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Thursday, January 11, 2024

Ukraine builds barricades, digs trenches as focus shifts to defence

 Rows of white concrete barricades and coils of razor wire stretch across an open field for more than a kilometre. Trenches with rudimentary living quarters are being dug under cover of darkness. Artillery rumbles not far away.

New defensive lines visited by Reuters near the northeastern city of Kupiansk on Dec. 28 show how Ukraine has stepped up construction of fortifications in recent months as it shifts its military operations against Russia to a more defensive footing.

The defences, which bear some similarities to those rolled out in the Russian-occupied south and east, aim to help Ukraine weather assaults while regenerating its forces as Moscow takes the battlefield initiative, military analysts said.

"As soon as the troops are moving, traversing fields, you can do without fortifications. But when the troops stop, you need to immediately dig into the ground," a Ukrainian army engineer with the call sign Lynx told Reuters near Kupiansk.

President Volodymyr Zelenskiy announced that Ukraine was "significantly enhancing" fortifications on Nov. 28 after a counteroffensive that it launched in June was unable to rapidly punch through Russian lines.

Kyiv says it is unswayed in its ambition to retake all remaining occupied territory, but for now is focused on politically sensitive conscription reforms to replenish manpower and on addressing artillery shortages at the front.

Russia has been ramping up offensive pressure around eastern towns such as Kupiansk, Lyman and Avdiivka, and no longer needs to hold back its reserve troops for fear of a possible Ukrainian breakthrough, the military analysts said.

Zelenskiy said Ukraine's defensive constructions needed to be boosted and work on them accelerated around the three towns, in eastern parts of the Donetsk region, and in the regions of Kharkiv, Sumy, Chernihiv, Kyiv, Rivne and Volyn.

Those regions stretch all the way up from Ukraine's east, along the border with Russia and Belarus, to its western ally Poland. Zelenskiy said the southern Kherson region, a swathe of which is still occupied, would also be reinforced.

DEFENSIVE POSTURE

There is no publicly available data for the intensity or scale of the fortification construction.

Ukraine has had defensive lines in some areas of the eastern Donbas region since 2014, when Russia backed militants who seized territory. It has been heavily dug in at places such as Avdiivka throughout the full-scale invasion.

Stronger fortifications would slow down Russian troops and suck fewer Ukrainian forces into defence, freeing them up from the front so they could, for instance, receive more training, said Jack Watling, senior research fellow for land warfare at the Royal United Services Institute.

"The Ukrainians are now shifting onto a defensive posture because their offensive has culminated," he said in a telephone interview, adding that Russia had retaken the initiative on the battlefield and was able to choose where to attack.

With Ukrainian artillery ammunition stocks declining, the rate of Russian casualties was falling, making it easier for Moscow to generate new units, which in time could allow them to open up new lines of attack, he added.

"On the Ukrainian side, they are trying to minimise their own casualties, but also regenerate offensive combat power," said Watling.

He said fortifications could also be used to defend Ukraine's flanks when it goes back on the offensive.

DRAGON'S TEETH

On Wednesday, Reuters reporters visited trenches being dug with an excavator and shovels at an undisclosed location in the Chernihiv region near the Russian border.

"When the civilians have done their job (building the positions), we will densely mine it," Serhiy Nayev, Ukraine's joint forces commander who oversees the northern military sector, told reporters at the site.

Last month, Reuters reporters visited newly built Ukrainian trenches in Chornobyl near the border with Belarus, a Russian ally used by Moscow as a staging ground for the February 2022 invasion.

A large military engineering vehicle churned through the snowy ground as it carved out a wide anti-tank ditch.

"(The works are ongoing) along the whole Northern Operational Zone. These works are currently underway in Sumy region, Chernihiv region, here in the Kyiv direction," Nayev said at the site.

"Concrete structures, barbed wire, ... 'dragon's teeth' (concrete barricades)...; they will be mined and barbed wire will be put on them. This will be a continuous concrete obstacle for armoured vehicles," he said.

Near Kupiansk, Ukraine's military showed Reuters reporters newly built defensive lines, but said the exact location could not be disclosed publicly for security reasons.

A military engineer using the call sign "Lizard" said they typically put down the "dragon's teeth" first, followed by coils of razor wire and then mines, if they use them.

"I believe most of these barriers should have been built much earlier, probably in the spring. It takes too much time," he said.

