Syrian rebels make slow headway in south


AMMAN (Reuters) - The revolt against President Bashar al-Assad first flared in Deraa, but the southern border city now epitomizes the bloody stalemate gripping Syria after 22 months of violence and 60,000 dead.


Jordan next door has little sympathy with Assad, but is wary of spillover from the upheaval in its bigger neighbor. It has tightened control of its 370-km (230-mile) border with Syria, partly to stop Islamist fighters or weapons from crossing.


That makes things tough for Assad's enemies in the Hawran plain, traditionally one of Syria's most heavily militarized regions, where the army has long been deployed to defend the southern approaches to Damascus from any Israeli threat.


The mostly Sunni Muslim rebels, loosely grouped in tribal and local "brigades", are united by a hatred of Assad and range from secular-minded fighters to al Qaeda-aligned Islamists.


"Nothing comes from Jordan," complained Moaz al-Zubi, an officer in the rebel Free Syrian Army, contacted via Skype from the Jordanian capital Amman. "If every village had weapons, we would not be afraid, but the lack of them is sapping morale."


Insurgents in Syria say weapons occasionally do seep through from Jordan but that they rely more on arsenals they seize from Assad's troops and arms that reach them from distant Turkey.


This month a Syrian pro-government television channel showed footage of what it said was an intercepted shipment of anti-tank weapons in Deraa, without specifying where it had come from.


Assad's troops man dozens of checkpoints in Deraa, a Sunni city that was home to 180,000 people before the uprising there in March 2011. They have imposed a stranglehold which insurgents rarely penetrate, apart from sporadic suicide bombings by Islamist militants, say residents and dissidents.


Rebel activity is minimal west of Deraa, where military bases proliferate near the Israeli-occupied Golan Heights.


Insurgents have captured some towns and villages in a 25-km (17-mile) wedge of territory east of Deraa, but intensifying army shelling and air strikes have reduced many of these to ruin, forcing their residents to join a rapidly expanding refugee exodus to Jordan, which now hosts 320,000 Syrians.


However, despite more than a month of fighting, Assad's forces have failed to winkle rebels out of strongholds in the rugged volcanic terrain that stretches from Busra al-Harir, 37 km (23 miles) northeast of Deraa, to the outskirts of Damascus.


Further east lies Sweida, home to minority Druze who have mostly sat out the Sunni-led revolt against security forces dominated by Assad's minority, Shi'ite-rooted Alawite sect.


"KEY TO DAMASCUS"


As long as Assad's forces control southwestern Syria, with its fertile, rain-fed Hawran plain, his foes will find it hard to make a concerted assault on Damascus, the capital and seat of his power, from suburbs where they already have footholds.


"If this area is liberated, the supply routes from the south to Damascus would be cut," said Abu Hamza, a commander in the rebel Ababeel Hawran Brigade. "Deraa is the key to the capital."


Fighters in the north, where Turkey provides a rear base and at least some supply lines, have fared somewhat better than their counterparts in the south, grabbing control of swathes of territory and seizing half of Aleppo, Syria's biggest city.


They have also captured some towns in the east, across the border from Iraq's Sunni heartland of Anbar province, and in central Syria near the mostly Sunni cities of Homs and Hama.


But even where they gain ground, Assad's mostly Russian-supplied army and air force can still pound rebels from afar, prompting a Saudi prince to call for outsiders to "level the playing field" by providing anti-tank and anti-aircraft weapons.


"What is needed are sophisticated, high-level weapons that can bring down planes, can take out tanks at a distance," Prince Turki al-Faisal, a former intelligence chief and brother of the Saudi foreign minister, said last week at a meeting in Davos.


Saudi Arabia and its fellow Gulf state Qatar have long backed Assad's opponents and advocate arming them, but for now the rebels are still far outgunned by the Syrian military.


"They are not heavily armed, properly trained or equipped," said Ali Shukri, a retired Jordanian general, who argued also that rebels would need extensive training to use Western anti-tank or anti-aircraft weapons effectively even if they had them.


