Egypt's Mursi faces judicial revolt over decree

CAIRO (Reuters) - Egyptian President Mohamed Mursi faced a rebellion from judges who accused him on Saturday of expanding his powers at their expense, deepening a crisis that has triggered violence in the street and exposed the country's deep divisions.


The Judges' Club, a body representing judges across Egypt, called for a strike during a meeting interrupted with chants demanding the "downfall of the regime" - the rallying cry in the uprising that toppled Hosni Mubarak last year.


Mursi's political opponents and supporters, representing the divide between newly empowered Islamists and their critics, called for rival demonstrations on Tuesday over a decree that has triggered concern in the West.


Issued late on Thursday, it marks an effort by Mursi to consolidate his influence after he successfully sidelined Mubarak-era generals in August. The decree defends from judicial review decisions taken by Mursi until a new parliament is elected in a vote expected early next year.


It also shields the Islamist-dominated assembly writing Egypt's new constitution from a raft of legal challenges that have threatened the body with dissolution, and offers the same protection to the Islamist-controlled upper house of parliament.


Egypt's highest judicial authority, the Supreme Judicial Council, said the decree was an "unprecedented attack" on the independence of the judiciary. The Judges' Club, meeting in Cairo, called on Mursi to rescind it.


That demand was echoed by prominent opposition leader Mohamed ElBaradei. "There is no room for dialogue when a dictator imposes the most oppressive, abhorrent measures and then says 'let us split the difference'," he said.


"I am waiting to see, I hope soon, a very strong statement of condemnation by the U.S., by Europe and by everybody who really cares about human dignity," he said in an interview with Reuters and the Associated Press.


More than 300 people were injured on Friday as protests against the decree turned violent. There were attacks on at least three offices belonging to the Muslim Brotherhood, the movement that propelled Mursi to power.


POLARISATION


Liberal, leftist and socialist parties called a big protest for Tuesday to force Mursi to row back on a move they say has exposed the autocratic impulses of a man once jailed by Mubarak.


In a sign of the polarization in the country, the Muslim Brotherhood called its own protests that day to support the president's decree.


Mursi also assigned himself new authority to sack the prosecutor general, who was appointed during the Mubarak era, and appoint a new one. The dismissed prosecutor general, Abdel Maguid Mahmoud, was given a hero's welcome at the Judges' Club.


In open defiance of Mursi, Ahmed al-Zind, head of the club, introduced Mahmoud by his old title.


The Mursi administration has defended the decree on the grounds that it aims to speed up a protracted transition from Mubarak's rule to a new system of democratic government.


Analysts say it reflects the Brotherhood's suspicion towards sections of a judiciary unreformed from Mubarak's days.


"It aims to sideline Mursi's enemies in the judiciary and ultimately to impose and head off any legal challenges to the constitution," said Elijah Zarwan, a fellow with The European Council on Foreign Relations.


"We are in a situation now where both sides are escalating and its getting harder and harder to see how either side can gracefully climb down."


ADVISOR TO MURSI QUITS


Following a day of violence in Cairo, Alexandria, Port Said and Suez, the smell of tear gas hung over the capital's Tahrir Square, the epicentre of the uprising that toppled Mubarak in 2011 and the stage for more protests on Friday.


Youths clashed sporadically with police near the square, where activists camped out for a second day on Saturday, setting up makeshift barricades to keep out traffic.


Al-Masry Al-Youm, one of Egypt's most widely read dailies, hailed Friday's protest as "The November 23 Intifada", invoking the Arabic word for uprising.


But the ultra-orthodox Salafi Islamist groups that have been pushing for tighter application of Islamic law in the new constitution have rallied behind Mursi's decree.


The Nour Party, one such group, stated its support for the Mursi decree. Al-Gama'a al-Islamiya, which carried arms against the state in the 1990s, said it would save the revolution from what it described as remnants of the Mubarak regime.


Samir Morkos, a Christian assistant to Mursi, had told the president he wanted to resign, said Yasser Ali, Mursi's spokesman. Speaking to the London-based Asharq Al-Awsat newspaper, Morkos said: "I refuse to continue in the shadow of republican decisions that obstruct the democratic transition".


Mursi's decree has been criticized by Western states that earlier this week were full of praise for his role in mediating an end to the eight-day war between Israel and Palestinians.


"The decisions and declarations announced on November 22 raise concerns for many Egyptians and for the international community," State Department spokeswoman Victoria Nuland said.


The European Union urged Mursi to respect the democratic process.


(Additional reporting by Omar Fahmy, Marwa Awad, Edmund Blair and Shaimaa Fayed and Reuters TV; Editing by Jon Hemming)


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13 killed as Bangladesh flyover collapses






DHAKA: At least 13 people were killed and dozens are feared missing after a flyover under construction collapsed in Bangladesh's southeastern port city of Chittagong, police said Sunday.

"So far 13 dead bodies have been recovered," sub-inspector Mohammad Alauddin told AFP, adding that military rescue teams had been called in to help with the search for victims.

The number of missing could not immediately be confirmed but police constable Shakakhawat Hossain told AFP from the scene that dozens could be trapped under the debris.

Hossain said about 20 people were injured, including some during clashes between police and an angry crowd that attacked the site offices of the construction company after the flyover collapse on Saturday evening.

- AFP/ck



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Corporation related to IT works in Haryana gets fourth head in 6 months

CHANDIGARH: After shifting whistleblower IAS officer Ashok Khemka from Hartron, a corporation to handle IT-related projects, two months after his posting, the Haryana government on Friday transferred his successor Nitin Yadav just four months after he took charge.

A Haryana civil services officer, Vivek Atrey, will be the next managing director of the corporation. With this appointment, the corporation will have its fourth managing director in just six months. The state government on May 20 had transferred then managing director of the corporation Ankur Gupta and replaced him with Ashok Khemka. Khemka, who had exposed various alleged irregularities in the corporation, was transferred within 50 days of his appointment to land consolidation department.

"There was a nexus to award software development works of petty nature without tenders to selected companies at inflated rates of Rs 25 to 50 lakh each, whereas the rudimentary software development work could have been done in-house or through NIC," Khemka had stated in a communication to the state chief secretary on October 12.

Apart from Hartron, Atrey will also handle two more cadre (mainly meant for IAS officers) posts - director of supplies and disposals, joint secretary and director of electronics and information technology. The post of joint secretary is usually occupied by a senior IAS officer. Earlier, Atrey had handled IT department of Chandigarh administration as its director. Khemka had recently hogged headlines for cancelling the mutation of a land deal between Congress chief Sonia Gandhi's son-in-law Robert Vadra and DLF.

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AP PHOTOS: Simple surgery heals blind Indonesians

PADANG SIDEMPUAN, Indonesia (AP) — They came from the remotest parts of Indonesia, taking crowded overnight ferries and riding for hours in cars or buses — all in the hope that a simple, and free, surgical procedure would restore their eyesight.

Many patients were elderly and needed help to reach two hospitals in Sumatra where mass eye camps were held earlier this month by Nepalese surgeon Dr. Sanduk Ruit. During eight days, more than 1,400 cataracts were removed.

The patients camped out, sleeping side-by-side on military cots, eating donated food while fire trucks supplied water for showers and toilets. Many who had given up hope of seeing again left smiling after their bandages were removed.

"I've been blind for three years, and it's really bad," said Arlita Tobing, 65, whose sight was restored after the surgery. "I worked on someone's farm, but I couldn't work anymore."

Indonesia has one of the highest rates of blindness in the world, making it a target country for Ruit who travels throughout the developing world holding free mass eye camps while training doctors to perform the simple, stitch-free procedure he pioneered. He often visits hard-to-reach remote areas where health care is scarce and patients are poor. He believes that by teaching doctors how to perform his method of cataract removal, the rate of blindness can be reduced worldwide.

Cataracts are the leading cause of blindness globally, affecting about 20 million people who mostly live in poor countries, according to the World Health Organization.

"We get only one life, and that life is very short. I am blessed by God to have this opportunity," said Ruit, who runs the Tilganga Eye Center in Katmandu, Nepal. "The most important of that is training, taking the idea to other people."

During the recent camps, Ruit trained six doctors from Indonesia, Thailand and Singapore.

Here, in images, are scenes from the mobile eye camps:

Read More..

Sandy-Hit Stores Seek Small Business Saturday Boost


Nov 24, 2012 3:35pm







ap downtown manhattan store damage mi 121030 wblog Small Business Saturday: Stores Hit by Sandy Hope for Boost

                                                                                      (Image Credit: Associated Press)


Superstorm Sandy delivered a one-two punch on small businesses, creating millions of dollars in damage and in turn, delivering a debilitating blow to their revenue.


But on Small Business Saturday, when  shoppers are encouraged to support local businesses,  those mom-and-pop stores are hoping for a rebound.


