State Department made "grievous mistake" over Benghazi: Senate report

WASHINGTON (Reuters) - The State Department made a "grievous mistake" in keeping the U.S. mission in Benghazi open despite inadequate security and increasingly alarming threat assessments in the weeks before a deadly attack by militants, a Senate committee said on Monday.

A report from the Senate Homeland Security Committee on the September 11 attacks on the U.S. mission and a nearby CIA annex, in which the U.S. ambassador to Libya and three other Americans died, faulted intelligence agencies for not focusing tightly enough on Libyan extremists.

It also faulted the State Department for waiting for specific warnings instead of improving security.

The committee's assessment, "Flashing Red: A Special Report On The Terrorist Attack At Benghazi," follows a scathing report by an independent State Department accountability review board that resulted in a top security official resigning and three others at the department being relieved of their duties.

Joseph Lieberman, an independent senator who chairs the committee, said that in thousands of documents it reviewed, there was no indication that Secretary of State Hillary Clinton had personally denied a request for extra funding or security for the Benghazi mission. He said key decisions were made by "midlevel managers" who have since been held accountable.

Republican Senator Susan Collins said it was likely that others needed to be held accountable, but that decision was best made by the Secretary of State, who has the best understanding "of how far up the chain of command the request for additional security went."

The attacks and the death of U.S. Ambassador Christopher Stevens put diplomatic security practices at posts in risky areas under scrutiny and raised questions about whether intelligence on militant activity in the region was adequate.

The Senate report said the lack of specific intelligence of an imminent threat in Benghazi "may reflect a failure" by intelligence agencies to focus closely enough on militant groups with weak or no operational ties to al Qaeda and its affiliates.

"With Osama bin Laden dead and core al Qaeda weakened, a new collection of violent Islamist extremist organizations and cells have emerged in the last two to three years," the report said. That trend has been seen in the "Arab Spring" countries undergoing political transition or military conflict, it said.

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The report recommended that U.S. intelligence agencies "broaden and deepen their focus in Libya and beyond, on nascent violent Islamist extremist groups in the region that lack strong operational ties to core al Qaeda or its main affiliate groups."

Neither the Senate report nor the unclassified accountability review board report pinned blame for the Benghazi attack on a specific militant group. The FBI is investigating who was behind the assaults.

President Barack Obama, in an interview on NBC's "Meet the Press" on Sunday, said the United States had "very good leads" about who carried out the attacks. He did not provide details.

The Senate committee said the State Department should not have waited for specific warnings before acting on improving security in Benghazi.

It also said it was widely known that the post-revolution Libyan government was "incapable of performing its duty to protect U.S. diplomatic facilities and personnel," but the State Department failed to fill the security gap.

"Despite the inability of the Libyan government to fulfill its duties to secure the facility, the increasingly dangerous threat assessments, and a particularly vulnerable facility, the Department of State officials did not conclude the facility in Benghazi should be closed or temporarily shut down," the report said. "That was a grievous mistake."

The Senate panel reviewed changing comments made by the Obama administration after the attack, which led to a political firestorm in the run-up to the November presidential election and resulted in U.S. Ambassador to the United Nations Susan Rice withdrawing her name from consideration to replace Clinton, who is stepping down early next year.

Rice had said her initial comments that the attack grew out of a spontaneous protest over an anti-Islam film were based on talking points provided by intelligence agencies.

Lieberman said it was not the job of intelligence agencies to formulate unclassified talking points and they should decline such requests in the future.

The report said the original talking points included a line saying "we know" that individuals associated with al Qaeda or its affiliates participated in the attacks. But the final version had been changed to say: "There are indications that extremists participated," and the reference to al Qaeda and its affiliates was deleted.

The report said that while James Clapper, the director of national intelligence, had offered to provide the committee with a detailed chronology of how the talking points were written and evolved, this had still not been delivered to Capitol Hill because the administration had spent weeks "debating internally" whether or not it should turn over information considered "deliberative" to Congress.

(Editing by Warren Strobel and David Brunnstrom)

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Punjab doctor arrested for raping woman

LUDHIANA: A doctor in Ludhiana, Punjab allegedly raped a girl after invited her to the city promising to get her admission in a post-graduate course. He has been arrested and sent to police remand till January 1.

