Alarm as China Issues Rules for Disputed Area


Kham/Reuters


Fishing boats off Vietnam’s coast in the South China Sea. One Chinese official said the new rules applied to disputed islands, too.







HAIKOU, China — New rules announced by a Chinese province last week to allow interceptions of ships in the South China Sea are raising concerns in the region, and in Washington, that simmering disputes with Southeast Asian countries over the waters will escalate.




The move by Hainan Province, which administers China’s South China Sea claims, is being seen by some outside analysts as another step in the country’s bid to solidify its claims to much of the sea, which includes crucial international shipping lanes through which more than a third of global trade is carried.


As foreign governments scrambled for clarification of the rules, which appeared vague and open to interpretation, a top Chinese policy maker on matters related to the South China Sea tried to calm worries inspired by the announcement.


Wu Shicun, the director general of the foreign affairs office of Hainan Province, said Saturday that Chinese ships would be allowed to search and repel foreign ships only if they were engaged in illegal activities (though these were not defined) and only if the ships were within the 12-nautical-mile zone surrounding islands that China claims.


The laws, passed by the provincial legislature, come less than a month after China named its new leader, Xi Jinping, and as the country remains embroiled in a serious dispute with Japan in the East China Sea over islands known in China as the Diaoyu and as the Senkaku in Japan.


The laws appear to have little to do with Mr. Xi directly, but they reinforce fears that China, now the owner of an aircraft carrier and a growing navy, is plowing ahead with plans to enforce its claims that it has sovereign rights over much of the sea, which includes dozens of islands that other countries say are theirs. And top Chinese officials have not yet clarified their intent, leaving room for speculation.


If China were to enforce these new rules fully beyond the 12-nautical-mile zones, naval experts say, at stake would be freedom of navigation, a principle that benefits not only the United States and other Western powers but also China, a big importer of Middle East oil.


An incomplete list of the laws passed in Hainan was announced by the state-run news agency, Xinhua, last week.


In an interview here on Saturday, Mr. Wu said the new regulations applied to all of the hundreds of islands scattered across the sea, and their surrounding waters. That includes islands claimed by several other countries, including Vietnam and the Philippines.


“It covers all the land features inside the nine-dash line and adjacent waters,” Mr. Wu said. The nine-dash line refers to a map that China drew up in the late 1940s that demarcates its territorial claims — about 80 percent of the South China Sea, whose seabed is believed to be rich in oil and natural gas.


That map forms the basis for China’s current claims. Some neighboring countries were outraged when China recently placed the nine-dash map on its new passports. Vietnam has refused to place its visa stamps in the passports as they are, insisting a separate piece of paper be added for the stamp.


Mr. Wu, who also heads a government-sponsored institute devoted to the study of the South China Sea, said the immediate intention of the new laws was to deal with what he called illegal Vietnamese fishing vessels that operate in the waters around Yongxing Island, where China recently established an expanded army garrison.


The island, which has a long airstrip, is part of a group known internationally as the Paracels that is also claimed by Vietnam. China is using Yongxing Island as a kind of forward presence in a bid for more control of the South China Sea, neighboring countries say.


The Chinese Foreign Ministry said last week that China was within its rights to allow the coast guard to board vessels in the South China Sea.


The new rules go into effect on Jan. 1. According to a report in an English-language state-run newspaper, China Daily, the police and coast guard will be allowed to board and seize control of foreign ships that “illegally enter” Chinese waters and order them to change course.


Mr. Wu acknowledged that the new rules had aroused alarm in Asia, and the United States, because they could be interpreted as a power grab by China.


“A big worry for neighboring countries and countries outside the region is that China is growing so rapidly, and they see it is possible China taking over the islands by force,” he said. “I think China needs to convince neighboring countries that this is not the case.”  Essentially, he said, countries had to trust that China would not use force in the sea.


The Philippines, an ally of the United States and one of the most vociferous critics of China’s claims in the South China Sea, reacted strongly to the new rules.


Bree Feng contributed reporting from Haikou, and Elisabeth Bumiller from Washington.



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Microsoft updates Android Xbox SmartGlass app for 7-inch tablets












While Nintendo (NTDOY) has chosen to create second-screen experiences with the new Wii U GamePad, Microsoft’s (MSFT) strategy for the Xbox 360 involves bringing your own devices (BYOD) with the Xbox SmartGlass app for Android, iOS, Windows Phone 8 and Windows 8. One of the more frustrating things initially about the Xbox SmartGlass app was that it wasn’t natively compatible with 7-inch Android tablets such as Google’s (GOOG) excellent Nexus 7, but Microsoft’s gone ahead and updated the app to take advantage of 7-inch Android tablets while squashing a batch of bugs at the same time. While still in its infancy, Xbox SmartGlass is a glimpse at the future of smartphones and tablet and how they connect to the TV. 


Last month, we said: “SmartGlass isn’t just a fancy touchscreen remote control app for the Xbox 360 — it’s much more than that. With the app, users can start a movie on any mobile device and resume on the Xbox 360 (and vice versa), monitor real-time sports stats, bios and highlights on a secondary display, navigate the newly added Internet Explorer with multitouch gestures such as pinch-to-zoom and enhance gameplay with new gameplay options.”












The new Xbox SmartGlass is available for free in Google Play Store here.


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Ashley Hebert and J.P. Rosenbaum Are Married






People Exclusive








12/01/2012 at 06:15 PM EST







J.P. Rosenbaum and Ashley Hebert


Victor Chavez/Getty


It’s official: Bachelorette star Ashley Hebert and her fiancé J.P. Rosenbaum tied the knot Saturday afternoon in Pasadena, Calif.

Surrounded by family, friends and fellow Bachelor and Bachelorette alumni like Ali Fedotowsky, Emily Maynard, and Jason and Molly Mesnick, the couple said "I do" in an outdoor ceremony officiated by franchise host Chris Harrison.

"Today is all about our friends and family," Hebert, whose nuptials will air Dec. 16 on a two-hour special on ABC, tells PEOPLE. "It's about standing with J.P., looking around at all the people we love in the same room there to celebrate our love."

The 28-year-old dentist from Madawaska, Maine, met New York construction manager Rosenbaum, 35, on season 7 of The Bachelorette. The couple became engaged on the season finale.

Hebert and Rosenbaum are the second couple in the franchise's 24 seasons to make it from their show finale to the altar, following in the footsteps of Bachelorette Trista Rehn, who married Vail, Colo., firefighter Ryan Sutter in 2003.

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Asperger's dropped from revised diagnosis manual

CHICAGO (AP) — The now familiar term "Asperger's disorder" is being dropped. And abnormally bad and frequent temper tantrums will be given a scientific-sounding diagnosis called DMDD. But "dyslexia" and other learning disorders remain.

The revisions come in the first major rewrite in nearly 20 years of the diagnostic guide used by the nation's psychiatrists. Changes were approved Saturday.

Full details of all the revisions will come next May when the American Psychiatric Association's new diagnostic manual is published, but the impact will be huge, affecting millions of children and adults worldwide. The manual also is important for the insurance industry in deciding what treatment to pay for, and it helps schools decide how to allot special education.

This diagnostic guide "defines what constellations of symptoms" doctors recognize as mental disorders, said Dr. Mark Olfson, a Columbia University psychiatry professor. More important, he said, it "shapes who will receive what treatment. Even seemingly subtle changes to the criteria can have substantial effects on patterns of care."

Olfson was not involved in the revision process. The changes were approved Saturday in suburban Washington, D.C., by the psychiatric association's board of trustees.

The aim is not to expand the number of people diagnosed with mental illness, but to ensure that affected children and adults are more accurately diagnosed so they can get the most appropriate treatment, said Dr. David Kupfer. He chaired the task force in charge of revising the manual and is a psychiatry professor at the University of Pittsburgh.

One of the most hotly argued changes was how to define the various ranges of autism. Some advocates opposed the idea of dropping the specific diagnosis for Asperger's disorder. People with that disorder often have high intelligence and vast knowledge on narrow subjects but lack social skills. Some who have the condition embrace their quirkiness and vow to continue to use the label.

And some Asperger's families opposed any change, fearing their kids would lose a diagnosis and no longer be eligible for special services.

But the revision will not affect their education services, experts say.

The new manual adds the term "autism spectrum disorder," which already is used by many experts in the field. Asperger's disorder will be dropped and incorporated under that umbrella diagnosis. The new category will include kids with severe autism, who often don't talk or interact, as well as those with milder forms.

