India misguided, paranoid over China: Guha

MUMBAI: A good half-hour into the discussion on 'India, China and the World', historian Ramachandra Guha issued a disclaimer—all the three members on the panel had been to China only once. "We should learn their language, promote quality research, and have a panel on China driven by Chinese scholars," he said. And that was the general tenor of the debate—that the Indian attitude to China was influenced by a mix of ignorance, cautious optimism about partnerships and a whole lot of misguided paranoia. "Don't demonise the Chinese, please," Guha finally said in response to a question.

"China has existed in our imaginations," observed Sunil Khilnani, professor of politics and author of The Idea Of India. "There's been very little sustained engagement with the reality of China and very little of our own produced knowledge about China." It was after the events of 1962 ('war' in the popular imagination, 'skirmish' to the scholars participating in the discussion), explained Khilnani, that a miffed India "withdrew". It's the 50th anniversary of that exchange this year, and "what we haven't been able to do is learn from the defeat", observed Khilnani. Both could have benefited from greater engagement. "China has had a very clear focus on primary education and achieved high levels of literacy before its economic rise. It has also addressed the issue of land reform," said Khilnani. Guha added that China could learn from the "religious, cultural and linguistic pluralism" in India.

But China and India weren't always so out of sync with each other. Srinath Raghavan, a scholar of military history, got both Guha and Khilnani to talk about pre-1962 relations between the two when the picture was rosier. Tagore was interested in China and so was Gandhi. Both were very large countries with large populations and shared what Guha calls a "lack of cultural inferiority". "They were both," he continued, "also heavily dependent on peasant communities." Nehru was appreciative of China's will to modernize and industrialize and its adoption of technology to achieve those ends. In turn, Chinese politicians argued for Indian independence.

Things soured more, feel both Khilnani and Guha, after the Dalai Lama fled to India in 1959. "He was welcomed here as a spiritual leader but the intensification of the conflict dates to the Dalai Lama's flight," said Guha. Both Guha and Khilnani argued that Nehru's decision to not react aggressively to China's occupation of Tibet was, in the long run, the right one and prevented further "militarization" of the region. An audience member wondered if that didn't make India "China's puppet". Guha disagreed. "If there's a Tibetan culture alive today," he said, "it's not because of Richard Gere. Don't believe in the hypocrisy of the Western countries. Will they give them land, employment, dignified refuge? The Tibetans is one of the few cases in which our record is honorable."

But the difference in levels of development and the lopsided trade relations between the two countries have only fuelled the suspicions many Indians seem to harbour about China. People were worried, said Guha, even about cricket balls made in China. Audience questions reflected those worries. A member asked about China's "strategy to conquer the world" and its likely impact on India. Guha cautioned against stereotypes; Khilnani explained, "History is littered with the debris of states that have tried to dominate the world. What we're doing may be more long-lasting."

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Smokers celebrate as Wash. legalizes marijuana


SEATTLE (AP) — The crowds of happy people lighting joints under Seattle's Space Needle early Thursday morning with nary a police officer in sight bespoke the new reality: Marijuana is legal under Washington state law.


Hundreds gathered at Seattle Center for a New Year's Eve-style countdown to 12 a.m., when the legalization measure passed by voters last month took effect. When the clock struck, they cheered and sparked up in unison.


A few dozen people gathered on a sidewalk outside the north Seattle headquarters of the annual Hempfest celebration and did the same, offering joints to reporters and blowing smoke into television news cameras.


"I feel like a kid in a candy store!" shouted Hempfest volunteer Darby Hageman. "It's all becoming real now!"


Washington and Colorado became the first states to vote to decriminalize and regulate the possession of an ounce or less of marijuana by adults over 21. Both measures call for setting up state licensing schemes for pot growers, processors and retail stores. Colorado's law is set to take effect by Jan. 5.


Technically, Washington's new marijuana law still forbids smoking pot in public, which remains punishable by a fine, like drinking in public. But pot fans wanted a party, and Seattle police weren't about to write them any tickets.


In another sweeping change for Washington, Gov. Chris Gregoire on Wednesday signed into law a measure that legalizes same-sex marriage. The state joins several others that allow gay and lesbian couples to wed.


The mood was festive in Seattle as dozens of gay and lesbian couples got in line to pick up marriage licenses at the King County auditor's office early Thursday.


King County and Thurston County announced they would open their auditors' offices shortly after midnight Wednesday to accommodate those who wanted to be among the first to get their licenses.


Kelly Middleton and her partner Amanda Dollente got in line at 4 p.m. Wednesday.


Hours later, as the line grew, volunteers distributed roses and a group of men and women serenaded the waiting line to the tune of "Chapel of Love."


Because the state has a three-day waiting period, the earliest that weddings can take place is Sunday.


In dealing with marijuana, the Seattle Police Department told its 1,300 officers on Wednesday, just before legalization took hold, that until further notice they shall not issue citations for public marijuana use.


Officers will be advising people not to smoke in public, police spokesman Jonah Spangenthal-Lee wrote on the SPD Blotter. "The police department believes that, under state law, you may responsibly get baked, order some pizzas and enjoy a 'Lord of the Rings' marathon in the privacy of your own home, if you want to."


He offered a catchy new directive referring to the film "The Big Lebowski," popular with many marijuana fans: "The Dude abides, and says 'take it inside!'"


"This is a big day because all our lives we've been living under the iron curtain of prohibition," said Hempfest director Vivian McPeak. "The whole world sees that prohibition just took a body blow."


Washington's new law decriminalizes possession of up to an ounce for those over 21, but for now selling marijuana remains illegal. I-502 gives the state a year to come up with a system of state-licensed growers, processors and retail stores, with the marijuana taxed 25 percent at each stage. Analysts have estimated that a legal pot market could bring Washington hundreds of millions of dollars a year in new tax revenue for schools, health care and basic government functions.


But marijuana remains illegal under federal law. That means federal agents can still arrest people for it, and it's banned from federal properties, including military bases and national parks.


The Justice Department has not said whether it will sue to try to block the regulatory schemes in Washington and Colorado from taking effect.


"The department's responsibility to enforce the Controlled Substances Act remains unchanged," said a statement issued Wednesday by the Seattle U.S. attorney's office. "Neither states nor the executive branch can nullify a statute passed by Congress."


The legal question is whether the establishment of a regulated marijuana market would "frustrate the purpose" of the federal pot prohibition, and many constitutional law scholars say it very likely would.


That leaves the political question of whether the administration wants to try to block the regulatory system, even though it would remain legal to possess up to an ounce of marijuana.


Alison Holcomb is the drug policy director of the American Civil Liberties Union of Washington and served as the campaign manager for New Approach Washington, which led the legalization drive. She said the voters clearly showed they're done with marijuana prohibition.


"New Approach Washington sponsors and the ACLU look forward to working with state and federal officials and to ensure the law is fully and fairly implemented," she said.


___


Johnson can be reached at https://twitter.com/GeneAPseattle


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Australian DJs Behind Prank Call Under Fire













An outpouring of anger is being directed today at the two Australian radio hosts after the death of a nurse who was caught in the DJs' prank call to hospital where Kate Middleton was treated earlier this week.


Lord Glenarthur, the chairman of King Edward VII's Hospital - the U.K. hospital where the Duchess of Cambridge was receiving treatment, condemned the prank in a letter to the Max Moore-Wilton, chairman of Southern Cross Austereo, the Australian radio station's parent company.


Glenarthur said the prank humiliated "two dedicated and caring nurses," and the consequences were "tragic beyond words," The Associated Press reported.


DJs Mel Greig and Michael Christian, radio shock jocks at Sydney's 2Day FM have been taken off the air, but the company they work for did not fire them or condemn them.


"I think that it's a bit early to be drawing conclusions from what is really a deeply tragic matter," Rhys Holleran, CEO of Southern Cross Austereo told a news conference in Sydney. "I mean, our main concern is for the family. I don't think anyone could have reasonably foreseen that this was going to be a result."


Nurse Jacintha Saldanha was found dead Friday morning after police were called to an address near the hospital to "reports of a woman found unconscious," according to a statement from Scotland Yard.


Circumstances of her death are still being investigated, but are not suspicious at this stage, authorities said Friday.


Following news of Saldanha's death, commentary on social media included posts expressing shock, sadness and anger.








Nurse Duped by 'Queen's' Prank Call Found Dead Watch Video









Jacintha Saldanha, Nurse at Kate Middleton's Hospital, Found Dead Watch Video







A sampling of some of the twitter posts directed at the DJs included: "you scumbag, hope you get what's coming to you" and "I hope you're happy now."


The hospital said that Saldanha worked at the hospital for more than four years. They called her a "first-class nurse" and "a well-respected and popular member of the staff."


The hospital extended their "deepest sympathies" to family and friends, saying that "everyone is shocked" at this "tragic event."


