Simple measures cut infections caught in hospitals

CHICAGO (AP) — Preventing surgery-linked infections is a major concern for hospitals and it turns out some simple measures can make a big difference.

A project at seven big hospitals reduced infections after colorectal surgeries by nearly one-third. It prevented an estimated 135 infections, saving almost $4 million, the Joint Commission hospital regulating group and the American College of Surgeons announced Wednesday. The two groups directed the 2 1/2-year project.

Solutions included having patients shower with special germ-fighting soap before surgery, and having surgery teams change gowns, gloves and instruments during operations to prevent spreading germs picked up during the procedures.

Some hospitals used special wound-protecting devices on surgery openings to keep intestine germs from reaching the skin.

The average rate of infections linked with colorectal operations at the seven hospitals dropped from about 16 percent of patients during a 10-month phase when hospitals started adopting changes to almost 11 percent once all the changes had been made.

Hospital stays for patients who got infections dropped from an average of 15 days to 13 days, which helped cut costs.

"The improvements translate into safer patient care," said Dr. Mark Chassin, president of the Joint Commission. "Now it's our job to spread these effective interventions to all hospitals."

Almost 2 million health care-related infections occur each year nationwide; more than 90,000 of these are fatal.

Besides wanting to keep patients healthy, hospitals have a monetary incentive to prevent these infections. Medicare cuts payments to hospitals that have lots of certain health care-related infections, and those cuts are expected to increase under the new health care law.

The project involved surgeries for cancer and other colorectal problems. Infections linked with colorectal surgery are particularly common because intestinal tract bacteria are so abundant.

To succeed at reducing infection rates requires hospitals to commit to changing habits, "to really look in the mirror and identify these things," said Dr. Clifford Ko of the American College of Surgeons.

The hospitals involved were Cedars-Sinai Medical Center in Los Angeles; Cleveland Clinic in Ohio; Mayo Clinic-Rochester Methodist Hospital in Rochester, Minn.; North Shore-Long Island Jewish Health System in Great Neck, NY; Northwestern Memorial Hospital in Chicago; OSF Saint Francis Medical Center in Peoria, Ill.; and Stanford Hospital & Clinics in Palo Alto, Calif.

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Online:

Joint Commission: http://www.jointcommission.org

American College of Surgeons: http://www.facs.org

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AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner

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California school districts face huge debt on risky bonds

Two hundred school districts across California have borrowed billions of dollars using a costly and risky form of financing that has saddled them with staggering debt, according to a Times analysis.

Schools and community colleges have turned increasingly to so-called capital appreciation bonds in the economic downturn, which depressed property values and made it harder for districts to raise money for new classrooms, auditoriums and sports facilities.

Unlike conventional shorter-term bonds that require payments to begin immediately, this type of borrowing lets districts postpone the start of payments for decades. Some districts are gambling the economic picture will improve in the decades ahead, with local tax collections increasingly enough to repay the notes.

DATABASE: Bonds by district

CABs, as the bonds are known, allow schools to borrow large sums without violating state or locally imposed caps on property taxes, at least in the short term. But the lengthy delays in repayment increase interest expenses, in some cases to as much as 10 or 20 times the amount borrowed.

The practice is controversial and has been banned in at least one state. In California, prominent government officials charged with watching the public purse are warning school districts to avoid the transactions.

One sounding the alarm is California Treasurer Bill Lockyer, who compares CABs to the sort of creative Wall Street financing that contributed to the housing bubble, the subsequent debt crisis and the nation's lingering economic malaise.

"They are terrible deals," Lockyer said. "The school boards and staffs that approved of these bonds should be voted out of office and fired."

Most school bonds, like home mortgages, require roughly $2 to $3 to be paid back for every $1 borrowed. But CABs compound interest for much longer periods, meaning repayment costs are often many times that of traditional school bonds.

And property owners — not the school system — are likely to be on the hook for bigger tax bills if the agency's revenues can't cover future bond payments, Lockyer and other critics say.

Several financial consultants who advise school districts on CABs declined to comment, as did the chairman of their trade group. Education officials acknowledge some drawbacks with CABs, but argue that the bonds are funding vital educational projects.