According to the police, the accused Kanwar Samrat was arrested after a complaint by a 29-year-old woman. The woman, a divorcee, said that she got in touch with the accused from Samana in Patiala district through the internet.

They decided to get married and the woman got engaged to Samrat on May 22.Samrat promised her that he would get her admission into a post-graduate course and called her to Ludhiana on October 10. Samrat then raped her. Threatening her not to disclose about the incident to anyone, he raped her several times.

When Samrat neither got her an admission nor married her, she went to the police.

"We have registered a case of cheating and rape against the accused on the basis of complaint. He was arrested from Samana on Sunday morning and produced before the court which sent him to two days police remand. We are interrogating him," a police officer said.

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AP IMPACT: Big Pharma cashes in on HGH abuse

A federal crackdown on illicit foreign supplies of human growth hormone has failed to stop rampant misuse, and instead has driven record sales of the drug by some of the world's biggest pharmaceutical companies, an Associated Press investigation shows.

The crackdown, which began in 2006, reduced the illegal flow of unregulated supplies from China, India and Mexico.

But since then, Big Pharma has been satisfying the steady desires of U.S. users and abusers, including many who take the drug in the false hope of delaying the effects of aging.

From 2005 to 2011, inflation-adjusted sales of HGH were up 69 percent, according to an AP analysis of pharmaceutical company data collected by the research firm IMS Health. Sales of the average prescription drug rose just 12 percent in that same period.

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EDITOR'S NOTE — Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the second of a two-part series.

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Unlike other prescription drugs, HGH may be prescribed only for specific uses. U.S. sales are limited by law to treat a rare growth defect in children and a handful of uncommon conditions like short bowel syndrome or Prader-Willi syndrome, a congenital disease that causes reduced muscle tone and a lack of hormones in sex glands.

The AP analysis, supplemented by interviews with experts, shows too many sales and too many prescriptions for the number of people known to be suffering from those ailments. At least half of last year's sales likely went to patients not legally allowed to get the drug. And U.S. pharmacies processed nearly double the expected number of prescriptions.

Peddled as an elixir of life capable of turning middle-aged bodies into lean machines, HGH — a synthesized form of the growth hormone made naturally by the human pituitary gland — winds up in the eager hands of affluent, aging users who hope to slow or even reverse the aging process.

Experts say these folks don't need the drug, and may be harmed by it. The supposed fountain-of-youth medicine can cause enlargement of breast tissue, carpal tunnel syndrome and swelling of hands and feet. Ironically, it also can contribute to aging ailments like heart disease and Type 2 diabetes.

Others in the medical establishment also are taking a fat piece of the profits — doctors who fudge prescriptions, as well as pharmacists and distributors who are content to look the other way. HGH also is sold directly without prescriptions, as new-age snake oil, to patients at anti-aging clinics that operate more like automated drug mills.

Years of raids, sports scandals and media attention haven't stopped major drugmakers from selling a whopping $1.4 billion worth of HGH in the U.S. last year. That's more than industry-wide annual gross sales for penicillin or prescription allergy medicine. Anti-aging HGH regimens vary greatly, with a yearly cost typically ranging from $6,000 to $12,000 for three to six self-injections per week.

Across the U.S., the medication is often dispensed through prescriptions based on improper diagnoses, carefully crafted to exploit wiggle room in the law restricting use of HGH, the AP found.

HGH is often promoted on the Internet with the same kind of before-and-after photos found in miracle diet ads, along with wildly hyped claims of rapid muscle growth, loss of fat, greater vigor, and other exaggerated benefits to adults far beyond their physical prime. Sales also are driven by the personal endorsement of celebrities such as actress Suzanne Somers.

Pharmacies that once risked prosecution for using unauthorized, foreign HGH — improperly labeled as raw pharmaceutical ingredients and smuggled across the border — now simply dispense name brands, often for the same banned uses. And usually with impunity.