He said two powerful armored divisions were among Syrian forces in the south, where the rebels are "not that strong".


It is easier for insurgents elsewhere in Syria to get support via Turkey or Lebanon than in the south where the only borders are with Israel and Jordan, Shukri said.


Jordan, which has urged Assad to go, but seeks a political solution to the crisis, is unlikely to ramp up support for the rebels, even if its cautious policy risks irritating Saudi Arabia and Qatar, financial donors to the cash-strapped kingdom.


ISLAMIST STRENGTH


"I'm confident the opposition would like to be sourcing arms regularly from the Jordanian border, not least because I guess it would be easier for the Saudis to get stuff up there on the scale you'd be talking about," said a Western diplomat in Amman.


A scarcity of arms and ammunition is the main complaint of the armed opposition, a disparate array of local factions in which Islamist militants, especially the al Qaeda-endorsed Nusra Front, have come to play an increasing role in recent months.


The Nusra Front, better armed than many groups, emerged months after the anti-Assad revolt began in Deraa with peaceful protests that drew a violent response from the security forces.


It has flourished as the conflict has turned ever more bitterly sectarian, pitting majority Sunnis against Alawites.


Since October, the Front, deemed a terrorist group by the United States, has carried out at least three high-profile suicide bombings in Deraa, attacking the officers' club, the governor's residence and an army checkpoint in the city centre.


Such exploits have won prestige for the Islamist group, which has gained a reputation for military prowess, piety and respect for local communities, in contrast to some other rebel outfits tainted by looting and other unpopular behavior.


"So far no misdeeds have come from the Nusra Front to make us fear them," said Daya al-Deen al-Hawrani, a fighter from the rebel al-Omari Brigade. "Their goal and our goal is one."


Abu Ibrahim, a non-Islamist rebel commander operating near Deraa, said the Nusra Front fought better and behaved better than units active under the banner of the Free Syrian Army.


"Their influence has grown," he acknowledged, describing them as dedicated and disciplined. Nor were their fighters imposing their austere Islamic ideology on others, at least for now. "I sit with them and smoke and they don't mind," he said.


The Nusra Front may be trying to avoid the mistakes made by a kindred group, Al Qaeda in Iraq, which fought U.S. troops and the rise of Shi'ite factions empowered by the 2003 invasion.


The Iraqi group's suicide attacks on civilians, hostage beheadings and attempts to enforce a harsh version of Islamic law eventually alienated fellow Sunni tribesmen who switched sides and joined U.S. forces in combating the militants.


Despite the Nusra Front's growing prominence and its occasional spectacular suicide bombings in Deraa, there are few signs that its fighters or other rebels are on the verge of dislodging the Syrian military from its southern bastions.


Abu Hamza, the commander in the Ababeel Hawran Brigade, was among many rebels and opposition figures to lament the toughness of the task facing Assad's enemies in the south: "What is killing us is that all of Hawran is a military area," he said.


"And every village has five army compounds around it."


(Writing by Alistair Lyon; Editing by Alastair Macdonald)



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Malaysia Airlines joins oneworld global airline alliance






KUALA LUMPUR: The oneworld global airline alliance on Thursday welcomed Malaysia flag carrier Malaysia Airlines (MAS) as its newest member.

Oneworld's CEO Bruce Ashby said MAS will enhance the alliance's presence in Southeast Asia and turn Kuala Lumpur into its gateway to the region.

Mr Ashby said: "We didn't have a member in Southeast Asia. We had Hong Kong, we had Sydney, but we were lacking a presence in this area. We now have Malaysia, and Sri Lanka will be coming in probably later this year."

Malaysia Airlines is oneworld's 12th member.

The alliance operates over 9,000 daily flights, carrying nearly a million passengers a day.

It currently flies to more than 850 destinations in almost 160 countries.

MAS said joining the alliance is part of its key strategy in its turnaround plan.

- CNA/fa



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No 'bad Muslims' in 'Vishwaroopam', can't paint terrorists white: Kamal Haasan

MUMBAI: Actor-filmmaker Kamal Haasan on Thursday said there are no "bad Muslims" in his movie " Vishwaroopam" but added there was no way he could portray terrorists as "white" characters.

