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A report from the Department of Veterans' Affairs inspector general found that the Washington DC VA Medical Center has for years "suffered a series of systemic and programmatic failures to consistently deliver timely and quality patient care," and heightening the potential for waste, fraud and abuse of government resources.The report released Wednesday found that the main health care facility for veterans in Washington lacked consistently clean areas for medical supplies, had staffing issues across multiple departments and that approximately million in supplies and equipment were purchased over a two-year period without "proper controls to ensure the purchases were necessary and cost-effective."According to the report, VA Secretary David Shulkin said he "does not recall senior leaders' bringing issues at the medical system related to supplies, instruments and equipment to his attention" while he was the undersecretary of health.The VA has been rocked by the IG report and Shulkin's belief that Trump administration political appointees, including a top aide, have been working toward his ouster.The report did not find any patient harm, but VA Inspector General Michael Missal said that was "largely due to the efforts of many dedicated health care providers that overcame service deficiencies to ensure patients received needed care."In the report detailing the troubling conditions at the VA hospital, Missal faults "failed leadership at multiple levels within VA that put patients and assets ... at unnecessary risk." The report follows an interim report released in April 2017, which Missal took the rare step of issuing because he had a "lack of confidence" in the Veterans Health Administration to properly deal with the issues, some of which they had known about for some time.The report made 40 recommendations, all of which the Department of Veterans Affairs said it accepts. "On behalf of the senior leaders at DC VAMC, Veterans Integrated Service Network (VISN) 5 and the Veterans Health Administration (VHA), we concur with OIG's findings and recommendations and provide the attached action plans," the Office of the Undersecretary for Health said in response to the report.The investigation into the Washington DC VA Medical Center, which provides care to almost 100,000 veterans and employs more than 2,000 people, began in March 2017 after a confidential complaint, according to the inspector general's report.The-CNN-Wire? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved. 2547

A new study takes a closer look at the impact the amount of time children spend on cell phones, computers and TV is having on their brains.“What they're finding, or what they're reporting, is that more screen time--in fact a lot of screen time, around 7 hours a day--is associated with changes in the brain and changes in cognition,” says Rachel Barr, a developmental psychologist.Dr. Barr studies the impact TVs, computers and cell phones can have on young children.Kids between the ages of 8 and 12 spend generally six hours a day, while teens are spending nearly nine hours.While Dr. Barr agrees too much time can have negative impacts, she points out what children watch on their devices matter.“Exposure to education programing in younger children is associated with better outcomes and especially for children who are growing up in low resourced communities,” Dr. Barr explains.As for what parents can do: set time limits and ground rules, like keeping screens out of the bedroom, which can make it easier for children to fall and stay asleep.“Setting up this family media plan, being mindful of your own media use and your child's media use, even though you're being bombarded by all of these changes in media yourself,” suggests Dr. Barr. 1254

A suspect is in custody after a hospital in New Hampshire was locked down due to an active shooter situation, which authorities described as a "domestic situation." One person was killed during Tuesday's incident. That person's identity has not been released. The incident occurred at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire. Dartmouth-Hitchcock released the following statement on Twitter: 439

A recent Gallup Poll shows President Donald Trump’s approval ratings continue to slip after the November election. Americans’ satisfaction with the direction of the country and approval of Congress are also trending down.Right before the election, a Gallup Poll on job approval showed 45% approved of President Trump. Then, a poll taken in the two weeks immediately following the November presidential election, showed Trump with a 42% job approval rating.That number has now slipped to 39%, according to the latest Gallup Poll taken during the first two weeks of December. The president’s approval rating has stayed between 35-49% over the course of his presidency.The highest favorability rating President Trump has received during his presidency was 49% in April as the country was in the initial stages of the coronavirus pandemic.As for how participants are feeling about Congress, in November, the Gallup Poll showed 23% had a favorable view of how Congress was doing. That number dropped to 15% in December. Notably, the poll was taken before a large coronavirus relief package and government spending bill passed both houses of Congress.The lowest Gallup has recorded for job approval of Congress was 9% in November 2013.There was a similar drop in how survey participants feel about the direction of the U.S., with 28% feeling satisfied in the direction of the country in October, then only 21% feeling satisfied in November, and 16% satisfied in December. The lowest level of satisfaction in the direction of the country this year was in July, when it was only 13%.“This overall decline is driven primarily by Republicans, whose satisfaction fell from 60% in Gallup's final preelection measure in October to 22% in the most recent poll, likely a reaction to the election outcome,” the Gallup Poll analysis states.Meanwhile, Gallup Poll’s surveys show approval ratings are ticking upward for President-elect Joe Biden. He had a 48% approval before the election, then 55% job approval rating in the weeks after the election. In the December poll, his job approval rating during the transition went up to 65%.Gallup says Biden’s bump in favorability is in line with trends they have seen after presidential elections since 2000.Meanwhile, ratings for losing presidential candidates in Gallup’s poll have been mixed over the years; John McCain and Mitt Romney saw a higher rating post-election, and Hillary Clinton’s rating was unchanged after the 2016 election. 2476

A van slammed into a crowd Saturday in an apparently deliberate act in the German city of Muenster, killing two people and leaving 20 others injured, officials said.The driver also shot and killed himself, a police spokeswoman said. The driver was a German citizen, said Herbert Reul, state minister for internal affairs in North Rhine-Westphalia state.Authorities are treating the incident as an attack. There is no known connection to radical Islam but investigators are still looking into the driver's background, Reul said.Police earlier said there were three deaths. Reul clarified later Saturday that the total included the attacker.Muenster police spokesman Andreas Bode said law enforcement is looking into witness reports that some people fled the attacker's van after the attack. He also said there was a suspicious object in the vehicle that was under investigation.Bode said the motive of the driver is unknown.The attack happened in the old part of the western German city, an area popular on weekends. It was a warm sunny afternoon, one of the first nice days of spring, and many people were out in the area with its narrow streets, Bild editor Julian Reichelt told CNN.German Chancellor Angela Merkel said she is "deeply shocked by the terrible events in Muenster."In a statement tweeted by German government spokeswoman Ulrike Demmer, Merkel said "everything is now being done to clarify the act and support the victims and their families."The driver drove a vehicle into a restaurant's open terrace around 3:30 p.m. local time, according to police spokeswoman Vanessa Arlt.Arlt said the old city remains closed, and police have asked people to avoid the city center.Muenster, with about 300,000 people, is home to numerous universities and has a student population of about 58,000, the city government says. The city calls itself the cycling capital of Germany and says about 100,000 residents use a bike daily."With dismay, I learned of the terrible incident in Muenster," Interior Minister Horst Seehofer said in a statement, adding, "Police in Muenster and throughout (the state of North Rhine-Westphalia) are now working hard to investigate the matter."Federal authorities are in close contact with local officials, Seehofer said.The White House sent condolences in a statement from press secretary Sarah Sanders."Our thoughts and prayers go out to the families of those killed and we wish a full recovery to those injured. While the German authorities have not yet announced a motive for this cowardly attack on innocent people, we condemn it regardless, and pledge any support from the United States government that Germany may need."Saturday's crash occurred on the one-year anniversary of a similar attack in Stockholm, Sweden, when a stolen beer truck struck pedestrians, killing five people. 2826

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