Morsi Urged to Retract Edict to Bypass Judges in Egypt


Tara Todras-Whitehill for The New York Times


Protesters lit flares and denounced the edict of President Mohamed Morsi during clashes with riot police officers in front of the high court building in Cairo on Saturday. More Photos »







CAIRO — The association of judges here called Saturday for courts across Egypt to suspend all but their most vital activities to protest an edict by President Mohamed Morsi granting himself unchecked power by setting his decrees above judicial review until the ratification of a new constitution.




The judges’ strike, which drew the support of the leader of the national lawyers’ association, would be the steepest escalation yet in a political struggle between the country’s new Islamist leaders and the institutions of the authoritarian government that was overthrown last year. As it spills into the courts and the streets, the dispute also increasingly threatens to undermine the credibility of Egypt’s political transition as well.


A council that oversees the judiciary denounced Mr. Morsi’s decree, which was issued Thursday, as “an unprecedented attack on judicial independence,” and urged the president to retract parts of the decree eliminating judicial oversight.


State news media reported that judges and prosecutors had already walked out in Alexandria, and there were other news reports of walkouts in Qulubiya and Beheira, but those could not be confirmed.


Outside Egypt’s high court in Cairo, the police fired tear gas at protesters who were denouncing Mr. Morsi and trying to force their way into the building, the second day in a row that protesters took to the streets over the presidential decree, which critics have assailed as a return to autocracy.


Abdel Meguid Mahmoud, a prosecutor appointed by Mr. Morsi’s predecessor, Hosni Mubarak, declared to a crowd of cheering judges that the presidential decree was “null and void.” He denounced what he described as “the systematic campaign against the country’s institutions in general and the judiciary in particular.”


A coalition of disparate opposition leaders including the liberal former United Nations diplomat Mohamed ElBaradei, the leftist-nationalist Hamdeen Sabahy, and the former Mubarak-government foreign minister Amr Moussa formed a self-proclaimed National Salvation Front to oppose the decree. In addition to demanding the dissolution of the constitutional assembly, the group declared that it would not speak with Mr. Morsi until he withdrew his decree.


“We will not enter into a dialogue about anything while this constitutional declaration remains intact and in force,” Mr. Moussa said. “We demand that it be withdrawn and then we can talk.”


As the judges group called for a suspension of the courts, a growing number of lawyers filed claims demanding that the courts seek to overturn Mr. Morsi’s decree, joining the battle between the executive and judicial powers.


Advisers to Mr. Morsi, a former leader of the Muslim Brotherhood and Egypt’s first democratically elected president, defended his action, saying he was trying to prevent the courts from disbanding the Islamist-dominated constitutional assembly, which is writing a new constitution. The nation’s top courts had already dissolved the Islamist-led parliament and an earlier Islamist-led constituent assembly.


The advisers said a court decision on the new constitutional assembly had been expected as soon as next Sunday.


The judges’ group, as well as the newly unified secular opposition, have demanded that Mr. Morsi withdraw his decree, and that he disband and replace the current constitutional assembly. Many of the assembly’s non-Islamist members, including secularists and representatives of the Coptic Church, had already quit the body to protest the Islamists’ domination.


The increasingly vocal criticism of the assembly threatens to undermine the legitimacy of the ultimate charter, and has only increased the likelihood that the Islamist leaders may seek to pass and ratify it on their own, over the opposition of other groups, further damaging its credibility.


The opposition to the decree has also reinforced the fears of Islamists that judges appointed by Mr. Mubarak and the secular opposition were deliberately seeking to derail the process rather than accept their defeats at the polls.


Nevine Ramzy and Mai Ayyad contributed reporting.



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AP PHOTOS: Simple surgery heals blind Indonesians

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

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

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

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

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

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

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

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

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

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Kettleman City activists seek to block expansion of toxic dump









KETTLEMAN CITY, Calif. — Environmental activists and leaders of this impoverished community, outraged by unreported spills of cancer-causing chemicals, are trying to block expansion of a toxic waste dump that is the largest of its kind west of the Mississippi River.


Activists say the history of the troubled Chemical Waste Management dump and new citations alleging failure to report 72 hazardous materials spills over the last four years show the company cannot be trusted to protect public health. The state Department of Toxic Substances Control issued the citations earlier this month — and is the agency that must rule on the proposed expansion.


"If this new case is not enough to demonstrate a pattern and practice of violations, I don't know what else the agency would need to see," said Ingrid Brostrom, an attorney with the Center on Race, Poverty and the Environment. The 1,600-acre dump is just off Interstate 5 in Central California.





PHOTOS: Kettleman City's toxic spills


Company officials say the 30-year-old landfill is among the most heavily regulated and monitored facilities of its kind, overseen by nearly a dozen state and federal agencies. During a recent tour of the facility, Bob Henry, Chemical Waste senior district manager, said the spills in question were small, caused by third parties and cleaned up on the site.


State regulators "are simply saying we were supposed to report the spills verbally and with a written report," Henry said. "Is this a major issue? No."


Brian Johnson, the state agency's deputy director of enforcement, disagreed. "It is very serious," he said. "We view these violations as consistent with a troubling pattern and emblematic of a system failure on Chemical Waste's part."


Residents of this close-knit community of 1,500, most of them low-income farmworkers, have long distrusted the facility 3.2 miles from the city. They believe the dump, the only one in California licensed to accept carcinogenic polychlorinated biphenyls, or PCBs, is responsible for serious illnesses, birth defects and deaths among children.


A survey by state health investigators ruled out the dump as the reason 11 babies were born with illnesses including cleft palates and other physical deformities in Kettleman City between September 2007 and March 2010. Three of the babies died.


Despite those findings, many residents blame the landfill. This month, the city has rallied around Ivonne Rangel, whose 2-year-old son Daniel died of leukemia Nov. 12.


Standing last week beside a living-room shrine composed of cheery portraits of her son, fresh roses, toys, rosary beads and candles, Rangel said, "The first thing that came to my mind after my son was diagnosed with aggressive leukemia was that toxic waste dump.


"They say there is no connection between our sick children and the dump, but that is big lie," Rangel said, her eyes filled with tears.


Family and friends held a memorial service and funeral for the boy several days ago.


Maria Saucedo, whose daughter, Ashley, was born with a cleft palate and other ailments and died at 11 months, said she felt "offended and let down by a system that would even consider expanding the dump after all the legal problems and children born with defects."


Chemical Waste officials say the facility is running out of room. With less available space, the company has reduced the amount of hazardous materials it receives from throughout the state to roughly 120,000 tons a year. About 1% of that is PCBs, which are found in electrical transformers, voltage regulators and additives to lubricating and cutting oils.


In 1985, the Environmental Protection Agency fined the company $2.1 million for violations that included operating additional landfills and waste ponds without authorization.


In 2003, the waste dump was among 22 such facilities that California EPA officials determined emitted unusually high levels of radiation.


