National / International News

Wenger is not my rival - Mourinho

BBC - Fri, 2015-04-24 05:47
Chelsea manager Jose Mourinho plays down rivalry with Arsenal counterpart Arsene Wenger before Sunday's derby.

Weekend edition: The best of the week's reads

BBC - Fri, 2015-04-24 05:43
A collection of some of the best reads from the BBC News website this week, with an injection of your comments.

Nursing home care is changing, and it may save money

Marketplace - American Public Media - Fri, 2015-04-24 05:42

Thanks to advances in medicine, elderly patients now live much longer. But they’re also much sicker, and skilled nursing facilities are often ill-equipped to handle patients in need of such high levels of care.

“Once they are discharged from the hospital and go to either home or to a skilled nursing facility, that kind of level of attention that kind of level of monitoring, that kind of level of immediate remediation just isn’t possible,” says David Reuben, UCLA School of Medicine’s chief of geriatrics.

The result is that growing numbers of medically fragile patients are sent by ambulance to local emergency rooms—over and over again.

It’s estimated that 20 to 30 percent of elderly patients discharged from the hospital find themselves back within a month, many of them arriving from nursing homes.

That’s frustrating for patients, and it’s expensive, says Brian White, President of Northwest Hospital in Baltimore. In an effort to reduce hospital readmissions White prompted his hospital to bring the doctors to the patients rather than the other way around.

“We’re looking at bringing those resources to the bedside, rather than putting the patient in an ambulance and bringing them to a facility that supposedly has those resources,” White says.

Dr. Raymond Miller works for a group of Maryland physicians called Post Acute Physician Partners – a group White helped launch in March of this year. On a recent day, Miller checked up on Dorothy Terkowitz, a patient at Levindale Geriatric Center in Baltimore, where she is recovering after a hospital stay.

As part of that outreach, Miller asks Terkowitz how she’s doing, if she is in any pain, if the rehab is helping.

Miller and his partners follow patients discharged from four Baltimore area hospitals to surrounding nursing facilities. They see patients like Terkowitz daily, with the goal of heading off problems before they become critical and land patients back in the hospital.

In a pilot project with a single nursing home over the last year, hospital readmissions were reduced by about half, says White. And while he says the cost of running the group just breaks even, it adds up to huge savings for the hospital.

"You’re talking about tens of thousands of dollars for every patient you can impact – times lots of patients," says White

White hopes Baltimore will serve as a model for other hospitals to imitate. But not everyone is quite so certain that blurring the lines between hospital and nursing homes will be the panacea he hopes.

Mary Tinetti, chief of geriatrics at Yale New Haven Hospital and Medical School, worries that there are some patients who are simply too sick for nursing homes. They will always need the hospital she says, and reproducing the hospital setting in nursing homes to care for these patients is less efficient and potentially more costly. Instead, Tinetti argues the real problem is that patients often believe they are getting better, when they aren’t.

“I think having a more frank and open discussion with these patients might mean that the care that they would prefer would change from having these frequent hospitalizations to perhaps moving to palliative care or even hospice care sooner than currently,” Tinetti says.

Tinetti says the real measure of quality is whether a patient’s care meets their goals – and that’s much harder to quantify than the number of patients coming back to the hospital.

UKIP sausage roll man quotes Hitler

BBC - Fri, 2015-04-24 05:37
A UKIP parliamentary candidate, who made headlines after dishing out sausage rolls at a party event, quotes Hitler at a hustings.

How do drone strikes go wrong?

BBC - Fri, 2015-04-24 05:34
After two individuals, Warren Weinstein and Giovanni Lo Porto, are killed in a raid, questions are raised about US counterterrorism.

Selby in danger of Crucible exit

BBC - Fri, 2015-04-24 05:31
Defending champion Mark Selby trails Anthony McGill 10-6 in the best-of-25 frame second round at the World Championship.

Uncomfortable Conversations: Talking About Race In The Classroom

NPR News - Fri, 2015-04-24 05:28

H. Richard Milner's new book helps educators understand how to incorporate talk of race, class and inequality into their classroom lessons.

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Comcast Cuts The Cord On Deal With Time Warner Cable

NPR News - Fri, 2015-04-24 05:22

The Justice Department had raised concerns over the proposed $45.2 billion merger, which would have brought nearly 30 percent of TV and about 55 percent of broadband subscribers under one roof.

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More Than A Dozen Hurt In Indiana High School Stage Collapse

NPR News - Fri, 2015-04-24 04:55

Students sustained minor injuries in the collapse during the musical finale of a stage show in suburban Indianapolis.

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Scots polls suggest 'revolution'

BBC - Fri, 2015-04-24 04:50
Professor John Curtice on why voting intention polls suggest the potential for a revolution in Scottish representation at Westminster.

Reprieve for China wife on death row

BBC - Fri, 2015-04-24 04:34
A Chinese court gives a two-year reprieve to a woman sentenced to death for murdering her abusive husband.

Railway rules thwart student adverts

BBC - Fri, 2015-04-24 04:25
Student posters calling MPs who broke their 2010 tuition fee promise "liars" have been removed from railway stations across England.

Car search in suspicious death probe

BBC - Fri, 2015-04-24 04:24
Police investigating the suspicious death of a 49-year-old man issue an appeal to find his car.

Armenians Mark A Century Since World War I Massacre

NPR News - Fri, 2015-04-24 04:15

Presidents Vladimir Putin of Russia and Francois Hollande of France were among those who attended a ceremony in the Armenian capital. German lawmakers vote to call the event "genocide."

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Student murderer jailed for life

BBC - Fri, 2015-04-24 04:06
A Stoke-on-Trent man is jailed for life for murdering a student.

'Al-Shabab' kills Kenyan chief

BBC - Fri, 2015-04-24 03:56
Suspected al-Shabab militants have abducted and killed a traditional chief in northern Kenya, according to a local elder.

Rotherham handed points deduction

BBC - Fri, 2015-04-24 03:46
Rotherham are deducted three points and fined £30,000 by a disciplinary commission for fielding an ineligible player.

Expert in search for murdered girl

BBC - Fri, 2015-04-24 03:39
A geoforensics expert is enlisted to help find the remains of Lanarkshire schoolgirl Moira Anderson who has been missing since 1957.

Valve expands Steam 'mod' market

BBC - Fri, 2015-04-24 03:38
Game maker Valve has expanded its online store to let players who make 'mods' for games sell their creations.

China buzzing over President's first 'selfie'

BBC - Fri, 2015-04-24 03:34
Chinese internet abuzz about photo of president

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