The Newport Mesa Unified School District in Orange County issued $83 million in long-term notes in May 2011. Principal and interest will total about $548 million, but officials say they are confident they can pay off the debt.

The bonds "have allowed us to provide for facilities that are needed now," said the district's business manager, Paul Reed. "We could not afford to wait another 10 years."

Overall, 200 school systems, roughly a fifth of the districts statewide, have borrowed more than $2.8 billion since 2007 using CABs with maturities longer than 25 years. They will have to pay back about $16.3 billion in principal and interest, or an average of 5.8 times the amount they borrowed.

Nearly 70% of the money borrowed involves extended 30- to 40-year notes, which will cost district taxpayers $13.1 billion, or about 6.6 times the amount borrowed on average.

State and county treasurers say debt payments of no more than four times principal are considered reasonable, though some recommend a more conservative limit of three times.

"This is part of the 'new' Wall Street," Lockyer said. "It has done this kind of thing on the private investor side for years, then the housing market and now its public entities."

The Poway Unified School District, which serves middle-class communities in north San Diego County, is one of the school systems faced with massive CAB debt payments. In 2011, it issued $105 million in capital appreciation bonds to complete a school rebuilding program.

Because the recession had depressed property values and tax revenue, Poway district officials realized that using conventional bonds might jeopardize a promise to district voters to limit the tax rate.

So on the advice of an Irvine-based financial consulting firm, they turned to the long-term notes. Under the deal, the school board could keep construction moving, avoid reneging on its pledge to voters and stay within the legal limits. And it would not have to repay the bonds for decades.

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Protesters Gather Again in Cairo Streets to Denounce Morsi

CAIRO — Tens of thousands of people filled the central Tahrir Square on Tuesday afternoon in an outpouring of rage at President Mohamed Morsi’s attempt to claim expansive new powers and at the role in politics played by his party, the Muslim Brotherhood.

An attempt by Mr. Morsi on Monday to soften his edict, by reaffirming his deference to Egyptian courts, did little to constrain the crowd, which some estimates put at hundreds of thousands of people. In scenes that were reminiscent of the popular uprising against President Hosni Mubarak, and that signaled the country’s current widening divides, the protesters dusted off old taunts for Mr. Morsi, the country’s first freely elected leader.

“Leave,” they chanted. “The people want the fall of the regime.”

The president’s opponents turned out large numbers in several other cities, and clashed at times with his supporters, including in Mahalla el-Kubra in the Nile Delta, where more than a hundred people were reportedly injured. The Brotherhood also reported attacks on several of its political offices.

Most significant, though, was the turnout in Tahrir Square, where Egypt’s secular-minded opposition appeared to have momentarily overcome its divisions, bolstering its numbers with new allies among people implacably opposed to the Brotherhood, in an effort to muster a serious, visible challenge to Egypt’s Islamist groups.

It remained unclear whether Tuesday’s numbers signaled a new movement, or a moment. Islamists have repeatedly won at the polls since the fall of Mr. Mubarak, and the Brotherhood has shown its ability to turn out large crowds with little difficulty.

On Tuesday, the Brotherhood mocked the gathering in Tahrir Square, dismissing the protesters as “remnants” of the Mubarak government on a television channel associated with the group and playing down their numbers on Twitter.

The taunts were ignored in Tahrir Square, where the crowd chanted, “The square is full without the Brotherhood.”

The gathering was prompted by an edict released by Mr. Morsi last week that his decisions would be above judicial review, a move that essentially removed the last check on his power, since Egypt’s Parliament had earlier been dissolved by the courts.

Though Mr. Morsi framed the decree as an attempt to insulate Egypt’s constitutional assembly from being dissolved by Mubarak-era judges, it was quickly attacked as a power grab and a worrying return to autocracy. On Monday, through his spokesman, Mr. Morsi again tried to explain his intentions, saying he would work within judicial precedents to hold back efforts to dissolve the constituent assembly, rather than putting his power above judicial scrutiny.

Even as Mr. Morsi tried to placate the country’s judges, Egyptian television on Monday showed the growing polarization of the country in split-screen coverage of two funerals, each for a teenage boy killed in clashes set off by Mr. Morsi’s edict.

