Tuesday, October 2, 2012

Wall Street jumps as U.S. manufacturing expands

NEW YORK (Reuters) - U.S. stocks advanced on Monday after a surprise expansion in U.S. manufacturing last month eased concerns about the economy and offset a gloomier outlook in Asia and Europe.

U.S. manufacturing expanded in September for the first time since May as new orders and employment picked up, an Institute for Supply Management report showed.

Financial stocks led the market's advance with Goldman Sachs Group up 4 percent at $118.28 after the weekly Barron's said Goldman shares could rise at least 25 percent in the next year as capital markets improve.

The ISM's index rose to 51.5 from 49.6 in August, topping expectations for a reading of 49.7, according to a Reuters poll, and breaking above the 50 mark that separates expansion from contraction.

"Numerically that is a pretty small amount," said Peter Jankovskis, co-chief investment officer at Oakbrook Investments in lisle, Illinois. "But in terms of looking at the number, it's the difference between seeing contraction and seeing growth. So psychologically that's pretty important."

The Dow Jones industrial average <.dji> gained 152.80 points, or 1.14 percent, to 13,589.93. The Standard & Poor's 500 Index <.spx> rose 14.10 points, or 0.98 percent, to 1,454.77. The Nasdaq Composite Index <.ixic> added 20.77 points, or 0.67 percent, to 3,137.00.

The figure came after a survey from Markit showed U.S. manufacturing ended its worst quarter in three years in September as foreign demand for U.S. goods fell sharply.

The U.S. data followed surveys in the euro zone that showed manufacturing slackened in the three months to September while Asia's factories are continuing to struggle in the face of tepid demand from the United States and Europe. The data suggested the euro zone may be moving toward recession and showed a seventh straight quarter of slowing growth in China.

"The U.S. economy is growing at a slow pace, but it is still growing. The ISM number suggests that things are not that bad," said Adam Sarhan, chief executive at Sarhan Capital in New York.

The national ISM survey is especially heartening after some weak regional surveys last month. The Chicago PMI, a survey which measures business activity in the Midwest, showed its first contraction since 2009 in September.

The gain on the first day of the final quarter of 2012 comes after stocks closed a strong third quarter, helped by stimulative measures from the Federal Reserve and the European Central Bank. The S&P 500 finished the quarter up 5.8 percent, its best third quarter since 2010.

"Despite a recent spate of weaker-than-expected data from across the world, markets are looking forward," said Sarhan. "There is a lot of hope that the worst-case scenario is off the table not only for now, but for good."

Ceradyne Inc shares gained 43 percent to $34.91 on news the company will be acquired by 3M Co for $860 million.

The Defense Department on Friday awarded United Launch Alliance, which is a 50-50 joint venture of Lockheed Martin Corp and Boeing Co , a $1.17 billion contract to provide satellite launches using its Delta IV and Atlas V rockets. Boeing shares gained 1.1 percent to $70.38.

(Reporting by Edward Krudy; Additional reporting by Rodrigo Campos and Ryan Vlastelica; Editing by Kenneth Barry)

Source: http://news.yahoo.com/stock-index-futures-signal-early-gains-092051064--finance.html

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Herceptin: Breast Cancer Drug Has Best Outcome When Used For ...

  • Kathy Bates

    The actress, who beat ovarian cancer close to a decade ago, shared last month that she had been <a href="http://www.huffingtonpost.com/2012/09/12/kathy-bates-breast-cancer-double-mastectomy_n_1878208.html">diagnosed with breast cancer and underwent a double mastectomy</a>, The Huffington Post reported at the time. "Luckily, I don't have to undergo radiation or chemo," <a href="http://www.people.com/people/article/0,,20628972,00.html">she told <em>People</em> magazine</a>. "My family calls me Kat because I always land on my feet and thankfully this is no exception." <a href="http://www.huffingtonpost.com/2012/09/12/kathy-bates-breast-cancer-double-mastectomy_n_1878208.html">She also shared the news on Twitter</a> -- with her signature sense of humor intact. "I don't miss my breasts as much as I miss Harry's Law. ;-) Thanks for all the sweet tweets," she wrote. "Y?all kept me going."

  • Maura Tierney

    Tierney was diagnosed with breast cancer in 2009, but she didn't open up publicly about it until earlier this year. "I remember thinking, 'I'm so young, this can't be happening,'" <a href="http://www.people.com/people/article/0,,20611140,00.html">she told <em>People</em> magazine</a>. "In 2009, I was diagnosed with breast cancer and found out I would need chemotherapy," <a href="http://www.chemomythsorfacts.com/index.html">she said in a video for the Chemotherapy Myths Or Facts campaign</a>. "I asked myself all these questions and was utterly terrified, not just because of the cancer diagnosis, but the fear of chemo itself." And that sense of the unknown is what triggered Tierney, whose cancer was found in its early stages, to sign up as a spokesperson for the campaign. "It's important that you feel educated and confident during this time," <a href="http://www.chemomythsorfacts.com/index.html">she said in her introductory video</a>.