"I have not shown bad Muslims in my film. The good Muslims in my film are Indian Muslims and the bad ones are terrorists," he told the media here.

"How can you expect me to paint terrorists white?" Kamal Haasan asked, a day before the release of the Hindi version of "Vishwaroop".

The actor thanked Tamil Nadu chief minister J Jayalalithaa, who earlier in the day said her government was doing its best to facilitate a dialogue between Kamal Haasan and Muslims protesting against the film.

"I was completely touched when I saw the Muslim community offering prayers in my support. These are true Muslims," Kamal Haasan said.

Opposition from Muslim groups in Tamil Nadu prompted the state government to impose a 15-day ban on the movie. It has also faced ban in other states besides Qatar, the UAE, Malaysia, Singapore and Sri Lanka.

Kamal Haasan has since agreed to make some cuts that were seen by Muslim critics as controversial.

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Sex to burn calories? Authors expose obesity myths


Fact or fiction? Sex burns a lot of calories. Snacking or skipping breakfast is bad. School gym classes make a big difference in kids' weight.


All are myths or at least presumptions that may not be true, say researchers who reviewed the science behind some widely held obesity beliefs and found it lacking.


Their report in Thursday's New England Journal of Medicine says dogma and fallacies are detracting from real solutions to the nation's weight problems.


"The evidence is what matters," and many feel-good ideas repeated by well-meaning health experts just don't have it, said the lead author, David Allison, a biostatistician at the University of Alabama at Birmingham.


Independent researchers say the authors have some valid points. But many of the report's authors also have deep financial ties to food, beverage and weight-loss product makers — the disclosures take up half a page of fine print in the journal.


"It raises questions about what the purpose of this paper is" and whether it's aimed at promoting drugs, meal replacement products and bariatric surgery as solutions, said Marion Nestle, a New York University professor of nutrition and food studies.


"The big issues in weight loss are how you change the food environment in order for people to make healthy choices," such as limits on soda sizes and marketing junk food to children, she said. Some of the myths they cite are "straw men" issues, she said.


But some are pretty interesting.


Sex, for instance. Not that people do it to try to lose weight, but claims that it burns 100 to 300 calories are common, Allison said. Yet the only study that scientifically measured the energy output found that sex lasted six minutes on average — "disappointing, isn't it?" — and burned a mere 21 calories, about as much as walking, he said.


That's for a man. The study was done in 1984 and didn't measure the women's experience.


Among the other myths or assumptions the authors cite, based on their review of the most rigorous studies on each topic:


—Small changes in diet or exercise lead to large, long-term weight changes. Fact: The body adapts to changes, so small steps to cut calories don't have the same effect over time, studies suggest. At least one outside expert agrees with the authors that the "small changes" concept is based on an "oversimplified" 3,500-calorie rule, that adding or cutting that many calories alters weight by one pound.


—School gym classes have a big impact on kids' weight. Fact: Classes typically are not long, often or intense enough to make much difference.


—Losing a lot of weight quickly is worse than losing a little slowly over the long term. Fact: Although many dieters regain weight, those who lose a lot to start with often end up at a lower weight than people who drop more modest amounts.


—Snacking leads to weight gain. Fact: No high quality studies support that, the authors say.


—Regularly eating breakfast helps prevent obesity. Fact: Two studies found no effect on weight and one suggested that the effect depended on whether people were used to skipping breakfast or not.


—Setting overly ambitious goals leads to frustration and less weight loss. Fact: Some studies suggest people do better with high goals.


Some things may not have the strongest evidence for preventing obesity but are good for other reasons, such as breastfeeding and eating plenty of fruits and vegetables, the authors write. And exercise helps prevent a host of health problems regardless of whether it helps a person shed weight.


"I agree with most of the points" except the authors' conclusions that meal replacement products and diet drugs work for battling obesity, said Dr. David Ludwig, a prominent obesity research with Boston Children's Hospital who has no industry ties. Most weight-loss drugs sold over the last century had to be recalled because of serious side effects, so "there's much more evidence of failure than success," he said.