“Now blood has been spilled by political factions, so this is not going to go away,” said Rabab el-Mahdi, an activist and professor at the American University in Cairo, adding that these were the first deaths that rival factions had blamed on one another and not on the Mubarak government’s security forces since uprising began last year.

Despite Mr. Morsi’s attempts at clarification, opposition leaders went ahead with Tuesday’s protest. Some said that respect for the judiciary was now only a small part of their cause, and that their goal was to abort the current Islamist-dominated constituent assembly.

Many protesters treated the occasion as a referendum on Mr. Morsi’s rule, saying he and his prime minister had failed to make important changes, like reforming the Interior Ministry.

“I voted for Mr. Morsi,” said Emad Abdel Kawy, 35, a computer engineer. “It seems like he doesn’t know what he’s doing. You expect a revolution to bring revolutionary actions. It didn’t happen.” And like many here, Mr. Abdel Kawy blamed the Brotherhood, which Mr. Morsi helped lead before becoming president.

“It’s clear he doesn’t make the decisions,” he said of Mr. Morsi. “The decisions come to him.”

The gathering brought together the revolution’s hardened activists with their former foes, including supporters of the Mubarak government. Some said that the strange new alliances were just a necessary result of Egypt’s confusing, emerging politics. Yosra Mostafa, a 28-year-old activist, said she realized that some of Mr. Mubarak’s supporters had turned out simply because they sought a return to power.

“I don’t mind being on their side to oust a dictator,” she said, speaking of Mr. Morsi.

The show of unity masked deep divisions between the opposition and other groups and even in them, Ms. Mahdi said.

“This is not a united front, and I am inside it,” she said. “Every single political group in the country is now divided over this. Is the decree revolutionary justice or building a new dictatorship? Should we align ourselves with felool” — the term for the remnants of the old government — “or should we be revolutionary purists?”

Yasser el-Shimy, an Egypt analyst at the International Crisis Group, argued that the persistence of protests against Mr. Morsi reflected in part the failure of the opposition to accept its own recent election defeats, including of the parliamentary and presidential elections.

“It has never come to terms with these defeats, so it tries to delegitimize the Muslim Brotherhood,” he said.

Mayy El Sheikh and Mai Ayyad contributed reporting.

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The Voice Contestants Explain Their Song Choices

TV Watch

The Voice

By Julia Haskins

11/27/2012 at 07:00 PM EST

From left: Cassadee Pope, Terry McDermott, Dez Duron, host Carson Daly, Cody Belew, Nicholas David, Trevin Hunte, Melanie Martinez and Amanda Brown

Tyler Golden/NBC

Contestants on The Voice already have the talent, but to make it to the top, they need the perfect song. On Monday night's show, Coach Cee Lo Green anticipated that at this point in the competition, song choice would be the ultimate factor in determining the next star. Now, hear from the competitors themselves:

Team Blake

• Terry McDermott sang Blake Shelton's "Over"
"Me and Blake went back and forth and I'd said I wanted to do something different," he said of the song choice. "He suggested his song – and the second I heard it I was like, "That's it!" It worked out tremendously. It was really fun."

• Cassadee Pope sang Michelle Branch's "Are You Happy Now?"
"It was a big deal," she told PEOPLE of closing the show with that number. "There was pressure to close out with a bang and also top the last week. I tried to push it all aside and go out and have fun because I love Michelle Branch and that song. She is one of my songwriting idols."

Team Christina

• Dez Duron sang Justin Bieber's "U Smile"
"That song was totally my groove," he said of the performance. "Christina came up with the Justin Bieber idea. I wanted to do it my way. I love the song. It's a huge song, but I know Justin has a lot of avid fans. I knew we had to make it me. It ended up being a great risk."

Team Cee Lo

• Trevin Hunte sang Whitney Houston's "Greatest Love of All"
"It's definitely kind of scary because I feel like America will want something different," he says of the fact that the past two Voice winners have been soul singers. "I just want to leave a mark."

• Nicholas David sang Marvin Gaye's "What's Going On"
"I loved being able to switch it up and play a little piano and add a sax," he said of the performance. "I get nervous when I stand there waiting for the judges to talk because I have so much energy right after playing. But I'm just excited."

