Sequester: What Will Happen, What Won't Happen

When it comes to critical elements of the sequester timeline, not much is known -- because federal agencies have been tight lipped.

Asked when specific effects will be felt, officials at three federal departments declined to discuss the timing of sequester cuts and their consequences. Some departments were waiting for President Obama's Friday night sequester order and subsequent guidance they expected to receive from the Office of Management and Budget before talking about what would and wouldn't happen and when.

Read more: 57 Terrible Consequences of the Sequester

"There's no calendar of dates for specific actions or cuts on specific dates," Department of Health and Human Services public affairs officer Bill Hall told ABC News. "Again, these cuts need to be applied equally across all agency programs, activities and projects. There will be wide variation on when impacts will occur depending on a given program."

Some cuts won't be felt for a while because they have to do with government layoffs, which require 30 days notice, in most cases.

For instance, the Federal Aviation Administration won't begin layoffs until at least April 7, one FAA official estimated.

But some cuts don't involve furloughs, and could conceivably be felt immediately.

The Department of Homeland Security declined to comment on the timeline of layoffs to cybersecurity contractors and first responders funded through states, as well as limited Coast Guard operations and cuts to FEMA disaster relief.

The Department of Housing and Urban Development said it could not comment on cuts to housing vouchers, rent assistance for AIDS patients, maintenance for housing projects.

Andrew Harrer/Bloomberg/Getty Imag

Sequestration Deadline: Obama Meets With Leaders Watch Video

Sequester Countdown: The Reality of Budget Cuts Watch Video

The Department of Health and Human Services declined to discuss the specific timing of cuts to Head Start services, low-income mental-health services, AIDS/HIV testing, and inpatient substance-abuse treatment.

Read More: Automatic Cuts Could Hurt on Local Level

So even as the sequester hits, we still don't know when some of its worst effects will be felt.

Here's what we do know:

What Will Happen Saturday

      Air Force Training. At a briefing Friday, Deputy Defense Secretary Ashton Carter warned that "effective immediately, Air Force flying hours will be cut back."

More from Carter, via ABC News' Luis Martinez: "What does that mean for national security? What it means is that as the year goes on, apart from Afghanistan, apart from nuclear deterrence through two missions we are strictly protecting, the readiness of the other units to respond to other contingencies will gradually decline. That's not safe. And that we're trying to minimize that in every way we possibly can."

      Closed Doors at the Capitol. ABC News' Sunlen Miller reports that Capitol Police issued a memo announcing it would have to close some entrances to the Capitol, writing: "At this time it is anticipated that the U.S. Capitol Police will be required to close some entrance doors and exterior checkpoints, and either suspend or modify the hours of operation for some of the U.S. Capitol Complex posts located inside and outside of the CVC and Office Buildings."

      Capitol Janitor Furloughs. After President Obama warned that janitors at the Capitol will be furloughed, ABC News' Sunlen Miller reported that was not entirely true: The Senate sergeant at arms, Terrance Gainer, told ABC News that no full-time salaried Capitol Police officers would face furloughs or layoffs at this time. They will, however, see a "substantial reduction in overtime," Gainer told ABC News.

      Delayed Deployment for USS Truman Aircraft Carrier. This has already happened, the Associated Press reported Friday morning: "One of the Navy's premiere warships, the aircraft carrier USS Harry S. Truman, sits pier-side in Norfolk, Va., its tour of duty delayed. The carrier and its 5,000-person crew were to leave for the Persian Gulf on Feb. 8, along with the guided-missile cruiser USS Gettysburg."

Read More..

Syrian shells hit Israeli-occupied Golan: army

JERUSALEM: Mortar rounds believed to be have been fired from Syria hit the southern Israeli-occupied Golan Heights on Saturday without causing damage or casualties, the army said.

"Several shells landed and were found in an open area in the southern Golan Heights, most likely due to the fighting in Syria," a spokesman told AFP.

"No injuries or damages were caused. The incident was reported to the United Nations forces, and IDF (Israeli Defence Forces) soldiers continued searching the area," he said.

On Wednesday, a mortar shell struck the central Golan Heights, causing no injuries or damage, after nearly three months of no spillover from the fighting in Syria.

The same day, six Syrians were discharged from an Israeli hospital and returned to Syria, with a seventh staying behind for further treatment.

They were wounded in the fighting over the border and allowed on February 16 to cross into Israel, where they received treatment at Ziv hospital in the northern Galilee town of Safed.

Such incidents have been sporadic but have increased over the past six months as violence from the civil war in Syria seeped across the ceasefire line.

In recent months, there have been several instances of gunfire or mortar shells hitting the Israeli side of the plateau. In November, troops responded with artillery in the first such instance of Israeli fire at the Syrian military since the 1973 war.

Israel seized the Golan from Syria in the 1967 Six-Day War and annexed it in 1981, in a move never recognised by the international community.

It is currently upgrading its security fence along its armistice line with the work expected to be finished by the end of the year.

- AFP/xq

Read More..

Chamundi Hills' land scam will be probed if voted to power, says Siddaramaiah

MYSORE: This poll season, the Chamundi Hills land scam has made it to political circles. The Opposition leader Siddaramaiah on Saturday said the party will order a comprehensive probe if Congress is voted to power. Asked if the party will order a probe in case it is voted to power, Siddaramaiah said: "We've raised the issue at the house too and will certainly order a probe. Action will be initiated against those found guilty even if they are from the political class." It should be investigated thoroughly, which the BJP government is avoiding, he stated.

Meanwhile, the prime land at the foothills of Chamundi Hills will be declared as green zone and conserved, the Congress said and promised to get additional funds from the Congress-led UPA for the development of the city. It announced to promote Mysore as heritage city to get additional funds both for tourism promotion and preservation of vintage monuments dotting the city. While the party has devised pan-Karnataka strategy to address urban and semi-urban voters in the polls to the urban local bodies, it released Mysore-centric manifesto calling it 'Mysore citizen manifesto' in a move to win votes to its 65 candidates contesting the elections in the Mysore City Corporation.

Much of the document has tracked the development works it initiated while ruling the MCC for five years in coalition with the JD(S). Multi-crore projects taken up under the Centre's ambitious JNNURM aimed at urban renewal figure prominently in the document that was released by opposition leader Siddaramaiah, who said it is their commitment and not just vision document. With the city set to get additional funds from the Centre in the second phase of JNNURM, the Congress promised to get funds for some of the projects planned like augmenting water supply to the city and upgrading the underground drainage system in parts of the city.

The party said it will reserve land at the foothills of Chamundi Hills as buffer zone and develop it as a garden on the lines of Botanical Gardens at Ooty. It also said Mysore's achievements in promoting yoga will be encouraged internationally and added that Devaraja, Mandi and Vani Vilas Markets will be reconstructed, something which is hanging fire for long.

Read More..

WHO: Slight cancer risk after Japan nuke accident

LONDON (AP) — Two years after Japan's nuclear plant disaster, an international team of experts said Thursday that residents of areas hit by the highest doses of radiation face an increased cancer risk so small it probably won't be detectable.

In fact, experts calculated that increase at about 1 extra percentage point added to a Japanese infant's lifetime cancer risk.

"The additional risk is quite small and will probably be hidden by the noise of other (cancer) risks like people's lifestyle choices and statistical fluctuations," said Richard Wakeford of the University of Manchester, one of the authors of the report. "It's more important not to start smoking than having been in Fukushima."

The report was issued by the World Health Organization, which asked scientists to study the health effects of the disaster in Fukushima, a rural farming region.

On March 11, 2011, an earthquake and tsunami knocked out the Fukushima plant's power and cooling systems, causing meltdowns in three reactors and spewing radiation into the surrounding air, soil and water. The most exposed populations were directly under the plumes of radiation in the most affected communities in Fukushima, which is about 150 miles (240 kilometers) north of Tokyo.

In the report, the highest increases in risk are for people exposed as babies to radiation in the most heavily affected areas. Normally in Japan, the lifetime risk of developing cancer of an organ is about 41 percent for men and 29 percent for women. The new report said that for infants in the most heavily exposed areas, the radiation from Fukushima would add about 1 percentage point to those numbers.

Experts had been particularly worried about a spike in thyroid cancer, since radioactive iodine released in nuclear accidents is absorbed by the thyroid, especially in children. After the Chernobyl disaster, about 6,000 children exposed to radiation later developed thyroid cancer because many drank contaminated milk after the accident.

In Japan, dairy radiation levels were closely monitored, but children are not big milk drinkers there.

The WHO report estimated that women exposed as infants to the most radiation after the Fukushima accident would have a 70 percent higher chance of getting thyroid cancer in their lifetimes. But thyroid cancer is extremely rare and one of the most treatable cancers when caught early. A woman's normal lifetime risk of developing it is about 0.75 percent. That number would rise by 0.5 under the calculated increase for women who got the highest radiation doses as infants.

Wakeford said the increase may be so small it will probably not be observable.

For people beyond the most directly affected areas of Fukushima, Wakeford said the projected cancer risk from the radiation dropped dramatically. "The risks to everyone else were just infinitesimal."

