Israel Steps Up Aerial Strikes in Gaza

GAZA — Israel expanded its four-day assault on Gaza on Saturday, broadening its airstrikes from military targets to the civilian political infrastructure, leveling the headquarters here of the Hamas prime minister and striking police and security buildings.

Hamas continued to fire rockets at Israel, including a pair intended for the city of Tel Aviv. One landed harmlessly, probably at sea; the other was thwarted in midair by Israel.

In Cairo, the leaders of Hamas, Turkey and Qatar gathered to try to broker a truce. Hamas officials were in indirect contact with Israel through Egyptian intelligence intermediaries, an official of Egypt’s Muslim Brotherhood said.

The talks were reported to be deadlocked on Saturday evening, while continued attacks in Gaza and Israel, and Israeli preparations for a possible ground invasion, suggested that neither side was ready to end the fight.

The air raid that struck the office of the Hamas prime minister, Ismael Haniyeh, came about 4 a.m., reducing the four-story building where weekly cabinet meetings were held to a huge pile of rubble.

Three Palestinian flags that used to hang over the entryway were draped across the dusty mess, with datebooks and personnel records scattered about. Mr. Haniyeh’s gray-bearded face beamed from a page  of a Hamas booklet promoting “the government’s achievements despite the obstacles.”

A security official, who asked to be identified only as Abu el Abed, took one of the fallen flags and replanted it upright. “We will rebuild this place as we have rebuilt others,” he said. “Every structure that is demolished or destroyed is a big loss, but the blood of anybody wounded is more important than any structure. This place will be rebuilt and the occupation will go and we will stay.”

Mark Regev, a spokesman for Prime Minister Benjamin Netanyahu of Israel, said government buildings had been targeted because Hamas “makes no distinction between its terrorist military machine and the government structure.”

“We have seen Hamas consistently using so-called civilian facilities for the purposes of hiding their terrorist military machine, including weapons,” Mr. Regev said.

The Israeli military said that it had struck more than 200 targets overnight, including underground rocket launchers and smuggling tunnels in Rafah, on the Gaza-Egypt border. The military also said that it struck the police and homeland security headquarters of Hamas, as well as the house of a Hamas commander, Ahmed Randor.

Hamas’s military wing, the Qassam Brigades, claimed responsibility for firing an Iranian-made rocket at Tel Aviv.

Israel appeared to be keeping up the pressure on military targets as well.

Hamas said seven of its members were killed Saturday morning in two separate attacks — four in Rafah, and three in the Al Maghazi refugee camp, in the middle of the Gaza Strip. The deadliest airstrikes today were reported in the southern town of Rafah, which borders Egypt, where six people, including four Hamas fighters, were killed in separate raids.

Israeli F16 airplanes hit a house for a commander of the Qassam Brigades in southeast Gaza City, but the house was empty at the time, Hamas officials said. The Israeli military also released video of what it said was an attack Saturday on the house of the Hamas northern brigade commander, Ahmed Randor, and said that it showed the secondary explosions that took place because of ammunition stored under the commander’s house.

The Palestinian Health Ministry in Gaza said that 40 Palestinians had been killed in the fighting so far, and more than 385 people wounded. Three Israelis have been killed.

This latest battle between Israel and Hamas, the Islamist militant group that controls Gaza, began Wednesday, when Israel launched airstrikes on Gaza in retaliation for a surge of rocket attacks in recent months from Gaza. The assault has drawn comparisons to Israel’s invasion of Gaza in late 2008, but so far Israeli ground forces have not entered Gaza.

Last week, Israel shifted infantry brigades, authorized the calling up of 75,000 reservists and blocked roads near Gaza, indicating an invasion of the coastal territory was possible.

The region’s political landscape has also shifted since the war four years ago, with Hamas gaining crucial allies in Egypt, Turkey and Qatar, as well as longer-range, apparently Iranian-made, missiles.

Israel’s Iron Dome missile defense system appears to have successfully intercepted many of the rockets from Gaza. After an attack on Tel Aviv last week, Israel deployed an Iron Dome anti-missile battery near the city, which became operational on Saturday.

The missiles intercepted one of the Hamas rockets on Saturday evening in the sky above the city, Israeli authorities and witnesses said.

In Cairo, a senior official of the Muslim Brotherhood confirmed that President Morsi was working furiously to secure a cease-fire but insisted that the Israeli side of the talks remained the “sticking point.” The official did not identify a specific issue.

While the regional leaders met in various combinations around Cairo, foreign ministers of members of the Arab League met in an emergency closed door meeting to discuss responses to the situation, Egypt’s Foreign Ministry said.

President Obama, who has asked President Mohamed Morsi of Egypt to try to mediate the crisis, called Prime Minister Recep Tayyip Erdogan of Turkey on Friday to press for a solution, the White House said. Mr. Erdogan was among the regional leaders meeting in Cairo.

The Muslim Brotherhood, Egypt’s powerful Islamist group, called for Mr. Morsi to expel Israel’s ambassador and freeze relations with Israel. Mr. Morsi, a former Brotherhood leader, had already recalled Egypt’s ambassador to Israel.

In Gaza City, Ghazi Hamad, the deputy foreign minister of Hamas, said Israel’s shift in strategy, attacking Hamas government buildings, would not significantly change the dynamic of the current fighting.

“Israel has the capacity to destroy all buildings in Gaza, all homes,” he said. “They destroyed our government buildings before many times, but we rebuild again. It’s a long struggle, a long story. It will not stop today or tomorrow.”

Jodi Rudoren reported from Gaza, and Isabel Kershner from Jerusalem. Reporting was contributed by Fares Akram and Tyler Hicks from Gaza City, and Mayy El Sheikh and David D. Kirkpatrick from Cairo.

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President Obama Perfects the McKayla Maroney Scowl

By Kristen Mascia

11/17/2012 at 01:45 PM EST

Pete Souza/The White House/Getty

Heads up, America: the President is not impressed.

During the U.S. women's gymnastics team's visit to the White House on Thursday, president Barack Obama posed with McKayla Maroney, pulling the apathetic expression that made Maroney an Internet sensation during the Summer Games in London.

Afterwards, the gold medalist, 16 – who's been mimicked by everyone from Maria Menounos to, perhaps inadvertently, Prince William – seemed uncharacteristically, well, impressed.

She Tweeted: "Did I just do the Not Impressed face with the President?"

For those who don't recall, the scowl that sparked a thousand memes originated after Maroney's faulty landing during the individual women's gymnastics vault event in London.

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EU drug regulator OKs Novartis' meningitis B shot

LONDON (AP) — Europe's top drug regulator has recommended approval for the first vaccine against meningitis B, made by Novartis AG.

There are five types of bacterial meningitis. While vaccines exist to protect against the other four, none has previously been licensed for type B meningitis. In Europe, type B is the most common, causing 3,000 to 5,000 cases every year.

Meningitis mainly affects infants and children. It kills about 8 percent of patients and leaves others with lifelong consequences such as brain damage.

In a statement on Friday, Andrin Oswald of Novartis said he is "proud of the major advance" the company has made in developing its vaccine Bexsero. It is aimed at children over two months of age, and Novartis is hoping countries will include the shot among the routine ones for childhood diseases such as measles.

Novartis said the immunization has had side effects such as fever and redness at the injection site.

Recommendations from the European Medicines Agency are usually adopted by the European Commission. Novartis also is seeking to test the vaccine in the U.S.

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Girl, 15, forced into prostitution by family counselor

A San Bernardino family counselor responsible for providing services to children and families also coerced a 15-year-old girl into prostitution and sold sexual services on the Internet, the San Bernardino County district attorney's office said Thursday.

Daron Lamar Whitworth, 42, worked for EMQ FamiliesFirst, a nonprofit that provides social services, mental-health and foster care for young children and families in San Bernardino County, authorities said. He was arrested without incident Thursday and booked into Central Detention Center in San Bernardino. 

Police have issued arrest warrants for two alleged accomplices: Whitworth's uncle Jacory C. Williams, 30, and Charmaine Williams, 24, both of San Bernardino. Charmaine Williams is in Los Angeles County Jail for unrelated reasons. 

Whitworth faces 44 charges, including felony counts of human trafficking, pimping and pandering a minor under 16, and unlawful sexual intercourse with a minor, according to court records. 

Investigators from the Riverside County Sheriff's Department began to gather evidence in August after the arrest of a juvenile for street prostitution in Hemet. The investigation gradually revealed that most of the unlawful activity had taken place in San Bernardino County, according to the release. 

Anyone with additional information or who believes they have been a victim is encouraged to contact Sgt. John Sawyer with the Riverside County Sheriff's Department at (951) 544-7000.