  • Judy Blume

    The beloved author of favorites such as "Are You There God? It's Me, Margaret," and "Tales Of A Fourth Grade Nothing," revealed that she was diagnosed with invasive ductal carcinoma in a <a href="http://www.judyblume.com/blog.php">blog post on her website this past September</a>. "I haven?t eaten red meat in more than 30 years. I?ve never smoked, I exercise every day, forget alcohol -- it?s bad for my reflux -- I?ve been the same weight my whole adult life," <a href="http://www.judyblume.com/blog.php">she wrote</a>. "How is this possible? Well, guess what -- it?s possible." <a href="http://www.huffingtonpost.com/2012/09/05/invasive-ductal-carcinoma-judy-blume-breast-cancer_n_1858418.html">Blume had a mastectomy</a> on July 30. <a href="http://www.judyblume.com/blog.php">She wrote in her blog</a>: <blockquote>As I've told my friends who've also been treated for breast cancer, I've joined The Club -- not one I wanted to join or even thought I would ever be joining -- but here I am. I?m part of this Sisterhood of the Traveling Breast Cells (apologies to Ann Brashares). Medical diagnoses can leave you feeling alone and scared. When it comes to breast cancer you?re not alone, and scary though it is, there?s a network of amazing women to help you through it.</blockquote>

  • Ann Romney

    Wife to Republican presidential hopeful Mitt Romney, Ann was <a href="http://www.huffingtonpost.com/2012/05/03/ann-romney-breast-cancer_n_1475950.html">diagnosed with breast cancer in early 2009</a>. "It's great to have loved ones around you," <a href="http://www.americasradionewsnetwork.com/ann-romney-reflects-on-her-personal-battle-with-breast-cancer">she told America's Radio News Network in an interview</a> earlier this year of where she found post-diagnosis comfort. "And you just fight these battles, listen you don't fight them alone. You fight them with friends and with family. And you put your arms around each other and you move forward." Romney, whose mother and grandmother died from ovarian cancer and whose great-grandmother died from breast cancer, told the program <a href="http://www.americasradionewsnetwork.com/uploads/mp3/showclips/05-03-12ANNROMNEY1.mp3">she's most grateful to have been diagnosed early</a> -- she needed surgery and radiation, but not chemo. "Life is an interesting game, and you just always deal with whatever you're dealt with that day or that week or that month or that year," said Romney, who has <a href="http://www.huffingtonpost.com/2012/06/18/multiple-sclerosis-celebrities_n_1606174.html">also been diagnosed with multiple sclerosis</a>. "No matter what you're living through, we all push forward."

  • Edie Falco

    The TV star was diagnosed with breast cancer in 2003, when she was starring in "The Sopranos." "I take very good care of myself (mostly because I didn?t many years ago), and that served me well during chemo," <a href="http://www.health.com/health/article/0,,20411264,00.html">she later wrote in an article for <em>Health</em> magazine</a>. "Running every day made me feel calm and strong, even as my self-image suffered from my hair falling out." After her cancer went into remission, Falco decided to adopt -- her baby boy, Anderson, was born in January 2005. She later <a href="http://www.redbookmag.com/fun-contests/celebrity/edie-falco-nurse-jackie">adopted a daughter</a>, as well. "Obviously, it wasn?t meant for me to die of cancer at 40," <a href="http://www.health.com/health/article/0,,20411264_2,00.html">she wrote</a> in <em>Health</em>. "Every day my life surprises me, just like my cancer diagnosis surprised me."

  • Suzanne Somers

    The "Three's Company" and "Step By Step" actress was first diagnosed with breast cancer in 2000. "We were silent, hardly talking, in disbelief, like this can't be happening, wondering is this a little blip or the end of my life?" <a href="http://www.people.com/people/archive/article/0,,20134247,00.html">she told <em>People</em> magazine in 2001</a>, of hearing the news for the first time with her husband Alan Hamel. Just earlier this year -- more than a decade since her diagnosis -- Somers shared with <em>People</em> that she <a href="http://www.people.com/people/article/0,,20567432,00.html">underwent an experimental breast reconstruction surgery</a>, to repair the damage from a lumpectomy and radiation treatments.

  • Olivia Newton-John

    The "Grease" star and singer was diagnosed with breast cancer in 1992 after feeling a lump in a self exam -- <a href="http://ww5.komen.org/BreastCancer/OliviaNewtonJohn.html">her treatment included</a> surgery, chemotherapy, a radical mastectomy and reconstruction. "When you're first diagnosed, people are pulling you in every direction: Do this! Do that! You really have to gather yourself, because you're the one who has to make the hard choices," <a href="http://ww5.komen.org/BreastCancer/OliviaNewtonJohn.html">she said in a Q&A on Susan G. Komen For The Cure's website</a>. "I researched a lot and felt satisfied with my course of treatment. It was sort of an East-meets-West approach." And that meant taking care of her <em>whole</em> body, not just the cancer. "I did everything I could to take care of myself -- body, mind, and spirit," <a href="http://www.everydayhealth.com/breast-cancer/mylife/olivia-newton-john/questions.aspx">she told EverydayHealth.com</a>. "I look at my cancer journey as a gift: It made me slow down and realize the important things in life and taught me to not sweat the small stuff."

  • Giuliana Rancic

    The 36-year-old "E! News" host announced last October on<a href="http://theclicker.today.msnbc.msn.com/_news/2011/10/17/8363134-es-giuliana-rancic-reveals-she-has-breast-cancer" target="_hplink"> NBC's Today show</a> that she has breast cancer, and that she was alerted to the cancer via a mammogram during her third in vitro fertilization attempt. "Through my attempt to get pregnant for the third time, we sadly found out that I have early stages of breast cancer," she said <a href="http://theclicker.today.msnbc.msn.com/_news/2011/10/17/8363134-es-giuliana-rancic-reveals-she-has-breast-cancer" target="_hplink">on the Today show</a>. "It's been a shock. A lot of people have been asking, we saw that you went and got IVF, are you pregnant? But sadly, we've had to put that off." Rancic underwent a double lumpectomy and removal of several of her lymph nodes, but she later went on the TODAY show last December to say that the cancer was not completely cleared by those treatments and that she will <a href="http://www.huffingtonpost.com/2011/12/05/double-mastectomy-giuliana-rancic-breast-cancer_n_1129433.html" target="_hplink">undergo a double mastectomy</a>. This year, Rancic finally got her happy ending, <a href="http://www.huffingtonpost.com/2012/09/12/edward-duke-rancic-photo-giuliana-bill-rancic-baby-boy_n_1876694.html">with the birth of son Edward Duke</a> via gestational surrogate on August 29.