Donna Scofield and her family have sold toys at their Manhattan shop, called Stationery & Toy World, for the past 25 years. Although the store is located on Manhattan’s Upper West Side, where the storm did little damage, $500,000 of Scofield’s inventory, which she kept in her home and three Staten Island warehouses, was destroyed.


“Some days are easier than others,” she told ABC New York station WABC-TV last week. “We’re taking each day at a time.”


PHOTOS: Superstorm Sandy’s Wide Swath of Destruction


Mayor Michael Bloomberg announced today that more than $45 million in loans, grants and financial assistance would be made available to businesses like Scofield’s that were hurt by the storm.


“Getting New York City small businesses back on their feet is key to helping our economy recover from Sandy,” Bloomberg said in a statement. “The capital provided through this program will help businesses purchase supplies, make repairs, and get back up and running.”


Small Business Saturday, which is going on its third year, is being celebrated nationwide.


Andrea Evans, the owner of Pink Boutique in Phoenix, said stores like hers don’t stand a chance with shoppers on Black Friday.


“Everyone’s up so early, and they’re going more for, you know, appliances and TVs and stuff like that, and I think by the time noon hits, they’re done,” she told ABC News Radio.


Over the past two decades, small and new businesses have created two out of every three net new jobs in the United States, according to the U.S. Small Business Administration.


It is estimated that half of all working Americans either own a small business or are employed by one.



SHOWS: World News







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Violence in cities; Mubarak deja vu?

CAIRO (Reuters) - Angry youths hurled rocks at security forces and burned a police truck as thousands gathered in central Cairo to protest at Egyptian President Mohamed Mursi's decision to grab sweeping new powers.


Police fired tear gas near Tahrir Square, heart of the 2011 uprising that toppled Hosni Mubarak at the height of the Arab Spring. Thousands demanded that Mursi should quit and accused him of launching a "coup".


There were also violent protests in Alexandria, Port Said and Suez.


Mursi on Thursday issued a decree that puts his decisions beyond any legal challenge until a new parliament is elected. Opponents immediately accused him of turning into a new Mubarak and hijacking the Egyptian revolution.


"This is the point of no return for Mursi. He has dug himself deeper in a hole and won't know how to get out of it," said Ahmed Saleh, an activist who said many would stay in Tahrir square until Mursi withdrew the decree.


"The people want to bring down the regime," shouted protesters in Tahrir, echoing a chant used in the uprising that forced Mubarak to step down.


The United States, the European Union and the United Nations expressed concern at Mursi's move.


Mursi's rivals condemned him as an autocratic pharaoh who wanted to impose his Islamist vision on Egypt.


The president's aides said the decree was intended to speed up a protracted transition to democracy that has been hindered by legal obstacles


"I am for all Egyptians," Mursi said on a stage outside the presidential palace, adding that he was working for social and economic stability and remained committed to the revolution.


JUDGES MEET


Egyptian judges will meet on Saturday to respond to Mursi's move, which put him above the judicial oversight. The judges could threaten to go on strike, which would bring the judiciary to a halt.


Some non-Islamist political parties called for a million-strong march on Tuesday to demand that Mursi rescinds his decree.


But Islamist parties, including the Building and Development Party, accused Mursi's opponents of undermining the democratic process that brought him to office.


"Those calling for the downfall of President Mohamed Mursi have rejected democracy because President Mursi has been democratically elected by popular will," the party said in a statement. Mursi's decree would "save the revolution from the remnants of Mubarak's regime", it said.


Buoyed by accolades from around the world for mediating a truce between Hamas and Israel in the Gaza Strip, Mursi on Thursday ordered that an Islamist-dominated assembly writing the new constitution could not be dissolved by legal challenges.


Mursi, an Islamist whose roots are in the Muslim Brotherhood, also gave himself wide powers that allowed him to sack the unpopular public prosecutor and opened the door for a retrial for Mubarak and his aides.


TURBULENCE AND TURMOIL


The president's decree has consolidated his power but looks set to polarize Egypt further, threatening more turmoil in a nation at the heart of the Arab Spring.


In Alexandria, north of Cairo, protesters ransacked an office of the Brotherhood's political party, burning books and chairs in the street. Supporters of Mursi and opponents clashed elsewhere in the city, leaving 12 injured.


A party building was attacked by stone-throwing protesters in Port Said, and demonstrators in Suez threw petrol bombs that burned banners outside the party building.


Although Washington has praised Egypt for its part in bringing Israelis and Palestinians to a ceasefire on Wednesday, it expressed reservations about Mursi's latest move.


"The decisions and declarations announced on November 22 raise concerns for many Egyptians and for the international community," State Department spokeswoman Victoria Nuland said in a statement.


The European Union urged Mursi to respect the democratic process, while the United Nations expressed fears about human rights.


"The decree is basically a coup on state institutions and the rule of law that is likely to undermine the revolution and the transition to democracy," said Mervat Ahmed, an independent activist in Tahrir protesting against the decree.


Leading liberal Mohamed ElBaradei, who joined other politicians on Thursday night to demand the decree was withdrawn, wrote on his Twitter account that Mursi had "usurped all state powers and appointed himself Egypt's new pharaoh".


Almost two years after Mubarak was toppled and about five months since Mursi took office, Egypt has no permanent constitution, which must be in place before new parliamentary elections are held.


An assembly drawing up the constitution has yet to complete its work. Many liberals, Christians and others have walked out accusing the Islamists who dominate it of ignoring their voices over the extent that Islam should be enshrined in the new state.


(Additional reporting by Tom Miles in Geneva and Sebastian Moffett in Brussels; Editing by Giles Elgood)


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Large explosion reported in Massachusetts city






WASHINGTON: An explosion thought to have been triggered by a gas leak levelled a bar in downtown Springfield, Massachusetts on Friday, moments after dancers were warned to flee, local media reported.

WWLP TV quoted police as saying several people were taken to local hospitals by ambulance after the Friday afternoon explosion, which blew out windows two blocks away and knocked people to the ground.

The building housing the Scores Gentlemen's Club was flattened by the blast, the Republican newspaper said on its website. WWLP said two buildings were destroyed in the explosion.

Dancers at Scores told the newspaper they were warned by a manager to clear out of the building, and were having a drink in a bar across the street when their workplace blew up.

A dancer who identified herself only as Deb said she was on stage dancing when a "house mom" told everyone to evacuate, according to the newspaper.

She said she saw smoke in the upstairs floor of the building as she was gathering her clothes.

At that point, she said, the manager told everyone: "I don't care if you're (expletive) naked or not, get out."

She said there had been a smell of gas all week, and that the gas company had been called in but had found nothing.

- AFP/xq



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Cash transfer: PM to play UPA-2's trump card on Monday

NEW DELHI: The Prime Minister is expected to formally kick off cash transfer of subsidies and entitlements, one of the most ambitious policy initiatives of UPA-2, on Monday. The scheme for cash transfers is visualized as a game-changer for UPA-2, like NREGA was for UPA-1, and is expected to give rich dividends at the elections.

Manmohan Singh is expected to set January 1, 2013 as the launch date for the rollout when he meets his ministerial colleagues on Monday. The plan to transfer cash directly into bank accounts of beneficiaries instead of handing over subsidised foodgrains, fertilizer or fuel is aimed to not only check leakages from the system, but also empower consumers with the choices and ensure big savings for the cash-strapped government.

Compared to NREGA, the size and scale of the cash-transfer programme is several times the rural job guarantee scheme, with the government planning to transfer over Rs 4 lakh crore annually to the public, with each BPL (below poverty line) family getting over Rs 3,000 a month.

Sources said the PM is also planning to address the nation on the scheme in the coming days, explaining the ambitious plan that would be bigger than similar programmes around the world. The government, which accords high importance to the scheme, proposes to appoint a national coordinator to oversee the programme. It will also ensure its rapid scalability.

Singh on Monday will address a meeting of ministers in-charge of subsidies, pension and scholarships and there he will disclose the government intent to formally launch the programme on January 1. The programme would begin by covering 51 districts where the Aadhar card has a high penetration. By April 1 next year, 18 states will be covered.

A senior official said the Planning Commission has identified seven flagship programmes, including pensions and 22 scholarship schemes given by nine central ministries, for cash transfers, excluding those related to subsidies on food, fertilizer and fuel.

Ministries are being asked to digitize their databases of beneficiaries and link them with Aadhar, so that Aadhar-enabled bank accounts and Aadhar-enabled payment systems can function through what's being called the Aadhar Payment Bridge - essentially, a mechanism for giving cash cards to beneficiaries who don't have bank accounts.

According to latest estimates provided by the Department of Financial Services, by March 31, 2012 all banks will migrate to the core banking platform which will facilitate direct cash transfers. The plan is to cover all villages with a population of more than 5,000 with branches, and those with population of more than 2,000 with business correspondents. Seven states have committed to make electronic payments.