Kelli Gibson of Battle Creek, Mich., who has four sons with various forms of autism, said Saturday she welcomes the change. Her boys all had different labels in the old diagnostic manual, including a 14-year-old with Asperger's.

"To give it separate names never made sense to me," Gibson said. "To me, my children all had autism."

Three of her boys receive special education services in public school; the fourth is enrolled in a school for disabled children. The new autism diagnosis won't affect those services, Gibson said. She also has a 3-year-old daughter without autism.

People with dyslexia also were closely watching for the new updated doctors' guide. Many with the reading disorder did not want their diagnosis to be dropped. And it won't be. Instead, the new manual will have a broader learning disorder category to cover several conditions including dyslexia, which causes difficulty understanding letters and recognizing written words.

The trustees on Saturday made the final decision on what proposals made the cut; recommendations came from experts in several work groups assigned to evaluate different mental illnesses.

The revised guidebook "represents a significant step forward for the field. It will improve our ability to accurately diagnose psychiatric disorders," Dr. David Fassler, the group's treasurer and a University of Vermont psychiatry professor, said after the vote.

The shorthand name for the new edition, the organization's fifth revision of the Diagnostic and Statistical Manual, is DSM-5. Group leaders said specifics won't be disclosed until the manual is published but they confirmed some changes. A 2000 edition of the manual made minor changes but the last major edition was published in 1994.

Olfson said the manual "seeks to capture the current state of knowledge of psychiatric disorders. Since 2000 ... there have been important advances in our understanding of the nature of psychiatric disorders."

Catherine Lord, an autism expert at Weill Cornell Medical College in New York who was on the psychiatric group's autism task force, said anyone who met criteria for Asperger's in the old manual would be included in the new diagnosis.

One reason for the change is that some states and school systems don't provide services for children and adults with Asperger's, or provide fewer services than those given an autism diagnosis, she said.

Autism researcher Geraldine Dawson, chief science officer for the advocacy group Autism Speaks, said small studies have suggested the new criteria will be effective. But she said it will be crucial to monitor so that children don't lose services.

Other changes include:

—A new diagnosis for severe recurrent temper tantrums — disruptive mood dysregulation disorder. Critics say it will medicalize kids' who have normal tantrums. Supporters say it will address concerns about too many kids being misdiagnosed with bipolar disorder and treated with powerful psychiatric drugs. Bipolar disorder involves sharp mood swings and affected children are sometimes very irritable or have explosive tantrums.

—Eliminating the term "gender identity disorder." It has been used for children or adults who strongly believe that they were born the wrong gender. But many activists believe the condition isn't a disorder and say calling it one is stigmatizing. The term would be replaced with "gender dysphoria," which means emotional distress over one's gender. Supporters equated the change with removing homosexuality as a mental illness in the diagnostic manual, which happened decades ago.

___

AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner .

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Asian tourists flock to South Coast Plaza









It's Day 3 of his four-day visit, and, of course, Yuki Izuka — for the third time — is back at South Coast Plaza.


Sporting black slacks, leather tote, a pinstripe jacket and crisp tie, the pharmacist from Gunma, Japan, heads straight for the most glittering of shops: Tiffany.


He's on a mission to find a ring for his wife. "It is very expensive — but even more expensive in my home," he says. "Better if I can get something here."








Skipping tariffs and taxes, foreign shoppers flush with cash fill their Southern California trips with shopping sprees at places like South Coast Plaza, and increasingly, employees at the luxury shopping center are taking extraordinary steps to host them, trained to fulfill the tiniest of needs.


South Coast Plaza has become a destination for overseas Asians, who bundle trips to Disneyland with carefully plotted excursions to the retail mecca, stocking up on snug blue jeans, watches, luggage, purses and flashy sunglasses selling for $500 a pair.


"We could have seen it in American Vogue and we're here to get it," said Izuka, looking magazine model-sleek as he and his buddies walk past an Italian cafe and ride an escalator toward the center's Jewel Court, a cluster of high-end jewelry boutiques where foreigners pay cash for $100,000 necklaces or other sparkling baubles.


"I like to buy whatever I can because the prices are so low," says Lucas Xu, comparing the costs to those in China, his homeland.


"And every store has an Asian assistant," said Xu, an economics major in Colorado who has flown in with friends for a shopping excursion. "Wow."


"It's not just about selling somebody something. It's about making them feel important," says South Coast Plaza veteran Werner Escher.


In a sense, Escher is the director of foreign affairs at the center, though technically his title is director of domestic and international markets. He's been on the job more than four decades and travels to China at least once a year to firm up connections with influence makers. He partners with Disneyland and the Nixon Presidential Library & Museum, ready to whisk dignitaries from Beijing and Shanghai to the shopping center, even providing them chauffeurs and guides.


Under his direction, the staff is tightly focused on the foreign traveler.


There's a language-assistance program, with mall and store employees speaking more than 40 languages and dialects. Maps and directions are printed in Korean, Japanese, Spanish and Chinese, among others. Center executives carry business cards featuring Asian characters.


South Coast Plaza is now the first shopping center in the nation to accept UnionPay, China's leading credit card. Center reps also hand out VIP Passport booklets with exclusive offers for travelers. One afternoon, Escher shows it to Shelley Chen, who is from Guangzhou, an economic hub on China's southern coast. He bows and shakes her hand as she's on her way to look for a Gucci purse, having just graduated from law school.


"I like the famous names here," she says of the retailers. "My friends said I must come here."


Scott Hung, a sales director for a semiconductor company in Taiwan, wants to take home gifts for his twin boys. His boss is familiar with South Coast Plaza "and suggested me to go to this place," he said, asking about shops that carry children's goods and that have iPhone docking stations.


Visitors who are overseas celebrities get preferred treatment.


When Yang Mi, one of China's leading actresses, who boasts 22 million followers on Sina Weibo — similar to Twitter — came to South Coast, center officials entertained the actress and her entourage in a plush VIP Access Suite near Saks Fifth Avenue. They hosted the Chinese press corps, which swarmed in to interview and photograph her.


"For her to be here is major," Escher says. "It fills out the playlist of the people we want to attract."


Not to miss a beat, the center — which bills itself as a "shopping resort" — served as a ping-pong tournament venue to the top players in the U.S. and China. The cast of "Raise the Red Lantern," a production of the National Ballet of China, also descended on South Coast, accompanied by diplomats.


That's apart from outreach directed at the local Asian clientele, highlighting the lunar new year and the autumn moon festival. Managers at anchor stores like Macy's scramble to hire Chinese-speaking staff. And shopping at South Coast means visitors might avoid three taxes for luxury items imported to China: customs tariffs, value-added tax and consumption tax. Trade missions between Southern California and China can include a stop at one of the most upscale malls in America.


Concierge Stepheny Southa came to the aid of a pregnant guest recently. Speaking in Mandarin, the woman told her: "You're my size. I need to buy some clothes that I can wear after having the baby."


Southa said she went with the expectant mother to try on multiple outfits for her.


"We have the ability to satisfy someone who comes from a long distance," Southa says.


Robert Sun, founder of the American Chinese CEO Society, says he has taken guests from China's Shandong province to South Coast for dinner and to buy presents.


"They fall in love because of the large number of brand names. No other place can compare," he recalls. Foreign visitors are familiar with Beverly Hills and Rodeo Drive, Sun added, "but now they see South Coast as the best shopping. When somebody has a good experience buying, like, a bag, they go and tell their friends."


If there's one thing missing from the experience for shoppers from China, it's a Chinese restaurant. And shoppers have pointed that out, said Escher, who's been scouting candidates when he travels overseas. Officials hope to make an announcement by the lunar new year in February, an event they anticipate will be covered prominently by the ethnic media.


"Shopping," Escher says, "is the No. 1 activity when people travel."


anh.do@latimes.com





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Enrique Peña Nieto Takes Office as Mexico’s President





MEXICO CITY — Enrique Peña Nieto became president of Mexico early Saturday, beginning a six-year term in which he has promised to accelerate economic growth, reduce the violence related to the drug war and forge closer, broader ties with the United States.




Mr. Peña Nieto took office at 12:01 a.m. during a short ceremony at the presidential residence with his predecessor, Felipe Calderón. Mr. Peña Nieto is scheduled to take the oath of office before Congress on Saturday morning and then deliver a speech before an audience of domestic and foreign dignitaries, including Vice President Joseph R. Biden Jr., with whom he will also meet privately.