  • Wanda Sykes

    In a 2011 interview with Ellen DeGeneres, Wanda Sykes revealed that she had been <a href="http://www.huffingtonpost.com/2011/09/23/wanda-sykes-breast-cancer_n_977761.html#s312402&title=Wanda_Sykes" target="_hplink">diagnosed with breast cancer</a> and underwent a double mastectomy. "I had breast cancer. Yeah, I know it's scary," Sykes said in the interview. "This was in February. I went for the reduction. I had real big boobs and I just got tired of knocking over stuff. Every time I eat ... Oh lord. I'd carry a Tide stick everywhere I go. My back was sore so it was time to have a reduction." After the reduction, the pathology report found ductal carcinoma in situ in her left breast, which prompted Skykes, who has a <a href="http://www.people.com/people/article/0,,20531010,00.html" target="_hplink">family history of breast cancer</a>, to opt for a double mastectomy. And while the diagnosis is scary, she hasn't lost her <a href="http://www.huffingtonpost.com/2011/09/23/wanda-sykes-breast-cancer_n_977761.html#s312402&title=Wanda_Sykes" target="_hplink">signature humor</a>. "I was like, 'I don't know, should I talk about it or what?' How many things could I have? I'm black, then lesbian. I can't be the poster child for everything ... At least with the LGBT issues we get a parade, we get a float, it's a party. [But] I was real hesitant about doing this, because I hate walking. I got a lot of [cancer] walks coming up."

  • Christina Applegate

    In 2008, actress Christina Applegate shared in a "Good Morning America" interview that she had been <a href="http://abcnews.go.com/GMA/story?id=5606034&page=1" target="_hplink">dagnosed with breast cancer</a> at the age of 36 -- she opted for a bilateral mastectomy instead of radiation or chemotherapy. "I didn't want to go back to the doctors every four months for testing and squishing and everything. I just wanted to kind of get rid of this whole thing for me. This was the choice that I made and it was a tough one," she said <a href="http://abcnews.go.com/GMA/story?id=5606034&page=1" target="_hplink">in the interview</a>. "Sometimes, you know, I cry. And sometimes I scream. And I get really angry. And I get really upset, you know, into wallowing in self-pity sometimes. And I think that it's all part of the healing." Perhaps the best healing of all came in 2011 when Applegate gave birth to baby Sadie with musician Martyn LeNoble. "She's healed me in so many ways. She's just made my life so much better. I've been kind of sad for a long time, and she's just opened my whole soul," Applegate <a href="http://www.people.com/people/archive/article/0,,20467525,00.html" target="_hplink">told <em>People</em></a> in an exclusive interview in 2011.

  • Melissa Etheridge

    In 2005, rock-and-roll artist Etheridge underwent a lumpectomy and five rounds of chemotherapy and radiation to eradicate her breast cancer. "I had been running along in my life at a fast pace. When I heard it was cancer, I just stood still," Etheridge told <em>Shape</em> magazine in a 2009 interview. "My life passed over me like a big wave, and after, I was left there standing. This turned out to be a very good thing. I stopped. I looked at my life, I looked at my body and spirit." In the midst of her treatment, Etheridge found out she was <a href="http://www.msnbc.msn.com/id/6994469/ns/dateline_nbc/t/melissa-etheridges-brave-comeback/" target="_hplink">nominated for a Grammy</a> for her song "Breathe" -- and while she wasn't sure she'd make an appearance at first, Etheridge ultimately decided not only to attend, but to perform in a Janis Joplin tribute. Taking to the stage bald and with no eyebrows -- a side-effect of the chemo -- she belted out Joplin's classic, "Piece Of My Heart." "It was very special that I had been presented with a day, that I could come back into this entertainment world, and show everyone that you are back and okay, and thought, okay," Etheridge told <a href="http://www.msnbc.msn.com/id/6994469/ns/dateline_nbc/t/melissa-etheridges-brave-comeback/" target="_hplink">MSNBC at the time</a>. "I'm going to do this. And I'm not gonna be afraid of the truth. The truth is, yes I had cancer. Yes, I got it out of me. Yes, I went through chemotherapy. Yes, I'm bald." Check out Etheridge's breast cancer causes on her <a href="http://www.melissaetheridge.com/pinkpage" target="_hplink">Pink Rage website</a>.

  • Robin Roberts

    ABC's "Good Morning America" co-host Robin Roberts was diagnosed with breast cancer in 2007. "I never thought I'd be writing this. ... <a href="http://abcnews.go.com/GMA/CancerPreventionAndTreatment/abcs-robin-roberts-breast-cancer/story?id=3430554" target="_hplink">I have breast cancer</a>," she said in a message released by ABC in August 2007. While working on a tribute to her colleague Joel Siegel, who had died from cancer, Robins reported on how key early detection is -- and, taking her own advice, she did a self breast exam and found a lump. "Much as I was hoping the doctor would say it was nothing, she did a biopsy and confirmed that the lump I'd found was indeed an early form of breast cancer," Robins <a href="http://abcnews.go.com/GMA/CancerPreventionAndTreatment/abcs-robin-roberts-breast-cancer/story?id=3430554" target="_hplink">continued in her statement</a>. Robins underwent a partial mastectomy, chemotherapy and radiation. In 2008, she told <em>People</em> magazine that she <a href="http://www.people.com/people/archive/article/0,,20238177,00.html" target="_hplink">complemented her regular doctor's visits</a> with acupuncture, exercise and advice from a nutritionist. "Yes, I am living with cancer," she <a href="http://www.people.com/people/archive/article/0,,20238177,00.html" target="_hplink">told <em>People</em></a>. "But don't go 'woe is me.' I don't want it. Don't need it. I'm still in the game. I don't want to say 'survivor.' I want to thrive." Earlier this year, Roberts announced that she was diagnosed with a <a href="http://www.huffingtonpost.com/2012/09/20/bone-marrow-transplant-robin-roberts-myelodysplastic-syndrome_n_1900324.html">rare blood disorder called myelodysplastic syndrome</a>.