David Brenner of Columbia University in New York, an expert on radiation-induced cancers, said that although the risk to individuals is tiny outside the most contaminated areas, some cancers might still result, at least in theory. But they'd be too rare to be detectable in overall cancer rates, he said.

Brenner said the numerical risk estimates in the WHO report were not surprising. He also said they should be considered imprecise because of the difficulty in determining risk from low doses of radiation. He was not connected with the WHO report.

Some experts said it was surprising that any increase in cancer was even predicted.

"On the basis of the radiation doses people have received, there is no reason to think there would be an increase in cancer in the next 50 years," said Wade Allison, an emeritus professor of physics at Oxford University, who also had no role in developing the new report. "The very small increase in cancers means that it's even less than the risk of crossing the road," he said.

WHO acknowledged in its report that it relied on some assumptions that may have resulted in an overestimate of the radiation dose in the general population.

Gerry Thomas, a professor of molecular pathology at Imperial College London, accused the United Nations health agency of hyping the cancer risk.

"It's understandable that WHO wants to err on the side of caution, but telling the Japanese about a barely significant personal risk may not be helpful," she said.

Thomas said the WHO report used inflated estimates of radiation doses and didn't properly take into account Japan's quick evacuation of people from Fukushima.

"This will fuel fears in Japan that could be more dangerous than the physical effects of radiation," she said, noting that people living under stress have higher rates of heart problems, suicide and mental illness.

In Japan, Norio Kanno, the chief of Iitate village, in one of the regions hardest hit by the disaster, harshly criticized the WHO report on Japanese public television channel NHK, describing it as "totally hypothetical."

Many people who remain in Fukushima still fear long-term health risks from the radiation, and some refuse to let their children play outside or eat locally grown food.

Some restrictions have been lifted on a 12-mile (20-kilometer) zone around the nuclear plant. But large sections of land in the area remain off-limits. Many residents aren't expected to be able to return to their homes for years.

Kanno accused the report's authors of exaggerating the cancer risk and stoking fear among residents.

"I'm enraged," he said.

___

Mari Yamaguchi in Tokyo and AP Science Writer Malcolm Ritter in New York contributed to this report.

__

Online:

WHO report: http://bit.ly/YDCXcb

Read More..

Sequester Set to Trigger Billions in Cuts

Nobody likes the sequester.

Even the word is enough to send shivers of fiscal panic, or sheer political malaise, down the spines of seasoned politicians and news reporters. And today, the sequester will almost certainly happen, a year and a half after its inception as an intentionally unpalatable event amid the stalemate of the debt-limit crisis in 2011.

Automatic budget cuts will be triggered across federal agencies, as President Obama will be required to order sequestration into effect before midnight Friday night. The federal bureaucracy will implement its various plans to save the money it's required to save.

Now that the sequester will probably happen, here are some questions and answers about it:

1. HOW BIG IS IT?

The cuts were originally slated for $109 billion this year, but after the fiscal-cliff deal postponed the sequester for two months by finding alternate savings, the sequester will amount to $85 billion over the remainder of the year. Over the rest of the year, nondefense programs will be cut by nine percent, and defense programs will be cut by 13 percent.

If carried out over 10 years (as designed), the sequester will amount to $1.2 trillion in total.

2. WHAT WILL BE CUT, SPARED?

Most government programs will be cut, including both defense and nondefense spending, with the cuts distributed evenly (by dollar amount) over those two categories.

Sequester Countdown: The Reality of Budget Cuts Watch Video

Sequestration: Democrats, Republicans Play Blame Game Watch Video

Some vital domestic entitlements, however, will be spared. Social Security checks won't shrink; nor will Veterans Administration programs. Medicare benefits won't get cut, but payments to providers will shrink by two percent. The Children's Health Insurance Program (CHIP), food stamps, Pell grants, and Medicaid will all be shielded from the sequester.

But lots of things will get cut. The Obama administration has warned that a host of calamities will befall vulnerable segments of the population.

3. WHY DOES IT HAVE TO BE SO BAD?

Questions persist over whether or not it really does.

The sequester will mean such awful things because it forces agencies to cut things indiscriminately, instead of simply stripping money from their overall budgets.

But some Republicans, including Oklahoma Sen. Tom Coburn, have suggested that federal agencies have plenty of flexibility to implement these cuts while avoiding the worst of the purported consequences. Louisiana Gov. Bobby Jindal accused President Obama of trying to "distort" the severity of the sequester. The federal government will still spend more money than it did last year, GOP critics of sequester alarmism have pointed out.

The White House tells a different story.

According to the Office of Management and Budget, the sequestration law forces agency heads to cut the same percentage from each program. If that program is for TSA agents checking people in at airports, the sequester law doesn't care, and Homeland Security Secretary Janet Napolitano can't do anything about it.

Agency heads do have some authority to "reprogram" funds, rearranging their money to circumvent the bad effects. But an OMB official told ABC News that "these flexibilities are limited and do not provide significant relief due to the rigid nature of the way in which sequestration is required by law to be implemented."

4. WHEN WILL THE WORST OF IT START?

Not until April -- but some of the cuts could be felt before then.

Read More..

Motor Racing: Button sets pace on second day of testing in Barcelona

 

BARCELONA: Britain's Jenson Button, of McLaren, was quickest on a wet second morning of the final pre-season testing of the winter in Barcelona on Friday.

Button, the 2009 world champion, was 0.216 seconds quicker than Germany's Adrian Sutil, driving for Force India in conditions that started off very wet before beginning to dry up.

Sutil's impressive performance came a day after he was confirmed as the Force India team's second driver for 2013 after a 12-month absence.

His compatriot Niko Huelkenberg, in a Sauber, was third, while world champion Sebastian Vettel was tenth in his Red Bull, for whom Mark Webber had set the quickest pace on Thursday.

Leading times

1. Jenson Button (GBR/McLaren-Mercedes) 1:25.936 (33 laps),
2. Adrian Sutil (GER/Force India-Mercedes) 1:26.152 (42),
3. Nico Huelkenberg (GER/Sauber-Ferrari) 1:27.246 (36),
4. Nico Rosberg (GER/Mercedes) 1:27.672 (50),
5. Romain Grosjean (FRA/Lotus-Renault) 1:27.757 (52),
6. Fernando Alonso (ESP/Ferrari) 1:27.878 (52),
7. Pastor Maldonado (VEN/Williams-Renault) 1:29.132 (35),
8. Daniel Ricciardo (AUS/Toro Rosso-Ferrari) 1:29.682 (40),
9. Max Chilton (GBR/Marussia-Cosworth) 1:29.772 (39),
10. Sebastian Vettel (GER/Red Bull-Renault) 1:31.159 (26),
11. Giedo van der Garde (NED/Caterham-Renault) 1:39.036 (29)

- AFP/xq

Read More..

J&K assembly adjourned after furore over Afzal issue

JAMMU: The Jammu and Kashmir assembly was rocked by repeated disruptions on Friday, which ultimately led to the House being adjourned for the day, as various parties demanded that Parliament attack convict Afzal Guru's mortal remains be handed over to his family.

Cutting across party lines, members of the House from the ruling National Conference as well as opposition PDP and CPM had moved adjournment motions seeking discussion on the situation in the aftermath of Guru's execution and handing over of his mortal remains to his family.

Led by the leader of the opposition Mehbooba Mufti, PDP legislators flashed placards and demanded suspension of the business of the House to discuss the issue, with CPM member MY Tarigami, too joining in urging the speaker Mubarak Gul to accept their demand.

But when the speaker tried to pacify them saying that a discussion would be held in due course, PDP members raised slogans like 'Guru ki body ko wapas karoo, wapas karoo' (Return Guru's body).

"If there is a serious issue, (then) you have to suspend the normal business and discuss (it). But I fail to understand the attitude of this government (since yesterday)," Mehbooba Mufti later told reporters here.

The protests continued for over 15 minutes, forcing the speaker to adjourn the House for 45 minutes.

As the House reassembled after the adjournment, the speaker said that he had received adjournment motions of five members of NC besides those from PDP and CPIM and that he would take a view on them.

However, PDP members continued their protest even as the speaker started discussion on the governor's address.

With noisy scenes continuing in the House, the speaker adjourned the House for a second time around noon and later for the day.

Read More..

WHO: Slight cancer risk after Japan nuke accident

LONDON (AP) — Two years after Japan's nuclear plant disaster, an international team of experts said Thursday that residents of areas hit by the highest doses of radiation face an increased cancer risk so small it probably won't be detectable.

In fact, experts calculated that increase at about 1 extra percentage point added to a Japanese infant's lifetime cancer risk.

"The additional risk is quite small and will probably be hidden by the noise of other (cancer) risks like people's lifestyle choices and statistical fluctuations," said Richard Wakeford of the University of Manchester, one of the authors of the report. "It's more important not to start smoking than having been in Fukushima."

The report was issued by the World Health Organization, which asked scientists to study the health effects of the disaster in Fukushima, a rural farming region.