Mr. Peña Nieto, 46, a lawyer who served as governor of Mexico State, has vowed to continue Mr. Calderón’s efforts to work with American law enforcement agencies to quell the violence linked to drug gangs that has killed tens of thousands in the past several years and tarnished Mexico’s image.


In recent weeks, his team has emphasized the need to bolster Mexico’s economy, which rebounded from a recession in 2009 and is now growing faster than the United States’ with an infusion of new manufacturing plants and other investment.


His administration plans more steps to stimulate the economy, arguing that generating better-paying jobs will go a long way toward reducing violence by providing alternatives to crime for the chronically underemployed.


Mr. Peña Nieto also plans to reorganize the federal security forces and intends to form paramilitary units with police duties to combat violence in rural areas and support local and state police departments that are too corrupt or poorly trained to fight crime.


Still, his administration will be watched closely to see whether it is propelling Mexico forward or backward.


Mr. Peña Nieto ushers in a new era for the Institutional Revolutionary Party, known as the PRI, which had ruled Mexico for more than 70 years before the more conservative National Action Party toppled it in 2000 and defeated it again in 2006.


But Mr. Peña Nieto and his associates said they represented a new, chastened party bent on promoting efficiency and economic change and promising to fight the kind of corruption long associated with it.


“It’s a very common misconception to think that the PRI’s return to power means the return of something that is already in history,” Luis Videgaray, who led the president’s transition team and will become the finance minister, said in a recent interview.


“The PRI of today is like any other party: a party that competes in a democracy, that accepts results and understands that only through good government would it be able to compete again in elections,” he said. “So I think that’s the biggest misconception that the PRI is something of the past, and it’s not.”


Mr. Peña Nieto begins his term on a politically shaky foundation. He won 38 percent of the vote in the July election, and for weeks afterward, political opponents complained about what they said were irregularities in the voting. The PRI-led coalition is the largest in Congress, but it does not have an absolute majority and will need alliances to get anything done.


In unveiling his cabinet on Friday, Mr. Peña Nieto relied largely on PRI stalwarts, including five former governors, but placed several young, foreign-educated technocrats from his inner circle, including Mr. Videgaray, in prominent positions to present a fresh face for the old party. Men dominate the cabinet, with only 3 of the 27 positions filled going to women.


The opposition, however, has its own challenges.


The leftist Party of the Democratic Revolution has split into factions, and the National Action Party is rebuilding without a clear leader after losing its 12-year grip on the presidency.


Randal C. Archibold contributed reporting.



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“Guardians of the Galaxy” director sorry for blog post seen as sexist, homophobic












LOS ANGELES (TheWrap.com) – James Gunn, the man entrusted with steering Marvel‘s “Guardians of the Galaxy” to the big screen, apologized publicly for a 2011 blog post that was criticized as sexist and homophobic.


Gunn, who is best known for directing the 2006 horror-comedy “Slither,” found himself under fire this week after reports about a blog post titled “The 50 Superheroes You Most Want to Have Sex With.” In it, he called the superhero Gambit a “Cajun fruit” and suggested that Iron Man could “turn” the lesbian Batwoman into a straight woman. He went on to joke that Batgirl, a masked avenger who happens to be a teen mother, was “easy.” The list was voted on by Twitter and Facebook users, but has since been removed from his site.












In a statement to the Gay & Lesbian Alliance Against Defamation (GLAAD), Gunn said his attempt at irreverence was misguided and stressed that he is a proponent of gay rights and women’s rights.


“A couple of years ago I wrote a blog that was meant to be satirical and funny,” Gunn said. “In rereading it over the past day I don’t think it’s funny. The attempted humor in the blog does not represent my actual feelings. However, I can see where statements were poorly worded and offensive to many. I’m sorry and regret making them at all.”


The post is an unwanted distraction from his efforts to give Marvel and its corporate owner the Walt Disney Company another hit. He plans to co-write the script for “Guardians of the Galaxy” in addition to directing. The film will be released in 2014.


“It kills me that some other outsider like myself, despite his or her gender or sexuality, might feel hurt or attacked by something I said,” he added in his apology. “We’re all in the same camp, and I want to do my best to make this world a better place for all of us. I’m learning all the time. I promise to be more careful with my words in the future. And I will do my best to be funnier as well. Much love to all.”


Internet News Headlines – Yahoo! News


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Dennis Quaid Files for Divorce, Seeks Joint Custody















11/30/2012 at 09:20 PM EST







Kimberly Buffington-Quaid and Dennis Quaid


Casey Rodgers/NBC/AP


Dennis Quaid is ready to end his marriage for good.

After his wife of eight years, Kimberly Buffington-Quaid, sought legal separation in October, the Vegas star filed Friday for divorce in Los Angeles Superior Court.

The actor requests joint physical and legal custody of their 4-year-old twins, Thomas and Zoe, and offers to pay spousal support, according to the petition.

This will be the third divorce for Quaid, 58, who was previously married to Meg Ryan and P.J. Soles.

Kimberly, a former real estate agent, initially filed for divorce in March. She
put the divorce on hold a month later, pulling the papers so they could work on their marriage, before then filing for separation.

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Kenya village pairs AIDS orphans with grandparents

NYUMBANI, Kenya (AP) — There are no middle-aged people in Nyumbani. They all died years ago, before this village of hope in Kenya began. Only the young and old live here.


Nyumbani was born of the AIDS crisis. The 938 children here all saw their parents die. The 97 grandparents — eight grandfathers among them — saw their middle-aged children die. But put together, the bookend generations take care of one another.


Saturday is World AIDS Day, but the executive director of the aid group Nyumbani, which oversees the village of the same name, hates the name which is given to the day because for her the word AIDS is so freighted with doom and death. These days, it doesn't necessarily mean a death sentence. Millions live with the virus with the help of anti-retroviral drugs, or ARVs. And the village she runs is an example of that.


"AIDS is not a word that we should be using. At the beginning when we came up against HIV, it was a terminal disease and people were presenting at the last phase, which we call AIDS," said Sister Mary Owens. "There is no known limit to the lifespan now so that word AIDS should not be used. So I hate World AIDS Day, follow? Because we have moved beyond talking about AIDS, the terminal stage. None of our children are in the terminal stage."


In the village, each grandparent is charged with caring for about a dozen "grandchildren," one or two of whom will be biological family. That responsibility has been a life-changer for Janet Kitheka, who lost one daughter to AIDS in 2003. Another daughter died from cancer in 2004. A son died in a tree-cutting accident in 2006 and the 63-year-old lost two grandchildren in 2007, including one from AIDS.


"When I came here I was released from the grief because I am always busy instead of thinking about the dead," said Kitheka. "Now I am thinking about building a new house with 12 children. They are orphans. I said to myself, 'Think about the living ones now.' I'm very happy because of the children."


As she walks around Nyumbani, which is three hours' drive east of Nairobi, 73-year-old Sister Mary is greeted like a rock star by little girls in matching colorful school uniforms. Children run and play, and sleep in bunk beds inside mud-brick homes. High schoolers study carpentry or tailoring. But before 2006, this village did not exist, not until a Catholic charity petitioned the Kenyan government for land on which to house orphans.


Everyone here has been touched by HIV or AIDS. But only 80 children have HIV and thanks to anti-retroviral drugs, none of them has AIDS.


"They can dream their dreams and live a long life," Owens said.


Nyumbani relies heavily on U.S. funds but it is aiming to be self-sustaining.


The kids' bunk beds are made in the technical school's shop. A small aquaponics project is trying to grow edible fish. The mud bricks are made on site. Each grandparent has a plot of land for farming.


The biggest chunk of aid comes from the United States President's Emergency Plan for AIDS Relief (PEPFAR), which has given the village $2.5 million since 2006. A British couple gives $50,000 a year. A tree-growing project in the village begun by an American, John Noel, now stands six years from its first harvest. Some 120,000 trees have already been planted and thousands more were being planted last week.


"My wife and I got married as teenagers and started out being very poor. Lived in a trailer. And we found out what it was like to be in a situation where you can't support yourself," he said. "As an entrepreneur I looked to my enterprise skills to see what we could do to sustain the village forever, because we are in our 60s and we wanted to make sure that the thousand babies and children, all the little ones, were taken care of."


He hopes that after a decade the timber profits from the trees will make the village totally self-sustaining.


