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

TV Watch

By Elizabeth Leonard

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.

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Online:

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

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

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

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LAFD billing firm's leak of personal data under investigation

Federal officials have opened a criminal investigation to determine whether confidential information was obtained illegally on hundreds of patients who rode in Los Angeles Fire Department ambulances, a high-level city lawyer said Wednesday.

The Fire Department has begun informing past patients that personal records, including Social Security numbers and birth dates, were accessed "deliberately and maliciously" by an employee of the company that provides ambulance billing services to the city.

Twenty-six notification letters have gone out so far and more than 900 people may have been victimized in total, said William Carter, chief deputy to City Atty. Carmen Trutanich. Carter said the Internal Revenue Service is one of the agencies conducting the investigation.

The city's ambulance billing duties are handled by Advanced Data Processing Inc., which received nearly $6 million from the Fire Department between June 2011 and Oct. 30, according to City Controller Wendy Greuel. Federal law protects private medical information, Carter said.

In its notification letter, a copy of which was obtained by The Times, the Fire Department said patient information was used to file fraudulent tax returns as part of a scheme to illegally obtain tax refunds. The department advised the potential victims to call the IRS to determine whether false returns had been filed in their names, and to take steps to protect their credit rating.

Lisa MacKenzie, a spokeswoman for Advanced Data Processing and its subsidiary, Intermedix Corp., said she could not discuss the matter Wednesday. A spokesman for Mayor Antonio Villaraigosa said only that Trutanich's office and the Fire Department were working closely with the billing company to investigate the incident.

The confidentiality breach is the latest embarrassment for a department struggling to address dispatching delays and problems with inaccurate 911 response time data. Over the last several months, the agency has found widespread problems with its performance data management, including flaws in a 30-year-old computer system and a lack of adequate training for firefighters working on response time analysis.

Fire Department officials had no comment on the investigation.

The new problems involving patient medical information could increase resistance to the city's efforts to privatize other operations, including management of the Los Angeles Zoo and the Los Angeles Convention Center. The council voted two years ago to take ambulance billing duties away from city employees, despite warnings from union officials that such a move would jeopardize patient information.

"I thought it was wrong to try to privatize ambulance billing for this reason ... and here it's come to pass," said Pat McOsker, president of the city firefighters union. "It's shameful, absolutely shameful, that some city contractor, a private company making a profit off this, has people getting access to people's private information."

City Administrative Officer Miguel Santana, the city's top budget official, defended the decision to go with a private billing company. The agreement backed by Villaraigosa and the council, he said, ensured that the contractor is legally liable for any violation of the law that protects patient information.

"Our concern had been that mistakes could occur, and if the city did this work, the city would inherit 100% of the liability," he said.

In 2010, the year the ambulance billing contract was awarded, Advanced Data Processing paid nearly $71,000 to Englander, Knabe and Allen, the City Hall lobbying firm headed by lobbyist Harvey Englander and former Villaraigosa deputy chief of staff Marcus Allen, among others. Budget officials backed the privatization proposal, saying it would allow the Fire Department to focus on its core mission while upgrading its ambulance billing system.

Villaraigosa also weighed in, telling skeptical council members that the contract would help stabilize the city's finances during a budget crisis, make the Fire Department more efficient and, when combined with a second contract, avert $15 million in cuts. Switching to a private company also allowed the department to reduce the staff of its billing operation.

Under its six-year agreement, the contractor receives at least 5% on the net revenue collected from patients transported in LAFD ambulances, according to city records.

david.zahniser@latimes.com

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News Analysis: Sunni Leaders Gaining Clout in Mideast

Mohammed Saber/European Pressphoto Agency

A Palestinian woman in Gaza City on Tuesday walked amid the rubble left from eight days of fighting that ended in a cease-fire.

RAMALLAH, West Bank — For years, the United States and its Middle East allies were challenged by the rising might of the so-called Shiite crescent, a political and ideological alliance backed by Iran that linked regional actors deeply hostile to Israel and the West.