On March 11, 2011, an earthquake and tsunami knocked out the Fukushima plant's power and cooling systems, causing meltdowns in three reactors and spewing radiation into the surrounding air, soil and water. The most exposed populations were directly under the plumes of radiation in the most affected communities in Fukushima, which is about 150 miles (240 kilometers) north of Tokyo.

In the report, the highest increases in risk are for people exposed as babies to radiation in the most heavily affected areas. Normally in Japan, the lifetime risk of developing cancer of an organ is about 41 percent for men and 29 percent for women. The new report said that for infants in the most heavily exposed areas, the radiation from Fukushima would add about 1 percentage point to those numbers.

Experts had been particularly worried about a spike in thyroid cancer, since radioactive iodine released in nuclear accidents is absorbed by the thyroid, especially in children. After the Chernobyl disaster, about 6,000 children exposed to radiation later developed thyroid cancer because many drank contaminated milk after the accident.

In Japan, dairy radiation levels were closely monitored, but children are not big milk drinkers there.

The WHO report estimated that women exposed as infants to the most radiation after the Fukushima accident would have a 70 percent higher chance of getting thyroid cancer in their lifetimes. But thyroid cancer is extremely rare and one of the most treatable cancers when caught early. A woman's normal lifetime risk of developing it is about 0.75 percent. That number would rise by 0.5 under the calculated increase for women who got the highest radiation doses as infants.

Wakeford said the increase may be so small it will probably not be observable.

For people beyond the most directly affected areas of Fukushima, Wakeford said the projected cancer risk from the radiation dropped dramatically. "The risks to everyone else were just infinitesimal."

David Brenner of Columbia University in New York, an expert on radiation-induced cancers, said that although the risk to individuals is tiny outside the most contaminated areas, some cancers might still result, at least in theory. But they'd be too rare to be detectable in overall cancer rates, he said.

Brenner said the numerical risk estimates in the WHO report were not surprising. He also said they should be considered imprecise because of the difficulty in determining risk from low doses of radiation. He was not connected with the WHO report.

Some experts said it was surprising that any increase in cancer was even predicted.

"On the basis of the radiation doses people have received, there is no reason to think there would be an increase in cancer in the next 50 years," said Wade Allison, an emeritus professor of physics at Oxford University, who also had no role in developing the new report. "The very small increase in cancers means that it's even less than the risk of crossing the road," he said.

WHO acknowledged in its report that it relied on some assumptions that may have resulted in an overestimate of the radiation dose in the general population.

Gerry Thomas, a professor of molecular pathology at Imperial College London, accused the United Nations health agency of hyping the cancer risk.

"It's understandable that WHO wants to err on the side of caution, but telling the Japanese about a barely significant personal risk may not be helpful," she said.

Thomas said the WHO report used inflated estimates of radiation doses and didn't properly take into account Japan's quick evacuation of people from Fukushima.

"This will fuel fears in Japan that could be more dangerous than the physical effects of radiation," she said, noting that people living under stress have higher rates of heart problems, suicide and mental illness.

In Japan, Norio Kanno, the chief of Iitate village, in one of the regions hardest hit by the disaster, harshly criticized the WHO report on Japanese public television channel NHK, describing it as "totally hypothetical."

Many people who remain in Fukushima still fear long-term health risks from the radiation, and some refuse to let their children play outside or eat locally grown food.

Some restrictions have been lifted on a 12-mile (20-kilometer) zone around the nuclear plant. But large sections of land in the area remain off-limits. Many residents aren't expected to be able to return to their homes for years.

Kanno accused the report's authors of exaggerating the cancer risk and stoking fear among residents.

"I'm enraged," he said.

___

Mari Yamaguchi in Tokyo and AP Science Writer Malcolm Ritter in New York contributed to this report.

__

Online:

WHO report: http://bit.ly/YDCXcb

Read More..

Benedict Pledges 'Obedience' to New Pope

In his farewell remarks to colleagues in the Roman Catholic Church, Pope Benedict XVI, the first pontiff to resign in nearly 600 years, promised "unconditional reverence and obedience" to his eventual successor.

Benedict, in a morning meeting at the Vatican, urged the cardinals to act "like an orchestra" to find "harmony" moving forward.

Benedict, 85, is spending a quiet final day as pope, bidding farewell to his colleagues and moving on to a secluded life of prayer, far from the grueling demands of the papacy and the scandals that have recently plagued the church.

His first order of business was a morning meeting with the cardinals in the Clementine Hall, a room in the Apostolic Palace. Despite the historical nature of Benedict's resignation, not all cardinals attended the event.

With their first working meeting not until Monday, only around 100 cardinals were set to attend, the Vatican press office said Wednesday. Those who are there for Benedict's departure will be greeted by seniority.

Angelo Sodano, the dean of the College of Cardinals, thanked Benedict for his service to the church during the eight years he has spent as pontiff.

Pope Benedict XVI Delivers Farewell Address

In the evening, at 5:00 p.m. local time, Benedict will leave the Vatican palace for the last time to head to Castel Gandolfo, the papal summer residence outside Rome. Before his departure, the German-born theologian will say some goodbyes in the Courtyard of San Damaso, inside the Vatican, first to his Secretary of State Cardinal Tarcisio Bertone and then to the Swiss Guards who have protected him as pontiff.

9 Men Who Could Replace Pope Benedict XVI

From there it is a short drive to a heliport for the 15-minute flight via helicopter to Castel Gandolfo, just south of the city. Benedict will not be alone on his journey, accompanied by members of the Pontifical Household such as two private secretaries, the head of protocol, his personal physician and his butler.

Once Benedict lands in the gardens at Castel Gandolfo, he will be greeted a group of dignitaries, such as the governor of the Vatican City state Giovanni Bertello, two bishops, the director of the pontifical villas, and the mayor and parish priest. Off the helicopter and into a car, Benedict will head to the palace that he will call home for the coming months. From a window of the palace, Benedict will make one final wave to the crowd at the papal retreat.

It is there, at 8:00 p.m., that Benedict's resignation will take effect once and for all. Once the gates to the residence close, the Swiss Guards will leave Benedict's side for the last time, their time protecting the pontiff completed.

Pope Benedict's Last Sunday Prayer Service

For some U.S. Catholics in Rome for the historic occasion, Benedict's departure is bittersweet. Christopher Kerzich, a Chicago resident studying at the Pontifical North American College of Rome, said Wednesday he is sad to see Benedict leave, but excited to see what comes next.

"Many Catholics have come to love this pontiff, this very humble man," Kerzich said. "He is a man who's really fought this and prayed this through and has peace in his heart. I take comfort in that and I think a lot of Catholics should take comfort in that."

Read More..

US economy grows 0.1% in Q4

WASHINGTON: The US economy grew slightly in the fourth quarter last year, the government said Thursday, revising its prior estimate of a small contraction.

Gross domestic product grew at an annual rate of 0.1 per cent in the October-December period, the Commerce Department said in its second official estimate. In its initial estimate in January, GDP contracted by 0.1 per cent.

The revision did not change the growth rate for all of 2012 of 2.2 per cent, helped by a solid 3.1 per cent pace in the third quarter.

- AFP/fa

Read More..

Trinamool Congress minister wins assembly bypoll

KOLKATA: Trinamool Congress minister Krishnendu Narayan Choudhury won the Assembly by-election from English Bazar constituency in Malda district on Thursday with a margin of 20,452 votes.

Choudhary defeated his nearest CPM rival Kaushik Mishra. In the other two constituencies of Rejinagar and Nalhati, the Congress and Forward Bloc are leading respectively, State Election Commissioner Sunil Gupta said.

All three seats were won by Congress candidates in the 2011 Assembly elections at a time when Congress had an alliance with the TMC.

The Nalhati Assembly seat fell vacant after its MLA Abhijit Mukherjee, son of President Pranab Mukherjee, quit his seat to fight the Lok Sabha by-election from Jangipur.

Elections to English Bazar and Rejinagar seats were necessitated following resignation of Congress MLAs Krishnendu Choudhury and Humayun Kabir after their switch-over to the TMC.

Read More..

Medicare paid $5.1B for poor nursing home care

SAN FRANCISCO (AP) — Medicare paid billions in taxpayer dollars to nursing homes nationwide that were not meeting basic requirements to look after their residents, government investigators have found.

The report, released Thursday by the Department of Health and Human Services' inspector general, said Medicare paid about $5.1 billion for patients to stay in skilled nursing facilities that failed to meet federal quality of care rules in 2009, in some cases resulting in dangerous and neglectful conditions.

One out of every three times patients wound up in nursing homes that year, they landed in facilities that failed to follow basic care requirements laid out by the federal agency that administers Medicare, investigators estimated.

By law, nursing homes need to write up care plans specially tailored for each resident, so doctors, nurses, therapists and all other caregivers are on the same page about how to help residents reach the highest possible levels of physical, mental and psychological well-being.

Not only are residents often going without the crucial help they need, but the government could be spending taxpayer money on facilities that could endanger people's health, the report concluded. The findings come as concerns about health care quality and cost are garnering heightened attention as the Obama administration implements the nation's sweeping health care overhaul.

"These findings raise concerns about what Medicare is paying for," the report said.