But while the future is looking brighter, the losses the orphans' suffered can resurface, particularly when class lessons are about family or medicine, said Winnie Joseph, the deputy headmaster at the village's elementary school. Kitheka says she tries to teach the kids how to love one another and how to cook and clean. But older kids sometimes will threaten to hit her after accusing her of favoring her biological grandchildren, she said.


For the most part, though, the children in Nyumbani appear to know how lucky they are, having landed in a village where they are cared for. An estimated 23.5 million people in sub-Saharan Africa have HIV as of 2011, representing 69 percent of the global HIV population, according to UNAIDS. Eastern and southern Africa are the hardest-hit regions. Millions of people — many of them parents — have died.


Kitheka noted that children just outside the village frequently go to bed hungry. And ARVs are harder to come by outside the village. The World Health Organization says about 61 percent of Kenyans with HIV are covered by ARVs across the country.


Paul Lgina, 14, contrasted the difference between life in Nyumbani, which in Swahili means simply "home," and his earlier life.


"In the village I get support. At my mother's home I did not have enough food, and I had to go to the river to fetch water," said Lina, who, like all the children in the village, has neither a mother or a father.


When Sister Mary first began caring for AIDS orphans in the early 1990s, she said her group was often told not to bother.


"At the beginning nobody knew what to do with them. In 1992 we were told these children are going to die anyway," she said. "But that wasn't our spirit. Today, kids we were told would die have graduated from high school."


___


On the Internet:


http://www.trees4children.org/

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U.S. regulators grill Edison on bid to restart part of San Onofre









Federal regulators grilled Southern California Edison publicly for the first time Friday on its proposal to restart part of the troubled San Onofre nuclear power plant.


San Onofre has been out of service for 10 months because of unusual wear on steam generator tubes. A small radiation leak developed as a result and prompted a shutdown in January. The steam generators had been replaced less than two years earlier, costing co-owners Edison and San Diego Gas & Electric a combined $771 million.


After months of inspections and testing, Edison presented a plan to the U.S. Nuclear Regulatory Commission in October to restart one of the two reactors at 70% power, for five months, before taking it offline for inspection. The company said that running the unit at reduced power would prevent the tube vibration that resulted in excessive wear.





The other unit, which had more serious issues, was not included in the restart proposal and will remain offline indefinitely.


Edison representatives sought to convince the commission that the units, although nearly identical in design, are different enough that Unit 2 can be run safely, while Unit 3 may not be able to operate again without extensive repairs. (Unit 1 of the plant has been permanently decommissioned.)


"Unit 2 is clearly different based on results," Edison Vice President of Engineering Tom Palmisano told NRC representatives, pointing out that Unit 2 showed substantially less of the unusual tube wear although its new steam generators had been operating for a year longer than Unit 3's.


Edison's analysis has blamed computer modeling by steam generator manufacturer Mitsubishi Heavy Industries for failing to predict the behavior of steam within the generators, leading to the excessive vibration, as well as design changes made to support bars, which failed to stop the vibration, particularly in Unit 3. Mitsubishi had no one present at the meeting.


The meeting took place amid increasing debate over the fate of the plant, which once supplied enough power for 1.4 million homes.


Also, just one day earlier, Edison announced that it had found evidence of potential tampering with a backup generator connected to the reactor that Edison does not plan to activate.


Workers found coolant in the generator's oil system in October, and Edison said in a statement Thursday that it had found evidence that the incident might have resulted from intentional tampering, although the evidence did not confirm that tampering had occurred. The company said that it has beefed up security and that the incident did not pose a safety risk. The reactor unit it is attached to has been defueled.


Activists and residents have demanded that San Onofre be decommissioned. Short of that, they have demanded that the NRC force Edison to go through a license amendment process, complete with a courtroom-like hearing, before deciding whether to allow the plant to restart its Unit 2 reactor.


Although Friday's meeting was set up as a technical discussion between Edison and the NRC, anti-nuclear activists arrived en masse to express their opposition to restarting the plant, with some chanting "Shut down San Onofre" at the outset. They were joined by a group of four Buddhist monks and nuns who had planned to march to San Onofre from Dana Point on Friday and hold a six-day vigil by the plant to call for its decommissioning.


They changed plans, though, after a local activist took a radiation reading with his portable Geiger counter and claimed that an old steam generator being prepared for shipping had caused a spike in radiation. They took up their vigil at a pier in nearby San Clemente instead.


One of the monks, Senji Kanaeda, who lives in Seattle but is originally from Japan, said he was concerned about nuclear power in part because of the disaster at Fukushima.


"We would like to pass a safe world to the next generation," he said.


San Onofre is dealing with other issues as well. Edison is embroiled in a spat with the union representing many of the plant employees over the company's plans to lay off more than 700 workers. Daniel Dominguez, business manager of Utility Workers Union of America Local 246, wrote Edison executives expressing concerns that the layoffs could affect the plant's safety if it does restart.


Dominguez said in an interview that he is not concerned about Edison's restart plan from a technical perspective but is worried that the plant will not be able to safely operate with the reduced workforce, especially with cuts of highly skilled workers.


"We think it doesn't make sense to be doing layoffs while you're trying to restart a unit with significant challenges," he said.


abigail.sewell@latimes.com





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Mumbai Journal: Cultivating Vultures to Restore a Mumbai Ritual


Kuni Takahashi for The New York Times


A model of one of the Towers of Silence, top, where in Parsi tradition, dead bodies are placed for disposal by vultures.







MUMBAI, India — Fifteen years after vultures disappeared from Mumbai’s skies, the Parsi community here intends to build two aviaries at one of its most sacred sites so that the giant scavengers can once again devour human corpses.




Construction is scheduled to begin as soon as April, said Dinshaw Rus Mehta, chairman of the Bombay Parsi Punchayet. If all goes as planned, he said, vultures may again consume the Parsi dead by January 2014.


“Without the vultures, more and more Parsis are choosing to be cremated,” Mr. Mehta said. “I have to bring back the vultures so the system is working again, especially during the monsoon.”


The plan is the result of six years of negotiations between Parsi leaders and the Indian government to revive a centuries-old practice that seeks to protect the ancient elements — air, earth, fire and water — from being polluted by either burial or cremation. And along the way, both sides hope the effort will contribute to the revival of two species of vulture that are nearing extinction. The government would provide the initial population of birds.


The cost of building the aviaries and maintaining the vultures is estimated at $5 million spread over 15 years, much less expensive than it would have been without the ready supply of food.


“Most vulture aviaries have to spend huge sums to buy meat, but for us that’s free because the vultures will be feeding on human bodies — on us,” Mr. Mehta said.


Like the vultures on which they once relied, Parsis are disappearing. Their religion, Zoroastrianism, once dominated Iran but was largely displaced by Islam. In the 10th century, a large group of Zoroastrians fled persecution in Iran and settled in India. Fewer than 70,000 remain, most of them concentrated in Mumbai, formerly known as Bombay, where they collectively own prime real estate that was purchased centuries ago.


Among the most valuable of these holdings are 54 acres of trees and winding pathways on Malabar Hill, one of Mumbai’s most exclusive neighborhoods. Tucked into these acres are three Towers of Silence where Parsis have for centuries disposed of their dead.


The stone towers are open-air auditoriums containing three concentric rings of marble slabs — an outer ring for dead men, middle ring for deceased women and inner ring for dead children. For centuries, bodies left on the slabs were consumed within hours by neighborhood vultures, with the bones left in a central catchment to leach into the soil.


Modernity has impinged on this ancient practice in many ways. That includes the construction of nearby skyscrapers where non-Parsis could watch the grisly scenes unfold. But by far the greatest threat has been the ecological disaster visited in recent years on vultures.


India once had as many as 400 million vultures, a vast population that thrived because the nation has one of the largest livestock populations in the world but forbids cattle slaughter. When cows died, they were immediately set upon by flocks of vultures that left behind skin for leather merchants and bones for bone collectors. As recently as the 1980s, even the smallest villages often had thousands of vulture residents.


But then came diclofenac, a common painkiller widely used in hospitals to lessen the pain of the dying. Marketed under names like Voltaren, it is similar to the medicines found in Advil and Aleve; in 1993 its use in India was approved in cattle. Soon after, vultures began dying in huge numbers because the drug causes them to suffer irreversible kidney failure.


Diclofenac’s veterinarian use has since been banned, which may finally be having an effect. A recent study found that for the first time since the drug’s introduction, India’s vulture population did not decline over the past year.


