Protests Erupt After Egypt’s Leader Seizes New Power

Tara Todras-Whitehill for The New York Times

Egyptians in central Cairo ran from tear gas during clashes with the police on Friday. Protesters took to the streets in several cities. More Photos »

CAIRO — Protests erupted across Egypt on Friday, as opponents of President Mohamed Morsi clashed with his supporters over a presidential edict that gave him unchecked authority and polarized an already divided nation while raising a specter, the president’s critics charged, of a return to autocracy.  

In an echo of the uprising 22 months ago, thousands of protesters chanted for the downfall of Mr. Morsi’s government in Cairo, while others ransacked the offices of the president’s former party in Suez, Alexandria and other cities.

Mr. Morsi spoke to his supporters in front of the presidential palace here, imploring the public to trust his intentions as he cast himself as a protector of the revolution and a fledgling democracy.

In a speech that was by turns defensive and conciliatory, he ultimately gave no ground to the critics who now were describing him as a pharaoh, in another echo of the insult once reserved for the deposed president, Hosni Mubarak.

“God’s will and elections made me the captain of this ship,” Mr. Morsi said.

The battles that raged on Friday — over power, legitimacy and the mantle of the revolution — posed a sharp challenge not only to Mr. Morsi but also to his opponents, members of secular, leftist and liberal groups whose crippling divisions have stifled their agenda and left them unable to confront the more popular Islamist movement led by the Muslim Brotherhood.

The crisis over his power grab came just days after the Islamist leader won international praise for his pragmatism, including from the United States, for brokering a cease-fire between Hamas and Israel.

On Friday, the State Department expressed muted concern over Mr. Morsi’s decision. “One of the aspirations of the revolution was to ensure that power would not be overly concentrated in the hands of any one person or institution,” said the State Department spokeswoman, Victoria Nuland.

She said, “The current constitutional vacuum in Egypt can only be resolved by the adoption of a constitution that includes checks and balances, and respects fundamental freedoms, individual rights and the rule of law consistent with Egypt’s international commitments.”

But the White House was notably silent after it had earlier this week extolled the emerging relationship between President Obama and Mr. Morsi and credited a series of telephone calls between the two men with helping to mediate the cease-fire in Gaza.

For Mr. Morsi, who seemed to be saying to the nation that it needed to surrender the last checks on his power in order to save democracy from Mubarak-era judges, the challenge was to convince Egyptians that the ends justified his means.

But even as he tried, thousands of protesters marched to condemn his decision. Clashes broke out between the president’s supporters and his critics, and near Tahrir Square, the riot police fired tear gas and bird shot as protesters hurled stones and set fires.

Since Thursday, when Mr. Morsi issued the decree, the president and his supporters have argued that he acted precisely to gain the power to address the complaints of his critics, including the families of protesters killed during the uprising and its aftermath.

By placing his decisions above judicial review, the decree enabled him to replace a public prosecutor who had failed to win convictions against senior officers implicated in the killings of protesters.

The president and his supporters also argued that the decree insulated the Constituent Assembly, which is drafting the constitution, from meddling by Mubarak-era judges.

Since Mr. Mubarak’s ouster, courts have dissolved Parliament, kept a Mubarak loyalist as top prosecutor and disbanded the first Assembly.

But by ending legal appeals, the decree also removed a safety valve for critics who say the Islamist majority is dominating the drafting of the constitution.

Mayy El Sheikh contributed reporting from Cairo, and Helene Cooper from Washington.

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Larry Hagman Dies

TV Watch

TV News

By Aaron Parsley

11/24/2012 at 12:00 AM EST

Larry Hagman has died.

The actor, who famously played J.R. Ewing on the hit primetime soap Dallas, was 81.

"When he passed, he was surrounded by loved ones," his family said in a statement released to the Dallas Morning News on Friday. "It was a peaceful passing, just as he had wished for. The family requests privacy at this time."

"This is so sad. Larry was really someone who was loved by everyone," his agent Joel Dean tells PEOPLE. "Me especially. He was the most loving, wonderful, generous man. And he was a true trouper."

In late 2011, Hagman announced that he was battling cancer but he had also signed on to star in the TNT reboot of Dallas, which recently started filming its second season.

"Larry was back in his beloved Dallas, re-enacting the iconic role he loved most," his family said in the statement.

In addition to portraying J.R. – a lovable, scheming, villainous oilman, whose shooting death was a topic of international water-cooler discussion – Hagman starred alongside Barbara Eden as Major Anthony Nelson in the iconic '60s hit sitcom I Dream of Jeannie.

According to the Morning News report, Hagman's Dallas costars Linda Gray and Patrick Duffy were by his side on Friday at Medical City Dallas Hospital when he died.

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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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Program opens door to citizenship for immigrants

Ricardo Sepida gets emotional when he sees his son-in-law in a Navy uniform. Even aircraft carriers make him misty-eyed. There is no better country than the United States, says Sepida, an immigrant from the Philippines.

Yet despite possessing a green card for 40 years, Sepida has never become an American citizen. Life got in the way, as he raised two children, worked a full-time job as a biomedical technician and ran side businesses on the weekends.

"I was so busy at work, I had so many things to do and I'd forget about it," said Sepida, 61, of Sylmar. "I regret it now. I should have done it a long time ago."

Sepida is among the millions of immigrants who are eligible for citizenship but have postponed the milestone, whether because of the $680 fee, a busy schedule or fear of the English and civics exams. In 2011, about 750,000 immigrants applied for naturalization out of the 8.5 million who were eligible.

A $20-million effort is now under way to get more permanent residents to become citizens so they can vote, have access to a wider range of jobs and become fully American. The money for the New Americans Campaign comes from major foundations and is going mainly to nonprofits that have already been doing citizenship work. Two former commissioners of the Immigration and Naturalization Service have signed on as advisors.