___


Online:


Obesity info: http://www.cdc.gov/obesity/data/trends.html


New England Journal: http://www.nejm.org


___


Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP


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Gunman Kills Bus Driver, Takes Child as Hostage













A gunman shot and killed a school bus driver in Midland City, Ala., Tuesday afternoon and escaped the scene with a 6-year-old passenger, which has prompted a hostage situation that is still going on this morning.


The suspected gunman is identified as Jimmy Lee Dykes, a 60-something military veteran, a police source told ABC News. Dykes and the child are in an underground bunker behind his home.


Dale County Sheriff Wally Olson said Tuesday night that the police had information that the little boy "is OK right now." The boy was delivered some needed medication, police told ABC News.


The police have not identified the child or the dead bus driver.


"Extremely sensitive situation. ... Our agents are working very hard with the locals for the best possible outcome to this situation," a federal law enforcement source told ABC News this morning.






Danny Tindell/Dothan Eagle











Gunmen Sought in California Hostage Situation Watch Video











California Hostage Situation: Dramatic 911 Calls Watch Video





Some people in the area were evacuated Tuesday evening, and everyone in the immediate area was notified of the situation, according to Olson.


"Stay at home and pray," Olson told homeowners living in the area.


Olson said multiple agencies have responded to the hostage situation. The FBI has assumed the lead in the investigation, and SWAT (Special Weapons and Tactics) teams were surrounding the bunker as of Tuesday night.


The incident began a little after 3:30 p.m. local time Tuesday. An unidentified girl, who was on the bus, told ABC News Radio the bus driver had stopped to drop off some children. The alleged gunman boarded the bus and handed the driver a note, she said.


"And then I don't know what happened after that but he started telling them he needed a kid because of the law coming after him," she said.


Dykes got on the bus and originally demanded that he get two children as hostages. All the children on the bus managed to escape except the 6-year-old boy, a police source told ABC News affiliate WDNH.


"He shot the bus driver, and the driver's foot was on the gas and we went backwards. And everybody started screaming. And then the bus driver was still there and we all got off the bus and went to a neighbor's house," the girl said.


Dykes was scheduled to be in court today for a trial related to charges of menacing, according to court records obtained by WDNH.



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Mursi heads to Germany on trip cut back by Egypt crisis


CAIRO/BERLIN (Reuters) - Egyptian President Mohamed Mursi flew to Germany on Wednesday to try to convince Europe of his democratic credentials, leaving behind a country in crisis after a week of violence that has killed more than 50 people.


Two more protesters were shot dead before dawn near Cairo's central Tahrir Square on the seventh day of what has become the deadliest wave of unrest since Mursi took power in June.


The Egyptian army chief warned on Tuesday that the state was on the brink of collapse if Mursi's opponents and supporters did not end street battles that have marked the two-year anniversary of the revolt that toppled autocrat Hosni Mubarak.


Because of the crisis, Mursi has curtailed his European visit, cancelling plans to go to Paris after Berlin. He is due to return to Cairo later in the day.


Near Tahrir Square on Wednesday morning, dozens of protesters threw stones at police who fired back teargas, although the scuffles were brief.


"Our demand is simply that Mursi goes, and leaves the country alone. He is just like Mubarak and his crowd who are now in prison," said Ahmed Mustafa, 28, a youth who had goggles on his head to protect his eyes from teargas.


Opposition politician Mohamed ElBaradei called for a meeting between the president, government ministers, the ruling party and the opposition to halt the violence. But he also restated the opposition's precondition that Mursi first commit to seeking a national unity government, which the president has so far rejected.


Mursi's critics accuse him of betraying the spirit of the revolution by keeping too much power in his own hands and those of his Muslim Brotherhood, the Islamist movement banned under Mubarak which won repeated elections since the 2011 uprising.


Mursi's supporters say the protesters want to overthrow Egypt's first democratically elected leader. The unrest has prevented a return to stability ahead of parliamentary elections due within months, and worsened an economic crisis that has seen the pound currency tumble in recent weeks.