  • Kylie Minogue

    Australian singer Minogue was first diagnosed with breast cancer in May 2005 and underwent surgery and chemotherapy treatment. "When you are stripped of everything and you have to grow your eyelashes back, grow your hair back, it's just astonishing," Minogue told British <em>Glamour</em> magazine. "It's hard to express what I've learned from that, but a deep psychological and emotional shift has obviously taken place." This open and honest approach to her diagnosis led Minogue to be voted the <a href="http://www.reuters.com/article/2010/09/03/us-cancer-celebrities-idUSTRE6820P120100903" target="_hplink">most inspirational breast cancer celebrity</a> in an online British-based poll, Reuters reports.

  • Sheryl Crow

    Singer Sheryl Crow was <a href="http://articles.cnn.com/2006-10-06/health/crow.cancer_1_breast-cancer-early-detection-cancer-patients?_s=PM:HEALTH" target="_hplink">diagnosed with breast cancer</a> in 2006 and, thanks to early detection, underwent a minimally invasive surgery and seven weeks of radiation therapy. Crow told <em>Health</em> magazine that <a href="http://www.health.com/health/article/0,,20411904_2,00.html" target="_hplink">she saw a nutritionist</a> when she was first diagnosed and began a diet full of fish, walnuts, colorful vegetables, fiber and healthy spices. "I kept my breast cancer tattoos -- where the radiation was lined up on my chest," Crow told <em>Health</em>. "Once in a while I look at it to remind myself that I have to put on my oxygen mask first before I put it on anybody else." Today, Crow is focused on spreading the message of early detection. In 2010, she <a href="http://content.usatoday.com/communities/entertainment/post/2010/08/sheryl-crow-opsns-breast-cancer-imaging-center-/1" target="_hplink">founded the Sheryl Crow Center</a> as part of the Pink Lotus Breast Center, which was founded by her own surgeon, ABC News reports. This past June, Crow also revealed that she was diagnosed late last year with a <a href="http://www.huffingtonpost.com/2012/06/05/benign-brain-tumor-sheryl-crow_n_1572008.html">benign brain tumor</a>.

  • Cynthia Nixon

    In 2008, the "Sex and the City" star went public with her <a href="http://www.huffingtonpost.com/2008/04/15/cynthia-nixon-on-her-love_n_96749.html" target="_hplink">cancer diagnosis</a>, revealing that she found a lump in its early stages and had it removed through radiation, The Huffington Post reported at the time. Nixon wrote in a 2008 <em>Newsweek</em> article that her mother was <a href="http://www.thedailybeast.com/newsweek/2008/10/03/a-family-of-strong-women.html" target="_hplink">diagnosed with breast cancer twice</a> -- the first time, Nixon was just 13. "I feel like I have a very <a href="http://www.huffingtonpost.com/2011/10/03/slideshow_n_991609.html#s384104&title=Cynthia_Nixon" target="_hplink">concrete story to tell</a>. My story isn't just my story, it's mine and my mother's story," the <a href="http://ww5.komen.org/" target="_hplink">Susan G. Komen for the Cure</a> spokesperson has said.

  • Source: http://www.huffingtonpost.com/2012/10/01/herceptin-breast-cancer-drug-one-year_n_1928032.html

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    Monday, October 1, 2012

    Givenchy's Dark Romance

    Givenchy's catwalk shows are public debates that its designer Riccardo Tisci has with himself each season, where his inner demons and personal obsessions do battle for his soul.

    The spring 2013 collection presented Sunday night, Sept. 30, was no different. The threads of religion, romance, gothic imagery and female power run through all his collections.

    His staging showed the different directions in which he is swayed: a church organist in an elegant wooden scaffold at one end of the Paris high school interior courtyard where the show was staged, a rocking DJ duo at the other.

    Just like the soundtrack, the clothes competed for attention. Tisci went back to the house's archive, and discovered some striking new moon shape tailoring - seen to great effect in stiff silk tops and theatrical cocoon jackets.

    His women varied from the rapacious to the devout: a Catherine de Medici calico blouse one second, then a simmering femme fatale in a tunic of white jacquard, the sort of fabric a cardinal would wear. And as the church organist hit some super moody chords, a posse of sexy nun models paraded around the musician.

    Most looks were finished with tough chic metal chokers, mini shoulder straps, bracelets and heels - adding punch to the ensembles.

    "They came from Carlo Molino, but from his furniture not his work," said Tisci backstage, as a mob of fans showered him with compliments.

    It's been quite a season for Molino, the fantastical Italian architect and photographer of the faintly perverse, seeing as Consuelo Castiglioni at Marni in Milan cited him last week as an influence on her new geometric fashion.

    There was little geometric about this Givenchy show, whose finale featured floor-length white chiffon blouses, with one side cut out to reveal tuxedo pants underneath. Every second look was trimmed and completed with a fluttering ruffle, a romantic touch to the dynamic yet fervent style.

    However, though thoroughly accomplished, the show did not quite reach the heights of recent Givenchy outings. There were no special bookings or visiting super models like Gisele Bundchen or Natalia Vodianova, one of the highlights of Givenchy shows. Moreover, the trip to the archive, while intriguing, meant the collection broke less ground than one is used to with Tisci.

    That said, even a couple of points off his A-game, a Givenchy show by Tisci is always a truly compelling affair.