"I am devastated with the tragic loss of my beloved wife Jacintha in tragic circumstances, she will be laid to rest in Shirva, India," Saldanha's husband posted on Facebook.


The duchess spent three days at the hospital undergoing treatment for hyperemesis gravidarum, severe or debilitating nausea and vomiting. She was released from the hospital on Thursday morning.


"The Duke and Duchess of Cambridge are deeply saddened to learn of the death of Jacintha Saldanha," a spokesman from St. James Palace said in a statement.


On Friday, Greig and Christian had been gloating about their successful call to the hospital, in which they pretended to be Queen Elizabeth and Prince Charles and were able to obtain personal information about the Duchess's serious condition.


"You know what they were the worst accents ever and when we made that phone call we were sure a hundred people at least before us would have tried the same thing," said Grieg on air. She added with a laugh, "we were expecting to be hung up on we didn't even know what to say [when] we got through."


"We got through and now the entire world is talking, of course," said her co-host Christian.


When the royal impersonators called the hospital, Saldanha put through to a second nurse who told the royal impersonators that Kate was "quite stable" and hadn't "had any retching."


The hospital apologized for the mistake.


"The call was transferred through to a ward, and a short conversation was held with one of the nursing staff," the hospital said in a statement. "King Edward VII's Hospital deeply regrets this incident."


"This was a foolish prank call that we all deplore," John Lofthouse, the hospital's chief executive, said in the statement. "We take patient confidentiality extremely seriously, and we are now reviewing our telephone protocols."


The radio station also apologized for the prank call.






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Egyptian military urges dialogue to avert "catastrophe"


CAIRO (Reuters) - Egypt's military said on Saturday only dialogue could avert "catastrophe", stepping into a crisis pitting an Islamist president against opponents of his drive to reshape a nation in turmoil since Hosni Mubarak's overthrow.


An army statement, which state radio and television interrupted their programs to read out, told feuding factions that a solution to the upheaval in the most populous Arab nation should not contradict "legitimacy and the rules of democracy".


That sounded like a swipe at protesters who have besieged the palace of freely elected President Mohamed Mursi and who have called for his removal, going beyond mainstream opposition demands for him to retract a decree that expanded his powers.


The statement also called for a "serious" national dialogue - perhaps one more credible than talks convened by Mursi on Saturday in the absence of opposition leaders. They insist he must first scrap his November 22 decree, defer next week's popular vote on a new constitution and allow the text to be revised.


Deep rifts have emerged over the destiny of a country of 83 million where Mubarak's ouster after 30 years of autocratic rule led to a messy army-led transition, with the Muslim Brotherhood and its allies winning two elections. Many Egyptians crave a return to stability and economic recovery.


The spokesman for the main Islamist coalition demanded that the referendum go ahead on time on the constitution drafted by an Islamist-led assembly from which liberals had walked out.


The army, which ran Egypt for months after Mubarak fell in February 2011, again cast itself primarily as the neutral guarantor of the nation and a military source said there was no plan to retake control of the country or its turbulent streets.


"DARK TUNNEL"


"The armed forces affirm that dialogue is the best and only way to reach consensus," the statement said. "The opposite of that will bring us to a dark tunnel that will result in catastrophe and that is something we will not allow."


The military, however, did seem poised to take a more active role in security arrangements for the December 15 referendum.


A cabinet source said the cabinet had discussed reviving the army's ability to make arrests if it were called upon to back up police, who normally provide security for elections.


Mursi's office said the "national dialogue", chaired by the president, had begun with about 40 political and other public figures discussing "means to reach a solution to differences over the referendum...and the constitutional decree".


The instability in Egypt worries the West, especially the United States, which has given Cairo billions of dollars in military and other aid since it made peace with Israel in 1979.


The army issued its statement while protesters were still camped out by the gates of the presidential palace.


The tens of thousands of Mursi foes who surged past tanks and barbed wire to reach the palace gates on Friday night had dispersed. But a hard core stayed overnight in a score of tents.


Some had spray-painted "Down with Mursi" on tanks of the elite Republican Guard posted there after clashes between rival groups killed at least seven people and wounded 350 this week.


Others draped the tanks with posters of Mursi and the word "Leave" scored across his face in red letters.


"We are no longer calling for scrapping the decree and delaying the referendum," Samir Fayez, a Christian protester at the palace, said. "We have one demand in five letters: leave."


Nearby, a Mursi supporter named Mohamed Hassan was quietly observing the scene. He suggested that the Muslim Brotherhood and its ultra-orthodox Salafi Islamist allies could easily overwhelm their foes if they chose to mobilize their base.


"The Brotherhood and Salafis by themselves are few but they have millions of supporters who are at home and haven't taken it to the streets yet," murmured the 40-year-old engineer.


"HATE US, BUT TALK"


The Muslim Brotherhood's supreme guide, Mohamed Badie, denounced opposition protests that have swirled around the walls of the Mursi's palace, saying they "ruin legitimacy".


Badie said eight people, all of them Brotherhood members, had been killed this week and urged the interior minister to explain why police had failed to prevent assailants from torching the organization's headquarters and 28 other offices.


"Get angry with the Brotherhood and hate us as much as you like, but be reasonable and preserve Egypt's unity," he told a news conference. "We hope everyone gets back to dialogue."


The well-organized Brotherhood, which thrust Mursi from obscurity to power, remains his surest source of support, with over 80 years of religious and political struggle behind it.


In the referendum, due to be followed by a parliamentary election, Islamist proponents of the constitution may benefit from the votes of millions of Egyptians desperate for the country to move on and revive its crippled economy.


A Brotherhood official welcomed the army's "balanced" line. Former Arab League chief Amr Moussa, now an opposition leader, said the army was reacting to an "enormously dangerous" crisis.


The military was the power behind all previous presidents and an army council temporarily took over after Mubarak's fall. However, Mursi pushed the generals aside in August and they had shown little appetite to intervene in Egypt's latest crisis.


(Additional reporting by Edmund Blair, Omar Fahmy and Yasmine Saleh; Writing by Alistair Lyon; Editing by Mark Heinrich)



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SingHealth trains staff to meet elderly patients' needs






SINGAPORE: SingHealth has launched two key initiatives - a handbook and workshops aimed at training staff to help elderly patients navigate better and use healthcare services in a more efficient manner.

The handbook, co-developed with the Tsao Foundation, aims to scale up the skills, competencies, clinical experience and knowledge of staff.

Some of the guidelines include recommendations pertaining to staff training, the physical environment and the operational process of the institution.

The age-sensitisation workshop aims to train front-line healthcare professionals - who are typically the first point of contact with elderly patients - to learn how to better relate and serve the needs of the elderly.

The workshop will put them through real life simulation of the challenges faced by the elderly in their daily activities.

For instance, workshop participants attempted to pick up coins on the floor while wearing knee braces to simulate how a patient with arthritis feels.

Other activities included taping participants' fingertips to simulate the loss of sensation.

"The hardest thing for me was trying to put on the shirt with the buttons because it's so hard (to find) where the buttonholes are," said Keith Bryan, senior radiographer at National Heart Centre.

Through role-playing, SingHealth hopes staff will be educated on problems faced by the elderly.

"Many of our forms are in small print and you really need to have good eyesight in order to go through this. This will help the staff to say 'this is really a problem for our patients, so what can we do? Should we look at more elderly-friendly printing, like (having) larger fonts?'" said Isabel Yong, SingHealth's group service quality director.

"Their hearing is not as sharp as many of us but the training will enable the front-line staff to know 'hey when you talk to an elderly patient, be sure that you are facing them so that they can see you at eye level."

Doris Goh, senior patient associate at National Neuroscience Institute, said: "(The workshop) helps me to understand the elderly more as we (get to walk) in their shoes. So when we walk, we know they are slow so we have to slow down ourselves in order to meet their needs."

To date, more than 1,000 front-line staff and supervisors from information counters, registration counters at the specialist outpatient clinics, call centres and other service centres have attended the workshop and SingHealth aims to train about 6000 staff in the next five years.

SingHealth attends to about a million elderly patient visits every year and this figure is set to grow significantly with a rising ageing population.

- CNA/xq



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India asks Nepal to prevent terror groups from using its soil for infiltration

NEW DELHI: With several former militants from Jammu & Kashmir recently using Nepal to enter India from Pakistan-occupied-Kashmir (PoK), New Delhi has asked Kathmandu to strengthen its screening process since intelligence inputs suggest that ISI-backed terror groups are trying to push active terrorists in the guise of ex-ultras.

In the recently concluded meet between the Sashatra Seema Bal (SSB) and the Armed Police Force of Nepal (NAPF), India expressed security concerns over more than 100 former militants illegally entering the country via Nepal to avail the government's rehabilitation policy for former militants despite designating four specific routes for their return.