"We're going to just grow the number of people who aren't really completely part of the American fabric, who aren't pitching their tent, unless we get them off the sideline and into the game," said Eric Cohen, executive director of the Immigrant Legal Resource Center, which is the campaign's main coordinator.

The campaign is being touted as bipartisan — Doris Meissner and James Ziglar, the two former INS leaders, served under Presidents Clinton and George W. Bush, respectively. Organizers chose to launch the effort after the November presidential election to avoid any association with partisan voter registration drives, Meissner said.

With the growing clout of Latinos and Asian Americans, who voted for Democrat Barack Obama over Republican Mitt Romney by a ratio of nearly three to one, an increase in naturalization rates could have an effect on local and national politics.

Los Angeles is among eight cities targeted by the New Americans drive, which will last three to five years. The cities, which also include Charlotte, Dallas, Detroit, Houston, Miami, New York and San Jose, are home to about 40% of those who qualify for citizenship.

The money will pay for more workshops to help immigrants fill out the 10-page application and prepare for the exams. The New Americans project will also fund outreach efforts like the CitzenshipWorks website, which provides application guidance in English, Spanish, Chinese and Vietnamese.

Separately, U.S. Citizenship and Immigration Services, which processes applications and is a successor agency to INS, has worked with Los Angeles officials to install a "citizenship corner" in each of the city's 73 public libraries.

"It's one of those things where you don't know how good it is unless you experience it," said Phyllis Coven, director of U.S. Citizenship and Immigration Services' Los Angeles office. "It's a great gift, an honor and a privilege to hold a U.S. passport and become a full member of this society."

At the Chinatown library, the most pressing issue is English fluency, said Shan Liang, the branch manager. Elderly Chinese immigrants flock to the library's free English and civics classes, but some have a long way to go before they can answer such questions as, "Why did the colonists fight the British?" The cost can also be an issue for retirees living on a fixed income, Liang said.

"It is an intimidating process. It is quite a lot of questions," said Joyce Noche, head of the citizenship and immigration project at the Asian Pacific American Legal Center, one of the groups conducting workshops under the program. "Our attorneys can't actually answer all the questions themselves. It is not a walk in the park."

Typically, the naturalization process takes about five months from submitting the initial application to reciting an oath of allegiance at a group swearing-in ceremony.

On a recent Saturday morning, Sepida attended a New Americans workshop in North Hills with his wife, Sally, who has been a citizen for decades. Among a group of procrastinators, Sepida stood out.

Tony Lu, who coordinates the CitizenshipWorks project for the Immigration Advocates Network, examined Sepida's permanent resident card. The pale blue document, dating from 1972, was so old that Lu had never seen that version of it. (Most versions are beige or pink; the agency returned to its original green hue in 2010).

Sepida sat down at a computer to work on his application. Others got one-on-one help with pen and paper, leaving with a completed application and free flashcards to practice English vocabulary and civics.

Elizabeth Lopez Perez, 45, who was brought across the Mexican border when she was 2, got her green card more than 25 years ago. As a single mother raising three children, she hardly had a spare moment.

Now, the impediment is the $680 application fee. The former nursing assistant, who has been unemployed for the last six years, hoped to qualify for a fee waiver for low-income applicants.

"Before, I didn't have the time, and I had the money," said Lopez Perez, of North Hills. "Now I have the time, and I don't have the money."

cindy.chang@latimes.com

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Military Analysis: For Israel, Gaza Conflict Is Test for an Iran Confrontation

Menahem Kahana/Agence France-Presse — Getty Images

An Israeli missile is launched from a battery. Officials said their antimissile system shot down 88 percent of all assigned targets.

WASHINGTON — The conflict that ended, for now, in a cease-fire between Hamas and Israel seemed like the latest episode in a periodic showdown. But there was a second, strategic agenda unfolding, according to American and Israeli officials: The exchange was something of a practice run for any future armed confrontation with Iran, featuring improved rockets that can reach Jerusalem and new antimissile systems to counter them.

It is Iran, of course, that most preoccupies Prime Minister Benjamin Netanyahu and President Obama. While disagreeing on tactics, both have made it clear that time is short, probably measured in months, to resolve the standoff over Iran’s nuclear program.

And one key to their war-gaming has been cutting off Iran’s ability to slip next-generation missiles into the Gaza Strip or Lebanon, where they could be launched by Iran’s surrogates, Hamas, Hezbollah and Islamic Jihad, during any crisis over sanctions or an Israeli strike on Iran’s nuclear facilities.

Michael B. Oren, the Israeli ambassador to the United States and a military historian, likened the insertion of Iranian missiles into Gaza to the Cuban missile crisis.

“In the Cuban missile crisis, the U.S. was not confronting Cuba, but rather the Soviet Union,” Mr. Oren said Wednesday, as the cease-fire was declared. “In Operation Pillar of Defense,” the name the Israel Defense Force gave the Gaza operation, “Israel was not confronting Gaza, but Iran.”

It is an imprecise analogy. What the Soviet Union was slipping into Cuba 50 years ago was a nuclear arsenal. In Gaza, the rockets and parts that came from Iran were conventional, and, as the Israelis learned, still have significant accuracy problems. But from one point of view, Israel was using the Gaza battle to learn the capabilities of Hamas and Islamic Jihad — the group that has the closest ties to Iran — as well as to disrupt those links.

Indeed, the first strike in the eight-day conflict between Hamas and Israel arguably took place nearly a month before the fighting began — in Khartoum, the capital of Sudan, as another mysterious explosion in the shadow war with Iran.

A factory said to be producing light arms blew up in spectacular fashion on Oct. 22, and within two days the Sudanese charged that it had been hit by four Israeli warplanes that easily penetrated the country’s airspace. Israelis will not talk about it. But Israeli and American officials maintain that Sudan has long been a prime transit point for smuggling Iranian Fajr rockets, the kind that Hamas launched against Tel Aviv and Jerusalem over recent days.

