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Feds hope to cut sepsis deaths by hitching Medicare payments to treatment stats

Published Wed, 27 Nov 2024 19:45:07 GMT

Julie Appleby, KFF Health News | (TNS) KFF Health NewsDon Smith remembers the moment he awoke in an intensive care unit after 13 days in a medically induced coma. His wife and daughter were at his bedside, and he thought it had been only a day since he arrived at the emergency room with foot pain.Smith said his wife “slowly started filling me in” on the surgery, the coma, the ventilator. The throbbing in his foot had been a signal of a raging problem.“When you hear someone say a person died of infection, that’s sepsis,” said Smith, 66, of Colorado Springs, Colorado, who went to the ER shortly before Christmas 2017. Ultimately, he spent almost two months in the hospital and a rehab center following multiple surgeries to clear the infected tissue and, later, to remove seven toes.Sepsis, the body’s extreme response to an infection, affects 1.7 million adults in the United States annually. It stems from fungal, viral, or bacterial infections, similar to what struck Madonna this year, al...

911 calls from deadly Lahaina wildfire reveal terror and panic in the rush to escape

Published Wed, 27 Nov 2024 19:45:07 GMT

By CLAUDIA LAUER, REBECCA BOONE and AUDREY McAVOY (Associated Press)LAHAINA, Hawaii (AP) — Audio of 911 calls from a deadly August wildfire released late Thursday by Maui County authorities reveals a terrifying and chaotic scene as the inferno swept through the historic town of Lahaina and people desperately tried to escape burning homes and flames licking at cars in gridlocked traffic.The 911 calls were released to The Associated Press in response to a public record request. They cover a period from 3:30 p.m. to 5:30 p.m. on Aug. 8 as the deadliest U.S. wildfire in more than a century, whipped by powerful winds from a passing hurricane, bore down on the town.At least 98 people were killed and more than 2,000 structures were destroyed, most of them homes, leveling a historic town that once served as the capital of the Hawaiian kingdom and a port for whaling ships.FILE1; A general view shows the aftermath of a wildfire in Lahaina, Hawaii, Monday, Aug. 21, 2023. (AP Photo/Jae C. Hong,...

Yu Chang elects free agency, Kaleb Ort claimed off waivers by Seattle

Published Wed, 27 Nov 2024 19:45:07 GMT

Two members of this past season’s Red Sox are moving on.According to the league’s transaction wire, infielder Yu Chang has elected free agency after finishing this past season in Triple-A. In addition, right-handed pitcher Kaleb Ort has been claimed off waivers by the Seattle Mariners, the team announced Friday.The Ort move was first reported by MassLive’s Chris Cotillo.Chang played 39 games for the Red Sox this past season, batting .162 with six home runs and 18 RBI. He missed nearly two months between late April and early July due to a fractured hamate bone in his left hand, but before and after that injury he served as a valuable presence defensively while Trevor Story worked his way back from elbow surgery.Outside of some occasional flashes of power, Chang didn’t contribute much offensively and was ultimately designated for assignment once Story was ready to return. He finished the season with the WooSox, batting .313 over 12 games down the stretch.Ort ha...

A father worries for his missing child: ‘My daughter didn’t go to war. She just went to dance’

Published Wed, 27 Nov 2024 19:45:07 GMT

PARIS (AP) — Because of the fracture in her right leg, Karin Journo had talked herself out of going to the Tribe of Nova music festival and sold her ticket. But a week before Hamas militants turned the party into a killing ground, she bought another.The 24-year-old French-Israeli airport worker who loved to travel had learned that a bunch of her friends were going to celebrate the departure of one of them to the United States. She didn’t want to miss out.Before heading out to dance the night away, she snapped a photo of herself in her party gear — black shorts and black halter top for a joyous night of electronic music in a dusty field. She’d left her long dark hair untied and painted her nails bright red. She was clearly excited, giving a V-sign in her selfie. And dance she did: Video shot that night showed her waving her arms to the thumping beats, though she was rooted to the spot by the gray protective boot that encased her right foot and calf all the way up to her k...

Business groups applaud Supreme Court ruling against federal environmental impact law

Published Wed, 27 Nov 2024 19:45:07 GMT

CALGARY — Business groups and energy companies celebrated a decision Friday by the Supreme Court of Canada that ruled Ottawa’s impact assessment law for major project approvals is largely unconstitutional.The loudest cheering came from Alberta, where industry leaders saw the 2019 legislation as a roadblock to development of oil and gas infrastructure and other energy-related projects.The federal Impact Assessment Act, formerly known as Bill C-69, lays out the process for assessing the environmental impacts of major project development in this country and lists activities that would trigger a federal review.But the broader business community saw it as heavy-handed, and the legislation was so reviled in the oil-and-gas-producing province of Alberta that it was common to hear people there refer to it as the “No More Pipelines Act.”“I know this has boosted the positive feelings of Alberta business leaders. I’ve heard from a number of them already this morning,” said Sc...