The home ministry has fixed four routes for the ex-militants' return — Poonch-Rawlakote, Uri-Muzaffarabad (both on the LoC), Wagah-Attari border in Amritsar and IGI Airport here. However, the militants from these four routes can return only with Pakistani permission as two LoC routes require permits approved by designated authority of the PoK, while the others need Pakistani passports and visas. The elaborate paperwork encourages touts to help militants — both former and active — sneaking them via Nepal.

Sources said, the SSB brass told its Nepalese counterparts that there were credible inputs about militant outfits such as Hizb-ul-Mujahideen (HuM) trying to push subversive elements in the guise of former militants via Nepal and unless proper screening and scrutiny of those arriving in the Himalayan nation from Pakistan, Dubai or certain other places was done, it could spell trouble for India.

India asked Nepal to step up vigilance on the border and strengthen intelligence network particularly at Barhwa-Sunauli and Birgunj-Raxaul borders.

The Nepalese delegation was also given details of how ISI and terror groups backed by it had established significant network on its soil, HuM, Lashkar-e-Toiba (LeT) and Jaish-e-Muhammad (JeM) were using it to launch terror modules in India. Sources said that HuM had even started forging Indian passports to push militants into the country.

In 2010, the Omar Abdullah government in J&K launched a "return-and-rehabilitation scheme" for former Kashmiri militants who crossed over to PoK for undergoing terror training at the peak of insurgency in late 1980s and early 1990s. Over 200 former militants have returned to the Valley since then, but mostly via Nepal. After sneaking in they surrender to local authorities and claim rehabilitation. Sources said chances are high that active militants use the same route, and then disappear.

A senior official from the security establishment said, "There are still over 30 terror camps aimed at India active in Pakistan. Infiltration on the J&K border is down. This means the groups are trying to push militants through other routes like Nepal's porous borders."

It is estimated that around 3,000 Kashmiri militants are still stationed in various terror camps in PoK.

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Celebrations planned as Wash. legalizes marijuana


SEATTLE (AP) — Legal marijuana possession becomes a reality under Washington state law on Thursday, and some people planned to celebrate the new law by breaking it.


Voters in Washington and Colorado last month made those the first states to decriminalize and regulate the recreational use of marijuana. Washington's law takes effect Thursday and allows adults to have up to an ounce of pot — but it bans public use of marijuana, which is punishable by a fine, just like drinking in public.


Nevertheless, some people planned to gather at 12:01 a.m. PST Thursday to smoke in public beneath Seattle's Space Needle. Others planned a midnight party outside the Seattle headquarters of Hempfest, the 21-year-old festival that attracts tens of thousands of pot fans every summer.


"This is a big day because all our lives we've been living under the iron curtain of prohibition," said Hempfest director Vivian McPeak. "The whole world sees that prohibition just took a body blow."


In another sweeping change for Washington, Gov. Chris Gregoire on Wednesday signed into law a measure that legalizes same-sex marriage. The state joins several others that allow gay and lesbian couples to wed.


That law also takes effect Thursday, when gay and lesbian couples can start picking up their wedding certificates and licenses at county auditors' offices. Those offices in King County, the state's largest and home to Seattle, and Thurston County, home to the state capital of Olympia, planned to open the earliest, at 12:01 a.m. Thursday, to start issuing marriage licenses. Because the state has a three-day waiting period, the earliest that weddings can take place is Sunday.


The Seattle Police Department provided this public marijuana use enforcement guidance to its officers via email Wednesday night: "Until further notice, officers shall not take any enforcement action — other than to issue a verbal warning — for a violation of Initiative 502."


Thanks to a 2003 law, marijuana enforcement remains the department's lowest priority. Even before I-502 passed on Nov. 6, police rarely busted people at Hempfest, despite widespread pot use, and the city attorney here doesn't prosecute people for having small amounts of marijuana.


Officers will be advising people to take their weed inside, police spokesman Jonah Spangenthal-Lee wrote on the SPD Blotter. "The police department believes that, under state law, you may responsibly get baked, order some pizzas and enjoy a 'Lord of the Rings' marathon in the privacy of your own home, if you want to."


Washington's new law decriminalizes possession of up to an ounce for those over 21, but for now selling marijuana remains illegal. I-502 gives the state a year to come up with a system of state-licensed growers, processors and retail stores, with the marijuana taxed 25 percent at each stage. Analysts have estimated that a legal pot market could bring Washington hundreds of millions of dollars a year in new tax revenue for schools, health care and basic government functions.


But marijuana remains illegal under federal law. That means federal agents can still arrest people for it, and it's banned from federal properties, including military bases and national parks.


The Justice Department has not said whether it will sue to try to block the regulatory schemes in Washington and Colorado from taking effect.


"The department's responsibility to enforce the Controlled Substances Act remains unchanged," said a statement issued Wednesday by the Seattle U.S. attorney's office. "Neither states nor the executive branch can nullify a statute passed by Congress" — a non-issue, since the measures passed in Washington and Colorado don't "nullify" federal law, which federal agents remain free to enforce.


The legal question is whether the establishment of a regulated marijuana market would "frustrate the purpose" of the federal pot prohibition, and many constitutional law scholars say it very likely would.


That leaves the political question of whether the administration wants to try to block the regulatory system, even though it would remain legal to possess up to an ounce of marijuana.


Colorado's measure, as far as decriminalizing possession goes, is set to take effect by Jan. 5. That state's regulatory scheme is due to be up and running by October 2013.


___(equals)


Johnson can be reached at https://twitter.com/GeneAPseattle


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Nurse Duped by 'Queen's' Call Found Dead













The hospital receptionist who was hoaxed by a prank call from a DJ claiming to be the queen asking about Kate Middleton has been found dead.


"It is with very deep sadness that we confirm the tragic death of a member of our nursing staff," the hospital said in a statement released today.


The nurse was identified as Jacintha Saldanha. The hospital said that Saldanha worked at the hospital for more than four years. They called her an "first-class nurse" and "a well-respected and popular member of the staff."


"We can confirm that Jacintha was recently the victim of a hoax call to the hospital," the statement said. "The hospital had been supporting her throughout this difficult time."


The hospital extended their "deepest sympathies" to family and friends, saying that "everyone is shocked" at this "tragic event."


"She will be greatly missed," the hospital said.


Earlier this week, the hospital fell for a prank call from an Australian radio show where the hosts pretended to be Queen Elizabeth II and Prince Charles looking to speak to Kate Middleton, who had been admitted to the hospital for her pregnancy. The call was put through to a second nurse who told the royal impersonators that Kate was "quite stable" and hadn't "had any retching."


"The Duke and Duchess of Cambridge are deeply saddened to learn of the death of Jacintha Saldanha," a spokesman from St. James Palace said in a statement.


"Their Royal Highnesses were looked after so wonderfully well at all times by everybody at King Edward VII Hospital, and their thoughts and prayers are with Jacintha Saldanha's family, friends and colleagues at this very sad time," the statement said.








Kate Middleton Pregnant: Royal Couple Expecting Watch Video









Kate Middleton Pregnant: Hospital Stay Forces Announcement Watch Video









Kate Middleton: Is Extreme Morning Sickness a Sign of Twins? Watch Video





The duchess spent three days at the hospital undergoing treatment for hyperemesis gravidarum, severe or debilitating nausea and vomiting. She was released from the hospital on Thursday morning.


The Tuesday morning prank call came from Australian DJ's Mel Greig and Michael Christian. They impersonated the royals, complete with exaggerated accents. They even enlisted two co-workers to bark like the queen's pet corgis.


The queen impersonator asked for her granddaughter and was promptly transferred to another hospital employee.


"I'm just after my granddaughter, Kate. I want to see how her little tummy bug is going," the radio host said, suppressing laughter.


"She's sleeping at the moment, and she has had an uneventful night and sleep is good for her," the nurse said. "She's been getting some fluids to rehydrate her because she was quite dehydrated when she came in, but she's stable at the moment."


The fake royals went on to ask when would be a good time to visit and were told that "anytime after 9 o'clock would be suitable."


"She's quite stable at the moment. She hasn't had any retching ... since I've been on duty. And she has been sleeping on and off. I think it's difficult sleeping in a strange bed as well," the nurse said.


The hospital apologized for the mistake.


"The call was transferred through to a ward, and a short conversation was held with one of the nursing staff," the hospital said in a statement. "King Edward VII's Hospital deeply regrets this incident."


"This was a foolish prank call that we all deplore," John Lofthouse, the hospital's chief executive, said in the statement. "We take patient confidentiality extremely seriously, and we are now reviewing our telephone protocols."


The radio station has since apologized for the prank call.


"2Day FM sincerely apologizes for any inconvenience caused by the inquiry to Kate's hospital. The radio segment was done with lighthearted intentions," the station said in a statement.


"We were very surprised that our call was put through. We thought we'd be hung up on as soon as they heard our terrible accents," the radio hosts said in the statement. "We're very sorry if we've caused any issues, and we're glad to hear that Kate is doing well. We wish Kate and her family all the best."



