Kenya village pairs AIDS orphans with grandparents

NYUMBANI, Kenya (AP) — There are no middle-aged people in Nyumbani. They all died years ago, before this village of hope in Kenya began. Only the young and old live here.


Nyumbani was born of the AIDS crisis. The 938 children here all saw their parents die. The 97 grandparents — eight grandfathers among them — saw their middle-aged children die. But put together, the bookend generations take care of one another.


Saturday is World AIDS Day, but the executive director of the aid group Nyumbani, which oversees the village of the same name, hates the name which is given to the day because for her the word AIDS is so freighted with doom and death. These days, it doesn't necessarily mean a death sentence. Millions live with the virus with the help of anti-retroviral drugs, or ARVs. And the village she runs is an example of that.


"AIDS is not a word that we should be using. At the beginning when we came up against HIV, it was a terminal disease and people were presenting at the last phase, which we call AIDS," said Sister Mary Owens. "There is no known limit to the lifespan now so that word AIDS should not be used. So I hate World AIDS Day, follow? Because we have moved beyond talking about AIDS, the terminal stage. None of our children are in the terminal stage."


In the village, each grandparent is charged with caring for about a dozen "grandchildren," one or two of whom will be biological family. That responsibility has been a life-changer for Janet Kitheka, who lost one daughter to AIDS in 2003. Another daughter died from cancer in 2004. A son died in a tree-cutting accident in 2006 and the 63-year-old lost two grandchildren in 2007, including one from AIDS.


"When I came here I was released from the grief because I am always busy instead of thinking about the dead," said Kitheka. "Now I am thinking about building a new house with 12 children. They are orphans. I said to myself, 'Think about the living ones now.' I'm very happy because of the children."


As she walks around Nyumbani, which is three hours' drive east of Nairobi, 73-year-old Sister Mary is greeted like a rock star by little girls in matching colorful school uniforms. Children run and play, and sleep in bunk beds inside mud-brick homes. High schoolers study carpentry or tailoring. But before 2006, this village did not exist, not until a Catholic charity petitioned the Kenyan government for land on which to house orphans.


Everyone here has been touched by HIV or AIDS. But only 80 children have HIV and thanks to anti-retroviral drugs, none of them has AIDS.


"They can dream their dreams and live a long life," Owens said.


Nyumbani relies heavily on U.S. funds but it is aiming to be self-sustaining.


The kids' bunk beds are made in the technical school's shop. A small aquaponics project is trying to grow edible fish. The mud bricks are made on site. Each grandparent has a plot of land for farming.


The biggest chunk of aid comes from the United States President's Emergency Plan for AIDS Relief (PEPFAR), which has given the village $2.5 million since 2006. A British couple gives $50,000 a year. A tree-growing project in the village begun by an American, John Noel, now stands six years from its first harvest. Some 120,000 trees have already been planted and thousands more were being planted last week.


"My wife and I got married as teenagers and started out being very poor. Lived in a trailer. And we found out what it was like to be in a situation where you can't support yourself," he said. "As an entrepreneur I looked to my enterprise skills to see what we could do to sustain the village forever, because we are in our 60s and we wanted to make sure that the thousand babies and children, all the little ones, were taken care of."


He hopes that after a decade the timber profits from the trees will make the village totally self-sustaining.


But while the future is looking brighter, the losses the orphans' suffered can resurface, particularly when class lessons are about family or medicine, said Winnie Joseph, the deputy headmaster at the village's elementary school. Kitheka says she tries to teach the kids how to love one another and how to cook and clean. But older kids sometimes will threaten to hit her after accusing her of favoring her biological grandchildren, she said.


For the most part, though, the children in Nyumbani appear to know how lucky they are, having landed in a village where they are cared for. An estimated 23.5 million people in sub-Saharan Africa have HIV as of 2011, representing 69 percent of the global HIV population, according to UNAIDS. Eastern and southern Africa are the hardest-hit regions. Millions of people — many of them parents — have died.


Kitheka noted that children just outside the village frequently go to bed hungry. And ARVs are harder to come by outside the village. The World Health Organization says about 61 percent of Kenyans with HIV are covered by ARVs across the country.


Paul Lgina, 14, contrasted the difference between life in Nyumbani, which in Swahili means simply "home," and his earlier life.