Investigators estimate that in one out of five stays, patients' health problems weren't addressed in the care plans, falling far short of government directives. For example, one home made no plans to monitor a patient's use of two anti-psychotic drugs and one depression medication, even though the drugs could have serious side effects.

In other cases, residents got therapy they didn't need, which the report said was in the nursing homes' financial interest because they would be reimbursed at a higher rate by Medicare.

In one example, a patient kept getting physical and occupational therapy even though the care plan said all the health goals had been met, the report said.

The Office of Inspector General's report was based on medical records from 190 patient visits to nursing homes in 42 states that lasted at least three weeks, which investigators said gave them a statistically valid sample of Medicare beneficiaries' experiences in skilled nursing facilities.

That sample represents about 1.1 million patient visits to nursing homes nationwide in 2009, the most recent year for which data was available, according to the review.

Overall, the review raises questions about whether the system is allowing homes to get paid for poor quality services that may be harming residents, investigators said, and recommended that the Centers for Medicare & Medicaid Services tie payments to homes' abilities to meet basic care requirements. The report also recommended that the agency strengthen its regulations and ramp up its oversight. The review did not name individual homes, nor did it estimate the number of patients who had been mistreated, but instead looked at the overall number of stays in which problems arose.

In response, the agency agreed that it should consider tying Medicare reimbursements to homes' provision of good care. CMS also said in written comments that it is reviewing its own regulations to improve enforcement at the homes.

"Medicare has made significant changes to the way we pay providers thanks to the health care law, to reward better quality care," Medicare spokesman Brian Cook said in a statement to AP. "We are taking steps to make sure these facilities have the resources to improve the quality of their care, and make sure Medicare is paying for the quality of care that beneficiaries are entitled to."

CMS hires state-level agencies to survey the homes and make sure they are complying with federal law, and can require correction plans, deny payment or end a contract with a home if major deficiencies come to light. The agency also said it would follow up on potential enforcement at the homes featured in the report.

Greg Crist, a Washington-based spokeswoman for the American Health Care Association, which represents the largest share of skilled nursing facilities nationwide, said overall nursing home operators are well regulated and follow federal guidelines but added that he could not fully comment on the report's conclusions without having had the chance to read it.

"Our members begin every treatment with the individual's personal health needs at the forefront. This is a hands-on process, involving doctors and even family members in an effort to enhance the health outcome of the patient," Crist said.

Virginia Fichera, who has relatives in two nursing homes in New York, said she would welcome a greater push for accountability at skilled nursing facilities.

"Once you're in a nursing home, if things don't go right, you're really a prisoner," said Fichera, a retired professor in Sterling, NY. "As a concerned relative, you just want to know the care is good, and if there are problems, why they are happening and when they'll be fixed."

Once residents are ready to go back home or transfer to another facility, federal law also requires that the homes write special plans to make sure patients are safely discharged.

Investigators found the homes didn't always do what was needed to ensure a smooth transition.

In nearly one-third of cases, facilities also did not provide enough information when the patient moved to another setting, the report found.

___

On the Web:

The OIG report: http://1.usa.gov/VaztQm

The Medicare nursing home database: http://www.medicare.gov/NursingHomeCompare/search.aspx?bhcp=1&AspxAutoDetectCookieSupport=1

___

Follow Garance Burke on Twitter at —http://twitter.com/garanceburke.

Read More..

Study finds donkey meat in South African burgers

JOHANNESBURG: Unlike Europeans, South Africans do not unwittingly eat horsemeat in their beef burgers and sausages, but they do eat donkey, water buffalo and goat meat, according to a study by the Stellenbosch University.

Over two thirds of meat products tested contained undeclared ingredients, according to a recent research study, prompted by revelations about food production in Europe.

"Our study confirms that the mislabelling of processed meats is commonplace in South Africa and not only violates food labelling regulations, but also poses economic, religious, ethical and health impacts," said animal sciences professor Louw Hoffman.

"Unconventional species such as donkey, goat and water buffalo were also discovered in a number of products," said Hoffman in a statement on the university website.

Up to 68 percent of 139 meat samples from shops and butcheries had irregular ingredients, the DNA-based study found, with pork and chicken most often substituted for other meat.

Researchers even found plant matter in the minced meat, burger patties, sausages and deli and dried meat.

A lack of tough policing had facilitated the practice, said Hoffman.

"Even though we have local regulations that protect consumers from being sold falsely described or inferior foodstuffs, we need these measures to be appropriately enforced."

A vast food scandal has erupted in Europe after horsemeat was found in so-called beef ready-made meals and burgers.

- AFP/al

Read More..

Babbar Khalsa terrorist arrested in Punjab

AMRITSAR: (IANS) A Babbar Khalsa International (BKI) terrorist with a reward of Rs.10 lakh on his head has been arrested in Punjab, police said Wednesday.

Narain Singh Chaura was arrested Tuesday evening in Jalalabad village of the border district of Tarn Taran, some 300 km from Chandigarh.

Chaura was booked under the provisions of the Explosives Act and Unlawful Activities (Prevention) Act in Amritsar in May 2010 and since then he had been untraced and on the run, a Punjab Police spokesperson said.

Following revelations by Chaura, police have recovered an AK-56 assault rifle with 20 rounds, a .30 pistol with 50 rounds, five hand grenades and other ammunition from Kurali village in Mohali district near Chandigarh, the spokesperson added.

Two of his accomplices -- Sukhwant Singh and Sukhdev Singh -- were also arrested following leads provided by him during interrogation.

Chaura was being tracked by police as he was trying to revive militancy in Punjab, a senior police officer said in Chandigarh.

He was also involved in Chandigarh's Burail Jail break by Babbar Khalsa terrorists Jagtar Singh Hawara, Jagtar Singh Tara and Paramjit Singh Bheura. The trio escaped from the high-security jail through a 108-foot-long tunnel on the intervening night of Jan 21-22, 2004.

The police spokesperson said that Chura, who used different names, had been actively associated with militant activities in Punjab since early 1980s.

"In 1984, he crossed over to Pakistan and was instrumental in smuggling in a huge consignment of weapons and explosives during the initial stages of militancy in Punjab. While in Pakistan, he authored a book on guerrilla warfare and other seditious literature," the spokesperson said.

"He returned to India in 1986, went underground and later again crossed over to Pakistan. In 1989, he came back to operate in India under the assumed names of Chamkaur Singh and Kapoor Singh Jamraudh. He founded the Akal Federation and later the Khalistan Liberation Army outfits," the spokesperson added.

Read More..

Advanced breast cancer edges up in younger women

CHICAGO (AP) — Advanced breast cancer has increased slightly among young women, a 34-year analysis suggests. The disease is still uncommon among women younger than 40, and the small change has experts scratching their heads about possible reasons.

The results are potentially worrisome because young women's tumors tend to be more aggressive than older women's, and they're much less likely to get routine screening for the disease.

Still, that doesn't explain why there'd be an increase in advanced cases and the researchers and other experts say more work is needed to find answers.

It's likely that the increase has more than one cause, said Dr. Rebecca Johnson, the study's lead author and medical director of a teen and young adult cancer program at Seattle Children's Hospital.

"The change might be due to some sort of modifiable risk factor, like a lifestyle change" or exposure to some sort of cancer-linked substance, she said.

Johnson said the results translate to about 250 advanced cases diagnosed in women younger than 40 in the mid-1970s versus more than 800 in 2009. During those years, the number of women nationwide in that age range went from about 22 million to closer to 30 million — an increase that explains part of the study trend "but definitely not all of it," Johnson said.

Other experts said women delaying pregnancy might be a factor, partly because getting pregnant at an older age might cause an already growing tumor to spread more quickly in response to pregnancy hormones.

Obesity and having at least a drink or two daily have both been linked with breast cancer but research is inconclusive on other possible risk factors, including tobacco and chemicals in the environment. Whether any of these explains the slight increase in advanced disease in young women is unknown.

There was no increase in cancer at other stages in young women. There also was no increase in advanced disease among women older than 40.

Overall U.S. breast cancer rates have mostly fallen in more recent years, although there are signs they may have plateaued.

Some 17 years ago, Johnson was diagnosed with early-stage breast cancer at age 27, and that influenced her career choice to focus on the disease in younger women.

"Young women and their doctors need to understand that it can happen in young women," and get checked if symptoms appear, said Johnson, now 44. "People shouldn't just watch and wait."

The authors reviewed a U.S. government database of cancer cases from 1976 to 2009. They found that among women aged 25 to 39, breast cancer that has spread to distant parts of the body — advanced disease — increased from between 1 and 2 cases per 100,000 women to about 3 cases per 100,000 during that time span.

The study was published Tuesday in the Journal of the American Medical Association.

About one in 8 women will develop breast cancer in their lifetime, but only 1 in 173 will develop it by age 40. Risks increase with age and certain gene variations can raise the odds.

Routine screening with mammograms is recommended for older women but not those younger than 40.

Dr. Len Lichtenfeld, the American Cancer Society's deputy chief medical officer, said the results support anecdotal reports but that there's no reason to start screening all younger women since breast cancer is still so uncommon for them.