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Egypt struggle seen costing Mursi, even if he wins


CAIRO (Reuters) - The crisis unleashed by President Mohamed Mursi's bid to wrap up Egypt's transition on his own terms has eroded his nation's faith in their nascent democracy and will complicate the already unenviable task of government.


His effort to drive through a constitution against the wishes of major sections of society, including a Christian minority, has damaged prospects for building consensus needed to tackle challenges ahead, such as fixing a broken economy.


Having promised to be a president for all, Mursi stands accused of putting the interests of his group, the Muslim Brotherhood, ahead of others who say their aspirations are not reflected in the draft to be put to a December 15 referendum.


On the other side, suspicions harbored by Islamists towards their secular-minded opponents have only deepened as a result of the turmoil ignited by Mursi's effort to fast-track the final stage of the transition from Hosni Mubarak's rule.


With the more extreme among them opposed to the very notion of democracy, the Islamists say their rivals are not respecting the rules of the game that put them in the driving seat by winning free and fair elections.


People anxious to see Egypt recover from two years of turbulence fear bad blood could persist and squash hopes for cooperation needed to help Mursi rule smoothly and deliver much-needed reforms.


"If they succeed in the referendum, they will see that as a step forward, but not without cost," said a Western diplomat.


Though Mursi won international praise for mediating a truce in Gaza, the violence on his own streets worries the West and particularly the United States, which has given Cairo billions of dollars in military and other aid since Egypt made peace with Israel in 1979. U.S. President Barack Obama told Mursi on Thursday of his "deep concern" about casualties during protests.


A victim of the polarization could be the Brotherhood's plans to forge electoral alliances with liberals in forthcoming parliamentary polls. The head of the Brotherhood's Freedom and Justice Party told Reuters this week he saw such alliances as preferable to an ideological tie-up with other Islamists.


The divisions are now playing out in the streets. Seven people were killed and hundreds wounded this week in clashes between Islamists and their rivals. A call by Mursi for dialogue was rebuffed by activists who are to protest again on Friday.


"We said that this state of polarization, if it was not dealt with properly, would reach this point, and it has," said Ayman Al-Sayyad, who quit his post as a Mursi adviser on Wednesday following an eruption of violence.


"This was the scene that we were trying to avoid," he added in an interview with al-Hayat television.


The inclusive image Mursi had tried to build around his administration was one of the first victims of the crisis that mushroomed following a November 22 decree that expanded his powers and protected his decisions from judicial review.


RESIGNATIONS


A Christian and a woman were among the first to resign from his staff, as surprised by the decree as most Egyptians. Despite an early bout of violence, Mursi showed no sign of wavering and appeared to brush off his critics.


"I see things more than they do," he told Time.


With speculation swirling around how he took the decision, Egyptians long suspicious of the Brotherhood have concluded Mursi is running the country at the group's command.


In response, the Islamists complain that many of Mursi's attempts at outreach were rebuffed early on. Their view of the opposition has grown dimmer through the crisis. Brotherhood members have started to dismiss opponents as "feloul", meaning "remnants" - a pejorative implying loyalty to Mubarak.


"The really unfortunate side effect of the last two weeks is the political atmosphere has become really toxic. I fear that could endure long past the current crisis," said Elijah Zarwan, a fellow with the European Council on Foreign Relations.


"The next government is going to have to move very quickly to address many problems and it will need cooperation. In the current atmosphere, it is hard to imagine others cooperating."


Such cooperation will be at a premium for introducing policies aimed at reining in a crushing budget deficit and staving off a balance of payments crisis. Egypt's economy has lost $70 billion to $80 billion of economic output since Mubarak was ousted, in one economist's estimate.


Top of the economic to-do list are measures to cut back on fuel subsidies - one of the biggest drains on state finances. Tweaks to such support are bound to be unpopular in a nation where both rich and poor have grown used to cheap petrol.


"He has inherited an economy that is weak and needs serious surgery, so he is going to have to make controversial decisions over the next year or so," said Simon Kitchen, strategist at EFG-Hermes, an Egyptian investment bank.


"Ideally you want to do that in an environment where you have some sort of political consensus," he said.


"THEY BURNED THEIR BRIDGES"


Some subsidy reform and other steps to cut waste are part of a program agreed in principle with the International Monetary Fund for $4.8 billion loan designed to support the budget.


The IMF board meets on December 19 to discuss approval of the loan, which would be seen by investors as a seal of approval for the government's reform program.


Besides the economy, Mursi needs wider backing to tackle other problems including a judiciary which his opponents agree needs overhaul. But even when he sacked the unpopular, Mubarak-era prosecutor general, Mursi was criticized for showing an autocratic streak in the way he went about it.


In the new system of government outlined in the draft constitution, Egypt's next parliament will have a say over the shape of government. A parliamentary election would go ahead some two months later if the constitution is approved in the referendum.


With that in mind, the Freedom and Justice Party is already eyeing alliances to fight the parliamentary election.


FJP leader Saad al-Katatni said in an interview his preference was for an alliance with liberals, not the hardline Islamists whose backing has helped Mursi through the crisis. "Our preferred option is that the alliance not be ideological so that we don't have a split in the nation," he said.


The Brotherhood had kept the nascent hardline Salafi parties at arm's length as they emerged after Mubarak's political demise. That trend has gradually been reversed as the Brotherhood has looked to fellow Islamists for support.


"They burned their bridges with the secular camp and relied heavily on the Salafi camp. We don't feel that is where they naturally want to be right now," said the Western diplomat, speaking on condition of anonymity.


Sentiment from liberal parties suggests the Brotherhood will struggle to convince liberals that it is a trustworthy partner.


"I don't think the man realizes the degree of rebellion and rage the people have," said Ahmed Said, head of the liberal Free Egyptians Party, referring to Mursi. "The country is totally divided and polarized. You have two nations now."


(Writing by Tom Perry; Editing by Peter Graff)



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Kate hospital hoax call staffer in found dead






LONDON: A staff member at a hospital which treated Prince William's pregnant wife Catherine was found dead in a suspected suicide Friday, days after being duped by a hoax call from an Australian radio station, reports said.

British police confirmed that they were investigating the "unexplained death" of a woman whose body was discovered at a property near the King Edward VII hospital in central London.

Several British newspapers reported the death of a staff member but there were conflicting reports as to what role the woman had at the hospital.

In what it billed as the "biggest royal prank ever", two presenters from Sydney's 2Day FM station called the hospital on Monday pretending to be Queen Elizabeth II and William's father Prince Charles.

They asked to speak to the former Kate Middleton and a hospital receptionist then put them through to a nurse who gave the presenters private details of the Duchess of Cambridge's severe morning sickness.

The Daily Mail newspaper quoted an unidentified source as saying that the woman appeared to have killed herself at an address just metres away from the hospital.

A Scotland Yard spokesman said: "Police were called at 9:25 am this morning to reports of a woman unconscious at an address in Weymouth Street, W1.

"London Ambulance Service attended and a woman was pronounced dead at the scene. Inquiries continue to establish the circumstances of the incident. The death is being treated as unexplained."

A source in the emergency services told AFP that while the death was being treated as unexplained it was not thought to be suspicious.

Presenters Mel Greig and Michael Christian said sorry earlier this week for the call, even as the station was milking the publicity for it.

"We were very surprised that our call was put through. We thought we'd be hung up on as soon as they heard our terrible accents," the presenters said in a statement.

"We're very sorry if we've caused any issues and we're glad to hear that Kate is doing well."

Kate was admitted to hospital on Monday with acute morning sickness and left on Thursday, saying she was feeling much better.

Her admission to hospital was the first the world knew of her pregnancy. It will be the couple's first child and will be third in line to the British throne after Charles and William.

- AFP/jc



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Dhindsa’ election as IOA vice president hailed

SANGRUR: The controversies surrounding the elections of Indian Olympic association(IOA) in the wake of International Olympic committee(IOC) directing against it, the election of Punjab finance minister Parminder Singh Dhindsa as IOA vice president is being hailed in Punjab.

Dhindsa was elected as vice president in the election meeting held at New Delhi on Wednesday. Parminder' father and former union minister Sukhdev Singh Dhindsa had remained associated with IOA and is president of Punjab Olympic association since many years. Interestingly neighbouring Haryana has got the presidentship of IOA with Chautala Jr. bagging the post unopposed. Punjab deputy chief minister Sukhbir Singh Badal greeted Dhindsa on his election.

Parminder on his part as IOA vice president said "my first priority will be to get Kabaddi introduced in the national games and then make efforts to introduce the sport in Asian and Olympic Games".

Punjab Kabaddi association president Sikandar Singh Maluka expressed hope that now Kabaddi could easily be elevated at the national and the international platform.

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Celebrations planned as Wash. legalizes marijuana


SEATTLE (AP) — Legal marijuana possession becomes a reality under Washington state law on Thursday, and some people planned to celebrate the new law by breaking it.