In 2005, the company was fined $10,000 for violating federal PCB monitoring requirements. It was cited again in 2007 for failing to properly analyze incoming wastes, storm water runoff and leachate for PCBs, and for failing to properly calibrate analytical equipment.


In 2010, the EPA levied a $302,100 fine against the facility for failing to properly manage PCBs. A year later, the facility agreed to pay $400,000 in fines and spend $600,000 on laboratory upgrades needed to properly manage hazardous materials.


Maricela Mares-Alatorre, an activist with Greenaction for Health and Environmental Justice and a Kettleman City mother of two, said activists hope the latest citations will be "an eye-opener for state regulators."


louis.sahagun@latimes.com





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Protests Erupt After Egypt’s Leader Seizes New Power





CAIRO — Opponents of President Mohamed Morsi were reported to have set fire to his party’s offices in several Egyptian cities on Friday in a spasm of protest and clashes after he granted himself broad powers above any court declaring himself the guardian of Egypt‘s revolution, and used his new authority to order the retrial of Hosni Mubarak.








Maya Alleruzzo/Associated Press

Egyptian protesters chanted antigovernment slogans and waved a national flag in Tahrir Square on Friday.






In the Mediterranean city of Alexandria, the opponents of the Muslim Brotherhood’s Freedom and Justice Party clashed with followers of Mr. Morsi, an Islamist, who won Western and regional plaudits only days ago for brokering a cease-fire to halt eight days of lethal exchanges between Israeli forces and militants in the Gaza Strip.


Mr. Morsi, Egypt’s first democratically elected president, portrayed his decree assuming the new powers as an attempt to fulfill popular demands for justice and protect the transition to a constitutional democracy. He said it was necessary to overcome gridlock and competing interests. But the unexpected breadth of the powers he seized raised immediate fears that he might become a new strongman.


“We are, God willing, moving forward, and no one stands in our way,” Reuters quoted Mr. Morsi as saying on Friday said in a suburban mosque here after Friday prayers.


“I fulfill my duties to please God and the nation and I take decisions after consulting with everyone,” he said. “Victory does not come without a clear plan and this is what I have.”


He spoke as state television reported that his party’s offices in the Suez Canal cities of Suez, Port Said and Ismailia had been burned as his foes rampaged. Thousands of people protesting Mr. Morsi’s power grab gathered in Tahrir Square here — the focal point of protests that, last year, swept away Mr. Mubarak. Elsewhere in the capital, the president’s supporters massed in even larger numbers outside the presidential palace where Mr. Morsi said his aim was “to achieve political, social and economic stability.”


“I am for all Egyptians. I will not be biased against any son of Egypt,” he said on a stage outside the presidential palace, Reuters, reported, adding he was working for social and economic stability. “Opposition in Egypt does not worry me, but it has to be real and strong,” he said.


Sounding defensive at times and employing some of the language favored by his autocratic predecessor, Mr. Morsi justified his power grab as necessary to move Egypt’s revolution forward.


“The people wanted me to be the guardian of these steps in this phase,” he said, reminding his audience that he was freely elected after a contest “that the whole world has witnessed.”


“I don’t like, and don’t want — and there is no need — to use exceptional measures,” he said. “But those who are trying to gnaw the bones of the nation,” he added, “must be held accountable.”


News reports said clashes spread from Alexandria to the southern city of Assyut. But the severity of the clashes was not immediately clear.


Mr. Morsi’s new powers prompted one prominent adversary, Mohamed ElBaradei, to say on Twitter: “Morsi today usurped all state powers & appointed himself Egypt’s new pharaoh.”


“An absolute presidential tyranny,” Amr Hamzawy, a liberal member of the dissolved Parliament and prominent political scientist, wrote in an online commentary. “Egypt is facing a horrifying coup against legitimacy and the rule of law and a complete assassination of the democratic transition.”


Mr. Morsi issued the decree on Thursday at a high point in his five-month-old presidency, when he was basking in praise from the White House and around the world for his central role in negotiating a cease-fire that the previous night had stopped the fighting in the Gaza Strip.


But his political opponents immediately called for demonstrations on Friday to protest his new powers. “Passing a revolutionary demand within a package of autocratic decisions is a setback for the revolution,” Abdel Moneim Aboul Fotouh, a more liberal former leader of the Muslim Brotherhood and a former presidential candidate, wrote online. And the chief of the Supreme Constitutional Court indicated that it did not accept the decree.


In Washington on Thursday, the State Department spokeswoman, Victoria Nuland, released a statement saying: “The decisions and declarations announced on November 22 raise concerns from many Egyptians and the international community,” and noting that “one of the aspirations of the revolution was to ensure that power would not be overly concentrated in that hands of any one person or institution.” The statement called for resolution “through democratic dialogue.”


David D. Kirkpatrick and Kareem Fahim reported from Cairo and Alan Cowell from Paris. Mayy El Sheikh contributed reporting.



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AP PHOTOS: Simple surgery heals blind Indonesians

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

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

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

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

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

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

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

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

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

Read More..

Lessons from a disadvantaged children's charter school








It's not exactly where you might expect to find an example of public school success:


The campus is in a former flower mart, across the street from the Greyhound station and a short walk from skid row in an industrial area of downtown Los Angeles.


But inside the Para Los Niños Charter School, children defined by disadvantage are proving skeptics wrong.






I paid a visit to the school last month, after I'd mentioned it in a column about an effort by parents in nearby South Park to create a new Metro Charter school for children living in the upscale neighborhoods near LA Live downtown.


Some of those parents seem to have written off nearby Para Los Niños; it's too poor, too Latino, too linguistically deprived to offer their children enough of a challenge. They are business owners, architects, technology creators, accountants — not elitists, just upscale high-achievers worried that their dreams and the school's aspirations wouldn't be a good fit.


Those are the kinds of concerns on many middle-class minds. Para Los Niños is a magnified version of a city school system that gets less diverse and more economically challenged with every passing year.


Of the 410 students on Para Los Ninos' elementary campus, 99% are Latino and 96% hail from low-income families. More than two-thirds of the students are not fluent in English.


But the school is proving that demographics are not destiny.


Its test scores are on par with many suburban public schools. And its curriculum relies on the sort of child-centered approach favored by progressive private schools with five-figure tuition.


Admission is by lottery, and the school has twice as many applications as open spots some years. Most students live in the garment district, but others come from as far away as Lennox and Long Beach.


"If you had our parents in a room and asked how many want their kids to go to college, 100% would raise their hands," Principal Titus Campos told me.


Still, Campos knows that the school's student-body profile turns some parents off. "We hear it all the time," he said.


When they try to recruit in other neighborhoods to diversify enrollment, "the question asked most is 'Where do the children come from? Are they all Latino?'"


Does that matter?, I asked sixth-grader Ron Bellamy. He's biracial but looks black and didn't speak Spanish when he came to Para Los Niños four years ago.