ALSO:

Four 14-year-olds arrested in more than 400 acts of vandalism

‘Western Bandit’ wanted in 9 armed robberies, transgender slaying

Police arrrest Hawthorne man accused of raping woman he met online

-- Frank Shyong

twitter.com/frankshyong

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Tensions Escalate in Gaza Conflict

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Justin Bieber & Selena Gomez Reunite in L.A.

By Jessica Herndon

11/16/2012 at 04:00 PM EST

Selena Gomez and Justin Bieber in April 2012

Noel Vasquez/Getty

Oh, young love.

Less than a week after PEOPLE confirmed that Justin Bieber, 18, and Selena Gomez, 20, called it quits, the pair reunited in Los Angeles.

On Wednesday, Bieber met Gomez at LAX airport where a source says he picked her up and drove her home.

According to TMZ, which has photos of the pair separately entering the Four Seasons hotel the following morning, Bieber stayed the night at Gomez's house.

Meanwhile, a source close to Gomez tells PEOPLE "of course" Bieber is trying to win his ex back.

Of the initial split, the insider says Gomez "was heartbroken. It wasn't easy." But, the pal says the former Disney star – who was all smiles at the Glamour Women of the Year event in New York earlier this week – is "being a trouper."

• With reporting by PERNILLA CEDENHEIM

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Irvine plans review of Great Park funds

Irvine leaders are planning a detailed review of the $200 million spent on what has been billed as the country's next great urban park, one that is supposed to rival New York's Central Park with a majestic man-made canyon, rivers, forests and botanical gardens.

Despite the spending, only a sliver of the park has been built, and most of the Marine base land remains fenced off. Park funds are expected to be exhausted next year.

With a new majority taking over the council next month, city leaders indicated that they want to take a closer look at the decade-long effort to build the municipal park.

PHOTOS: A not so 'Great Park'

"The three of us have been severe critics of the profligate spending at the park and because of that we want to know where every dime has gone and what we've received for it," said Jeff Lalloway, an incumbent council member. "I think that's a fair question."

Lalloway and his allies have been especially critical of the amount of money spent on planning, public relations and events at the Orange County Great Park rather than construction.

"I want to build the park," Lalloway said. "I'm not certain that the current council majority has been ever interested in doing that."

A Times analysis last month showed that less than a fifth of the money spent on the park was actually used for construction. Only about 200 of the promised 1,347 acres have been developed, and half of that has been leased for commercial farming. The runways of the former Marine base have yet to be pulled up, and some of the barracks remain.

The Times also found that nearly half the money contractors were paid was awarded without competitive bids and that a public relations firm was paid a $1.2-million annual retainer.

"My No. 1 suggestion is that the council authorize a forensic audit in the next year and look at where the dollars have gone," said Christina Shea, an incoming council member who previously served on the panel.

There have long been bitter feelings between the two Irvine council factions, and they have leaped to the forefront again.

Much of the new majority's anger is directed at Larry Agran, one of the park's strongest advocates and one of the city's most veteran political figures, who has long headed the liberal faction that has usually controlled city affairs.

"It's not Larry's private project, but the city's," Shea said. "We need to get it back on track. Is it worth $240 million? I don't think so."

Agran, who remains on the council after losing the race for mayor, declined to talk to The Times, other than insisting that there had been only one or two no-bid contracts.

Beth Krom, an Agran ally on the council, opposes an audit. "I would put it in the witch-hunt category," she said. "I'm not sure what they're looking for, what they're going to find. It's more about headlines than going forward."

She also criticized the new majority's attacks on the amount of money spent on planning. "In my world, you plan first and execute afterward," she said. "What we need now is not slash and burn. What we need is creativity. You can find money. You can't find vision."

Great Park was the object of one of Orange County's great political battles. County supervisors wanted an international airport on the decommissioned Marine base, but county voters decided in 2002 that they preferred a showcase park.

City leaders made a deal with a developer to build homes and businesses around the site that would provide taxes to pay for construction and operation of the park.

But the city now faces questions of how it is going to pay for the remaining park construction.

Developer FivePoint Communities Inc. put its plans on hold when the housing market crashed.

Then last spring, as part of its solution to California's budget deficit, the state grabbed the $1.4 billion in redevelopment funds that were earmarked for the park over the next 45 years.

FivePoint can build 4,894 homes. Early this year, the company offered to trade the rights to develop about 1 million square feet of commercial property for an additional 5,800 homes in a complicated deal that would bring the city about $200 million.

Lalloway, who has been half of Irvine's two-person negotiating committee, said they have not talked to FivePoint since May or June. "I personally have no idea where the deal is because in my opinion it's not moved since that time," he said.

jeff.gottlieb@latimes.com

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Attacks Resume After Israeli Assault Kills Hamas Leader

KIRYAT MALACHI, Israel — Israel and Hamas widened their increasingly deadly conflict over Gaza on Thursday, as a militant rocket killed three civilians in an apartment block in this small southern town. The deaths were likely to lead Israel to intensify its military offensive on Gaza, now in its second day of airstrikes.

In Gaza, the Palestinian death toll rose to 11 as Israel struck what the military described as medium- and long-range rocket and infrastructure sites and rocket-launching squads. The military said it had dispersed leaflets over Gaza warning residents to stay away from Hamas operatives and facilities, suggesting that more was to come.

The regional perils of the situation sharpened, meanwhile, as President Mohamed Morsi of Egypt warned on Thursday that his country stood by the Palestinians against what he termed Israeli aggression, echoing similar condemnation on Wednesday.

“The Egyptian people, the Egyptian leadership, the Egyptian government, and all of Egypt is standing with all its resources to stop this assault, to prevent the killing and the bloodshed of Palestinians,” Mr. Morsi said in nationally televised remarks before a crisis meeting of senior ministers. He also instructed his prime minister to lead a delegation to Gaza on Friday and said he had contacted President Obama to discuss strategies to “stop these acts and doings and the bloodshed and aggression.”

In language that reflected the upheaval in the political dynamics of the Middle East since the overthrow of Hosni Mubarak last year, Mr. Morsi said: “Israelis must realize that we don’t accept this aggression and it could only lead to instability in the region and has a major negative impact on stability and security in the region.”

The thrust of Mr. Morsi’s words seemed confined to diplomatic maneuvers, including calls to the United Nations secretary general, Ban Ki-moon, the head of the Arab League and President Obama.

The 120-nation Nonalignmed Movement, the biggest bloc at the United Nations, added its condemnation of the Gaza airstrikes in a statement released by Iran, the group’s rotating president and one of Israel’s most ardent foes. “Israel, the occupying power, is, once more, escalating its military campaign against the Palestinian people, particularly in the Gaza Strip,” the group’s coordinating bureau said in the statement. The group made no mention of the Palestinian rocket fire but condemned what it called “this act of aggression by the Israelis and their resort to force against the defenseless people” and demanded “decisive action by the U.N. Security Council.”

In his conversation with Mr. Obama, Mr. Morsi said, he “clarified Egypt’s role and Egypt’s position; our care for the relations with the United States of America and the world; and at the same time our complete rejection of this assault and our rejection of these actions, of the bloodshed, and of the siege on Palestinians and their suffering.”

Mr. Obama had agreed to speak with Israeli leaders, Mr. Morsi said.

The Thursday’ deaths in Kiryat Malachi were the first casualties on the Israeli side since Israel launched its assault on Gaza, the most ferocious in four years, in response to persistent Palestinian rocket fire.

Southern Israel has been struck by more than 750 rockets fired from Gaza this year that have hit homes and caused injuries. On Thursday, a rocket smashed into the top floor of an apartment building in Kiryat Malachi, about 15 miles north of Gaza. Two men and one woman were killed, according to witnesses at the scene. A baby was among the injured and several Israelis were hospitalized with shrapnel wounds after rockets hit other southern cities and towns, they said.The apartment house was close to a field in a blue-collar neighborhood and the rocket tore open top-floor apartments, leaving twisted metal window frames and bloodstains.

Nava Chayoun, 40, who lives on the second floor, said her husband, Yitzhak, ran up the stairs immediately after the rocket struck and saw the body of a woman on the floor. He rescued two children from the same apartment and afterward, she said, she and her family “read psalms.”

Isabel Kershner reported from Kiryat Malachi, Israel, and Fares Akram from Gaza. Reporting was contributed by Rina Castelnuovo from Kiryat Malachi; Mayy El Sheikh and David D. Kirkpatrick from Cairo; Gabby Sobelman from Jerusalem; Rick Gladstone from New York; and Alan Cowell from Paris.