    Source: http://news.yahoo.com/givenchys-dark-romance-232416570.html

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    Volunteer Opportunities at Refugee Family Services | Cathedral ...

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    Home / Antique Show / Volunteer Opportunities at Refugee Family Services

    Volunteering at Refugee Family ServicesAs you may be aware, the Cathedral Antiques Show has chosen Refugee Family Services as our beneficiary for the 2013 show coming up at the end of January. ?This event is truly a?Passion for a Purpose, where we will donate proceeds to the literacy programs offered by Refugee Family Services. ?By participating in the 42nd Annual Cathedral Antiques Show as a sponsor, an antiques dealer or a visitor to the show, you will help to support RFS increase their reach into the Atlanta refugee community.

    As you?re waiting for January 30 to come, you can show your support for Refugee Family Services in other ways. ?Their programs include job training, crisis intervention, and educational assistance for refugee women and their families, and they can always use donations and volunteers to keep these programs available and effective.

    Refugee Family Services currently has several volunteer opportunities available to anyone in the Atlanta area who would like to donate their time. ?They need tutors and classroom assistants for children in grades 1 through 8 in Stone Mountain and Decatur, and they need Family Literacy Tutors in the Clarkston and Stone Mountain area. ?The tutors and classroom assistants for children have set times each week, but the Family Literacy Tutors have the option of flexible scheduling. ?All volunteers pay a $10 registration fee to cover application processing and a required background check.

    For more information on volunteering, be certain to read through the Refugee Family Services website. ?You can also support RFS by volunteering at the Cathedral Antiques Show from January 30 through February 2. ?Just call 404-365-1107 for more information, and be sure to ?Like? us on Facebook for more updates on the Cathedral Antiques show.

    ?

    Photo via Refugee Family Services

    Source: http://blog.cathedralantiques.org/antique-show/volunteer-opportunities-at-refugee-family-services/

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    Miliband attacks union boss on pay

    The Labour leader sought to use the row with Len McCluskey - general secretary of Labour's biggest union donor Unite - to show that the movement is not "pulling our strings".

    He issued a strongly-worded put-down as the party gathered for its autumn conference in Manchester, two years on from Mr Miliband's surprise leadership election victory in the city with the help of union votes.

    Mr McCluskey used an eve-of-conference interview with the Sunday Times to set out his plans to "kick the New Labour cuckoos out of our nest" and win back the party for the trade union movement.

    And he warned that his members were "furious" with the Labour leadership's "crazy" policy of supporting pay restraint.

    Mr Miliband, who is battling to improve personal poll ratings and shake off his "Red Ed" tag, told BBC1's Andrew Marr Show: "It's not going very well for him is it?

    "You can't say at one and the same time that Len McCluskey is saying 'you're wrong on pay restraint' and then say we're giving in to him and he is pulling our strings."

    Asked about the pay freeze, he said: "He is entitled to his view but he is wrong.

    "We've got the right policy to say we put jobs in the public sector ahead of pay rises. That's what we said we would do this parliament. It is a difficult decision but it is the way to keep jobs in the public sector."

    Mr Miliband said Labour would reverse the coalition's cut in the top rate of tax from 50p to 45p "if there was an election tomorrow".

    Source: http://www.standard.co.uk/panewsfeeds/miliband-attacks-union-boss-on-pay-8191101.html

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    September 2012 Creative Writing Competition entry. ? attila - My ...

    From the ground below it looked for all the world as if the Witch?s Nose had acquired a ?dew-drop? as Pierre lost his single hand grip and parted company with the rock face. Just as he thought that had mastered the worst part of the climb and rounded the point of the ?nose?, a poorly placed belay cam had loosened and Pierre found himself dangling in his harness and four feet under the overhang.
    ?Sod it? he cried, in a mixture of embarrassment and frustration, and he took a moment to collect his composure as he slowly rotated on the rope.

    It had been a uneventful climb until that moment of misjudgement and he cursed his stupidity. How many times had he told himself not to rely on cams placed ?blind? around corners.
    ?Rotten luck, are you OK?, called his companion from the safety of the small ledge eight feet below the overhanging outcrop of rock.
    ? No problem Bax!?, he called back reassuringly, ?Just sit tight while I sort it out?.
    But quietly he was furious with himself. His predicament owed nothing to bad luck, it was simply sloppy technique brought about by uncharacteristic bravado.

    Pierre rummaged through his equipment belt for an ascender to aid his climb up the rope. Once he got back up to his last firm fixing he could resume the climb. He clipped the ascender onto the rope and took a firm hold on the handgrip.
    On the ledge, Baxter was busy fiddling with the belaying rope.
    Suddenly, without warning, Pierre found himself once again in free fall until the rope snapped taut once again. But he was now a further five feet lower beneath the overhang. To make matters worse, the ascender had not been fully snapped on and had been lost, and his equipment belt had slipped around his knees.
    ?Bloody hell Bax!?, screamed Pierre, ?What are you doing ? is that rope properly anchored??
    ?Sorry Pierre, I was standing on the slack ? are you still OK??
    Baxter sounded so casual in his tone that Pierre was beginning to wonder if his companion realised just what a predicament they were now in.
    ?For God?s sake man, just leave the rope be and stay still?.
    Pierre twisted and reached down for his belt, but his efforts simply resulted in the belt slipping further until it was dangling on the toe of one climbing boot. As he slowly lifted his leg, the belt and aids slipped off, leaving him watching helplessly as it dropped over 300 feet and was lost in the scree.
    Pierre swung silently in his harness, and this time did curse his bad luck.
    From the ledge Baxter offered his commiseration.
    ?Oh dear?, he said ?that?s a bugger!?