• Cody Belew sang Queen's "Somebody to Love"
"I never felt like I would out sing Freddie Mercury because you can't, but I wanted to put my own spin on things and embody his lyrics," he explained of performing with a choir behind him. "It was a big moment for me."

Team Adam

Melanie Martinez sang Alex Clare's "Too Close"
"It's always going to be hard when you're singing about your personal experiences," she says of the recent breakup that informed her performance. "I never expected to do it on TV. I hope that now on I can let my personal experiences be fuel for the fire."

Amanda Brown sang Adele's "Someone Like You"
"I feel like it was intense ... and I hope people were moved by it, by the rock soul," she said. "Hopefully that was enough."

• Reporting by JESSICA HERNDON

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CDC: HIV spread high in young gay males

NEW YORK (AP) — Health officials say 1 in 5 new HIV infections occur in a tiny segment of the population — young men who are gay or bisexual.

The government on Tuesday released new numbers that spotlight how the spread of the AIDS virus is heavily concentrated in young males who have sex with other males. Only about a quarter of new infections in the 13-to-24 age group are from injecting drugs or heterosexual sex.

The Centers for Disease Control and Prevention said blacks represented more than half of new infections in youths. The estimates are based on 2010 figures.

Overall, new U.S. HIV infections have held steady at around 50,000 annually. About 12,000 are in teens and young adults, and most youth with HIV haven't been tested.

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Online:

CDC report: http://www.cdc.gov/vitalsigns

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Inglewood educator returns to turn schools around

When he was a kid, Kent Taylor bounced from school to school in South Los Angeles until his family landed in Inglewood. In sixth grade, he started classes at an elementary school under the LAX flight path.

Thirty-six years later, he's back where he began.

"This very classroom set me on my course through life," he told students at Oak Street Elementary on a recent day. As some of them whispered, wondering if the slender African American man before them was President Obama, Taylor spoke of how he struggled to read and do math until one teacher singled him out.

"I understand what you are going through because I have been there, sitting right where you are sitting."

Named recently to turn around Inglewood's insolvent school system, Taylor is offering his life as a symbol for the change that can come to a district long mired in trouble.

But not everyone is cheering for Inglewood's would-be hometown hero, who is known for ruthlessly cutting bloated costs in another school district. One critic refers to his "quiet assassin style. You smile and grin a lot, but you are cutting people off at the knees."

Everyone agrees that Inglewood needs help. The district's standardized test scores are among the worst in California. At Inglewood High, for example, just 25% of students are at grade level in English, and 4% are proficient in math. Enrollment is in free fall, largely because students have been lured away by charter and private schools.

Because state funding is calculated largely based on attendance, the decline has left a gaping hole in the district budget. In September, Inglewood became the ninth school system to be taken over by the state. The district received a $55-million loan to shore up debts, and its leadership was stripped of power.

As state administrator, Taylor's mandate is to stabilize the district's finances — and offer some hope to its students.

In that classroom that had meant so much to him, he told the children he would be there for them. He said he'd keep coming back to their school, that he'd check on their progress. He'd even host a pizza party.

"I am you, many years from now," he said. "I want you to know that you can achieve your dreams — and I'm going to help you get there."

Taylor, the youngest of three, had a turbulent beginning. His father wasn't around much. His mother was an office clerk who at times survived on welfare. Nobody in his extended family had ever gone to college.

"Life was very hard on my son in his younger years, there's no way around that," said his mother, Ivory Wilborne, 70. "I tried my best to provide for them, but nothing was ever settled. It was hard just to pay for food. But life settled down once we got to Inglewood."

Taylor speaks mostly of his sixth-grade teacher, Mrs. Fletcher, crediting her for seeing his promise. She spent extra time with the rambunctious boy who entered her classroom with poor academic skills.

"She didn't give up on me," Taylor said. "Her diligence pushed me to improve, literally gave me the foundation to succeed in later years.... Before that, honestly, I was headed for trouble."

By the time Taylor reached Inglewood High, he had become an "A" student, bookish and by-the-rules, able to read and do math better than most of his peers. He was named class president his freshman and sophomore years. Inglewood was beginning a hard struggle with gangs back then, but the gangs didn't bother kids like him — "the ones who spent our time lugging around heavy backpacks, proudly marching off to the library," he said. "That's the guy I became."