The missile defense campaign that ensued over Israeli territory is being described as the most intense yet in real combat anywhere — and as having the potential to change warfare in the same way that novel applications of air power in the Spanish Civil War shaped combat in the skies ever since.

Of course, a conflict with Iran, if a last-ditch effort to restart negotiations fails, would look different than what has just occurred. Just weeks before the outbreak in Gaza, the United States and European and Persian Gulf Arab allies were practicing at sea, working on clearing mines that might be dropped in shipping lanes in the Strait of Hormuz.

But in the Israeli and American contingency planning, Israel would face three tiers of threat in a conflict with Iran: the short-range missiles that have been lobbed in this campaign, medium-range rockets fielded by Hezbollah in Lebanon and long-range missiles from Iran.

The last of those three could include the Shahab-3, the missile Israeli and American intelligence believe could someday be fitted with a nuclear weapon if Iran ever succeeded in developing one and — the harder task — shrinking it to fit a warhead.

A United States Army air defense officer said that the American and Israeli militaries were “absolutely learning a lot” from this campaign that may contribute to a more effective “integration of all those tiered systems into a layered approach.”

The goal, and the challenge, is to link short-, medium- and long-range missile defense radar systems and interceptors against the different types of threats that may emerge in the next conflict.

Even so, a historic battle of missile versus missile defense has played out in the skies over Israel, with Israeli officials saying their Iron Dome system shot down 350 incoming rockets — 88 percent of all targets assigned to the missile defense interceptors. Israeli officials declined to specify the number of interceptors on hand to reload their missile-defense batteries.

Before the conflict began, Hamas was estimated to have amassed an arsenal of 10,000 to 12,000 rockets. Israeli officials say their pre-emptive strikes on Hamas rocket depots severely reduced the arsenal of missiles, both those provided by Iran and some built in Gaza on a Syrian design.

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Jake Owen Welcomes a Daughter

Mom & Babies
Celebrity Baby Blog

11/22/2012 at 08:30 PM ET

Courtesy Jake Owen

It’s a Thanksgiving baby!

Jake Owen and his wife Lacey welcomed their first child, daughter Olive Pearl Owen, on Thursday, Nov. 22 in Nashville, Tenn., his rep confirms to PEOPLE.

Pearl, as she will be called after Owen’s late godmother, weighed in at 6 lbs., 3 oz. and is 19½ inches long.

“Lacey and I are so excited to start our own family,” Owen, 31, tells PEOPLE. “We are looking forward to teaching Pearl everything we learned from our parents and also learning from her.”

Sharing a photo of his newborn daughter on Twitter, the musician wrote, “Today is the greatest day of my life. Turkey baby!!! Happy Thanksgiving.”

It’s been a whirlwind year for Owen and his wife, 22. After getting engaged on stage in April, the couple wed on the beach in May and announced the pregnancy in July.

– Sarah Michaud with reporting by Julie Dam

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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..

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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Egypt Leader and Obama Forge Link in Gaza Deal

Lefteris Pitarakis/Associated Press

Israelis in the town of Sderot watched a Palestinian missile on Wednesday, before a cease-fire.

WASHINGTON — President Obama skipped dessert at a long summit meeting dinner in Cambodia on Monday to rush back to his hotel suite. It was after 11:30 p.m., and his mind was on rockets in Gaza rather than Asian diplomacy. He picked up the telephone to call the Egyptian leader who is the new wild card in his Middle East calculations.

Over the course of the next 25 minutes, he and President Mohamed Morsi of Egypt hashed through ways to end the latest eruption of violence, a conversation that would lead Mr. Obama to send Secretary of State Hillary Rodham Clinton to the region. As he and Mr. Morsi talked, Mr. Obama felt they were making a connection. Three hours later, at 2:30 in the morning, they talked again.

The cease-fire brokered between Israel and Hamas on Wednesday was the official unveiling of this unlikely new geopolitical partnership, one with bracing potential if not a fair measure of risk for both men. After a rocky start to their relationship, Mr. Obama has decided to invest heavily in the leader whose election caused concern because of his ties to the Muslim Brotherhood, seeing in him an intermediary who might help make progress in the Middle East beyond the current crisis in Gaza.

The White House phone log tells part of the tale. Mr. Obama talked with Mr. Morsi three times within 24 hours and six times over the course of several days, an unusual amount of one-on-one time for a president. Mr. Obama told aides he was impressed with the Egyptian leader’s pragmatic confidence. He sensed an engineer’s precision with surprisingly little ideology. Most important, Mr. Obama told aides that he considered Mr. Morsi a straight shooter who delivered on what he promised and did not promise what he could not deliver.

“The thing that appealed to the president was how practical the conversations were — here’s the state of play, here are the issues we’re concerned about,” said a senior administration official who spoke on the condition of anonymity to discuss private conversations. “This was somebody focused on solving problems.”

The Egyptian side was also positive about the collaboration. Essam el-Haddad, the foreign policy adviser to the Egyptian president, described a singular partnership developing between Mr. Morsi, who is the most important international ally for Hamas, and Mr. Obama, who plays essentially the same role for Israel.

“Yes, they were carrying the point of view of the Israeli side but they were understanding also the other side, the Palestinian side,” Mr. Haddad said in Cairo as the cease-fire was being finalized on Wednesday. “We felt there was a high level of sincerity in trying to find a solution. The sincerity and understanding was very helpful.”

The fledgling partnership forged in the fires of the past week may be ephemeral, a unique moment of cooperation born out of necessity and driven by national interests that happened to coincide rather than any deeper meeting of the minds. Some longtime students of the Middle East cautioned against overestimating its meaning, recalling that Mr. Morsi’s Muslim Brotherhood constitutes a philosophical brother of Hamas even if it has renounced violence itself and become the governing party in Cairo.