    Until this moment the day was going well.
    Pierre, the experienced lead climber, had agreed to take Baxter, an office colleague of his wife, on a days climbing to teach him a few rock-face techniques.
    Ever since he had found that climbing was Pierre?s passion, Baxter had nagged Sally, Pierre?s wife, until finally she had talked her husband into taking him on a climb. He wasn?t entirely a novice, he had told her, but would love the opportunity to climb with an expert.
    The climb, a straightforward vertical route well known to Pierre, had gone perfectly. In fact, he was so impressed at how proficiently Baxter handled himself that he had decided on the spur of the moment to tackle the fabled Witch?s Nose, a landmark overhang slightly higher than he had intended to go.
    And now, here they were, facing each other 10 ft. apart, one perched on a narrow ledge and the other dangling at the end of a rope.
    Until the second drop and the loss of his equipment, Pierre had been pretty confident that he could handle the situation.
    A short four foot climb up the rope back to the overhang, add a fresh belay, and complete the manoeuvre around the nose and the final 25 ft. of the climb. Now he was facing an almost 10 ft. unaided rope climb, with most of his equipment scattered over the slopes below.
    This was suddenly a whole new ball game.

    ?Now listen carefully Bax.?.
    Pierre felt almost comical as he rotated slowly around.
    ?This could get really nasty if we?re not careful, get on your mobile and alert the emergency services of our situation, we might need some assistance?.
    ?I didn?t have a signal last time I looked?, said Baxter casually.
    ?Well look again?, came the slightly irritated reply.
    ?Surely you have a ?phone??, said Baxter.
    ? For God?s sake. No I haven?t!? this time Pierre was irritated, ?It was in a pouch on my equipment belt, now stop pratting about and get on the phone?.
    Baxter fished in his trouser pocket, took out a mobile, and nonchalantly swiped the screen.
    ?Nothing!? he said casually, ? And the battery?s low by the look of it?.
    Pierre cursed under his breath, why had he ever agreed to take this useless idiot out in the first place. He reached up the rope, took a firm grip, and hauled himself up a couple of feet. Now all the weight was on his arms and he hung for a moment to rest. He took another twelve inch grip and repeated the process. As he slowly rotated, and the ledge came into view, he froze in his harness.
    Baxter, a much larger and more powerful man than the agile Pierre, had put all his weight on the other end of the rope and had pulled almost three foot of slack.
    ?For christ sake Baxter, leave the rope alone? said Pierre agitatedly.
    As much as would have welcomed assistance, this was simply putting an undue strain on the belay points, and if they started popping out he really was in trouble.
    Baxter didn?t answer directly, just smiled sardonically.
    ?Just leave it to me?, pleaded Pierre.
    ?OK?, replied Baxter, and released the rope.

    The jerk broke Pierre?s grip on the rope and he dropped the three plus feet that he had gained and once again dangled helplessly at the end of the rope. Worse, in a shower of small debris the nearest belay point pinged out and Pierre found himself even further below the overhang. If the rope carried on unzipping he would smash against the rock wall.
    The two men faced each other across the space that divided them and for the first time Pierre felt truly helpless. He was entirely at the mercy of someone who he hardly knew, how had he allowed this to happen?

    Neither spoke for almost two minutes. Baxter squatted back on his small ledge whilst Pierre slowly rotated in his harness. The wind, which until now had been remarkably light, was now beginning to gust as the early evening approached, and to the rotation was added a slight pendulum effect. This, and rising fear, was beginning to make Pierre feel somewhat nauseous.
    Baxter was the first to speak.
    ?What bloody awful luck, Pierre old chap?, he said nonchalantly, ?still, luck has two sides, good and bad, but from here it looks as if yours is the bad bit?.

    *******************************

    ?Can I be of assistance Madame Lacombe??
    Sally turned from the full length mirror in which she was studying the printed floral dress held against her body and smiled wanly at the svelte boutique owner who had crept up silently behind her.
    Sally, who was really only browsing, said, ?Thanks Marion, but I really shouldn?t be here, I?ll drop in again at the weekend, Pierre?s going away for a few days on business and I shall have more time then?.
    She handed the frock to Marion with a ?Must dash, Bye-ee!?
    Somewhat guilty about her abrupt exit, Sally checked the time and realised that if she was going to be home in time to get something hot for Pierre and Baxter this evening, she really did need to get a move on.

    *********************************

    Baxter squeezed himself back against the rock face and made himself as comfortable as was possible on the small ledge. Shielding from the wind he lit a cigarette and drew deeply until it glowed.
    As Pierre rotated to face him, he shouted ?
    ?Baxter! Don?t just sit there, get on the phone!?
    Baxter appeared to ignore him, but took out his mobile phone and flicked though his text messages until he found the draft that he had prepared earlier, he smiled as he pressed the send button.

    ******************************

    Sally?s phone vibrated against her ribs in the inside pocket of her Gilet.
    Of all people, it was from Baxter Gibbs. She read the text ?

    ?hi sal, just approaching witchs nose, fantastic views great climb thanks for organising 4 me. Pierre a bit off color, suggested we stop but it?s like he has something 2 prove. is he always like this? looking forward 2 this evning. Luv u
    Bax,?

    Sally read and re-read the text three times.
    What on earth was that all about, and why had Baxter sent her a text when he was half way up a cliff with her husband?
    As an office colleague he was known as an odd-ball, but he wasn?t the only one in the office. OK, he?d pestered her more than most, and his constant attention could sometimes be an embarrassment when her colleague?s teased her about it . He?d also tried it on in the print room once or twice, but that was nothing that she couldn?t handle.
    Right now she was beginning to wish that she hadn?t given in to his nagging and let him into her private life. Thrusting the phone back into her pocket she hurried to complete her shopping.
    She?d put Baxter in his place later at home.