"In the village I get support. At my mother's home I did not have enough food, and I had to go to the river to fetch water," said Lina, who, like all the children in the village, has neither a mother or a father.


When Sister Mary first began caring for AIDS orphans in the early 1990s, she said her group was often told not to bother.


"At the beginning nobody knew what to do with them. In 1992 we were told these children are going to die anyway," she said. "But that wasn't our spirit. Today, kids we were told would die have graduated from high school."


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On the Internet:


http://www.trees4children.org/

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Pelosi will try to force vote to extend tax rates

House Minority Leader Nancy Pelosi (Mark Wilson/Getty Images)


WASHINGTON—House Minority Leader Nancy Pelosi will try to force a vote on the House floor to extend current tax rates for the middle class next week if Republicans do not act, the California Democrat announced on Friday.


During a press conference on Capitol Hill, Pelosi called on House Republicans, who control the chamber, to hold another floor vote on whether to extend current tax rates for individuals who earn $200,000 or less and families making $250,000 or less. If they don't, Pelosi vowed to file a "discharge petition" that would force a vote if 218 House members sign it, which is unlikely.


The bill Pelosi wants to see put to a vote is identical to a measure passed in the Democrat-controlled Senate in July that extends the rates for middle-income earners for one year. House Republicans responded by rejecting the bill and passing their own measure that extends current tax rates for all income brackets.


"We're calling upon the Republican leadership in the House to bring this legislation to the floor next week. We believe that not doing that would be holding middle-income tax cuts hostage to tax cuts for the rich. Tax cuts for the rich, which do not create jobs, just increase the deficit, keeping mountains of debt for generations," Pelosi said. "To that end ... if it is not scheduled, then on Tuesday we will introduce a discharge petition."


Discharge petitions, which allow individual members of Congress to put a bill to a vote without committee or leadership approval, are rarely successful. In this case, Pelosi would need Republican support. But when asked if any Republicans had signaled that they would sign a discharge petition to force a vote, Pelosi responded, "No."


Pelosi said she wanted the bill passed so Congress will have more time to negotiate broader tax reform in 2013.


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Myanmar cracks down on mine protest; dozens hurt

MONYWA, Myanmar (AP) — Security forces used water cannons, tear gas and smoke bombs Thursday to clear protesters from a copper mine in northwestern Myanmar, wounding villagers and Buddhist monks in the biggest use of force against demonstrators since the reformist government of President Thein Sein took office last year.

Opposition leader Aung San Suu Kyi, who arrived in the area hours later on a previously scheduled visit, said she would try to negotiate a solution.

In a statement broadcast on state television, the government initially acknowledged using the riot-control measures but denied using excessive force. In an unusual move, it later retracted the statement without explanation.

Monks and other protesters had serious burns after the crackdown at the Letpadaung mine near the town of Monywa. Protesters who oppose the mine's impact on villagers and the environment had occupied the area for 11 days.

"I didn't expect to be treated like this, as we were peacefully protesting," said Aung Myint Htway, a peanut farmer whose face and body were covered with black patches of burned skin.

The police action risks becoming a public relations and political fiasco for Thein Sein's government, which has been touting its transition to democracy after almost five decades of repressive military rule.

"This is unacceptable," said Ottama Thara, a 25-year-old monk who was at the protest. "This kind of violence should not happen under a government that says it is committed to democratic reforms."

Police moved early Thursday to disperse protesters after some heeded earlier warnings to leave.

"Around 2:30 a.m. police announced they would give us five minutes to leave," Aung Myint Htway said. He said police fired water cannons first and then shot what he and others called flare guns.

"They fired black balls that exploded into fire sparks. They shot about six times. People ran away and they followed us," he said, still writhing hours later from pain. "It's very hot."

Photos of the wounded monks showed they had sustained serious burns on parts of their bodies. It was unclear what sort of weapon caused them, or whether the burns were caused by their shelters catching fire from whatever devices police used.

The government had defended its actions in a statement issued by the government's official information office Thursday afternoon. It denied using excessive force and said it used fire hoses, tear gas and smoke bombs according to international standards for riot control. The statement declared that the authorities took action for the sake of rule of law and in the interests of the country and its people, and said the project operated in accordance with international environmental standards.