Times View

The government clearly believes that cash transfers can be a game-changer. In theory, they would indeed appear to be justified in this view. However, whether the practice lives up to the theory is what will ultimately determine how much of a game-changer this move is and whether the change is for the better or for worse. That is why it is important that the government acts as soon as possible to even out the more obvious glitches to smooth implementation of cash transfers, like a large proportion of the population having neither identification documents nor bank accounts. This is particularly true of the poorest sections, who really ought to be the main beneficiaries of the government's welfare programmes.

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AP PHOTOS: Simple surgery heals blind Indonesians

PADANG SIDEMPUAN, Indonesia (AP) — They came from the remotest parts of Indonesia, taking crowded overnight ferries and riding for hours in cars or buses — all in the hope that a simple, and free, surgical procedure would restore their eyesight.

Many patients were elderly and needed help to reach two hospitals in Sumatra where mass eye camps were held earlier this month by Nepalese surgeon Dr. Sanduk Ruit. During eight days, more than 1,400 cataracts were removed.

The patients camped out, sleeping side-by-side on military cots, eating donated food while fire trucks supplied water for showers and toilets. Many who had given up hope of seeing again left smiling after their bandages were removed.

"I've been blind for three years, and it's really bad," said Arlita Tobing, 65, whose sight was restored after the surgery. "I worked on someone's farm, but I couldn't work anymore."

Indonesia has one of the highest rates of blindness in the world, making it a target country for Ruit who travels throughout the developing world holding free mass eye camps while training doctors to perform the simple, stitch-free procedure he pioneered. He often visits hard-to-reach remote areas where health care is scarce and patients are poor. He believes that by teaching doctors how to perform his method of cataract removal, the rate of blindness can be reduced worldwide.

Cataracts are the leading cause of blindness globally, affecting about 20 million people who mostly live in poor countries, according to the World Health Organization.

"We get only one life, and that life is very short. I am blessed by God to have this opportunity," said Ruit, who runs the Tilganga Eye Center in Katmandu, Nepal. "The most important of that is training, taking the idea to other people."

During the recent camps, Ruit trained six doctors from Indonesia, Thailand and Singapore.

Here, in images, are scenes from the mobile eye camps:

Read More..

Black Friday: Bargains, Brawls and Gunfire













Two people were shot outside a Walmart in Florida today, one of a rash of fights, robberies and other incidents that have cropped up on one of the most ballyhooed shopping days of the year.


The shooting took place at a Walmart in Tallahassee about 12:30 p.m., said Dave Northway, public information officer for the Tallahassee Police Department.


Investigators believe a scuffle over a parking space outside the store escalated into gunplay leaving two people shot.


The two victims, whose names and genders have not been released, were taken to a hospital with what are believed to be non-life threatening injuries.


Police are looking for a dark green Toyota Camry in connection with this case.


At a Walmart parking lot on Thanksgiving night in Covington, Wash., two people were run down by a driver police suspected of being intoxicated.


The 71-year-old driver was arrested on a vehicular assault charge after the incident, spokeswoman Sgt. Cindi West of the Kings County Sheriff's Office said.


The female victim, whose identity has yet to be released, was pinned beneath the driver's Mercury SUV until being rescued by the fire department. She was flown to Harborview Medical Center, where she was listed in serious condition, West said.


The male victim was also taken to Harborview Medical Center, where, West said, he was listed in good condition.


Shoppers Descend on Black Friday Deals








Black Friday Holiday Shopping Bargains and Pitfalls Watch Video









Black Friday Shoppers Brave Long Lines, Short Tempers Watch Video







Tensions were high at the entrances as people lined up outside stores, waiting for the doors to open.


At a San Antonio, Texas, Sears, one man argued with customers and even punched one in order to get to the front of the line, prompting a man with a concealed carry permit to pull a gun, said Matthew Porter, public information officer of the San Antonio Police Department.


"It was a little chaotic. People were exiting the store," Porter said. "Fortunately for us, officers responded quickly and were able to ease the commotion."


The man who allegedly caused the altercation fled the scene and remains at large, Porter said. The shopper who pulled the gun will not face charges, he said, because of his concealed carry permit.


One man was treated at the scene for injuries sustained when people rushed out of the store, Porter said.



PHOTOS: Black Friday Shoppers Hit Stores


The crush of shoppers in the middle of the night were prey once again this year for thieves, who hid out in parking lots.


In Myrtle Beach, S.C., a woman said a man pulled a gun on her just as she exited her car to go inside a Best Buy store. The thief made off with $200, according to a police report.


In Maryland, 14-year-old boy told police he was robbed of his Thanksgiving night purchases by five men in the parking lot of a Bed Bath and Beyond store early this morning, the Baltimore Sun reported.


And in Massachusetts, Kmart employees tried to locate a shopper over the intercom after a 2-year-old was reported to be alone in a car, ABC News affiliate WCVB-TV reported.


Police arrived to break into the car and remove the child. The boy's caretaker, his mother's boyfriend, denied the incident took place, according to the station, and was not arrested.


ABC News' Candace Smith contributed to this report



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Gaza ceasefire holds but mistrust runs deep

GAZA/JERUSALEM (Reuters) - A ceasefire between Israel and Hamas held firm on Thursday with scenes of joy among the ruins in Gaza over what Palestinians hailed as a victory, and both sides saying their fingers were still on the trigger.


In the sudden calm, Palestinians who had been under Israeli bombs for eight days poured into Gaza streets for a celebratory rally, walking past wrecked houses and government buildings.


But as a precaution, schools stayed closed in southern Israel, where nerves were jangled by warning sirens - a false alarm, the army said - after a constant rain of rockets during the most serious Israeli-Palestinian fighting in four years.


Israel had launched its strikes last week with a declared aim of ending rocket attacks on its territory from Gaza, ruled by the Islamist militant group Hamas, which denies Israel's right to exist. Hamas had responded with more rockets.


The truce brokered by Egypt's new Islamist leaders, working with the United States, headed off an Israeli invasion of Gaza.


It was the fruit of intensive diplomacy spurred by U.S. President Barack Obama, who sent his secretary of state to Cairo and backed her up with phone calls to Israeli Prime Minister Benjamin Netanyahu and Egyptian President Mohamed Mursi.


Mursi's role in cajoling his Islamist soulmates in Gaza into the U.S.-backed deal with Israel suggested that Washington can find ways to cooperate with the Muslim Brotherhood leader whom Egyptians elected after toppling former U.S. ally Hosni Mubarak, a bulwark of American policy in the Middle East for 30 years.


Mursi, preoccupied with Egypt's economic crisis, cannot afford to tamper with a 1979 peace treaty with Israel, despite its unpopularity with Egyptians, and needs U.S. financial aid.


MORE DEATHS


Despite the quiet on the battlefield, the death toll from the Gaza conflict crept up on both sides.


The body of Mohammed al-Dalu, 25, was recovered from the rubble of a house where nine of his relatives - four children and five women - were killed by an Israeli bomb this week.


That raised to 163 the number of Palestinians killed, more than half of them civilians, including 37 children, during the Israeli onslaught, according to Gaza medical officials.


Nearly 1,400 rockets struck Israel, killing four civilians and two soldiers, including an officer who died on Thursday of wounds sustained the day before, the Israeli army said.


Israel dropped 1,000 times as much explosive on the Gaza Strip as landed on its soil, Defense Minister Ehud Barak said.


Municipal workers in Gaza began cleaning streets and removing the rubble of bombed buildings. Stores opened and people flocked to markets to buy food.


Jubilant crowds celebrated, with most people waving green Hamas flags but some carrying the yellow emblems of the rival Fatah group, led by Western-backed President Mahmoud Abbas.


That marked a rare show of unity five years after Hamas, which won a Palestinian poll in 2006, forcibly wrested Gaza from Fatah, still dominant in the Israeli-occupied West Bank.


Israel began ferrying tanks northwards, away from the border, on transporters. It plans to discharge gradually tens of thousands of reservists called up for a possible Gaza invasion.


But trust between Israel and Hamas remains in short supply and both said they might well have to fight again.


"The battle with the enemy has not ended yet," Abu Ubaida, spokesman of Hamas's armed wing Izz el-Deen Al-Qassam Brigades, said at an event to mourn its acting military chief Ahmed al-Jaabari, whose killing by Israel on November 14 set off this round.


"HANDS ON TRIGGER"


The exiled leader of Hamas, Khaled Meshaal, said in Cairo his Islamist movement would respect the truce, but warned that if Israel violated it "our hands are on the trigger".


Netanyahu said he had agreed to "exhaust this opportunity for an extended truce", but told Israelis a tougher approach might be required in the future.


Facing a national election in two months, he swiftly came under fire from opposition politicians who had rallied to his side during the fighting but now contend he emerged from the conflict with no real gains for Israel.


"You don't settle with terrorism, you defeat it. And unfortunately, a decisive victory has not been achieved and we did not recharge our deterrence," Shaul Mofaz, leader of the main opposition Kadima party, wrote on his Facebook page.


In a speech, Ismail Haniyeh, Hamas's prime minister in Gaza, urged all Palestinian factions to respect the ceasefire and said his government and security services would monitor compliance.