Several hundred metres behind the "dragon's teeth", work was underway to expand a network of personnel trenches reinforced with wooden beams where there were also living quarters and wooden bunk beds.

Lynx, the other serviceman, said Ukraine was trying to minimise the use of mines for its fortifications to avoid leaving dangerous munitions on its territory.

"This is our land. We wouldn't want to litter it so much," he said.

https://news.yahoo.com/ukraine-builds-barricades-digs-trenches-070418863.html

Wednesday, January 10, 2024

MTA’s new $700K subway gates designed to keep out fare-beaters defeated by simple hack

 Forget swiping — or jumping.

Waving one’s hand over an ill-placed sensor is all that’s needed to get past a new set of $700,000 subway gates the MTA is testing to crack down on fare-beating.

The simple hack, first exposed in a TikTok video, was replicated by The Post this week — proving how embarrassingly easy it is to defeat the Metropolitan Transportation Authority’s shiny new line of defense against turnstile jumpers.

In the video, posted by a user named kiingspiidertv, a man walks up to the gates at the Sutphin Boulevard-Archer Avenue station in Queens, then leans over the paddles of a neighboring gate and waves his hand over the exit sensor.

The doors fling open, letting him saunter through as if that’s how it was supposed to work.

“How To Avoid Getting A Ticket✅ “NEW NYC TURNSTILE HACK,” the clip is captioned.

But there was another flaw, as Post reporters discovered, namely that the doors stay open for about five seconds — giving fare-beaters plenty of time to scurry through on the heels of paying customers.

The new subway gates at this Queens station are embarrassingly easy to beat — as illustrated by a TikToker who waved his hand over a sensor to open them.J. Messerschmidt for NY Post
The gates — which cost about $700,000 to install — are embarrassingly easy to bypass.J. Messerschmidt for NY Post

This happened several times at the Queens station — as did people going through in pairs with only a single ticket swipe.

“One person will pay and three will go through,” an MTA employee at the station told The Post. “Or someone goes through with a stroller and the others just walk through. When I see them, I say, ‘No, you gotta pay. I don’t let them through.”

It’s not quite the rollout the agency wanted for the new design, installed late last year as part of a test of potential remedies to the fare-beating plague that robbed $690 million from the city’s coffers in 2022.

The array replaced the decades-old turnstiles with tall metal paddles that were ostensibly tougher to jump over or crawl under.

They also make it easier for subway riders with bags or luggage to get through — a definite plus at a station that connects to the JFK AirTrain via the larger Jamaica Station complex.

The flaw was first exposed on TikTok by a user named kiingspiidertv.TikTok/kiingspiiderTV

The 8th Avenue-Penn Station A/C/E was slated to be the second station to get the new setup, which cost about $700,000 to install.

“I don’t think I’ve seen technology that’s perfect in any city, frankly,” Rich Davey, the MTA’s top executive for the city subway and bus systems, said at the system’s Dec. 4 unveiling. “But this is obviously going a long way to improving our current turnstile system.”

At the Sutphin-Archer station this week, several cops watched the gates, occasionally stopping brazen law-breakers and even writing a $100 ticket to one man.

But the MTA is still looking for other solutions, and recently issued a solicitation for a new gate-fare system that specifies “doors and panels must be designed to minimize opportunities to evade fare payment by reaching under, over, or in any way around while in the closed position.”

And it worked like magic, with the paddles flinging open after a quick wave of the hand.TikTok/kiingspiiderTV

Similar models in Europe employ higher paddles and slightly different dimensions, so changes could be made to the New York models to make them tougher to beat.

In a statement Wednesday, MTA Communications Director Tim Minton said the agency has a “multi-layered approach to deterring fare evasion driven by a blue-ribbon panel’s report, that includes a search for new fare gate technology, police officers, private guards, transit enforcement teams, discount fare programs and soon, a customer-messaging campaign.”

“In addition, MTAPD officers were assigned to encourage payment compliance through wide gates being piloted at Sutphin-Archer station shortly after they were installed there,” Minton said.

New York’s Finest had their own doubts about the gates’ efficacy.

The new subway fare system is one of several the MTA is looking at.J. Messerschmidt for NY Post

“I don’t think they are effective,” one officer at the Sutphin-Archer station said. “The gates stay open too long. People can just push through, and they do. You can’t catch everyone.”