"It was perplexing at first," Ron admitted. "But there was always somebody around to translate." Most of his classmates spoke both Spanish and English. Instruction after second grade is in English only.


What mattered most to Ron was not skin color or language but the well-stocked library, lively music classes and elaborate art projects, he said. "My other school didn't have any of that."


What would he say to parents worried that their non-Latino children wouldn't fit? "They'd get along just like all of us. We don't put people in groups," he said. "We don't judge by race."


::


Social issues are part of the calculus that parents use to choose. But what happens in the classroom is what matters most. And the reality of Para Los Niños seems to me surprisingly close to the prospective Metro Charter's goals:


The focus is on learning by doing and fostering personal growth. Teachers aren't required to "teach to the test" but to reward curiosity and nurture creative thinking.






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With Cease-Fire Joy in Gaza, Palestinian Factions Revive Unity Pledges





GAZA — Palestinians erupted in triumphant celebrations here on Thursday, vowing new unity among rival factions and a renewed commitment to the tactic of resistance, while Israel’s leaders sought to soberly sell the achievements of their latest military operation to a domestic audience long skeptical of cease-fire deals like the one announced the night before.




After eight days of intense Israeli shelling from air and sea that killed 162 Gazans, including at least 30 militant commanders, and flattened many government buildings and private homes, people poured onto the bomb-blasted streets, beaming as they shopped and strolled under the shield of the cease-fire agreement reached Wednesday in Cairo. The place was awash in flags, not only the signature green of the ruling Hamas party but also the yellow, black and red of rivals Fatah, Islamic Jihad and the Popular Front for the Liberation of Palestine, a rainbow not visible here in years.


Despite the death and destruction, Hamas emerged emboldened, analysts said, not only because it had landed rockets near Tel Aviv and Jerusalem, but also from the unprecedented visits and support by Arab and Muslim leaders, potentially resetting the balance of power and tone in Palestinian politics, as leaders from various factions declared the peace process dead.


“The blood of Jabari united the people of the nation on the choice of jihad and resistance,” Ismail Haniya, the Hamas prime minister, declared in a televised speech, referring to the commander Ahmed al-Jabari, killed in an Israeli airstrike at the beginning of the operation last week. “Resistance is the shortest way to liberate Palestine.”


There were neither celebrations nor significant protests across the border in Israel, where people in southern cities passed the first day in more than a week without constant sirens signaling incoming rockets sending them to safe rooms. Instead, an uneasy, even grim calm set in. The military announced that an officer, Lt. Boris Yarmulnik, 28, had died from wounds sustained in a rocket attack the day before, bringing the death toll on the Israeli side to six, four of them civilians. The Israeli authorities announced several arrests, including an Arab Israeli citizen, for a bus bombing in Tel Aviv on Wednesday that revived memories of the violence from the last Palestinian uprising.


But there was collective relief in Israel as thousands of army reservists, sent to the Gaza border ahead of a possible ground invasion, gradually began returning home. With national elections eight weeks away, Israeli politicians tried to showcase accomplishments without raising expectations.


“It could last nine months or it could last nine weeks,” Defense Minister Ehud Barak said of the cease-fire. “When it does not last, we will know what to do. We see clearheadedly the possibility that we will have to do this again.”


And so it went on the day after the latest round in the decades-old Israeli-Palestinian conflict. What was widely heralded as a game changer by Palestinian politicians and independent analysts alike was viewed by Israeli officials and commentators as a maintenance mission that had succeeded in its stated goals: restoring quiet after months of intensifying rocket fire, and culling the weapons cache of Gaza’s armed groups.


Details of the cease-fire agreement announced Wednesday by Secretary of State Hillary Clinton and the Egyptian foreign minister remained unclear. Both sides pledged to stop the violence, and Palestinians say Israel will loosen its restrictions on fishing off Gaza’s Mediterranean coastline and farming along its northern and eastern borders. But the critical question of whether the border crossings would be open wide for people and commerce was not fully addressed, with only a vague promise that discussions would ensue after 24 hours. The exact agenda, time, location and even participants in these discussions have not been announced.


At the same time, Mustafa Barghouti, a West Bank leader who has spent the last several days in Gaza, said the Palestinian factions had agreed to meet in Cairo for another round of unity talks in the next few days, as President Mahmoud Abbas of the Palestinian Authority prepares to take his case for observer-state status to the United Nations next week. Though Hamas and Fatah, the party Mr. Abbas leads, have signed four reconciliation agreements in the five years since Hamas took control of Gaza after winning elections here, Mr. Barghouti said this time was different.


“Hamas is stronger, of course, and Abbas is having to change his line because negotiations failed,” he said after appearing with Mr. Haniya at a rally in front of the Parliament building. “This time Israel felt the heat of the Arab Spring, and Gaza was not isolated; the whole Arab world was here. The road is open for unity.”


Jodi Rudoren reported from Gaza and Isabel Kershner from Jerusalem. Fares Akram contributed reporting from Gaza and Tamir Elterman from Sderot, Israel.



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National Dog Show Crowns Wire Fox Terrier Best in Show - Again















11/22/2012 at 06:00 PM EST



It was a cute case of déjà vu at this year's National Dog Show, which gave top prize to a wire fox terrier again.

GCH Afterall Painting the Sky (a.k.a. Sky) was named the 2012 Best in Show winner on Thursday's Thanksgiving day broadcast. It's the first time that the same breed has consecutively won the top spot at a major competition since an English springer spaniel won Westminster in 1971 and 1972. (Think Eira, last year's wire fox terrier winner, wants her paw-tograph?)

After quickly becoming the top dog of the terrier group when the show was taped Saturday, Sky bested an affenpinscher, an American foxhound, a Great Dane, a Tibetan Spaniel, a bearded collie and a Field Spaniel to take home highest honors at the show, which featured more than 1,500 canine participants.

"Sky is a very beautiful wire fox terrier," handler Gabriel Rangel, who's now won the dog show three of the last four years, said post-victory. "She is a natural show dog with a short, well-balanced body. She has a beautiful head and her face is unbelievable."

Of course, Best in Show judge Vicki Abbott agreed, saying, "She has a keen expression and that dense, wiry coat. The handler let her show herself, and she performed."

Too busy with Turkey Day to watch the fur fly? The show will re-air Friday at 8 p.m. (all time zones) on NBC.

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Study finds mammograms lead to unneeded treatment

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

___

Online:

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

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

___

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

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At Moorpark College, he has big plans — and fans — on campus









As Jon Foote walked through the tidy grounds of Moorpark College, one student after another called out his name.


To one, he offered directions to a new classroom; to the next, suggestions on an essay about faith; to another, a high-five on a calculus test score. He is 33 years old, not so unusual at a community college — "my only chance," as he puts it, "at a second chance."