According to a text of the agreement seen by Reuters, both sides should halt all hostilities, with Israel desisting from incursions and targeting of individuals, while all Palestinian factions should cease rocket fire and cross-border attacks.


The deal also provides for easing Israeli curbs on Gaza's residents, but the two sides disagreed on what this meant.


Israeli sources said Israel would not lift a blockade of the enclave it enforced after Hamas won a Palestinian election in 2006, but Meshaal said the deal covered the opening of all of the territory's border crossings with Israel and Egypt.


Israel let dozens of trucks carry supplies into the Palestinian enclave during the fighting. Residents there have long complained that Israeli restrictions blight their economy.


Barak said Hamas, which declared November 22 a national holiday to mark its "victory", had suffered heavy military blows.


"A large part of the mid-range rockets were destroyed. Hamas managed to hit Israel's built-up areas with around a metric tone of explosives, and Gaza targets got around 1,000 metric tonnes," he said.


He dismissed a ceasefire text published by Hamas, saying: "The right to self-defense trumps any piece of paper."


He appeared to confirm, however, a Hamas claim that the Israelis would no longer enforce a no-go zone on the Gaza side of the frontier that the army says has prevented Hamas raids.


(Additional reporting by Noah Browning in Gaza, Ori Lewis, Crispian Balmer and Dan Williams in Jerusalem; Writing by Jeffrey Heller and Alistair Lyon; Editing by Giles Elgood)


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Argentina to appeal US order to pay defaulted debt






BUENOS AIRES: Argentina said on Thursday it will appeal a US judge's ruling ordering it to pay US$1.33 billion to investment funds holding bonds that the country defaulted on in 2001.

"We will file an appeal on Monday before the court," Economy Minister Hernan Lorenzino said at a news conference. "We do not think it is right or legitimate to pay vulture funds."

On Wednesday, US District Judge Thomas Griesa ordered Argentina to pay holders of the original defaulted bonds in full -- about US$1.33 billion -- next month when interest payments are due to holders of its restructured debt.

"Argentina owes this and owes it now," Griesa said in his ruling.

Argentina, which took the controversial step of defaulting on US$100 billion in debt in 2001, has since restructured its debt twice.

NML Capital Ltd, a Cayman Islands-based investment fund, and other creditors did not accept bond swaps conducted by the Argentine government in 2005 and 2010 and went to court to demand payment of interest on securities in default.

At the time payments were stopped, NML Capital Ltd held about US$170 million in bonds, while another firm, EM Ltd, held some US$700 million.

Lorenzino said Argentina will fight the order to pay all the way to the US Supreme Court if necessary.

At the same time, he attacked Judge Griesa's ruling as "judicial colonialism."

"It goes above the laws and sovereignty of Argentina and affects the international financial system," he said.

- AFP/xq



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Six T-Cong MPs boycott Lok Sabha

NEW DELHI: Defying the directive issued by the party, six Congress MPs from Telangana boycotted the Parliamentary proceedings on Thursday, the first day of the winter session, and staged a protest in support of their demand for a separate state.

The Congress had asked its MPs to be present in the House on the grounds that important business was scheduled to come up for discussion. However, demanding introduction of Telangana bill in House, MPs Manda Jagannadham , Madhu Yaskhi Goud, Gutha Sukhender Reddy, Ponnam Prabhakar, G Vivekananda and S Rajaiah boycotted the proceedings and staged a dharna at the entrance of the Parliament House.

The MPs displayed placards carrying slogans 'Delay is the denial of Telangana' , 'The delay caused the death of 600 youths' , etc. The Congress, however, ignored the dharna. No emissary came forward to persuade the MPs to attend the House. Only RJD president Lalu Prasad Yadav walked up to the Telangana MPs and expressed his solidarity .

The MPs are said to be aware that the party high command is cool to their demand, but still wanted to stage a vocal protest before deciding their next course of action, which could include quitting the party and floating their own forum .

"We will continue to defy the whip including with reference to any no-confidence motion that could come up in Parliament until the Congress makes a positive statement on Telangana ," Nagarkurnool MP Manda Jagannadham said. "If necessary, we would enter the House and disrupt the proceedings," he added.

Expressing displeasure at the inordinate delay on the part of the Congress in taking a decision on Telangana , Jagannadham said that the very survival of the party in the region is at stake in view of its dillydallying .

He accused the party of getting influenced by Seemandhra leaders, unmindful of the damage being done to the party in Telangana .

People in Telangana would not be satisfied with ministerial berths and packages, he said.

"Nothing short of a separate state will save the party in the region. Once it becomes clear that the Congress is backing out on its promise, the party will disappear from the region," he cautioned.

Read More..

Study finds mammograms lead to unneeded treatment

Mammograms have done surprisingly little to catch deadly breast cancers before they spread, a big U.S. study finds. At the same time, more than a million women have been treated for cancers that never would have threatened their lives, researchers estimate.

Up to one-third of breast cancers, or 50,000 to 70,000 cases a year, don't need treatment, the study suggests.

It's the most detailed look yet at overtreatment of breast cancer, and it adds fresh evidence that screening is not as helpful as many women believe. Mammograms are still worthwhile, because they do catch some deadly cancers and save lives, doctors stress. And some of them disagree with conclusions the new study reached.

But it spotlights a reality that is tough for many Americans to accept: Some abnormalities that doctors call "cancer" are not a health threat or truly malignant. There is no good way to tell which ones are, so many women wind up getting treatments like surgery and chemotherapy that they don't really need.

Men have heard a similar message about PSA tests to screen for slow-growing prostate cancer, but it's relatively new to the debate over breast cancer screening.

"We're coming to learn that some cancers — many cancers, depending on the organ — weren't destined to cause death," said Dr. Barnett Kramer, a National Cancer Institute screening expert. However, "once a woman is diagnosed, it's hard to say treatment is not necessary."

He had no role in the study, which was led by Dr. H. Gilbert Welch of Dartmouth Medical School and Dr. Archie Bleyer of St. Charles Health System and Oregon Health & Science University. Results are in Thursday's New England Journal of Medicine.

Breast cancer is the leading type of cancer and cause of cancer deaths in women worldwide. Nearly 1.4 million new cases are diagnosed each year. Other countries screen less aggressively than the U.S. does. In Britain, for example, mammograms are usually offered only every three years and a recent review there found similar signs of overtreatment.

The dogma has been that screening finds cancer early, when it's most curable. But screening is only worthwhile if it finds cancers destined to cause death, and if treating them early improves survival versus treating when or if they cause symptoms.

Mammograms also are an imperfect screening tool — they often give false alarms, spurring biopsies and other tests that ultimately show no cancer was present. The new study looks at a different risk: Overdiagnosis, or finding cancer that is present but does not need treatment.

Researchers used federal surveys on mammography and cancer registry statistics from 1976 through 2008 to track how many cancers were found early, while still confined to the breast, versus later, when they had spread to lymph nodes or more widely.

The scientists assumed that the actual amount of disease — how many true cases exist — did not change or grew only a little during those three decades. Yet they found a big difference in the number and stage of cases discovered over time, as mammograms came into wide use.

Mammograms more than doubled the number of early-stage cancers detected — from 112 to 234 cases per 100,000 women. But late-stage cancers dropped just 8 percent, from 102 to 94 cases per 100,000 women.

The imbalance suggests a lot of overdiagnosis from mammograms, which now account for 60 percent of cases that are found, Bleyer said. If screening were working, there should be one less patient diagnosed with late-stage cancer for every additional patient whose cancer was found at an earlier stage, he explained.

"Instead, we're diagnosing a lot of something else — not cancer" in that early stage, Bleyer said. "And the worst cancer is still going on, just like it always was."

Researchers also looked at death rates for breast cancer, which declined 28 percent during that time in women 40 and older — the group targeted for screening. Mortality dropped even more — 41 percent — in women under 40, who presumably were not getting mammograms.

"We are left to conclude, as others have, that the good news in breast cancer — decreasing mortality — must largely be the result of improved treatment, not screening," the authors write.

The study was paid for by the study authors' universities.

"This study is important because what it really highlights is that the biology of the cancer is what we need to understand" in order to know which ones to treat and how, said Dr. Julia A. Smith, director of breast cancer screening at NYU Langone Medical Center in New York. Doctors already are debating whether DCIS, a type of early tumor confined to a milk duct, should even be called cancer, she said.

Another expert, Dr. Linda Vahdat, director of the breast cancer research program at Weill Cornell Medical College in New York, said the study's leaders made many assumptions to reach a conclusion about overdiagnosis that "may or may not be correct."

"I don't think it will change how we view screening mammography," she said.

A government-appointed task force that gives screening advice calls for mammograms every other year starting at age 50 and stopping at 75. The American Cancer Society recommends them every year starting at age 40.

