Baxter in talks to buy Gambro for about $4 billion

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(Reuters) – Baxter International Inc is in talks to buy Swedish medical-equipment maker Gambro for about $ 4 billion, according to a source familiar with the situation.


A deal is seen in the next 2 to 3 weeks but has not been finalized yet, so it could still fall apart, the source said on Friday.












Baxter and Gambro could not be reached for comment.


Gambro is owned by two Nordic private-equity firms. Investor AB, which owns 49 percent, declined to comment; EQT, which owns 51 percent, was not immediately available.


Baxter, based in suburban Chicago, manufactures kidney dialysis equipment, drug infusion pumps and blood therapy products. Acquiring Gambro would boost Baxter’s renal business, which currently generates almost one-fifth of Baxter’s revenue.


Baxter’s dialysis machines perform a form of dialysis called peritoneal, which can be performed at home. Gambro is one of the largest makers of equipment for hemodialysis, which is generally performed in a hospital or clinic.


Baxter posted sales of $ 13.89 billion in 2011. It had $ 3.19 billion in cash at the end of the third quarter.


(Reporting By Debra Sherman in Chicago, Paritosh Bansal in New York and Sven Nordenstam in Stockholm; Editing by Gerald E. McCormick, John Wallace and Kenneth Barry)


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Powerful gas explosion levels Mass. buildings; at least 18 hurt

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SPRINGFIELD, Mass. (AP) — A natural gas explosion in one of New England's biggest cities on Friday destroyed two buildings, including one housing a strip club, and damaged others beyond repair but didn't kill anyone, authorities said.

Firefighters, police officers and gas company workers in the area because of an earlier gas leak and odor report were among more than a dozen people injured, authorities said.

"This is a miracle on Worthington Street that no one was killed," Lt. Gov. Tim Murray said at a press conference.

The explosion in a downtown area of Springfield, 90 miles west of Boston, blew out all windows in a three-block radius, leaving three more buildings irreparably damaged and prompting emergency workers to evacuate a six-story apartment building that was buckling.

Police Sgt. John Delaney marveled at the destruction at the blast's epicenter, where a multistory building was leveled.

"It looks like there was a missile strike here," he said.

Officials at two nearby hospitals said at least 18 victims were transported there with injuries but none was critical.

Firefighters responded to the scene at 4:20 p.m. and were investigating the gas leak when the blast happened shortly after 5 p.m. The cause of the explosion hadn't been identified but was under investigation, they said.

Springfield, which has about 150,000 residents, is the largest city in western Massachusetts. It's known as the home of the Basketball Hall of Fame, which is not in the vicinity of the blast.

The explosion, in an area of downtown Springfield with commercial properties and residences, destroyed a building that housed a Scores Gentlemen's Club.

Area resident Wayne Davis said he felt his apartment building shake a block away.

"I was laying down in bed, and I started feeling the building shaking and creaking," he said.

The Navy veteran said the boom from the explosion was louder than anything he'd ever heard, including the sound of a jet landing on an aircraft carrier.

The blast was so loud it was heard for miles around. Video from WWLP-TV showed the moment of the explosion, with smoke billowing into the air above the neighborhood.

Mayor Domenic Sarno said it was through "God's mercy" that nobody had been reported killed in the explosion.

"My thoughts and prayers are with the individuals that have been injured and the people who have been displaced," he said, adding that emergency shelter was being set up for those unable to go home.

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Associated Press writers Bridget Murphy and Bob Salsberg in Boston contributed to this story.

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Former Ivory Coast leader’s wife wanted by ICC

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THE HAGUE, Netherlands (AP) — The International Criminal Court unsealed an indictment Thursday against former Ivory Coast President Laurent Gbagbo‘s wife on charges including murder, rape and persecution. It was the first time in the court’s 10-year history it has charged a woman.


The world’s first permanent war crimes tribunal said the arrest warrant was issued on Feb. 29 for former first lady Simone Gbagbo for crimes against humanity.













Her husband, Laurent Gbagbo, is already in custody at the court’s detention unit in The Hague facing similar charges stemming from his fight to retain power after losing a 2010 presidential election. If his wife is extradited, they could face justice together in an unprecedented husband-wife trial.


