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Rieder: Manning ruling bad news for journalists
It's a classic case of government overkill.
In its overzealous pursuit of those who leak classified information, the Obama administration went way too far when it charged Army Pfc. Bradley Manning with "aiding the enemy," an Espionage Act provision generally reserved for spies, traitors who conspire and collaborate with America's foes.
And on Thursday, unfortunately, a way-too-literal military judge refused to throw out the charge. That's bad news for journalists and the American public as well as Manning.
Admittedly, the allegation is exceedingly broad. It applies to '"any person who aids, or attempts to aid, the enemy with arms, ammunition, supplies, money, or other things; or without proper authority, knowingly harbors or protects or gives intelligence to, or communicates or corresponds with or holds any intercourse with the enemy, either directly or indirectly."
RIEDER:Twitter does far more good than bad
No one says that Manning was palling around with terrorists. But I guess Judge Denise Lind, an Army colonel, takes that word "indirectly" pretty seriously. Here's her reasoning: Manning, who worked on intelligence reports, had to know that terrorists are well aware of this thing called the Internet. So when he dumped his massive trove of documents on WikiLeaks, he must have realized that they would fall into the hands of evildoers. In fact, prosecutors say that Osama bin Laden read some of the material.
It's not hard to see how such an interpretation of the law would have that dreaded chilling effect. Stretched far enough, that means anyone in the military who leaks anything is just as nefarious as a regular Aldrich Ames or Robert Hanssen. And the leaker, no matter how noble his or her motives, would face the death penalty. You've got to be seriously upset by some aspect of government malfeasance to be willing to die to expose it. (In the Manning case, the government is seeking a life sentence without parole rather than death.)
"This ruling has far-reaching implications," Elizabeth Goitein co-director of the, Liberty & National Security Program at the Brennan Center for Justice, said in a statement. "You don't need specialized intelligence training to know that terrorists use the Internet. By this logic, any military officer who discloses information to the media or posts it on the Internet could be charged with aiding the enemy. That's not consistent with the purpose of the law, and it could have a dramatic, chilling effect on would-be whistleblowers."
I agree that Manning went too far in his indiscriminate release of documents regarding everything from Iraq to Afghanistan to Guantanamo. It was the largest leak in American history. His approach was far different than that of Sheremetyevo International Airport's best-know resident, Edward Snowden. Snowden has been very selective in what he has made public and has worked through the filter of reputable news organizations, like Britain's Guardian newspaper and the Washington Post.
But it's not as if Manning is simply going to walk. He has already pleaded guilty to 10 lesser charges and faces 20 years in jail for those alone.
Pursuing the "aiding the enemy" charge smacks more of revenge than justice. It's part of the Obama administration's record-breaking, way-too-enthusiastic and totally inappropriate use of the Espionage Act to go after leakers. It has prosecuted seven current or former government employees under the act. That's more than all previous administrations combined.
Mainstream journalists, not to mention all citizens who care about their access to important information, can take no solace in the fact that Manning is being prosecuted for leaking to the renegade outfit WikiLeaks rather than a traditional news outlet.
At a hearing in January, Judge Lind asked whether Manning would face the same charges if he had turned his material over to the New York Times, the Times reported.
Replied prosecutor Capt. Angel Overgaard: "Yes, ma'am."


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Mesoporous H-ZSM-5–carbon composites, prepared via tetrapropylammonium hydroxide (TPAOH) post treatment of H-ZSM-5 followed by deposition of pyrolytic carbon, have been used as the support for the preparation of Co-based Fischer–Tropsch catalysts. The resulting catalysts display an improved performance during Fischer–Tropsch synthesis (FTS),...journal article 2016


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Tuesday, June 17, 2014
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Eh, I usually like everything perfect and neat, so it was a bit difficult to get the "Live" part to look like it's hand written I guess? Either way, I am happy with it, so enjoy :D. Also, I love the message of how in life we need to "JUST LIVE!" :D.
Java Draw Created Jul 06, 2010 640 x 460px Unless noted Copyright 2010 The AllStar.
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Gorgeous! I love your style. :)
I love your pieces! There amazing! :D
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Matt Landrock, CEO, Cryptomathic
What can we expect from embedded systems? Internet of Things.... Things: PCs, Phones, Smartmeters,dishwashers, cars, apps.
Often want to validate code running on the "thing" and enable the thing to carry out basic cryptographic functions. Understanding that "things" in the IoT can mean pretty much anything security-wise (from high-end to low-end). if security adds too much inconvenience or cost, it will be skipped or skimped.
HSMs are under-utilized in the IoT space. Crypto APIs tend to be complicated, auditing individual projects is expensive and key management is often over-looked.
If we think about crypto as a service, then we only have one place to deploy the HSMs, and can get it right. In one deployment, the customer went from securing 3 applications with HSMs to over 180 with this model.
Need to make sure that all applications that need cryptography can receive service, but at the same time only provide service to legitimate users
Cryptomathic has built a crypto service gateway (CSG). CSG shares HSMs between applications, helping us get away from silos. this improves utilization of very expensive resources. In this configuration, HSMs can be added and removed, while the service still stays up.
CSG has a crypto firewall that only allows specified commands and by approved card holders, as defined by the security team. The product also focuses on making audit easy. It's in one place and easy to read.
They have created a Crypto query language (CQL), like "DO CODESIGN FROM Dev WITH DATA 01234". This makes it easier for developers to use, encouraging them to use cryptography.
It is possible here to give crypto keys an expiry. The CSG provides all key management and handles key usage policy.
Use key labels, so they ar eeasy to find using CQL. They are implicit.
Overall, there are many more devices coming online and the easier we can make it for developers to do security, the more likely it is to happen.
A Christmas Caro - If you think *you're* tired of Christmas songs, think of the poor Wreckerators. They have to deal with this one all year long: [image: ambercou.ow.alabam...