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Belize prime minister says McAfee “bonkers,” should help in murder case

BELIZE CITY (Reuters) – Belize‘s prime minister on Wednesday urged anti-virus software pioneer John McAfee to help the country’s police with a murder inquiry, calling McAfee “bonkers” for recent media statements.

“I don’t want to be unkind, but he seems to be extremely paranoid – I would go so far as to say bonkers,” Prime Minister Dean Barrow said in Belize City. “He ought to man up and respect our laws and go in and talk to the police.”

Belizean police want to question McAfee, 67, about the murder of his neighbor and fellow U.S. citizen, Gregory Viant Faull, 52, with whom McAfee had quarreled.

Police have been unable to track down McAfee since finding Faull dead on Sunday in his house on Ambergris Caye, an island off the coast. In an interview on Tuesday, McAfee said he had gone into hiding because he believed Belizean authorities were trying to frame him for Faull’s murder.

“You can say I’m paranoid about it, but they will kill me, there is no question. They’ve been trying to get me for months,” Wired magazine’s website quoted McAfee as saying. “I am not well liked by the prime minister.

According to the magazine, which has published details of several interviews with the entrepreneur, McAfee says he has been riding in boats, hunkering down on the floorboards of taxis, and sleeping in a bed that he said was infested with lice.

Since he went into hiding, McAfee has repeatedly told Wired he had nothing to do with Faull’s death. Explaining his actions, McAfee said he does not want to give himself up because he is afraid the authorities will torture or kill him.

But McAfee said they would track him down in the end. On Wednesday, the magazine said that McAfee claimed to have dyed his hair, eyebrows, beard, and mustache jet black.

“I’ll probably look like a murderer, unfortunately,” it quoted him as saying.

PUBLIC SPOTLIGHT

Barrow called McAfee’s statements “nonsense,” noting he had “never met the man” and that the media attention McAfee had attracted was offering him “the best possible safeguard.”

“It’s not as if the police have said he is a suspect and certainly there is no question at this point of charges pending,” Barrow said. “The fact that this is smeared across international headlines means the police would have to act extremely cautiously in the full glare of the public spotlight.”

McAfee, who invented the anti-virus software that bears his name, has homes and businesses in Belize, and is believed to have settled around 2010 in the tiny Central American nation bordered by Mexico and Guatemala.

There is already a case pending in Belize against McAfee for possession of illegal firearms, and police previously suspected him of running a lab to make the synthetic drug crystal meth.

On Wednesday, Belizean police said they had charged McAfee’s British bodyguard William Mulligan, 29, and Mulligan’s wife, Stefanie, 22, for having unlicensed weapons and ammunition.

Barrow rejected statements made by McAfee and an associate that the software pioneer was being targeted for refusing to donate to Belize’s ruling United Democratic Party (UDP) to help fund its successful re-election bid in March.

“I know of no individual in the UDP who has spoken to McAfee about contributions,” Barrow said.

McAfee was one of Silicon Valley’s first entrepreneurs to build an Internet fortune. The ex-Lockheed systems consultant started McAfee Associates in 1989. He now has no relationship with the company, which was sold to Intel Corp.

(Writing by Gabriel Stargardter; Editing by Dave Graham and Eric Walsh)

Internet News Headlines – Yahoo! News

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Theresa Strader Rescues Thousands of Puppy-Mill Dogs

Heroes Among Us

By Sydney Berger

11/15/2012 at 03:00 PM EST

When lifelong animal lover Theresa Strader heard about a massive dog auction in Missouri in 2007, she thought she would check out the scene and adopt a pet or two.

"I said, 'I'm set up to take care of two or three of them,' " remembers Strader, 48, a pediatric nurse and mom of four from Black Forest, Colo.

But when she arrived at the auction site – a collection of tents set up by a large-scale commercial breeder going out of business, a.k.a. a "puppy mill," says Strader – it broke her heart.

"The first thing that hits you," says Strader, "is the smell. Then you are overwhelmed by the emotion of seeing dogs live like that, in cages, frantic. These were dogs who never felt the sunshine on them."

Appalled, Strader ended up adopting 13 of the 561 dogs up for auction – and that was just the beginning. That February, she founded the nonprofit National Mill Dog Rescue, which has since housed, rehabilitated or found homes for more than 6,900 dogs, from poodles to pugs, cavaliers to chihuahuas.

At her 160-acre facility, Strader and a team of 1,400 volunteers, plus a small paid veterinary staff, "take immaculate care of every single dog. We don't cherry-pick," she says. "We take everybody."

Sherrie Lidderdale can attest to that. In August 2011, she adopted a Welsh corgi from Strader.

"Most people who love animals know about Theresa and all of the work that she does," says Lidderdale. "It's just so cool when one single individual can make such a huge difference."

More Heroes Among Us:

• Andrea Roberts Helps Orphans with Down Syndrome Find Homes

• Nico Castro Provides Halloween Costumes for Hospital-Bound Kids

Know a hero? Send suggestions to heroesamongus@peoplemag.com. For more inspiring stories, read the latest issue of PEOPLE magazine

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GOP-led states start warming up to health care law

WASHINGTON (AP) — From the South to the heartland, cracks are appearing in the once-solid wall of Republican resistance to President Barack Obama's health care law.

Ahead of a federal deadline Friday for states to declare their intentions, Associated Press reporters interviewed governors and state officials around the country, finding surprising openness to the changes in some cases. Opposition persists in others, and there is a widespread, urgent desire for answers on key unresolved details.

The law that Republicans have derided as "Obamacare" was devised in Washington, but it's in the states that Americans will find out if it works, delivering promised coverage to more than 30 million uninsured people.

States have a major role to play in two of the overhaul's main components: new online insurance markets for individuals and small businesses to shop for subsidized private coverage, and an expanded Medicaid program for low-income people.

Friday is the day states must declare if they'll build the new insurance markets, called exchanges, or let Washington do it for them. States can also opt for a partnership with the feds to run their exchanges, and they have until February to decide on that option.

Some glimpses of grudging acceptance across a shifting scene:

— One of the most visible opponents of Obama's overhaul, Florida Republican Gov. Rick Scott, now says "if I can get to 'yes,' I want to get to 'yes.'"

Florida was a leader in the failed effort to overturn the law in the Supreme Court, and a group formed by Scott ran TV ads opposing it before it passed Congress. But the governor told the AP this week he wants to negotiate with the federal government to try to help the nearly 4 million uninsured people in his state.

— In Iowa, GOP Gov. Terry Branstad says he is postponing a decision because Washington has not provided enough information about key details. But his spokesman, Tim Albrecht, said Iowa is exploring a partnership exchange that could include several states. Albrecht said they're confident they can get to a state option if needed.

Ohio, like Florida and Iowa a state Obama carried in the election, is leaning toward a partnership with the federal government despite GOP officials' continued misgivings about the law.

— In Mississippi, Republican insurance commissioner Mike Chaney formally notified Washington on Wednesday that his agency will proceed with a state-run exchange, disappointing GOP Gov. Phil Bryant, who remains staunchly opposed to Obama's law.

Chaney, too, says he wishes the law could be repealed, but he worries that "if you default to the federal government, you forever give the keys to the state's health insurance market to the federal government."

As for trying to fight the feds, Chaney observed: "We tried that 150 years ago in the South, and it doesn't work."

— In New Mexico, the administration of Republican Gov. Susana Martinez had been quietly working to put the law into place as the political storm swirled. With a fifth of its population uninsured, the state is planning to run its own exchange.

"The party is over. The opposition is over," New Mexico Human Services Secretary Sidonie Squier told the AP. "Whatever states didn't think they were going to do it, I think they're going to have to do it whether they like it or not. It's a done deal now."

Policy experts in Washington are noticing the shift.

"I think it's a very practical decision for states now," said Alan Weil, executive director of the nonpartisan National Academy for State Health Policy. "We are going to have a significant number of states running their own exchanges, a significant number where the federal government is running the exchange, and a significant number of partnerships. The bottom line is we are going to have to figure out how to make all three models work."

Although the public remains divided about the health care law, the idea of states running the new insurance markets is popular, especially with Republicans and political independents. A recent AP poll found that 63 percent of Americans would prefer states to run the exchanges, with 32 percent favoring federal control.

The breakdown among Republicans was 81-17 in favor of state control, while independents lined up 65-28 for states taking the lead. Democrats were almost evenly divided, with a slim majority favoring state control.

There are several potential benefits to a state operating its own exchange, experts say.

The biggest advantage may be that states would be more closely involved in coordinating between the exchanges and Medicaid programs. Because many people are going to be going back and forth between Medicaid and private coverage in the exchanges, states would probably be better served by a hands-on role.

States can also decide whether to allow open access to all insurers, or work only with a panel of pre-screened companies that meet certain requirements.