Parties running in Poland’s election hold final campaign rallies as polls suggest a close race

Published Wed, 27 Nov 2024 19:45:07 GMT

WARSAW, Poland (AP) — The main party leaders facing off in Poland’s upcoming parliamentary election called on voters to give their respective parties winning support as they held final campaign rallies Friday. Opinion polls suggested a close race.The election Sunday will decide whether the ruling conservative, Euro-skeptic Law and Justice party will win a third straight term or whether the liberal, pro-European Civic Coalition and its partners will take power. The Civic Coalition aims to improve Poland’s democratic standards and international standing that have suffered under eight years of a conservative government.Law and Justice leader Jaroslaw Kaczynski, who is Poland’s de-facto ruler, met voters in southeastern Poland, where his party has a small edge over the opposition. His closing rally was held in the central market of the picturesque town of Sandomierz, the location of popular TV series “The Reverend Mateusz,” about an investigative priest. A majority of Law and Just...

Man, two teens charged after threats made against Jewish high school students

Published Wed, 27 Nov 2024 19:45:07 GMT

Two teens and a man in his 20s are facing charges as part of a hate-crime investigation after threats were directed towards a Jewish high school in North York on Thursday.Police were called to the Tanenbaum Community Hebrew Academy of Toronto on Wilmington Avenue just after 12:30 p.m. after reports circulated online regarding threats.Investigators say three males were at the school and were told by security to leave the property. As they were leaving, they passed a group of Jewish students and one of the suspects allegedly made threatening remarks.Officers were able to track the three individuals down and arrested them a short time later. Related: 3 men arrested for allegedly threatening Jewish high school, community All three – 20-year-old Enes Boydak of Toronto, a 17-year-old male and a 14-year-old male – have been charged with uttering threats/property damages, uttering threats/death of bodily harm, intimidation by threats of violence and mischief int...

Louise Glück, Nobel-winning poet of terse and candid lyricism, dies at 80

Published Wed, 27 Nov 2024 19:45:07 GMT

NEW YORK (AP) — Nobel laureate Louise Glück, a poet of unblinking candor and perception who wove classical allusions, philosophical reveries, bittersweet memories and humorous asides into indelible portraits of a fallen and heartrending world, has died at 80.Glück’s death was confirmed Friday by Jonathan Galassi, her editor at Farrar, Straus & Giroux.Over more than 60 years of published work, Glück forged a narrative of trauma, disillusion, stasis and longing, spelled by moments — but only moments — of ecstasy and contentment. In awarding her the literature prize in 2020, the first time an American poet had been honored since T.S. Eliot in 1948, Nobel judges praised “her unmistakable poetic voice that with austere beauty makes individual existence universal.”Glück’s poems were often brief, a page or less in length, exemplars of her attachment to “the unsaid, to suggestion, to eloquent, deliberate silence.” Influenced by Shakespeare, Greek mythology and Eliot among others, ...

Advocacy group says a migrant has died on US border after medical issue in outdoor waiting area

Published Wed, 27 Nov 2024 19:45:07 GMT

SAN DIEGO (AP) — A migrant in a waiting area between two border walls has died this week after a medical emergency, a migrant advocacy group said. U.S. authorities confirmed Friday that someone died but gave few details.The migrant was a 29-year-old woman from Guinea who died Wednesday after encountering medical problems at an “open-air detention site” near the San Ysidro border crossing, according to the American Friends Service Committee’s US-Mexico Border Program.The site is an enclosed area on U.S. soil where migrants wait outdoors to be processed while under the watch of Border Patrol agents. Human rights organizations have expressed concerns about the use of outdoor detention.U.S. Customs and Border Protection said in a statement that Border Patrol agents “were approached by an individual in medical distress” about 1 mile (1.6 kilometers) west of the port of entry.“Shortly thereafter, the person experienced a medical emergency. First aid was immediately initiated, and th...

North Dakota lawmakers must take ‘painful way’ as they try to fix budget wiped out by court

Published Wed, 27 Nov 2024 19:45:07 GMT

BISMARCK, N.D. (AP) — North Dakota lawmakers were already scrambling to fill a giant hole in state government operations left by a surprising state Supreme Court ruling that voided a major budget bill, and their job got even tougher this week when the court issued a new ruling rejecting a request to give officials more time to deal with the budget mess.Lawmakers might be back at the state Capitol as soon as the week of Oct. 23 for a three- to five-day session, Republican Senate Majority Leader David Hogue told The Associated Press on Friday.After the court’s Sept. 28 decision put funding for parts of the state government in jeopardy, the justices on Thursday issued a subsequent opinion denying the Republican-controlled Legislature’s requested delay of the court’s decision. The court also rescinded a previous stay that a majority of the justices had apparently granted until Oct. 28.The upcoming session is likely to pull Republican Gov. Doug Burgum, who is running for president, off t...