Still, the numbers for three species have shrunk to only a few thousand, a tiny fraction of their former levels. With so few vultures left, the Parsi community set up mirrors around the Towers of Silence to create something akin to solar ovens to accelerate decomposition. But the mirrors are ineffective during monsoon months. So an increasing number of Parsis are opting for cremation, a practice many Parsi priests believe is an abomination since fire is sacred and corpses unclean.


Sruthi Gottipati contributed reporting.



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Microsoft Surface Pro battery will last roughly four hours












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The X Factor Announces Top 6






The X Factor










11/29/2012 at 09:40 PM EST







From left; Demi Lovato, Britney Spears and Simon Cowell


FOX


Mario Lopez called the first elimination on Thursday's The X Factor a "bit of a shocker."

And so was the second.

The top eight contestants sang No. 1 hits Wednesday in an emotional night. Keep reading to find out which two performers were sent packing – and who's in season 2's top six ...

Paige Thomas was the first to go – which is shocking because she toned down her over-the-top performing style to sing Rick Astley's "Never Gonna Give You Up" like a like a "legitimate pop star," according to Simon Cowell.

That left Demi Lovato with just one singer on her team: CeCe Frey, who was told (by Cowell) to "pack her bags" Wednesday after her performance of "Lady Marmalade."

But L.A. Reid's contestant Vino Alan and Team Britney's Diamond White were in the bottom two and had to sing for survival. He performed "Trouble" and she sang Beyoncé's "I Was Here."

L.A. voted to send home Diamond; Britney returned the favor and voted to send home Vino. Demi voted Vino out as well. That left Simon ... and he fell in line with the female panelists, voting to get rid of Vino. Either one would have been a shock but Vino had been ranked third last week.

Here's how the top six rank this week:
1. Carly Rose Sonenclar
2. Tate Stevens
3. Emblem3
4. Fifth Harmony
5. CeCe Frey
6. Diamond White

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Clinton releases road map for AIDS-free generation

WASHINGTON (AP) — In an ambitious road map for slashing the global spread of AIDS, the Obama administration says treating people sooner and more rapid expansion of other proven tools could help even the hardest-hit countries begin turning the tide of the epidemic over the next three to five years.

"An AIDS-free generation is not just a rallying cry — it is a goal that is within our reach," Secretary of State Hillary Rodham Clinton, who ordered the blueprint, said in the report.

"Make no mistake about it, HIV may well be with us into the future but the disease that it causes need not be," she said at the State Department Thursday.

President Barack Obama echoed that promise.

"We stand at a tipping point in the fight against HIV/AIDS, and working together, we can realize our historic opportunity to bring that fight to an end," Obama said in a proclamation to mark World AIDS Day on Saturday.

Some 34 million people worldwide are living with HIV, and despite a decline in new infections over the last decade, 2.5 million people were infected last year.

Given those staggering figures, what does an AIDS-free generation mean? That virtually no babies are born infected, young people have a much lower risk than today of becoming infected, and that people who already have HIV would receive life-saving treatment.

That last step is key: Treating people early in their infection, before they get sick, not only helps them survive but also dramatically cuts the chances that they'll infect others. Yet only about 8 million HIV patients in developing countries are getting treatment. The United Nations aims to have 15 million treated by 2015.

Other important steps include: Treating more pregnant women, and keeping them on treatment after their babies are born; increasing male circumcision to lower men's risk of heterosexual infection; increasing access to both male and female condoms; and more HIV testing.

The world spent $16.8 billion fighting AIDS in poor countries last year. The U.S. government is the leading donor, spending about $5.6 billion.

Thursday's report from PEPFAR, the President's Emergency Plan for AIDS Relief, outlines how progress could continue at current spending levels — something far from certain as Congress and Obama struggle to avert looming budget cuts at year's end — or how faster progress is possible with stepped-up commitments from hard-hit countries themselves.

Clinton warned Thursday that the U.S. must continue doing its share: "In the fight against HIV/AIDS, failure to live up to our commitments isn't just disappointing, it's deadly."

The report highlighted Zambia, which already is seeing some declines in new cases of HIV. It will have to treat only about 145,000 more patients over the next four years to meet its share of the U.N. goal, a move that could prevent more than 126,000 new infections in that same time period. But if Zambia could go further and treat nearly 198,000 more people, the benefit would be even greater — 179,000 new infections prevented, the report estimates.

In contrast, if Zambia had to stick with 2011 levels of HIV prevention, new infections could level off or even rise again over the next four years, the report found.

Advocacy groups said the blueprint offers a much-needed set of practical steps to achieve an AIDS-free generation — and makes clear that maintaining momentum is crucial despite economic difficulties here and abroad.

"The blueprint lays out the stark choices we have: To stick with the baseline and see an epidemic flatline or grow, or ramp up" to continue progress, said Chris Collins of amFAR, the Foundation for AIDS Research.

His group has estimated that more than 276,000 people would miss out on HIV treatment if U.S. dollars for the global AIDS fight are part of across-the-board spending cuts set to begin in January.

Thursday's report also urges targeting the populations at highest risk, including gay men, injecting drug users and sex workers, especially in countries where stigma and discrimination has denied them access to HIV prevention services.

"We have to go where the virus is," Clinton said.

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Lottery panel votes to bring Powerball game to California









Californians griping about not getting their shot at the recent $587.5-million Powerball jackpot won't have much longer to complain.

The California Lottery Commission voted unanimously Thursday to bring the popular multi-state game to California. Tickets, which cost $2 each, will go on sale at licensed lottery merchants in April.

The vote comes a day after the game attracted wide attention for its largest jackpot ever.





"That would have been worth an investment of my dollar, but I didn't want to go all the way to Arizona to buy a ticket," said Alfred Reeves, 51, as he stood by his car outside Country Donut Shop in Long Beach. "Now I won't have to."

California is one of eight states that do not sell Powerball tickets. The others are Utah, Nevada, Alabama, Alaska, Hawaii, Mississippi and Wyoming.

Lottery officials said the game is especially popular because the prize starts at $40 million — compared with the $12-million starting point of the Mega Millions jackpot — and increases by $5 million each time the drawing doesn't produce a winner.

"There's always a bit of a frenzy out there when the jackpot gets up there," said Russ Lopez, a California Lottery Commission spokesman.

The commission believes that adding the Powerball game could add between $90 million and $120 million annually in net revenue. Lottery commission officials said at least $50 million to $100 million of that will go directly to California schools.

At Bluebird Liquor in Hawthorne, a "lucky" market that is legendary for drawing long lotto lines, customers welcomed the Powerball news.

"People here are jumping up and down. We are so excited," said employee Eduardo Duran. "Customers have been asking us about Powerball all week. We've even had a few people tell us they were headed to Arizona to buy tickets."

The process of bringing Powerball to California began last December. Lottery officials first commissioned a study to analyze the logistics of implementing the game in California before ultimately recommending that sales be offered in 2013.

To play Powerball, a participant must purchase a $2 ticket and pick five unique numbers from a field of 1 through 59, and then a Powerball number from 1 through 35. Players can win by matching three or more of the unique numbers, or by matching the Powerball number alone, or by matching the Powerball number and one or more of the five unique numbers. In all, there are nine winning combinations. Players can increase their winnings by paying for a $3 ticket.

Drawings are held twice a week.

Danny Ta, owner of Long Beach Dairy & Liquor, said he will talk to his lottery representative about selling Powerball tickets because he knows the game is in high demand.

"I've had customers always asking me for the game, but I tell them California doesn't have it, only in other states," he said.

Ta said that if he does get the game for his store, he hopes to sell the winning ticket someday.

"Hopefully," he said, smiling.

wesley.lowery@latimes.com

ruben.vives@latimes.com





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U.S. Is Weighing Stronger Action in Syrian Conflict


Francisco Leong/Agence France-Presse — Getty Images


Rebels in northern Syria celebrated on Wednesday next to what was reported to be a government fighter jet.







WASHINGTON — The Obama administration, hoping that the conflict in Syria has reached a turning point, is considering deeper intervention to help push President Bashar al-Assad from power, according to government officials involved in the discussions.




While no decisions have been made, the administration is considering several alternatives, including directly providing arms to some opposition fighters.


The most urgent decision, likely to come next week, is whether NATO should deploy surface-to-air missiles in Turkey, ostensibly to protect that country from Syrian missiles that could carry chemical weapons. The State Department spokeswoman, Victoria Nuland, said Wednesday that the Patriot missile system would not be “for use beyond the Turkish border.”