Also, the exchanges will offer coverage to people buying in the individual and small business markets, areas that states have traditionally regulated. Without a state-run exchange, states could be dealing their own regulators out of the equation, as Mississippi's insurance commissioner Chaney noted.

When the legislation was being considered in Congress, Democrats in the House wanted to have a national exchange administered by the federal government. But they lost the argument with their centrist Democratic counterparts in the Senate, who wanted state exchanges in order to preserve a state role.

Despite signs of movement toward going along with implementation of the overhaul, some major Republican-led states are holding fast. In Texas, the election results did not change any of the opposition to expanding Medicaid or to setting up insurance exchanges. The same holds for Louisiana, South Carolina, Missouri, Kansas and others.

"Adding more people to an already sinking ship with money that is either being borrowed from China or coming out of taxpayers' pockets is bad policy and bad for Texans," said Catherine Frazier, spokeswoman for Gov. Rick Perry. Twenty-seven percent of that state's residents are uninsured, the largest percentage for any state.

Many Republican state officials complain that the Obama administration simply hasn't given them enough information. Indeed, several major regulations affecting the exchanges have yet to be released. But that doesn't seem to have stopped states that made an early decision to proceed.

Virginia, a Republican-led state that voted for Obama on Nov. 6 and also elected a Democratic U.S. senator, is among those defaulting to Washington. But a spokesman for Gov. Bob McDonnell said things may change.

"This is not a final decision," said Jeff Caldwell. "The fact is, states still need far more information before any final decisions can be made on behalf of Virginia's taxpayers." The final call, he added, belongs to the state Legislature.

___

Associated Press writers Gary Fineout and Kelli Kennedy in Florida, Grant Schulte in Nebraska, Ann Sanner in Ohio, Jeff Amy and Emily Wagster Pettus in Mississippi, Barry Massey in New Mexico and Chris Tomlinson in Texas contributed to this report.

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Justin Bieber freeway chase charged unconstitutional, judge says

A Los Angeles Superior court judge threw out charges related to a first-of-its-kind anti-paparazzi law Wednesday in the case of a freelance photographer who was charged in connection with a freeway chase involving pop star Justin Bieber. 

Judge Thomas Rubinson ruled that while Los Angeles city prosecutors could proceed with two traffic-related charges against Paul Raef, the two counts related to the state law did not pass Constitutional muster.

Passed in  2010, the law punishes paparazzi driving dangerously to obtain images they will sell. But Rubinson said the law violated First Amendment protections by overreaching and potentially affecting such people as wedding photographers or photographers speeding to a location where a celebrity was present.

Attorney David S. Kestenbaum, one of the lawyers representing Raef, said Wednesday he was pleased by the judge's decision, which showed his client was simply doing his job.

"The judge said that when you are talking about people doing their job and yet running the risk of additional criminal punishment, it has a chilling effect from anyone from newsgathers to wedding photographers and even real estate agents," Kestenbaum said. "It just a lesson in constitutional law.

The ruling comes less than six months after Bieber was pulled over by the California Highway Patrol on the 101 Freeway in the San Fernando Valley and cited for driving his Fisker sports car at high speed. The pop star said then he was being chased by a freelance paparazzo later identified as Raef.

Los Angeles city prosecutors filed charges against the 30-year-old photographer for allegedly chasing Bieber and then speeding off when police tried to pull over both Bieber and Raef.

The charges included four misdemeanors: reckless driving, failing to obey a peace officer, and two counts of following another vehicle too closely and reckless driving, with the intent to capture pictures for commercial gain.

With the dismissal of the latter charges, Raef still faces the potential of six months in county jail.

Bieber was involved in another traffic incident Tuesday. He was pulled over in a white Ferarri
around 6:30 p.m. Tuesday in the 600 block of Hayward Avenue in West Hollywood and was
cited for making an unsafe left turn and having an expired registration, Sheriff's Department spokesman Steve Whitmore said.

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Increased Rose Bowl security planned for USC-UCLA game

MTV: Santa Monica Airport crowd got too large to continue concert

No charges expected in probes of 'Modern Family' actress, mother

--Andrew Blankstein

Photo: Justin Bieber performing Friday in New Jersey. Credit: Mike Coppola / Getty Images

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Israelis Launch Major Assault on Gaza, Killing Hamas Commander

Reuters

Palestinians extinguished a fire after an Israeli airstrike on a car carrying Ahmed al-Jabari, who ran Hamas's military wing, on Wednesday in Gaza City.

GAZA — Israel on Wednesday launched one of the most ferocious assaults on Gaza since its invasion four years ago, hitting at least 20 targets in aerial attacks that killed the top military commander of Hamas, drew strong condemnation from Egypt and escalated the risks of a new war in the Middle East.

The Israelis coupled the intensity of the airstrikes with the threat of another ground invasion and warnings to all Hamas leaders in Gaza to stay out of sight or risk the same fate as the Hamas military commander, Ahmed al-Jabari, who was killed in a pinpoint airstrike as he was traveling by car down a Gaza street. “We recommend that no Hamas operatives, whether low level or senior leaders, show their faces above ground in the days ahead,” the Israel Defense Forces said in a Twitter message.

The ferocity of the airstrikes, which Israel called Operation “Pillar of Defense” in response to repeated rocket attacks by Gaza-based Palestinian militants, provoked rage in Gaza, where Hamas said the airstrikes amounted to war and promised a harsh response. Civil-defense authorities in Israel raised alert levels and told residents to take precautions for rocket retaliation from Gaza.

Health officials in Gaza quoted by news agencies said the Israeli attacks had killed at least nine people and wounded at least 40.

The abrupt escalation in hostilities between Israel and Hamas, the militant organization regarded by Israel as a terrorist group sworn to Israel’s destruction, came amid rising tensions between Israel and all of its Arab neighbors. Israel has faced growing lawlessness on its border with the Sinai, including cross-border attacks. It recently fired twice into Syria, which is caught in a civil war, after munitions fell in the Israeli-occupied Golan Heights, and it has absorbed rocket fire from Gaza, which has damaged homes and frightened the population.

Israeli officials had promised a robust response to the rocket fire, but for the moment, at least, opted against a ground invasion and instead chose airstrikes and targeted killings.

The Israeli attacks especially threatened to further complicate Israel’s fragile relations with Egypt, where the Islamist-led government of President Mohamed Morsi, reversing a policy of ousted predecessor Hosni Mubarak, had established closer ties with Hamas and had been acting as a mediator to restore calm between Israel and Gaza-based militant groups.

In the first crisis in Israeli-Egyptian relations since Mr. Morsi came to power, he ordered Egypt’s ambassador to Israel to return home, summoned the Israeli ambassador to protest, and called for emergency meetings of both the United Nations Security Council and the Arab League over the Gaza attacks. Egyptian state media said the Foreign Ministry had demanded that Israel “stop its aggression at once.”

Mr. Morsi’s Freedom and Justice Party, which was founded by the Muslim Brotherhood, issued a statement saying: “The wanton aggression against Gaza proves that Israel has yet to realize that Egypt has changed and that the Egyptian people who revolted against oppression will not accept assaulting Gaza.”

A spokesman for Hamas, Fawzi Barhoum, said the Israelis had “committed a dangerous crime and broke all redlines,” and that “the Israeli occupation will regret and pay a high price.”

Military officials in Israel, which announced responsibility for the death of Mr. Jabari, later said in a statement that their forces had carried out additional airstrikes in Gaza targeting what they described as “a significant number of long-range rocket sites” owned by Hamas that had stored rockets capable of reaching 25 miles into Israel. The statement said the airstrikes had dealt a “significant blow to the terror organization’s underground rocket-launching capabilities.”

Yisrael Katz, a minister from Israel’s governing Likud Party, issued a statement saying that the operation had sent a message to the Hamas political leaders in Gaza “that the head of the snake must be smashed. Israel will continue to kill and target anyone who is involved in the rocket attacks.”Hamas and medical officials in Gaza said both Mr. Jabari and a companion were killed by the airstrike on his car in Gaza City. Israeli news media said the companion was Mr. Jabari’s son, but there was no immediate confirmation.

The Israel Defense Forces said in a statement that Mr. Jabari had been targeted because he “served in the upper echelon of the Hamas command and was directly responsible for executing terror attacks against the state of Israel in the past number of years,” including the 2006 abduction and five-year incarceration of Gilad Shalit, an Israeli soldier, on the Israel-Gaza border.

The statement said the purpose of the attack was to “severely impair the command and control chain of the Hamas leadership as well as its terrorist infrastructure.”