Later, however, the president's office issued a one-sentence statement recalling the information office's statement without explanation. The move may reflect sensitivities over the injuries monks suffered, or second thoughts over admitting that authorities used force.

Suu Kyi's visit to nearby Kan-Kone village had been scheduled before the crackdown. The Nobel Peace laureate, elected to parliament after spending most of the last two decades under house arrest, unexpectedly went to the mine to meet with its operators before making her speech.

"I already met one side. I met with mine operators. I want to meet with villagers and protesters," she said. "I want to negotiate hearing from both sides."

She asked the crowd to be patient. "I haven't made any decision yet. I want to meet with both sides and negotiate," she said in a speech that lasted less than 15 minutes. "Will you agree with my negotiating?" The crowd shouted its assent.

Some of Suu Kyi's comments suggested that she may not fully embrace the tactics of the protesters. "When dealing with people, I don't always follow what people like. I only tell the truth," she said. "I will work for the long-term benefit of the country."

After her speech she went to the hospital where many of the injured were being treated, and met with protest leaders at the hotel in Monywa where she is staying. Thwe Thwe Win, a female protest leader, said afterward: "We will wait for Aung San Suu Kyi to negotiate with the companies. But we will not stop the protest until we achieve our demands, though I cannot tell you how we will proceed at this point."

Ohn Kyaing, a spokesman for Suu Kyi's National League for Democracy party, said she told the mine's executives that force should not have been used. He said the executives said they did not direct the action, and that it had been the work of the state security forces. Ohn Kyaing said Suu Kyi on Friday would meet with officials in charge of the crackdown, as well as local villagers and their representatives.

Villagers affected by the mine claim they did not receive satisfactory compensation and demand a more comprehensive environmental impact assessment.

The mine, which is being expanded, is a joint venture between a Chinese company and a holding company controlled by Myanmar's military.

Most people remain suspicious of the military, while China is widely seen as having propped up army rule for years, in addition to being an aggressive investor exploiting the country's many natural resources.

Government officials had publicly stated that the protest risked scaring off foreign investment that is key to rebuilding the economy after decades of neglect.

State television had broadcast an announcement Tuesday night that ordered protesters to cease their occupation of the mine by midnight or face legal action. It said the protesters began occupying the mine area Nov. 18, and operations had been halted since then.

Some villagers among a claimed 1,000 protesters left the mine after the order was issued. But others stayed through Wednesday, including about 100 monks.

The protesters' concerns about the mine do not yet appear to be widely shared by the broader public. But hurting monks — as admired for their social activism as they are revered for their spiritual beliefs — is sure to antagonize many.

Aung Myint Htway said he didn't care that police treated him badly but added, "I won't forgive them for what they did to our monks."

According to a nurse at a Monywa hospital, 27 monks and one other person were admitted with burns caused by some sort of projectile that released sparks or embers. Two monks with serious injuries were sent for treatment in Mandalay, Myanmar's second-biggest city, a 2½ hour drive away.

Other evicted protesters gathered at a Buddhist temple about 5 kilometers (3 miles) from the mine's gates.

The protest is the latest major example of increased activism by citizens since the elected government took over last year. Street demonstrations have been legalized, and are generally tolerated, though detentions have occurred in some cases involving sensitive issues.

Political and economic liberalization under Thein Sein has won praise from Western governments, which have eased sanctions imposed on the previous military government because of its poor record on human and civil rights.

However, the military still retains major influence over the government, and some critics fear that democratic gains could be rolled back.

The government's surprise suspension last year of a Chinese-backed hydroelectric project, in response to similar concerns about social and economic consequences, was seen as a significant indicator of its commitment to democratic reform. But China was unhappy about the decision, and Thein Sein's ministers have warned about offending Myanmar's big neighbor to the north and scaring off other foreign investors.

China's foreign ministry defended the mining venture Thursday as mutually beneficial and said that environmental remediation and compensation to relocate affected residents all conformed to Myanmar law.

Like many throughout the country, villagers near the project are keen to have Suu Kyi involved.

"We feel really encouraged when we heard Mother Suu is coming," said Sartone village resident Thein Thein, using a popular familiar term for Suu Kyi. "She's our only hope."

