs in the Delta city of el-Mahalla el-Kubra. Medical sources said almost 200 people were injured.


"The main demand is to withdraw the constitutional declaration (decree). This is the point," said Amr Moussa, a former Arab League chief and presidential candidate who has joined the new opposition coalition, the National Salvation Front. The group includes several top liberal politicians.


Some scholars from the prestigious al-Azhar mosque and university joined Tuesday's protest, showing that Mursi and his Brotherhood have alienated some more moderate Muslims. Members of Egypt's large Christian minority also joined in.


Mursi formally quit the Brotherhood on taking office, saying he would be a president for all Egyptians, but he is still a member of its Freedom and Justice Party.


The decree issued on Thursday expanded his powers and protected his decisions from judicial review until the election of a new parliament, expected in the first half of 2013.


In Washington, White House spokesman Jay Carney urged demonstrators to behave peacefully.


"The current constitutional impasse is an internal Egyptian situation that can only be resolved by the Egyptian people, through peaceful democratic dialogue," he told reporters.


New York-based Human Rights Watch said the decree gives Mursi more power than the interim military junta from which he took over.


U.N. Secretary-General Ban Ki-moon told an Austrian paper he would encourage Mursi to resolve the issue by dialogue.


DECREE'S SCOPE DEBATABLE


Trying to ease tensions with judges, Mursi assured Egypt's highest judicial authority that elements of his decree giving his decisions immunity applied only to matters of "sovereign" importance. That should limit it to issues such as declaring war, but experts said there was room for interpretation.


In another step to avoid more confrontation, the Muslim Brotherhood cancelled plans for a rival mass rally in Cairo on Tuesday to support the decree. Violence has flared in Cairo in the past when both sides have taken to the streets.


But there has been no retreat on other elements of the decree, including a stipulation that the Islamist-dominated body writing a new constitution be protected from legal challenge.


"The decree must be cancelled and the constituent assembly should be reformed. All intellectuals have left it and now it is controlled by Islamists," said 50-year-old Noha Abol Fotouh.


With its popular legitimacy undermined by the withdrawal of most of its non-Islamist members, the assembly faces a series of court cases from plaintiffs who say it was formed illegally.


Mursi issued the decree on November 22, a day after he won U.S. and international praise for brokering an end to eight days of violence between Israel and Hamas around the Gaza Strip.


Mursi's decree was seen as targeting in part a legal establishment still largely unreformed from Mubarak's era, when the Brotherhood was outlawed.


Though both Islamists and their opponents broadly agree that the judiciary needs reform, Mursi's rivals oppose his methods.


Rulings from an array of courts this year have dealt a series of blows to the Brotherhood, leading to the dissolution of the first constitutional assembly and the lower house of parliament elected a year ago. The Brotherhood dominated both.


The judiciary blocked an attempt by Mursi to reconvene the Brotherhood-led parliament after his election victory. It also stood in the way of his attempt to sack the prosecutor general, another Mubarak holdover, in October.


In his decree, Mursi gave himself the power to sack that prosecutor and appoint a new one. In open defiance of Mursi, some judges are refusing to acknowledge that step.


(Additional reporting by Tom Perry, Seham Eloraby, Marwa Awad and Yasmine Saleh in Cairo and Michael Shields in Vienna; Writing by Edmund Blair and Tom Perry; Editing by Giles Elgood/Mark Heinrich)


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