"There was something special inside him that made him stand out," said Mary Boykin, one of his English teachers. "I recall talking to him a great deal about his desire to go to college, his desire to be somebody. He was one of those you don't ever forget."

Taylor went on to UC Riverside, a big move for a kid who'd rarely ventured outside his working-class, mostly black neighborhood. He began to mix with other cultures and classes, even joining a predominantly white fraternity.

"This was another step, leaving Inglewood, expanding my view of the world," he said. "I wasn't sure if I would ever return."

Taylor's career in education took off in the 1990s. He worked as a special education teacher in San Bernardino, became a principal and then a district supervisor overseeing curriculum and intervention programs for struggling students.

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Egypt’s President Said to Limit Scope of Judicial Decree

Tara Todras-Whitehill for The New York Times

Egyptians stand near a burned out school, before the funeral of Mohammed Gaber Salah, an activist who died Sunday from injuries sustained during protests.

CAIRO — With public pressure mounting, President Mohamed Morsi appeared to pull back Monday from his attempt to assert an authority beyond the reach of any court. His allies in the Muslim Brotherhood canceled plans for a large demonstration in his support, signaling a chance to calm an escalating battle that has paralyzed a divided nation.

After Mr. Morsi met for hours with the judges of Egypt’s Supreme Judicial Council, his spokesman read an “explanation” on Egyptian television that appeared to backtrack from a presidential decree that had placed Mr. Morsi’s official edicts above judicial scrutiny — even while saying the president had not actually changed a word of the statement.

Though details of the talks remained hazy, and it was not at all clear whether the opposition or even the court would accept his position, Mr. Morsi’s gesture was another demonstration that Egyptians would no longer allow their rulers to operate above the law. But there appeared little chance that Mr. Morsi’s gesture alone would be enough to quell the crisis set off by his perceived power grab.

How far that gesture might go toward alleviating the political crisis, however, remained uncertain. Protesters remained camped in Tahrir Square, and the opposition was moving ahead with plans for a major demonstration on Tuesday.

In a televised statement, the presidential spokesman, Yasser Ali, said for the first time that Mr. Morsi had sought only to assert pre-existing powers already approved by the courts under previous precedents, not to give himself carte blanche from judicial oversight.

He said that the president meant all along to follow an established Egyptian legal doctrine suspending judicial scrutiny of presidential “acts of sovereignty” that work “to protect the main institutions of the state.” Mr. Morsi had maintained from the moment of his decree that his purpose was to empower himself to protect the constitutional assembly from threats that Mubarak-appointed judges might dissolve the constituent assembly, which is led by his fellow Islamists of the Muslim Brotherhood’s Freedom and Justice Party. The courts have already dissolved the Islamist-led Parliament and an earlier constituent assembly.

But the text of the original decree has exempted all presidential edicts from judicial review until the ratification of a constitution, not just those edicts justified as “acts of sovereignty.”

Legal experts said that the spokesman’s “explanations” of the president’s intentions, if put into effect, would amount to a revision of the decree he had issued last Thursday. But lawyers said that the verbal statements alone carried little legal weight.

How the courts would apply the doctrine remained hard to predict. And Mr. Morsi’s political opposition indicated it was holding out for far greater concessions, including the breakup of the Islamist-led constituent assembly.

Speaking at a news conference while Mr. Morsi was meeting with the judges, the opposition activist and intellectual Abdel Haleem Qandeil called for “a long-term battle,” declaring that withdraw of Mr. Morsi’s new powers was only the first step toward the opposition’s goal of “the withdrawal of the legitimacy of Morsi’s presence in the presidential palace.” Completely withdrawing the edict would be “a minimum,” he said.

Most in the opposition focused on the spokesman’s declaration that the president had not revised the text of his decree. Khaled Ali, a human rights lawyer and former presidential candidate, pointed to the growing crowd of protesters camped out in Tahrir Square for a fourth night. “Reason here means that the one who did the action has to take it back,” Mr. Ali said.

Moataz Abdel Fattah, a political scientist at Cairo University, said Mr. Morsi appeared to be trying to save face with a strategic retreat. “He is trying to simply say, ‘I am not a new pharaoh, I am just trying to stabilize the institutions that we already have,’ ” he said. “But for the liberals, this is now their moment, and for sure they are not going to waste it, because he has given them an excellent opportunity to score.”