Dr. Len Lichtenfeld, the cancer society's deputy chief medical officer, said the study should not be taken as "a referendum on mammography," and noted that other high-quality studies have affirmed its value. Still, he said overdiagnosis is a problem, and it's not possible to tell an individual woman whether her cancer needs treated.

"Our technology has brought us to the place where we can find a lot of cancer. Our science has to bring us to the point where we can define what treatment people really need," he said.

___

Online:

Study: http://www.nejm.org/doi/full/10.1056/NEJMoa1206809

Screening advice: http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm

___

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

Read More..

2 Dead, Dozens to Hospital After 100-Car Pileup













At least two people died and more than 80 were injured after a 100-plus car pileup in Texas today, according the Department of Public Safety.


A man and a woman died from their injuries, ABC News affiliate KBMT-TV reported. Their names were not immediately available.


The DPS said it won't know the exact number of cars involved in the pileup until officials finish untangling the wrecks.


At least five people who were taken to the hospital are in critical condition, KBMT reported.








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The accident happened in Jefferson County shortly after 8 a.m. Thanksgiving morning on Interstate 10 between Taylor Bayou and Hampshire Road.


Fog blinded drivers, with investigators saying most couldn't see a foot in front of them at the time of the crash.


"The cause of the accident was a heavy fog bank rolled into this area this morning, which caused nobody to be able to see and caused one accident that triggered another accident and then a chain reaction," said Deputy Rod Carroll of the Jefferson County Sheriff's Department.


"Even as the deputies were pulling up we still had a continuous chain of accidents," Carroll said.


An 18-wheeler tanker truck began leaking after the chain-reaction accident, KBMT reported.


The eastbound side of the freeway was closed for hours and remained closed into the afternoon, DPS told ABC News. The westbound lanes opened shortly after noon.



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Hamas-Israel ceasefire takes hold but mistrust runs deep

CAIRO/GAZA (Reuters) - A ceasefire between Israel and Gaza's Hamas rulers took hold on Thursday after eight days of conflict, although deep mistrust on both sides cast doubt on how long the Egyptian-sponsored deal can last.


Even after the ceasefire came into force late on Wednesday, a dozen rockets from the Gaza Strip landed in Israel, all in open areas, a police spokesman said. In Gaza, witnesses reported an explosion shortly after the truce took effect at 9 p.m (14:00 EDT), but there were no casualties and the cause was unclear.


The deal prevented, at least for the moment, an Israeli ground invasion of the Palestinian enclave following bombing and rocket fire which killed five Israelis and 162 Gazans, including 37 children.


But trust was in short supply. The exiled leader of Hamas, Khaled Meshaal, said his Islamist movement would respect the truce if Israel did, but would respond to any violations. "If Israel complies, we are compliant. If it does not comply, our hands are on the trigger," he told a news conference in Cairo.


Israeli Prime Minister Benjamin Netanyahu said he had agreed to "exhaust this opportunity for an extended truce", but told his people a tougher approach might be required in the future.


Both sides quickly began offering differing interpretations of the ceasefire, brokered by Egypt's new Islamist government and backed by the United States, highlighting the many actual or potential areas of discord.


If it holds, the truce will give 1.7 million Gazans respite from days of ferocious air strikes and halt rocket salvoes from militants that unnerved a million people in southern Israel and reached Tel Aviv and Jerusalem for the first time.


"Allahu akbar, (God is greatest), dear people of Gaza you won," blared mosque loudspeakers in Gaza as the truce took effect. "You have broken the arrogance of the Jews."


Fifteen minutes later, wild celebratory gunfire echoed across the darkened streets, which gradually filled with crowds waving Palestinian flags. Ululating women leaned out of windows and fireworks lit up the sky.


Meshaal thanked Egypt for mediating and praised Iran for providing Gazans with financing and arms. "We have come out of this battle with our heads up high," he said, adding that Israel had been defeated and failed in its "adventure".


Some Israelis staged protests against the deal, notably in the southern town of Kiryat Malachi, where three people were killed by a Gaza rocket during the conflict, army radio said.


Netanyahu said he was willing to give the truce a chance but held open the possibility of reopening the conflict. "I know there are citizens expecting a more severe military action, and perhaps we shall need to do so," he said.


The Israeli leader, who faces a parliamentary election in January, delivered a similar message earlier in a telephone call with U.S. President Barack Obama, his office said.


"AN OPEN PRISON"


According to a text of the agreement seen by Reuters, both sides should halt all hostilities, with Israel desisting from incursions and targeting of individuals, while all Palestinian factions should cease rocket fire and cross-border attacks.


The deal also provides for easing Israeli restrictions on Gaza's residents, who live in what British Prime Minister David Cameron has called an "open prison".


The text said procedures for implementing this would be "dealt with after 24 hours from the start of the ceasefire".


Israeli sources said Israel would not lift a blockade of the enclave it enforced after Hamas, which rejects the Jewish state's right to exist, won a Palestinian election in 2006.


However, Meshaal said the deal covered the opening of all of the territory's border crossings. "The document stipulates the opening of the crossings, all the crossings, and not just Rafah," he said. Israel controls all of Gaza's crossings apart from the Rafah post with Egypt.


Hamas lost its top military commander to an Israeli strike in the conflict and suffered serious hits to its infrastructure and weaponry, but has emerged with its reputation both in the Arab world and at home stronger.


Israel can take comfort from the fact it dealt painful blows to its enemy, which will take many months to recover, and showed that it can defend itself from a barrage of missiles.


"No one is under the illusion that this is going to be an everlasting ceasefire. It is clear to everyone it will only be temporary," said Michael Herzog, a former chief of staff at the Israeli ministry of defence.


"But there is a chance that it could hold for a significant period of time, if all goes well," he told Reuters.


Egypt, an important U.S. ally now under Islamist leadership, took centre stage in diplomacy to halt the bloodshed. Cairo has walked a fine line between its sympathies for Hamas, an offshoot of the Muslim Brotherhood to which President Mohamed Mursi belongs, and its need to preserve its 1979 peace treaty with Israel and its ties with Washington, its main aid donor.


Announcing the agreement in Cairo, Egyptian Foreign Minister Mohamed Kamel Amr said mediation had "resulted in understandings to cease fire, restore calm and halt the bloodshed".


U.S. Secretary of State Hillary Clinton, standing beside Amr, thanked Mursi for peace efforts that showed "responsibility, leadership" in the region.


The Gaza conflict erupted in a Middle East already shaken by last year's Arab uprisings that toppled several veteran U.S.-backed leaders, including Egypt's Hosni Mubarak, and by a civil war in Syria, where President Bashar al-Assad is fighting for survival.


In his call with Netanyahu, Obama in turn repeated U.S. commitment to Israel's security and promised to seek funds for a joint missile defence program, the White House said.


BUS BOMBING


The ceasefire was forged despite a bus bomb explosion that wounded 15 Israelis in Tel Aviv earlier in the day and despite more Israeli air strikes that killed 10 Gazans. It was the first serious bombing in Israel's commercial capital since 2006.


Israel, the United States and the European Union all classify Hamas as a terrorist organization. It seized the Gaza Strip from the Western-backed Palestinian President Mahmoud Abbas in 2007 in a brief but bloody war with his Fatah movement.


"This is a critical moment for the region," Clinton said. "Egypt's new government is assuming the responsibility and leadership that has long made this country a cornerstone for regional stability and peace."


In Amman, U.N. chief Ban Ki-moon urged both sides to stick to their ceasefire pledges. "There may be challenges implementing this agreement," he said, urging "maximum restraint".


(Additional reporting by Noah Browning in Gaza, Ori Lewis, Allyn Fisher-Ilan and Crispian Balmer in Jerusalem, Yasmine Saleh, Shaimaa Fayed and Tom Perry in Cairo, Suleiman al-Khalidi in Amman and Margaret Chadbourn in Washington; Writing by Alistair Lyon and David Stamp; Editing by Louise Ireland)


Read More..

Rice hits out at "unfounded" attacks over Libya killings






UNITED NATIONS: Susan Rice, US ambassador to the United Nations, said on Wednesday she has been the victim of "unfounded" Republican attacks over her account of a militant assault on the US embassy in Libya.

Rice is a frontrunner to be the next US secretary of state but Senator John McCain and other Republicans have said they would block her confirmation by the US Senate because of the controversy.

President Barack Obama has strongly defended Rice, but kept everyone waiting to see whether he would risk naming his trusted confidante to replace Hillary Clinton.

"Let me be very clear. I have great respect for Senator McCain and his service to our country, I always have, and I always will," Rice told reporters in her first public comments on the storm.

"I do think that some of the statements he made about me have been unfounded, but I look forward to having the opportunity at the appropriate time to discuss all of this with him," she added.

Rice insisted the comments she made on US talk shows on the Sunday after the deadly attack on the US consulate in Benghazi was based purely on intelligence guidance.

US ambassador Chris Stevens and three other American staff were killed in the September 11 attack.

McCain and other Republicans have accused the US administration of seeking to mislead the public over the true cause of the attack.