The cop also said the gates are open for too long — instead, the MTA should have created special areas with slower gates for people with luggage, strollers or wheelchairs.

When asked if fare evasion is worth a $100 ticket, the officer said it must be, since people are still doing it.

“In rush hour, when you have so many more people going through, even more people are going to slip by,” the cop said.

The TikTok page showed how easy the hack is — and riders have already figured out the gates stay open for longer than they should, making it easy to scurry behind paying customers.tiktok.com/@kiingspiiderllc/
The MTA employee was more optimistic.

“You are going to pay $100 fine for a $2.90 ticket?” she asked. “It’s not worth it.”

https://nypost.com/2024/01/10/metro/hack-defeats-mtas-700k-subway-gates-to-keep-out-fare-beaters/

Hospitalizations for scooter injuries nearly tripled in the US between 2016 and 2020

 UCLA-led research finds that scooter injuries nearly tripled across the U.S. from 2016 to 2020, with a concurrent increase in severe injuries requiring orthopedic and plastic surgery over the same period.

The study, which compared national trends in scooter and bicycle injuries during the period, also found that costs to treat those injuries rose five-fold, highlighting the financial strain these injuries pose to the healthcare system -- a finding that "underscores a critical juncture for discerning the underlying causes of injuries and informing policies for injury prevention," the researchers note.

The study will be published January 9 in the peer-reviewed Journal of the American College of Surgeons.

"Considering the rise in the number of hospitalizations and major operations for scooter-related injuries, it's crucial to elevate safety standards for riders," said lead author Nam Yong Cho, a third-year medical student at UCLA and a research associate at the UCLA Cardiovascular Outcomes Research Laboratories.

"Advocating for improved infrastructure, including enforced speed limits and dedicated lanes, is also vital to minimize risks for vehicles, scooter riders, and pedestrians alike."

The researchers used the 2016-2020 National Inpatient Sample, a database maintained by the Agency for Healthcare Research and Quality, to compare trends and outcomes for scooter-related and bicycle-related injuries.

The database does not, however, differentiate between electric and non-electric scooters.

Of nearly 93,000 patients who were hospitalized for injuries, about 6,100 (6.6%) resulted from scooter injuries.

Overall, about 27% of people in the scooter cohort were under age 18 compared with 16% for the bicycle group.

In addition, injuries were most frequent in the winter months (24% vs 20%), patients were insured by Medicaid (27% vs 24%); and scooter injuries led to more major operative interventions (56% vs 48%), which mainly included orthopedic and plastic surgery (89% vs 85%) and operations to the head (5% vs 4%).

Scooter riders also had higher odds of experiencing long bone fractures and paralysis than their bicycle riding counterparts, though both groups were similarly likely to suffer traumatic brain injuries.

Finally, the annual healthcare burden of treating scooter-related injuries jumped from about $6.6 million in 2016 to $35.5 million in 2020.

For bicycle injuries, the price tag increased from $307 million to $434 million.

The study has some limitations. They include a limited amount of granular data such as helmet use, presence of multiple riders on the vehicles, and use of intoxicants; and an inability to account for objects and other vehicles that might have been involved in the injury incidents, or to determine the kind of terrain where they happened, and speed, time of day and total distance traveled when they occurred.

The researchers also could not ascertain the type of scooter or bicycle models involved in the injuries.

Still, the findings indicate a worrisome increase in patient injury, hospitalization and financial burden, the researchers note.

"The progressive exacerbation of injury severity in scooter-related incidents manifested in a substantial proportion of patients necessitating surgical intervention and potentially having long-term morbidity," the researchers write.

"Our findings are a call to action for healthcare leaders to empower themselves in promoting scooter-related injury prevention and greater safety in the community."

Study co-authors are Shineui Kim, Dr. Zachary Tran, Dr. Joseph Hadaya; Konmal Ali, Elsa Kronen and Dr. Peyman Benharash of UCLA, and Dr. Sigrid Burruss of Loma Linda University Health. Tran is also affiliated with Loma Linda University Health.