The worst violence has been in the Suez Canal city of Port Said, where rage was fuelled by death sentences passed against soccer fans for deadly riots last year. Mursi responded by announcing on Sunday a month-long state of emergency and curfew in Port Said and two other Suez Canal cities.


Protesters have ignored the curfew and returned to the streets. Human Rights Watch called for Mursi to lift the decree.


Mursi will be keen to allay the West's fears over the future of the most populous Arab country when he meets German Chancellor Angela Merkel and powerful industry groups in Berlin.


"DISTURBING IMAGES"


"We have seen worrying images in recent days, images of violence and destruction, and I appeal to both sides to engage in dialogue," German Foreign Minister Guido Westerwelle said in a radio interview on Wednesday ahead of Mursi's arrival.


Germany's "offer to help with Egypt's transformation clearly depends on it sticking to democratic reforms", he added.


Germany has praised Mursi's efforts in mediating a ceasefire between Israel and Palestinians in Gaza after a conflict last year, but became concerned at Mursi's efforts to expand his powers and fast-track a constitution last year.


Berlin was also alarmed by video that emerged in recent weeks showing Mursi making vitriolic remarks against Jews and Zionists in 2010 when he was a senior Brotherhood official. Germany's Nazi past and strong support of Israel make it highly sensitive to anti-Semitism.


Mursi's past anti-Jewish remarks were "unacceptable", Westerwelle said. "But at the same time President Mursi has played a very constructive role mediating in the Gaza conflict."


Egypt's main liberal and secularist bloc, the National Salvation Front, has so far refused talks with Mursi unless he promises a unity government including opposition figures.


"Stopping the violence is the priority, and starting a serious dialogue requires committing to guarantees demanded by the National Salvation Front, at the forefront of which are a national salvation government and a committee to amend the constitution," ElBaradei said on Twitter.


Those calls have also been backed by the hardline Islamist Nour party - rivals of Mursi's Brotherhood. Nour and the Front were due to meet on Wednesday, signaling an unlikely alliance of Mursi's critics from opposite ends of the political spectrum.


Brotherhood leader Mohamed El-Beltagy dismissed the unity government proposal as a ploy for the Front to take power despite having lost elections. On his Facebook page he ridiculed "the leaders of the Salvation Front, who seem to know more about the people's interests than the people themselves".


German industry leaders see potential in Egypt but are concerned about political instability: "At the moment many firms are waiting on political developments and are cautious on any big investments," said Hans Heinrich Driftmann, head of Germany's Chamber of Industry and Commerce.


Mursi's supporters blame the opposition for preventing an economic recovery by halting efforts to restore stability. The opposition says an inclusive government is needed to bring calm.


"The economy depends on political stability and political stability depends on national consensus. But the Muslim Brotherhood does not talk about consensus, and so it will not lead to any improvement in the political situation, and that will lead the economy to collapse," said teacher Kamal Ghanim, 38, a protester in Tahrir Square.


(Additional reporting by Yasmine Saleh and Marwa Awad in Cairo, Stephen Brown and Gernot Heller in Berlin and Arshad Mohammed in Washington; Writing by Peter Graff; Editing by Giles Elgood and Paul Taylor)



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New towns should take local characteristics into account: experts






SINGAPORE: Singapore will soon see a number of new towns in areas like Bidadari, Tengah and Tampines North.

Experts said the development of these places should also take local characteristics and history into account, as this will not only retain the town's history and uniqueness, it will help create a more varied environment in Singapore.

Punggol New Town has come a long way. Its transformation began in 1996, with the government's Punggol 21 vision to create a waterfront town.

Mdm Koh Geok Kee, a sales assistant, said: "When I first moved here, I had to wait... Wait for the shopping areas to be built, more buses and the beach area. At first it was very dirty, but now it's very clean, so I like it more and more."

Ong Jun Long, a student, said: "It's very quiet and it has all the facilities we need, especially with the new waterway that allows people to enjoy the natural side of life."