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- What Is Azithromycin?
- Why Do People With HIV Take Azithromycin?
- What About Drug Resistance?
- How Is Azithromycin Taken?
- What Are the Side Effects?
- How Does Azithromycin React With Other Drugs?
What Is Azithromycin?
Azithromycin is an antibiotic drug. In the US, its brand name is Zithromax. It is sold under many other brand names in other countries, including Ultreon.
Antibiotics fight infections caused by bacteria. Azithromycin is used to fight opportunistic infections in people with HIV. Pfizer and Mack-Illert manufacture it.
Why Do People With HIV Take Azithromycin?
Azithromycin is used for mild or moderate bacterial infections. It works against several different bacteria, especially chlamydia, hemophilus and streptococcus. These bacteria can infect the skin, nose, throat, and lungs. They can also be transmitted through sexual activity and cause infections in the genital area.
Many germs live in our bodies or are common in our surroundings. A healthy immune system can fight them off or keep them under control. However, HIV infection can weaken the immune system. Infections that take advantage of weakened immune defenses are called "opportunistic infections." People with advanced HIV disease can get opportunistic infections. See Fact Sheet 500 for more information on Opportunistic Infections.
One opportunistic infection in people with HIV is MAC. This stands for Mycobacterium avium complex. See Fact Sheet 514 for more information on MAC. People who have a CD4 cell count of less than 50 may develop MAC.
Azithromycin is often used with another antibiotic to treat MAC. It can also be used to prevent MAC infection. If your CD4 cell count is below 50, talk to your health care provider about using azithromycin.
Azithromycin is also used to treat toxoplasmosis (see Fact Sheet 517) and cryptosporidiosis (see Fact Sheet 502).
Some people are allergic to azithromycin and similar antibiotics. Be sure to tell your health care provider if you are allergic to erythromycin or other antibiotics.
What About Drug Resistance?
Whenever you take medication, be sure to take all of the prescribed doses. Many people stop if they feel better. This is not a good idea. If the drug doesn't kill all of the germs, they might change (mutate) so that they can survive even when you are taking medications. When this happens, the drug will stop working. This is called "developing resistance" to the drug.
For example, if you are taking azithromycin to fight MAC and you miss too many doses, the MAC in your body could develop resistance to azithromycin. Then you would have to take a different drug or combination of drugs to fight MAC.
How Is Azithromycin Taken?
Azithromycin is available in capsules or tablets of 250 milligram (mg). There is also a 600 mg tablet. It is also available in powder and liquid forms. To fight most infections, the dose for adults is 500 mg on the first day, and then 250 mg each day for 4 more days.
The dose used to prevent MAC infection is 1,200 mg or 1,250 mg once a week.
Azithromycin tablets can be taken with or without food. Take it with plenty of water. The capsules or liquid should be taken on an empty stomach, either 1 hour before eating or 2 hours after eating. Be sure to check the instructions carefully.
Do not take azithromycin at the same time as antacids that contain aluminum or magnesium. They will reduce the amount of azithromycin in your blood.
What Are the Side Effects?
The side effects of azithromycin mostly affect the digestive system. They include diarrhea, nausea, and pain in the abdomen. Some people get very sensitive to sunlight. Others may get headaches, be dizzy or sleepy, or have some problems hearing. Very few people who take azithromycin get these side effects. However, most anti-HIV medications also cause problems in the digestive system. Azithromycin could make those problems worse.
Some people get a severe allergic reaction to azithromycin. Let your health care provider know immediately if you get severe diarrhea, fever, joint pain, serious stomach cramps or pain, swelling in your neck, mouth, hands and feet, or trouble breathing.
Antibiotics kill some helpful bacteria that normally live in the digestive system. You can eat yogurt or take supplements of acidophilus to replace them.
How Does Azithromycin React With Other Drugs?
Azithromycin is broken down by the liver. It can interact with other drugs that also use the liver. Scientists have not yet studied all the possible interactions. Azithromycin probably interacts with some blood thinners, heart medications, seizure medications, and other antibiotics. Be sure your health care provider knows about all the medications and supplements you are taking.
Your health care provider may need to monitor you carefully if you are taking azithromycin and the protease inhibitor ritonavir.
Antacids with aluminum or magnesium can lower blood levels of azithromycin. Do not take antacids at the same time as azithromycin.


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I have a large hole where a TV wall mount once was (I believe the hole was used to run power and coax cable to the TV). I have since moved the TV and would like to patch the hole. What is the best way to do this?
They sell dry-wall patches for this purpose.
Correct way to do it as instructed on 'Canada's worst Handyman':
Same process works for larger holes and also on the ceiling which can be tricky.
Use a drywall repair patch. They are cheap and easy to find at the big box stores.
And here's a video on how to do it: http://www.youtube.com/watch?v=qvtoikKG318
There's an alternative to @dilbert789's solution when you're dealing with holes this small:
I would still use @dilbert789's answer for larger holes, though, or anything in the ceiling, but I had a few incidents of wrestling with strapping when repairing similarly sized holes (fists, doorknobs, etc.), as you need to hold the new reinforcement, the screwdriver, a screw, etc, which gets difficult to juggle for one person.
Do you have a stir stick for paint handy? Slap some thick glue on the ends and glue that in as your backer. No need for screws on such a small hole.
If you're daring you can just mud the inside lip of the hole and squeeze a plug cut to shape in there, too. But then you run the risk of it tilting all funny.
Dry wall patches like everyone has mentioned are ideal for these small jobs. Otherwise, cut out a slightly larger square around the hole and do the method Dilbert789 mentioned above.
If anybody needs help with bigger repairs and happen to be in the Milwaukee area, feel free to hit up my team. We do drywall repairs large and small: Milwaukee Drywall Pros


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Man arrested after carjacking, crash and chase
Police: Man fled after officer witnessed drug activity
State Police said they have a man in custody after a carjacking and chase that wound through the streets of Lynn on Wednesday.
Police apprehended a shirtless, bleeding man in front of a home at 43 Cliff St. at 4:15 p.m. after the chase. State police have identified the man as Luis Rosario, 26, of Dorchester.
Images: Man arrested after carjacking, chase
Video from Sky 5 showed Rosario handcuffed on the trunk of a police vehicle. State police said Rosario was shot during the incident, but the injuries were not life-threatening.
State police said the incident started after a police officer witnessed what appeared to be drug activity. Police said Rosario then tried to run down an officer in a silver Hyundai SUV.
"The van crashed into the cop car and kept going," one witness said.
A few moments later, witnesses said the SUV, now being pursued by police, slammed into two other vehicles at the intersection of Boston and Franklin streets.
"The car, it was going really fast and there was a cop car following it," a witness said.
Motorist Dave Woodworth said when he stopped to check if anyone was hurt in the crash, the man jumped in his minivan and sped off.
"I was sitting at the light, the lady was in front of me, she was going through the light, and he smashed into the right side of her. I put my car in park. She got out of the car, she was all dazed and confused. I wanted to make sure she was OK. I was talking to her, told her to relax a minute. And while (police) were chasing him all over the place, he jumped in my car, they started shooting at him and he took off," he said.
Witnesses said state police fired several shots at the suspect during the pursuit.
"The officer fired four or five shots, and he just took off up Franklin Street toward Walnut with three officers on his tail," one witness said.
The Rosario dumped the minivan stolen from the crash scene on Atkinson Street and fled on foot. He was arrested a short distance away on Cliff Street.


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They are an elite fighting force led by a pair of twins that feel each other's pain. They are the Imperial Guards of Cobra. They wear red leather, not caring that the 80's were three decades ago. They are the Crimson Guard, the latest in the sixth scale line of G.I. Joe figures, and they are incredibly fine.
Lt. Falcon is fine with all his gritty realism, and Zartan is pretty subdued, as a master of disguise must be, but for me it was always the more outrageous G.I. Joe outfits that got my blood pumping and my mom-hem-tugging fingers working overtime. Give me a guy that'll walk onto the battlefield wearing brilliant crimson, gold braids and a face mask — because anonymity is important at that point.
His garish Michael Jackson circa "Beat It" getup translates incredibly well into real-ish life. While I wouldn't wear it myself (hell yes I would), the Crimson Guard cuts a striking slender figure. If you turn his head just so (see below) he can pull off downright menacing, though only for short periods of time.
The Crimson Guard also incorporates one of my favourite features in the accessory-heavy adult action figure market — equipment storage. You'll still be left with four hands, two feet and an extra head, but the rest of Ceegee's gear either fits onto his person or in the groovy red backpack he totes around. Utility is important and often sadly overlooked in the adult collectible market.
Again, easily my favourite figure in the sixth scale G.I. Joe line so far, at least until Tomax and Xamot show up.
The Crimson Guard Sixth Scale figure retails for $US140, and is available from Sideshow.