Suu Kyi, however, recently told Myanmar reporters that not everything should be resolved through demonstrations, and sometimes it is better to use negotiations.

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Attorney expects Lohan will be cleared in NYC case

LOS ANGELES (AP) — Lindsay Lohan was charged Thursday with crimes in New York and Los Angeles, marking her latest setbacks as she tries to revive her career and avoid a return to jail.

Prosecutors in Santa Monica charged Lohan with three misdemeanors related to a June accident. Hours earlier, the actress was arrested and charged with third-degree assault, also a misdemeanor, after a woman was punched in a New York City nightclub.

The California charges came about six months after Lohan's Porsche crashed into the back of a dump truck. She told police her assistant was driving, but detectives now believe the actress was behind the wheel as she headed to a movie set.

In that case, Lohan, 26, was charged with lying to police, reckless driving and obstructing a police officer from performing duties.

Lohan's California attorney, Shawn Holley, did not return messages seeking comment.

In New York, her attorney Mark Heller said he expects the assault charge to be dismissed.

"Once again, Lindsay Lohan is a victim of someone trying to capture their 15 minutes of fame," Heller wrote in a statement. "From my initial investigation, I am completely confident that this case will be concluded favorably and that Lindsay will be totally exonerated."

The California charges could trigger another probation violation for Lohan, who was ordered to stay out of trouble when she was released from supervised probation in March after being convicted of the misdemeanor theft of a necklace and two DUI charges.

Since then she has been arrested twice in New York, crashed her car on Pacific Coast Highway, been treated by paramedics in her hotel room, and gotten in an argument with her mother that prompted a 911 call.

None of the events are likely what the clearly relieved actress anticipated in March when she thanked Superior Court Judge Stephanie Sautner, who warned the actress that she could face up to 245 days in jail if she violated her probation again.

"You need to live your life in a more mature way, stop the nightclubbing and focus on your work," Sautner said.

In recent years, Lohan has been sentenced to the Los Angeles-area women's jail five times. Most of her stays have been short due to overcrowding, and she was allowed to serve 35 days on house arrest in 2011.

Lately, Lohan has been filming two movies and doing a cameo in the latest installment of the "Scary Movie" franchise. The first film, "Liz & Dick," premiered Sunday night on Lifetime to mostly negative reviews.

She was on her way to shoot scenes for "Liz & Dick" in June when her Porsche crashed into the dump truck and the actress was briefly hospitalized. A week later, paramedics were summoned to her hotel room. Her then-publicist Steve Honig attributed the health scare to exhaustion and dehydration.

Lohan relocated to New York after finishing her work on "Liz and Dick" and a Bret Easton Ellis film titled "The Canyons" was complete.

Her arrest at 4 a.m. EST Thursday was the latest by New York police since September, when a man accused her of hitting him with her car. Prosecutors did not pursue charges.

The following month, police were called to Lohan's childhood home on Long Island after a report of a fight between her and her mother. An investigation revealed what authorities called "no criminality."

On Thursday, police said Lohan got into a spat with a woman at Club Avenue in the Chelsea area of Manhattan. The woman was punched in the face and did not require medical attention, authorities said.

It remains unclear when Lohan will return to Los Angeles. No court date was announced for the crash-related charges.

People charged with misdemeanors in California can generally avoid court appearances if they have an attorney, but Lohan would have to be present for a probation violation hearing.

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Associated Press Writer Ula Ilnytzky in New York contributed to this report.

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Anthony McCartney can be reached at http://twitter.com/mccartneyAP

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Clinton releases road map for AIDS-free generation

WASHINGTON (AP) — In an ambitious road map for slashing the global spread of AIDS, the Obama administration says treating people sooner and more rapid expansion of other proven tools could help even the hardest-hit countries begin turning the tide of the epidemic over the next three to five years.

"An AIDS-free generation is not just a rallying cry — it is a goal that is within our reach," Secretary of State Hillary Rodham Clinton, who ordered the blueprint, said in the report.

"Make no mistake about it, HIV may well be with us into the future but the disease that it causes need not be," she said at the State Department Thursday.

President Barack Obama echoed that promise.