“I would caution the president from believing that President Morsi has in any way distanced himself from his ideological roots,” said Robert Satloff, executive director of the Washington Institute for Near East Policy. “But if the president takes away the lesson that we can affect Egypt’s behavior through the artful use of leverage, that’s a good lesson. You can shape his behavior. You can’t change his ideology.”

Other veterans of Middle East policy agreed with the skepticism yet saw the seeds of what might eventually lead to broader agreement.

“It really is something with the potential to establish a new basis for diplomacy in the region,” said Tamara Cofman Wittes, who was Mr. Obama’s deputy assistant secretary of state for the Middle East until earlier this year and now runs the Saban Center for Middle East Policy at the Brookings Institution. “It’s just potential, but it’s particularly impressive potential.”

The relationship between the two leaders has come a long way in just 10 weeks. Mr. Morsi’s election in June as the first Islamist president of Egypt set nerves in Washington on edge and raised questions about the future of Egypt’s three-decade-old peace treaty with Israel. Matters worsened in September when Egyptian radicals protesting an anti-Islam video stormed the United States Embassy in Cairo.

Peter Baker reported from Washington, and David D. Kirkpatrick from Cairo.

This article has been revised to reflect the following correction:

Correction: November 21, 2012

An earlier version of this article misstated the given name of the director of the Saban Center for Middle East Policy at the Brookings Institution. She is Tamara Cofman Wittes, not Teresa.

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Mayim Bialik and Michael Stone Divorcing

By Mike Fleeman

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 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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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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First AME Church in dire financial state

First African Methodist Episcopal Church, one of the oldest black congregations in Los Angeles, faces a financial crisis, owing roughly $300,000 to a long list of creditors, church officials said.

Revelations of the money problems come amid declining membership and tithing under the leadership of a controversial former pastor, the Rev. John J. Hunter, who was reassigned following a tax investigation, a sexual harassment lawsuit and questionable use of church credit cards.

The new pastor, the Rev. J. Edgar Boyd, spoke to reporters Wednesday morning outside the storied church that became the pulse of the black community after the 1992 Los Angeles riots. He vowed to restore the image and glory of the church and investigate financial mismanagement that may have occurred under Hunter.

He said he is willing to take legal action if necessary.

"This local congregation will undergo a thorough and comprehensive reorganization to protect the precious resources which have been and will be entrusted to its care," he said. "We are preparing and re-tooling."

About 50 worshipers stood by his side. Many said later they were shocked by news of the church's dire financial state.

Boyd said he has not been paid since the reassignment earlier this month and had to pay for his own moving expenses.

"I didn't know it was this bad," said longtime member Julie Jackson, 65. "This is devastating."

Boyd did not detail the extent of the financial problems at Wednesday's news conference, but was more candid in a recent private meeting with church officials. He named the various creditors the church owes, a list that includes gas and electricity companies, as well as other necessities essential to keeping the church operating, according to several board members who attended the meeting.

Boyd took the helm of First AME after spending 20 years preaching at Bethel AME San Francisco. During his time there he grew the church's assets from $12 million to more than $80 million, according to Bishop T. Larry Kirkland.

Hunter was reassigned to Bethel AME in San Francisco, a move welcomed by many in his Los Angeles congregation. His critics said he was inaccessible, overspent on personal security guards and lived in Encino, rather than in South L.A., where the church is located. Attendance, tithings and the church's activist profile all declined under his tenure, they said.

After transferring to the Bay Area, Hunter was poorly received by the congregation of Bethel AME and the church's officials made it clear they did not want him in the pulpit.

In a phone interview with The Times, Hunter denied that First AME's financial problems are the result of any wrongdoing on his part. He said that when he took control of First AME in 2004, the church was in a similar, if not a worse, financial state.

The church owed about $325,000 and the sanctuary was in poor condition. Hunter said he had to replace the leaky roof and install new pews.

"I chose to build on a 100-year-plus ministry that preceded me," Hunter said. "I will not join my successor in the gutter of character assassination."

Hunter said that the economic recession dealt a crushing blow, resulting in dwindling tithes during his eight-year tenure. But he said this is a problem many churches are facing nationwide.

"Debt is a part of ministry; bills are a reality," Hunter said. "This may be overwhelming for a pastor who comes from a congregation of several hundred."

His supporters said that Hunter could never escape the shadows of the larger-than-life persona of the Rev. Cecil "Chip" L. Murray. Under Murray, who led the congregation for 27 years, the church swelled to 19,000 members and became a social, political and civil powerhouse that tackled the needs of the black community.

Though church members expressed worry, many said they remain hopeful that Boyd will help turn things around.

"We are going to get back on track to those glory days," said member Beverly King. "All we needed was leadership."

angel.jennings@latimes.com

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Toll Rises as U.S. Pushes for Israel-Hamas Truce

JERUSALEM — Efforts to agree on a cease-fire between Israel and Hamas intensified Tuesday, but the struggle to achieve even a brief pause in the fighting emphasized the obstacles to finding any lasting solution.

On the deadliest day of fighting in the week-old conflict, Secretary of State Hillary Rodham Clinton arrived hurriedly in Jerusalem and met with Prime Minister Benjamin Netanyahu of Israel to push for a truce. She was due in Cairo on Wednesday to consult with Egyptian officials in contact with Hamas, placing her and the Obama administration at the center of a fraught process with multiple parties, interests and demands.

Officials on all sides had raised expectations that a cease-fire would begin around midnight, followed by negotiations for a longer-term agreement. But by the end of Tuesday, officials with Hamas, the militant Islamist group that governs Gaza, said any announcement would not come at least until Wednesday.