Eight companies have been granted permission to market HGH by the U.S. Food and Drug Administration, which reviews the benefits and risks of new drug products. By contrast, three companies are approved for the diabetes drug insulin.

The No. 1 maker, Roche subsidiary Genentech, had nearly $400 million in HGH sales in the U.S. last year, up an inflation-adjusted two-thirds from 2005. Pfizer and Eli Lilly were second and third with $300 million and $220 million in sales, respectively, according to IMS Health. Pfizer now gets more revenue from its HGH brand, Genotropin, than from Zoloft, its well-known depression medicine that lost patent protection.

On their face, the numbers make no sense to the recognized hormone doctors known as endocrinologists who provide legitimate HGH treatment to a small number of patients.

Endocrinologists estimate there are fewer than 45,000 U.S. patients who might legitimately take HGH. They would be expected to use roughly 180,000 prescriptions or refills each year, given that typical patients get three months' worth of HGH at a time, according to doctors and distributors.

Yet U.S. pharmacies last year supplied almost twice that much HGH — 340,000 orders — according to AP's analysis of IMS Health data.

While doctors say more than 90 percent of legitimate patients are children with stunted growth, 40 percent of 442 U.S. side-effect cases tied to HGH over the last year involved people age 18 or older, according to an AP analysis of FDA data. The average adult's age in those cases was 53, far beyond the prime age for sports. The oldest patients were in their 80s.

Some of these medical records even give explicit hints of use to combat aging, justifying treatment with reasons like fatigue, bone thinning and "off-label," which means treatment of an unapproved condition

Even Medicare, the government health program for older Americans, allowed 22,169 HGH prescriptions in 2010, a five-year increase of 78 percent, according to data released by the Centers for Medicare and Medicaid Services in response to an AP public records request.

"There's no question: a lot gets out," said hormone specialist Dr. Mark Molitch of Northwestern University, who helped write medical standards meant to limit HGH treatment to legitimate patients.

And those figures don't include HGH sold directly by doctors without prescriptions at scores of anti-aging medical practices and clinics around the country. Those numbers could only be tallied by drug makers, who have declined to say how many patients they supply and for what conditions.

First marketed in 1985 for children with stunted growth, HGH was soon misappropriated by adults intent on exploiting its modest muscle- and bone-building qualities. Congress limited HGH distribution to the handful of rare conditions in an extraordinary 1990 law, overriding the generally unrestricted right of doctors to prescribe medicines as they see fit.

Despite the law, illicit HGH spread around the sports world in the 1990s, making deep inroads into bodybuilding, college athletics, and professional leagues from baseball to cycling. The even larger banned market among older adults has flourished more recently.

FDA regulations ban the sale of HGH as an anti-aging drug. In fact, since 1990, prescribing it for things like weight loss and strength conditioning has been punishable by 5 to 10 years in prison.

Steve Kleppe, of Scottsdale, Ariz., a restaurant entrepreneur who has taken HGH for almost 15 years to keep feeling young, said he noticed a price jump of about 25 percent after the block on imports. He now buys HGH directly from a doctor at an annual cost of about $8,000 for himself and the same amount for his wife.

Many older patients go for HGH treatment to scores of anti-aging practices and clinics heavily concentrated in retirement states like Florida, Nevada, Arizona and California.

These sites are affiliated with hundreds of doctors who are rarely endocrinologists. Instead, many tout certification by the American Board of Anti-Aging and Regenerative Medicine, though the medical establishment does not recognize the group's bona fides.

The clinics offer personalized programs of "age management" to business executives, affluent retirees, and other patients of means, sometimes coupled with the amenities of a vacation resort. The operations insist there are few, if any, side effects from HGH. Mainstream medical authorities say otherwise.

A 2007 review of 31 medical studies showed swelling in half of HGH patients, with joint pain or diabetes in more than a fifth. A French study of about 7,000 people who took HGH as children found a 30 percent higher risk of death from causes like bone tumors and stroke, stirring a health advisory from U.S. authorities.

For proof that the drug works, marketers turn to images like the memorable one of pot-bellied septuagenarian Dr. Jeffry Life, supposedly transformed into a ripped hulk of himself by his own program available at the upscale Las Vegas-based Cenegenics Elite Health. (He declined to be interviewed.)