    ****************************

    ?I thought you said you didn?t have a signal?, shouted Pierre, watching with frustration as Baxter fingered his phone. ?Do you or don?t you??
    Baxter looked at him blankly.
    ?Have you ever thought how lucky you have been to have a wife like Sally?? he spat out, ?People like you get all the luck, and you don?t appreciate it until it?s all too late?.
    ?Sally! Sally! What?s Sally to you?? shouted Pierre.
    ?Everything when you?re gone?, taunted Baxter, ?Of course you do know that she want?s rid of you. She?s told me often enough?.
    ?You?re bloody mad, man, a lunatic. Contact the emergency services or neither of us will get down from here alive? screamed Pierre.
    Baxter waved his mobile mockingly at Pierre.
    ?Let me tell you what is going to happen, old chap!? he shouted.
    ?That text to Sally told her that you have not been feeling well today, sowed a few seeds you might say. I?d planned for you to have an accident on the way down, but circumstances have done the job for me, I?ll cut that rope and you?ll be done for.?
    ?You?re bloody crazy, you?ll never get away with killing me. And do you seriously think that Sally would have anything to do with you? You?re out of your tiny mind!?
    Baxter smiled grimly as he lifted a sizable rock from the ledge.
    ?A few bangs with this rock will do for the rope when I?m ready?, he shouted, ?And Sally will need a sympathetic friend when you?re gone, she?ll be putty in my hands?.
    Pierre grabbed the rope furiously and hauled himself up until he lost his grip and fell back swaying and twisting in his harness.
    He suddenly felt very vulnerable.

    ********************************

    Sally dropped the bags into the boot, slammed it closed, and slipped behind the wheel of the VW.
    Her phone vibrated, the screen read ?Mum?.
    ?Hi Mum!?
    ?Sally!?, came the querulous voice of her mother.
    Mum!?
    ?Sally! There you are, where are you??
    Sally sighed, her mother?s tone told her that this was simply a ?I?m lonely? call ?
    ?Just finished shopping Mum, Pierre?s bringing a friend home later for a meal, what do you want??
    Sally checked her watch. Mother certainly chose her moments.
    ?Just a chat dear, what are you cooking for them this evening??
    Sally groaned silently.
    ?Look Mum, I?m terribly late, can I ring you later??
    ?Promise??
    ?Promise Mum!?
    A pause ?
    ?I?ll speak to you later then love ? Bye!?
    ?Bye Mum, love you!?
    Three bleeps from her phone told her the battery had run out. She switched it off, dropped it onto the passenger seat and started the engine.

    ****************************

    Baxter dialled Sally?s number.
    After a pause ??The person you are calling is unavailable?.
    He cursed under his breath, placed the phone in a crack in the rock, and picked up the large rock. First things first.
    ?Time to go old chap?, he shouted, ?I?ll tell Sally you loved her till the end!?
    Holding the rope flat against the vertical rock face he smashed it with the rock. Pierre?s blood ran cold, he knew that no rope would last long under such an assault.

    *****************************

    Sally dropped the shopping bags on the kitchen table.
    Picking up the landline phone in the hall she dialled Pierre?s mobile. Nothing!
    Returning to the kitchen she plugged her mobile into the charger and unpacked her shopping. She then went upstairs to change out of her outdoor clothes and once back in the kitchen she picked up her mobile and sought out the text message from Baxter.
    She re-read it, frowned, and pressed ?call sender? on the screen.
    Ten seconds later the phone rang out but there was no answer.

    *****************************

    As Baxter drew back his arm to strike the second blow his phone vibrated in the rock fissure. Startled by the unexpected interruption, he missed the rope with the rock and slammed it hard into the rock face causing it to split in two. A sharp pain shot up his arm with the force of the blow and a shard from the fractured rock speared into his eye socket.
    As the slow rotation brought the ledge into Pierre?s view, he watched with horror as Baxter, clutching his arm and half blinded with pain lost his footing and fell backwards from the ledge and vanished into the gathering gloom beneath his feet.
    He had gone so quietly and quickly that it was only after a shocked Pierre had completed another slow revolution, and heard the distant thud of a body hitting the scree below, that he began to realise that the immediate threat to his life had been lifted.

    ******************************
    Getting no response from either Baxter?s or Pierre?s phone, Sally checked that her mobile was working by dialling her landline. As the home phone rang to confirm that there was nothing wrong with her mobile, she left the handset to fully recharge and started preparing the evening meal.
    During the next 45 minutes she would attempt to contact both Pierre and Baxter on several occasions without success.
    But it would be 10 p.m. before she rang the emergency services.

    *******************************

    Pierre rotated slowly below the overhang slumped in his harness. It was now dark and the cold was beginning to seep into his bones.
    Anticipating that he would not be found before daybreak, he resigned himself to a long cold wait and thanked God that it was July and not January.
    The phone wedged in the cleft rang on a number of occasions but it?s sound only added to his feeling of helplessness.
    Whether Pierre dozed or was simply overcome by nervous exhaustion he would never know, but he was awoken in the early hours by the whap,whap,whap, of a helicopter and the beam of a search-light swept across the rock face. He was blinded by it?s glare as he was finally spotted under the overhang.
    It was to be three more hours before the rescue team from below reached him, and another hour before he was in A and E. With no obvious signs of any injury, he was soon resting in a side room ?under observation?.
    There had been little time since the rescue to think of anything other than relief that his ordeal was over. But after a few hours quiet reflection, he decided on a story.
    An unforeseen climbing incident had led to the death of his inexperienced partner. That would be his story and no-one would ever know the truth, least of all Sally.
    The police would want a statement later, but there was nothing to suggest anything other than that it was the sort of climbing accident that unfortunately happens from time to time. A stroke of bad luck!