"We stand at a tipping point in the fight against HIV/AIDS, and working together, we can realize our historic opportunity to bring that fight to an end," Obama said in a proclamation to mark World AIDS Day on Saturday.

Some 34 million people worldwide are living with HIV, and despite a decline in new infections over the last decade, 2.5 million people were infected last year.

Given those staggering figures, what does an AIDS-free generation mean? That virtually no babies are born infected, young people have a much lower risk than today of becoming infected, and that people who already have HIV would receive life-saving treatment.

That last step is key: Treating people early in their infection, before they get sick, not only helps them survive but also dramatically cuts the chances that they'll infect others. Yet only about 8 million HIV patients in developing countries are getting treatment. The United Nations aims to have 15 million treated by 2015.

Other important steps include: Treating more pregnant women, and keeping them on treatment after their babies are born; increasing male circumcision to lower men's risk of heterosexual infection; increasing access to both male and female condoms; and more HIV testing.

The world spent $16.8 billion fighting AIDS in poor countries last year. The U.S. government is the leading donor, spending about $5.6 billion.

Thursday's report from PEPFAR, the President's Emergency Plan for AIDS Relief, outlines how progress could continue at current spending levels — something far from certain as Congress and Obama struggle to avert looming budget cuts at year's end — or how faster progress is possible with stepped-up commitments from hard-hit countries themselves.

Clinton warned Thursday that the U.S. must continue doing its share: "In the fight against HIV/AIDS, failure to live up to our commitments isn't just disappointing, it's deadly."

The report highlighted Zambia, which already is seeing some declines in new cases of HIV. It will have to treat only about 145,000 more patients over the next four years to meet its share of the U.N. goal, a move that could prevent more than 126,000 new infections in that same time period. But if Zambia could go further and treat nearly 198,000 more people, the benefit would be even greater — 179,000 new infections prevented, the report estimates.

In contrast, if Zambia had to stick with 2011 levels of HIV prevention, new infections could level off or even rise again over the next four years, the report found.

Advocacy groups said the blueprint offers a much-needed set of practical steps to achieve an AIDS-free generation — and makes clear that maintaining momentum is crucial despite economic difficulties here and abroad.

"The blueprint lays out the stark choices we have: To stick with the baseline and see an epidemic flatline or grow, or ramp up" to continue progress, said Chris Collins of amFAR, the Foundation for AIDS Research.

His group has estimated that more than 276,000 people would miss out on HIV treatment if U.S. dollars for the global AIDS fight are part of across-the-board spending cuts set to begin in January.

Thursday's report also urges targeting the populations at highest risk, including gay men, injecting drug users and sex workers, especially in countries where stigma and discrimination has denied them access to HIV prevention services.

"We have to go where the virus is," Clinton said.

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U.N. recognizes state of Palestine

UNITED NATIONS (AP) — The U.N. General Assembly has voted by a more than two-thirds majority to recognize the state of Palestine.

The resolution upgrading the Palestinians' status to a nonmember observer state at the United Nations was approved by the 193-member world body late Thursday by a vote of 138-9 with 41 abstentions.

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Rapper PSY wants Tom Cruise to go 'Gangnam Style'

BANGKOK (AP) — The South Korean rapper behind YouTube's most-viewed video ever has set what might be a "Mission: Impossible" for himself.

Asked which celebrity he would like to see go "Gangnam Style," the singer PSY told The Associated Press: "Tom Cruise!"

Surrounded by screaming fans, he then chuckled at the idea of the American movie star doing his now famous horse-riding dance.

PSY's comments Wednesday in Bangkok were his first public remarks since his viral smash video — with 838 million views — surpassed Justin Bieber's "Baby," which until Saturday held the record with 803 million views.

"It's amazing," PSY told a news conference, saying he never set out to become an international star. "I made this video just for Korea, actually. And when I released this song — wow."

The video has spawned hundreds of parodies and tribute videos and earned him a spotlight alongside a variety of superstars.

Earlier this month, Madonna invited PSY onstage and they danced to his song at one of her New York City concerts. MC Hammer introduced the Korean star at the American Music Awards as, "My Homeboy PSY!"

Even President Barack Obama is talking about him. Asked on Election Day if he could do the dance, Obama replied: "I think I can do that move," but then concluded he might "do it privately for Michelle," the first lady.