He said the study "is solid and interesting and certainly does raise questions as to why this is being observed." One of the most likely reasons is probably related to changes in childbearing practices, he said, adding that the trend "is clearly something to be followed."

Dr. Ann Partridge, chair of the federal Centers for Disease Control and Prevention's advisory committee on breast cancer in young women, agreed but said it's also possible that doctors look harder for advanced disease in younger women than in older patients. More research is needed to make sure the phenomenon is real, said Partridge, director of a program for young women with breast cancer at the Harvard-affiliated Dana-Farber Cancer Institute.

The study shouldn't cause alarm, she said. Still, Partridge said young women should be familiar with their breasts and see the doctor if they notice any lumps or other changes.

Software engineer Stephanie Carson discovered a large breast tumor that had already spread to her lungs; that diagnosis in 2003 was a huge shock.

"I was so clueless," she said. "I was just 29 and that was the last thing on my mind."

Carson, who lives near St. Louis, had a mastectomy, chemotherapy, radiation and other treatments and she frequently has to try new drugs to keep the cancer at bay.

Because most breast cancer is diagnosed in early stages, there's a misconception that women are treated, and then get on with their lives, Carson said. She and her husband had to abandon hopes of having children, and she's on medical leave from her job.

"It changed the complete course of my life," she said. "But it's still a good life."

____

Online:

JAMA: http://jama.ama-assn.org

CDC: http://www.cdc.gov/cancer/breast/index.htm

Read More..

First Lady Sees 'Movement' in Childhood Obesity

As she celebrates the third anniversary of her Let's Move! initiative, first lady Michelle Obama told "Good Morning America" co-anchor Robin Roberts that the country is seeing real "movement" on the issue of childhood obesity.

"We've really changed the conversation in this country. When we started, there were a lot of people in this country who would have never thought that childhood obesity was a health crisis. But now we're starting to see some movement on this issue," the first lady told Roberts. "Our kids are eating better at school. They're moving more. And we're starting…to see a change in the trends. We're starting to see rates of obesity coming down like never before."

"What we're seeing is that there's hope, and when a nation comes together, and everyone is thinking about this issue and trying to figure out what role they can play, then we can see changes," she said.

Mrs. Obama is set to embark on a star studded national tour this week to promote and celebrate her Let's Move! initiative. Her first stop will be in Clinton, Miss. on Wednesday when she appears at an event highlighting healthy school lunches with Rachael Ray.

"I'm going back to Mississippi because when I first went there, Mississippi was considered one of the most unhealthy states in the nation," Mrs. Obama said.

Will Sequestration Turn US Into 'Second-Rate Power' Watch Video

Jay Carney Discusses Biden Self-Defense Tips Watch Video

'Preschool for All': Obama Plan Faces Challenges Watch Video

"If we could fry water in Mississippi, we would, we would do that," Roberts, who grew up in Pass Christian, Mississippi, said. "Food is a culture."

"But the good news in Mississippi is that they've seen a decline in childhood obesity of 13 percent, so we're gonna go celebrate and highlight what has been going on there. There's still work to do," the first lady said.

On Thursday, the first lady will travel to her hometown of Chicago, where she will be joined by Olympic gymnasts and tennis star Serena Williams to promote more physical activity in schools. Later in the day, Mrs. Obama will discuss healthy food choices at a Wal-Mart store in Springfield, Mo.

Mrs. Obama said she will announce a new initiative called the "My Plate Recipe Partnership," which will provide families with online access to healthy recipes that meet the My Plate guidelines, the U.S. Department of Agriculture's replacement of the food pyramid.

"More and more chefs, more and more food companies are understanding that they have to find ways to help families do this in a way that's gonna taste good, that kids are gonna like it," she said.

The first lady, Roberts and Chef Marcus Robert Samuelsson, who owns Red Rooster Harlem in New York City, cooked a healthy meal of beef stir fry and broccolini together on the "Good Morning America" set. Mrs. Obama admitted "it's been a while" since she's cooked for her family, but said she looks forward to the day she can whip up meals for her husband and daughters.

"I walk in the kitchen every day, every day," she joked.

But cooking for her family isn't the only thing Mrs. Obama said she misses since becoming first lady.

"Going to Target for me is like a dream, you know? That one time I went, you noticed it created a stir. I'm gonna do it again, doggone it. Next four years, I'm going out. I'm breaking out. I'm gonna disguise Bo. I'm gonna put on a coat. I'm gonna take a walk, and my agents won't know a thing. Don't tell 'em," she joked.

Read More..

Mobile makers set sights on grandparents

BARCELONA: As smartphone giants Apple and Samsung battle for the wallets of tech-savvy youngsters, a growing number of manufacturers is trying to lure a fast-growing new market: their grandparents.

Handset makers at the world's biggest mobile fair in Barcelona, Spain, showed off a slew of new devices aimed at the hundreds of millions of older people put off by the complexity of the latest iPhones and Android-powered smartphones.

One of the leaders of the segment in Europe, Austrian firm Emporia, launched a new handset, the Emporia Connect, at the February 24-28 Mobile World Congress.

The sleek-looking black and silver flip phone is designed not to be "stigmatising" yet easy enough for older buyers to use, said Emporia's general manager for France, Christophe Yerolymos.

It has a keypad with larger numbers and an emergency button that will send an SOS along with data pinpointing the location of the phone.

The phone features a system called Emporia Me, with an array of remote control features for the owner's family, allowing a child or grandchild to check the device's location, battery status, or ensure the volume is up.

While it is not a smartphone and has no mapping service, it does have an orientation feature that lets a user push a single button to get turn-by-turn audible instructions for returning to a car while on a shopping trip, for example.

"Emporia is a company in growth, strong growth, even in the heart of the economic crisis we're in at the moment in Europe," said Yerolymos.

Japan's Fujitsu rolled out a European version of a smart phone for seniors, the Stylistic S01, which first launched in mid-2012 in Japan where it lured buyers from a wider age range than the group anticipated, from 45 years upwards.

It is an Android-based smartphone with large, simplified icons, and a "family alert" button that will send a message along with geo-localisation data.

But it also has an unusual touch-screen that will only respond when the user presses a bit harder so as to avoid launching applications by mistake, said Fujitsu Europe-Middle East-Africa product marketing director James Maynard.

"You can actually pre-touch and then when you know which button you want to press, you can exert a little bit more pressure," he said.

"It's made to grow with you so as you become more confident you naturally will exert more pressure on to the device. It's a stepping stone from a feature phone to a smartphone and using a touch panel for the first time."

Kapsys, a French firm, showed off its SmartConnect handset aimed at seniors.

The firm is in discussions with operators including Orange and is hoping to launch the device for about 400 euros (US$520) in Europe in June and then in the United States by the end of 2013, said chief executive Aram Hekimian.

The SmartConnect boasts familiar features for the market: large icons, text in large characters, remote access for family members and also an SOS button with geo-localisation.

But it also incorporates a digital magnifier, enabling the user to roll the phone over text to facilitate reading, for example. The phone is rich in voice command functions, too, allowing the user to avoid fiddly buttons.

"Seniors today are used to having access to technology. As they get older they will want access to the same functions, the same technologies," Hekimian said.

Kapsys estimated the potential market for the telephone at 600 million people, he said. "Our goal is to capture one percent of that market by 2015."

-AFP/fl

Read More..

Islamic scholars condemn killing of Shia Muslims in Pakistan

MUMBAI: A group of Islamic scholars today called upon international bodies like United Nations, Human Rights Watch and Amnesty International and governments across the world to devise ways to put an end to killing of Shia Muslims in Pakistan.

"It is extremely shameful," Islamic scholar Maulana Sayed Ahmedalo Abidi, Imam-e-Juma Khoja Jama Masjid Dongri and Principal of Houza Ilmiya Najifi House, told reporters here.

"Shias are being attacked, shot and bombed. This is extremely serious," he said, urging the Indian government to take up the issue in international forums.

He also appealed to the government of Pakistan to ensure that Shias were protected from violence unleashed by militants.

The Islamic scholars said the Army must be made directly responsible and accountable for the law and order situation and safety of all people, including Shias in Quetta and other parts of Balochistan.

"The Human Rights Commission of Pakistan must look into the issue," said Maulana Zaheer Abbas Rizvi, General Secretary All India Shia Muslim Personal Law Board.

Pakistan has been besieged by militant attacks in recent years, many of them carried out by Pakistani Taliban, who have been waging a bloody insurgency against the government.

Radical Sunni militant groups have also increasingly targeted the country's Shias because they do not view them as real Muslims, Rizvi said in a statement.

Many of these sectarian attacks have occurred in southwest Balochistan province, which has the largest concentration of Shias in Pakistan, he said.

The Islamic scholars also condemned the twin blasts at Hyderabad recently.

Read More..

Koop, who transformed surgeon general post, dies

With his striking beard and starched uniform, former Surgeon General Dr. C. Everett Koop became one of the most recognizable figures of the Reagan era — and one of the most unexpectedly enduring.