    By early evening he was pronounced fit for discharge.
    Sally collected him from the hospital and within an hour or so, in the familiar surroundings of his home and fortified by a few glasses of wine, yesterday?s traumatic events were but a bad dream.
    Sally was in the kitchen preparing the evening meal. It had been, as she said, ?A funny day today, so I?ve found something in the freezer?.
    Her voice came from the kitchen ?
    ?Perhaps tomorrow we?ll go into town for lunch ? you won?t be going to work will you. A few days off will do us good!?
    Pierre relaxed and let it all flow over him.

    The phone in the hall trilled.
    ?I?ll get it? called Pierre.
    It was Lorraine, Sally?s friend and a work colleague of Pierre?s.
    ?Pierre! I?ve just heard, can you speak?? said an agitated Lorraine.
    ?Briefly, Sally?s in the kitchen?, Pierre lowered his voice.
    ?Darling!? said Lorreine breathlessly. ?I thought I would have died when I heard, Are you OK??
    ?I?m lucky, really, I?ll tell you all about it when I see you, is it still on for the weekend? said Pierre hurriedly.
    ?Oh yes darling. My god, when I think what might have happened.?
    ?Really must go now ? love you!? whispered Pierre.
    He raised his voice to the kitchen, ?Sally!, It?s Lorraine for you, pick up!?
    Sally?s clipped voice came from Pierre?s earpiece ?
    ?I already have, your luck?s just run out!?

    Source: http://my.telegraph.co.uk/attila/atiller/15997593/september-2012-creative-writing-competition-entry/

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    Medicare to begin fining hospitals over readmitted patients

    WASHINGTON (AP) -- If you or an elderly relative have been hospitalized recently and noticed extra attention when the time came to be discharged, there's more to it than good customer service.

    As of Monday, Medicare will start fining hospitals that have too many patients readmitted within 30 days of discharge due to complications. The penalties are part of a broader push under President Barack Obama's health care law to improve quality while also trying to save taxpayers money.

    About two-thirds of the hospitals serving Medicare patients, or some 2,200 facilities, will be hit with penalties averaging around $125,000 per facility this coming year, according to government estimates.

    Data to assess the penalties have been collected and crunched, and Medicare has shared the results with individual hospitals. Medicare plans to post details online later in October, and people can look up how their community hospitals performed by using the agency's "Hospital Compare" website.

    It adds up to a new way of doing business for hospitals, and they have scrambled to prepare for well over a year. They are working on ways to improve communication with rehabilitation centers and doctors who follow patients after they're released, as well as connecting individually with patients.

    "There is a lot of activity at the hospital level to straighten out our internal processes," said Nancy Foster, vice president for quality and safety at the American Hospital Association. "We are also spreading our wings a little and reaching outside the hospital, to the extent that we can, to make sure patients are getting the ongoing treatment they need."

    Still, industry officials say they have misgivings about being held liable for circumstances beyond their control. They also complain that facilities serving low-income people, including many major teaching hospitals, are much more likely to be fined, raising questions of fairness.

    "Readmissions are partially within the control of the hospital and partially within the control of others," Foster said.

    Consumer advocates say Medicare's nudge to hospitals is long overdue and not nearly stiff enough.

    "It's modest, but it's a start," said Dr. John Santa, director of the Consumer Reports Health Ratings Center. "Should we be surprised that industry is objecting? You would expect them to object to anything that changes the status quo."

    For the first year, the penalty is capped at 1 percent of a hospital's Medicare payments. The overwhelming majority of penalized facilities will pay less. Also, for now, hospitals are only being measured on three medical conditions: heart attacks, heart failure and pneumonia.

    Under the health care law, the penalties gradually will rise until 3 percent of Medicare payments to hospitals are at risk. Medicare is considering holding hospitals accountable on four more measures: joint replacements, stenting, heart bypass and treatment of stroke.

    If General Motors and Toyota issue warranties for their vehicles, hospitals should have some similar obligation when a patient gets a new knee or a stent to relieve a blocked artery, Santa contends. "People go to the hospital to get their problem solved, not to have to come back," he said.

    Excessive rates of readmission are only part of the problem of high costs and uneven quality in the U.S. health care system. While some estimates put readmission rates as high as 20 percent, a congressional agency says the level of preventable readmissions is much lower. About 12 percent of Medicare beneficiaries who are hospitalized are later readmitted for a potentially preventable problem, said the Medicare Payment Advisory Commission, known as MedPAC.

    Foster, the hospital association official, said medication mix-ups account for a big share of problems. Many Medicare beneficiaries are coping with multiple chronic conditions, and it's not unusual for their medication lists to be changed in the hospital. But their doctors outside sometimes don't get the word; other times, the patients themselves don't understand there's been a change.

    Another issue is making sure patients go to their required follow-up appointments.

    Medicare deputy administrator Jonathan Blum said he thinks hospitals have gotten the message.

    "Clearly it's captured their attention," said Blum. "It's galvanized the hospital industry on ways to reduce unnecessary readmissions. It's forced more parts of the health care system to work together to ensure that patients have much smoother transitions."

    MedPAC, the congressional advisory group, has produced research findings that back up the industry's assertion that hospitals serving the poor, including major teaching facilities, are more likely to face penalties. But for now, Blum said Medicare is not inclined to grade on the curve.

    "We have really tried to address and study this issue," said Blum. "If you look at the data, there are hospitals that serve a low-income patient mix and do very well on these measures. It seems to us that hospitals that serve low-income people can control readmissions very well."

    Under Obama's health care overhaul, Medicare is pursuing efforts to try to improve quality and lower costs. They include rewarding hospitals for quality results, and encouraging hospitals, nursing homes and medical practice groups to join in "accountable care organizations." Dozens of pilot programs are under way. The jury is still out on the results.

    Source: http://news.yahoo.com/medicare-fines-over-hospitals-readmitted-084833994.html

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