Fares Akram reported from Gaza, and Isabel Kershner from Jerusalem. Rick Gladstone contributed reporting from New York, and Mayy El Sheikh and David D. Kirkpatrick from Cairo.

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Sandra Bullock and Camila McConaughey Take Kids on a Play Date in New Orleans

11/14/2012 at 03:40 PM EST

Sandra Bullock with her son Louis and Camila McConaughey with her daughter Vida

Pacific Coast News

While her husband Matthew is busy filming The Dallas Buyer's Club in New Orleans, Camila McConaughey is keeping very good company.

The mom-to-be spent time with McConaughey pal Sandra Bullock on Tuesday, taking their little ones – Louis and Vida, both 2½ – to watch the Warren Easton Charter High School's marching band and drill team perform.

"Camila seemed happy to attend the event with her kids. The kids all go along and seemed to have fun," a photographer tells PEOPLE. "It was a bit windy and all the kids wore their hoodies. They looked very cute. Sandra and Camila chatted and both looked happy."

Warren Easton (the oldest public high school in Louisiana) is special to Bullock, who "adopted" it in 2007 and has donated "hundreds of thousands of dollars" to help pay for an on-campus health clinic, college scholarships and band uniforms, her rep told PEOPLE in 2011.

Meanwhile, the next day, the moms got together for a second play date at the Carousel Gardens Amusement Park.

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Ireland probes death of ill abortion-seeker

DUBLIN (AP) — The debate over legalizing abortion in Ireland flared Wednesday after the government confirmed that a woman in the midst of a miscarriage was refused an abortion and died in an Irish hospital after suffering from blood poisoning.

Prime Minister Enda Kenny said he was awaiting findings from three investigations into the death of Savita Halappanavar, a 31-year-old Indian woman who was 17 weeks pregnant. Her case highlighted the legal limbo in which pregnant women facing severe health problems can find themselves in predominantly Catholic Ireland.

Ireland's constitution officially bans abortion, but a 1992 Supreme Court ruling found the procedure should be legalized for situations when the woman's life is at risk from continuing the pregnancy. Five governments since have refused to pass a law resolving the confusion, leaving Irish hospitals reluctant to terminate pregnancies except in the most obviously life-threatening circumstances.

The vast bulk of Irish women wanting abortions, an estimated 4,000 per year, simply travel next door to England, where abortion has been legal on demand since 1967. But that option is difficult, if not impossible, for women in failing health.

Halappanavar's husband, Praveen, said doctors at University Hospital Galway in western Ireland determined she was miscarrying within hours of her hospitalization for severe pain on Sunday, Oct. 21. He said over the next three days, doctors refused their requests for an abortion to combat her surging pain and fading health.

The hospital declined to say whether doctors believed Halappanavar's blood poisoning could have been reversed had she received an abortion rather than waiting for the fetus to die on its own. In a statement, it described its own investigation into the death, and a parallel probe by the government's Health Service Executive, as "standard practice" whenever a pregnant woman dies in a hospital. The Galway coroner also planned a public inquest.

"Savita was really in agony. She was very upset, but she accepted she was losing the baby," he told The Irish Times in a telephone interview from Belgaum, southwest India. "When the consultant came on the ward rounds on Monday morning, Savita asked if they could not save the baby, could they induce to end the pregnancy? The consultant said: 'As long as there is a fetal heartbeat, we can't do anything.'

"Again on Tuesday morning ... the consultant said it was the law, that this is a Catholic country. Savita said: 'I am neither Irish nor Catholic' but they said there was nothing they could do," Praveen Halappanavar said.

He said his wife vomited repeatedly and collapsed in a restroom that night, but doctors wouldn't terminate the fetus because its heart was still beating.

The fetus died the following day and its remains were surgically removed. Within hours, Savita was placed under sedation in intensive care with blood poisoning and he was never able to speak with her again, her husband said. By Saturday, her heart, kidneys and liver had stopped working. She was pronounced dead early Sunday, Oct. 28.

The couple had settled in 2008 in Galway, where Praveen Halappanavar works as an engineer at the medical devices manufacturer Boston Scientific. His wife was qualified as a dentist but had taken time off for her pregnancy. Her parents in India had just visited them in Galway and left the day before her hospitalization.

Praveen Halappanavar said he took his wife's remains back to India for a Hindu funeral and cremation Nov. 3. News of the circumstances that led to her death emerged Tuesday in Galway after the Indian community canceled the city's annual Diwali festival. Savita Halappanavar had been one of the festival's main organizers.

Opposition politicians appealed Wednesday for Kenny's government to introduce legislation immediately to make the 1992 Supreme Court judgment part of statutory law. Barring any such bill, the only legislation defining the illegality of abortion in Ireland dates to 1861, when the entire island was part of the United Kingdom. That British law, still valid here due to Irish inaction on the matter, states it is a crime punishable by life imprisonment to "procure a miscarriage."

In the 1992 case, a 14-year-old girl identified in court only as "X'' successfully sued the government for the right to have an abortion in England. She had been raped by a neighbor. When her parents reported the crime to police, the attorney general ordered her not to travel abroad for an abortion, arguing this would violate Ireland's constitution.

The Supreme Court ruled she should be permitted an abortion in Ireland, never mind England, because she was making credible threats to commit suicide if refused one. During the case, the girl reportedly suffered a miscarriage.

Since then, Irish governments twice have sought public approval to legalize abortion in life-threatening circumstances — but excluding a suicide threat as acceptable grounds. Both times voters rejected the proposed amendments.

Legal and political analysts broadly agree that no Irish government since 1992 has needed public approval to pass a law that backs the Supreme Court ruling. They say governments have been reluctant to be seen legalizing even limited access to abortion in a country that is more than 80 percent Catholic.

An abortions right group, Choice Ireland, said Halappanavar might not have died had any previous government legislated in line with the X judgment. Earlier this year, the government rejected an opposition bill to do this.

"Today, some 20 years after the X case, we find ourselves asking the same question: If a woman is pregnant, her life in jeopardy, can she even establish whether she has a right to a termination here in Ireland?" said Choice Ireland spokeswoman Stephanie Lord.

Coincidentally, the government said it received a long-awaited expert report Tuesday proposing possible changes to Irish abortion law shortly before news of Savita Halappanavar's death broke. The government commissioned the report two years ago after the European Court of Human Rights ruled that Ireland's inadequate access to abortions for life-threatening pregnancies violated European Union law.

The World Health Organization, meanwhile, identifies Ireland as an unusually safe place to be pregnant. Its most recent report on global maternal death rates found that only three out of every 100,000 women die in childbirth in Ireland, compared with an average of 14 in Europe and North America, 190 in Asia and 590 in Africa.

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Justin Bieber, driving Ferarri, gets second citation in 6 months

For the second time in six months, pop star Justin Bieber has been cited by authorities for a traffic violation involving a high-end sports car.

But this time Bieber can't blame his traffic violation on the paparazzi. This time it was all Bieber during an apparent joyride Tuesday night in West Hollywood, according to Los Angeles County sheriff's deputies.

Bieber was pulled over in a white Ferarri around 6:30 p.m. Tuesday in the 600 block of Hayward Avenue and was cited for making an unsafe left turn and having an expired registration, said sheriff's spokesman Steve Whitmore.

"He was obviously enjoying his vehicle more than he was recognizing the laws," Whitmore said.

The incident comes less than six months after Bieber was pulled over by the California Highway Patrol on the 101 Freeway in the San Fernando Valley and cited for driving his Fisker sports car at high speed. The pop star said then he was being chased by a freelance paparazzo.

Los Angeles city prosecutors filed charges against the photographer, Paul Raef, 30, for allegedly chasing Bieber and then speeding off when police tried to pull both Bieber and Raef over. 

Raef is the first paparazzo to be charged under a 2010 state law that adds penalties on paparazzi driving dangerously for images they will sell, city prosecutors said.

Asked if Bieber's second alleged violation constituted a trend, Whitmore said he wasn't sure.

"You have two incidents," Whitmore said. "Is that a pattern? I don't know. I know that he's a teenager."

ALSO:

LAPD searching for possible kidnap victim in El Sereno

Red flag warning issued for brush fire danger in L.A. area

Man in wheelchair shot while waiting to buy "Call of Duty" game

-- Andrew Blankstein

Photo: Justin Bieber performs at the Barclays Center on onday in the Brooklyn, New York.Credit: Stephen Lovekin / Getty Images

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News Analysis: Petraeus Case Raises Concerns About Americans’ Privacy

The F.B.I. investigation that toppled the director of the C.I.A. and now threatens to tarnish the reputation of the top American commander in Afghanistan underscores a danger that civil libertarians have long warned about: that in policing the Web for crime, espionage and sabotage, government investigators will unavoidably invade the private lives of Americans.