But a senior member of Ivory Coast President Alassane Ouattara‘s government, who requested anonymity because he wasn’t authorized to speak to the media, said Ivory Coast has already informed the ICC that the nation will not let her go.


“We informed them of this a long time ago,” he said.


The court’s chief prosecutor, Fatou Bensouda, urged Ivory Coast to extradite Gbagbo.


“The type of crimes committed in the aftermath of the 2010 elections did not happen by chance — they were planned and coordinated at the highest political and military levels and all those bearing the greatest responsibility must be held to account,” Bensouda said in a statement.


She said prosecutors continue to investigate crimes committed by both sides in Ivory Coast’s bloody power struggle and expect to issue further arrest warrants in the future.


“The investigations are objective, impartial and independent, and are conducted in strict accordance with the law,” she said.


Ivory Coast officials are holding the 63 year old under house arrest in the northwest town of Odienne. Last week, Ivorian prosecutor Noel Dje Enrike Yahau said lawyers had questioned Simone Gbagbo there for two days and that the domestic charges against her remained the same: genocide, blood crimes and economic crimes.


Unsealing the ICC arrest warrant issued nearly nine months ago appears to be a tactic by the court to put pressure on Ouattara’s administration to hand over Ms. Gbagbo.


If authorities in Ivory Coast want to prosecute her, they have to convince judges at The Hague tribunal that their case involves the same crimes she is charged with at the ICC. It is a court of last resort, meaning it only takes cases from countries unwilling or unable to prosecute them.


The international court said in the warrant that there is evidence pro-Gbagbo forces deliberately attacked perceived supporters of Ouattara in the aftermath of the election.


Judges who reviewed evidence supporting the charges against Ms. Gbagbo said they found “there are reasonable grounds to believe that Ms. Gbagbo bears individual criminal responsibility for the crimes … as ‘an indirect co-perpetrator.’”


The warrant called Gbagbo an “alter ego for her husband” with the power to make state decisions. It said there is evidence to suggest she “instructed the pro-Gbagbo forces to commit crimes against individuals who posed a threat to her husband’s power.”


Her husband was the first former head of state to be taken into custody by the court when he was extradited to The Hague by the Ivory Coast government last year.


Prosecutors say about 3,000 people died in violence by both sides after Gbagbo refused to concede defeat following the election. Ouattara finally took power in April 2011 with the help of French and U.N. forces.


Ivory Coast is not a member state of the court, but has voluntarily accepted its jurisdiction.


It is very rare for a woman to be charged by an international war crimes court. In the past, the Yugoslav war crimes tribunal convicted former Bosnian Serb President Biljana Plavsic of persecution and sentenced her to 11 years imprisonment.


The announcement of the arrest warrant and Ivory Coast’s refusal to hand over Gbagbo appeared likely to raise tensions between supporters of her husband and those who back Ouattara.


Moussa Toure Zeguen, a leader of the Gbagbo allies in exile in Ghana, said by phone from Accra that the former president’s supporters had no faith in the Ivorian authorities to give Simone Gbagbo a fair trial.


“We don’t trust them. The only thing that Ouattara is doing is revenge,” Zeguen said. “He wants to try us without trying any of the fighters from his side who also committed crimes. It is not fair, and this cannot bring reconciliation.”


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Associated Press writers Rukmini Callimachi in Dakar, Senegal, and Robbie Corey-Boulet in Abidjan, Ivory Coast, contributed to this report.


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Ex-’Price is Right’ model gets $8.5M in damages

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LOS ANGELES (AP) — The producers of “The Price is Right” owe a former model on the show more than $ 7.7 million in punitive damages for discriminating against her after a pregnancy, a jury determined Wednesday.


The judgment came one day after the panel determined the game show’s producers discriminated against Brandi Cochran. They awarded her nearly $ 777,000 in actual damages.













Cochran, 41, said she was rejected when she tried to return to work in early 2010 after taking maternity leave. The jury agreed and determined that FremantleMedia North America and The Price is Right Productions owed her more than $ 8.5 million in all.