But some strategists and administration officials believe that Syrian Air Force pilots might fear how else the missile batteries could be used. If so, they could be intimidated from bombing the northern Syrian border towns where the rebels control considerable territory. A NATO survey team is in Turkey, examining possible sites for the batteries.


Other, more distant options include directly providing arms to opposition fighters rather than only continuing to use other countries, especially Qatar, to do so. A riskier course would be to insert C.I.A. officers or allied intelligence services on the ground in Syria, to work more closely with opposition fighters in areas that they now largely control.


Administration officials discussed all of these steps before the presidential election. But the combination of President Obama’s re-election, which has made the White House more willing to take risks, and a series of recent tactical successes by rebel forces, one senior administration official said, “has given this debate a new urgency, and a new focus.”


The outcome of the broader debate about how heavily America should intervene in another Middle Eastern conflict remains uncertain. Mr. Obama’s record in intervening in the Arab Spring has been cautious: While he joined in what began as a humanitarian effort in Libya, he refused to put American military forces on the ground and, with the exception of a C.I.A. and diplomatic presence, ended the American role as soon as Col. Muammar el-Qaddafi was toppled.


In the case of Syria, a far more complex conflict than Libya’s, some officials continue to worry that the risks of intervention — both in American lives and in setting off a broader conflict, potentially involving Turkey — are too great to justify action. Others argue that more aggressive steps are justified in Syria by the loss in life there, the risks that its chemical weapons could get loose, and the opportunity to deal a blow to Iran’s only ally in the region. The debate now coursing through the White House, the Pentagon, the State Department and the C.I.A. resembles a similar one among America’s main allies.


“Look, let’s be frank, what we’ve done over the last 18 months hasn’t been enough,” Britain’s prime minister, David Cameron, said three weeks ago after visiting a Syrian refugee camp in Jordan. “The slaughter continues, the bloodshed is appalling, the bad effects it’s having on the region, the radicalization, but also the humanitarian crisis that is engulfing Syria. So let’s work together on really pushing what more we can do.” Mr. Cameron has discussed those options directly with Mr. Obama, White House officials say.


France and Britain have recognized a newly formed coalition of opposition groups, which the United States helped piece together. So far, Washington has not done so.


American officials and independent specialists on Syria said that the administration was reviewing its Syria policy in part to gain credibility and sway with opposition fighters, who have seized key Syrian military bases in recent weeks.


“The administration has figured out that if they don’t start doing something, the war will be over and they won’t have any influence over the combat forces on the ground,” said Jeffrey White, a former Defense Intelligence Agency intelligence officer and specialist on the Syria military. “They may have some influence with various political groups and factions, but they won’t have influence with the fighters, and the fighters will control the territory.”


Jessica Brandt contributed reporting from Cambridge, Mass.



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Samsung takes aim at Japanese rivals with Android camera












SEOUL (Reuters) – South Korean consumer electronics giant Samsung Electronics Co is taking aim at its Japanese rivals with an Android-powered digital camera that allows users to swiftly and wirelessly upload pictures to social networking sites.


The Galaxy camera lets users connect to a mobile network or Wi-Fi to share photographs and video without having to hook up the camera to a computer.












While it’s not the first to the market, Samsung‘s financial and marketing clout suggest it could be the biggest threat to Japanese domination of a digital camera industry which research firm Lucintel sees growing to $ 46 billion by 2017 and where big brands include Canon Inc, Sony Corp, Panasonic Corp, Nikon Corp and Olympus Corp.


“Samsung has a tough row to hoe against the likes of Canon and Nikon in the camera brand equity landscape,” said Liz Cutting, senior imaging analyst at research firm NPD Group. “Yet as a brand known more in the connected electronic device arena, Samsung has a unique opportunity to transfer strength from adjacent categories into the dedicated camera world.”


The Korean group, battling for mobile gadget supremacy against Apple Inc, is already a global market leader in televisions, smartphones and memory chips.


Samsung last year brought its camera and digital imaging business – one of its smallest – under the supervision of JK Shin, who heads a mobile business that generated 70 percent of Samsung’s $ 7.4 billion third-quarter profit.


“Our camera business is quickly evolving … and I think it will be able to set a new landmark for Samsung,” Shin said on Thursday at a launch event in Seoul. “The product will open a new chapter in communications – visual communications,” he said, noting good reviews for the Samsung Galaxy camera which went on sale in Europe and the United States earlier this month.


AIMING AT ‘PRO-SUMERS’


The Galaxy camera, which sells in the United States for $ 499.99 through AT&T with various monthly data plans, features a 4.8-inch LCD touchscreen and a 21x optical zoom lens. Users can send photos instantly to other mobile devices via a 4G network, access the Internet, email and social network sites, edit photos and play games.


The easy-to-use camera, and the quality of the pictures, is aimed at mid-market ‘pro-sumers’ – not quite professional photographers but those who don’t mind paying a premium for user options not yet available on a smartphone – such as an optical, rather than digital, zoom, better flash, and image stabilization.


The appeal of high picture quality cameras with wireless connection has grown as social media services such as Facebook Inc drive a boom in rapid shoot-and-share photos.


“At a price point higher than some entry-level interchangeable-lens cameras, the Galaxy camera should appeal to a consumer willing to pay an initial and ongoing premium for 24/7 creative interactivity,” said Cutting.


Traditional digital camera makers are responding.


Canon, considered a leader in profitability in corporate Japan with its aggressive cost cutting, saw its compact camera sales eroded in the most recent quarter by smartphones, and has just introduced its first mirrorless camera to tap into a growing market for small, interchangeable-lens cameras that rival Nikon entered last year.


Nikon has also recently introduced an Android-embedded Wi-Fi only camera.


($ 1 = 1086.4000 Korean won)


(This story fixes typing error in paragraph 9)


(Additional reporting by Dhanya Skariachan in NEW YORK; Editing by Ian Geoghegan)


Wireless News Headlines – Yahoo! News


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Angus T. Jones Is Not Leaving Two and a Half Men: Source















11/28/2012 at 07:50 PM EST



The Half is back!

Ever since Angus T. Jones bashed Two and a Half Men in a now-viral video, it begged the question: Will the 19-year-old actor return to the hit show?

If he has it his way, he will.

"Angus expects to report to work after the holiday break in January," says a source close to the star. "He intends to honor his contract through the end of the season."

Jones, who called the show "filth" and urged viewers in a video interview on a religious website to stop watching, issued an apology Tuesday night, saying he has the "highest regard" for the "wonderful people" on the show.

Although Jones is not featured in an episode that tapes next week, he intends to show up on schedule after the break, the source says.

In the meantime, the source adds, "Angus is feeling positive and he is concentrating on spending some downtime with family and friends."

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Simple measures cut infections caught in hospitals

CHICAGO (AP) — Preventing surgery-linked infections is a major concern for hospitals and it turns out some simple measures can make a big difference.

A project at seven big hospitals reduced infections after colorectal surgeries by nearly one-third. It prevented an estimated 135 infections, saving almost $4 million, the Joint Commission hospital regulating group and the American College of Surgeons announced Wednesday. The two groups directed the 2 1/2-year project.

Solutions included having patients shower with special germ-fighting soap before surgery, and having surgery teams change gowns, gloves and instruments during operations to prevent spreading germs picked up during the procedures.

Some hospitals used special wound-protecting devices on surgery openings to keep intestine germs from reaching the skin.

The average rate of infections linked with colorectal operations at the seven hospitals dropped from about 16 percent of patients during a 10-month phase when hospitals started adopting changes to almost 11 percent once all the changes had been made.

Hospital stays for patients who got infections dropped from an average of 15 days to 13 days, which helped cut costs.

"The improvements translate into safer patient care," said Dr. Mark Chassin, president of the Joint Commission. "Now it's our job to spread these effective interventions to all hospitals."

Almost 2 million health care-related infections occur each year nationwide; more than 90,000 of these are fatal.

Besides wanting to keep patients healthy, hospitals have a monetary incentive to prevent these infections. Medicare cuts payments to hospitals that have lots of certain health care-related infections, and those cuts are expected to increase under the new health care law.

The project involved surgeries for cancer and other colorectal problems. Infections linked with colorectal surgery are particularly common because intestinal tract bacteria are so abundant.