On the Internet, and especially in e-mail, text messages, social network postings and online photos, the work lives and personal lives of Americans are inextricably mixed. Private, sensitive messages are stored for years on computer servers, available to be discovered by investigators who may be looking into completely unrelated matters.

In the current F.B.I. case, a Tampa woman, Jill Kelley, a friend both of David H. Petraeus, the former C.I.A. director, and Gen. John R. Allen, the top NATO commander in Afghanistan, was disturbed by a half-dozen anonymous e-mails she had received in June. She took them to an F.B.I. agent whose acquaintance with Ms. Kelley (he had sent her shirtless photos of himself — electronically, of course) eventually prompted his bosses to order him to stay away from the investigation.

But a squad of investigators at the bureau’s Tampa office, in consultation with prosecutors, opened a cyberstalking inquiry. Although that investigation is still open, law enforcement officials have said that criminal charges appear unlikely.

In the meantime, however, there has been a cascade of unintended consequences. What began as a private, and far from momentous, conflict between two women, Ms. Kelley and Paula Broadwell, Mr. Petraeus’s biographer and the reported author of the harassing e-mails, has had incalculable public costs.

The C.I.A. is suddenly without a permanent director at a time of urgent intelligence challenges in Syria, Iran, Libya and beyond. The leader of the American-led effort to prevent a Taliban takeover in Afghanistan is distracted, at the least, by an inquiry into his e-mail exchanges with Ms. Kelley by the Defense Department’s inspector general.

For privacy advocates, the case sets off alarms.

“There should be an investigation not of the personal behavior of General Petraeus and General Allen but of what surveillance powers the F.B.I. used to look into their private lives,” Anthony D. Romero, executive director of the American Civil Liberties Union, said in an interview. “This is a textbook example of the blurring of lines between the private and the public.”

Law enforcement officials have said they used only ordinary methods in the case, which might have included grand jury subpoenas and search warrants. As the complainant, Ms. Kelley presumably granted F.B.I. specialists access to her computer, which they would have needed in their hunt for clues to the identity of the sender of the anonymous e-mails. While they were looking, they discovered General Allen’s e-mails, which F.B.I. superiors found “potentially inappropriate” and decided should be shared with the Defense Department.

In a parallel process, the investigators gained access, probably using a search warrant, to Ms. Broadwell’s Gmail account. There they found messages that turned out to be from Mr. Petraeus.

Marc Rotenberg, executive director of the Electronic Privacy Information Center in Washington, said the chain of unexpected disclosures is not unusual in computer-centric cases.

“It’s a particular problem with cyberinvestigations — they rapidly become open-ended, because there’s such a huge quantity of information available and it’s so easily searchable,” he said, adding, “If the C.I.A. director can get caught, it’s pretty much open season on everyone else.”

For years now, as national security officials and experts have warned of a Pearl Harbor cyberattack that could fray the electrical grid or collapse stock markets, policy makers have jostled over which agencies should be assigned the sensitive task of monitoring the Internet for dangerous intrusions.

Advocates for civil liberties have been especially wary of the National Security Agency, whose expertise is unrivaled but whose immense surveillance capabilities they see as frightening. They have successfully urged that the Department of Homeland Security take the leading role in cybersecurity.

That is in part because the D.H.S., if far from entirely open to public scrutiny, is much less secretive than the N.S.A., the eavesdropping and code-breaking agency. To this day, N.S.A. officials have revealed almost nothing about the warrantless wiretapping it conducted inside the United States in the hunt for terrorists in the years after 2001, even after the secret program was disclosed by The New York Times in 2005 and set off a political firestorm.

The hazards of the Web as record-keeper, of course, are a familiar topic. New college graduates find that their Facebook postings give would-be employers pause. Husbands discover wives’ infidelity by spotting incriminating e-mails on a shared computer. Teachers lose their jobs over impulsive Twitter comments.

But the events of the last few days have shown how law enforcement investigators who plunge into the private territories of cyberspace looking for one thing can find something else altogether, with astonishingly destructive results.

Some people may applaud those results, at least in part. By having a secret extramarital affair, for instance, Mr. Petraeus was arguably making himself vulnerable to blackmail, which would be a serious concern for a top intelligence officer. What if Russian or Chinese intelligence, rather than the F.B.I., had discovered the e-mails between the C.I.A. director and Ms. Broadwell?

Likewise, military law prohibits adultery — which General Allen’s associates say he denies committing — and some kinds of relationships. So should an officer’s privacy really be total?

But some commentators have renewed an argument that a puritanical American culture overreacts to sexual transgressions that have little relevance to job performance. “Most Americans were dismayed that General Petraeus resigned,” said Mr. Romero of the A.C.L.U.

That old debate now takes place in a new age of electronic information. The public shaming that labeled the adulterer in Nathaniel Hawthorne’s “Scarlet Letter” might now be accomplished by an F.B.I. search warrant or an N.S.A. satellite dish.

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Bradley Cooper & Jennifer Lawrence Dance in Silver Linings Playbook (Video)

With impressive performances from Bradley Cooper and Jennifer Lawrence, Silver Linings Playbook may already be an Oscar contender before it even hits theaters.

For Pat (played by Cooper), a former teacher who has just been released from a mental hospital, things get interesting when he gets involved with Tiffany (played by Lawrence), a neighborhood girl with problems of her own.

But with Danny (Chris Tucker) leading the way, Tiffany and Pat unwind as they learn to dance to Stevie Wonder's "Don't You Worry 'Bout a Thing."

The film has been earning praise since it premiered at the Toronto International Film Festival in September.

"They're amazing together, with Lawrence showing incredible range and comic timing in her award-worthy performance," PEOPLE's movie critic Alynda Wheat wrote at the time.

Silver Linings Playbook opens in theaters Wednesday, Nov. 21.

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British medical journal slams Roche on Tamiflu

LONDON (AP) — A leading British medical journal is asking the drug maker Roche to release all its data on Tamiflu, claiming there is no evidence the drug can actually stop the flu.

The drug has been stockpiled by dozens of governments worldwide in case of a global flu outbreak and was widely used during the 2009 swine flu pandemic.

On Monday, one of the researchers linked to the BMJ journal called for European governments to sue Roche.

"I suggest we boycott Roche's products until they publish missing Tamiflu data," wrote Peter Gotzsche, leader of the Nordic Cochrane Centre in Copenhagen. He said governments should take legal action against Roche to get the money back that was "needlessly" spent on stockpiling Tamiflu.

Last year, Tamiflu was included in a list of "essential medicines" by the World Health Organization, a list that often prompts governments or donor agencies to buy the drug.

Tamiflu is used to treat both seasonal flu and new flu viruses like bird flu or swine flu. WHO spokesman Gregory Hartl said the agency had enough proof to warrant its use for unusual influenza viruses, like bird flu.

"We do have substantive evidence it can stop or hinder progression to severe disease like pneumonia," he said.

In the U.S., the Centers for Disease Control and Prevention recommends Tamiflu as one of two medications for treating regular flu. The other is GlaxoSmithKline's Relenza. The CDC says such antivirals can shorten the duration of symptoms and reduce the risk of complications and hospitalization.

In 2009, the BMJ and researchers at the Nordic Cochrane Centre asked Roche to make all its Tamiflu data available. At the time, Cochrane Centre scientists were commissioned by Britain to evaluate flu drugs. They found no proof that Tamiflu reduced the number of complications in people with influenza.

"Despite a public promise to release (internal company reports) for each (Tamiflu) trial...Roche has stonewalled," BMJ editor Fiona Godlee wrote in an editorial last month.

In a statement, Roche said it had complied with all legal requirements on publishing data and provided Gotzsche and his colleagues with 3,200 pages of information to answer their questions.

"Roche has made full clinical study data ... available to national health authorities according to their various requirements, so they can conduct their own analyses," the company said.

Roche says it doesn't usually release patient-level data available due to legal or confidentiality constraints. It said it did not provide the requested data to the scientists because they refused to sign a confidentiality agreement.

Roche is also being investigated by the European Medicines Agency for not properly reporting side effects, including possible deaths, for 19 drugs including Tamiflu that were used in about 80,000 patients in the U.S.

____

Online:

www.bmj.com.tamiflu/

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Teen bitten 6 times by rattlesnakes while searching for cell signal

A 16-year-old El Cajon girl is lucky to be alive after being bitten at least six times by rattlesnakes.

"On a scale from 1 to 10 the pain was 45," Vera Oliphant recalled.

The young woman was visiting her uncle in Jamul, Calif., east of San Diego about two weeks ago when she decided to walk up a hill, searching for cell phone reception.

