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A sweeping effort to map a hospital's microorganisms has found that infectious pathogens hide in a place that's all about cleaning: the sink. Niranjan Nagarajan at the Genome Institute of Singapore and his colleagues sampled bacteria from bed rails, sinks and other sites in a Singapore hospital. Microbes that tend to grow in slimy 'biofilms' and cause hospital-acquired infections were prevalent on sink traps and faucet aerators, whereas skin-dwelling bacteria were abundant on objects, such as door knobs and bed rails, that are often touched. Frequently touched sites harboured multidrug-resistant microbes such as methicillin-resistant Staphylococcus aureus, which might persist in the hospital environment for more than eight years, the team suggested.

The problem for consumers up to now has been that the negotiated prices were unknown, or impractical to raise in court due to evidentiary rules. The general rule is that witnesses must testify to facts within their personal knowledge. Notably, if a consumer contests a medical debt collection lawsuit, someone from the hospital must testify that the price charged is reasonable and customary-an assertion that, with regard to chargemasters, involves shading the truth and is vulnerable to cross-examination.

The model, called Deep Claim, predicts both when and how much an insurance company will pay for a given claim in advance of any payment they make. It was trained with three million de-identified claims including parameters like demographic information, diagnoses, treatments, and billed amounts. Using this information, Deep Claim can not only predict the date and amount of payments with reasonable certainty, but also the likeliest reasonings for any claim denial in play.

"With each interaction, Alexa is training to hear better, to interpret more precisely, to trigger actions that map to the user's commands more accurately, and to build a more complete model of their preferences, habits and desires. What is required to make this possible? Put simply: each small moment of convenience - be it answering a question, turning on a light, or playing a song - requires a vast planetary network, fueled by the extraction of non-renewable materials, labor, and data. The scale of resources required is many magnitudes greater than the energy and labor it would take a human to operate a household appliance or flick a switch. A full accounting for these costs is almost impossible, but it is increasingly important that we grasp the scale and scope if we are to understand and govern the technical infrastructures that thread through our lives. III The Salar, the world's largest flat surface, is located in southwest Bolivia at an altitude of 3,656 meters above sea level. It is a high plateau, covered by a few meters of salt crust which are exceptionally rich in lithium, containing 50% to 70% of the world's lithium reserves. 4 The Salar, alongside the neighboring Atacama regions in Chile and Argentina, are major sites for lithium extraction. This soft, silvery metal is currently used to power mobile connected devices, as a crucial material used for the production of lithium-Ion batteries. It is known as 'grey gold.' Smartphone batteries, for example, usually have less than eight grams of this material. 5 Each Tesla car needs approximately seven kilograms of lithium for its battery pack. 6 All these batteries have a limited lifespan, and once consumed they are thrown away as waste. Amazon reminds users that they cannot open up and repair their Echo, because this will void the warranty. The Amazon Echo is wall-powered, and also has a mobile battery base. This also has a limited lifespan and then must be thrown away as waste. According to the Ay

But beyond the headline economic numbers, a multifarious and strangely invisible economic crisis metastasized: Let's call it the Great Affordability Crisis. This crisis involved not just what families earned but the other half of the ledger, too-how they spent their earnings. In one of the best decades the American economy has ever recorded, families were bled dry by landlords, hospital administrators, university bursars, and child-care centers. For millions, a roaring economy felt precarious or downright terrible.

" Fearless commentary on finance, economics, politics and power Follow yvessmith on Twitter Feedburner RSS Feed RSS Feed for Comments Subscribe via Email SUBSCRIBE Recent Items Links 3/11/17 - 03/11/2017 - Yves Smith Deutsche Bank Tries to Stay Alive - 03/11/2017 - Yves Smith John Helmer: Australian Government Trips Up Ukrainian Court Claim of MH17 as Terrorism - 03/11/2017 - Yves Smith 2:00PM Water Cooler 3/10/2017 - 03/10/2017 - Lambert Strether Why a 400-Year Program of Modernist Thinking is Exploding - 03/10/2017 - Yves Smith Links 3/10/17 - 03/10/2017 - Yves Smith Why It Will Take a Lot More Than a Smartphone to Get the Sharing Economy Started - 03/10/2017 - Yves Smith CalPERS' General Counsel Railroads Board on Fiduciary Counsel Selection - 03/10/2017 - Yves Smith Another Somalian Famine - 03/10/2017 - Yves Smith Trade now with TradeStation - Highest rated for frequent traders Why a 400-Year Program of Modernist Thinking is Exploding Posted on March 10, 2017 by Yves Smith By Lynn Parramore, Senior Research Analyst at the Institute for New Economic Thinking. Originally published at the Institute for New Economic Thinking website Across the globe, a collective freak-out spanning the whole political system is picking up steam with every new "surprise" election, rush of tormented souls across borders, and tweet from the star of America's great unreality show, Donald Trump. But what exactly is the force that seems to be pushing us towards Armageddon? Is it capitalism gone wild? Globalization? Political corruption? Techno-nightmares? Rajani Kanth, a political economist, social thinker, and poet, goes beyond any of these explanations for the answer. In his view, what's throwing most of us off kilter - whether we think of ourselves as on the left or right, capitalist or socialist -was birthed 400 years ago during the period of the Enlightenment. It's a set of assumptions, a particular way of looking at the world that pushed out previous modes o

Younger generations are blamed for the pandemic's spread, but also face the brunt of the transmission risk that comes with keeping the economy going. 6 MINUTE READ BY REBECCA RENNER PUBLISHED SEPTEMBER 17, 2020 WHEN PARAMEDICS RUSHED the pregnant Honduran woman into the emergency room, 28-year-old Chuan-Jay Jeffrey Chen stood ready to receive her. It was April, and the pandemic had already taken over his final year as an emergency medicine resident. Of all the coronavirus patients surging into Massachusetts General Hospital in Boston, this 32-year-old patient remains Chen's most memorable. The woman was so short of breath she could barely speak, so Chen would need to intubate her-a tricky procedure that requires precision as well as speed. Every moment without oxygen causes a patient's chances of survival to decline; pregnancy further complicates the scenario by making airways swollen, causing blood pressure to drop more quickly. As Chen set to work and talked her through the steps in Spanish, he also tried to calm his own nerves. "I knew I had very little margin for error," says Chen. The woman's husband had been barred from entering the building because of coronavirus restrictionsgen-z

We think government lockdowns cause substantial collateral health damage. For example, hospital admissions in the USA for emergency treatment of acute ischaemic strokes have been substantially lower in February-March, 2020, than in February-March, 2019, resulting in delayed treatment.1 Compared with a historical baseline, UK nursing homes and hospices saw an increase in the number of deaths between February and June, 2020, associated with acute coronary syndrome (a 41% increase), stroke (a 39% increase), and heart failure (a 25% increase).2

Healthcare responses to the novel coronavirus may be hastening another long looming public health threat, writes Jeremy Hsu The global threat of antimicrobial resistant bacteria and other superbugs is worsening as many patients admitted to hospital with covid-19 receive antibiotics to keep secondary bacterial infections in check.