The Israelis, who have amassed tens of thousands of troops on the Gaza border and have threatened to invade for a second time in four years to end the rocket fire from Gaza, never publicly backed the idea of a short break in fighting. They said they were open to a diplomatic accord but were looking for something more enduring.

“If there is a possibility of achieving a long-term solution to this problem through diplomatic means, we prefer that,” Mr. Netanyahu said before meeting with Mrs. Clinton at his office. “But if not, I’m sure you understand that Israel will have to take whatever actions necessary to defend its people.”

Mrs. Clinton spoke of the need for “a durable outcome that promotes regional stability and advances the security and legitimate aspirations of Israelis and Palestinians alike.” It was unclear whether she was starting a complex task of shuttle diplomacy or whether she expected to achieve a pause in the hostilities and then head home.

The diplomatic moves came as the antagonists on both sides stepped up their attacks. Israeli aerial and naval forces assaulted several Gaza targets in multiple strikes, including a suspected rocket-launching site near Al Shifa Hospital. More than 30 people were killed on Tuesday, bringing the total number of fatalities in Gaza to more than 130 — roughly half of them civilians, the Gaza Health Ministry said.

A delegation visiting from the Arab League canceled a news conference at the hospital because of the Israeli aerial assaults as wailing ambulances brought victims in, some of them decapitated.

The Israeli assaults carried into early Wednesday, with multiple blasts punctuating the otherwise darkened Gaza skies.

Militants in Gaza fired a barrage of at least 200 rockets into Israel, killing an Israeli soldier — the first military casualty on the Israeli side since the hostilities broke out. The Israeli military said the soldier, identified as Yosef Fartuk, 18, had died from a rocket strike that hit an area near Gaza. Israeli officials said a civilian military contractor working near the Gaza border had also been killed, bringing the number of fatalities in Israel from the week of rocket mayhem to five.

Other Palestinian rockets hit the southern Israeli cities of Beersheba and Ashdod, and longer-range rockets were fired at Tel Aviv and Jerusalem. Neither main city was struck, and no casualties were reported. One Gaza rocket hit a building in Rishon LeZion, just south of Tel Aviv, wounding one person and wrecking the top three floors.

Senior Egyptian officials in Cairo said Israel and Hamas were “very close” to a cease-fire agreement. “We have not received final approval, but I hope to receive it any moment,” said Essam el-Haddad, President Mohamed Morsi’s top foreign affairs adviser.

Foreign diplomats who were briefed on the outlines of a tentative agreement said it had been structured in stages — first, an announcement of a cease-fire, followed by its implementation for 48 hours. That would allow time for Mrs. Clinton to involve herself in the process here and create a window for negotiators to agree on conditions for a longer-term cessation of hostilities.

But it seemed that each side had steep demands of a longer-term deal that the other side would reject.

Khaled Meshal, the Hamas leader, said in Cairo that Israel needed to end its blockade of Gaza. Israel says the blockade keeps arms from entering the coastal strip.

Ethan Bronner reported from Jerusalem, and David D. Kirkpatrick from Cairo. Reporting was contributed by Jodi Rudoren and Fares Akram from Gaza; Isabel Kershner from Jerusalem; Peter Baker from Phnom Penh, Cambodia; David E. Sanger and Mark Landler from Washington; and Rick Gladstone from New York.

This article has been revised to reflect the following correction:

Correction: November 20, 2012

Because of an editing error, an earlier version of this article misspelled the family name of the Israeli soldier who was killed in a Palestinian rocket attack on Tuesday. He is Yosef Fartuk, not Yosef Faruk. An earlier version also referred imprecisely to the cause of deaths near Al Shifa Hospital. A series of attacks, not a single attack, killed more than a dozen people there.

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The Voice: Top Eight Contestants Revealed

TV Watch

By Julia Haskins

11/20/2012 at 10:05 PM EST

From left: Adam Levine, Cee Lo Green, Christina Aguilera, Blake Shelton and host Carson Daly

Mark Seliger/NBC

Following what Blake Shelton called the "best episode of The Voice we've ever had", spirited group performances on Tuesday night's show kept the energy up and distracted viewers just long enough from the business at hand – impending eliminations.

Christina Aguilera brought the heat with her song "Let There Be Love." Rascal Flatts shared their hit "Changed." Later, Adam Levine performed a rendition of Queen's "Crazy Little Thing Called Love," followed by the contestants taking on Pat Benatar's "Hit Me with Your Best Shot."

But once again, the decisions about who would stay and who would go were completely up to the viewers. No input from the coaches could save contestants this time. Keep reading to find out which contestants will sing again next week ...

The first round of results turned out to be good news for Nicholas David and Cassadee, later joined by Dez Duron and Cody Belew in the top eight.

America also gave Terry McDermott, Melanie Martinez, Trevin Hunte and Amanda Brown another shot at superstardom.

That means Bryan Keith and Sylvia Yacoub won't be singing again on Monday night's episode.

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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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3 found dead in apparent murder-suicide at Torrance senior home

Three people were found shot to death Tuesday in the lobby of a Torrance senior-living facility in an apparent murder-suicide, allegedly at the hand of a resident who had a history of violent outbursts, according to law enforcement and witnesses.

About noon, the man was seen holding a gun near the business offices of Golden West Tower, a high-rise facility in the 3500 block of Maricopa Street.

One witness, Arturo Ramirez, a maintenance worker at the complex, said he spotted the gunman and dashed to the maintenance office, where he locked himself inside and called 911.

He said he could hear one of the women killed — a caregiver who tended to about 20 residents — plead for mercy.

"I heard her say, 'Please, no! Please!' " he said. "Then, I heard two gunshots."

A few minutes later, Ramirez said he heard another gunshot. He remained locked in the office until police found him and escorted him out of the building.

Other employees told The Times that the alleged perpetrator was a male resident of the facility and that the other woman killed was a manager there. One employee said that the alleged shooter was prone to violent outbursts and had expressed anger toward the two who were killed.