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Chengdu Mini-MBA Courses: Rich Chinese Parents Spend $10K To Send 7-Year-Old Children To Business School For Kids [VIDEO]
China has seen exponential growth in the number of its billionaires. According to the 2013 Hurun Report, a fifth of the world's billionaires are from China. And now, some of these rich Chinese families are sending their young children to special training programs to help them learn and understand how to manage money, Chengdu Business Daily reported.
On the evening of March 22, a luxury car stopped in front of a financial tutorial institute in Chengdu, China. Qicheng Li (a pseudonym), 8, stepped out of the vehicle with a chauffeur holding the door. After passing security, Li walked into a classroom that has 24-hour surveillance cameras installed in all corners.
Li is only one of the 40 children between seven and 11 years old who are enrolled in the so-called "MBA programs for children" -- a reference to Master of Business Administration (MBA) programs -- because of the young age of the students and the high tuition fees. Most of these children are born to millionaire or billionaire families, the report said.
The institute in Chengdu had now organized its first term for students since it was established last August. These children will take the courses for three hours a week. The school charges 60,000 yuan ($9,675) for a two-year training program that aims to "cultivate children's ability to manage money."
The four full-time lecturers on the program are mostly former English school teachers. According to Chengdu Business Daily, all of the teachers have financial quotient tutorial certificates from Great Britain, which are paid for by the institute in Chengdu. Part-time lecturers are education experts who fly out from Britain every three to four months to give lectures for about two weeks.
Institute director Fang Yuan says the courses boost a child's "financial quotient," which is similar to one's intelligence quotient (IQ) and emotional quotient (EQ) test results," which measure a person's ability to understand and manage money, she said.
Fang goes on to emphasize that they are not giving advice on frugal living. Instead, they are focusing on showing these primary school-aged children how to invest.
"Instead of telling them to save money, we teach them how to create a fortune. On advanced courses, we develop their investment awareness, so they can learn that 'money makes money'," Fang adds.
The report said the classes mainly involve interaction through games and field studies.
In one class that explains the value of money, children were asked to choose valuable and invaluable things from a "treasure trove." After most children chose jewelry and gold instead of cooking pans, tooth brushes and spoons, the teachers told them that if they were stranded on a deserted island, the day-to-day items would be more valuable. The lesson aimed to stress the concept of "relative value" instead of "absolute value," the report said.
The parents of seven-year-old Shuxiu Ren (a pseudonym), who's also enrolled in the course, said their daughter had learned a lot. Her mother said that previously the girl had no idea about budgeting but now drew up lists every time she went shopping.
Ren's parents, who work in the foreign trade business, offer their daughter a very generous allowance. The little girl's pink purse is always filled with no less than 1,000 yuan. To put that into context, the urban average salary in the southwestern metropolis stood at 34,008 yuan in 2011, the last time the city's statistics authority released such information. In other words, the amount of money Ren carries around every day is 10 times what an average worker makes in Chengdu for a day's work.
According to a survey by the Chengdu Business Daily, most parents remain skeptical about what such training can achieve. Some questioned the high cost of the courses while others were concerned that the courses cause children to judge success by material achievements, which are not the same as happiness.
In an interview with Chendu Business Daily, scholar and entrepreneur Lixin Tang said the children were probably too young to learn about money. "It may not have a significant impact on them," he added. Tang, who is chairman of an IT retail chain, said it might be better to teach rich children about philanthropy.
Video Via Chinanews.com [in Chinese]:


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Apple Supplier Uses Face Recognition to Screen Workers
Apple supplier Pegatron began using facial recognition technology this year to screen applicants for its iPhone plant, illustrating how some companies are guarding against the growing problem of underage workers making their way into factories in China.
Taiwan-based Pegatron, the primary manufacturer of the iPhone 5C, for the first time gave a detailed description of the system it uses to filter tens of thousands of workers for its assembly lines in Shanghai.
The death of 15-year-old Shi Zhaokun after he worked for a month at Pegatron has sparked renewed scrutiny over the company's factory conditions, although Apple and Pegatron both say their investigations showed Mr. Shi's death from pneumonia wasn't connected with work conditions.
The legal working age in China is 16.
Pegatron said applicants for its assembly line have their government-issued IDs checked for authenticity. Their faces are then matched to their ID photos through facial recognition technology, to weed out those using borrowed ID cards. Their names are also checked against police records.
In theory, these measures should keep out underage workers, as they should catch people using fake or borrowed IDs. In Mr. Shi's case, he was able to obtain a government-issued ID card that included his photo but another person's identifying information, the company said.
Underage labor has long been a problem at China's factories. The spotlight has been trained closely on manufacturers making products for Apple, the world's most valuable company.
Apple's largest supplier, Foxconn, has previously been found to have hired underage interns for its assembly line.
A report by the Fair Labor Association last week said that Foxconn was still exceeding the legal overtime hours, but auditors didn't find interns since January. Foxconn said it welcomed the audit report, and that it demonstrated substantial progress at the company, although "we recognize that there is more to be done."
Pegatron has become a more important Apple supplier in the past year, and the scrutiny of labor groups over the company's factories has grown accordingly. The labor activist group China Labor Watch first flagged Mr. Shi's death last week.
Both Pegatron and Foxconn have been making efforts to boost automation at their factories in response to labor problems, but costs and the rapid changes in technology pose challenges.
-- Eva Dou. Follow her on Twitter @EvaDou
Follow @ChinaRealTime on Twitter for the latest updates.


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kujinR wrote:Oh, wait. You're talking about my uncle. He wouldn't get an IP. Ahh, I thought your were talking to the OP. My bad. So, cool. He won't even see any errors huh? He uses win 7 on his laptop, it won't show an error telling him he was blocked right?
Just want to make sure
Thanks again.
You can also use upside-down-ternet, the kittenwarz redirect is really funny


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2019 Chrysler Pacifica Price
Trading in your current vehicle has many advantages, including convenience and huge savings on taxes. Forest Lake Chrysler Dodge Jeep & Ram will pay top dollar for your vehicle, while getting you into a new car at a great price. Want to learn more about why trading with Forest Lake Auto Group is best for you? See our Trade In page for more information. Click the button below to find out what your car is worth.
Actual mileage will vary with options, driving conditions, driving habits and vehicle condition.