PSY was in Thailand to give a free concert Wednesday night organized as a tribute to the country's revered King Bhumibol Adulyadej, who turns 85 next month. He paid respects to the king at a Bangkok shopping mall, signing his name in an autograph book placed beside a giant poster of the king. He then gave an outdoor press conference, as screaming fans nearby performed the pop star's dance.

Determined not to be a one-hit wonder, PSY said he plans to release a worldwide album in March with dance moves that he thinks his international fans will like.

"I think I have plenty of dance moves left," he said, in his trademark sunglasses and dark suit. "But I'm really concerned about the (next) music video."

"How can I beat 'Gangnam Style'?" he asked, smiling. "How can I beat 850 million views?"

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Associated Press writer Thanyarat Doksone contributed to this report.

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Microsoft CEO defends its innovation record, financial results












BELLEVUE, Washington (Reuters) – Microsoft Corp Chief Executive Steve Ballmer defended his company’s record on innovation and financial performance at the annual shareholders’ meeting, but conceded that he should have moved faster to get into the booming tablet market dominated by Apple Inc‘s iPad.


Bill Gates, co-founder and now chairman of the world’s largest software company, was one of the first to champion tablet-sized devices more than 10 years ago, but Microsoft failed to come up with a product that worked as well as the iPad. Gates was silent throughout the meeting, attended by about 450 shareholders.












“We’re innovating on the seam between software and hardware,” said Ballmer, asked why his company had fallen behind rival Apple. “Maybe we should have done that earlier.”


A month ago, Microsoft launched the Surface tablet – its first own-brand computer – but has not revealed sales figures.


In the tablet market, “we see nothing but a sea of upside,” Ballmer said, an acknowledgement that until now Microsoft has effectively had zero presence in the tablet market.


“I feel pretty good about our level of innovation,” he added.


Ballmer said smartphones running Microsoft’s new Windows software were selling four times as much as they did at this time last year. Microsoft has never given sales numbers of Windows phones, primarily made by Nokia, Samsung and HTC.


Windows currently has 2 to 4 percent of the global smartphone market, according to various independent data providers. Its overall market share will not likely grow in proportion to its own sales, given that sales of other smartphones – mostly running Google’s Android system – are also growing quickly.


Ballmer, flanked by Gates and Chief Financial Officer Peter Klein, was asked by several shareholders to explain Microsoft’s lackluster share price, which has been stuck for a decade, and has been outperformed by Apple and Google Inc stock in recent years.


“I understand your comment,” he told one shareholder. He went on to explain that Microsoft had “done a phenomenal job of driving product volumes” and was focusing on profiting from that growth.


He suggested that whether investors recognized that value at any given time was out of his hands.


“The stock market‘s kind of a funny thing,” he said, adding that Microsoft had handed back $ 10 billion in dividends and share buybacks to investors in the last fiscal year.


Several shareholders at the meeting in Bellevue, an upscale suburb of Seattle, complimented the executives on how they had grown and managed the company.


Microsoft’s shares rose almost 18 percent during fiscal 2012, which ended in June of this year, compared with a 3 percent rise in the Standard & Poor’s 500.


Despite such fluctuations, Microsoft’s shares stand around the same level they did 10 years ago.


To see a graphic on U.S. tech share price performance, 1990 to present, click on http://link.reuters.com/rug53t


(Reporting by Bill Rigby; Editing by Gary Hill)


Wireless News Headlines – Yahoo! News


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Oh, Yoko! Ono's fashion line gropes for Lennon

NEW YORK (AP) — You remember that Beatles classic "I Wanna Hold Your Hand"? Turns out Yoko Ono had other things in mind.

Ono's new menswear collection inspired by John Lennon includes pants with large handprints on the crotch, tank tops with nipple cutouts and even a flashing LED bra.

The collection of menswear for Opening Ceremony is based on a series of drawings she sketched as a gift for Lennon for their wedding day in 1969. Ono said she the illustrations were designs for clothing and accessories to celebrate Lennon's "hot bod."

Also in the collection are a "butt hoodie" with an outline suggesting its name, pants with cutouts at the behind, a jock strap with an LED light, open-toed boots and a transparent chest plaque with bells and a leather neck strap.

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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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