Foote arrived at Moorpark determined to show his gratitude by investing in campus life and the school's 14,500 students. He launched Foote's Books, a free, Craigslist-style website to save students money on textbooks, and arranged to bring hybrid and electric vehicles to campus for an exhibit.





When he ran for student body president in the spring of 2011, he seemed to be the only person surprised by his victory.


Foote's second chance, though, has nearly been his undoing. Over the last year, he has been accused of inappropriate behavior — and kicked out as student body president by the college administration. He and his supporters, including prominent faculty members, believe he was targeted because he questioned how the school spent its money.


"It's a public institution," said Robert Keil, chairman of Moorpark's chemistry program. "Yet knowing where your money goes is not always as obvious as it should be. Jon said that students need that information. He butted into an institutional parochialism: 'You're a student. Why don't you just shut up?'"


Administrators declined to comment.


::


Foote grew up in Camarillo and the San Fernando Valley. After earning his high school GED, he bounced from job to job, often clashing with co-workers.


"You have to deal with people around you, whether you like them or not," said his father, Robert Foote, an attorney in Ventura. "He was not very amenable to that."


Foote struggled in the recession. "The world thought I was a failure," he said. "And I was."


Community college, Foote said, was the one place he could start over. He enrolled at Moorpark in 2010. Passionate about the environment and technology, he is studying environmental engineering. He was a model student, several instructors said, with interests beyond the classroom.


"I have never seen a student as devoted to serving the needs of the student community as Jon Foote," Lori Clark, a professor of environmental science, wrote to the administration. "Jon is not a conventional student."


As student body president, Foote focused on Moorpark's budget at a time when California's community colleges were being decimated by cuts, with course offerings slashed by a quarter. Moorpark administrators were shutting the cafeteria and eliminating staff positions, and students were struggling to get into crowded classes.


"Politics disgust me," Foote said. "But I also don't believe in playing patty-cake when something is so clearly wrong."


Foote began to investigate the college's budget choices. Why did the school spend thousands of dollars to fly a small number of students to Washington, D.C., every year? Why had the pay for some student employees risen so quickly? What if entire athletic programs were eliminated and the savings funneled into academics?


"They are slicing courses left and right," Keil said. "We're firing instructors. If you're going to cut core English classes, should you really have a football team? Maybe the answer is 'yes' — but people can't even have an informed discussion."


::


Foote began clashing regularly with administrators, who he said refused to turn over detailed financial accounts.


The college has begun releasing some of that information to The Times in response to public records requests. The records show, for instance, that the Washington trip cost about $15,500 and indicate that wages paid to student workers in the student government office have nearly tripled since 2008, to more than $18,000.





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Cease-Fire Between Israel and Hamas Takes Effect





CAIRO — Israel and Hamas agreed to a cease-fire on Wednesday, the eighth day of lethal fighting over the Gaza Strip, in a deal completed under strong American and Egyptian diplomatic pressure that quieted an aerial battle of rockets and bombs and forestalled — for now — an escalation into an Israeli invasion.




The cease-fire, which took effect at 9 p.m. local time (2 p.m. Eastern), was formally announced by Secretary of State Hillary Rodham Clinton and Foreign Minister Mohamed Amr of Egypt after intensive negotiations in Cairo. It was welcomed by all sides, but whether the cease-fire could hold was uncertain.


Even in the minutes leading up to the effective start time, the antagonists were firing at each other, and the Israeli authorities reported at least five Palestinian rockets were lobbed into southern Israel shortly after the cease-fire had begun. But no damage or injuries were reported and the rocket fire seemed to end in the second hour. In Gaza, thousands of residents came outside to celebrate.


“This is a critical moment for the region,” Mrs. Clinton, who rushed to the Middle East late Tuesday in an intensified effort to halt the hostilities, told reporters in Cairo. She thanked Egypt’s president, Mohamed Morsi, who played a pivotal role in the negotiations, for “assuming the leadership that has long made this country a cornerstone of regional stability and peace.”


Mrs. Clinton also pledged to work “with our partners across the region to consolidate this progress, improve conditions for the people of Gaza, provide security for the people of Israel.”


Mr. Amr said Egypt’s role in reaching the agreement reflected its “historical commitment to the Palestinian cause” and Egypt’s efforts to “bring together the gap between the Palestinian factions.”


The top leader of Hamas, Khaled Meshal, also had strong words of praise for the Egyptian leader, a former official in the Muslim Brotherhood, in which Hamas has roots. At a news conference in Cairo, Mr. Meshal thanked Egypt for its role and said Israel had “failed in all its objectives.”


The negotiators reached an agreement after days of nearly nonstop Israeli aerial assaults on Gaza, the Mediterranean enclave run by Hamas, and the firing of hundreds of rockets into Israel from an arsenal Hamas had been amassing since the three-week Israeli invasion four years ago.


Under the terms distributed after the cease-fire was announced, Israel agreed to stop all land, sea and air hostilities in Gaza, including the “targeting of individuals” — a reference to militants of Hamas and its affiliates who have been killed. The cease-fire also called on the Palestinian factions in Gaza to stop all hostilities against Israel, including rocket attacks and attacks along the border.


But the terms also state that underlying grievances of Gazans, most notably the border restrictions Israel has imposed that impede the movement of people and goods through Gaza, will be addressed starting 24 hours after the cease-fire is in effect. Precisely how they will be addressed was left unclear.


Also left unclear was how the agreement would be enforced, but the terms stated that “each party shall commit itself not to perform any acts that would breach this understanding.”


The agreement came despite a bus bombing in Tel Aviv earlier in the day, applauded by Hamas and other Palestinian militant groups, which invited Israeli reprisals and threatened to derail the talks. Also complicating the path to the cease-fire were Israeli strikes overnight on Gaza.


Prime Minister Benjamin Netanyahu of Israel, who had been threatening to start another ground invasion if the Gaza rockets did not stop, said in a statement that he was satisfied, for the moment, with the outcome. But he left open the possibility of more military action.


The statement issued by his office said Mr. Netanyahu had spoken with President Obama and “responded positively to his recommendation to give a chance to the Egyptian proposal for a cease-fire and to allow an opportunity to stabilize the situation and to calm it down before there is a need to use much greater force.”


An agreement had been on the verge of completion on Tuesday, but was delayed over a number of issues, including Hamas’s demands for unfettered access to Gaza via the Rafah crossing into Egypt and other steps that would ease Israel’s economic and border control over other aspects of life for the more than one million Palestinian residents of Gaza, which Israel vacated in 2005 after 38 years of occupation.


David D. Kirkpatrick reported from Cairo, Ethan Bronner from Jerusalem and Rick Gladstone from New York. Reporting was contributed by Jodi Rudoren and Fares Akram from Gaza, Isabel Kershner from Jerusalem, Alan Cowell from London, Andrea Bruce from Rafah and Christine Hauser from New York.



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Mayim Bialik and Michael Stone Divorcing















11/21/2012 at 05:00 PM EST



After "much consideration and soul-searching," Mayim Bialik announced Wednesday that she and husband Michael Stone are divorcing after nine years of marriage.