Voters in Washington and Colorado last month made those the first states to decriminalize and regulate the recreational use of marijuana. Washington's law takes effect Thursday and allows adults to have up to an ounce of pot — but it bans public use of marijuana, which is punishable by a fine, just like drinking in public.


Nevertheless, some people planned to gather at 12:01 a.m. PST Thursday to smoke in public beneath Seattle's Space Needle. Others planned a midnight party outside the Seattle headquarters of Hempfest, the 21-year-old festival that attracts tens of thousands of pot fans every summer.


"This is a big day because all our lives we've been living under the iron curtain of prohibition," said Hempfest director Vivian McPeak. "The whole world sees that prohibition just took a body blow."


In another sweeping change for Washington, Gov. Chris Gregoire on Wednesday signed into law a measure that legalizes same-sex marriage. The state joins several others that allow gay and lesbian couples to wed.


That law also takes effect Thursday, when gay and lesbian couples can start picking up their wedding certificates and licenses at county auditors' offices. Those offices in King County, the state's largest and home to Seattle, and Thurston County, home to the state capital of Olympia, planned to open the earliest, at 12:01 a.m. Thursday, to start issuing marriage licenses. Because the state has a three-day waiting period, the earliest that weddings can take place is Sunday.


The Seattle Police Department provided this public marijuana use enforcement guidance to its officers via email Wednesday night: "Until further notice, officers shall not take any enforcement action — other than to issue a verbal warning — for a violation of Initiative 502."


Thanks to a 2003 law, marijuana enforcement remains the department's lowest priority. Even before I-502 passed on Nov. 6, police rarely busted people at Hempfest, despite widespread pot use, and the city attorney here doesn't prosecute people for having small amounts of marijuana.


Officers will be advising people to take their weed inside, police spokesman Jonah Spangenthal-Lee wrote on the SPD Blotter. "The police department believes that, under state law, you may responsibly get baked, order some pizzas and enjoy a 'Lord of the Rings' marathon in the privacy of your own home, if you want to."


Washington's new law decriminalizes possession of up to an ounce for those over 21, but for now selling marijuana remains illegal. I-502 gives the state a year to come up with a system of state-licensed growers, processors and retail stores, with the marijuana taxed 25 percent at each stage. Analysts have estimated that a legal pot market could bring Washington hundreds of millions of dollars a year in new tax revenue for schools, health care and basic government functions.


But marijuana remains illegal under federal law. That means federal agents can still arrest people for it, and it's banned from federal properties, including military bases and national parks.


The Justice Department has not said whether it will sue to try to block the regulatory schemes in Washington and Colorado from taking effect.


"The department's responsibility to enforce the Controlled Substances Act remains unchanged," said a statement issued Wednesday by the Seattle U.S. attorney's office. "Neither states nor the executive branch can nullify a statute passed by Congress" — a non-issue, since the measures passed in Washington and Colorado don't "nullify" federal law, which federal agents remain free to enforce.


The legal question is whether the establishment of a regulated marijuana market would "frustrate the purpose" of the federal pot prohibition, and many constitutional law scholars say it very likely would.


That leaves the political question of whether the administration wants to try to block the regulatory system, even though it would remain legal to possess up to an ounce of marijuana.


Colorado's measure, as far as decriminalizing possession goes, is set to take effect by Jan. 5. That state's regulatory scheme is due to be up and running by October 2013.


___(equals)


Johnson can be reached at https://twitter.com/GeneAPseattle


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Deadly, or Just Misused? Feds Sue Nap Nanny













The Consumer Product Safety Commission is taking action against the makers of a portable baby recliner called the Nap Nanny after five infant deaths linked to the product.


The commission filed a complaint Wednesday to force the manufacturer, Baby Matters LLC, to pull its product off store shelves and offer full refunds to their customers. In addition to the five deaths, the commission says there have been 70 complaints about children falling out of the Nap Nanny.


The commission says normally it can work things out with manufacturers to voluntarily recall a dangerous product, but for five months the makers of Nap Nanny have defiantly refused to pull its product or offer refunds.


"We believe it is a hazardous product and we are concerned about the safety of the children that are in there," Consumer Product Safety Commission spokesman Alex Flip told ABC News.


Baby Matters LLC describes the Nap Nanny as an infant recliner designed to increase the baby's comfort.


"We had to take action because of the number of incidences, and that is why we have filed this complaint against the company. They would not agree to a voluntary recall," Flip said.


The Nap Nanny was invented by a Philadelphia sportscaster and mother Leslie Gudel. She came up with the idea after learning her daughter would only fall asleep in the car seat.








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In a statement posted on Nap Nanny's website, Gudel said she is heartbroken for the families who have lost a child, but says the victims' parents misused her product by either not strapping the baby in or placing the device on a table or in a crib.


Some of the cases involved recliners that were placed in a crib, which the company has urged parents not to do.


"We do not believe the complaint has merit and stand behind the safety of our product when used as instructed," Gudel wrote in the statement. "The Nap Nanny should be placed on the floor with the harness secured."


Gudel says that the ongoing battle with the CPSC has cost her company so much money that it was forced to close last month.


"Another small business is gone. Twenty-two Americans are out of work between Nap Nanny and our supplier. This doesn't take into account the financial impact our closure has had on our other U.S. suppliers," Gudel wrote.


The first infant death was reported in 2010, which caused Nap Nanny to recall the product that same year and raise the sides of the recliner. The manufacturer also posted warnings and made an instructional video for parents.


According to the complaint, in April 2010, a six-month old died when she suffocated while using the Generation Two Nap Nanny. The infant was not secured in the harness and the medical examiner ruled the cause of death was positional asphyxia.


In July 2010, a four-month old died when she suffocated between a Generation Two Nap Nanny and the bumper in her crib. This time, the infant was secured in the harness but it failed to adequately restrain her in the recliner.


Still, the maker of the Nap Nanny stands by their product and says they have gone to "great lengths to make the safest product possible."


"No infant using the Nap Nanny properly has ever suffered an injury requiring medical attention," Gudel said in the statement.


Some 5,000 Nap Nanny Generation One and 50,000 Generation Two models were sold between 2009 and early 2012. About 100,000 Chill models have been sold since January 2011, reports The Associated Press.



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Military halts clashes as political crisis grips Egypt


CAIRO (Reuters) - Egypt's Republican Guard restored order around the presidential palace on Thursday after fierce overnight clashes killed seven people, but passions ran high in a struggle over the country's future.


The Islamist president, Mohamed Mursi, criticized by his opponents for his silence in the last few days, was due to address the nation later in the day, state television said.


Hundreds of his supporters who had camped out near the palace overnight withdrew before a mid-afternoon deadline set by the Republican Guard. Dozens of Mursi's foes remained, but were kept away by a barbed wire barricade guarded by tanks.


The military played a big role in removing President Hosni Mubarak during last year's popular revolt, taking over to manage a transitional period, but had stayed out of the latest crisis.


Mursi's Islamist partisans fought opposition protesters well into the early hours during dueling demonstrations over the president's decree on November 22 to expand his powers to help him push through a mostly Islamist-drafted constitution.


Officials said seven people had been killed and 350 wounded in the violence, for which each side blamed the other. Six of the dead were Mursi supporters, the Muslim Brotherhood said.


The street clashes reflected a deep political divide in the most populous Arab nation, where contrasting visions of Islamists and their liberal rivals have complicated a struggle to embed democracy after Mubarak's 30-year autocracy.


The United States, worried about the stability of an Arab partner which has a peace deal with Israel and which receives $1.3 billion a year in U.S. military aid, has urged dialogue.


The commander of the Republican Guard said deployment of tanks and troop carriers around the presidential palace was intended to separate the adversaries, not to repress them.


"The armed forces, and at the forefront of them the Republican Guard, will not be used as a tool to oppress the demonstrators," General Mohamed Zaki told the state news agency.


Hussein Abdel Ghani, spokesman of the opposition National Salvation Front, said more protests were planned, but not necessarily at the palace in Cairo's Heliopolis district.


"Our youth are leading us today and we decided to agree to whatever they want to do," he told Reuters.


UNITY APPEAL


Egypt plunged into renewed turmoil after Mursi issued his November 22 decree and an Islamist-dominated assembly hastily approved a new constitution to go to a referendum on December 15.


The Supreme Guide of the Brotherhood, to which Mursi belonged before he was narrowly elected president in June, appealed for unity. Divisions among Egyptians "only serve the nation's enemies", Mohamed Badie said in a statement.


Rival factions used rocks, petrol bombs and guns in the clashes around the presidential palace.


"We came here to support President Mursi and his decisions. He is the elected president of Egypt," said demonstrator Emad Abou Salem, 40. "He has legitimacy and nobody else does."


Opposition protester Ehab Nasser el-Din, 21, his head bandaged after being hit by a rock the day before, decried the Muslim Brotherhood's "grip on the country", which he said would only tighten if the new constitution is passed.