Observers said the development of Punggol could provide a glimpse into the future of Singapore as the government looks for new plots of land to build new towns. The Population White Paper released on Tuesday listed Bidadari, Tengah and Tampines North as possible sites, especially now that 700,000 housing units are expected to come on stream until 2030.

For these areas, experts said Punggol offers several lessons.

William Lau, president of the Singapore Institute of Planners, said: "Punggol 21 is experimental, a test bed for a higher density plot ratio and in a fairly remote part of Singapore to turn around, to make something attractive. So the canal, river, as well as the ease of connection into the city are added points that are already on the ground.

"HDB also has a different theme in Jurong East. Jurong East is on an 'eco' theme and is based on Jurong lake district because it's a wetland with a lot of lakes, to capitalise on them (and turn it) into an 'eco' new town.

"So we must look at the attributes of the various land available, and we must bring them in, embrace them and (make it) part of our design element. By doing so, not only do we have a slice of historical background that we can capitalise on to make them unique, but at the same time, there is a branding retention of the past and adds a uniqueness to the place."

But observers said the challenge of building new towns is in calibrating the balance between residential space and amenities.

Mr Lau added: "We do note that in many developing countries, new towns are not complete, a lot of apartments and residentials stand alone in the middle of nowhere. With the Singapore government, we plan to have a complete, integrated township -- where ideally, you're able to find employment, you're able to find a house over your head and the various array of activities that's necessary to complete your lifestyle.

"So from going to the bank, hawker centre, to the wet market, to the malls and to exercise, fields, education for children -- all these are brought under the neighbourhood as a complete stop. And therefore, the complete experience of quality living can be self-contained."

Associate Professor Paulin Straughan, a sociologist with the National University of Singapore, said: "To make these towns attractive for new families, infrastructure should be ready. So to have the rail system or bus services set up, to have service providers, amenities, restaurants, supermarkets to be there.

"And before the number of residents grows, as long as your transportation infrastructure is in place, people from outside the neighbourhood would be able to come by. And once you have all that in place, then once you set up the homes, I think there will be lots of takers."

The right mix will not only attract residents, it will also enable businesses to survive in the new neighbourhood, said experts.

-CNA/ac



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India drops to 140th rank in press freedom, lowest since 2002

WASHINGTON: India has dropped nine places to 140th rank in the list of 179 countries in the latest World Press Freedom Index, which its authors said is the lowest for the "world's biggest democracy" since 2002.

"In Asia, India (140th, -9) is at its lowest since 2002 because of increasing impunity for violence against journalists and because internet censorship continues to grow," Reporters Without Borders said in its World Press Freedom Index for the year 2013.

"China (173rd, +1) shows no sign of improving. Its prisons still hold many journalists and netizens, while increasingly unpopular internet censorship continues to be a major obstacle to access to information."

As last year, the list is topped by three European countries - Finland, Netherlands and Norway.

Turkmenistan, North Korea and Eritrea continue to be at the bottom of the list as has been in the last three years.

"The Press Freedom Index published by Reporters Without Borders does not take direct account of the kind of political system but it is clear that democracies provide better protection for the freedom to produce and circulate accurate news and information than countries where human rights are flouted," Reporters Without Borders secretary-general Christophe Deloire said.

"In dictatorships, news providers and their families are exposed to ruthless reprisals, while in democracies news providers have to cope with the media's economic crises and conflicts of interest. While their situation is not always comparable, we should pay tribute to all those who resist pressure whether it is aggressively focused or diffuse," he said.

According to the report, in almost all parts of the world, influential countries including India that are regarded as "regional models" have fallen in the index.

Observing that there has been general decline in freedom of information in South Asia, the report said the Indian subcontinent was the Asian region that saw the sharpest deterioration in the climate for those involved in news and information in 2012.

"In the Maldives, which crashed to 103rd place (-30), the events that led to the resignation of President Mohammed Nasheed in February led to violence and threats against journalists in state television and private media outlets regarded as pro-Nasheed by the coup leaders," it said.