"I heard them all over, I heard the rattles, then I ran," said Oliphant.

In her attempt to run back to her uncle's, she stepped right into a rattlesnake's nest.

"My entire body started swelling," said the teen.

She hobbled back to her uncle who was able to get her to the emergency room at Sharp Grossmont Hospital.

"The doctors told me I was lucky to be alive," said Oliphant, who spent four days in intensive care.

"If you get bitten by a snake, the first thing to remember, is that you have more time than you think you do," said Dr. Jordan Cohen of Sharp Grossmont.

Cohen, who said he's seen his share of snakebites, explained that when it comes to this type of injury, many of the well-known first aid techniques often used in the wilderness don't apply. He advised to get to the emergency room as soon as possible and try to stay immobile. Tourniquets and suction are not advised, he said.

Oliphant said her complete recovery will take several more weeks. In the meantime, she said, "I'll never go out in the desert by myself, and I'll be sure to wear boots."

ALSO:

Off-duty Marine fatally shot by Palm Springs police

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P.I. says woman was sent to bar to flirt with Costa Mesa councilman

-- Fox 5 San Diego

Read More..

Syrian Jet Strikes Close to Border With Turkey

GAZIANTEP, Turkey — Syria pulled both Turkey and Israel closer to military entanglements in its civil war on Monday, bombing a rebel-held Syrian village a few yards from the Turkish border in a deadly aerial assault and provoking Israeli tank commanders in the disputed Golan Heights into blasting mobile Syrian artillery units across their own armistice line.

The escalations, which threatened once again to draw in two of Syria’s most powerful neighbors, came hours after the fractious Syrian opposition announced a broad new unity pact that elicited praise from the big foreign powers backing their effort to topple President Bashar al-Assad.

“It is a big day for the Syrian opposition,” wrote Joshua Landis, an expert on Syrian political history and the author of the widely followed Syria Comment blog. Mr. Landis, director of the Center for Middle East Studies at the University of Oklahoma, wrote that the “Assad regime must be worried, as it has survived for 42 years thanks to Syria’s fragmentation.”

There has been speculation that Mr. Assad, feeling increasingly threatened, may deliberately seek to widen the conflict that has consumed much of his own country for the past 20 months and left roughly 40,000 people dead. Although there is no indication that Mr. Assad has decided to try to lure Israel into the fight, any Israeli involvement could rally his failing support and frustrate the efforts of his Arab adversaries.

The attack on the Turkish border, by what Syrian witnesses identified as a Syrian MIG-25 warplane, demolished at least 15 buildings and killed at least 20 people in the town of Ras al-Ain, the scene of heavy fighting for days and an impromptu crossing point for thousands of Syrian refugees clambering for safety into Turkey.

“The plane appeared in seconds, dropped a bomb and killed children,” said Nezir Alan, a doctor who witnessed the bombing. “Here is total chaos.” In a telephone interview from Ras al-Ain, he said the bombing wounded at least 70 people, 50 of them critically. Turkish television stations reported that ambulances were rushing victims into Ceylanpinar, Turkey, just across the border.

Windows of shops and houses in Ceylanpinar were shattered by the force of the bombing, and Turkish television showed people on both sides of the border running in panic, while military vehicles raced down streets as a huge cloud of smoke hung over the area.

There were no immediate reports of deaths or injuries in Ceylanpinar. But the Turkish authorities, increasingly angered by what they view as Syrian provocations, have deployed troops and artillery units along the 550-mile border with Syria and have raised the idea of installing Patriot missile batteries that could deter Syrian military aircraft.

Turkey’s foreign minister, Ahmet Davutoglu, sent a diplomatic note to Syria on Monday to protest the Ras al-Ain bombing, the semiofficial Anatolian News Agency reported.

Civilians in southern Turkey’s provinces of Hatay, Sanliurfa and Gaziantep, where the government has erected camps for Syrian refugees, have been advised not to travel close to the border.

In Israel, the military said Israeli tanks that are deployed in the Golan Heights, which the Israelis seized from Syria in the 1967 war, had made a direct hit on Syrian artillery units on Monday after consecutive days of erratic mortar fire coming from the Syrian side of the armistice line. The Syrian mortar shells caused no damage or casualties, the military said.

Military officials and analysts in Israel said that they viewed the Syrian shelling as unintentional spillover from the civil war and that Israel has no desire to get involved in the Syria conflict. But the Israelis have expressed increasing concern that after four decades of relative stability in the Golan area, the Assad government may be trying to push them into a fight that could galvanize Arab hostility toward Israel and distract attention from its own problems.

If an errant Syrian shell hit a school filled with children on the Israeli side, said Prof. Moshe Maoz at the Hebrew University of Jerusalem, a strong Israeli response would be all but guaranteed. “Assad knows very well that Israel does not have a sense of humor here and can retaliate very heavily.”

The United Nations, which monitors an armistice agreement between Israel and Syria in force since the 1973 war, has said it fears that Golan violence could jeopardize the cease-fire.

In Doha, Qatar, where Syrian opposition figures had been meeting since last week, the agreement reached Sunday on forming a new umbrella organization, which could become the basis for a provisional government, was welcomed by participants and the effort’s foreign backers, including Turkey, the United States, the European Union and the Arab League. There were expectations that the new group, called the National Coalition of Syrian Revolutionary and Opposition Forces, would be permitted to take Syria’s seat at the Arab League, which had expelled Mr. Assad’s representative.

Turkey’s Foreign Ministry released a statement saying that the agreement “would add momentum to efforts in completing the democratic transition process in line with the legitimate expectations of the people.”

In the northern Syrian city of Aleppo, a focal point of the conflict since this summer, civilians who have been living under the threat of constant shelling by the Syrian Army welcomed the opposition unity agreement and expressed hope that it signaled a turning point.

“We have been waiting for this for a very very long time,” said Abu al-Hasan, an anti-Assad activist in Aleppo who was reached by telephone. “Even if it is not perfect yet, it will save us.” But he also warned that “people do not believe this will stop the shelling like a miracle.”

There was no sign that the violence was abating elsewhere inside Syria. Activist groups said warplanes were dropping bombs in Damascus suburbs and that army snipers had taken up positions in areas where bombs had been dropped. The mayhem surrounding central Damascus made residents in that part of the capital feel increasingly isolated.

“The inside of the city is like a big prison now,” said Alexia Jade, a media activist contacted inside Damascus. “The checkpoints have increased and the lines of cars waiting to be searched are getting longer.”

Sebnem Arsu reported from Gaziantep, Turkey, and Rick Gladstone from New York. Reporting was contributed by Isabel Kershner and Jodi Rudoren from Jerusalem, and Hania Mourtada from Beirut, Lebanon.

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Scott Wolf Welcomes Baby No. 2

Mom & Babies
Celebrity Baby Blog

11/12/2012 at 02:45 PM ET

Amy Sussman/Getty

It’s officially a party of four for Scott Wolf!

The former Party of Five actor and his wife, Real World: New Orleans alum Kelley welcomed son Miller William Wolf on Saturday, Nov. 10 in Los Angeles, they tell PEOPLE exclusively.

Miller, who weighed in at 7 lbs., 6 oz., joins older brother Jackson Kayse, 3½.

“Jackson was a tough act to follow,” the couple, who wed in 2004, tell PEOPLE . “But so far Miller is nailing it.”

But Wolf, 43, and Kelley, 35, aren’t the only ecstatic members of the family. Jackson is also excited to have a new sibling.

“He said it best … ‘My baby got born and I’m so happy.’”

– Monica Rizzo

Read More..

British medical journal slams Roche on Tamiflu

LONDON (AP) — A leading British medical journal is asking the drug maker Roche to release all its data on Tamiflu, claiming there is no evidence the drug can actually stop the flu.

The drug has been stockpiled by dozens of governments worldwide in case of a global flu outbreak and was widely used during the 2009 swine flu pandemic.

On Monday, one of the researchers linked to the BMJ journal called for European governments to sue Roche.

"I suggest we boycott Roche's products until they publish missing Tamiflu data," wrote Peter Gotzsche, leader of the Nordic Cochrane Centre in Copenhagen. He said governments should take legal action against Roche to get the money back that was "needlessly" spent on stockpiling Tamiflu.

Last year, Tamiflu was included in a list of "essential medicines" by the World Health Organization, a list that often prompts governments or donor agencies to buy the drug.

Tamiflu is used to treat both seasonal flu and new flu viruses like bird flu or swine flu. WHO spokesman Gregory Hartl said the agency had enough proof to warrant its use for unusual influenza viruses, like bird flu.

"We do have substantive evidence it can stop or hinder progression to severe disease like pneumonia," he said.