Another protester, Ahmed Abdel-Hakim, 23, accused the Brotherhood of "igniting the country in the name of religion".


Mursi's opponents accuse him of seeking to create a new "dictatorship". The president says his actions were necessary to prevent courts still full of judges appointed by Mubarak from derailing a constitution vital for Egypt's political transition.


Mursi has shown no sign of buckling under pressure from protesters, confident that the Islamists, who have dominated both elections since Mubarak was overthrown, can win the referendum and the parliamentary election to follow.


Mahmoud Hussein, the Brotherhood's secretary-general, said holding the plebiscite was the only way out of the crisis, dismissing the opposition as "remnants of the (Mubarak) regime, thugs and people working for foreign agendas".


As well as relying on his Brotherhood power base, Mursi may also tap into a popular yearning for stability and economic revival after almost two years of political turmoil.


The Egyptian pound sank on Thursday to its lowest level in eight years, after previously firming on hopes that a $4.8 billion IMF loan would stabilize the economy. The Egyptian stock market fell 4.4 percent after it opened.


Foreign exchange reserves fell by nearly $450 million to $15 billion in November, indicating that the Central Bank was still spending heavily to bolster the pound. The reserves stood at about $36 billion before the anti-Mubarak uprising.


(Additional reporting by Tom Perry and Yasmine Saleh; Writing by Alistair Lyon; Editing by Giles Elgood)



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All 13 Singaporeans on board stranded Indonesian ferry safe






SINGAPORE: All 13 Singaporeans on board a Singapore-Tanjong Pinang ferry which ran aground off Lobam island on Wednesday night are safe.

Ferry operator Sindo Ferry and Indonesia's Search and Rescue Agency, BASARNAS, gave this update in response to queries from Channel NewsAsia.

Of the 97 passengers, one Indonesian lady is still in hospital for medical attention.

The ferry, MV Sindo 31, left Singapore from Tanah Merah Ferry Terminal at 6.20pm on Wednesday.

At about 8pm, Sindo Ferry (formerly known as Penguin Ferry) received a call from the captain of the vessel that the ferry had ran aground off Lobam island.

The passengers and crew were stranded for around two hours.

Before help arrived, an Indonesian woman, accompanied by two family members were sent to a nearby hospital by local maritime police for urgent medical attention.

At about 10pm, two smaller local ferries, each with a capacity of 40 people, arrived to pick up the stranded passengers.

With combined efforts by the Tanjung Uban Sea and Coast Guards and BASARNAS, the passengers were ferried to Tanjung Uban, where they boarded a standby vessel , MV Penguin 7, and arrived at Tanjong Pinang near midnight.

The stranded ferry was not damaged and is currently moored at Tanjong Uban for further investigations.

Sindo Ferry says the stranded ferry is seaworthy and it is investigating the cause of the accident.

Weather conditions and low-tide are believed to have caused the accident.

- CNA/de



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After DMK, UPA ally NCP says it is opposed to FDI in retail

NEW DELHI: Even as it voted in favour of FDI in retail, UPA's key constituent NCP today struck a discordant note by saying that it did not support implementation of the decision in Maharashtra.

"NCP does not support FDI in multi-brand retail," Patel, who is also the Union minister for heavy industry, told reporters outside Parliament soon after its members voted in favour of the move in the Lok Sabha.

He said the decision to implement FDI in retail in Maharashtra would be taken after consultations with its coalition partner Congress.

Earlier participating in the debate in the Lok Sabha, Patel sought to differ with telecom minister Kapil Sibal, who had yesterday said the Maharashtra government had spoken in favour of FDI in retail.

Noting that FDI would be implemented only in cities with population more than 10 lakh, he said "it is possible that this experiment may not succeed. If this does not work out, then be it (NCP chief) Sharad Pawar or myself we can revise our opinion.

"In Maharashtra, we have a coalition government (with Congress). Kapilji, yesterday you had said that Maharashtra government has favoured FDI in retail.

"But, I would like to make it clear on behalf of my party, I wish to state that there is a coordination committee (in the state). We will meet, discuss its merits and demerits and then decide on our party's stand which will be conveyed."

Yesterday, another key UPA constituent DMK had voiced its opposition to FDI in multi-brand retail.

DMK leader T K S Elangovan said the party was with the government because it had stated that FDI was the need of the hour to save the fiscal condition of the States.

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Longer tamoxifen use cuts breast cancer deaths


Breast cancer patients taking the drug tamoxifen can cut their chances of having the disease come back or kill them if they stay on the pills for 10 years instead of five years as doctors recommend now, a major study finds.


The results could change treatment, especially for younger women. The findings are a surprise because earlier research suggested that taking the hormone-blocking drug for longer than five years didn't help and might even be harmful.


In the new study, researchers found that women who took tamoxifen for 10 years lowered their risk of a recurrence by 25 percent and of dying of breast cancer by 29 percent compared to those who took the pills for just five years.


In absolute terms, continuing on tamoxifen kept three additional women out of every 100 from dying of breast cancer within five to 14 years from when their disease was diagnosed. When added to the benefit from the first five years of use, a decade of tamoxifen can cut breast cancer mortality in half during the second decade after diagnosis, researchers estimate.


Some women balk at taking a preventive drug for so long, but for those at high risk of a recurrence, "this will be a convincer that they should continue," said Dr. Peter Ravdin, director of the breast cancer program at the UT Health Science Center in San Antonio.


He reviewed results of the study, which was being presented Wednesday at a breast cancer conference in San Antonio and published by the British medical journal Lancet.


About 50,000 of the roughly 230,000 new cases of breast cancer in the United States each year occur in women before menopause. Most breast cancers are fueled by estrogen, and hormone blockers are known to cut the risk of recurrence in such cases.


Tamoxifen long was the top choice, but newer drugs called aromatase inhibitors — sold as Arimidex, Femara, Aromasin and in generic form — do the job with less risk of causing uterine cancer and other problems.


But the newer drugs don't work well before menopause. Even some women past menopause choose tamoxifen over the newer drugs, which cost more and have different side effects such as joint pain, bone loss and sexual problems.


The new study aimed to see whether over a very long time, longer treatment with tamoxifen could help.


Dr. Christina Davies of the University of Oxford in England and other researchers assigned 6,846 women who already had taken tamoxifen for five years to either stay on it or take dummy pills for another five years.


Researchers saw little difference in the groups five to nine years after diagnosis. But beyond that time, 15 percent of women who had stopped taking tamoxifen after five years had died of breast cancer versus 12 percent of those who took it for 10 years. Cancer had returned in 25 percent of women on the shorter treatment versus 21 percent of those treated longer.


Tamoxifen had some troubling side effects: Longer use nearly doubled the risk of endometrial cancer. But it rarely proved fatal, and there was no increased risk among premenopausal women in the study — the very group tamoxifen helps most.


"Overall the benefits of extended tamoxifen seemed to outweigh the risks substantially," Dr. Trevor Powles of the Cancer Centre London wrote in an editorial published with the study.


The study was sponsored by cancer research organizations in Britain and Europe, the United States Army, and AstraZeneca PLC, which makes Nolvadex, a brand of tamoxifen, which also is sold as a generic for 10 to 50 cents a day. Brand-name versions of the newer hormone blockers, aromatase inhibitors, are $300 or more per month, but generics are available for much less.


The results pose a quandary for breast cancer patients past menopause and those who become menopausal because of their treatment — the vast majority of cases. Previous studies found that starting on one of the newer hormone blockers led to fewer relapses than initial treatment with tamoxifen did.


Another study found that switching to one of the new drugs after five years of tamoxifen cut the risk of breast cancer recurrence nearly in half — more than what was seen in the new study of 10 years of tamoxifen.


"For postmenopausal women, the data still remain much stronger at this point for a switch to an aromatase inhibitor," said that study's leader, Dr. Paul Goss of Massachusetts General Hospital. He has been a paid speaker for a company that makes one of those drugs.


Women in his study have not been followed long enough to see whether switching cuts deaths from breast cancer, as 10 years of tamoxifen did. Results are expected in about a year.


The cancer conference is sponsored by the American Association for Cancer Research, Baylor College of Medicine and the UT Health Science Center.


___


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


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Fiscal Cliff: Can Savings Be Found Without Sacrifice?












How does one come up with $4 trillion in revenue and spending cuts?


That's the question members of Congress, the Obama administration and fiscal experts around the country are grappling with as "fiscal cliff" talks continue to stall.


The fiscal cliff is a combination of the soon-to-expire Bush tax cuts coupled with a series of deep budgetary cuts to defense and domestic programs- the ultimate goal of which is to help stabilize the deficit going forward. While there is no exact amount of savings and revenue that would stabilize the country's debt- the number varies somewhat depending on who you ask- the generally agreed upon range is around $4 trillion.