Authorities confirmed that one of the victims was an employee of the complex, but said that none of the purported threats had been reported to Torrance police.

Sgt. Robert Watt of the Torrance Police Department said that a handgun had been used and that investigators were still probing possible motives for the killings.

He could not name the victims, pending identification from the Los Angeles County coroner's office.

As investigators examined the crime scene, authorities cleared the building in the neighborhood of modest apartment complexes off Torrance Boulevard. The more than 100 people evacuated were taken back in, floor by floor, after three hours, Watt said. The crime scene, he said, was not visible to residents.

One of the residents, Lucia Alarcon, has lived in Golden West Tower for 15 years. She said she was scared when police knocked on her fifth-floor apartment door, instructing her to leave.

"I was surprised to see so many cops on my floor," she said.

And she was stunned to hear that such violence had taken place in her apartment building, a place she thought to be safe.

"Nothing like this has ever happened," Alarcon said. "… Life is too short sometimes."

ruben.vives@latimes.com

Times staff writers Rick Rojas and Rosanna Xia contributed to this report.

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Obama Receives Warm Welcome in Myanmar

YANGON, MYANMAR — The generals predicted that the Americans would come — but not like this.

In the paranoid decades of military rule, members of Myanmar’s junta told diplomats that they feared an American invasion and regime change.

On Monday, there was a large American deployment to Myanmar, but of an entirely different kind. Two jumbo jets carrying President Barack Obama, Secretary of State Hillary Rodham Clinton and their substantial entourage arrived for a six-hour visit. They were greeted by hundreds of people along Yangon’s streets, many of them waving U.S. flags.

“I saw Obama and nearly fainted,” said U Sein Hla Maung, an accounting teacher, who was perched on a hill overlooking the airport. “I’m very excited.”

Across the city there were symbols of how much mistrust has dissolved between the two governments and how much Myanmar has changed over the past two years as it moves from a dictatorship and toward a democracy. There were graffiti tributes to Mr. Obama, and shops sold T-shirts with his image.

“You are the legend hero of our world,” read a large sign in English held by a group of women standing along the road where Mr. Obama’s motorcade passed.

The warm greeting that Mr. Obama received here was partly government pomp and protocol. Hundreds of students in uniform were bused to the airport to line the roads and chanted in unison a rehearsed greeting: “President Obama is warmly welcomed to Myanmar!”

But the hundreds of others who came to greet the president’s motorcade on their own said they were deeply moved by Mr. Obama’s presence.

“We’ve been waiting 50 years for this visit,” said Kyaw Soe Moe, a restaurateur who had stood along the road with two large American flags. “There is justice and law in the United States. I want our country to be like that.”

During Myanmar’s military rule, American flags were taboo and symbols of defiance. On Monday, well-wishers said it was a measure of new freedoms in the country that they could greet Mr. Obama holding the Stars and Stripes.

“America always meant support for democracy for us,” Win Min, a former student activist who was one of two interpreters of a speech Mr. Obama delivered during his visit. “It was the country that had the strongest criticism of the military regime. We looked up to America.”

In 1988, when students and striking workers rose up against military rule, they marched almost daily to the U.S. Embassy. The military put down the uprising in a crackdown that killed many. It has only been 20 months since the junta in Myanmar ceded power to the civilian government of President Thein Sein. Therefore, American flags strewn across the capital, and Air Force One parked at the airport in Yangon, were a novel and somewhat jarring sight.

“There were people in the old regime and there are probably some people in the new government who still fear America,” said U Thant Myint-U, a historian who was in the audience for Mr. Obama’s speech. “They are afraid of what American influence could unleash here.”

Mr. Obama’s visit suggests that the Myanmar government “now has gained a level of confidence,” Mr. Thant Myint-U said.

Some members of the governing party, which is led by former generals of the junta, sought to play down the visit.

“I want to say that America is not the only friend of our nation — China and India are our friends too,” said U Khin Maung Htoo, a member of Parliament with the Union Solidarity and Development Party.

Mr. Khin Maung Htoo also said it was inappropriate for Mr. Obama to have met Myanmar’s president in Yangon instead of Naypyidaw, the capital built and conceived by the military.

The timing of the visit was awkward for Mr. Thein Sein, who flew from a regional meeting of the Association of Southeast Asian Nations in Cambodia to meet Mr. Obama and then flew back to Cambodia immediately afterward.

In his speech at the University of Yangon, Mr. Obama spoke about the changes to the country and offered a “hand of friendship” between two countries that had become “strangers.” The speech was carried live on Myanmar television, but without explanation the announcers stopped simultaneous interpretation in Burmese after several minutes.

Mr. Obama spoke about Myanmar’s continuing ethnic strife and said the country should harness the “power of diversity.” He said that people with his skin color were once denied the right to vote in the United States.

“And so that should give you some sense that if our country can transcend its differences,” Mr. Obama said, “then yours can too.”

On the street outside the university was U Ko Ni, a former political prisoner, who held up a sign: “Welcome Americans. No other nation has full human rights and democracy. We need and want democracy. Do help.”

Wai Moe contributed reporting from Yangon.

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People turn to Twitter for CPR information: study

(Reuters) – Amid snarky comments and links to cat videos, some Twitter users turn to the social network to find and post information on health issues like cardiac arrest and CPR, according to a U.S. study.

Over a month, researchers found 15,234 messages on Twitter that included specific information about resuscitation and cardiac arrest, said the study published in the journal Resuscitation.

“From a science standpoint, we wanted to know if we can reliably find information on a public health topic, or is (Twitter) just a place where people describe what they ate that day,” said Raina Merchant, the study’s lead author and a professor at the Department of Emergency Medicine at the University of Pennsylvania.