To succeed at reducing infection rates requires hospitals to commit to changing habits, "to really look in the mirror and identify these things," said Dr. Clifford Ko of the American College of Surgeons.

The hospitals involved were Cedars-Sinai Medical Center in Los Angeles; Cleveland Clinic in Ohio; Mayo Clinic-Rochester Methodist Hospital in Rochester, Minn.; North Shore-Long Island Jewish Health System in Great Neck, NY; Northwestern Memorial Hospital in Chicago; OSF Saint Francis Medical Center in Peoria, Ill.; and Stanford Hospital & Clinics in Palo Alto, Calif.

___

Online:

Joint Commission: http://www.jointcommission.org

American College of Surgeons: http://www.facs.org

___

AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner

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LAFD billing firm's leak of personal data under investigation









Federal officials have opened a criminal investigation to determine whether confidential information was obtained illegally on hundreds of patients who rode in Los Angeles Fire Department ambulances, a high-level city lawyer said Wednesday.

The Fire Department has begun informing past patients that personal records, including Social Security numbers and birth dates, were accessed "deliberately and maliciously" by an employee of the company that provides ambulance billing services to the city.

Twenty-six notification letters have gone out so far and more than 900 people may have been victimized in total, said William Carter, chief deputy to City Atty. Carmen Trutanich. Carter said the Internal Revenue Service is one of the agencies conducting the investigation.








The city's ambulance billing duties are handled by Advanced Data Processing Inc., which received nearly $6 million from the Fire Department between June 2011 and Oct. 30, according to City Controller Wendy Greuel. Federal law protects private medical information, Carter said.

In its notification letter, a copy of which was obtained by The Times, the Fire Department said patient information was used to file fraudulent tax returns as part of a scheme to illegally obtain tax refunds. The department advised the potential victims to call the IRS to determine whether false returns had been filed in their names, and to take steps to protect their credit rating.

Lisa MacKenzie, a spokeswoman for Advanced Data Processing and its subsidiary, Intermedix Corp., said she could not discuss the matter Wednesday. A spokesman for Mayor Antonio Villaraigosa said only that Trutanich's office and the Fire Department were working closely with the billing company to investigate the incident.

The confidentiality breach is the latest embarrassment for a department struggling to address dispatching delays and problems with inaccurate 911 response time data. Over the last several months, the agency has found widespread problems with its performance data management, including flaws in a 30-year-old computer system and a lack of adequate training for firefighters working on response time analysis.

Fire Department officials had no comment on the investigation.

The new problems involving patient medical information could increase resistance to the city's efforts to privatize other operations, including management of the Los Angeles Zoo and the Los Angeles Convention Center. The council voted two years ago to take ambulance billing duties away from city employees, despite warnings from union officials that such a move would jeopardize patient information.

"I thought it was wrong to try to privatize ambulance billing for this reason ... and here it's come to pass," said Pat McOsker, president of the city firefighters union. "It's shameful, absolutely shameful, that some city contractor, a private company making a profit off this, has people getting access to people's private information."

City Administrative Officer Miguel Santana, the city's top budget official, defended the decision to go with a private billing company. The agreement backed by Villaraigosa and the council, he said, ensured that the contractor is legally liable for any violation of the law that protects patient information.

"Our concern had been that mistakes could occur, and if the city did this work, the city would inherit 100% of the liability," he said.

In 2010, the year the ambulance billing contract was awarded, Advanced Data Processing paid nearly $71,000 to Englander, Knabe and Allen, the City Hall lobbying firm headed by lobbyist Harvey Englander and former Villaraigosa deputy chief of staff Marcus Allen, among others. Budget officials backed the privatization proposal, saying it would allow the Fire Department to focus on its core mission while upgrading its ambulance billing system.

Villaraigosa also weighed in, telling skeptical council members that the contract would help stabilize the city's finances during a budget crisis, make the Fire Department more efficient and, when combined with a second contract, avert $15 million in cuts. Switching to a private company also allowed the department to reduce the staff of its billing operation.

Under its six-year agreement, the contractor receives at least 5% on the net revenue collected from patients transported in LAFD ambulances, according to city records.

david.zahniser@latimes.com





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News Analysis: Sunni Leaders Gaining Clout in Mideast


Mohammed Saber/European Pressphoto Agency


A Palestinian woman in Gaza City on Tuesday walked amid the rubble left from eight days of fighting that ended in a cease-fire.







RAMALLAH, West Bank — For years, the United States and its Middle East allies were challenged by the rising might of the so-called Shiite crescent, a political and ideological alliance backed by Iran that linked regional actors deeply hostile to Israel and the West.




But uprising, wars and economics have altered the landscape of the region, paving the way for a new axis to emerge, one led by a Sunni Muslim alliance of Egypt, Qatar and Turkey. That triumvirate played a leading role in helping end the eight-day conflict between Israel and Gaza, in large part by embracing Hamas and luring it further away from the Iran-Syria-Hezbollah fold, offering diplomatic clout and promises of hefty aid.


For the United States and Israel, the shifting dynamics offer a chance to isolate a resurgent Iran, limit its access to the Arab world and make it harder for Tehran to arm its agents on Israel’s border. But the gains are also tempered, because while these Sunni leaders are willing to work with Washington, unlike the mullahs in Tehran, they also promote a radical religious-based ideology that has fueled anti-Western sentiment around the region.


Hamas — which received missiles from Iran that reached Israel’s northern cities — broke with the Iranian axis last winter, openly backing the rebellion against the Syrian president, Bashar al-Assad. But its affinity with the Egypt-Qatar-Turkey axis came to fruition this fall.


“That camp has more assets that it can share than Iran — politically, diplomatically, materially,” said Robert Malley, the Middle East program director for the International Crisis Group. “The Muslim Brotherhood is their world much more so than Iran.”


The Gaza conflict helps illustrate how Middle Eastern alliances have evolved since the Islamist wave that toppled one government after another beginning in January 2011. Iran had no interest in a cease-fire, while Egypt, Qatar and Turkey did.


But it is the fight for Syria that is the defining struggle in this revived Sunni-Shiite duel. The winner gains a prized strategic crossroads.


For now, it appears that that tide is shifting against Iran, there too, and that it might well lose its main Arab partner, Syria. The Sunni-led opposition appears in recent days to have made significant inroads against the government, threatening the Assad family’s dynastic rule of 40 years and its long alliance with Iran. If Mr. Assad falls, that would render Iran and Hezbollah, which is based in Lebanon, isolated as a Shiite Muslim alliance in an ever more sectarian Middle East, no longer enjoying a special street credibility as what Damascus always tried to sell as “the beating heart of Arab resistance.”


If the shifts seem to leave the United States somewhat dazed, it is because what will emerge from all the ferment remains obscure.


Clearly the old leaders Washington relied on to enforce its will, like President Hosni Mubarak of Egypt, are gone or at least eclipsed. But otherwise confusion reigns in terms of knowing how to deal with this new paradigm, one that could well create societies infused with religious ideology that Americans find difficult to accept. The new reality could be a weaker Iran, but a far more religiously conservative Middle East that is less beholden to the United States.


Already, Islamists have been empowered in Egypt, Libya and Tunisia, while Syria’s opposition is being led by Sunni insurgents, including a growing number identified as jihadists, some identified as sympathizing with Al Qaeda. Qatar, which hosts a major United States military base, also helps finance Islamists all around the region.


In Egypt, President Mohamed Morsi resigned as a member of the Muslim Brotherhood only when he became head of state, but he still remains closely linked with the movement. Turkey, the model for many of them, has kept strong relations with Washington while diminishing the authority of generals who were longstanding American allies.


“The United States is part of a landscape that has shifted so dramatically,” said Mr. Malley of the International Crisis Group. “It is caught between the displacement of the old moderate-radical divide by one that is defined by confessional and sectarian loyalty.”


The emerging Sunni axis has put not only Shiites at a disadvantage, but also the old school leaders who once allied themselves with Washington.


The old guard members in the Palestinian Authority are struggling to remain relevant at a time when their failed 20-year quest to end the Israeli occupation of Palestinian lands makes them seem both anachronistic and obsolete.


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Dancing with the Stars Crowns an All-Star Winner






Update








UPDATED
11/27/2012 at 11:00 PM EST

Originally published 11/27/2012 at 10:50 PM EST







Tom Bergeron and Brooke Burke Charvet


Adam Larkey/ABC


There's a new leading lady!