Journal Reference:

  1. Nam Yong Cho, Shineui Kim, Zachary Tran, Joseph Hadaya, Konmal Ali, Elsa Kronen, Sigrid Burruss, Peyman Benharash. National Trends and Clinical Outcomes after Scooter Injury in the US: 2016-2020Journal of the American College of Surgeons, 2024; DOI: 10.1097/XCS.0000000000000918

Hospital Diagnostic Errors Send Nearly 1-In-4 Patients To ICU, Study Finds

  by Amie Dahnke via The Epoch Times (emphasis ours),

Diagnostic errors in U.S. hospitals are sending nearly one in four patients to the intensive care unit, according to the results of a new study.

In the cohort study conducted by a team from UC San Francisco and the University of Colorado School of Medicine, it was found that 23 percent of patients either received incorrect diagnoses or experienced delays in diagnosis. Of these cases, 17 percent resulted in temporary or permanent harm to the patient.

The study’s results are published in the January edition of the Journal of the American Medical Association.

To determine diagnostic errors, the research team looked at 2,428 records of patients who had been admitted to 29 hospitals across the United States in 2019. A little over half of the patient records were male (54 percent), and the average age of the patient was 63.9 years old. Roughly two-thirds of the patients were white.

Patient cases were reviewed by two physicians trained in error adjudications. The physicians evaluated medical records for the presence or absence of diagnostic errors or underlying process issues or faults. Any records marked for fault were then reviewed more closely to determine what, if any, harm was caused as a result of the error.

The physicians had to agree on their assessment of the error and harm caused before finalizing their review; a third physician resolved any disagreements.

In total, 550 patients experienced a diagnostic error. Of these, 436 patients suffered temporary or permanent harm or death as a result of the error. Among the 1,863 patients who died, diagnostic errors were found to contribute to 121 of those deaths, accounting for nearly one in 10.

In 116 cases, diagnostic errors resulted in extended hospital stays. The most significant risks for diagnostic error were identified as issues in patient assessment and problems related to the ordering and interpretation of tests.

“Results from our study provide impetus for rapid exploration and testing of interventions seen to reduce diagnostic errors and harms associated with ICU transfer and deaths by targeting gaps in test selection and interpretation and physicians’ ability to debias and rethink diagnoses as high-priority areas,” the research team concluded.

Case Studies Show How Errors Lead to Harm, Longer Hospital Stays

In a case involving assessment error and patient monitoring, a patient with group B strep infection in their foot was admitted to the hospital. The care team primarily focused on the patient’s meningitis and did not have a plan for treating the foot infection. Consequently, the patient was transferred to the intensive care unit due to poor blood flow and underwent surgical debridement of their foot.

In another case related to testing, a patient on long-term anticoagulation therapy was admitted to the hospital with a hematoma just days following a bone marrow biopsy. The care team resumed anticoagulation therapy on the patient’s fifth day, which exacerbated the patient’s pain and led to tachycardia, a condition characterized by a heart rate exceeding 100 beats per minute. The patient remained in this state for an additional nine hours until CT scans revealed interventional radiology was required.

In a case involving misdiagnosis, a patient who was admitted to the hospital with severe aortic stenosis died after the care team failed to recognize that the patient was in shock. The research team observed that the hospital utilized surgical services to triage the patient, who was experiencing tachycardia, instead of opting for critical care or medical services.

According to the study, “problems related to testing, such as choosing the correct test, ordering the test in a timely fashion, or correctly interpreting the results and problems with assessment, such as recognizing complications or revisiting a different diagnosis, appear to be the most important targets for safety improvement programs.”

The research team noted their study failed to capture the constant pressure on hospital care teams, such as workload and staffing shortages, which likely influence the professional standard of care.

An October 2023 report from Kaufman Hall, a health care consulting firm, confirmed that two-thirds of hospitals across the United States are operating below full capacity due to staffing shortages. Additionally, 70 percent of these hospitals report that patients remain in emergency rooms due to a lack of staffing or bed capacity.

The report includes responses from 106 hospital and health system executives.

https://www.zerohedge.com/medical/hospital-diagnostic-errors-send-nearly-1-4-patients-icu-study-finds

'JPMorgan Asset Says Fed Rate Cuts May Be Steeper Than Expected'

 

  • Reasonable base case is 150 basis points of cuts: Mac Gorain
  • JPMorgan Asset favors buying five-, seven-, 10-year Treasuries

The Federal Reserve may end up cutting interest rates more than it’s currently signaling as the US economy slows, driving a rally in shorter-maturity Treasuries, according to JPMorgan Asset Management.