But uprising, wars and economics have altered the landscape of the region, paving the way for a new axis to emerge, one led by a Sunni Muslim alliance of Egypt, Qatar and Turkey. That triumvirate played a leading role in helping end the eight-day conflict between Israel and Gaza, in large part by embracing Hamas and luring it further away from the Iran-Syria-Hezbollah fold, offering diplomatic clout and promises of hefty aid.

For the United States and Israel, the shifting dynamics offer a chance to isolate a resurgent Iran, limit its access to the Arab world and make it harder for Tehran to arm its agents on Israel’s border. But the gains are also tempered, because while these Sunni leaders are willing to work with Washington, unlike the mullahs in Tehran, they also promote a radical religious-based ideology that has fueled anti-Western sentiment around the region.

Hamas — which received missiles from Iran that reached Israel’s northern cities — broke with the Iranian axis last winter, openly backing the rebellion against the Syrian president, Bashar al-Assad. But its affinity with the Egypt-Qatar-Turkey axis came to fruition this fall.

“That camp has more assets that it can share than Iran — politically, diplomatically, materially,” said Robert Malley, the Middle East program director for the International Crisis Group. “The Muslim Brotherhood is their world much more so than Iran.”

The Gaza conflict helps illustrate how Middle Eastern alliances have evolved since the Islamist wave that toppled one government after another beginning in January 2011. Iran had no interest in a cease-fire, while Egypt, Qatar and Turkey did.

But it is the fight for Syria that is the defining struggle in this revived Sunni-Shiite duel. The winner gains a prized strategic crossroads.

For now, it appears that that tide is shifting against Iran, there too, and that it might well lose its main Arab partner, Syria. The Sunni-led opposition appears in recent days to have made significant inroads against the government, threatening the Assad family’s dynastic rule of 40 years and its long alliance with Iran. If Mr. Assad falls, that would render Iran and Hezbollah, which is based in Lebanon, isolated as a Shiite Muslim alliance in an ever more sectarian Middle East, no longer enjoying a special street credibility as what Damascus always tried to sell as “the beating heart of Arab resistance.”

If the shifts seem to leave the United States somewhat dazed, it is because what will emerge from all the ferment remains obscure.

Clearly the old leaders Washington relied on to enforce its will, like President Hosni Mubarak of Egypt, are gone or at least eclipsed. But otherwise confusion reigns in terms of knowing how to deal with this new paradigm, one that could well create societies infused with religious ideology that Americans find difficult to accept. The new reality could be a weaker Iran, but a far more religiously conservative Middle East that is less beholden to the United States.

Already, Islamists have been empowered in Egypt, Libya and Tunisia, while Syria’s opposition is being led by Sunni insurgents, including a growing number identified as jihadists, some identified as sympathizing with Al Qaeda. Qatar, which hosts a major United States military base, also helps finance Islamists all around the region.

In Egypt, President Mohamed Morsi resigned as a member of the Muslim Brotherhood only when he became head of state, but he still remains closely linked with the movement. Turkey, the model for many of them, has kept strong relations with Washington while diminishing the authority of generals who were longstanding American allies.

“The United States is part of a landscape that has shifted so dramatically,” said Mr. Malley of the International Crisis Group. “It is caught between the displacement of the old moderate-radical divide by one that is defined by confessional and sectarian loyalty.”

The emerging Sunni axis has put not only Shiites at a disadvantage, but also the old school leaders who once allied themselves with Washington.

The old guard members in the Palestinian Authority are struggling to remain relevant at a time when their failed 20-year quest to end the Israeli occupation of Palestinian lands makes them seem both anachronistic and obsolete.

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Man who set his two children ablaze pleads guilty

When asked how he pleaded to the murder of his 11-year-old daughter, Ashley, the father — his once full cheeks sunken and his skin now a pasty white against the dark green of the suicide prevention frock — was silent for a few seconds, his eyes wandering blankly as if in a daze.

He then croaked something barely audible. An interpreter repeated it loud and clear: "Guilty."