“I’m humbled. I’m shocked,” Cochran said after the jury announced its verdict. “I’m happy that justice was served today not only for women in the entertainment industry, but women in the workplace.”


FremantleMedia said it was standing by its previous statement, which said it expected to be “fully vindicated” after an appeal.


“We believe the verdict in this case was the result of a flawed process in which the court, among other things, refused to allow the jury to hear and consider that 40 percent of our models have been pregnant,” and further “important” evidence, FremantleMedia said.


In their defense, producers said they were satisfied with the five models working on the show at the time Cochran sought to return.


Several other former models have sued the series and its longtime host, Bob Barker, who retired in 2007.


Most of the cases involving “Barker’s Beauties” — the nickname given the gown-wearing women who presented prizes to contestants — ended with out-of-court settlements.


Comedian-actor Drew Carey followed Barker as the show’s host.


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


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Do drunks have to go to the ER?

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NEW YORK (Reuters Health) – With the help of a checklist, ambulance workers may be able to safely reroute drunk patients to detoxification centers instead of emergency rooms, according to a new study.


Researchers in Colorado found no serious medical problems were reported after 138 people were sent to a detox center to sleep it off, instead of to an ER.













In 2004, according to the researchers, it’s estimated that 0.6 percent of all U.S. ER visits were made by people without any problems other than being drunk. Those visits ended up costing about $ 900 million.


“Part of the issue has been – as it is in many busy ER departments – there’s a lot of chronic alcoholics that are brought in by ambulance, police or just come in. Often they are brought in because they have not committed a crime or there is limited space in our detoxification center. So the majority were brought to the ER department,” said Dr. David Ross, the study’s lead author from Penrose-St. Francis Health Services in Colorado Springs.


Ross said the ambulance company where he serves as medical director created the checklist with the help of the local detox center, which provided limited medical care by a nurse, and the local hospitals to reduce the number of drunks without medical needs being sent to the local ERs.


They created a checklist with 29 yes-or-no questions, such as whether the patient is cooperating with the ambulance worker’s examination and if the patient is willing to go to the detox center.


The patient was sent to the ER if the ambulance worker checked “no” on any question.


The researchers then went back to look at the patients they transported between December 2003 and December 2005 to see whether or not any of them ended up having serious medical problems at the detox center.


During that two year period, the ambulance workers transported 718 drunks. The detox center received 138 and the local ERs got 580.


Overall, 11 of the patients who were taken to detox were turned away because there was no room, their blood alcohol level exceeded the limit, their family came to pick them up or they were combative.


Another four patients at the detox center were taken to the ER because of minor complications, including chest and knee pain. However, there were no serious complications reported.


“We really believe that we did not miss anybody with a serious illness and injury that didn’t go to the ER as they should have,” said Ross.


But the researchers write in the Annals of Emergency Medicine that their study did have some limitations.


Specifically, the researchers did not plan in advance to do a study when they were creating the checklist, which means their findings are limited to whatever information was collected at the detox center and ERs.


Also, the number of people who were sent to the detox center in their study is relatively small, so it’s hard to tell how many serious complications they’d see among a larger group of people.


“We tried to estimate how likely we would have been to encounter a serious event… We estimated at most we’d encounter three serious adverse events (in 748 patients),” Ross told Reuters Health.


SOURCE: http://bit.ly/QgPCT5 Annals of Emergency Medicine, online November 9, 2012.


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Thanksgiving Day parade offers respite for storm victims

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Some of the very same Republicans who have spent the last two weeks bashing Mitt Romney were, indeed, sucking up to him at a massive rally the Friday before the election — even angling for jobs in the Romney administration — a Romney adviser complains. At a rally with 100 Romney surrogates in West Chester, Ohio, Romney aide Dan Senor revealed on MSNBC Wednesday, the Romney bashers were Romney fawners. "I’m backstage with some of them, I won’t mention their names, but they’re talking about Romney like he’s Reagan," Senor said. ...
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Ivory Coast: New prime minister named

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ABIDJAN, Ivory Coast (AP) — President Alassane Ouattara has tapped Foreign Minister Daniel Kablan Duncan to serve as prime minister in a new government one week after the surprise dissolution of cabinet.