The Big Bang Theory star, who has sons Miles, 7, and Fred, 4, with Stone, cites "irreconcilable differences" for the split, which she revealed in a statement on her Kveller.com parenting blog.

"Divorce is terribly sad, painful and incomprehensible for children. It is not something we have decided lightly," she writes.

The former star of TV's Blossom, 36, also says that the split is not due to the attachment parenting she discusses in her book Beyond the Sling. "Relationships are complicated no matter what style of parenting you choose," she says.

"The main priority for us now is to make the transition to two loving homes as smooth and painless as possible," Bialik, 36, continues. "Our sons deserve parents committed to their growth and health and that’s what we are focusing on. Our privacy has always been important and is even more so now, and we thank you in advance for respecting it as we negotiate this new terrain."

She concludes by saying, "We will be ok."

The couple were married in August 2003 in Pasadena, Calif.

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LAPD plans major presence for Black Friday









Black Friday is a day for burning off those Thanksgiving calories with some intense Christmas shopping. But for the Los Angeles Police Department, it's become a day of surveillance, crowd control and crime-suppression tactics.


Helicopters will buzz above some shopping centers, and below, a cavalry of LAPD officers will patrol on bikes and horses. From store rooftops, officers will scan the crowds below looking for unruly behavior. Electronic signs near stores will warn customers about becoming victims of theft as they navigate the mass of humanity looking for bargains.


The deployments are part of a new strategy by the LAPD to deal with the retail roller derby that comes after Thanksgiving. In addition to stationing officers around shopping centers, the LAPD has been visiting stores across the city this week, talking to managers about the psychology of the frantic shopper.





Officials said the push was prompted by a series of incidents at Black Friday sales, notably one last year at a Porter Ranch Wal-Mart in which two dozen people were injured when a woman unleashed pepper spray during a frantic battle for some discounted video games.


LAPD Cmdr. Andy Smith said he hopes people will behave. But "like Chief [Charlie] Beck says, we are not in the optimism business."


The LAPD would not say exactly how many officers it will deploy Friday, but the number is expected to be considerable. In the Valley division, for example, officials have put together detailed tactical plans for each major shopping center, using mobile command posts and both officers and cadets.


"For some people, shopping is a competitive sport," Smith said. "But it should not be a contact sport."


Even some big retailers — which for years fueled the shopping frenzy with aggressive marketing and deep discounts — are trying to rein in some of the excitement they create this year.


Fernando Reyes, manager of the Wal-Mart in Porter Ranch where the pepper spray incident occurred, said his main goal is to avoid a repeat of the chaos. He has met with the LAPD and plans new crowd-control strategies, including setting up special check-out lines for some sales items.


The store also plans to give out vouchers to shoppers for "door buster" merchandise to avoid people jockeying for the limited supplies. If a customer did not get such a voucher, Reyes said there should be a "reasonable expectation" that they won't get the sales item.


The LAPD has talked to other retailers about creating "time-specific entry passes" that would stagger the number of shoppers who are inside the store at any given time. In a flier the department is handing out to store managers, officials note that "this process has been very successful at many of the major theme parks and can help to ensure organized, safe entry into your business."


The LAPD has also suggested that retailers avoid stacking sales items on pallets "to mitigate crowd aggression."


Despite all the headlines, Black Friday misbehavior is still relatively rare. Police report a scattering of brawls, assaults and various larcenies each year. But it's the headlines that people remember. A few years ago, gunfire erupted in a crowded Palm Desert Toys R Us, killing two people. Four years ago, a Long Island, N.Y., Wal-Mart employee was trampled to death by a crush of customers who toppled large glass doors.


Aimee Drolet Rossi, a consumer psychologist at UCLA's Anderson School of Management, said it should not be surprising that some people act out on Black Friday. Research on rats and monkeys has shown that they become more aggressive when placed in a crowded situation, and Rossi said humans are no different.


"Crowding leads people to behave less altruistically, in part because people's sense of responsibility lags when a lot of other people are around," she said. "People assume that other people will step up to help someone who is in distress."


She also said research shows that people are less likely to make eye contact with people in crowded situations, and this can cause them to make bad decisions.


Retailers bear some of the responsibility for what's happened, she said.


"They set up this environment that encourages this competitive shopping ...." Rossi said. "They offer only 10 TV sets at the ridiculously low price. It's really no surprise people get upset when they don't get one."


This year, some stores are actually opening on Thanksgiving Day, and people are already lined up.


Tony Juarez, a 30-year-old North Hollywood resident, has been camping outside the Porter Ranch Best Buy for a week. It's been an eight-year tradition for Juarez and his friends, who set up a makeshift campsite with portable chairs, blankets and a heater. A few feet away, other campers actually brought tents.


This year, Juarez is hoping to score some cut-priced TVs and laptops. A few years ago, he got a $200 Toshiba laptop and is still crowing about the bargain.


He was at the Best Buy when the pepper spray incident occurred at the Wal-Mart next door. He watched, stunned, as a stampede of shoppers streamed out of the store and scores of police arrived.


This year, he's definitely noticed more police presence at the shopping center, and that has been comforting.


"We are seeing an LAPD car every five minutes. It's definitely safer," he said.


But more police isn't enough for South L.A. resident Lynnette Jordan, who plans to stay away from the Baldwin Hills Crenshaw mall on Friday.


"You are still going to deal with folks basically fighting to get into the door to get the item they so desperately want," Jordan said. "No matter what, some people will act the fool because that's what they do."


andrew.blankstein@latimes.com


hector.becerra@latimes.com





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New H.I.V. Cases Falling in Some Poor Nations, But Treatment Still Lags





New infections with H.I.V. have dropped by half in the past decade in 25 poor and middle-income countries, many of them in Africa, the continent hardest hit by AIDS, the United Nations said Tuesday.




The greatest success has been in preventing mothers from infecting their babies, but focusing testing and treatment on high-risk groups like gay men, prostitutes and drug addicts has also paid dividends, said Michel Sidibé, the executive director of the agency U.N.AIDS.


“We are moving from despair to hope,” he said.


Despite the good news from those countries, the agency’s annual report showed that globally, progress is steady but slow. By the usual measure of whether the fight against AIDS is being won, it is still being lost: 2.5 million people became infected last year, while only 1.4 million received lifesaving treatment for the first time.


“There has been tremendous progress over the last decade, but we’re still not at the tipping point,” said Mitchell Warren, the executive director of AVAC, an advocacy group for AIDS prevention. “And the big issue, sadly, is money.”


Some regions, like Southern Africa and the Caribbean, are doing particularly well, while others, like Eastern Europe, Central Asia and the Middle East, are not. Globally, new infections are down 22 percent from 2001, when there were 3.2 million. Among newborns, they fell 40 percent, to 330,000 from 550,000.