As he admitted also murdering his 10-year-old son, Alexander, Dae Kwon Yun dropped his head to his chest. Even as his attorney discussed his multiple suicide attempts in jail and as the judge spoke of the horrific crime he had committed when he doused an SUV in gasoline and set it on fire with his two children inside, the 61-year-old father refused to look up.

"It's beyond my imagination how someone can blow up their children," Superior Court Judge Stephen Marcus said, sentencing Yun on Tuesday to two consecutive life terms without the possibility of parole. "From my vantage point there is no justification."

Yun's attorneys said that although it may not be justification, there was a complex backdrop to the murder-suicide attempt six years ago — culture, mental illness, a life in shambles after his business crumbled and his marriage fell apart. He was the oldest son in a family of nine children, saddled with expectations and responsibilities, unable to admit failure, show weakness or ask for help.

"His mental state has been fragile before Day One. That's why we had a Day One," said his attorney, Casey Lilienfeld, calling the life sentence a "just" outcome.

In exchange for Yun's guilty plea, prosecutors said Tuesday that they would no longer seek the death penalty.

"This was a horrific crime with horrific results," Deputy Dist. Atty. Habib Balian said outside court. "The sentence will assure justice will be served."

A probation officer who evaluated the case wrote that for Yun, capital punishment would have been a reprieve.

"It is the belief of this officer that the death penalty would allow the defendant to avoid the punishment which is appropriate for his crimes," the officer wrote in a 2008 report made public Tuesday. "It is therefore believed the best interest of the community will be served by a sentence to state prison for as long a period of time as his natural life provides."

The Toyota Sequoia parked in a deserted alley in downtown Los Angeles erupted in flames on a Sunday afternoon in April 2006, a few weeks after the businessman shut down his T-shirt manufacturing business and his wife of 13 years filed for divorce. Shortly before the blaze, witnesses saw Yun shouting at his daughter before shoving her into the back seat of his car.

After the vehicle went up in flames — with all three inside — Yun rolled out of the SUV onto the ground with his legs aflame, a witness recalled at a preliminary hearing. Yun yelled for help, but never once gestured toward his children inside the burning vehicle, the witness said.

The children's deaths horrified Los Angeles' Korean community, a shock that was multiplied when within days of the attack, two other Korean men committed murder-suicides, one in Echo Park and another in Fontana.

According to the probation report, Yun, while he was being treated for his burns, told detectives that he had contemplated killing himself and his children for months because he was angry with his wife.

His wife and the children's mother, Sun Ok Ma, testified that he had repeatedly beaten her and threatened to kill her and burn down their home, leading to their separation and divorce. He pleaded guilty in 2004 to beating Ma, and was sentenced to two years' probation.

Deputy Dist. Atty. Bobby Grace, another prosecutor on the case, said Tuesday that the attack was "definitely premeditated," noting that Yun purchased the gasoline, picked an isolated location and parked the car up against a loading dock, making it difficult for the doors to open.

Prosecutors told the judge that Ma had been informed of the plea and sentencing, but said she did not want to make a statement.

Yun's attorneys asked that their client receive mental health treatment in prison and be kept in protective custody, saying he was suicidal and would be a target for violence from other inmates.

The man has shown "tremendous remorse" for his crime, attorney Christopher Apostal said. Yun has attempted suicide at least three times since his arrest, his attorneys said, and has been placed on the highest level of suicide watch with around-the-clock monitoring.

The judge said he would make the recommendations but declined the attorneys' request that Yun be housed in Southern California to accommodate visits from his family. Marcus said the decision was up to the state Department of Corrections and Rehabilitation, and that the man should not receive "special treatment."

victoria.kim@latimes.com

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Egypt’s President Said to Limit Scope of Judicial Decree

Tara Todras-Whitehill for The New York Times

Egyptians at a burned-out school in Cairo on Monday before the funeral of an activist who was injured in a clash and died Sunday.

CAIRO — With public pressure mounting, President Mohamed Morsi appeared to pull back Monday from his attempt to assert an authority beyond the reach of any court. His allies in the Muslim Brotherhood canceled plans for a large demonstration in his support, signaling a chance to calm an escalating battle that has paralyzed a divided nation.