“What the market’s pricing is roughly 1.5% of cuts and that’s probably a reasonable central case,” said Seamus Mac Gorain, head of global rates in London at the money manager, which oversees about $2.9 trillion. “In bad economic outcomes it could be, you know, quite a bit bigger than that.”

https://www.bloomberg.com/news/articles/2024-01-11/jpmorgan-asset-says-fed-rate-cuts-may-be-steeper-than-expected

Ohio House of Representatives overrides veto of bill banning gender-affirming care

 Ohio's House of Representatives on Wednesday voted to override the governor's veto of a bill that bans gender-affirming healthcare for minors, one of dozens of bills under debate this year that would restrict transgender rights across the U.S.

In this presidential election year, the number of bills has already surpassed last year's record-setting pace, extending a contentious cultural debate in the United States. Democrats say transgender people and parents of transgender kids should determine treatment, as endorsed by the medical consensus, while Republicans portray that stance as medically radical and dangerous to children.

Some of the new proposals are among the most prohibitive to date. One Florida bill would require all driver's license applicants to sign affidavits attesting to their sex at birth and another would classify some allegations of transphobia as defamation, carrying statutory damages of up to $35,000.

In Ohio, medical professionals and parents had told Republican Governor Mike DeWine that gender transition was necessary and lifesaving for many adolescents and teens.

"I believe that parents, not the government, should be making these very crucial medical decisions for their children," DeWine said when he vetoed the transgender bill in late December, defying party convention.

But the Ohio House overrode the governor's veto with a vote of 65-28 on Wednesday. The state Senate, where the bill previously passed with more than the three-fifths majority needed to override, was due to vote on Jan. 24. If passed, the law would take effect 90 days later.

Transgender rights advocates initially praised DeWine. But last week he issued an executive order curtailing transgender healthcare that appeared to be an attempt to stave off a veto override, and has been criticized by transgender advocates as imposing more extreme restrictions than the bill contained.

The governor said at a press conference on Friday that he was concerned over advertising from "fly-by-night" clinics that might be profiting off transgender people without proper training or oversight.

Now transgender Ohioans are facing the possibility of a restored legislative ban on gender-affirming healthcare plus the additional restrictions in DeWine's executive order.

The executive order requires that even adult transgender people must have a comprehensive treatment plan prescribed by both a psychiatrist and an endocrinologist that is then reviewed by a medical ethicist before receiving services. The executive order would not go into effect before a public comment period ends Feb. 5.

Across the country, nearly 150 bills that would restrict transgender rights have been introduced in 2023-24 legislation sessions across the United States, more than double the number introduced at this date a year ago, according to a team of transgender rights activists who track the legislation, led by journalist Erin Reed.

Some of the measures would extend medical limits to adults, a shift from the previous focus on adolescents and teens under 18. A South Carolina bill would prohibit Medicaid coverage for transgender patients up to 26 years of age.

Last year, some 560 anti-LBGTQ rights bills were introduced and 81 of them passed, including 22 that imposed some limits if not outright bans on gender-affirming care for minors such as puberty blockers and hormone therapy.

Federal courts have ruled both in favor and against the healthcare bans.

Republicans and backers of such bans say the major medical associations in the fields of pediatrics, endocrinology and mental health are mistaken and that providing transition care to minors is akin to child abuse.

The World Professional Association for Transgender Health (WPATH) recommends transgender people receive comprehensive assessments from a multidisciplinary team of medical professions experienced in transgender care before starting hormone therapy or graduating to surgery.

But WPATH President Marci Bowers said DeWine's order arbitrarily erects barriers and delays to care for a vulnerable population, and that the required involvement of a medical ethicist was unprecedented.

"This is this is just an anti-diversity campaign," Bowers said. "They really don't understand biology. It will come as a shock to the governor and other conservative voices that babies can be born with a vagina and have a Y chromosome. A baby can be born with a penis and have two X chromosomes. Why is it so hard for them to understand that gender identity is also diverse?"

The conservative think tank American Principles Project has been one of the groups supporting the state-level legislation in recent years. President Terry Schilling counters that sex is binary and immutable.

"We need to get people to accept their bodies and to love their bodies," Schilling said. "There's a serious self-hatred going on. And there's nothing wrong with these people's bodies. It's their mind that needs work."

https://news.yahoo.com/ohio-vote-highlights-intensified-transgender-110834529.html