The two most important financial forces in the fight, the multinational Global Fund for AIDS, Tuberculosis and Malaria and the domestic President’s Emergency Plan for AIDS Relief, were both created in the early 2000s and last year provided most of the $16.8 billion spent on the disease. But the need will soon be $24 billion a year, the groups said.


“Where is that money going to come from?” Mr. Warren asked.


The number of people living with H.I.V. rose to a new high of 34 million in 2011, while the number of deaths from AIDS was 1.7 million, down from a peak of 2.3 million in 2005. As more people get life-sustaining antiretroviral treatment, the number of people living with H.I.V. grows.


Globally, the number of people on antiretroviral drugs reached 8 million, up from 6.6 million in 2010. However, another 7 million are sick enough to need them. The situation is worse for children; 72 percent of those needing pediatric antiretrovirals do not get them.


New infections fell most drastically since 2001 in Southern Africa — by 71 percent in Botswana, 58 percent in Zambia and 41 percent in South Africa, which has the world’s biggest epidemic.


But countries with drops greater than 50 percent were as geographically diverse as Barbados, Cambodia, the Dominican Republic, Ethiopia, India and Papua New Guinea.


The most important factor, Mr. Sidibé said, was not nationwide billboard campaigns to get people to use condoms or abstain from sex. Nor was it male circumcision, a practice becoming more common in Africa.


Rather, it was focusing treatment on high-risk groups. While saving babies is always politically popular, saving gay men, drug addicts and prostitutes is not, so presidents and religious leaders often had to be persuaded to help them. Much of Mr. Sidibé’s nearly four years in his post has been spent doing just that.


Many leaders are now taking “a more targeted, pragmatic approach,” he said, and are “not blocking people from services because of their status.”


Fast-growing epidemics are often found in countries that criminalize behavior. For example, homosexuality is illegal in many Muslim countries in the Middle East and North Africa, so gay and bisexual men, who get many of the new infections, cannot admit being at risk. The epidemics in Eastern Europe and Central Asia are driven by heroin, and in those countries, methadone treatment is sometimes illegal.


Getting people on antiretroviral drugs makes them 96 percent less likely to infect others, studies have found, so treating growing numbers of people with AIDS has also helped prevent new infections.


Ethiopia’s recruitment of 35,000 community health workers, who teach young people how to protect themselves, has also aided in prevention.


Mr. Sidibé acknowledged that persuading rich countries to keep donating money was a struggle. The Global Fund is just now emerging from a year of turbulence with a new executive director, and the American program has come under budget pressures. Also, he noted, many countries like South Africa and China are relying less on donors and are paying their own costs. The number of people on treatment in China jumped 50 percent in a single year.


Mr. Warren’s organization said in a report Tuesday that the arsenal of prevention methods had expanded greatly since the days when the choice was abstain from sex, be faithful or use condoms. Male circumcision, which cuts infection risk by about 60 percent, a daily prophylactic pill for the uninfected and vaginal microbicides for women are in use or on the horizon, and countries need to use the ones suited to their epidemics, the report concluded.


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Leonor Varela Welcomes a Son




Celebrity Baby Blog





11/20/2012 at 07:00 PM ET



Jack Osbourne Respectfully Declines More Baby Gifts
David Livingston/Getty


Leonor Varela‘s days as villainous vixen may be over, but her role in motherhood has only just begun.


The former Dallas actress, 39, and producer Lucas Akoskin have welcomed their first child together, the new mom announced on Twitter Tuesday.


Matteo V. Akoskin is finally in our arms!” Varela writes, keeping any further details under wraps.


Confirming the pregnancy in July, Varela and Akoskin were elated to be starting a family together. “The couple are over the moon,” her rep told PEOPLE at the time.



Tori Spelling Stella Saved My Life
Courtesy Leonor Varela


– Anya Leon


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

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

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

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

Still, momentum may be building.

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

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

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

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

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

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

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

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

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

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

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

The doctors group made clear that:

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

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

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

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

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

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

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

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

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

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

___

Online:

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

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Bonds of tradition are a financial bind for Oaxacan migrants









SANTA ANA DEL VALLE, Mexico — Isaias Garcia had labored for decades to raise a family in Torrance when in 2009, the Zapotec Indian faced a life-changing decision.


The authorities of his family village of Santa Ana del Valle in the state of Oaxaca had called him home to serve without pay as a councilman for three years. If he refused, they could confiscate his property — a house and nine acres — under a centuries-old system of local Indian governance known as usos y costumbres (uses and customs).


Garcia came to America illegally, and he knew that going home would be tantamount to permanent deportation; border security and drug-cartel violence had made returning to the United States more dangerous and costly. Nor could he afford to pay someone in Santa Ana to do the job for him.





Under usos y costumbres, a system recognized in Mexican law, Indian towns choose municipal workers — mayors, councilmen, policemen and sanitation workers — in open assemblies. The system is practiced by 418 Indian municipios, similar to counties but much smaller, across Oaxaca.


In most villages, each man before he turns 60 must perform at least 15 years of work — each job can last between one and three years — or pay someone to take his place.


California has close to 300,000 Oaxacan Indian migrants, and more than half of them live in Southern California. Virtually all are from villages run by usos y costumbres; many are in the same bind as Garcia.


For centuries, usos y costumbres kept Mexican Indian villages functioning and unified. But many villagers were now in the United States, and the system increasingly pitted migrants against those who remained behind. Migrants say the system keeps their hometowns and people in poverty, and as Garcia prepared to return home, Santa Ana migrants in the U.S. were battling the system.


In December 2010, Garcia, 59, with his wife, Angelica Morales, 54, left their apartment in Torrance and returned to Mexico for what he assumed was forever.


A quiet, self-effacing man and a political novice, Garcia would soon become a conduit for the cause of upending, at least in Santa Ana, the system that had governed the town for centuries.


"It would be a radical change," he said. "Change is good. We only need the village to approve it."


::


Santa Ana del Valle — 20 miles east of the state capital of Oaxaca City — had once been a town of weavers and subsistence corn farmers living in adobe houses.


Then in the 1970s and 1980s, a wave of young men immigrated to California, finding restaurant jobs in Culver City, Venice and Torrance. Garcia was among two dozen who found kitchen work in a Torrance Szechwan restaurant.


Now he walked Santa Ana's quiet streets. Red-brick homes had replaced the adobe. There were small grocery stores, and even though men often herded donkeys and bulls through town, many families also had trucks.


As he began his tenure as councilman, he and his wife settled into the house that he and his brothers had built in place of their late father's adobe home. He also planted corn on their nine acres, just as his ancestors had on the same soil. Like them, he plowed the fields using bulls.


He also knew that many villagers thought the migrants were getting rich in the United States.


In 1986, villagers decided that migrants had to do service jobs, even if it meant they would have to return home. The jobs began to proliferate. Because the workers didn't draw a salary, essential services could be provided without draining the municipal budget. In one instance, a different person for every day of the week was put in charge of turning on the water system.