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Complimentary Stock Options Trading Workshop
Complimentary Stock Options Trading Workshop
Join this complimentary workshop as Henry Wong, Founder of Investology introduces the basic of trading Stock Options. The course will introduce four basic operations of Stock Options, namely: Long Calls, Short Calls, Long Puts and Short Puts. Real-life examples will be used to illustrate how to open, close and exercise positions for a better understanding of the basic operations of Stock Options.
Language: Cantonese
Time: 19:00 - 21:00
Saxo Capital Markets, 12/F Agricultural Bank of China Tower, No. 50 Connaught Road Central, Hong Kong
Speaker: Henry Wong - Founder of Investology
New Stock Options Traders
Regardless of how many Stock Options courses you have attended, you may find it difficult to make trading decision when faced with different Stock Options, strike prices, expiry dates, and changing premiums.
Experienced Stock Options Traders
Placing an order is not difficult but an order at the right price may involve many different Stock Option combinations. And sometimes you may be led by market sentiment which results in a higher price which reduces your chance of a good return.
Whether you are an experienced Stock Options trader or new to this investment opportunity, inadequate preparation may lead you to set up a portfolio that is not what you would like it to be.
To enhance your real-time trading experience and bolster your strategies, Investology is now offering a Real-time Stock Options trading workshop to be held regularly during Hong Kong market opening times. This will assist you in analysing market movements and plan trading strategies and techniques.
- Pre-market opening preparations
- Weekly review and planning ahead
- Henry Wong's own portfolio review
- Real-time trading strategies according to price movements
- Sharing of each day's trading results
Workshop Fees*
Option (1) : HKD 500 [1 workshop]
Option (2) : HKD 2,000 [5 workshop]


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Philips V900 wallpapers
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The Philips V900 is based on OMS (Open Mobile System based Android). The Philips V900 comes with 3.2MP camera, Wi-Fi, 3.5mm jack audio, as well as 1450mAh Li-ion battery.
Top, New and Popular Wallpapers for Philips V900. The collection of Free Wallpapers for Philips V900 right here to be download. We update the collection of Wallpapers daily.
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The men, who were facing murder and gangsterism charges before the jailbreak, were found in a posh 10th-floor condo with a stunning view of the city.
Yves Denis, 35, Denis Lefebvre, 53, and Serge Pomerleau, 49, were arrested inside the residence at around 1:30 a.m., Quebec provincial police said.
The condo was part of a ritzy new development in Old Montreal, just steps from the historic waterfront.
A woman who lives in the same building said she watched from her balcony as the men were escorted in handcuffs into a police van. France, who gave only her first name, had recently returned from a dance class when she heard a commotion.
"I knew something important was happening," she said.
"I saw a police car arrive, then another, and then another . . . . And then I heard someone say, 'No, it's not a joke. We've got all three.'"
By midday Sunday, police had left the scene after carrying out several containers and bags. Two maintenance workers were cleaning up the home where the men were arrested.
The splintered door was ajar in its bent frame, while inside the furniture was askew, with a couch on its side and cushions scattered. Mattresses, blankets and pillows were on the floor.
Quebec provincial police Sgt. Audrey-Anne Bilodeau said investigators gathered evidence from the residence that could be used in court.
She said the investigation is ongoing and further arrests are likely.
"It could be a person who helped them escape from prison, or a person who helped them hide from us," Bilodeau said.
The three men are to appear in a Quebec City court on Monday to face fresh charges, but police didn't spell out what the new accusations would be.
They were originally arrested during Operation Crayfish in 2010, which had dismantled a network of drug traffickers. Until recently, they were awaiting trial in a detention centre near the provincial capital.
On June 7, police say a helicopter plucked three men from a courtyard of the Orsainville Detention Centre.
Interpol had recently added the trio to the red notice list, which placed them among the world's most wanted fugitives.
The Quebec government has ordered an internal investigation into the jailbreak.
Acknowledgment of the existence of a possible jailbreak conspiracy is contained in Quebec Superior Court Justice Louis Dionne's judgment dated March 24. Dionne had been asked to rule on the strict security conditions which the inmates argued impeded preparations for their defence in court.
In his ruling, which was recently made public, Dionne gave the detainees access to a secured computer for their trial preparation. The ruling also stated they didn't have to wear handcuffs during proceedings and would be allowed to go into the prison yard on weekday evenings, prison staffing permitting.
Public Security Minister Lise Theriault has said she doesn't know why the judge agreed to the request.
Theriault, who is also deputy premier, said in an interview Sunday she was "relieved" the men had finally been caught.
"We've been saying for two weeks (that) the first priority is to catch the three men, so that's done," she said, adding that they will be under heavy security as they await Monday's court appearance.
The administrative probe will also examine a similar escape last year.
In March 2013, two inmates grabbed onto a rope dropped from a helicopter at the St-Jerome detention centre and flew away. But they were quickly recaptured.
In the meantime, no-fly zones have been instituted at select prisons in the province, following a request by the provincial government.
Mathieu Lavoie, head of the union representing Quebec prison guards, said authorities will need to look closely at how they can prevent another escape.
"We need to find both short-term and long-term solutions to make sure this is an isolated incident," Lavoie said.
Also on HuffPost


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Featured Art
My Work
Paypal Donate
Did you enjoy this website? Feel free to buy me a coffee or something ;-) Thanks!
Welcome to www.everything4maya.com
Here you will find, as the name suggests, everything you need for 3D animation in Maya. Well, almost everything...
If you have created any material such as tutorials, objects, rigs, shaders or something else that you would like to see posted here, please contact me. I would love to have users send me their material.
There will be a member's area soon where you can upload your stuff yourself, but for now everything has to go via email.
Enjoy your stay on this site!
What is this all about?
Everything on this site is for the 3D-Programme Autodesk MAYA. If you have never heard of it before I highly advise you to download the free trial of Autodesk Maya 8.5. You will love it, I am sure!
Featured Art
This week's Featured Art is Scanline Flowline VFX, an awesome fluid animation.
Latest update
28.11.2010: An all new videotutorial is up and running (3 parts so far): The Domino Effect (Dynamics) 2


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Jump to navigation
Many of our deals are not available on our website. For regional departures, different travel dates or a quote on a specific airline or hotel please call our experts who will find the right deal for you at the best price.
Our opening hours are Mon-Fri: 9am-7pm, Sat-Sun: 9am-6pm.


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website design
We provide bespoke website design, offering quality websites for small businesses at an affordable realistic cost. Your individual design will be aimed at your target audience at all times.
Our designs are based on your business goals and customer requirements and are tailored to suit those particular needs and within your budget.
You don't have to be a website or online expert, we will ensure your website fits your business needs and work with you to help achieve this by guiding you through the process step by step.
why mdsign
We have been designing websites and providing online services since 2002. We are proud that most of our customers have been with us for many years and we enjoy good working relationships.
Please take a look at our our portfolio together with the accompanying testimonials and if you like our style and approach please get in touch.
Whether it is a new website, a redesign or adding a content management system to an existing site, we can help you get that information online in a stylish and informative manner.
about mdsign
Based near Bury St Edmunds in Suffolk, our professional and friendly service provides website design, domain name registration, hosting, email, search engine optimisation and other related internet services.
All our services are offered with a promise of a straight talking, friendly and easy process. Costs are provided at an early stage so you can stay in control.
So, if you are an individual or small / medium sized business looking for a website or redesign that doesn't cost the earth but looks amazing – we could be just what you are looking for – why not get in touch and find out!