Rice went on US television news shows and said initial intelligence indicated that the assault arose "spontaneously" out of "copycat" protests against US targets in several Muslim nations at the time. US authorities now say it was a "terrorist" attack.

"As a senior White House diplomat, I agreed to a White House request to appear on the Sunday shows to talk about the full range of national security issues of the day," she said. This included the Benghazi attack and Iran's nuclear facilities.

"When discussing the attacks against our facilities in Benghazi, I relied solely and squarely on the information provided to me by the intelligence community," the ambassador added.

"I made it clear that the information was preliminary and that our investigations would give us the definitive answers," she added.

Rice said the death of Stevens and the other officials was a "massive tragedy". The Federal Bureau of Investigation and State Department investigators are now looking into the Benghazi killings.

"None of us will rest, none of us will be satisfied, until we have the answers and the terrorists responsible for this attack are brought to justice," Rice declared.

- AFP/xq



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Kasab hanged day after UN vote on penalty

NEW DELHI: As chance would have it, India hanged Ajmal Kasab a day after opposing a UN resolution on abolition of the death penalty.

On Tuesday, India joined 38 other countries to vote against a non-binding UN General Assembly resolution, calling for the removal of the death penalty, saying every nation had the "sovereign right" to determine its own legal system. The resolution called for a moratorium on executions before the abolition of the penalty. The resolution was carried through after 110 nations voted for it.

In its explanation of vote, New Delhi said it could not support the resolution in its present form. Other nations voting against were Bangladesh, China , Korea, Iran, Iraq, Japan, Kuwait, Libya, Pakistan and US.

India said the death penalty was imposed only in "rarest of rare" cases and Indian law provides for the suspension of the sentence for pregnant women.

Read More..

Study finds mammograms lead to unneeded treatment

Mammograms have done surprisingly little to catch deadly breast cancers before they spread, a big U.S. study finds. At the same time, more than a million women have been treated for cancers that never would have threatened their lives, researchers estimate.

Up to one-third of breast cancers, or 50,000 to 70,000 cases a year, don't need treatment, the study suggests.

It's the most detailed look yet at overtreatment of breast cancer, and it adds fresh evidence that screening is not as helpful as many women believe. Mammograms are still worthwhile, because they do catch some deadly cancers and save lives, doctors stress. And some of them disagree with conclusions the new study reached.

But it spotlights a reality that is tough for many Americans to accept: Some abnormalities that doctors call "cancer" are not a health threat or truly malignant. There is no good way to tell which ones are, so many women wind up getting treatments like surgery and chemotherapy that they don't really need.

Men have heard a similar message about PSA tests to screen for slow-growing prostate cancer, but it's relatively new to the debate over breast cancer screening.

"We're coming to learn that some cancers — many cancers, depending on the organ — weren't destined to cause death," said Dr. Barnett Kramer, a National Cancer Institute screening expert. However, "once a woman is diagnosed, it's hard to say treatment is not necessary."

He had no role in the study, which was led by Dr. H. Gilbert Welch of Dartmouth Medical School and Dr. Archie Bleyer of St. Charles Health System and Oregon Health & Science University. Results are in Thursday's New England Journal of Medicine.

Breast cancer is the leading type of cancer and cause of cancer deaths in women worldwide. Nearly 1.4 million new cases are diagnosed each year. Other countries screen less aggressively than the U.S. does. In Britain, for example, mammograms are usually offered only every three years and a recent review there found similar signs of overtreatment.

The dogma has been that screening finds cancer early, when it's most curable. But screening is only worthwhile if it finds cancers destined to cause death, and if treating them early improves survival versus treating when or if they cause symptoms.

Mammograms also are an imperfect screening tool — they often give false alarms, spurring biopsies and other tests that ultimately show no cancer was present. The new study looks at a different risk: Overdiagnosis, or finding cancer that is present but does not need treatment.

Researchers used federal surveys on mammography and cancer registry statistics from 1976 through 2008 to track how many cancers were found early, while still confined to the breast, versus later, when they had spread to lymph nodes or more widely.

The scientists assumed that the actual amount of disease — how many true cases exist — did not change or grew only a little during those three decades. Yet they found a big difference in the number and stage of cases discovered over time, as mammograms came into wide use.

Mammograms more than doubled the number of early-stage cancers detected — from 112 to 234 cases per 100,000 women. But late-stage cancers dropped just 8 percent, from 102 to 94 cases per 100,000 women.

The imbalance suggests a lot of overdiagnosis from mammograms, which now account for 60 percent of cases that are found, Bleyer said. If screening were working, there should be one less patient diagnosed with late-stage cancer for every additional patient whose cancer was found at an earlier stage, he explained.

"Instead, we're diagnosing a lot of something else — not cancer" in that early stage, Bleyer said. "And the worst cancer is still going on, just like it always was."

Researchers also looked at death rates for breast cancer, which declined 28 percent during that time in women 40 and older — the group targeted for screening. Mortality dropped even more — 41 percent — in women under 40, who presumably were not getting mammograms.

"We are left to conclude, as others have, that the good news in breast cancer — decreasing mortality — must largely be the result of improved treatment, not screening," the authors write.

The study was paid for by the study authors' universities.

"This study is important because what it really highlights is that the biology of the cancer is what we need to understand" in order to know which ones to treat and how, said Dr. Julia A. Smith, director of breast cancer screening at NYU Langone Medical Center in New York. Doctors already are debating whether DCIS, a type of early tumor confined to a milk duct, should even be called cancer, she said.

Another expert, Dr. Linda Vahdat, director of the breast cancer research program at Weill Cornell Medical College in New York, said the study's leaders made many assumptions to reach a conclusion about overdiagnosis that "may or may not be correct."

"I don't think it will change how we view screening mammography," she said.

A government-appointed task force that gives screening advice calls for mammograms every other year starting at age 50 and stopping at 75. The American Cancer Society recommends them every year starting at age 40.

Dr. Len Lichtenfeld, the cancer society's deputy chief medical officer, said the study should not be taken as "a referendum on mammography," and noted that other high-quality studies have affirmed its value. Still, he said overdiagnosis is a problem, and it's not possible to tell an individual woman whether her cancer needs treated.

"Our technology has brought us to the place where we can find a lot of cancer. Our science has to bring us to the point where we can define what treatment people really need," he said.

___

Online:

Study: http://www.nejm.org/doi/full/10.1056/NEJMoa1206809

Screening advice: http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm

___

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

Read More..

White House: Cease-Fire Is 'Tenuous'


ap mideast cease fire flag tk 121121 wblog White House Officials Say Israel Hamas Cease Fire is Tenuous

Bernat Armangue/AP Photo


The Israel-Hamas cease-fire brokered by the Obama administration, Israeli Prime Minister Benjamin Netanyahu and Egyptian president Mohammed Morsi, and announced today is fragile, White House officials acknowledged.


“The way we view this is that it’s an important step,” a senior White House official said, “but our concerns are Egypt can’t control all of Hamas,” the ruling party in Gaza designated a terrorist group by the U.S. State Department, “and Hamas doesn’t control every extremist with a rocket in Gaza. So there is a tenuous nature to this.”


But for now, senior White House officials say that from their perspective, three phone calls with Egyptian President Morsi seemed significant.


The president spoke to Netanyahu every day since the crisis began, but his first significant call with Morsi was on Monday, November 19 in Phnom Penh, Cambodia.


President Obama left a dinner for the Association of Southeast Asian Nations a tad early to phone Morsi, aides said. They discussed ways to “de-escalate” the violence in Gaza and Israel, with President Obama underscoring “the necessity of Hamas ending rocket fire into Israel,” aides said. The president offered his condolences for the loss of life in Gaza, as well as for the Saturday incident when a train collided with a school bus, killing more than 50 people most of them children.


He then spoke with Netanyahu, receiving an update on the situation, and expressing regret for the loss of Israeli lives.


The president then told his team that if Morsi called back to talk, they should wake him up. Morsi did so, at 2:30 a.m. Cambodia time. The president and Morsi spoke again.


Another senior White House official declined to get into the substance of the calls, but said the president was reviewing ideas with Morsi and Netanyahu, so it would be natural for him to follow up with Morsi after speaking to Netanyahu. The president told Morsi he intended to send Secretary of State Hillary Clinton to the region.


The next day, Tuesday, President Obama announced that Clinton would head to Egypt and Israel to try to broker a cease-fire. The president and Clinton, the second senior White House official said, talked about the Gaza-Israel fighting throughout the Asia trip.


The president today phoned both Morsi and Netanyahu “to seal the deal,” the first senior White House official said.


The president, this official said, was struck by the fact that Morsi “was being pragmatic. He wanted to get to yes.”


ABC News’ Reena Ninan asked Ben Rhodes, deputy National Security adviser for strategic communication, if Morsi was a better broker for peace than his predecessor, Hosni Mubarak.