The appointment of Duncan, a member of the PDCI party of former President Henri Konan Bedie, was announced at a press conference Wednesday by Amadou Gon Coulibaly, general secretary of the presidency.













Ouattara dissolved the cabinet last week over a feud between his political party and the PDCI over proposed changes to the country’s marriage law.


The PDCI supported Ouattara in the November 2010 runoff election in exchange for the prime minister’s post, helping him defeat incumbent President Laurent Gbagbo. Gbagbo’s refusal to cede office led to five months of violence that claimed at least 3,000 lives before Ouattara’s forces won.


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Exclusive: TV networks start seven-day ratings push with advertisers

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LOS ANGELES (Reuters) – U.S. television broadcast networks are taking the first steps to persuade advertisers to pay for commercial viewership that occurs up to seven days after a program airs, a shift that would provide a new revenue stream to help combat ratings erosion.


The networks argue that the rising popularity of digital video recorders is pushing a sizeable number of viewers to delay watching their favorite programs beyond the first three days, the time period most often used for calculating ad payments.













Some advertisers are ready to make the move to a seven-day metric. One of the big four networks, Walt Disney Co’s ABC, earlier this year reached deals with some sponsors that bring in payments for eyeballs counted between days four and seven.


The other broadcasters have begun talks with advertisers and hope to convince them to switch to the longer window in time for the “upfront” selling season that starts early next year, when billions of dollars in ad commitments will be made, according to people familiar with the discussions.


Since 2007, most TV ad time has been bought and sold based on “C3,” a ratings measurement based of the average number of commercial minutes watched during a program either live or within three days of its airing.


TV networks want advertisers to shift to “C7,” which captures commercials watched within seven days.


Advertisers hesitate to pay for the added days, particularly for time-sensitive ads pitching a department store’s one-day sale or the opening of a summer movie blockbuster. Media buyers are pushing for precise measurements of each commercial viewed, rather than an average for an entire program, as well as a tabulation of how many people are watching on mobile devices.


The debate intensified after Nielsen data showed a sharp decline in three-day viewing at the start of the fall TV season compared with last year.


The drop is partly due to “the greater penetration of DVRs and the greater usage of DVRs, which clearly have shifted the rating in the direction of C3, and ultimately, hopefully, C7,” Disney CEO Bob Iger told analysts on a November 8 conference call.


Most viewing of network prime time shows still takes place within three days. But the post-three day viewers are growing and can be significant. Ratings for ABC comedy hit “Modern Family” increased by 5 percent, to 6.5 million viewers age 18 to 49 viewers, when counted by the C7 measurement instead of C3.


The later viewers also are among the most-coveted by advertisers, according to ABC research, which showed people who watched a show after three days were more highly educated and had higher incomes. For days four through seven, “the people who are doing the viewing are some of the most desirable available from an advertiser’s perspective,” said Charles Kennedy, senior vice president of research for ABC and the ABC Family cable network.


Earlier this year, ABC made deals with some sponsors to pay for ad time based on C7 numbers, ABC spokesman Kevin Brockman said. “We expect to do more of them if they make sense for us and our clients,” Brockman said.


At CBS, the flagship network of CBS Corp, CEO Leslie Moonves has been outspoken in pressing for a C7 metric and said it “represents a significant opportunity for us that is still in the very early stages.”


“As we move forward, we will make it a priority to get paid for all of the viewing that is going on across our shows, including DVR viewing beyond C3,” Moonves told analysts on a November 7 conference call.


Advertisers are not ready to commit to the switch and will be looking for something in return if they agree to a longer window. Timing is a big concern for many brands that want to get a message out to large numbers of consumers during a specific time period. Some commercials lose their value for sponsors over a few days.


“In moving to C7, you’ve got to be careful because you are taking away some of the advantage of why clients buy television,” said Sam Armando, director of strategic intelligence for SMGx, a division of media buying agency Starcom MediaVest Group.