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Welcome to your Sunday read of the week's best in web comics. Make sure to click on the expand button in the bottom right to enlarge each comic.
Brawl In The Family by Matthew Taranto published June 1.—Read more of Brawl In The Family
Awkward Zombie by Katie Tiedrich published May 28.—Read more of Awkward Zombie
Nerf NOW!! by Josué Pereira published May 31.—Read more of Nerf NOW!!
Penny Arcade by Jerry Holkins and Mike Krahulik published June 1.—Read more of Penny Arcade
Virtual Shackles by Jeremy Vinar and Mike Fahmie published May 30.—Read more of Virtual Shackles
Another Videogame Webcomic by Phil Chan and Joe Dunn published May 28.—Read more of Another Videogame Webcomic
ActionTrip by Borislav Grabovic and Ure Paul published May 27.—Read more of ActionTrip
Legacy Control by Javis Ray published May 30.—Read more of Legacy Control


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Offering small-town charm and rich history, Sacramento has everything you need without the crowded "big city" feeling. Enjoy the gorgeous parks, open spaces and the accessibility to many renowned recreation areas. Living in Sacramento, you are within a couple of hours from Napa Valley, where you can enjoy the delectable wineries and scenery or you can conveniently take a quick visit to the bustling city of San Francisco. For relaxing, Monterey and the beaches of Santa Cruz are just a few hours away. If you are interested in the great outdoors, you can head to Lake Tahoe or even Yosemite to visit more of mother nature's local creations. As the state's capital, there are many state employment opportunities, thriving medical employments centers as well as several award-winning schools and well-known colleges and universities. Lennar offers new homes for sale in the most desirable real estate locations in Greater Sacramento, including El Dorado Hills, Elk Grove, Folsom, Lincoln, Natomas, Rancho Cordova, Rocklin, Roseville, Sacramento and Woodland.
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Associate of Applied Science in Professional Legal Studies
The professional legal studies associate of applied science degree will provide students with a well-rounded education, including an emphasis in legal training that affords the student a unique and valuable perspective upon entering various professions in which knowledge of the law is essential. The program consists of a major core of legal courses to include legal research, contracts, torts, civil procedure, and business law. An introduction to legal principles, and an internship or independent study round out the major core legal courses required of this program. Students will develop the ability to communicate clearly, systematically, and logically and also to utilize valuable critical thinking skills during the communication process. This program will train students for employment in a number of professional areas in which a basic understanding of the law and legal principles are beneficial.
The Associates of Applied Science degree in Professional Legal Studies also offers areas of study in Human Resources Management, Entrepreneurial, Management, and Supply Chain Management. An area of study is a grouping of electives that focus on particular interests and career paths.
This program is offered online, with support services provided by the NAU locations listed below. Classes are offered as follows:
Online Classes Only – Students may not take any on-ground classes at the following locations: Indianapolis, Indiana; Garden City, Overland Park, Wichita, and Wichita West, Kansas; Bloomington, Brooklyn Center, Burnsville, Minnetonka, Rochester, and Roseville, Minnesota; Independence, Lee's Summit, and Zona Rosa, Missouri; Bellevue, Nebraska; Albuquerque and Albuquerque West, New Mexico; Tulsa, Oklahoma; and Allen, Texas.
On-Ground Classes Permissible – In addition to online classes, students may take on-ground classes at the following locations:
Centennial, Colorado Springs, and Colorado Springs South, Colorado; Ellsworth AFB, Rapid City, Sioux Falls, and Watertown, South Dakota; Austin, Austin South, Georgetown, Houston, Lewisville, Mesquite, and Richardson, Texas.
Students in some programs may be required to…
- Attend classes at different locations
- Take online classes
- For more information call (800) 209-0338 or visit the Tulsa campus page for complete contact details.
Key Courses
- Civil Procedure
- Business Law I
- Torts
- Introduction to Contracts
Program Disclaimers
Please note, only licensed attorneys may practice law. A person who earns this degree may not engage in activities considered to be the practice of law, including giving legal advice, representing a client in court, or setting legal fees.
Search for a Program
Try selecting a different campus, degree type, or program.


