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In hospitals, one bacterial species is becoming increasingly tolerant to the alcohols used in hand sanitizers, according to research published Wednesday in the journal Science Translational Medicine.Globally, hospitals use isopropyl or ethyl alcohol-based disinfectants, such as hand rubs, to prevent patients from becoming sick from many germs. These are the same active ingredients found in hand sanitizers available for personal use and at schools -- but that doesn't mean people should give up on them.The bacterium Enterococcus faecium resides in our guts, but if encountered in a hospital, it can cause various complicated infections affecting the abdomen, skin, urinary tract and blood. This particular bug is a member of the Enterococci family, which ranks as the fourth and fifth leading cause of sepsis, a life-threatening bloodstream infection, in North America and Europe, respectively.Many hospital-acquired infections have decreased or been kept in check by Australia's strict hygiene practices that rely on alcohol-based hand sanitizers. Yet drug-resistant E. faecium infections have increased in Australian hospitals over time, according to the study authors.This alarming pattern prompted them to investigate whether E. faecium might be developing resistance to the alcohols used in hand rubs. 1343
Interior Department Secretary Ryan Zinke signed an order Friday morning aiming to expand access for hunters and fishers to public lands and monuments.In what is being described as an "expansive" secretarial order, Zinke's rule would ultimately allow broader access across the board to hunters and fishers on public lands managed by the Interior Department, according to the order.A section of the order also amends the national monument management plan to include or expand hunting and fishing opportunities to the "extent practicable under the law."The order cites a 2007 executive order from President George W. Bush to "facilitate the expansion and enhancement of hunting opportunities and the management of game species and their habitat." It directs agencies to to create a report and plan to streamline how best to enhance and expand access to hunting and fishing on public lands.The Interior Department oversees national parks, wildlife refuges and other federal lands.The secretarial order also aims to expand educational outreach for hunting and fishing to "under served" communities such as minorities and veterans as well as increase volunteer access to federal lands."Today's secretarial order is the latest example of how the Trump administration is actively moving to support hunting and other forms of outdoor recreation on public lands," Zinke said in a statement."Hunting and fishing is a cornerstone of the American tradition and hunters and fishers of America are the backbone of land and wildlife conservation," he said.Interior said Obama administration policies were too restrictive."Through management plans made under the previous administration, which did not appreciate access to hunting and target shooting like this administration does, access and usage has been restricted," said Interior spokeswoman Heather Swift.Zinke's rule will not have to go through a formal rule-making process.It is the second major action from Interior in the last few weeks.In August, Zinke recommended shrinking the boundaries of a handful of national monuments, but stopped short of suggesting the elimination of any federal designations following a review ordered by President Donald Trump.At Trump's direction, Zinke earlier this year launched a review of 27 national monuments, a controversial move that could undo protections for millions of acres of federal lands, as well as limits on oil and gas or other energy production. Interior and the White House have so far resisted releasing the contents of Zinke's full recommendations. 2552

INDIANAPOLIS -- Two men have been arrested in connection with the death of a 1-year-old Indianapolis girl.The Indianapolis Metropolitan Police Department tweeted the news about the arrest Wednesday morning. Darrin Banks, 27, and Brian Palmer, 29, were arrested for their involvement in the shooting. Malaysia Robson was killed when gunfire struck her home on the 3500 block of Wittfield Avenue on March 30. 445
INDIANAPOLIS -- A Marion County, Indiana toddler is dead after suffering extensive head trauma from weeks of suspected abuse and his father’s girlfriend has been charged in connection with his death.Two-year-old Jose Cubas Rivas was rushed in for emergency surgery on October 28 after Dilcia Chavez Claros brought him into the hospital unconscious.According to court documents obtained from the Marion County Prosecutor, Claros, 30, told doctors that the child had fallen off a bunk bed and lost consciousness while playing with her two sons.The 2-year-old was rushed into emergency surgery for a fractured skull and bleeding on the brain. During the surgery, Doctors had to remove a portion of his skull to release some of the pressure on his brain. In addition to head trauma, they noted several unexplained bruises and smaller injuries covering Rivas’ body with no history of medical treatment to explain them. the injuries.Doctors called the Department of Child Services after concluding that the injuries to the child’s head were so severe that they could not have been accidental. Claros was arrested two days later in connection with his death.Rivas was pronounced dead on November 1 after doctors said his brain showed no signs of activity.While investigating the child’s death, investigators uncovered details surrounding suspected abuse dating back to early September.Those details are spelled out in a 17-page report filed by the Marion County Prosecutor's office on October 2. In them, a social worker told police that she had helped the family get housing, beds and insurance back in August.The social worker said she first noticed signs of abuse on the 2-year-old during a follow-up visit in September and had filed a child abuse report through DCS on September 20 - over a month before Rivas' death - but had never heard from the investigator assigned to the case.During that first follow-up visit, the social worker told police that Rivas had, “two dark black eyes, a large bump on the front of his forehead, a small bruise on the left side of his cheek.” The child also had a busted and swollen lip and the social worker said it looked like he had been punched in the mouth.When she asked Claros what happened, the social worker said Claros became, “noticeably nervous and began stumbling over her words.”Claros claimed Rivas’ injuries were all from when he fell outside while he was with his father. She admitted to the social worker that she beat her children, but had no feelings for the 2-year-old because she was not his mother.After several canceled follow-ups, the social worker visited the family again in mid-September. This time, she said the child had new injuries to his head which Claros again blamed on him falling off a table.Claros told the social worker that she had taken Rivas to the hospital on September 11 after police were called on her while she was shopping at Plato’s Closet.The report filed by the officer that day said a witness had called police after she saw a young boy with “two black eyes and swelling on the side of his face.” She also saw “bruises on both of his upper arms that looked like handprint marks as if someone had grabbed him roughly by his arm” and “marks on the front of his neck that looked like bruises from someone picking him up by his neck.” The officer noted that the mother told him the child had fallen from a table and that the doctors reported there was “low suspicion for non-accidental trauma.”The detective noted that it appeared no MRI, X-Ray or scan of any type was taken when the child was treated at the hospital.On October 28, Claros told detectives she had taken her three children to Goodwill and that Rivas had gotten sick inside the store. After taking him home, she said she had given him crackers and juice but he eventually went to play with his brothers.Claros said one of her sons came to her later while she was cooking dinner and said Rivas had fallen from a bunk bed and was not moving.She told detectives she tried to revive the child with mouth-to-mouth and when that didn’t work she put him in a cold shower. When that didn’t work either, Claros said she used rubbing alcohol under his nose but could still not get him to wake up.Claros said she called the child’s father who told her to take him to the hospital.She told detectives she waited 10 minutes and then changed the child’s clothes before driving him to the hospital.Claros was arrested and charged with neglect of a dependent resulting in death. 4538
Israeli news outlet Haaretz reported on Tuesday that explosions were heard south of the Syrian capital of Damascus as tensions appear to be heating in the Middle East. Syrian state TV reported that Syria downed two Israeli missiles over Syria late Tuesday. This news comes as the US State Department warned of possible attacks on the Israeli settlement of Golan Heights. The US State Department issued a travel alert on Tuesday as President Donald Trump announced the US no longer is part of the Iran nuclear agreement. Haaretz reported that the Israeli army said it believes Iran is planning to carry out an imminent strike from Syria.While the United States' European allies fiercely opposed the US walking away from the Iran deal, Israel applauded Trump's decision. 827
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