After Mr. Morsi met for hours with the judges of Egypt’s Supreme Judicial Council, his spokesman read an “explanation” on television that appeared to backtrack from a presidential decree placing Mr. Morsi’s official edicts above judicial scrutiny — even while saying the president had not actually changed a word of the statement.

Though details of the talks remained hazy, and it was not clear whether the opposition or the court would accept his position, Mr. Morsi’s gesture was another demonstration that Egyptians would no longer allow their rulers to operate above the law. But there appeared little chance that the gesture alone would be enough to quell the crisis set off by his perceived power grab.

Protesters remained camped in Tahrir Square, and the opposition was moving ahead with plans for a major demonstration on Tuesday.

The presidential spokesman, Yasser Ali, said for the first time that Mr. Morsi had sought only to assert pre-existing powers already approved by the courts under previous precedents, not to free himself from judicial oversight.

He said that the president meant all along to follow an established Egyptian legal doctrine suspending judicial scrutiny of presidential “acts of sovereignty” that work “to protect the main institutions of the state.” The judicial council had said Sunday that it could bless aspects of the decree deemed to qualify under the doctrine.

Mr. Morsi had maintained from the start that his purpose was to empower himself to prevent judges appointed by former President Hosni Mubarak from dissolving the constituent assembly, which is led by his fellow Islamists of the Muslim Brotherhood’s Freedom and Justice Party. The courts have already dissolved the Islamist-led Parliament and an earlier constituent assembly, and the Supreme Constitutional Court was widely expected to rule against this one next week.

But the text of the original decree had exempted all presidential edicts from judicial review until the ratification of a constitution, not just those edicts related to the assembly or justified as “acts of sovereignty.”

Legal experts said that the spokesman’s explanations of the president’s intentions, if put into effect, would amount to a revision of the decree Mr. Morsi issued last Thursday. But lawyers said that the verbal statements alone carried little legal weight.

How the courts would apply the doctrine remained hard to predict. And Mr. Morsi’s opposition indicated it was holding out for far greater concessions, including the breakup of the whole constituent assembly.

Speaking at a news conference while Mr. Morsi was meeting with the judges, the opposition activist and intellectual Abdel Haleem Qandeil called for “a long-term battle,” declaring that withdrawal of Mr. Morsi’s new powers was only the first step toward the opposition’s goal of “the withdrawal of the legitimacy of Morsi’s presence in the presidential palace.” Completely withdrawing the edict would be “a minimum,” he said.

Khaled Ali, a human rights lawyer and former presidential candidate, pointed to the growing crowd of protesters camped out in Tahrir Square for a fourth night. “The one who did the action has to take it back,” Mr. Ali said.

Moataz Abdel Fattah, a political scientist at Cairo University, said Mr. Morsi was saving face during a strategic retreat. “He is trying to simply say, ‘I am not a new pharaoh; I am just trying to stabilize the institutions that we already have,’ ” he said. “But for the liberals, this is now their moment, and for sure they are not going to waste it, because he has given them an excellent opportunity to score.”

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Women Sizzle in Dancing with the Stars All-Star Finale

TV Watch

By Aaron Parsley

11/26/2012 at 09:35 PM EST

From left: Shawn Johnson, Kelly Monaco and Melissa Rycroft

Craig Sjodin/ABC (3)

It's raining 10s, hallelujah!

On the final Monday night of competition for the all-star season of Dancing with the Stars, the all-female top three – Melissa Rycroft, Shawn Johnson and Kelly Monaco – took big risks during two final routines with their partners.

Each couple performed their favorite dance of the season and "super-sized freestyle," which allowed the pros – Tony Dovolani, Derek Hough and Val Chmerkovskiy – to incorporate the music and choreography of their choice with sets, additional performers and costumes to create routines to wow the judges and the voters at home.