In India, the "world's biggest democracy", the authorities insist on censoring the Web and imposing more and more taboos, while violence against journalists goes unpunished and the regions of Kashmir and Chhattisgarh become increasingly isolated," it said.

"Bangladesh is not far behind. Its journalists are frequently targets of police violence. When they are not acting as aggressors, the security forces stand by passively while enemies of the media enjoy impunity and are rarely brought to justice.

"The ability of journalists to work freely in Pakistan (159th, -8) and Nepal (118th, -12) continued to worsen in the absence of any government policy to protect media workers. Despite having a diverse and lively media, Pakistan remains one of the world's most dangerous countries for reporters," the report said.

Coinciding with the release of its 2013 Press Freedom Index, Reporters Without Borders published an annual global "indicator" of worldwide media freedom.

This new analytic tool measures the overall level of freedom of information in the world and the performance of the world's governments in their entirety as regards this key freedom, it said.

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Soldier with new arms determined to be independent


BALTIMORE (AP) — After weeks of round-the-clock medical care, Brendan Marrocco insisted on rolling his own wheelchair into a news conference using his new transplanted arms. Then he brushed his hair to one side.


Such simple tasks would go unnoticed in most patients. But for Marrocco, who lost all four limbs while serving in Iraq, these little actions demonstrate how far he's come only six weeks after getting a double-arm transplant.


Wounded by a roadside bomb in 2009, the former soldier said he could get by without legs, but he hated living without arms.


"Not having arms takes so much away from you. Even your personality, you know. You talk with your hands. You do everything with your hands, and when you don't have that, you're kind of lost for a while," the 26-year-old New Yorker told reporters Tuesday at Johns Hopkins Hospital.


Doctors don't want him using his new arms too much yet, but his gritty determination to regain independence was one of the chief reasons he was chosen to receive the surgery, which has been performed in the U.S. only seven times.


That's the message Marrocco said he has for other wounded soldiers.


"Just not to give up hope. You know, life always gets better, and you're still alive," he said. "And to be stubborn. There's a lot of people who will say you can't do something. Just be stubborn and do it anyway. Work your ass off and do it."


Dr. W.P. Andrew Lee, head of the team that conducted the surgery, said the new arms could eventually provide much of the same function as his original arms and hands. Another double-arm transplant patient can now use chopsticks and tie his shoes.


Lee said Marrocco's recovery has been remarkable, and the transplant is helping to "restore physical and psychological well-being."


Tuesday's news conference was held to mark a milestone in his recovery — the day he was to be discharged from the hospital.


Next comes several years of rehabilitation, including physical therapy that is going to become more difficult as feeling returns to the arms.


Before the surgery, he had been living with his older brother in a specially equipped home on New York's Staten Island that had been built with the help of several charities. Shortly after moving in, he said it was "a relief to not have to rely on other people so much."


The home was heavily damaged by Superstorm Sandy last fall.


"We'll get it back together. We've been through a lot worse than that," his father, Alex Marrocco, said.


For the next few months, Marrocco plans to live with his brother in an apartment near the hospital.


The former infantryman said he can already move the elbow on his left arm and rotate it a little bit, but there hasn't been much movement yet for his right arm, which was transplanted higher up.


Marrocco's mother, Michelle Marrocco, said he can't hug her yet, so he brushes his left arm against her face.


The first time he moved his left arm was a complete surprise, an involuntary motion while friends were visiting him in the hospital, he said.


"I had no idea what was going through my mind. I was with my friends, and it happened by accident," he recalled. "One of my friends said 'Did you do that on purpose?' And I didn't know I did it."


Marrocco's operation also involved a technical feat not tried in previous cases, Lee said in an interview after the news conference.


A small part of Marrocco's left forearm remained just below his elbow, and doctors transplanted a whole new forearm around and on top of it, then rewired nerves to serve the old and new muscles in that arm.


"We wanted to save his joint. In the unlucky event we would lose the transplant, we still wanted him to have the elbow joint," Lee said.


He also explained why leg transplants are not done for people missing those limbs — "it's not very practical." That's because nerves regrow at best about an inch a month, so it would be many years before a transplanted leg was useful.