Republicans and Democrats are drawing lines in the ideological sand. Democrats want to let the Bush tax cuts expire for the highest income earners, effectively raising tax rates on the top 2 percent of earners, which Republicans oppose. Republicans want to look at entitlement reforms- Medicare, Medicaid, Social Security, which Democrats oppose. The seemingly staunch stands beg the question--is there any way to reach a deal that would start to generate close to $4 trillion that does not involve raising taxes or reforming entitlement programs?


It's fiscally possible, but it's inconvenient and unlikely.


There are a series of trims that the government could make to the budget that would save a few billion here and there. Ideas that have been suggested include doubling the airline fee for a non-stop flight from $2.50 to $5, reforming our immigration detention programs, and prison reform.




But those ideas don't generate a great deal of savings in and of themselves. The airline fee increasing for example, it's estimated that raising the non-stop flight fee to $5 would only generate an additional $1 billion a year--$10 billion over the course of 10 years.


Prison reform is another avenue of savings. A study from the Vera Institute of Justice released in January, 2012 showed that in the fiscal year of 2010 the total cost for taxpayers of the nation's federal prisons was $39 billion--which was a little more than $5 billion more than the states' combined corrections budgets that year. The cost of an inmate per taxpayer on average was $31,286.


Reforming the system could trim that cost, but it's a complicated endeavor that lacks a single, or even simple handful of solutions, and at the end of the day wouldn't generate the hundreds of billions of dollars in savings needed to begin approaching the trillions in savings and revenue the government is looking for.


Those big savings, experts point out, are found in entitlements and taxes.


"The high-end Bush tax cuts generate a trillion dollars over 10 years. That's a quarter of the task of stabilizing the debt...That's achievable," said Chuck Marre, director of Federal Tax Policy at the Center on Budget and Policy Priorities. "If they just pass the tax cuts for 98 percent of the people only, by default that (revenue) happens and that's significant. Then you need to figure out where does the rest of the money come from?"


And a significant area where that money comes from, experts suggest, is entitlement spending.


"I'm sure there are some small programs that could be eliminated or curtailed but it would be a drop in the ocean of spending represented by entitlements," said Isabel Sawhill, a senior fellow at the Brookings Institution.


Social Security, Medicaid and Medicare, are categorized as mandatory spending in the government's fiscal budget. In the 2010 fiscal year 55 percent of the budget went to mandatory spending. Within that 55 percent, Social Security, Medicare and Medicaid made up a total of 71 percent combined, according to figures from the Center on Budget and Policy Priorities.


It's these avenues that will likely be the quickest and least complicated means of generating the savings necessary to stabilize the debt. Of course, the irony is, these avenues are also the most politically sacred, making a simple and painless fix to the problem effectively impossible.



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Confrontation between rival protesters looms in Egypt crisis


CAIRO (Reuters) - Egypt's Muslim Brotherhood called for a rally backing President Mohamed Mursi outside his palace on Wednesday and leftists planned a counter-demonstration, raising fears of clashes in a crisis over a disputed push for a new constitution.


Mursi returned to work at his compound a day after it came under siege from opposition protesters furious at his drive to ratify a new constitution in a snap referendum set for December 15 after temporarily expanding his powers by decree.


The Islamist president said he acted to prevent courts still full of appointees from the era of autocratic predecessor Hosni Mubarak from derailing the draft constitution meant to complete a political transition in the Arab world's most populous state.


The Brotherhood, from which Mursi emerged to narrowly win a free election in June, summoned supporters to a demonstration outside the palace in response to what it termed "oppressive abuses" by opposition parties.


Brotherhood spokesman Mahmoud Ghozlan was quoted on its Facebook page as saying opposition groups "imagined they could shake legitimacy or impose their views by force".


Leftist opposition leader Hamdeen Sabahy promptly urged his supporters to go to the streets as well, heightening the chances of confrontation between Islamists and their opponents.


A spokeswoman for Sabahy's Popular Current movement asked protesters to head to the palace to reinforce those still camped out there after Tuesday evening's protests, in which officials said 35 protesters and 40 police were wounded.


Although they fired tear gas when protesters broke through barricades to reach the palace walls, riot police appeared to handle those disturbances with restraint.


About 200 protesters camped out overnight, blocking one gate to the palace in northern Cairo, but traffic was flowing normally and riot police had been withdrawn.


"Our demands to the president: retract the presidential decree and cancel the referendum on the constitution," read a placard hung by demonstrators on a palace gate.


The rest of the Egyptian capital was calm, despite the political furor over Mursi's November 22 decree handing himself wide powers and shielding his decisions from judicial oversight.


Crowds had gathered on Tuesday for what organizers dubbed a "last warning" to Mursi. "The people want the downfall of the regime," they chanted, roaring the signature slogan of last year's uprising that ousted Mubarak.


But the "last warning" may turn out to be one of the last gasps for a disparate opposition that has little chance of stopping next week's vote on a constitution drafted over six months and swiftly approved by an Islamist-dominated assembly.


MURSI STANDS HIS GROUND


Facing the gravest crisis of his six-month-old tenure, the Islamist president has shown no sign of buckling under pressure, confident that the Muslim Brotherhood and its Islamist allies can win the referendum and a parliamentary election to follow.


Many Egyptians yearn for an end to political upheaval that has scared off investors and tourists, damaging the economy.


Ahmed Kamel, spokesman for the Congress Party led by former Arab League chief Amr Moussa, said Mursi should meet opposition demands, not call for an Islamist counter-demonstration.


Some protesters have already gone beyond opposition calls for Mursi to scrap his decree, defer the referendum and set up a "representative committee" to revise the draft constitution, instead demanding the president's overthrow.


"The demands of the street are moving faster than those of the politicians," said Elijah Zarwan, a fellow with the European Council on Foreign Relations. "Now is the time for the Egyptian liberals to negotiate without conditions."


COURT PROTEST


Dozens of pro-Mursi demonstrators, watched by equal numbers of police, waved flags outside the Supreme Constitutional Court, whose rulings have complicated the Islamists' rise to power.


"You are not a political agency," read one banner held by the demonstrators, addressing a court that in June ordered the dissolution of the Islamist-led lower house of parliament.


Mursi issued his decree temporarily putting his actions above the law to forestall any court ruling to dissolve the upper house or the assembly that wrote the constitution.


State institutions, with the partial exception of the judiciary, have mostly fallen in behind Mursi.


The army, the power behind all previous Egyptian presidents in the republic's six-decade history, has gone back to barracks, having apparently lost its appetite to intervene in politics.


In a bold move, Mursi sacked Mohamed Hussein Tantawi, the Mubarak-era army commander and defense minister, in August and removed the sweeping powers that the military council which took over after Mubarak's fall had grabbed two months earlier.


The liberals, leftists, Christians, ex-Mubarak followers and others opposed to Mursi, elected in a close result against a secular rival, have yet to generate a mass movement or a grassroots political base to challenge the Brotherhood.


Protesters have scrawled "leave" over Mursi's palace walls, but the president has made clear he is not going anywhere.


"The crisis we have suffered for two weeks is on its way to an end, and very soon, God willing," Saad al-Katatni, head of the Brotherhood's Freedom and Justice Party, told Reuters.


Investors have seized on hopes that Egypt's turbulent transition, which has buffeted the economy for two years, may soon head for calmer waters, sending stocks 1.6 per cent higher after a 3.5 percent rally on Tuesday.


The most populous Arab nation has turned to the IMF for a $4.8 billion loan to help it out of a crisis that has depleted its foreign currency reserves.


The government said on Wednesday the process was on track and Egypt's request would go to the IMF board as expected.


(Additional reporting by Tom Perry and Yasmine Saleh; Writing by Alistair Lyon; Editing by Mark Heinrich)



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Singapore calls for emissions reductions to achieve climate change deal






DOHA: Singapore has called on countries to show their commitment by pledging emissions reductions in order to achieve a global deal on climate change.

Deputy Prime Minister Teo Chee Hean said the new agreement must be applicable to all.

"Climate change is a global challenge that requires a global solution. All parties have to play their part by making a contribution," he said.

Mr Teo was delivering Singapore's national statement at the High-Level Segment of the United Nations Climate Change Conference in Doha, Qatar, on Wednesday.

"In this regard, developed countries have to show leadership in emissions reductions. Developing countries, too, can and must make a contribution to the process," he said.

Mr Teo said for the new agreement to be applicable to all, it has to be acceptable to all. It has to take into account the unique national circumstances and constraints of parties.

He said this will allow each party to decide how best it can contribute, based on the context and constraints of each country, and provide a greater impetus for universal participation.

"The global agreement is only a means to an end. Ultimately, we need to encourage and incentivize all parties to adopt the right policies early to make the transition to a low emissions development pathway. It is therefore important to provide support to build capacity in developing countries," he said.

Mr Teo said Singapore is committed to play its part in the global fight against climate change.

He said Singapore has made an unconditional pledge to reduce its emissions by 7-11 per cent below business as usual (BAU) by 2020. It has also committed to a 16 per cent below BAU pledge, if there is a legally binding global agreement.