Here's how it all played our inside the ballroom on Monday night:

Melissa and Tony dominated with two perfect 30s for a total of 60. Kelly and Val were close behind with 59 points. And Shawn and Derek remained very much in it with 57.

ROUND 1
Kelly and Val, who have not scored a 10 this season, chose the paso doble as their favorite dance. "I want to make it so technically perfect, so passionate that the judges have no choice but to give us a 10," she said before doing a routine that judge Len Goodman called their "best dance to date." But it wasn't perfect: Carrie Ann Inaba spotted a "little slip-up," an unintentional release, and knocked off half a point, leaving them just shy of 30 with 29.5.

Melissa and Tony performed their favorite dance, a samba. Bruno Tonioli called her a "deliciously irresistible Brazilian bombshell," and said, "You've grown so much as a performer. You really have blossomed." Added Len: "You captured the party flavor of the samba, great technique, great rhythm, fabulous." They earned a perfect 30.

Shawn and Derek decided to revisit their quickstep and performed their original choreography even though some of the moves were against the rules. "The standing ovation means everything to us," Shawn said, explaining their determination to entertain rather than just earn points. Though the judges said the routine was "fantastic," they also called them out for their controversial decision. "You're not allowed to break hold, which you did, you're not allowed to do lifts, which you did," Len said. "You leave me nowhere to go." Added Carrie Ann: "Points do matter ... I'm a little disappointed but I hope your risk pays off." They scored 27 our of 30.

ROUND 2
Kelly started her super-size freestyle by performing aerial work hanging from the ballroom rafters as Val played the violin. According to Bruno the routine, which they danced to "(I've Had) The Time of My Life," combined Cirque du Soleil with Dirty Dancing. "This was the perfect dance," Carrie Ann said of their 29.5-point performance. "You executed everything great, you added artistry and you told us a happy ending to a beautiful love story."

Melissa and Tony did something never done before in the finale – a contemporary routine. "We're taking a huge risk," she said of their lift-heavy dance. Carrie Ann agreed: "With great risk comes great rewards," she said, "Freestyle jackpot!" The routine left Len speechless but when he held up his 10-point paddle, he said, "I wish I had an 11." They earned another perfect 30.

Shawn and Derek performed the final dance of the night with the U.S. Women's Gymnastics team – a.k.a. The Fierce Five. "It was a medley of Derek and Shawn's greatest hits," was Len's assessment. Carrie Ann called it "sensational." Bruno said it was "the crowning glory on a fantastic night," and they got a perfect 30.

But will it be enough to make up for their unconventional quickstep? On Tuesday the couples will perform one more time for points when they pick their music and dance live on the air. And then an all-star winner will be crowned.

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Schuller, family to be paid a fraction of millions they sought

Robert H. Schuller — the founder of Crystal Cathedral and the face of the globally watched "Hour of Power" television program — and his family will be paid just a fraction of the millions they sought from the preacher's bankrupt ministry.

Schuller's daughter, Carol Milner, described Monday's ruling on intellectual property, copyright infringement and contract violations as a "travesty" that leaves the family no choice but to "start liquidating everything."

"It's an avoidance of responsibility for an organization to not take care of those who have gone before them. It's tragic," she said. "But sometimes tragedies speak louder than other stories."

Schuller alone had sought $5 million, and additional claims from the family — some that did not state specific amounts — would have pushed the family's demand far higher. The court gave the family slightly less than $700,000.

The ruling marks a final chapter in the financial unraveling of a ministry that once made Schuller a powerhouse in American Christianity.

The bankruptcy was "long and painful for everyone involved, and our congregation is ready to move on," said John Charles, the chief executive of Crystal Cathedral.

The ministry, which is now estranged from Schuller and has struggled to fill collection plates, will vacate the glass-panned cathedral in Garden Grove next summer and hold services in a Catholic church.

Monday's ruling out of Los Angeles bankruptcy court also clears the way for Crystal Cathedral's remaining creditors — some of them small-time vendors who helped stage the church's opulent Christmas and Easter services — to collect on more than $12 million they claim they are owed by the Garden Grove-based ministry.