His nomination in 1981 met a wall of opposition from women's groups and liberal politicians, who complained President Ronald Reagan selected Koop, a pediatric surgeon and evangelical Christian from Philadelphia, only because of his conservative views, especially his staunch opposition to abortion.

Soon, though, he was a hero to AIDS activists, who chanted "Koop, Koop" at his appearances but booed other officials. And when he left his post in 1989, he left behind a landscape where AIDS was a top research and educational priority, smoking was considered a public health hazard, and access to abortion remained largely intact.

Koop, who turned his once-obscure post into a bully pulpit for seven years during the Reagan and George H.W. Bush administrations and who surprised both ends of the political spectrum by setting aside his conservative personal views on issues such as homosexuality and abortion to keep his focus sharply medical, died Monday at his home in Hanover, N.H. He was 96.

An assistant at Koop's Dartmouth College institute, Susan Wills, confirmed his death but didn't disclose its cause.

Dr. Richard Carmona, who served as surgeon general a decade ago under President George W. Bush, said Koop was a mentor to him and preached the importance of staying true to the science even if it made politicians uncomfortable.

"He set the bar high for all who followed in his footsteps," Carmona said.

Although the surgeon general has no real authority to set government policy, Koop described himself as "the health conscience of the country" and said modestly just before leaving his post that "my only influence was through moral suasion."

A former pipe smoker, Koop carried out a crusade to end smoking in the United States; his goal had been to do so by 2000. He said cigarettes were as addictive as heroin and cocaine. And he shocked his conservative supporters when he endorsed condoms and sex education to stop the spread of AIDS.

Chris Collins, a vice president of amFAR, the Foundation for AIDS Research, said many people don't realize what an important role Koop played in the beginning of the AIDS epidemic.

"At the time, he really changed the national conversation, and he showed real courage in pursuing the duties of his job," Collins said.

Even after leaving office, Koop continued to promote public health causes, from preventing childhood accidents to better training for doctors.

"I will use the written word, the spoken word and whatever I can in the electronic media to deliver health messages to this country as long as people will listen," he promised.

In 1996, he rapped Republican presidential hopeful Bob Dole for suggesting that tobacco was not invariably addictive, saying Dole's comments "either exposed his abysmal lack of knowledge of nicotine addiction or his blind support of the tobacco industry."

Although Koop eventually won wide respect with his blend of old-fashioned values, pragmatism and empathy, his nomination met staunch opposition.

Foes noted that Koop traveled the country in 1979 and 1980 giving speeches that predicted a progression "from liberalized abortion to infanticide to passive euthanasia to active euthanasia, indeed to the very beginnings of the political climate that led to Auschwitz, Dachau and Belsen."

But Koop, a devout Presbyterian, was confirmed after he told a Senate panel he would not use the surgeon general's post to promote his religious ideology. He kept his word.

In 1986, he issued a frank report on AIDS, urging the use of condoms for "safe sex" and advocating sex education as early as third grade.

He also maneuvered around uncooperative Reagan administration officials in 1988 to send an educational AIDS pamphlet to more than 100 million U.S. households, the largest public health mailing ever.

Koop personally opposed homosexuality and believed sex should be saved for marriage. But he insisted that Americans, especially young people, must not die because they were deprived of explicit information about how HIV was transmitted.

Koop further angered conservatives by refusing to issue a report requested by the Reagan White House, saying he could not find enough scientific evidence to determine whether abortion has harmful psychological effects on women.

Koop maintained his personal opposition to abortion, however. After he left office, he told medical students it violated their Hippocratic oath. In 2009, he wrote to Senate Majority Leader Harry Reid, urging that health care legislation include a provision to ensure doctors and medical students would not be forced to perform abortions. The letter briefly set off a security scare because it was hand delivered.

Koop served as chairman of the National Safe Kids Campaign and as an adviser to President Bill Clinton's health care reform plan.

At a congressional hearing in 2007, Koop spoke about political pressure on the surgeon general post. He said Reagan was pressed to fire him every day, but Reagan would not interfere.

Koop, worried that medicine had lost old-fashioned caring and personal relationships between doctors and patients, opened his institute at Dartmouth to teach medical students basic values and ethics. He also was a part-owner of a short-lived venture, drkoop.com, to provide consumer health care information via the Internet.

Koop was born in the New York City borough of Brooklyn, the only son of a Manhattan banker and the nephew of a doctor. He said by age 5 he knew he wanted to be a surgeon and at age 13 he practiced his skills on neighborhood cats.

He attended Dartmouth, where he received the nickname Chick, short for "chicken Koop." It stuck for life.

Koop received his medical degree at Cornell Medical College, choosing pediatric surgery because so few surgeons practiced it.

In 1938, he married Elizabeth Flanagan, the daughter of a Connecticut doctor. They had four children, one of whom died in a mountain climbing accident when he was 20.

Koop was appointed surgeon-in-chief at Children's Hospital in Philadelphia and served as a professor at the University of Pennsylvania School of Medicine.

He pioneered surgery on newborns and successfully separated three sets of conjoined twins. He won national acclaim by reconstructing the chest of a baby born with the heart outside the body.

Although raised as a Baptist, he was drawn to a Presbyterian church near the hospital, where he developed an abiding faith. He began praying at the bedside of his young patients — ignoring the snickers of some of his colleagues.

Koop's wife died in 2007, and he married Cora Hogue in 2010.

He was by far the best-known surgeon general and for decades afterward was still a recognized personality.

"I was walking down the street with him one time" about five years ago, recalled Dr. George Wohlreich, director of the College of Physicians of Philadelphia, a medical society with which Koop had longstanding ties. "People were yelling out, 'There goes Dr. Koop!' You'd have thought he was a rock star."

___

Ring reported from Montpelier, Vt. Cass reported from Washington. AP Medical Writers Lauran Neergaard in Washington and Mike Stobbe in New York contributed to this report.

Read More..

Best Moments From the Academy Awards

Host Seth MacFarlane took the stage at the 2013 Oscars with an opening monologue revealing he was ready to poke fun at the star-studded audience.

"The quest to make Tommy Lee Jones laugh begins now," he said.

But it wasn't too long before MacFarlane was interrupted. William Shatner, dressed as his iconic character Captain Kirk from "Star Trek," descended on the stage to warn MacFarlane that he was about to ruin the Oscars and be branded the worst host ever.

"The show is a disaster. I've come back in time … to stop you from ruining the Academy Awards," Shatner said.

Seth MacFarlane's Boobs Tribute

Shatner tried to steer MacFarlane away from singing an "incredibly offensive song that upsets a lot of women in the audience."

Cue MacFarlane's medley "We Saw Your Boobs," a laundry list set to music of acclaimed actresses in Hollywood who all bared their breasts in film.

MacFarlane was joined by the Gay Men's Chorus of Los Angeles to call out Meryl Streep, Anne Hathaway, Naomi Watts, Jodie Foster, Hilary Swank and countless others who we've seen nude in film.

Not every joke funnyman Seth MacFarlane made landed with the A-list crowd at the 85th annual Academy Awards.

The host elicited gasps from the crowd when he introduced "Django Unchained" as "the story of a man fighting to get back his woman, who's been subjected to unthinkable violence. Or, as Chris Brown and Rihanna call it, a date movie."

Another joke that somehow earned a too-soon nod? A throw to President Abraham Lincoln's assassination.

"I'd argue that the actor who really got inside Lincoln's head was John Wilkes Booth," MacFarlane said.

MacFarlane's jab at Mel Gibson didn't land too smoothly either. MacFarlane said the N-word laden "Django Unchained" screenplay was "loosely based on Mel Gibson's voicemails."

Oscars' Movie Musical Tribute

The theme of the 85 annual Academy Awards was celebrating music in film, and the tributes to movie musicals didn't disappoint.

Featured performers included Catherine Zeta-Jones belting "All That Jazz" from 2002's Best Picture winner "Chicago," Jennifer Hudson's show-stopping "And I'm Telling You I'm Not Going" from 2006's "Dreamgirls," and the cast of this year's Best Picture nominee "Les Miserables" reuniting on stage for "One Day More."

Introducing the Von Trapp Family

To introduce Christopher Plummer to the stage to present the award for Best Supporting Actress, MacFarlane couldn't help but make a joke out of the actor's infamous role as Captain Von Trapp in "The Sound of Music."

MacFarlane came out to announce the Von Trapp family singers, but no one came out. Instead, a man dressed in a Nazi uniform ran in to tell him that they were gone.

Kristen Stewart Hobbles on Stage to Present

When Daniel Radcliffe took the stage to present the award for Achievement in Production Design, he was joined by his hobbling co-presenter Kristen Stewart, who was seen crutching along the red carpet during the pre-show.

The "Twilight" star's makeup artist told People magazine that the actress "cut the ball of her foot, quite severely, on glass two days ago."

The Associated Press reported that backstage, Best Supporting Actress winner Anne Hathaway told Stewart to "break a leg."

Jennifer Lawrence's Unstable Victory

Jennifer Lawrence was so shocked to take home the Oscar for Best Actress that she lost her footing on her way up to the stage to accept her award.