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Lill-Karin Skaret, a 67-year-old grandmother from Namsos, Norway, was traveling to a lakeside vacation villa near India's port city of Kochi in March 2010 when her car collided with a truck. She was rushed to the Amrita Institute of Medical Sciences, her right leg broken and her artificial hip so damaged that replacing it required 12 hours of surgery.
Three weeks later and walking with the aid of crutches, Skaret was relieved to be home. Then her doctor gave her upsetting news. Mutant germs that most antibiotics can't kill had entered her bladder, probably from a contaminated hospital catheter in India. She risked a life-threatening infection if the bacteria invaded her bloodstream -- a waiting game over which she had limited control, Bloomberg Markets magazine reports in its June issue.
"I got a call from my doctor who told me they found this bug in me and I had to take precautions," Skaret remembers. "I was very afraid."
Skaret was lucky. Eventually, her body rid itself of the bacteria, and she escaped harm from a new type of superbug that scientists warn is spreading faster, further and in more alarming ways than any they've encountered. Researchers say the epicenter is India, where drugs created to fight disease have taken a perverse turn by making many ailments harder to treat.
India's $12.4 billion pharmaceutical industry manufactures almost a third of the world's antibiotics, and people use them so liberally that relatively benign and beneficial bacteria are becoming drug immune in a pool of resistance that thwarts even high-powered antibiotics, the so-called remedies of last resort.
Medical Tourism
Poor hygiene has spread resistant germs into India's drains, sewers and drinking water, putting millions at risk of drug-defying infections. Antibiotic residues from drug manufacturing, livestock treatment and medical waste have entered water and sanitation systems, exacerbating the problem.
As the superbacteria take up residence in hospitals, they're compromising patient care and tarnishing India's image as a medical tourism destination.
"There isn't anything you could take with you traveling that would be useful against these superbugs," says Robert Moellering Jr., a professor of medical research at Harvard Medical School in Boston.
The germs -- and the gene that confers their heightened powers -- are jumping beyond India. More than 40 countries have discovered the genetically altered superbugs in blood, urine and other patient specimens. Canada, France, Italy, Kosovo and South Africa have found them in people with no travel links, suggesting the bugs have taken hold there.
Post-Antibiotic Era
Drug resistance of all sorts is bringing the planet closer to what the World Health Organization calls a post-antibiotic era.
"Things as common as strep throat or a child's scratched knee could once again kill," WHO Director-General Margaret Chan said at a March medical meeting in Copenhagen. "Hip replacements, organ transplants, cancer chemotherapy and care of preterm infants would become far more difficult or even too dangerous to undertake."
Already, current varieties of resistant bacteria kill more than 25,000 people in Europe annually, the WHO said in March. The toll means at least 1.5 billion euros ($2 billion) in extra medical costs and productivity losses each year.
"If this latest bug becomes entrenched in our hospitals, there is really nothing we can turn to," says Donald E. Low, head of Ontario's public health lab in Toronto. "Its potential is to be probably greater than any other organism."
Promiscuous Plasmids
The new superbugs are multiplying so successfully because of a gene dubbed NDM-1. That's short for New Delhi metallo-beta- lactamase-1, a reference to the city where a Swedish man was hospitalized in 2007 with an infection that resisted standard antibiotic treatments.
The superbugs are proving to be not only wily but also highly sexed. The NDM-1 gene is carried on mobile loops of DNA called plasmids that transfer easily among and across many types of bacteria through a form of microbial mating. This means that unlike previous germ-altering genes, NDM-1 can infiltrate dozens of bacterial species. Intestine-dwelling E. coli, the most common bacterium that people encounter, soil-inhabiting microbes and water-loving cholera bugs can all be fortified by the gene.
What's worse, germs empowered by NDM-1 can muster as many as nine other ways to destroy the world's most potent antibiotics.
Untreatable Killers
NDM-1 is changing common bugs that drugs once easily defeated into untreatable killers, says Timothy Walsh, a professor of medical microbiology at Cardiff University in Wales. Or as in Skaret's case, the gene is creating silent stowaways poised to attack if they find a weakness -- or that can pass harmlessly when the body's conventional microbes win out.
Cancer patients whose chemotherapy inadvertently ulcerates their gastrointestinal tract are especially vulnerable, says Lindsay Grayson, director of infectious diseases and microbiology at Melbourne's Austin Hospital.
"These bugs go straight into their bloodstream," Grayson says. Newborns, transplant recipients and people with compromised immune systems are at higher risk, he says.
Six infants died in a small hospital in Bijnor in northern India from April 2009 to August 2010 after NDM-1-containing bacteria resisted all commonly used antibiotics.
India Vulnerable
India is susceptible because it has many sick people to begin with. The country accounts for more than a quarter of the world's pneumonia cases. It has the most tuberculosis patients globally and Asia's highest incidence of cholera.
Most of India's 5,000-plus drugmakers produce low-cost generic antibiotics, letting users and doctors switch around to find ones that work. While that's happening, the germs the antibiotics are targeting accumulate genes for evading each drug. That enables the bugs to survive and proliferate whenever they encounter an antibiotic they've already adapted to.
India's inadequate sanitation increases the scope of antibacterial resistance. More than half of the nation's 1.2 billion residents defecate in the open, and 23 percent of city dwellers have no toilets, according to a 2012 report by the WHO and Unicef.
Uncovered sewers and overflowing drains in even such modern cities as New Delhi spread resistant germs through feces, tainting food and water and covering surfaces in what Dartmouth Medical School researcher Elmer Pfefferkorn describes as a fecal veneer.
Tap Water
Germs with the NDM-1 gene existed in 51 of 171 open drains along the capital's streets and in two of 50 samples of public tap water, Walsh found in 2010.
Abdul Ghafur, an infectious diseases doctor in Chennai, southern India's largest city, sees patients every week who suffer from multidrug-resistant infections. He and others who used to successfully combat infections with such common antibiotics as amoxicillin now must use more-expensive ones that target a broader range of germs but typically cause greater side effects. Some infections don't respond to any treatment, evading all antibiotics, he says.
That's bad news because the more frequently the NDM-1 gene is inserted into different bacteria, the more likely it will enter virulent forms of E. coli, sparking outbreaks that may be impossible to subdue, says David Livermore, who heads antibiotic resistance monitoring at the U.K.'s Health Protection Agency in London.
Black Death
The gene may even spread to the microbial cause of bubonic plague, the medieval scourge known as Black Death that still persists in pockets of the globe.
"It's a matter of time and chance," says Mark Toleman, a molecular geneticist at Cardiff University. Plasmids carrying the NDM-1 gene can easily be inserted into the genetic material of Yersinia pestis, the cause of plague, making the infection harder to treat, Toleman says.
"There is a tsunami that's going to happen in the next year or two when antibiotic resistance explodes," says Ghafur, 40, seated at a polished wooden table in a consulting room in Chennai as patients fill 20 metal chairs in the waiting area, forcing others into the corridor.
"We need wartime measures to deal with this now."
R.K. Srivastava, India's former director general of health services, says the government is giving top priority to antimicrobial resistance, including increasing surveillance of hospitals' antibiotics use.
Name Shame
At the same time, it's trying to preserve the country's health-tourism industry. Bristling that foreigners coined a name that singles out their capital to describe an emerging health nightmare, officials say the world is picking on India for troubles that impede all developing nations.
When Indian researchers joined international teams studying the NDM-1 gene, the government questioned the data and methods of the scientists, among them Chennai microbiologist Karthikeyan K. Kumarasamy.
"These bacteria were present globally," says Nirmal K. Ganguly, a former director general of the Indian Council of Medical Research and one of 13 members of a government task force created in September 2010 to respond to the NDM-1 threat.
"When you are blamed, the only reaction is that you put your back to the wall and fight."
Ulterior Motive?
S.S. Ahluwalia, a former deputy opposition leader in the upper house of India's parliament and a member of the Bharatiya Janata Party, says Western rivals want to muscle in on the medical tourism industry. Josef Woodman, founder of the guidebook "Patients Beyond Borders," values the industry globally at $54 billion a year.
"These reports are meant to destabilize India's emergence as a health destination," says Ahluwalia, whose term ended in April.
About 850,000 medical tourists traveled to India in 2010 for treatments from lifesaving cancer operations to cosmetic surgeries, generating $872 million in revenue, according to the Associated Chambers of Commerce and Industry of India, or Assocham. The number of foreign patients is predicted to almost quadruple by 2015, the trade body says.
Manish Kakkar, a doctor researching infectious diseases at the New Delhi-based Public Health Foundation of India and a task force member, says the government has its priorities wrong.
"We have been in a phase of denial," he says. "Rather than responding to the situation scientifically, we've completely diverted attention, saying that it's attacking our medical tourism."
'That's What's Scary'
Kakkar and others worry about NDM-1 because unlike germs such as VRE, short for the vancomycin-resistant enterococci bug that can cause infection around a patient's surgical incision, NDM-1 is spreading beyond hospitals.
Two travelers from the Netherlands picked up an NDM-1 bug in their bowels after visiting India in 2009 although they hadn't received medical care there, says Maurine
Leverstein-van Hall, a clinical microbiologist at the University Medical Center in the Dutch city of Utrecht.
"That's what's scary," she says. "It's not just surgery or being near a hospital. In some way, you get it through the food chain or through the water."
For now, it's impossible to tell how common NDM-1 infections are or how often the mutant germs kill because testing and surveillance are inadequate in developing countries, says Keith Klugman, the William H. Foege chair of global health at Emory University's Rollins School of Public Health in Atlanta.
'Perfect Breeding Ground'
Cardiff's Walsh estimates 100 million Indians carry germs that harbor the NDM-1 gene, based on an extrapolation of studies in New Delhi and from neighboring Pakistan.
"It's not measured, and that's the problem," says Klugman, who pinpoints India as the epicenter.
India's jammed cities, poor sanitation and abundant antibiotics produce an ideal incubator, Harvard's Moellering says.
"You have almost no control over the prescription of antibiotics," says Moellering, who has studied drug resistance for four decades. "You have horrible sanitation problems in many parts of the country. You have incredible poverty, and you have crowding. When you put those four things together, it's the perfect breeding ground for multidrug-resistant bacteria."
Antibiotics even pollute India's rivers, streams and soil. The bacteria that thrive in these places do so because they've developed resistance to the drugs they encounter. People or animals who ingest the water or soil may become colonized by the resistant germs.
Mining Cipro
Until the government built a pipeline to a modern sewage plant in 2010, the Patancheru Enviro Tech Ltd. treatment facility on some days released the equivalent of 45,000 daily doses of ciprofloxacin into the Isakavagu stream outside Hyderabad in southern India, Swedish researchers reported in 2007. The plant treated wastewater from drug-making factories.
Residue from ciprofloxacin, a mainstay treatment for E. coli infections, was so prevalent in river sediment downstream that lead researcher Joakim Larsson of the University of Gothenburg jokes, "Had ciprofloxacin been a little bit more expensive, we could probably mine it from the ground."
India's antibiotics overload is forcing doctors to rely on ever-more-powerful drugs. Many now turn to a class called penicillin-based carbapenems to treat ailments as routine as urinary tract infections, says Grayson, who was editor-in-chief of medical text "Kucer's The Use of Antibiotics" (Hodder Arnold/ASM Press, 2010).
'Antibiotic Stewardship'
NDM-1 has rendered even carbapenems useless, sometimes leaving no way to fight infections. Two drugs potentially capable of treating NDM-1 bacteria have toxic side effects in some patients that include an increased risk of death.