Even if movement returned, a patient might lack sensation on the soles of the feet, which would be unsafe if the person stepped on sharp objects and couldn't feel the pain.


And unlike prosthetic arms and hands, which many patients find frustrating, the ones for legs are good. That makes the risks of a transplant not worth taking.


"It's premature" until there are better ways to help nerves regrow, Lee said.


Now Marrocco, who was the first soldier to survive losing all four limbs in the Iraq War, is looking forward to getting behind the wheel of his black 2006 Dodge Charger and hand-cycling a marathon.


Asked if he could one day throw a football, Dr. Jaimie Shores said sure, but maybe not like Baltimore Ravens quarterback Joe Flacco.


"Thanks for having faith in me," Marrocco interjected, drawing laughter from the crowd.


His mother said Marrocco has always been "a tough cookie."


"He's not changed that, and he's just taken it and made it an art form," Michelle Marrocco said. "He's never going to stop. He's going to be that boy I knew was going to be a pain in my butt forever. And he's going to show people how to live their lives."


___


Associated Press Chief Medical Writer Marilynn Marchione in Milwaukee and AP writer David Dishneau in Hagerstown, Md., contributed to this report.


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5 Years Later, What's New on Immigration Reform?













The announcement of a proposal for immigration reform inspired renewed excitement for some involved in the fight Monday, but other players in the debate felt a sense of déjà vu.


Monday afternoon, senators introduced a framework of changes previewed over the weekend, with President Obama and a secret group from the House of Representatives expected soon to follow suit.


The press conference was held by Senators Chuck Schumer, John McCain, Dick Durbin, Lindsey Graham, Bob Menendez, Marco Rubio, Michael Bennet and Jeff Flake. Menendez called it "meaningful and comprehensive" immigration reform.


But former Sen. Mel Martinez, R-Fla., who worked on this same issue under President George W. Bush in 2007, said this proposal "is a lot like what we did five years ago -- remarkably so."


Martinez said it puts "a little more emphasis" on dealing with legal immigrants who overstay their visas, shifts from framing the policies as reuniting families to rewarding skilled laborers, and the phrase "guest worker" -- which was a point of contention then -- is now absent.


But in terms of things like creating a path to citizenship and requiring an electronic verification system for employers to determine an applicant's legal status, "All of these things are exactly what we did before," Martinez said.






J. Scott Applewhite/AP Photo| Susan Walsh/AP Photo











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To Martinez, this replay is a good thing. He said a "political evolution" and a new appreciation for Hispanic voters created a positive climate for reforms this time around.


But Ira Mehlman of the Federation for American Immigration Reform said he is not impressed.


"It's essentially the same legislation that was offered and rejected in 2007," Mehlman told ABC News."It includes nothing for the primary constituency -- namely the American public. It's all based on what the immigrants and particularly the illegal immigrants want and what employers want."


The two plans focused on achieving bipartisan support, molding immigration law to meet the needs of the economy, and the condition that reform would only happen simultaneously with the strengthening of border security.


The difference, according to immigration lawyer Cori Alonso-Yoder of immigrant-focused non-profit Ayuda, is the messaging in this proposal.


"The message is very helpful to people who are used to hearing a not-welcoming tone towards immigrants," Alonso-Yoder said Monday. "I think that's sort of what distinguishes this from efforts that we saw in 2006, 2007 things that I think were more harsh on immigrants."


This time around the plan alludes to racial profiling and human trafficking, two issues Alonso-Yoder said her clients "confront on a daily basis and are dealing with on a daily basis."


Related: 'Dreamers' React to the New Immigration Reform Framework


She said she believes the intent in this legislation is good and that it will have some success -- at least outside of the House of Representatives.


"My concern is just seeing how this will all sort of play out in a system that is already filled with patchwork fixes, and how deep this reform will go, how broad it will sweep," Alonso-Yoder said.


The collapse of President George W. Bush's 2007 immigration bill may be a bad sign for Obama -- who is expected to announce his own plan today -- and others hoping to change the immigration system.






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