Advertisers believe simply adding more days to the current metric fails to adequately capture viewership. Brands are lobbying for a more precise measurement that tracks viewership of each commercial, rather than an average for a program over a time period, they say. They also want information on how many people see their ads on programs watched on computers or Internet-connected mobile devices like phones and tablets.


“If the industry is going to make a move, we need to consider it all before we just make a little baby step to C7,” Armando said.


(Reporting By Lisa Richwine; Edited by Ronald Grover and Andrew Hay)


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“Man of Steel” Trailer to Play Before “The Hobbit”

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LOS ANGELES (TheWrap.com) – Director Zack Snyder has told MTV News that a trailer for “Man of Steel” will play before “The Hobbit: An Unexpected Journey,” when it opens on December 14.


“It’s fun. I can’t wait for ‘The Hobbit,’ so it will be fun to see our crazy ‘Man of Steel’ trailer and then enjoy ‘The Hobbit’ because tat’s going to be great,” Snyder told the network.













A teaser trailer for the feature was released earlier this year. “Man of Steel” opens on June 14, 2013.


Both films are distributed by Warner Bros., which declined to comment.


Earlier this month, it was announced that nine minutes of the “Star Trek” sequel “Star Trek Into Darkness” would be shown in 500 select theaters before the IMAX version of “The Hobbit.”


Russell Crowe stars in “Man of Steel.”


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Injection Site Infections Join Meningitis, Joint Infections from Tainted Drugs

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As if the more than 14,000 people who were potentially exposed to tainted injectable drugs through back or joint injections don’t have enough on their plate, public health officials announced Nov. 20 that they are seeing an increase in serious injection site infections. These injection site infections have been reported both in individuals who have fungal meningitis or peripheral joint infections and in individuals who had neither of the illnesses.


CDC Issues Public Health Advisory













The U.S. Centers for Disease Control and Prevention, working closely with state public health officials whose residents may have been exposed to the tainted drugs produced and distributed by the New England Compounding Center, NECC, issued a health alert on Tuesday. In addition to updated information about the fungal meningitis outbreak of 2012, the alert also explains that since Nov. 4, 61 people have been reported to have spinal or paraspinal epidural abscesses or osteomyelitis, two people had injection site infections in joints other than the spine, and an additional two individuals had these infections along with meningitis.


Those Who Received Potentially Contaminated Injections Receive New Information


USAToday.com reported that Dr. Marion Kainer , director of health care-related infections with the Tennessee Health Department and one of two doctors credited with solving the initial mystery cause of the fungal meningitis outbreak, is cautioning people who’ve received the potentially contaminated injections between May 10 and Sept. 26 not to rush to hospital emergency rooms. While it’s important such people be aware of the symptoms of injection site infections, the infections themselves develop more slowly than meningitis and are not cause for panic.


Symptoms of Injection Site Infections


One of the difficulties in recognizing the symptoms of injection site infections to the spinal area in the affected individuals is the fact that back pain is one of the principal symptoms. The people who received the outpatient injections were doing so due to chronic back pain. A change in the intensity of the pain may be difficult for the individual to notice, or even for the health care provider to discern.


Other symptoms to be alert for include changes in bowel or bladder habits; if these are noted, your health care provider should be immediately notified.


There may be no outward visible signs of the injection site infections, but a feeling of swelling under the skin or increased warmth or redness of the injection site should also be reported.


CDC Advises Health Care Providers to Order MRIs


The CDC advised health care providers to order magnetic resonance imaging, MRI, with contrast on anyone potentially exposed to the tainted injectable drugs if that person experiences any new or worsening symptoms of pain or discomfort to the back.


If injection site infection is diagnosed, health care providers are encouraged to consult early with a neurosurgeon to develop an appropriate treatment plan.


Most Recent Updates on Meningitis Outbreak Statistics


The good news is that the rate at which new cases of meningitis are being reported has been decreasing. The current case count is 490 with 34 deaths having occurred, according to the CDC . Michigan, with 164 cases reported, and Tennessee, with 82 cases reported, have the highest case counts of the 19 states involved in the fungal meningitis outbreak.


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