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$1,499 Gaming Laptop is Ready for Steam on Linux

Alternative, Linux-based operating systems like Ubuntu haven’t historically carried much weight with PC gamers. Very few PC games have been made for Linux, over the years, ever since the company that was porting AAA gaming titles to Linux (Loki Games) went bankrupt in 2001. And while it’s possible to use a “compatibility layer” such as Wine to run Windows PC games in Linux, the results are mixed at best and require a lot of technical tweaking, sometimes even in between updates.

Colorado-based indie PC hardware company System76, however, clearly expects that not only are there PC gamers on Linux out there, but that some of them are willing to pay $ 1,499 for a tricked-out gaming laptop — the 17.3-inch Bonobo Extreme. Like all of System76′s machines, it runs the Ubuntu flavor of Linux; and its actual price tag is $ 1,599, but it’s gotten a $ 100 discount for the holidays.

Is it ahead of its time, like the Loki Games ports? Or has the time come for a new age of Linux gaming? For whatever reason, Valve — the creators of the Steam social gaming service — seems to think the latter.

​The hardware

The 17.3-inch screen is full 1080p, with a 1920×1080 resolution. Pretty much every spec starts out at “high end” and maxes out at “over the top”; it comes standard with an Intel Core i7 processor, 8 GB of RAM and a 500 GB, 7200 RPM hard drive, with a second drive bay and the option to swap the DVD burner out for a third storage disk. All three have the option of going up to a 512 GB Crucial solid state disk, or a 480 GB Intel SSD.

Gaming graphics are powered by an nVidia GeForce GTX 670MX, with 3 GB of memory. An extra $ 340 will get you a GTX 680M with 4 GB of memory. All told, with every possible hardware upgrade the Bonobo Extreme maxes out at an “extreme” $ 4,333 … and the Alienware-style, multicolored light-up keyboard is included for free.

​But what about the games?

Valve’s Linux Steam client is currently in beta, with another 5,000 testers added over the Thanksgiving holiday. About two dozen games are already available for purchase, including Valve’s free-to-play multiplayer online shooter Team Fortress 2 and a selection of games from previous Humble Indie Bundles.

The HIB previously became famous not just for having nearly all of its games support Linux, but for posting public sales figures online, and showing that a good-sized chunk of each bundle’s sales were for Linux gamers. Efforts such as this helped to convince Valve that supporting Linux would be worthwhile … and also seem to have reached someone at System76.

Jared Spurbeck is an open-source software enthusiast, who uses an Android phone and an Ubuntu laptop PC. He has been writing about technology and electronics since 2008.
Linux/Open Source News Headlines – Yahoo! News

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Gabriel Aubry: Olivier Martinez Threatened to Kill Me

By Mike Fleeman

11/26/2012 at 08:25 PM EST

Olivier Martinez and Gabriel Aubry with Halle Berry

Getty (3)

Gabriel Aubry has come back swinging – this time in court papers.

Halle Berry's ex alleges that it was her fiancé Olivier Martinez who started their Thanksgiving Day fight, unleashing profanities and threats as well as fists.

Aubry claims that during their scrape Gabriel said, "You cost us $3 million. When you see the judge, you're going to tell him you're going to Paris or I'm going to kill you."

Aubry has been tangling in court with Berry over her request to move with their 4½-year-old daughter Nahla to France, where Martinez is a citizen. The judge recently ruled against Berry.

The allegations are contained in Aubry's application for a restraining order against Martinez, which the court granted. Attached to his application were gruesome photos of Aubry's injuries, including a black eye and cuts and bruises to his face.

Martinez has not commented. Aubry's account is disputed by a source close to Berry.

"This incident arose as a result of a fight initiated by Mr. Aubry when Nahla was delivered for Thanksgiving and Mr. Martinez attempted to have a discussion with him," the source tells PEOPLE.

Aubry, himself, faces an emergency restraining order to stay 100 yards away from Martinez, Berry and Nahla.