According to the researchers, they found people using Twitter to send and receive a wide variety of information on CPR and cardiac arrest, including their personal experiences, questions and current events.

Some researchers and organizations already use Twitter for public health matters, including tracking the 2009 H1N1 “swine flu” pandemic and finding the source of the Haitian cholera outbreak, the researchers said.

For the study, the researchers created a Twitter search for key terms, such as CPR, AED (automatic external defibrillators), resuscitation and sudden death.

Between April and May 2011, their search returned 62,163 tweets, which were whittled down to 15,324 messages that contained specific information about cardiac arrest and resuscitation.

Only 7 percent of the tweets were about specific cardiac arrest events, such as a user saying they just saw a man being resuscitated, or a user asking for prayers for a sick family member.

About 44 percent of the tweets were about performing CPR and using an AED. Those types of tweets included information on rules about keeping AEDs in businesses and questions about how to resuscitate a person.

The rest of the tweets were about education, research and news events, such as links to articles about celebrities going into cardiac arrest.

The vast majority of the Twitter users send fewer than three tweets about cardiac arrest or CPR throughout the month. Users that sent more tweets typically had more followers – people who subscribe to their messages – and often worked in a health-care related field.

About 13 percent of the tweets were re-sent, or retweeted, by other users. The most popular retweeted messages were about celebrity-related cardiac arrest news, such as an AED being used to revive a fan at a Lady Gaga concert.

“I think the pilot (study) illustrated for us that there is an opportunity to potentially provide research and information for people in real time about cardiac arrest and resuscitation,” Marchant said.

“I can imagine in the future we will see systems that would automatically respond to tweets of individual users. Twitter is a really powerful tool, and we’re just beginning to understand its abilities.”

SOURCE: http://bit.ly/T2bj7u

(Reporting from New York by Andrew Seaman at Reuters Health; editing by Elaine)

Internet News Headlines – Yahoo! News

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Dancing with the Stars: Couples Perform Crazy Combinations in Semi-Finals

TV Watch

Dancing With the Stars

By Aaron Parsley

11/19/2012 at 11:05 PM EST

Shawn Johnson and Derek Hough

Craig Sjodin/ABC

It's the semi-finals!

The remaining five couples on Dancing with the Stars faced two rounds of competition on Monday. First, the pairs performed mixed-up routines, blending uncommon styles with unusual themes. Then, they celebrated the 25th anniversary of Michael Jackson's hit album Bad with more traditional ballroom numbers.

Keep reading for all the details and scores ...

Melissa Rycroft & Tony Dovolani
Last week's top scorers kicked off the night with a caveman hustle. "Fred and Wilma have never danced so well," Len Goodman said, while Bruno Tonioli said they lost footing during the turns. They scored a 27.5. But their red-hot Argentine tango to "Dirty Diana" was a perfect 30. "That was beyond anything I could have imagined for you," a thrilled Carrie Ann Inaba said. "I would be really disappointed if you're not here next week," Len added.

Shawn Johnson & Derek Hough
Hough said he would rather put mustard on ice cream than combine their Knight Rider theme with the Bhangra style. But the judges ate up the routine – and awarded the pair a perfect 30. In round two, their Argentine tango sparked disagreement on the panel. Bruno and Len held up 10s but Carrie Ann knocked off a point. "Every line was perfect, but dance is sometimes more than just movement and I thought that you lacked the real passion of the Argentine tango," she said.

Apolo Ohno & Karina Smirnoff
Their big top jazz routine was another sticking point for Carrie Ann and Bruno. She found the mime-themed dance "very disjointed," "out of sync" and "quite sloppy." He found it "edgy, surreal" and a "great mixture of jazz movement." They earned 27 points. But there was no arguing over their rumba to "Man in the Mirror," which earned a perfect 30. "It was like the sea," Len said. "There was wave after wave of effortless motion. There was a subtlety to it, there was a calmness. It captivated. It was fabulous."

Emmitt Smith & Cheryl Burke
The goal of their espionage lindy hop was to be cartoonish. Though that was tough for the former Dallas Cowboy, the judges were pleased and awarded the pair 27 points. "It was like a Looney Tunes version of James Bond," Bruno said. "It was the most fun performance I've seen you do." Their tango to "Leave Me Alone" was more of a challenge, but Len still gave Smith credit: "You've coped marvelously well with two dances that didn't really suit you," he said.

Kelly Monaco & Val Chmerkovskiy
Their surfer flamenco was super sexy – Val ended up in nothing but Speedo! – but the judges had issues with their technique, and handed out only 25.5 points. "It had a lot of aggression and a lot of fire. But the flamenco has very, very exact placement and it wasn't there," Bruno said. Carrie Ann called it "robotic." But they added 28.5 points with a romantic rumba to "I Just Can't Stop Loving You." "That was smoldering, driven by desire, consumed by lust," Bruno said. "The chemistry between you two is literally singeing."

Two couples are heading home Tuesday night, leaving just three to compete in next week's finale. Who deserves a chance at the mirror-ball trophy? Discuss in the comments below.

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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."

___

Online:

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

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Neighbors cheer, jeer plans for Rose Bowl to host NFL games

About 120 people packed a Pasadena City Hall meeting Monday night to cheer or jeer city plans to allow the Rose Bowl to host professional football games for up to five years if an NFL team moves to Los Angeles.

Residents of the tony neighborhoods near the iconic 90-year-old stadium say NFL games would unleash rowdy fans and cause traffic jams at the expense of homeowners and recreational users.

More than 25,000 vehicles would come to the Rose Bowl on game days, according to a city study, shutting down Brookside Park, the Rose Bowl Aquatics Center, Kidspace Museum and Brookside Golf Course on game days. UCLA also plays its home football games at the Rose Bowl.