Because of the Schuller family claims, creditors were delayed payments. Now the creditors could be paid off before the end of the year, said Nannette Sanders, an attorney who worked on the case.

"It's the result we had hoped for," Sanders said.

Other creditors chose not to wait for the closure of the 2010 bankruptcy, and some — such as the Riverside County business that provided the camels, donkeys and sheep for the church's Christmas pageant — have sold their claims to firms that purchase debt.

Wes Lassen, a contractor from Running Springs who is owed about $2,100 for services he performed three years ago, said the money will help him "substantially."

"It might actually keep me in business another year," he said.

The ruling cut short a10-day trial focused on unpaid contracts and copyright infringement claims filed by Schuller, his wife, Arbela, his daughter and his son-in-law.

Judge Robert N. Kwa wrote that Schuller will receive about $600,000 because he failed to prove that intellectual property and copyright violations took place. Less than $100,000 will be divided by other family members.

As attorneys read the lengthy ruling in court Monday, Schuller and his wife held hands and waited silently.

In the 55-page ruling, Kwa referenced Schuller's testimony earlier this month in which the pastor, 86, said that the Crystal Cathedral never infringed on his intellectual property rights. Schuller appeared to not remember when he founded the "Hour of Power" and also said he was still on the board of directors for the Crystal Cathedral.

The ministry, once known for its showy services and uplifting sermons, filed for bankruptcy protection in 2010, citing $50 million in debt.

The claims led to Schuller and his wife's resignation from the ministry's board of directors. Within days, his daughter, then the senior pastor, left the church to start her own ministry, effectively severing all ties that the founding family had to the church.

"We love the Schullers and wish them well," Charles said.

nicole.santacruz@latimes.com

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Bounce houses a party hit but kids' injuries soar

CHICAGO (AP) — They may be a big hit at kids' birthday parties, but inflatable bounce houses can be dangerous, with the number of injuries soaring in recent years, a nationwide study found.

Kids often crowd into bounce houses, and jumping up and down can send other children flying into the air, too.

The numbers suggest 30 U.S. children a day are treated in emergency rooms for broken bones, sprains, cuts and concussions from bounce house accidents. Most involve children falling inside or out of the inflated playthings, and many children get hurt when they collide with other bouncing kids.

The number of children aged 17 and younger who got emergency-room treatment for bounce house injuries has climbed along with the popularity of bounce houses — from fewer than 1,000 in 1995 to nearly 11,000 in 2010. That's a 15-fold increase, and a doubling just since 2008.

"I was surprised by the number, especially by the rapid increase in the number of injuries," said lead author Dr. Gary Smith, director of the Center for Injury Research and Policy at Nationwide Children's Hospital in Columbus, Ohio.

Amusement parks and fairs have bounce houses, and the playthings can also be rented or purchased for home use.

Smith and colleagues analyzed national surveillance data on ER treatment for nonfatal injuries linked with bounce houses, maintained by the U.S. Consumer Product Safety Commission. Their study was published online Monday in the journal Pediatrics.

Only about 3 percent of children were hospitalized, mostly for broken bones.

More than one-third of the injuries were in children aged 5 and younger. The safety commission recommends against letting children younger than 6 use full-size trampolines, and Smith said barring kids that young from even smaller, home-use bounce houses would make sense.

"There is no evidence that the size or location of an inflatable bouncer affects the injury risk," he said.

Other recommendations, often listed in manufacturers' instruction pamphlets, include not overloading bounce houses with too many kids and not allowing young children to bounce with much older, heavier kids or adults, said Laura Woodburn, a spokeswoman for the National Association of Amusement Ride Safety Officials.

The study didn't include deaths, but some accidents are fatal. Separate data from the product safety commission show four bounce house deaths from 2003 to 2007, all involving children striking their heads on a hard surface.

Several nonfatal accidents occurred last year when bounce houses collapsed or were lifted by high winds.

A group that issues voluntary industry standards says bounce houses should be supervised by trained operators and recommends that bouncers be prohibited from doing flips and purposefully colliding with others, the study authors noted.