Aubry alleges in his court papers that as he drove up to Berry's house with Nahla in the backseat, he saw Martinez and thought it was odd since Martinez is not usually at the house during custodial hand-offs.

Aubry claims Nahla said, "Olivier is here. I'm scared."

After handing off Nahla to somebody named Miriam, who took the child indoors, Martinez appeared and told Aubry, "We need to talk," Aubry alleges.

"All of a sudden, Mr. Martinez jumped me on the side of my body, and punched me such that he had taken me down to the ground," Aubry alleges. "He continued to punch me at least two or three times, kicked me in the ribs with his knee or foot, and took my head in his hands and slammed it to the concrete driveway. It all happened so fast and so suddenly; I did not see Mr. Martinez's actions coming, and thus, I was not ready for it and was not able to defend myself."

As Martinez allegedly threatened to kill Aubry, Martinez also said, "From now on you're going to do drop offs on the street. I'm not just some f––ing actor, you don't know me," Aubry claims in the court papers.

Police officers arrived and arrested and handcuffed Aubry after Martinez told them that Aubry had attacked him several times, Aubry claims. (Martinez also was treated at the hospital for hand and neck injuries).

Aubry told the officers that the incident could have been captured on Berry's security cameras and that they should obtain the tapes before they're erased.

Aubry says he was kept in handcuffs while being transported to the hospital.

"I was handcuffed to the bed while I was being examined and treated, and was not allowed to make a phone call," he says in a declaration. "I ended up suffering a fractured rib, multiple bruises on my face and my forehead, an area under my left eye, and three areas in my mouth required stitches."

• Reporting by KEN LEE

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Bounce houses a party hit but kids' injuries soar

CHICAGO (AP) — They may be a big hit at kids' birthday parties, but inflatable bounce houses can be dangerous, with the number of injuries soaring in recent years, a nationwide study found.

Kids often crowd into bounce houses, and jumping up and down can send other children flying into the air, too.

The numbers suggest 30 U.S. children a day are treated in emergency rooms for broken bones, sprains, cuts and concussions from bounce house accidents. Most involve children falling inside or out of the inflated playthings, and many children get hurt when they collide with other bouncing kids.

The number of children aged 17 and younger who got emergency-room treatment for bounce house injuries has climbed along with the popularity of bounce houses — from fewer than 1,000 in 1995 to nearly 11,000 in 2010. That's a 15-fold increase, and a doubling just since 2008.

"I was surprised by the number, especially by the rapid increase in the number of injuries," said lead author Dr. Gary Smith, director of the Center for Injury Research and Policy at Nationwide Children's Hospital in Columbus, Ohio.

Amusement parks and fairs have bounce houses, and the playthings can also be rented or purchased for home use.

Smith and colleagues analyzed national surveillance data on ER treatment for nonfatal injuries linked with bounce houses, maintained by the U.S. Consumer Product Safety Commission. Their study was published online Monday in the journal Pediatrics.

Only about 3 percent of children were hospitalized, mostly for broken bones.

More than one-third of the injuries were in children aged 5 and younger. The safety commission recommends against letting children younger than 6 use full-size trampolines, and Smith said barring kids that young from even smaller, home-use bounce houses would make sense.

"There is no evidence that the size or location of an inflatable bouncer affects the injury risk," he said.

Other recommendations, often listed in manufacturers' instruction pamphlets, include not overloading bounce houses with too many kids and not allowing young children to bounce with much older, heavier kids or adults, said Laura Woodburn, a spokeswoman for the National Association of Amusement Ride Safety Officials.

The study didn't include deaths, but some accidents are fatal. Separate data from the product safety commission show four bounce house deaths from 2003 to 2007, all involving children striking their heads on a hard surface.

Several nonfatal accidents occurred last year when bounce houses collapsed or were lifted by high winds.

A group that issues voluntary industry standards says bounce houses should be supervised by trained operators and recommends that bouncers be prohibited from doing flips and purposefully colliding with others, the study authors noted.

Bounce house injuries are similar to those linked with trampolines, and the American Academy of Pediatrics has recommended against using trampolines at home. Policymakers should consider whether bounce houses warrant similar precautions, the authors said.

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Online:

Pediatrics: http://www.pediatrics.org

Trade group: http://www.naarso.com

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AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner

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