"It's an example of why we need to have good surveillance and why we need to have good antibiotic stewardship," says Thomas R. Frieden, director of the U.S. Centers for Disease Control and Prevention in Atlanta. "We are looking at the specter of untreatable illness."
Drugmakers have been slow to respond with new medicines. Most abandoned antibiotic discovery during the past decade, says Karen Bush, a microbiologist at Indiana University in Bloomington. She led teams that developed five bacteria-fighting drugs beginning in the 1970s in laboratories that are now part of AstraZeneca Plc (AZN), Bristol-Myers Squibb Co. (BMY), Johnson & Johnson and Pfizer Inc. (PFE)
Companies instead pursued hypertension and high-cholesterol drugs that patients take for a lifetime rather than a few weeks, she says.
International Uproar
Kumarasamy, the Chennai microbiologist, says he thought he was doing his country a favor when he helped track down the cause of unexplained deaths inside India. Instead, he sparked an international uproar over NDM-1.
Beginning in June 2000, Kumarasamy, now 36, studied bacteria and went from hospital to hospital in Chennai to collect specimens. He says he witnessed a steady increase in difficult-to-treat infections. Patients were dying, and doctors couldn't identify what type of resistant germs killed them, he says.
"No matter how skilled or intelligent the doctor is, they are helpless when it comes to these infections," he says over lunch of rice and curry in a noisy Chennai food court. He didn't keep a tally of the deaths.
Kumarasamy, who received a Bachelor of Science degree from Navarasam Arts & Science College in Tamil Nadu state in 1997, says he began isolating bacteria from the blood, sputum, pus and urine of patients and freezing the samples. He quit his lab job in 2007 to study resistant germs for a doctorate in microbiology at the University of Madras. He's winding up his thesis on carbapenem-resistant bacteria.
Festering Bedsores
Kumarasamy's curiosity spiked in 2008 when he realized he was dealing with something totally new. He reached out to Walsh, whose Cardiff lab was at the forefront of international antibiotic resistance research.
Around that time, Walsh was studying the case of a diabetic stroke patient of Indian origin.
The man had festering bedsores and had been transferred from New Delhi to his home in Sweden for treatment. When bacteria cultured from his urine and feces evaded more than a dozen drugs, including last-resort carbapenems, Christian G. Giske, a clinical microbiologist at Stockholm's Karolinska University Hospital, sent the samples to Walsh's lab.
Stockholm Hotel
In a hotel room in the Swedish capital, Walsh and Giske named the gene that made the bacteria immune to virtually all these antibiotics New Delhi metallo-beta-lactamase-1.
Beta-lactams are a class of antibiotics that includes penicillins, cephalosporins and carbapenems. Beta-lactamase is an enzyme that destroys those drugs. Metallo-beta-lactamases are so named because they contain zinc and destroy carbapenems, the most powerful beta-lactams.
Kumarasamy, suspecting something similar in his own specimens, asked Walsh to share the DNA sequence of this new bacterial gene. Walsh did -- and Kumarasamy got a match.
Kumarasamy began visiting Chennai hospitals anew to look for drug-resistant specimens.
He also got samples from researchers in India's northern Haryana state.
When his collection was added to those Walsh and his colleagues were studying, the researchers discovered the same NDM-1 gene from four countries: India, Pakistan,
Bangladesh and the U.K. For most of the British patients, the link was recent travel to India or neighboring Pakistan.
In Kumarasamy's samples from inside India, many cases emerged in people who hadn't recently been hospitalized. That suggested the bacteria were spreading in the community.
'Unsung Hero'
"He is India's unsung hero," Walsh says.
The University of Madras initially thought so, too. It feted Kumarasamy after he became the youngest scholar from the 155-year-old institution to have research appear in any publication of the British medical journal "The Lancet." His August 2010 paper, in "The Lancet Infectious Diseases," became that publication's most-read article that year.
The mood soured a few days later. Officials at India's Ministry of Health & Family Welfare balked at the gene's name, which threatened medical tourism's public image.
"There was a lot of stress and tension, and I could not sleep properly for two months," says Kumarasamy, who says he developed gastric reflux and heartburn.
The next month, authorities at the ministry grilled the eight Indian contributors to the "Lancet" report, including lead author Kumarasamy, according to two co-authors who declined to be identified because their employers don't permit them to speak to the media.
'Batten Down the Hatches'
Officials questioned their data and chastised them for sending specimens overseas without approval, saying the researchers had violated a 13-year-old regulation, according to two in the group.
The Indian Council of Medical Research says it requires researchers to submit detailed proposals to send any bacterial collections abroad. The process may take at least four months.
"The regulations were already in place," says Sandhya Visweswariah, a professor at the Indian Institute of Science in Bangalore.
The researchers countered that the rules were nebulous and were rarely enforced.
"It is suppression of scientific freedom," Walsh says of the government behavior. "They just try to batten down the hatches and make everything very, very difficult and pretend nothing has happened."
Front-Page News
After front-page stories on the superbug appeared in Indian newspapers, the government formed an antibiotic resistance task force. It recommended in April 2011 that antibiotic use be tracked in the country's 100,000 hospitals to find excessive prescribing. The group advised making it harder to get antibiotics without a prescription by requiring pharmacists to keep records for two years to aid audits and inspections.
Current rules make a prescription mandatory, but regulations are rarely enforced and it's easy to get potent antibiotics, even intravenous ones, without a doctor's assent. The group advised enacting rules allowing drug inspectors to immediately cancel the license of pharmacists dispensing unprescribed antibiotics.
Task force member Ganguly says tracking antibiotic use will be difficult.
"How do you regulate 1.2 billion people with so much diversity?" he asks.
Dying Babies
While Kumarasamy was documenting NDM-1 in Chennai hospitals, pediatrician Vipin Vashishtha was discovering how deadly the gene can be.
In June 2010, new father Sanjeev Thakran, 28, rushed his half-hour-old son in a car through monsoon-soaked streets to Vashishtha's Mangla Children's Hospital in Bijnor. His wife, Lalita, had delivered baby Tapas in a maternity hospital across town three weeks early, and the infant was laboring for air.
Nurses in green scrubs warmed the 4-pound (1.8-kilogram) newborn in a dome-covered crib and fed him milk and medicines through a nasal tube. About 2 feet away, a frail-looking baby was connected to a ventilator, Sanjeev Thakran says.
Vashishtha, seated on a leather swivel chair in his consulting room, recalls thinking that Tapas might need only a few days of intensive care. Instead, the baby spent weeks in and out of the unit. Blood sometimes trickled from his nose and shriveling umbilicus, according to medical records.
Even though he was being treated with a carbapenem, the most powerful class of antibiotic, bacteria raged inside his tiny lungs and bloodstream, eventually attacking membranes covering his brain and spinal cord.
Incurable Scourge
Other infants in the eight-crib neonatal intensive care unit were suffering, too. Vashishtha, 48, had tried several antibiotics without success. When carbapenems didn't work, he says, he felt helpless because he knew he was dealing with a potentially incurable scourge.
Tapas died 11 weeks after he was admitted. Lab results identified the culprit a month later: NDM-1. The gene was in bacteria known as Klebsiella pneumoniae. The germ exists in people's gastrointestinal tract and can cause pneumonia and urinary-tract infections in hospital patients.
The lab also found two soil-borne species that normally cause trivial infections but that were suddenly becoming killers.
Tapas was one of 14 infants at the hospital who were infected with NDM-1-containing bacteria over the course of 17 months. Six of the babies died. Among the eight survivors, half developed meningitis, arthritis or water on the brain, Vashishtha wrote to an Indian medical journal in February 2011.
'Horrific Period'
"It was the most horrific period," Vashishtha says as he fixes his eyes on the playpen where he amuses children in his office. "I was losing neonates at regular intervals. I suspected we were dealing with something quite different, something quite new."
Vashishtha says he has improved infection control, walling off part of the ICU for contagious, complicated cases.
He can't, however, control what happens outside his hospital. Sewage from nearby homes flows in an open drain along one wall of the two-story building.
Bijnor, like other small cities in Uttar Pradesh, lacks a modern underground drainage system. During the rainy season, it's impossible not to wade through sewage water, the doctor says.
'Wash Hands Properly'
So far, Vashishtha has prevented more NDM-1 deaths. He fumigates his wards every four weeks and applies fresh paint every three months. He keeps hand-sanitizing liquid in his office, along the corridors and next to every bed in intensive care. Nurses must wash their hands with running water and soap and scrub with an antimicrobial sanitizer before handling patients.
"The first and foremost step to avoiding hospital-acquired infection is to wash hands properly," he says.
India's major hospitals are marshaling tactics from common cleanliness to computerized databases to outsmart resistant bacteria and prevent more tragedies.
Artemis Health Institute, a private, 300-bed specialty hospital in Gurgaon, southwest of New Delhi, employs an infection-control officer who collects data every month on the hospital's four most troublesome bacteria to review patterns of drug resistance. The officer, Namita Jaggi, also serves as national secretary of a Buenos Aires-based group that collates infection information worldwide.
'Infection Surveillance 24/7'
About 3 miles (4.8 kilometers) away, cardiac surgeon Naresh Trehan's medical complex, Medanta-The Medicity, requires patients transferring from other hospitals to be screened for resistant bacteria. This procedure, routine in some Nordic countries, isn't standard in India.
Medanta has a strict hand-washing policy and a 40-member team to monitor infections, says Trehan, 65, who trained in cardiac surgery at New York University and worked at Bellevue Hospital in Manhattan before returning to India in 1988.
"We have a very senior person whose sole responsibility is to keep the whole hospital under infection surveillance 24/7," he says.
Livermore at the U.K.'s Health Protection Agency says these efforts may not be enough in a country where 626 million people defecate in the open and that treats only 30 percent of the 10.1 billion gallons of sewage generated each day. Even the most modern hospitals can't exist as islands of cleanliness, he says.
"How does the hospital -- however good its surgeons and physicians -- isolate itself when its patients, staff and food all come from outside, where they are exposed to this soup of resistance?" he asks.
'Hope for the Future'
Bush, the antibiotics researcher, has been investigating novel ways to fight bacteria since 1977. She says combinations of existing drugs, including an experimental compound from AstraZeneca in late-stage patient studies, may neutralize some carbapenem-destroying enzymes.
Should these mixtures pan out, they may help the superdrugs regain at least some of their potency, potentially extending their usefulness for a decade or more, she says.
A drug candidate from Basel, Switzerland-based Basilea Pharmaceutica AG (BSLN) in early-stage trials shows some promise against NDM-1, she says.
"What's frustrating is to see that companies refused to address the issue until the last few years," Bush says. "There are still some that are trying, and that's the hope for the future."
'Very Cautious'
Drugs that could once again tackle the world's most resistant germs would be a relief for people worldwide, Norway's Skaret among them. She spent more than six months fearing a microbial time bomb until she learned that the NDM-1 supergerms had passed from her system.
Even though she escaped physical harm, Skaret says, NDM-1 made her feel isolated. She says therapists, concerned about their own exposure, refused to help her with rehabilitation to recover from the car accident. Neighbors who delivered food were careful not to get too close.
"When they heard about it, they were very cautious," she says.
If Walsh's projection is accurate, 100 million Indians may be carrying the NDM-1 gene unwittingly and doing little to contain its spread. The number of countries reporting NDM-1 will continue to grow as more bacteria pick up the gene and people transport it around the globe.
To prevent a worldwide catastrophe, microbiologists Kumarasamy and Walsh -- along with scores of scientists and doctors inside and outside India -- are sounding an alarm.
"Combine sophisticated medicine, poor sanitation and heavy antibiotic usage, and you have a rocket fuel to drive the accumulation of resistance," Livermore says. "That surely is what India has created."
I posted this lengthy article because this problem is not confined to India. It affects the whole world. The problem of the over use of antibiotics must be addressed before catastrophe strikes.