“Egypt has been a critical part of our effort to manage that conflict and pursue peace,” Rhodes said. “That was the case under President Mubarak and it continues to be the case under President Morsi, who has upheld the peace treaty with Israel. What we’ve seen is, again, our engagement has been focused on practical and constructive cooperation that can reduce tensions but ultimately, again, it’s going to have to be Hamas within Gaza that takes the step of, again, not pursing rocket fire into Israeli territory. But we agree that Egypt can and should be a partner in seeking to bring about that outcome.”


Another interesting development, the White House official said, is that Hamas in this instance was looking to Egypt for leadership and not Iran, even though the latter country has been extremely supportive of Hamas.


-Jake Tapper

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Gaza shakes, Israelis killed as Clinton seeks truce

GAZA/JERUSALEM (Reuters) - Israeli air strikes shook the Gaza Strip and Palestinian rockets struck across the border as U.S. Secretary of State Hillary Clinton held talks in Jerusalem in the early hours of Wednesday, seeking a truce that can hold back Israel's ground troops.


Hamas, the Islamist movement controlling Gaza, and Egypt, whose new, Islamist government is trying to broker a truce, had floated hopes for a ceasefire by late Tuesday; but by the time Clinton met Israeli Prime Minister Benjamin Netanyahu it was clear there would be more argument, and more violence, first.


Hamas leaders in Cairo accused the Jewish state of failing to respond to proposals and said an announcement on holding fire would not come before daylight on Wednesday. Israel Radio quoted an Israeli official saying a truce was held up due to "a last-minute delay in the understandings between Hamas and Israel".


An initial halt to attacks may, however, not see the sides stand their forces down from battle stations immediately; Clinton, who flies to Cairo to see Egyptian President Mohamed Mursi later on Wednesday, spoke of a deal "in the days ahead".


As she arrived in Israel after nightfall, Israel was stepping up its bombardment. Artillery shells and missiles fired from naval gunboats offshore slammed into the territory and air strikes came at a frequency of about one every 10 minutes.


After seven days of hostilities that have killed over 130 Palestinians and five Israelis, two of these on Tuesday, both sides are looking for more than a return to the sporadic calm that has prevailed across the blockaded enclave since Israel ended a much bloodier air and ground offensive four years ago.


ELECTION


Netanyahu, who faces an election in two months that he is, for now, favored to win, told Clinton he wanted a "long-term" solution. Failing that, Netanyahu made clear, he stood ready to step up the military campaign to silence Hamas's rockets.


Hamas for its part is exploring the opportunities that last year's Arab Spring has given it to enjoy favor from the new Islamist governments of states once ruled by U.S. proteges, and from Sunni Gulf powers keen to woo it away from Shi'ite Iran. It has used longer-range missiles, some sent by Tehran, and hopes to eclipse Western-backed Palestinian President Mahmoud Abbas.


Hamas has spoken of an easing of Israel's blockade on the 40-km (25-mile) slice of Mediterranean coast that is home to 1.7 million people. It may count on some sympathy from Mursi, though Egypt's first freely elected leader, whose Muslim Brotherhood inspired Hamas's founders, has been careful to stick by the 1979 peace deal with Israel struck by Cairo's former military rulers.


Clinton, who broke off from an Asian tour with President Barack Obama and assured Netanyahu of "rock-solid" U.S. support for Israel's security, spoke of seeking a "durable outcome" and of Egypt's "responsibility" for promoting peace.


She repeated international calls for the kind of lasting, negotiated, comprehensive Israeli-Palestinian settlement that has eluded the two peoples for decades - something neither of the two warring parties seems seriously to be anticipating.


"In the days ahead, the United States will work with our partners here in Israel and across the region toward an outcome that bolsters security for the people of Israel, improves conditions for the people of Gaza and moves toward a comprehensive peace for all people of the region," Clinton said.


"It is essential to de-escalate the situation in Gaza. The rocket attacks from terrorist organizations inside Gaza on Israeli cities and towns must end and a broader calm restored.


"The goal must be a durable outcome that promotes regional stability and advances the security and legitimate aspirations of Israelis and Palestinians alike."


"SELF-DEFENCE"


Netanyahu, who has appeared in no immediate rush to repeat the invasion of winter 2008-09 in which over 1,400 Palestinians died, said: "If there is a possibility of achieving a long-term solution to this problem with diplomatic means, we prefer that.


"But if not, I'm sure you understand that Israel will have to take whatever action is necessary to defend its people."


As Israeli aircraft have carried out hundreds of strikes on rocket stores, launchpads and suspected Hamas command posts since assassinating the head of its military wing a week ago, tens of thousands of Israeli soldiers have been preparing tanks and infantry units for a possible invasion.


During the night, explosions again rocked the city of Gaza and other parts of the Strip, while rockets from the enclave, some essentially home-made, others Iranian-designed and smuggled through tunnels from Egypt, landed in southern Israel.


One reached as far as Rishon Lezion, near Tel Aviv, on Tuesday, the latest to jar Israel's metropolis, long untroubled by Palestinian attacks. Another rocket fell close to Jerusalem, the holy city claimed by both sides in the conflict.


Medical officials in Gaza said 31 Palestinians were killed on Tuesday. An Israeli soldier and a civilian died when rockets exploded near the Gaza frontier, police and the army said.


Gaza medical officials say 138 people have died in Israeli strikes, mostly civilians, including 34 children. In all, five Israelis have died, including three civilians killed last week.


AMMUNITION STORES


Obama, whose relations with the hawkish Netanyahu have long been strained, has said he wants a diplomatic solution, rather than a possible Israeli ground operation in the densely populated territory, home to 1.7 million Palestinians.


Israel's military on Tuesday targeted more than 130 sites in Gaza, including ammunition stores and the Gaza headquarters of the National Islamic Bank. Israeli police said more than 150 rockets had been fired from Gaza by the evening.


"No country would tolerate rocket attacks against its cities and against its civilians," Netanyahu said with U.N. Secretary-General Ban Ki-moon, who arrived in Jerusalem from talks in Cairo, at his side. "Israel cannot tolerate such attacks."


Critics have accused Israel of using disproportionate force that has killed civilians. Israel accuses Hamas of putting Gaza's people in harm's way by siting rockets among them.


Media groups have criticized attacks on Gaza media facilities. On Tuesday, three local journalists died in air strikes on their vehicles.


A building housing AFP's bureau was bombed. The French news agency said its staff were unhurt. Israel's military said it had been targeting a Hamas intelligence center in the tower.


Hamas executed six Palestinians accused of spying for Israel, who a security source quoted by Hamas Aqsa radio said had been "caught red-handed" with "filming equipment to take footage of positions". The radio said they had been shot.


Militants on a motorcycle dragged the body of one of the men through the streets.


A delegation of nine Arab ministers, led by the Egyptian foreign minister, visited Gaza in a further signal of heightened Arab solidarity with the Palestinians.


(Additional reporting by Cairo bureau; Writing by Alastair Macdonald)


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Imelda Marcos' ex-aide charged for conspiracy






NEW YORK: The former personal secretary to Imelda Marcos, wife of former Philippine president Ferdinand Marcos, was charged on Tuesday in New York in an alleged conspiracy to sell a Monet painting that had belonged to the first lady.

Vilma Bautista, 74, was one of three people accused of "illegally conspiring to possess and sell valuable works of art acquired by" Imelda Marcos, and "keeping the proceeds for themselves," the Manhattan district attorney DA's office said.

They are also accused of seeking to hide the gains from the US tax authorities.

The Monet, which sold for US$32 million in 2010, was part of Imelda Marcos' hoard of artworks and other luxuries accumulated during her husband's rule, which was brought down in 1986.

The Philippine government moved to recover the property in the aftermath of the revolution, but much of it vanished.

"A significant amount of artwork and other valuables disappeared from Philippine government property, including from the Philippine Consulate townhouse in Manhattan," the DA's office said.

Beginning in 2009, Bautista and her two nephews allegedly began trying to sell the Monet water lily painting, "Le Bassin aux Nympheas," and three other valuable works that the Philippines government was trying to repossess.

They succeeded with the Monet, selling it to a London gallery and dividing the US$32 million, with Bautista "keeping the largest share of the money herself," prosecutors said.

- AFP/xq



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Cyclists set out for green GDP

SILIGURI: A group of environmental activists set out from here on a 2,000km awareness yatra on Tuesday to press for the introduction of what they are calling gross environmental product (GEP), a measure similar to GDP for monitoring India's natural resources.

The 11-member team will travel on bicycles from Siliguri in north Bengal to Dehradun in Uttarakhand, covering the distance in 40 days. They will hold meetings along the way to spread the word on why India needs to track its natural resources such as water, air, soil, forests etc.