"You guys are just standing up because I fell and that's really embarrassing," she said to the audience.

Lawrence regained her composure to give her acceptance speech, extending a special thank you to "the women this year," who she called "so magnificent and so inspiring."

Daniel Day-Lewis a Three-Peat Best Actor Winner

It was a highly anticipated win for Daniel Day-Lewis, who took home the award for Best Actor for his portrayal of Abe Lincoln in Steven Spielberg's "Lincoln."

Lewis cracked a joke in his acceptance speech, saying he was supposed to be cast as Margaret Thatcher and presenter Meryl Streep was the first choice for Lincoln.

"Meryl Streep was Steven's first choice to play Lincoln… I'd like to see that version," Lewis said.

Michelle Obama Announces Best Picture Winner

In one of the biggest surprises of the night, the Academy brought out First Lady Michelle Obama to help Jack Nicholson introduce the nominees for Best Picture.

Rocking her new bangs and a silver gown, the first lady, live from the White House, announced "Argo" as this year's Best Picture.

"It was a thrill to announce the #Oscars2013 best picture winner from the @WhiteHouse! Congratulations Argo!" FLOTUS tweeted afterwards.

Ben Affleck Triumphs at Oscars

Ben Affleck was flabbergasted by his win for Best Picture for "Argo." His frenzied, heartfelt acceptance speech resonated as he thanked his wife, Jennifer Garner, and ended on an inspirational high note.

"I want to thank my wife, who I don't normally associate with Iran. I want to thank you for working on our marriage. It is work, but it is the best kind of work," he said.

"I was here 15 years ago or something and you know I had no idea what I was doing. I stood out here in front of you all, really just a kid. I went out and I never thought I'd be back here and I am because of so many of you who are here tonight …. I want to thank them for what they taught me, which is that you have to work harder than you think you possibly can, you can't hold grudges. It's hard, but you can't hold grudges. And it doesn't matter how you get knocked down in life because that's going to happen. All that matters is that you got to get up."

Read More..

Syria opposition threat clouds first Kerry overseas tour

LONDON: New US Secretary of State John Kerry met British Prime Minister David Cameron on Monday at the start of a get-acquainted tour of Europe and the Middle East, but the Syrian conflict threatened to taint the trip.

US officials were trying to persuade the Syrian opposition to reconsider its threat to boycott an international meeting in Rome on Thursday, which was to be the centrepiece of Kerry's first overseas tour since he took over from Hillary Clinton.

The Syrian National Council has said it will pull out of the 11-nation Friends of Syria talks in protest at the international community's inability to halt the bloodshed.

Kerry is due to meet his Russian counterpart Sergei Lavrov in Berlin on Tuesday and is expected to push Moscow to put pressure on the Syrian regime to allow a "political transition".

Lavrov held talks in Moscow on Monday with President Bashar al-Assad's foreign minister, who said the Syrian regime was ready for talks with the rebels and anyone who favours dialogue, in the first such offer by a top Syrian official.

Russia is one of the few major powers who still maintain ties with Assad's regime.

A senior US official said on Sunday: "We feel that Russia can play a key role in convincing the (Syrian) regime that there is need for political transition."

Kerry, a former US presidential candidate, made a gentle start to his marathon tour of close US allies by enjoying a traditional English breakfast with Cameron at Downing Street on Monday.

The two men discussed Syria and also talked of how to achieve a trade deal between the United States and the European Union.

They agreed that the G8 summit in Northern Ireland in June "will be an important moment to inject further momentum into this", according to a statement from Cameron's office.

Kerry then went into talks with British Foreign Secretary William Hague which will be followed by a joint news conference later before Kerry heads to the German capital.

The trip will also include stops in France, Italy, Turkey, Egypt, Saudi Arabia, the United Arab Emirates and Qatar.

Kerry is also expected to address issues including Iran, Mali and North Korea during the two-week tour.

US officials were privately optimistic that they could persuade the Syrian opposition to attend the talks on Thursday.

Publicly, a State Department official said: "We are stressing... that they (the opposition) have an opportunity in Rome, to see the countries that have been their greatest supporters and to present to all of us how they see the situation on the ground in security, humanitarian, political and economic terms.

"This meeting is also an opportunity for them to meet our new secretary of state and to speak directly to him," he added.

Syria will also dominate Kerry's talks in Ankara and Cairo, where he is due to meet with the Secretary General of the Arab League, Nabil al-Arabi.

The Kerry-Lavrov meeting on Tuesday will take place at the same time as talks in Kazakhstan between the so-called 5+1 world powers -- US, China, Russia, France, Britain and Germany -- and Iran over the issue of Tehran's nuclear policy.

A US official said strengthened sanctions were having a "real effect" in Iran and welcomed the "common" position among the group.

The trip sees Kerry, the son of a diplomat, back on familiar ground. He spent part of his childhood in Berlin and has family in France.

-AFP/fl

Read More..

Ishrat case: Police officers' custody extended till Feb 28

AHMEDABAD: A local court today extended the custody of two police officers, Tarun Barot and Bharat Patel, arrested on Saturday by CBI in connection with alleged fake encounter of Ishrat Jahan, for three more days.

Additional chief judicial magistrate H S Khutwad said "The accused police officers have been remanded to police custody till February 28 for further interrogation."

The agency had earlier argued that the duo, during their one-day police custody granted by the court yesterday, were adopting evasive tactics and not cooperating during interrogation.

"The encounter case is an old one and the accused police officers are adopting various tactics to hide crucial evidence during interrogation," CBI lawyer Abhishek Arora said.

The CBI argued that "the accused police officers, knowing fully well that the police custody granted to them was only for 24 hours, did not at all cooperate during interrogation and gave evasive replies."

Opposing the remand application, counsel Brijrajsinh Jhala, who argued for Patel, said that despite being given 24 hours for interrogation, they were probed only for one and a half hours.

He also said that "false evidence is being created in the name of interrogation", adding that CBI has mentioned that some Call Detail Record (CDR) of police officials involved in nakabandi and encounter was available while earlier the agency had said that CDR was permanently lost.

CBI counsel, however, pointed out that in the initial FIR filed by the Crime Branch, it was mentioned that CDR was permanently lost but the FIR filed by CBI stated that for commercial purposes (billing), telecom companies could make CDR available for seven years.

The CBI had arrested Special Operation Group (SOG), Gandhinagar police inspector Bharat Patel and suspended Mehsana Dy SP Tarun Barot late on Saturday evening.

Patel was police sub-inspector with Crime Branch, Ahmedabad in 2004.

The Gujarat police had alleged that 19-year-old Mumbai girl Ishrat Jahan, Javed Shaikh alias Pranesh Pillai, Amjadali Akbarali Rana and Zeeshan Johar were a part of the conspiracy to assassinate Gujarat Chief Minister Narendra Modi. They were killed in an encounter on June 15, 2004 on a stretch of road between Ahmedabad and Gandhinagar.

Earlier, CBI had arrested Girish Singhal, Superintendent of Police with State Crime Records Bureau, and J G Parmar, retired DSP and the court, after rejecting their remand, had sent them in judicial custody.

After Ishrat's mother complained about the alleged fake encounter, Gujarat High Court constituted a Special Investigation Team (SIT), which concluded that the encounter was fake. The high court handed over the case to CBI on December 1, 2011, and monitoring the investigations.

Read More..

FDA approves new targeted breast cancer drug

WASHINGTON (AP) — The Food and Drug Administration has approved a first-of-a-kind breast cancer medication that targets tumor cells while sparing healthy ones.

The drug Kadcyla from Roche combines the established drug Herceptin with a powerful chemotherapy drug and a third chemical linking the medicines together. The chemical keeps the cocktail intact until it binds to a cancer cell, delivering a potent dose of anti-tumor poison.

Cancer researchers say the drug is an important step forward because it delivers more medication while reducing the unpleasant side effects of chemotherapy.

"This antibody goes seeking out the tumor cells, gets internalized and then explodes them from within. So it's very kind and gentle on the patients — there's no hair loss, no nausea, no vomiting," said Dr. Melody Cobleigh of Rush University Medical Center. "It's a revolutionary way of treating cancer."

Cobleigh helped conduct the key studies of the drug at the Chicago facility.

The FDA approved the new treatment for about 20 percent of breast cancer patients with a form of the disease that is typically more aggressive and less responsive to hormone therapy. These patients have tumors that overproduce a protein known as HER-2. Breast cancer is the second most deadly form of cancer in U.S. women, and is expected to kill more than 39,000 Americans this year, according to the National Cancer Institute.

The approval will help Roche's Genentech unit build on the blockbuster success of Herceptin, which has long dominated the breast cancer marketplace. The drug had sales of roughly $6 billion last year.

Genentech said Friday that Kadcyla will cost $9,800 per month, compared to $4,500 per month for regular Herceptin. The company estimates a full course of Kadcyla, about nine months of medicine, will cost $94,000.

FDA scientists said they approved the drug based on company studies showing Kadcyla delayed the progression of breast cancer by several months. Researchers reported last year that patients treated with the drug lived 9.6 months before death or the spread of their disease, compared with a little more than six months for patients treated with two other standard drugs, Tykerb and Xeloda.