In the U.S., the Centers for Disease Control and Prevention recommends Tamiflu as one of two medications for treating regular flu. The other is GlaxoSmithKline's Relenza. The CDC says such antivirals can shorten the duration of symptoms and reduce the risk of complications and hospitalization.

In 2009, the BMJ and researchers at the Nordic Cochrane Centre asked Roche to make all its Tamiflu data available. At the time, Cochrane Centre scientists were commissioned by Britain to evaluate flu drugs. They found no proof that Tamiflu reduced the number of complications in people with influenza.

"Despite a public promise to release (internal company reports) for each (Tamiflu) trial...Roche has stonewalled," BMJ editor Fiona Godlee wrote in an editorial last month.

In a statement, Roche said it had complied with all legal requirements on publishing data and provided Gotzsche and his colleagues with 3,200 pages of information to answer their questions.

"Roche has made full clinical study data ... available to national health authorities according to their various requirements, so they can conduct their own analyses," the company said.

Roche says it doesn't usually release patient-level data available due to legal or confidentiality constraints. It said it did not provide the requested data to the scientists because they refused to sign a confidentiality agreement.

Roche is also being investigated by the European Medicines Agency for not properly reporting side effects, including possible deaths, for 19 drugs including Tamiflu that were used in about 80,000 patients in the U.S.

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Online:

www.bmj.com.tamiflu/

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Mother charges 'Modern Family' star had unlawful sex in home

Authorities are investigating an allegation by the mother of "Modern Family" star Ariel Winter that her daughter's 18-year-old boyfriend had unlawful sex with the 14-year-old actress, according to sources familiar with the investigation.

The L.A. County Sheriff''s Department's Special Victims Unit also is separately examining whether Winter's mother, Chrisoula Workman, physically abused the teenage actress.

So far, detectives have not gathered any specific evidence to substantiate the allegations in either investigation involving Ariel, otherwise  known to millions as Alex Dunphy, the brainy member of "Modern Family's"  Dunphy family.

The investigations began last month after a judge awarded temporary guardianship of Ariel, whose real name is Ariel Workman, to her adult sister, Shanelle Gray, also an actress. Ariel, through her sister's attorney, alleged in a court filing that she was subject to ongoing physical and mental abuse by her mother. 

Three days after Ariel took legal action to split from her mother, Chrisoula Workman reported on Oct. 6 to the sheriff's Crescenta Valley station that her daughter's 18-year-old boyfriend had unlawful sex with the underage actress.

Chrisoula Workman contends she discovered her daughter in the guest bedroom of her Montrose home on Sept. 24 in bed with a young man, believed to be 18, according to sources not authorized to discuss the investigation.

The young man was described as the teenage actress' boyfriend of several months, according to the sources. According to sources, both the teenagers have denied doing anything unlawful.

Detectives also have been unable to substantiate Ariel's abuse allegations, but the investigation remains ongoing.

"It's all untrue, it's all untrue," Chrisoula Workman told People magazine. "I have
my doctor's letter that my daughter's never been abused. ... I have
stylists' letters that she's never been abused."

She added in an interview with E!: "I would never abuse her in any way, and I have always tried my best to
always protect her and do what is right for her. My daughter is in a
business that requires you to grow up fast. It's hard enough being a
teenage girl, but it's even harder when you are in the public eye. 
However, because you are in the public eye, it doesn't mean you are no
longer in need of good parenting."

A judge last month ordered the actress' mother to
stay away from Ariel and have no contact with the minor, pending a Nov.
20 hearing on the guardianship and control of at least $500,000 in
assets.

"Minor Ariel Workman has been a victim of on-going physical abuse
(slapping, hitting, pushing) and emotional abuse (vile name-calling,
personal insults about minor and minor's weight, attempts to sexualize
minor, deprivation of food etc.) for an extended period of time by the
minor’s mother, Chrisoula Workman. ...," her attorneys said in a petition for guardianship.

As is standard practice in such cases, an attorney is representing
the interests of the young actress. To protect her earnings and existing
assets, lawyers are seeking to move her money to accounts off-limits
to her mother.

-- Richard Winton and Andrew Blankstein

Photo: Actress Ariel Winter in September. Credit: Richard Shotwell / Invision / Associated Press

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Changing of the Guard: Chinese Communist Party Faces Calls for Democracy

BEIJING — As the Communist Party’s 18th Congress approached, Li Weidong, a scholar of politics, made plans to observe a historic leadership battle in one of the world’s great nations.

Instead of staying in Beijing to monitor China’s once-a-decade transfer of power, Mr. Li boarded a plane.

“I’m going to the United States to study the elections,” Mr. Li said in a telephone interview during a stopover in Paris. After witnessing the American presidential election on Tuesday, Mr. Li went on the radio for another interview. “I still think China’s politics remain prehistoric,” he said. “I often joke that the Chinese civilization is the last prehistoric civilization left in the world.”

With China at a critical juncture, there is a rising chorus within the elite expressing doubt that the 91-year-old Communist Party’s authoritarian system can deal with the stresses bearing down on the nation and its 1.3 billion people. Policies introduced after 1978 by Deng Xiaoping lifted hundreds of millions out of poverty and transformed the country into the world’s second-largest economy. But the way party leaders have managed decades of growth has created towering problems that critics say can no longer be avoided.

Many of those critics have benefited from China’s stunning economic gains, and their ranks include billionaires, intellectuals and children of the party’s revolutionary founders. But they say the party’s agenda, as it stands today, is not visionary enough to set China on the path to stability. What is needed, they say, is a comprehensive strategy to gradually extricate the Communist Party, which has more than 80 million members, from its heavy-handed control of the economy, the courts, the news media, the military, educational institutions, civic life and just the plain day-to-day affairs of citizens.

Only then, the critics argue, can the government start to address the array of issues facing China, including rampant corruption, environmental degradation, and an aging population whose demographics have been skewed because of the one-child policy.

“In order to build a real market economy, we have to have real political reform,” said Yang Jisheng, a veteran journalist and a leading historian of the Mao era. “In the next years, we should have a constitutional democracy plus a market economy.”

For now, however, party leaders have given no indication that they intend to curb their role in government in a meaningful way.

“We will never copy a Western political system,” Hu Jintao, the departing party chief, said in a speech on Thursday opening the weeklong congress.

The party’s public agenda, which Mr. Hu described in detail in his 100-minute address, was laid out in a 64-page report that is in part intended to highlight priorities for the new leaders, who will be announced later this month. Much of the document had retrograde language that emphasized ideology stretching back to Mao and had little in the way of bold or creative thinking, said Qian Gang, the director of the China Media Project at the University of Hong Kong.

Most telling, there was no language signaling that the incoming Politburo Standing Committee, the group that rules China by consensus, would support major changes in the political system, whose perversions many now say are driving the nation toward crisis.

While Chinese who are critical of the current system generally do not expect a wholesale adoption of a Western model, they do favor at least an openness to bolder experimentation.

“To break one-party rule right now is probably not realistic, but we can have factions within the party made public and legalized, so they can campaign against each other,” said Mr. Yang, who added that there was no other way at the moment to ensure political accountability.

Only in the last few years has the idea of liberalizing the political system gained currency, and urgency, among a broad cross-section of elites. Before that, as the West foundered at the onset of the global financial crisis, many here pointed to the triumph of a “China model” or “Beijing consensus” — a mix of authoritarian politics, a command economy and quasi-market policies.

But the way in which China weathered the crisis — with the injection of $588 billion of stimulus money into the economy and an explosion of lending from state banks — led to a spate of large infrastructure projects that may never justify their cost. As a result, many economists now say that China’s investment-driven, export-oriented economic model is unsustainable and needs to shift toward greater reliance on Chinese consumers.

Constant lip-service is paid to that goal, and on Saturday, Zhang Ping, a senior official, reiterated that stance. But it will not be easy for the new leaders to carry it out. At the root of the current economic model is the political system, in which party officials and state-owned enterprises work closely together, reaping enormous profits from the party’s control of the economy. Under Mr. Hu’s decade-long tenure, these relationships and the dominance of state enterprises have only strengthened.

“What happens in this kind of economy is that wealth concentrates where power is,” said Mr. Yang, the journalist.

The 400 or so incoming members of the party’s Central Committee, Politburo and Politburo Standing Committee, as well as their friends and families, have close ties to the most powerful of China’s 145,000 state-owned enterprises. The growing presence of princelings — the children of notable Communist officials — in the party, the government and corporations could mean an even more closely meshed web of nepotism. It is a system that Xi Jinping, anointed to be the next party chief and president and himself a member of the “red nobility,” would find hard to unravel, even if he wanted to.

Mia Li contributed research.

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