Bounce house injuries are similar to those linked with trampolines, and the American Academy of Pediatrics has recommended against using trampolines at home. Policymakers should consider whether bounce houses warrant similar precautions, the authors said.

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Online:

Pediatrics: http://www.pediatrics.org

Trade group: http://www.naarso.com

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

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As Rebels Gain, Congo Again Slips Into Chaos

GOMA, Democratic Republic of Congo — The lights are out in most of Goma. There is little water. The prison is an empty, garbage-strewn wasteland with its rusty front gate swinging wide open and a three-foot hole punched through the back wall, letting loose 1,200 killers, rapists, rogue soldiers and other criminals.

Now, rebel fighters are going house to house arresting people, many of whom have not been seen again by their families.

“You say the littlest thing and they disappear you,” said an unemployed man named Luke.

In the past week, the rebels have been unstoppable, steamrolling through one town after another, seizing this provincial capital, and eviscerating a chaotic Congolese Army whose drunken soldiers stumble around with rocket-propelled grenades and whose chief of staff was suspended for selling crates of ammunition to elephant poachers.

Riots are exploding across the country — in Bukavu, Butembo, Bunia, Kisangani and Kinshasa, the capital, a thousand miles away. Mobs are pouring into streets, burning down government buildings and demanding the ouster of Congo’s weak and widely despised president, Joseph Kabila.

Once again, chaos is courting Congo. And one pressing question is, why — after all the billions of dollars spent on peacekeepers, the recent legislation passed on Capitol Hill to cut the link between the illicit mineral trade and insurrection, and all the aid money and diplomatic capital — is this vast nation in the heart of Africa descending to where it was more than 10 years ago when foreign armies and marauding rebels carved it into fiefs?

“We haven’t really touched the root cause,” said Aloys Tegera, a director for the Pole Institute, a research institute in Goma.

He said Congo’s chronic instability is rooted in very local tensions over land, power and identity, especially along the Rwandan and Ugandan borders. “But no one wants to touch this because it’s too complicated,” he added.

The most realistic solution, said another Congo analyst, is not a formal peace process driven by diplomats but “a peace among all the dons, like Don Corleone imposed in New York.”

Congo’s problems have been festering for years, wounds that never quite scabbed over.

But last week there was new urgency after hundreds of rebel fighters, wearing rubber swamp boots and with belt-fed machine guns slung across their backs, marched into Goma, the capital of North Kivu Province and one of the country’s most important cities.

The rebels, called the M23, are a heavily armed paradox. On one hand, they are ruthless. Human rights groups have documented how they have slaughtered civilians, pulling confused villagers out of their huts in the middle of the night and shooting them in the head.

On the other hand, the M23 are able administrators — seemingly far better than the Congolese government, evidenced by a visit in recent days to their stronghold, Rutshuru, a small town about 45 miles from Goma.

In Rutshuru, there are none of those ubiquitous plastic bags twisted in the trees, like in so many other parts of Congo. The gravel roads have been swept clean and the government offices are spotless. Hand-painted signs read: “M23 Stop Corruption.” The rebels even have green thumbs, planting thousands of trees in recent months to fight soil erosion.

“We are not a rebellion,” said Benjamin Mbonimpa, an electrical engineer, a bush fighter and now a top rebel administrator. “We are a revolution.”

Their aims, he said, were to overthrow the government and set up a more equitable, decentralized political system. This is why the rebels have balked at negotiating with Mr. Kabila, though this weekend several rebels said that the pressure was increasing on them to compromise, especially coming from Western countries.

On Sunday, rebel forces and government troops were still squared off, just a few miles apart, down the road from Goma.

The M23 rebels are widely believed to be covertly supported by Rwanda, which has a long history of meddling in Congo, its neighbor blessed with gold, diamonds and other glittering mineral riches. The Rwandan government strenuously denies supplying weapons to the M23 or trying to annex eastern Congo. Rwanda has often denied any clandestine involvement in this country, only to have the denials later exposed as lies.

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