Proponents say NFL-related revenue would bail the city-owned stadium out from more than $30 million in cost overruns for ongoing renovation work. Once budgeted at $152 million, the project's cost has climbed to nearly $195 million.

To begin talks with the NFL, the City Council must pass an ordinance to increase the number of large events at the Rose Bowl from a limit of 12 a year to as many as 25. City leaders were expected to vote on the measure late Monday night.

Betsy Nathane, who lives in the Linda Vista neighborhood next to the stadium, said before the meeting started that people from around the region would be put out if a team comes in.

"I use the arroyo nearly every day," she said. "To have [park facilities] closed off for 25 days a year is going to change a lot of people's lifestyles."

Nanyamka Redmond, who lives west of the Rose Bowl, said the economic boost is worth the hassle.

"Traffic and noise are secondary issues compared to jobs," she said. "I understand people east of the Rose Bowl have spent a pretty penny on their houses and want a certain quality of life, but it's not often any city has the opportunity to generate jobs in this capacity."

Earlier this month, consulting firm Barrett Sports Group estimated that the Rose Bowl could raise $5 million to $10 million annually from an NFL deal. The figure does not include revenue from sales and other taxes generated by local businesses.

City voters in 2005 rejected a plan to allow an NFL team to take up permanent residence at the Rose Bowl. No team has committed to Southern California, and the Los Angeles Memorial Coliseum is another possible venue for any team awaiting an NFL stadium to be built in the area.

Councilman Victor Gordo said the city will make accommodations to reduce impacts on residents, but that Pasadena must position itself to negotiate with a team. The Rose Bowl, he said, "was given to us generations ago. It's gone from a park to being America's stadium, and in my mind also a tremendous economic engine for the city and the region."

Brian McCarthy, the NFL's vice president of corporate communications, said in an interview that the league will "monitor all developments in the Los Angeles area" but "has not had any recent conversations with Pasadena or L.A. Coliseum officials."

joe.piasecki@latimes.com

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Gaza Clash Escalates With Deadliest Israeli Strike

Bernat Armangue/Associated Press

Smoke rose over Gaza City on Sunday, as Israel widened its range of targets to include buildings used by the news media.

CAIRO — Emboldened by the rising power of Islamists around the region, the Palestinian militant group Hamas demanded new Israeli concessions to its security and autonomy before it halts its rocket attacks on Israel, even as the conflict took an increasing toll on Sunday.

After five days of punishing Israeli airstrikes on the Hamas-controlled Gaza Strip and no letup in the rocket fire in return, representatives of Israel and Hamas met separately with Egyptian officials in Cairo on Sunday for indirect talks about a truce.

The talks came as an Israeli bomb struck a house in Gaza on Sunday afternoon, killing 11 people, in the deadliest single strike since the conflict between Israel and Hamas escalated on Wednesday. The strike, along with several others that killed civilians across the Gaza Strip, signaled that Israel was broadening its range of targets on the fifth day of the campaign.

By the end of the day, Gaza health officials reported that 70 Palestinians had been killed in airstrikes since Wednesday, including 20 children, and that 600 had been wounded. Three Israelis have been killed and at least 79 wounded by unrelenting rocket fire out of Gaza into southern Israel and as far north as Tel Aviv.

Hamas, badly outgunned on the battlefield, appeared to be trying to exploit its increased political clout with its ideological allies in Egypt’s new Islamist-led government. The group’s leaders, rejecting Israel’s call for an immediate end to the rocket attacks, have instead laid down sweeping demands that would put Hamas in a stronger position than when the conflict began: an end to Israel’s five-year-old embargo of the Gaza Strip, a pledge by Israel not to attack again and multinational guarantees that Israel would abide by its commitments.

Prime Minister Benjamin Netanyahu of Israel stuck to his demand that all rocket fire cease before the air campaign lets up, and Israeli tanks and troops remained lined up outside Gaza on Sunday. Tens of thousands of reserve troops had been called up. “The army is prepared to significantly expand the operation,” Mr. Netanyahu said at the start of a cabinet meeting.

Reda Fahmy, a member of Egypt’s upper house of Parliament and of the nation’s dominant Islamist party, who is following the talks, said Hamas’s position was just as unequivocal. “Hamas has one clear and specific demand: for the siege to be completely lifted from Gaza,” he said. “It’s not reasonable that every now and then Israel decides to level Gaza to the ground, and then we decide to sit down and talk about it after it is done. On the Israeli part, they want to stop the missiles from one side. How is that?”

He added: “If they stop the aircraft from shooting, Hamas will then stop its missiles. But violence couldn’t be stopped from one side.”

Hamas’s aggressive stance in the cease-fire talks is the first test of the group’s belief that the Arab Spring and the rise in Islamist influence around the region have strengthened its political hand, both against Israel and against Hamas’s Palestinian rivals, who now control the West Bank with Western backing.

It also puts intense new pressure on President Mohamed Morsi of Egypt, a former leader of the Muslim Brotherhood who was known for his fiery speeches defending Hamas and denouncing Israel. Mr. Morsi must now balance the conflicting demands of an Egyptian public that is deeply sympathetic to Hamas and the Palestinian cause against Western pleadings to help broker a peace and Egypt’s need for regional stability to help revive its moribund economy.

Indeed, the Egyptian-led cease-fire talks illustrate the diverging paths of the Muslim Brotherhood and Hamas, a Palestinian offshoot of the original Egyptian Islamist group. Hamas has evolved into a more militant insurgency and is labeled a terrorist organization by the United States and Israel, while the Brotherhood has effectively become Egypt’s ruling party. Mr. Fahmy said in an interview in March that the Brotherhood’s new responsibilities required a step back from its ideological cousins in Hamas, and even a new push to persuade the group to compromise.

Reporting was contributed by Ethan Bronner, Irit Pazner Garshowitz and Isabel Kershner from Jerusalem, and Peter Baker from Bangkok.

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