Mr Teo added: "Our vision for Singapore is a climate-resilient global city that is well-positioned for green growth. While climate change poses a challenge, it also offers tremendous opportunities for new economic growth. The global demand for low-carbon solutions will catalyse demand for new skills and technology.

"Singapore has placed priority on developing areas such as clean energy and energy efficiency, green buildings, public transport, smart grids, carbon management, as well as waste and water management.

"As Singapore is a city state with limited access to renewable energy, energy efficiency is core to our efforts to reduce emissions in all sectors. To support this, a new Energy Conservation Act will come into effect in April 2013."

Mr Teo said the global challenge of climate change requires a global response, with the participation of all countries and contributions by all.

"The multilateral rules-based system under the UNFCCC is fundamental to solving the global climate challenge. We need to protect and strengthen the UNFCCC and take it one step further towards a truly global agreement, so that it remains an important platform for global action against climate change," he said.

- CNA/de



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SP, BSP slam govt on FDI policy, vague on voting

NEW DELHI: The much-talked about debate on FDI in retail in the Lok Sabha today saw SP and BSP joining the opposition in slamming the government over it but remaining ambivalent on voting tomorrow even as UPA ally DMK vowed not to rock the boat despite its opposition to the move.

SP chief Mulayam Singh Yadav cautioned the Congress that the FDI decision would hurt its poll prospects and benefit the BJP, as he and BSP leader Dara Singh Chauhan counselled the government not to rush with its implementation.

Both parties, whose support is crucial for UPA, termed as "fraud" the government's contention that the FDI decision would lead to job creation and saw it as a "conspiracy" to finish off the 25 crore small traders in the country.

Yadav and Chauhan went to the extent of invoking Mahatma Gandhi in expressing opposition to FDI, with the SP chief telling Congress President Sonia Gandhi that she should give "weightage" at least to her surname and defer the move.

Chauhan said his party will disclose tomorrow the way it will vote. "We are seriously thinking about whether to stand with the communal forces or not," he said.

Yadav too was silent on the voting issue even as he told the government, "The role of the Opposition is to give suggestions and we are doing that. We are suggesting that you give up the FDI decision," he said.

DMK leader T K S Elangovan said his party was strongly against FDI but "we will still not vote against you.... we will not let you down. We will not join the Opposition, we will not join the BJP...We will watch you and correct you."

Slamming the government, Leader of the Opposition Sushma Swaraj demanded withdrawal of the FDI decision in national interest fearing it would render retailers jobless, impoverish farmers and hurt consumers.

On the government's behalf, telecom minister Kapil Sibal accused the opposition of trying to score political points by objecting to FDI in retail and asserted that the decision would benefit farmers, small scale industries, youth and consumers in the country.

Sibal asserted that the FDI decision would benefit farmers, small scale industries, youth and consumers in the country and charged BJP and Left parties with ignoring "ground reality" and helping commission agents.

T K S Elangovan (DMK), key constituent of the UPA, said it was with the government only because "it is the need of the hour to save the fiscal condition of the states.

"So, we do not want to let you down. Secondly, we do not want to join the Opposition, we do not want to join the BJP. We are not neutral. We are against the FDI in multi-brand retail," he said.

Elangovan said the DMK does not want to oppose the government or vote against it because "we know that only the hand is injured and we do not want to put you for a whole body scan."

"So, we have time. We are with you. We will watch you and we will correct you as and when necessary because we have to face the people. One or two things may be not in the interest of the people for which we do not want to let you down. While registering my strong opposition to the FDI in multi-brand retail, I also support the government," he said.

Earlier, Yadav rejected government's contention that FDI would lead to growth and said if the Western countries like the US had not benefited and seen job creation how could it be good for India.

In this context, he referred to a provision in the FDI policy to implement it only in cities having a population of 10 lakhs or more. "If you are really convinced that it is beneficial then why are you not implementing it in the entire country," Yadav said.

He asked the government to do a rethink and not force suicides by farmers who depend only on agriculture.

Appealing to Sonia Gandhi to defer it, Yadav said if we realise later that it is beneficial we will support it.

He told Gandhi that polls were not far away and "clever" BJP and RSS will exploit this issue through their wide base in villages.

"You will not benefit electorally from it. They (BJP) will come to power. We will not come to power but we will give support to you or take support from you," he said.

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Tapping citizen-scientists for a novel gut check


WASHINGTON (AP) — The bacterial zoo inside your gut could look very different if you're a vegetarian or an Atkins dieter, a couch potato or an athlete, fat or thin.


Now for a fee — $69 and up — and a stool sample, the curious can find out just what's living in their intestines and take part in one of the hottest new fields in science.


Wait a minute: How many average Joes really want to pay for the privilege of mailing such, er, intimate samples to scientists?


A lot, hope the researchers running two novel citizen-science projects.


One, the American Gut Project, aims to enroll 10,000 people — and a bunch of their dogs and cats too — from around the country. The other, uBiome, separately aims to enroll nearly 2,000 people from anywhere in the world.


"We're finally enabling people to realize the power and value of bacteria in our lives," said microbiologist Jack Gilbert of the University of Chicago and Argonne National Laboratory. He's one of a team of well-known scientists involved with the American Gut Project.


Don't be squeamish: Yes, we share our bodies with trillions of microbes, living communities called microbiomes. Many of the bugs, especially those in the intestinal tract, play indispensable roles in keeping us healthy, from good digestion to a robust immune system.


But which combinations of bacteria seem to keep us healthy? Which ones might encourage problems like obesity, diabetes or irritable bowel syndrome?


And do diet and lifestyle affect those microbes in ways that we might control someday?


Answering those questions will require studying vast numbers of people. Getting started with a grassroots movement makes sense, said National Institutes of Health microbiologist Lita Proctor, who isn't involved with the new projects but is watching closely.


After all, there was much interest in the taxpayer-funded Human Microbiome Project, which last summer provided the first glimpse of what makes up a healthy bacterial community in a few hundred volunteers.


Proctor, who coordinated that project, had worried "there would be a real ick factor. That has not been the case," she said. Many people "want to engage in improving their health."


Scott Jackisch, a computer consultant in Oakland, Calif., ran across American Gut while exploring the science behind different diets, and signed up last week. He's read with fascination earlier microbiome research: "Most of the genetic matter in what we consider ourselves is not human, and that's crazy. I wanted to learn about that."


Testing a single stool sample costs $99 in that project, but he picked a three-sample deal for $260 to compare his own bacterial makeup after eating various foods.


"I want to be extra, extra well," said Jackisch, 42. Differing gut microbes may be the reason "there's no one magic bullet of diet that people can eat and be healthy."


It's clear that people's gut bacteria can change over time. What this new research could accomplish is a first look at how different diets may play a role, said American Gut lead researcher Rob Knight of the University of Colorado, Boulder.


One challenge is making sure participants don't expect that a map of their gut bacteria can predict their future health, or suggest lifestyle changes, anytime soon.


"I understand I'm not going to be able to say, 'Oh, my gosh, I'll be susceptible to this,'" said Bradley Heinz, 26, a financial consultant in San Francisco. He is paying uBiome $119 to analyze both his gut and mouth microbiomes; just the gut is $69.


"The more people that participate, the more information comes out and the more that everybody benefits," he added.


Participants can sign up for either project via the social fundraising site Indiegogo.com over the next month. They also can send scrapings from the skin, mouth and other sites, to analyze that bacteria. Sign up enough family members or body sites, or be tracked over time, and the price can rise into the thousands. American Gut researchers plan some free testing for those who can't afford the fees, to try to increase the experiment's diversity.


Don't forget the pets: "We sleep with them, play with them, they often eat our food," said American Gut co-founder Jeff Leach, an anthropologist. What bacteria we have in common is the next logical question.


Already, American Gut researchers are preparing to compare what they find in the typical U.S. gut with a few hundred people in rural Namibia, who eat what's described as hunter-gatherer fare. Also, Leach will spend three months living in Namibia next year, and is storing his own stool samples for before-and-after comparison.


But diet isn't the only factor. Your bacterial makeup starts at birth: Babies absorb different microbes when they're born vaginally than when they're born by C-section, a possible explanation for why cesareans raise the risk for certain infections. Taking antibiotics, especially in early childhood, can alter this teeming inner world, and it's not clear if there are lasting consequences.


Then there's your environment, such as the infections spread in hospitals. In February, a new University of Chicago hospital building opens and Gilbert will test the surfaces, the patients and their health workers to see how quickly bad bugs can move in and identify which bacteria are protective.


Whatever the findings, all the research marks "a huge teachable moment" about how we interact with microbes, Leach said.


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EDITOR'S NOTE — Lauran Neergaard covers health and medical issues for The Associated Press in Washington.


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Online:


www.indiegogo.com/americangut


www.indiegogo.com/ubiome


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