The first all-female finale of Dancing with the Stars featured all-stars Shawn Johnson, Kelly Monaco and Melissa Rycroft in a fierce battle Tuesday night for the mirror ball trophy.

After taking big risks in Monday night's performance show, the stars and their pro partners – Derek Hough, Val Chmerkovskiy and Tony Dovolani – performed "instant dances."

With the competitors getting their dance-style instructions less than an hour before hitting the floor, the field was whittled down to two couples. Read on to find out who won.

After Monaco was the first eliminated, it came down to Johnson and Rycroft. And the winner was ... Rycroft!

Amid showering confetti, the reality star and Dovolani clutched the trophy. They embraced and jumped up and down.

Rycroft was the only competitor among the final three all-stars to not have won before. Dovolani had labored 14 seasons without previously winning.

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CDC: HIV spread high in young gay males

NEW YORK (AP) — Health officials say 1 in 5 new HIV infections occur in a tiny segment of the population — young men who are gay or bisexual.

The government on Tuesday released new numbers that spotlight how the spread of the AIDS virus is heavily concentrated in young males who have sex with other males. Only about a quarter of new infections in the 13-to-24 age group are from injecting drugs or heterosexual sex.

The Centers for Disease Control and Prevention said blacks represented more than half of new infections in youths. The estimates are based on 2010 figures.

Overall, new U.S. HIV infections have held steady at around 50,000 annually. About 12,000 are in teens and young adults, and most youth with HIV haven't been tested.

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Online:

CDC report: http://www.cdc.gov/vitalsigns

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Reps. Maxine Waters, Ed Royce in line for House leadership posts









WASHINGTON — Veteran Reps. Ed Royce, an Orange County conservative, and Maxine Waters, a South Los Angeles liberal, are about to gain higher profiles in the next Congress.


Royce (R-Fullerton) is expected to be named the new chairman of the House Foreign Affairs Committee and Waters (D-Los Angeles) the top Democrat on the Financial Services Committee.


Their new positions will help offset the state's expected loss of influence on Capitol Hill following the defeat or retirement of a number of the delegation's senior members.





Royce won the backing of the Republican leadership Tuesday to succeed Ileana Ros-Lehtinen (R-Fla.), who must step down because of GOP term limits for its committee leaders. The recommendation is expected to be approved Wednesday by the party's rank and file. Democrats later this week will announce the committee's ranking members.


Royce's ascent to the Foreign Affairs Committee chairmanship will give Republicans from deep-blue California the gavels of three committees in the GOP-controlled House.


Reps. Howard P. "Buck'' McKeon (R-Santa Clarita) and Darrell Issa (R-Vista) will continue to chair the Armed Services and Oversight and Government Reform committees, respectively. Rep. Kevin McCarthy of Bakersfield will continue to serve as majority whip, the third-ranking House GOP leadership post.


Ros-Lehtinen backed Royce as her successor. A majority of the committee's Republicans also supported him, calling him a "team player." Royce was probably aided by the hundreds of thousands of dollars he has provided from his campaign treasury to help elect fellow Republicans.


When he takes over in January, Royce is expected to push the Obama administration to be more aggressive in dealing with Iran, which he has called the "gravest threat" facing the U.S. and its allies, and in promoting human rights in China, Russia and other countries.


Royce pledged to "work against the administration's most harmful foreign policies and exercise strong oversight over the State Department."


Royce, 61, has maintained a low profile in his 20 years in the House, but has been active in foreign affairs, including sponsoring legislation to create Radio Free Afghanistan, promote trade with Africa and crack down on human rights abuses in Vietnam.


Waters, 74, is in line to take retiring Massachusetts Rep. Barney Frank's seat as the top Democrat on the panel that oversees the banking industry, capital markets and housing programs. Her likely ascension to the post comes after the House Ethics Committee dropped a case against her in September.


Waters has served as chairwoman or ranking member of every one of the banking panel's subcommittees. During her tenure, she has championed a nationwide program that has provided billions of dollars to buy and fix up foreclosed properties and has sponsored legislation that requires the Treasury Department and other agencies to create offices to promote opportunities for minorities and women.


With her ideological opposite, Rep. Jeb Hensarling (R-Texas), wielding the gavel and setting the committee agenda, "I see fireworks ahead," said Bart Naylor, financial policy advocate for Public Citizen, a consumer advocacy group.


Waters, in a letter to Democratic colleagues, declared herself "ready to defend" the 2010 overhaul of financial regulations from Republican attack.


Some banking industry representatives are anxious over Waters' new position. She told the CEOs of the big banks at one hearing, "All of my political life, I have been in disagreement with the banking and mostly financial services community because of practices that I have believed to be not in the best interest always of the very people that they claim to serve."


But she has been reaching out to industry groups and others that deal with the committee.


"There's going to be some shouting, but there's going to be a lot less than people are expecting," Mark A. Calabria, the Cato Institute's director of financial regulation studies, said of the Hensarling and Waters leadership posts. "We might all be surprised."


richard.simon@latimes.com





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Egypt’s President Said to Limit Scope of Judicial Decree


Tara Todras-Whitehill for The New York Times


Egyptians at a burned-out school in Cairo on Monday before the funeral of an activist who was injured in a clash and died Sunday.







CAIRO — With public pressure mounting, President Mohamed Morsi appeared to pull back Monday from his attempt to assert an authority beyond the reach of any court. His allies in the Muslim Brotherhood canceled plans for a large demonstration in his support, signaling a chance to calm an escalating battle that has paralyzed a divided nation.




After Mr. Morsi met for hours with the judges of Egypt’s Supreme Judicial Council, his spokesman read an “explanation” on television that appeared to backtrack from a presidential decree placing Mr. Morsi’s official edicts above judicial scrutiny — even while saying the president had not actually changed a word of the statement.


Though details of the talks remained hazy, and it was not clear whether the opposition or the court would accept his position, Mr. Morsi’s gesture was another demonstration that Egyptians would no longer allow their rulers to operate above the law. But there appeared little chance that the gesture alone would be enough to quell the crisis set off by his perceived power grab.


Protesters remained camped in Tahrir Square, and the opposition was moving ahead with plans for a major demonstration on Tuesday.


The presidential spokesman, Yasser Ali, said for the first time that Mr. Morsi had sought only to assert pre-existing powers already approved by the courts under previous precedents, not to free himself from judicial oversight.


He said that the president meant all along to follow an established Egyptian legal doctrine suspending judicial scrutiny of presidential “acts of sovereignty” that work “to protect the main institutions of the state.” The judicial council had said Sunday that it could bless aspects of the decree deemed to qualify under the doctrine.


Mr. Morsi had maintained from the start that his purpose was to empower himself to prevent judges appointed by former President Hosni Mubarak from dissolving the constituent assembly, which is led by his fellow Islamists of the Muslim Brotherhood’s Freedom and Justice Party. The courts have already dissolved the Islamist-led Parliament and an earlier constituent assembly, and the Supreme Constitutional Court was widely expected to rule against this one next week.


But the text of the original decree had exempted all presidential edicts from judicial review until the ratification of a constitution, not just those edicts related to the assembly or justified as “acts of sovereignty.”


Legal experts said that the spokesman’s explanations of the president’s intentions, if put into effect, would amount to a revision of the decree Mr. Morsi issued last Thursday. But lawyers said that the verbal statements alone carried little legal weight.


How the courts would apply the doctrine remained hard to predict. And Mr. Morsi’s opposition indicated it was holding out for far greater concessions, including the breakup of the whole constituent assembly.


Speaking at a news conference while Mr. Morsi was meeting with the judges, the opposition activist and intellectual Abdel Haleem Qandeil called for “a long-term battle,” declaring that withdrawal of Mr. Morsi’s new powers was only the first step toward the opposition’s goal of “the withdrawal of the legitimacy of Morsi’s presence in the presidential palace.” Completely withdrawing the edict would be “a minimum,” he said.


Khaled Ali, a human rights lawyer and former presidential candidate, pointed to the growing crowd of protesters camped out in Tahrir Square for a fourth night. “The one who did the action has to take it back,” Mr. Ali said.


Moataz Abdel Fattah, a political scientist at Cairo University, said Mr. Morsi was saving face during a strategic retreat. “He is trying to simply say, ‘I am not a new pharaoh; I am just trying to stabilize the institutions that we already have,’ ” he said. “But for the liberals, this is now their moment, and for sure they are not going to waste it, because he has given them an excellent opportunity to score.”


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