Some migrants, preferring not to leave the United States, began paying others to do their work, and it became common in Santa Ana to name migrants to jobs in the expectation that they would pay others back home. Some villagers relied on this income. Migrants compared the system to extortion.


Others saw the essence of Indian life and culture wrapped up in usos y costumbres. The work helped youths understand their responsibilities to one another and to the town, said Jacinto Matias, a former weaver who spent 31 years in the United States and now lives in Santa Ana.


That labor "is how we're a community," said Matias, who has put in nine years of service work as a police officer, a caretaker at a school and a church, and an operator of the water system. His brother helped him a little financially, but he and his wife mostly supported themselves by working in the fields, growing corn.





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Hamas Strengthens as Palestinian Authority Weakens





RAMALLAH, West Bank — In the daily demonstrations here of solidarity with Gaza, a mix of sympathy and anguish, there is something else: growing identification with the Islamist fighters of Hamas and derision for the Palestinian Authority, which Washington considers the only partner for peace with Israel.




“Strike a blow on Tel Aviv!” proclaim the lyrics of a new hit song blasting from shops and speakers at Monday’s demonstration, in a reference to Hamas rockets that made it nearly to Israel’s economic and cultural capital. “Don’t let the Zionists sleep! We don’t want a truce or a solution! Oh Palestinians, you can be proud!”


Pop songs everywhere are filled with bravado and aggression. But this one reflects a widespread sentiment that does not augur well for President Mahmoud Abbas and his Palestinian Authority, which is rapidly losing credibility, even relevance. The Gaza truce talks in Cairo, involving Egypt, Turkey and Qatar, offer a telling tableau. The Palestinian leader seen there is not Mr. Abbas, but Khaled Meshal, the leader of the militant group Hamas, who seeks to speak for all Palestinians as his ideological brothers in the Muslim Brotherhood rise to power around the region.


Israel is also threatening Mr. Abbas, even hinting that it may give up on him, as he prepares to go to the United Nations General Assembly on Nov. 29 to try to upgrade the Palestinian status to that of a nonmember state. The Israelis consider this step an act of aggression, and even some Palestinians say it is somewhat beside the point at this stage.


“His people are being killed in Gaza, and he is sitting on his comfortable chair in Ramallah,” lamented Firas Katash, 20, a student who took part in the Ramallah demonstration.


For the United States, as for other countries hoping to promote a two-state solution to this century-old conflict, a more radicalized West Bank with a discredited Palestinian Authority would mean greater insecurity for Israel and increased opportunity for anti-Western forces to take root in a region where Islamism is on the rise.


Since Hamas, which won parliamentary elections in 2006, threw the Fatah-controlled authority out of Gaza a year later, Mr. Abbas has not set foot there. Yet he will be asking the world to recognize the two increasingly distinct entities as a unified state.


Manar Wadi, who works in an office in Ramallah, put the issue this way: “What is happening in Gaza makes the Palestinian Authority left behind and isolated. Now we see the other face of Hamas, and its popularity is rising. It makes us feel that the Palestinian Authority doesn’t offer a path to the future.”


In Cairo on Monday, Mr. Meshal seemed defiant and confident in his new role, daring the Israelis to invade Gaza as a sixth day of Israeli aerial assaults brought the death toll there to more than 100 people, many of them militants of Hamas and its affiliates. Rockets launched from Gaza hit southern Israel, causing some damage and panic, but no casualties, leaving the death toll there at three.


“Whoever started the war must end it,” he said at a news conference. “If Israel wants a cease-fire brokered through Egypt, then that is possible. Escalation is also possible.”


Officials in the authority have been holding leadership meetings, staying in close touch with the talks in Cairo and issuing statements of solidarity. They have also sent a small medical delegation to Gaza and argue that there is a new opportunity to forge unity between the two feuding movements. But they are acutely aware of their problem.


“The most dangerous thing is the fact that what we could not do in negotiations, Hamas did with one rocket,” one official said, speaking on the condition of anonymity. “The people had such excitement seeing the occupiers run in panic. It’s a very dangerous message.”


Mr. Abbas, whose popularity has been on the decline as the Palestinian Authority faces economic difficulty and growing Israeli settlements, also ran into trouble not long before the Gaza fighting began when he seemed to give up on the Palestinian demand of a right of return to what is now Israel.


Many Palestinians believe that Israel launched its latest operation in Gaza to block the Palestinian Authority’s United Nations plans by embarrassing it. Israeli officials say that is ridiculous: the operation’s purpose is to stop the growing number of rockets being fired at their communities, and Israelis interrupted their deliberations over the United Nations bid to wage the military campaign.


But Israel says anything that does not involve direct negotiations is a waste of time. The government of Prime Minister Benjamin Netanyahu has repeatedly threatened to take severe retaliatory steps against the Palestinian Authority, including cutting off badly needed tax receipts to Palestinian coffers, should Mr. Abbas go ahead at the United Nations.


In a speech here on Sunday night at a Palestinian leadership meeting, Mr. Abbas repeated his determination to go to New York and ask for a change in status to that of nonmember state. He has chosen the symbolically significant date of Nov. 29, when the General Assembly voted in 1947 to divide this land into two states, one Jewish and the other Palestinian Arab.


The United States has asked Mr. Abbas not to do so but instead to resume direct negotiations with Israel, which have essentially been frozen since 2008.


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Google should not be accused of “unfair” acts: lawmakers
















WASHINGTON (Reuters) – Two lawmakers urged the Federal Trade Commission on Monday to steer clear of expanding its authority as it investigates allegations search engine company Google violated antitrust law.


The two California Democrats in the House of Representatives, who count Google as a major campaign contributor, asked the FTC not to accuse the company of “unfair” acts if it believes it broke antitrust law.













Anna Eshoo, on the Energy and Commerce Committee, and Zoe Lofgren, who is on the Judiciary Committee, said there were reports to suggest the FTC planned to use the unfair standard to avoid proving some elements required in an antitrust claim.


They said such a move could lead to over-broad authority for the FTC that could create legal uncertainties for firms and stifle economic growth.


“Such a massive expansion of FTC jurisdiction would be unwarranted, unwise, and likely have negative implications for our nation’s economy,” the lawmakers wrote in the letter, which was dated November 19 and sent to the five FTC commissioners.


The FTC is looking into a long list of complaints brought by rivals of Google, which is also accused of using its dominance to squash competitors in vertical search areas such as shopping and travel.


The FTC staff has reportedly given the commission a report urging them to file a complaint against Google for suing competitors based on standard essential patents and asking for injunctions to stop the sales of their products. Standard essential patents are supposed to be broadly licensed at a fair rate.


Google is the seventh largest contributor to Eshoo, donating $ 13,000 during the 2012 election cycle, according to data from the Center for Responsive Politics. It is the third largest contributor to Lofgren, who got $ 14,500 from Google. The donations came from a Google political action committee and employees and lobbyists associated with Google.