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Police in Orange arrested a woman they believe to be a suspect in an aggravated assault that occurred on May 7 after stopping her for a traffic violation.
According to reports from the Orange Police Department, dispatch received a call regarding an aggravated assault in the 100 block of Dewey Avenue at about 1:44 a.m. The complainant told police he was held at gunpoint and struck with a large wooden dowel rod after being accused of a stealing a wallet. The man was taken to Baptist Hospital in Orange for treatment for a laceration on the top of his head, which he said was a result of the altercation with the suspect.
At about 4:19 a.m. the same day, Officer James Roy reports he was on patrol in the area of North 10th Street and West John Avenue in Orange when he saw a silver Chevrolet Tahoe traveling westbound on West John Avenue that fit the description the aggravated assault victim gave of the suspect's vehicle. Officer Roy got behind the Tahoe, and when the vehicle's driver reportedly failed to appropriately signal an intent to turn, Roy pulled the vehicle over.
According to the police report, when Roy spoke to the driver of the vehicle, she said she did not have her identification because her wallet had been stolen. The woman identified herself as 48-year-old Geneva Lewis of Orange. After a computer check, dispatch reported to Roy that Lewis' license was invalid. Roy placed the woman under arrest for the infraction.
Roy also reports that officers recovered a large wooden stick while searching the Tahoe. They believe it was the weapon used in the aggravated assault reported hours earlier.
The incidents are still under investigation.
[1] http://theexaminer.com/users/sharon-brooks
[2] http://theexaminer.com/sites/default/files/Lewis%2C%20Geneva%20Kay.png
[3] http://theexaminer.com/stories/news
[4] http://theexaminer.com/tags/assault
[5] http://theexaminer.com/tags/dowel-rod
[6] http://theexaminer.com/tags/geneva-lewis
[7] http://theexaminer.com/tags/orange


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