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No opioids, please: Clearing the way to refuse prescriptions

pain-pillsHARTFORD, Conn. (AP) — A growing number of states are working to help patients make it clear to medical professionals they don’t want to be prescribed powerful opioids.

Connecticut and Alaska are two of the latest considering legislation this year that would create a non-opioid directive that patients can put in their medical files. It formally notifies health care professionals the person does not want be prescribed or administered the medications.

Massachusetts and Pennsylvania passed similar legislation last year.

While patients typically have the right to make decisions about their medical care, proponents of the directives contend such documents make a patient’s wishes clear, especially in advance of medical care. Proponents say such directives also empower those patients who might fear relapsing into addiction or becoming addicted to the drugs in the first place.

Google adds tool to flag ‘offensive’ search results

googleNEW YORK (AP) — Google is now directing its review teams to flag content that might come across as upsetting or offensive in search results.

The review teams — comprised of contractors known as “quality raters” — already comb through websites and other content to flag questionable items such as pornography. Google added a new category, “upsetting-offensive,” in its guidelines for quality raters. For example, content with “racial slurs or extremely offensive terminology” could now get flagged as such.

While flagging something doesn’t directly affect the search results themselves, it’s used to tweak the company’s software so that better content ranks higher.

Google declined to comment on the changes, which were reported in the blog Search Engine Land and elsewhere.

McDonald’s tests mobile ordering before national rollout

mcdonaldsNEW YORK (AP) — McDonald’s has started testing mobile order-and-pay after acknowledging the ordering process in its restaurants can be “stressful.”

The company says it will gather feedback from the test before launching the option nationally toward the end of the year. It says mobile order-and-pay is available at stores in Monterey and Salinas, California, and will expand to Spokane, Washington next week.

The roll-out comes as customers increasingly seek out convenience through options like online ordering or delivery. McDonald’s CEO Steve Easterbrook has noted the initial stages of visiting can be “stressful,” and the chain is making changes to improve the overall customer experience. That includes introducing ordering kiosks, which McDonald’s says can help ease lines at the counter and improve order accuracy — another frustration for customers.

Report: Driver in Mardi Gras parade accelerated before crash

police-lights-redGULF SHORES, Ala. (AP) — A police report shows a 73-year-old driver was trying to close a gap in a Mardi Gras parade on the Alabama coast when he struck members of a high school marching band, injuring a dozen.

Gulf Shores police have released a report detailing the Feb. 28 accident.

It shows that a driver identified as Larry Rathbun told officers he was driving in the parade behind the Gulf Shores High School band when someone in the road instructed him to speed up to close a gap.

Rathbun told officers he pressed the accelerator too hard and may have missed the brake as he tried to stop.

No charges were filed, and all the injured are recovering. Rathbun told officers he’d never driven the sport utility vehicle, which belonged to someone else. The parade was canceled.

What to do when pulled over: A new chapter for driver’s ed?

police-lights-redRALEIGH, N.C. (AP) — Deadly encounters between police officers and motorists have lawmakers across the country thinking driver’s education should require students to be taught what to do in a traffic stop.

Legislators in North Carolina and at least three other states are considering bills this year designed to teach new drivers how to interact appropriately with police. Another bill in Virginia awaits the governor’s signature.

Illinois passed a similar law recently. Its updated “Rules of the Road” publication could provide a model about proper driver behavior. A spokesman for the Illinois driver’s license agency says it’s all about using common sense and not being confrontational.

The North Carolina bill has more than 35 sponsors, black and white, from both parties. The proposed curriculum would be developed in consultation with law enforcement groups.

Fat finger: Typo caused Amazon’s big cloud-computing outage

amazonNEW YORK (AP) — Amazon says an incorrectly typed command during a routine debugging of its billing system caused the five-hour outage of some Amazon Web Services servers on Tuesday.

In a summary posted online, the Seattle company says a command meant to remove a small number of servers for one of its S3 subsystems was entered incorrectly and a larger set of servers was removed. A full restart was required, which took longer than expected due to how fast Amazon Web Services has grown over the past few years.

Amazon says it is making changes to its system to make sure incorrect commands won’t trigger an outage of its web services in the future.

Amazon is the world’s largest provider of cloud services, which entails hosting companies’ computing functions on remote servers.

Surgeons rude to patients may pose problem in OR, study says

Medical-ChartCHICAGO (AP) — Surgeons who are rude to patients and others may pose a problem in the operating room. That’s according to a new study linking surgery complications with doctors whose hospitals have gotten lots of complaints about their behavior.

Surgery complications were 14 percent more common in patients whose surgeons had at least 14 complaints during the previous two years, compared to patients whose doctors had few or no complaints.

Complaints included surgeons dismissing questions about upcoming operations, or mistreating nurses.

The researchers say rude behavior could hurt the operating team’s performance. They say quality improvement programs that share negative feedback with surgeons can result in fewer complaints and fewer malpractice cases. So they recommend speaking up when you see unprofessional behavior.

The study was published Wednesday in JAMA Surgery.

Growing number of women leading US police departments

police-lights-redLOS ANGELES (AP) — A growing number of women are heading police departments in the United States.

Still, the number of women leading police agencies pales in comparison to their male counterparts. Of the nation’s 50 largest police departments, only five are led by women. Dawn Layman, president of the National Association of Women Law Enforcement Executives, says more work still needs to be done.

Experts say female officers tend to use wits over brawn to deescalate situations, and as departments shift their focus to nonviolent techniques it’s natural more women would be tapped as leaders.

Dorothy Moses Schulz is a professor emeritus at John Jay College of Criminal Justice of New York. She says it’s a “terrible burden” for chiefs to be expected to quickly change a department’s culture just because they’re women.

President Donald Trump nominates 10th Circuit Judge Neil Gorsuch for associate justice of the Supreme Court

supreme-courtWASHINGTON (AP) — President Donald Trump has chosen 10th Circuit Appeals court Justice Neil Gorsuch to fill the vacant seat on the U.S. Supreme Court. Trump made his announcement in a prime-time address from the White House.

Gorsuch must be confirmed by the Senate. The court has had just eight members since the death of Justice Antonin Scalia nearly a year ago. GOP leaders blocked President Barack Obama from filling the vacancy by denying a hearing to his nominee.

National park visits hits record high for 3rd straight year

national-park-serviceSALT LAKE CITY (AP) — Visits to U.S. national parks set a record in 2016 for the third consecutive year as landmarks such Zion, Yellowstone and Rocky Mountain experienced historic levels of popularity that brought collateral headaches stemming from overcrowded roads and trails and increasing visitor misbehavior.

At many parks, visitors waited an hour or more in cars to get through entrance gates and then spent the day trying to outmaneuver fellow visitors for parking spots and room on popular trails. They left behind enormous amounts of trash.

Park officials say encountering a crowded, Disneyland-like situation when people were expecting serenity can lead to aggression and bad decisions.

Overall visitation to national parks is on track to surpass 325 million in 2016, breaking last year’s all-time high of 307 million, federal figures show.

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