Complaints about Google to the FTC over standard essential patents arise from a raft of litigation between Apple Inc, Google and Microsoft Corp, which have sued each other numerous times in various countries, each alleging that their respective patents are being infringed upon by rivals in the highly competitive smartphone market.


In many cases, the companies ask that their rivals’ products be banned from stores. Many antitrust enforcers believe it is inappropriate for companies to ask for sales bans based on the infringement of essential patents.


FTC Chairman Jon Leibowitz, who is expected to leave the agency soon, said in mid-September that he expected a decision in the case by the end of the year. A decision could be in the form of a lawsuit or, more likely, a settlement.


Google has settled with U.S. law enforcement agencies in the past.


For example, it settled with the FTC following privacy gaffes during the botched roll-out of its social network, Buzz. Later, it paid $ 22.5 million to settle charges that it bypassed the privacy settings of customers using Apple’s Safari browser.


Google also paid a $ 500 million settlement in 2011 to the Justice Department for knowingly accepting illegal advertisements from Canadian pharmacies selling in the United States.


FTC spokesman Peter Kaplan confirmed that the commission had received the letter but said the agency declined comment.


(Reporting By Diane Bartz; editing by Andrew Hay)


Tech News Headlines – Yahoo! News



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Miley Cyrus Celebrates in New York - with Her Entire Family!















11/19/2012 at 07:05 PM EST







From left: Noah, Bill Ray, Tish, Miley, Brandi and Braison Cyrus


Bruce Glikas/Filmmagic


The Cyrus family has a lot to be thankful for this year.

Miley Cyrus is celebrating her 20th birthday on Friday. Her dad, Billy Ray Cyrus, is starring as slick lawyer Billy Flynn in the Broadway hit musical Chicago. And it looks like (practically) the whole family is together for the occasions.

Photos show Billy Ray – dressed in a tuxedo – his wife Tish and their kids, Miley, 19, Noah, 12, Brandi, 25, and Braison, 18, all posing together backstage at the Ambassador Theater in New York City on Sunday. (Brother Trace is the only one absent.)

"The whole family had a great time," an observer tells PEOPLE.

They came backstage at intermission to spend time with Billy Ray in his dressing room, and again after the show to meet some of his fellow cast members.

Billy Ray, who began his Broadway run recently, told PEOPLE that his family hadn't come to see him yet partly because he wanted to get comfortable in the role. "I gotta get my legs up [before they see it]," he said. "I think everybody's coming in for Thanksgiving. So we'll see what happens."

Now that they've seen it, it seems his family is giving his performance a thumbs-up. "So glad to be back with my daddy (@billyraycyrus) for the first time in 3 MONTHS!! He was so great on broadway," Noah Tweeted on Monday.

Miley, too, is having a blast in the Big Apple. "What a dope morning. So many fans outside my hotel this a.m. in NYC. If there's this much chaos NOW imagine when I drop this record! #ohsnap," she Tweeted.

As for Billy Ray, whose Chicago run ends Dec. 23, he says taking the part on Broadway has been great fun – and a great challenge.

"I couldn't come up here and do something predictable," he says of the role. "I was offered Rock of Ages, and my instincts said, 'That's a bit predictable for me.' "

But when the role of Billy Flynn came up, Ray explained, "He's the total opposite of me" – and that was just what he wanted.

For more on Billy Ray Cyrus – including what he does (and doesn't) know about Miley's wedding plans – pick up PEOPLE, on newsstands Friday

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New push for most in US to get at least 1 HIV test

WASHINGTON (AP) — There's a new push to make testing for the AIDS virus as common as cholesterol checks.

Americans ages 15 to 64 should get an HIV test at least once — not just people considered at high risk for the virus, an independent panel that sets screening guidelines proposed Monday.

The draft guidelines from the U.S. Preventive Services Task Force are the latest recommendations that aim to make HIV screening simply a routine part of a check-up, something a doctor can order with as little fuss as a cholesterol test or a mammogram. Since 2006, the Centers for Disease Control and Prevention also has pushed for widespread, routine HIV screening.

Yet not nearly enough people have heeded that call: Of the more than 1.1 million Americans living with HIV, nearly 1 in 5 — almost 240,000 people — don't know it. Not only is their own health at risk without treatment, they could unwittingly be spreading the virus to others.

The updated guidelines will bring this long-simmering issue before doctors and their patients again — emphasizing that public health experts agree on how important it is to test even people who don't think they're at risk, because they could be.

"It allows you to say, 'This is a recommended test that we believe everybody should have. We're not singling you out in any way,'" said task force member Dr. Douglas Owens, of Stanford University and the Veterans Affairs Palo Alto Health Care System.

And if finalized, the task force guidelines could extend the number of people eligible for an HIV screening without a copay in their doctor's office, as part of free preventive care under the Obama administration's health care law. Under the task force's previous guidelines, only people at increased risk for HIV — which includes gay and bisexual men and injecting drug users — were eligible for that no-copay screening.

There are a number of ways to get tested. If you're having blood drawn for other exams, the doctor can merely add HIV to the list, no extra pokes or swabs needed. Today's rapid tests can cost less than $20 and require just rubbing a swab over the gums, with results ready in as little as 20 minutes. Last summer, the government approved a do-it-yourself at-home version that's selling for about $40.

Free testing is available through various community programs around the country, including a CDC pilot program in drugstores in 24 cities and rural sites.

Monday's proposal also recommends:

—Testing people older and younger than 15-64 if they are at increased risk of HIV infection,

—People at very high risk for HIV infection should be tested at least annually.

—It's not clear how often to retest people at somewhat increased risk, but perhaps every three to five years.

—Women should be tested during each pregnancy, something the task force has long recommended.

The draft guidelines are open for public comment through Dec. 17.

Most of the 50,000 new HIV infections in the U.S. every year are among gay and bisexual men, followed by heterosexual black women.

"We are not doing as well in America with HIV testing as we would like," Dr. Jonathan Mermin, CDC's HIV prevention chief, said Monday.

The CDC recommends at least one routine test for everyone ages 13 to 64, starting two years younger than the task force recommended. That small difference aside, CDC data suggests fewer than half of adults under 65 have been tested.

"It can sometimes be awkward to ask your doctor for an HIV test," Mermin said — the reason making it routine during any health care encounter could help.

But even though nearly three-fourths of gay and bisexual men with undiagnosed HIV had visited some sort of health provider in the previous year, 48 percent weren't tested for HIV, a recent CDC survey found. Emergency rooms are considered a good spot to catch the undiagnosed, after their illnesses and injuries have been treated, but Mermin said only about 2 percent of ER patients known to be at increased risk were tested while there.

Mermin calls that "a tragedy. It's a missed opportunity."

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Online:

Task force recommendation: http://www.uspreventiveservicestaskforce.org

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