"Only a stable ecology can lead to a stable economy. Just as the government releases GDP figures, it should also come out with an annual GEP, which would be a tabulation of how each of our natural resources was spent in that year," said Anil P Joshi, who is leading the yatra. The group, consisting of activists aged 19 to 72, would be travelling through Patna, Varanasi, Allahabad, Kanpur, Mathura and Delhi, interacting with people to popularize the demand for GEP. "Our mission is to create mass awareness about the need to formulate an ecological growth measure so people know about the health of India's environment," said Joshi, a Padma Shri-awardee who runs a Dehra Dun-based NGO, Himalayan Environmental Studies and Conservation Organization.

GEP is somewhat similar to the concept of a 'green GDP' — gross domestic product after being adjusted for environmental costs of economic activity — which the Union environment ministry hopes to roll out by 2015.

The team would cross 55 districts and more than a 1,000 villages to reach the Himalayas. "Our other motto is save the Himalayas. For ages, this mountain range has been providing life to 65% of Indians. Today, Himalayan ecology is threatened and we wish to raise awareness about what this means for people living in the plains," Joshi said.

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OB/GYNs back over-the-counter birth control pills

WASHINGTON (AP) — No prescription or doctor's exam needed: The nation's largest group of obstetricians and gynecologists says birth control pills should be sold over the counter, like condoms.

Tuesday's surprise opinion from these gatekeepers of contraception could boost longtime efforts by women's advocates to make the pill more accessible.

But no one expects the pill to be sold without a prescription any time soon: A company would have to seek government permission first, and it's not clear if any are considering it. Plus there are big questions about what such a move would mean for many women's wallets if it were no longer covered by insurance.

Still, momentum may be building.

Already, anyone 17 or older doesn't need to see a doctor before buying the morning-after pill — a higher-dose version of regular birth control that can prevent pregnancy if taken shortly after unprotected sex. Earlier this year, the Food and Drug Administration held a meeting to gather ideas about how to sell regular oral contraceptives without a prescription, too.

Now the influential American College of Obstetricians and Gynecologists is declaring it's safe to sell the pill that way.

Wait, why would doctors who make money from women's yearly visits for a birth-control prescription advocate giving that up?

Half of the nation's pregnancies every year are unintended, a rate that hasn't changed in 20 years — and easier access to birth control pills could help, said Dr. Kavita Nanda, an OB/GYN who co-authored the opinion for the doctors group.

"It's unfortunate that in this country where we have all these contraceptive methods available, unintended pregnancy is still a major public health problem," said Nanda, a scientist with the North Carolina nonprofit FHI 360, formerly known as Family Health International.

Many women have trouble affording a doctor's visit, or getting an appointment in time when their pills are running low — which can lead to skipped doses, Nanda added.

If the pill didn't require a prescription, women could "pick it up in the middle of the night if they run out," she said. "It removes those types of barriers."

Tuesday, the FDA said it was willing to meet with any company interested in making the pill nonprescription, to discuss what if any studies would be needed.

Then there's the price question. The Obama administration's new health care law requires FDA-approved contraceptives to be available without copays for women enrolled in most workplace health plans.

If the pill were sold without a prescription, it wouldn't be covered under that provision, just as condoms aren't, said Health and Human Services spokesman Tait Sye.

ACOG's opinion, published in the journal Obstetrics & Gynecology, says any move toward making the pill nonprescription should address that cost issue. Not all women are eligible for the free birth control provision, it noted, citing a recent survey that found young women and the uninsured pay an average of $16 per month's supply.

The doctors group made clear that:

—Birth control pills are very safe. Blood clots, the main serious side effect, happen very rarely, and are a bigger threat during pregnancy and right after giving birth.

—Women can easily tell if they have risk factors, such as smoking or having a previous clot, and should avoid the pill.

—Other over-the-counter drugs are sold despite rare but serious side effects, such as stomach bleeding from aspirin and liver damage from acetaminophen.

—And there's no need for a Pap smear or pelvic exam before using birth control pills. But women should be told to continue getting check-ups as needed, or if they'd like to discuss other forms of birth control such as implantable contraceptives that do require a physician's involvement.

The group didn't address teen use of contraception. Despite protests from reproductive health specialists, current U.S. policy requires girls younger than 17 to produce a prescription for the morning-after pill, meaning pharmacists must check customers' ages. Presumably regular birth control pills would be treated the same way.

Prescription-only oral contraceptives have long been the rule in the U.S., Canada, Western Europe, Australia and a few other places, but many countries don't require a prescription.

Switching isn't a new idea. In Washington state a few years ago, a pilot project concluded that pharmacists successfully supplied women with a variety of hormonal contraceptives, including birth control pills, without a doctor's involvement. The question was how to pay for it.

Some pharmacies in parts of London have a similar project under way, and a recent report from that country's health officials concluded the program is working well enough that it should be expanded.

And in El Paso, Texas, researchers studied 500 women who regularly crossed the border into Mexico to buy birth control pills, where some U.S. brands sell over the counter for a few dollars a pack. Over nine months, the women who bought in Mexico stuck with their contraception better than another 500 women who received the pill from public clinics in El Paso, possibly because the clinic users had to wait for appointments, said Dr. Dan Grossman of the University of California, San Francisco, and the nonprofit research group Ibis Reproductive Health.

"Being able to easily get the pill when you need it makes a difference," he said.

___

Online:

OB/GYN group: http://www.acog.org

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Clinton Pledges to 'De-Escalate' Gaza Conflict













Secretary of State Hillary Clinton met for more than two hours today behind closed doors with Israeli Prime Minister Benjamin Netanyahu and other Israeli officials, saying she sought to "de-escalate the situation in Gaza."


Clinton, who flew to Israel today, appeared with Netanyahu ahead of their 4 p.m. ET meeting to discuss a possible ceasefire to the fighting between Israel and Islamic militants in Gaza.


"They discussed efforts to de-escalate the situation and bring about a sustainable outcome that protects Israel's security and improves the lives of civilians in Gaza," State Department spokeswoman Victoria Nuland said in a written statement after the meeting. "They also consulted on [Clinton's] impending stops in Ramallah and Cairo, including Egyptian efforts to advance de-escalation. They pledged to stay in close touch as she continues her travels."


The meeting came amid statements from Hamas earlier today that a ceasefire would soon be announced.


Netanyahu said he would prefer to use "diplomatic means" to find a solution to the fighting, but that Israel would take "whatever actions necessary" to defend its people.


"One of the things that we are doing is trying to resist and counter a terrorist barrage which is aimed directly at our civilians," Netanyahu said. "No country can tolerate a wanton attack on its civilians."


Clinton relayed a message from President Obama, reinforcing America's commitment to Israel's security and calling for an end to the rockets coming from "terrorist organizations in Gaza."



The Israel-Gaza Conflict in Pictures






Matty Stern/U.S. Embassy Tel Aviv/Getty Images













Israeli-Palestinian Conflict: Families Pray for Ceasefire Watch Video









Middle East on the Brink: Israel Prepared to Invade Gaza Watch Video





"America's commitment to Israel's security is rock solid and unwavering. That is why we believe it is essential to de-escalate the situation in Gaza," Clinton said.


Clinton added that she would reiterate her message to Egyptian President Mohamed Morsi during a meeting on Wednesday.


"President Obama has emphasized the same points in his multiple conversations with President Morsi of Egypt, and we appreciate President Morsi's personal leadership and Egypt's efforts thus far," she said. "As a regional leader and neighbor, Egypt has the opportunity and responsibility to continue playing a crucial and constructive role in this process. I will carry this message to Cairo tomorrow."


Clinton expressed her condolences for the Palestinian and Israeli civilians who have been killed in the violent outbreak.


The rocket fire between Israel and Hamas, which began six days ago, has claimed 126 Palestinian lives and three Israeli lives. Half the Palestinian deaths were civilians; the three Israelis were killed last Thursday when a rocket slammed into their apartment. A ceasefire, if reached, would bring a halt to the worst violence between Gaza and Israel in four years.


Israeli officials told ABC News earlier today that a final deal had not been brokered between Israel and Hamas, and that if a pact were reached, it would not be announced until after midnight local time, or 5 p.m. ET.


Hamas spokesman Sami Abu Zuhri told ABC News the news would be announced at a press conference in Cairo, where Morsi has been trying to broker an end to the fighting.


An Islamic Jihad website also reported that the ceasefire would go into effect tonight.


Clinton will also meet with Palestinian Authority President Mahmoud Abbas about the fighting.


In the meantime, however, Abu Zuhri called on all militant groups to continue firing rockets on Israel "in retaliation for the Israeli massacres."


Israeli missiles also continued to explode in Gaza while sirens sounded in Israel, signalling incoming rocket fire from Gaza.


Hamas said three Palestinian journalists were killed by an Israeli missile today, and Israel said one of its soldiers was killed by a Palestinian rocket today.


Gazans streamed out of northern neighborhoods during the afternoon after the Israel Defense Forces dropped leaflets telling residents to evacuate before dark. Scared Palestinians poured into Gaza City, cars and trucks piled high with belongings, many heading to schools for shelter.


ABC News' Matt Gutman contributed to this report



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