Overall, patients taking Kadcyla lived about 2.6 years, compared with 2 years for patients taking the other drugs.

FDA specifically approved the drug for patients with advanced breast cancer who have already been treated with Herceptin and taxane, a widely used chemotherapy drug. Doctors are not required to follow FDA prescribing guidelines, and cancer researchers say the drug could have great potential in patients with earlier forms of breast cancer

Kadcyla will carry a boxed warning, the most severe type, alerting doctors and patients that the drug can cause liver toxicity, heart problems and potentially death. The drug can also cause severe birth defects and should not be used by pregnant women.

Kadcyla was developed by South San Francisco-based Genentech using drug-binding technology licensed from Waltham, Mass.-based ImmunoGen. The company developed the chemical that keeps the drug cocktail together and is scheduled to receive a $10.5 million payment from Genentech on the FDA decision. The company will also receive additional royalties on the drug's sales.

Shares of ImmunoGen Inc. rose 2 cents to $14.32 in afternoon trading. The stock has ttraded in a 52-wek range of $10.85 to $18.10.

Read More..

Crash at Daytona Exposes Risks to Fans

The risks of racing extend beyond the drivers.

Fans can wind up in the danger zone, too.

A horrifying crash on the last lap of a race at Daytona International Speedway injured at least 30 fans Saturday and provided another stark reminder of what can happen when a car going nearly 200 mph is suddenly launched toward the spectator areas.

The victims were sprayed with large chunks of debris — including a tire — after rookie Kyle Larson's machine careened into the fencing that is designed to protect the massive grandstands lining NASCAR's most famous track.

"I love the sport," said Shannan Devine, who witnessed the carnage from her 19th-row seat, about 250 feet away. "But no one wants to get hurt over it."

The fencing served its primary purpose, catapulting what was left of Larson's car back onto the track. But it didn't keep potentially lethal shards from flying into the stands.

"There was absolute shock," Devine said. "People were saying, 'I can't believe it, I can't believe it. I've never seen this happen, I've never seen this happen. Did the car through the fence?' It was just shock and awe. Grown men were reaching out and grabbing someone, saying, 'Oh my gosh! Oh my gosh!' It was just disbelief, absolute disbelief."

From Daytona to Le Mans to a rural road in Ireland, auto racing spectators have long been too close to the action when parts start flying. The crash in the second-tier Nationwide race follows a long list of accidents that have left fans dead or injured.

The most tragic incident occurred during the 1955 24 Hours of Le Mans, when two cars collided near the main stands. The wreck sent debris hurtling into the crowd, while one of the cars flipped upside down and exploded in a giant fireball.

Eighty-three spectators and driver Pierre Levegh were killed, and 120 fans were injured.

The Daytona crash began as the field approached the checkered flag and leader Regan Smith attempted to block Brad Keselowski. That triggered a chain reaction, and rookie Kyle Larson hit the cars in front of him and went airborne into the fence.

The entire front end was sheared off Larson's car, and his burning engine wedged through a gaping hole in the fence. Chunks of debris from the car were thrown into the stands, including a tire that cleared the top of the fence and landed midway up the spectator section closest to the track.

"I thought the car went through the fence," Devine said. "I didn't know if there was a car on top of people. I didn't know what to think. I'm an emotional person. I immediately started to cry. It was very scary, absolutely scary. I love the speed of the sport. But it's so dangerous."

The fencing used to protect seating areas and prevent cars from hurtling out of tracks has long been part of the debate over how to improve safety.

Three-time Indianapolis 500 winner Dario Franchitti lost close friend Dan Wheldon at Las Vegas in the 2011 IndyCar season finale, when Wheldon's car catapulted into the fencing and his head struck a support post. Since his death, IndyCar drivers have called for studies on how to improve the safety barriers.

Franchitti renewed the pleas on Twitter after the Daytona crash, writing "it's time (at)Indycar (at)nascar other sanctioning bodies & promoters work on an alternative to catch fencing. There has to be a better solution."

Another fan who witnessed the crash said he's long worried that sizable gaps in the fencing increase the chances of debris getting through to the stands.

Read More..

Frustrated Italians vote in crucial election for euro zone

ROME (Reuters) - Italians voted on Sunday in one of the most closely watched and unpredictable elections in years, with pent-up fury over a discredited elite adding to concern it may not produce a government strong enough to lead Italy out of an economic slump.

The election, which concludes on Monday afternoon, is being followed closely by investors; their memories are still fresh of the potentially catastrophic debt crisis that saw Mario Monti, an economics professor and former bureaucrat, summoned to serve as prime minister in place of Silvio Berlusconi 15 months ago.

A weak Italian government could, many fear, prompt a new dip in confidence in the European Union's single currency.

Opinion polls give the center-left a narrow lead but the result has been thrown completely open by the prospect of a huge protest vote against the painful austerity measures imposed by Monti's government and deep anger over a never-ending series of corruption scandals. Berlusconi's centre-right has also revived.

"I'm not confident that the government that emerges from the election will be able to solve any of our problems," said Attilio Bianchetti, a 55-year-old builder in Milan, who voted for the anti-establishment 5-Star Movement of comic and blogger Beppe Grillo.

The 64-year-old Grillo, heavily backed by a frustrated generation of young Italians hit by record unemployment, has been one of the biggest features of the last stage of the campaign, packing rallies in town squares up and down Italy.

"He's the only real new element in a political landscape where we've been seeing the same faces for too long," said Vincenzo Cannizzaro, 48, in the Sicialian capital Palermo.

Italians started voting at 8 a.m. (0700 GMT). Polling booths will remain open until 10 p.m. on Sunday and open again between 7 a.m. and 3 p.m. on Monday. Exit polls will come out soon after voting ends and official results are expected by early Tuesday.

Snow in northern regions is expected to last into Monday and could discourage some of the 47 million people eligible to vote in Italy to head out to polling stations, though the Interior Ministry has said it is fully prepared for bad weather.

Monti and his wife cast their votes at a polling booth in a Milan school on Sunday morning and centre-left leader Pier Luigi Bersani, the leader opinion polls suggest will have to form a new government, voted in his home town of Piacenza.

A small group of women's rights demonstrators greeted former prime minister Berlusconi when he voted in Milan. They bared their breasts in protest at the conservative leader, who is on trial at present for having sex with an underage prostitute.

Whichever government emerges from the election will have to tackle reforms needed to address problems that have given Italy one of the most sluggish economies in the developed world for the past two decades.

But the widespread despair over the state of the country, where a series of corruption scandals has highlighted the stark divide between a privileged political elite and millions of ordinary Italians, has left deep scars.

"It's our fault, Italian citizens. It's our closed mentality. We're just not Europeans," said Luciana Li Mandri, a 37-year-old public servant in Palermo.

"We're all about getting favors when we study, getting a protected job when we work. That's the way we are and we can only be represented by people like that as well," she said.

FRUSTRATION

Final polls published two weeks ago showed center-left leader Bersani with a 5-point lead, but analysts disagree about whether he will be able to form a stable majority that can make the economic reforms they believe Italy needs.

While the center left is still expected to gain control of the lower house, thanks to rules that guarantee a strong majority to whichever party wins the most votes nationally, a much closer battle will be fought for the Senate, which any government also needs to control to be able to pass laws.

The euro zone's third-largest economy is stuck in deep recession, struggling under a public debt burden second only to Greece in the 17-member currency bloc and with a public weary of more than a year of austerity policies.

Bersani is now thought to be just a few points ahead of media magnate Berlusconi, the four-times prime minister who has promised tax refunds and staged a media blitz in an attempt to win back voters.

Think-tank consultant Mario, 60, who was on his way to vote in Bologna, said Bersani's Democratic Party was the only serious grouping that could help solve the country's economic woes.

"They're not perfect," he said. "But they've got the organization and the union backing that will help them push through the structural reforms."

A strong fightback by Berlusconi, who has promised to repay a widely hated housing tax, the IMU, imposed by Monti last year, saw his support climb during a campaign that relentlessly attacked the "German-centric" austerity policies of the former European Union commissioner.

"I won't vote for Monti, and I don't think a lot of people will. He made a huge blunder with IMU," said 35-year-old hairdresser Marco Morando, preparing to vote in Milan.

But the populist frustration Berlusconi's campaign tapped into has also benefitted Grillo and many pollsters said his 5-Star Movement, made up of political novices, was challenging the center-right for the position as second political force.

"I'm very worried. There seems to be no way out from a political point of view, or from being able to govern," said Calogero Giallanza, a 45-year-old musician in Rome, who voted for Bersani's Democrats.

"There's bound to be a mess in the Senate because, as far as I can see, the 5-Star Movement is unstoppable."

(Additional reporting by Cristiano Corvino, Lisa Jucca, Jennifer Clark, Matthias Baehr and Sara Rossi in Milan, Stephen Jewkes in Bologna, Wladimir Pantaleone in Palermo, Stefano Bernabei and Massimiliano Di Giorgio in Rome; Editing by Robin Pomeroy and Alastair Macdonald)

Read More..