These promoters of HGH say there is a connection between the drop-off in growth hormone levels through adulthood and the physical decline that begins in late middle age. Replace the hormone, they say, and the aging process slows.

"It's an easy ruse. People equate hormones with youth," said Dr. Tom Perls, a leading industry critic who does aging research at Boston University. "It's a marketing dream come true."

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Associated Press Writer David B. Caruso reported from New York and AP National Writer Jeff Donn reported from Plymouth, Mass. AP Writer Troy Thibodeaux provided data analysis assistance from New Orleans.

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AP's interactive on the HGH investigation: http://hosted.ap.org/interactives/2012/hgh

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The AP National Investigative Team can be reached at investigate(at)ap.org

EDITOR'S NOTE _ Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the second of a two-part series.

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Hillary Clinton's Blood Clot Located in Her Head

Michal Sula/MAFRA/isifa/Getty Images

The blood clot that put Secretary of  State Hillary Clinton in the hospital was found in her head between her brain and skull behind the right ear, her doctors said today.

“It did not result in a stroke, or neurological damage,” her doctors,  Drs. Lisa Bardack and Gigi El-Bayoumi, said in a joint statement. “To help dissolve this clot, her medical team began treating the secretary with blood thinners.”

The doctors  said Clinton will be released “once the medication dose has been established.”

Clinton, 65, was admitted to New York Presbyterian hospital on Sunday for treatment of a blood clot stemming  from a concussion she sustained a few weeks ago, a Clinton aide said.

“In the course of a routine follow-up MRI on Sunday, the scan revealed that a right transverse sinus venous thrombosis had formed. This is a clot in the vein that is situated in the space between the brain and the skull behind the right ear,” the doctors said.

“In all other aspects of her recovery, the secretary is making excellent progress and we are confident she will make a full recovery. She is in good spirits, engaging with her doctors, her family, and her staff,” the statement said.

Clinton was supposed to be back at work at the State Department this week, but now the date of her return in unknown.

Details of Clinton’s blood clot had not been immediately released after her hospitalization.

Members of Congress wished Clinton a speedy recovery today, while pressing their call for her to testify before Congress about the U.S. consulate attack in Benghazi.

“We just want to say how much Secretary Clinton is in our prayers this morning and hope she recovers rapidly from this health problem,” Sen. Joe Lieberman, I-Conn.,   said at a press conference today. Lieberman is chairman of the Senate Homeland Security Committee.

“Secretary Clinton has made clear that she will testify. And I think that’s a good idea,” said Lieberman.

House Foreign Affairs Chairman Rep. Illeana Ros-Lehtinen, R.-Fla., tweeted get well wishes to Clinton Sunday night,  but also mentioned Benghazi. “Wishing Secretary Clinton a full + speedy recovery!,” Ros-Lehtinen wrote. “She’s looking forward 2 testify on #Benghazi and is bummed she can’t travel now like b4.”

The committee released a new report last week which concludes that the security system was “flashing red” in Benghazi shortly before Ambassador Christopher Stevens and three other Americans were killed in an attack by terrorists on Sept. 11. The report cited a “rising crescendo of evidence” from the U.S. intelligence community that Benghazi had become “dangerous and unstable, and that a significant attack against American personnel there was becoming more and more likely.”

Lieberman called the administration’s reaction to the flashing red indicators as “woefully inadequate.”

Sen.  Susan Collins, R-Maine, said she thinks other must be held accountable at the State Department, in addition to those who have already resigned following the release of the State Department’s internal investigation. The Accountability Review Board issues a scathing report which faulted some senior management at the State Department for the breakdown of security and resulted in the four officials stepping down.

“My hope is, and my expectation is, that once Secretary Clinton is well enough, that she will carefully review our report and see if there are other officials that need to be held accountable,” Collins said. “It is difficult for us to make that judgment, but I believe that it is likely that there are others that do need to be held accountable.”

The congressional report found that the environment in Benghazi was dangerous and that local security was inadequate for protection. The report also found that the departments of Defense and State had not jointly assessed the availability and the accessibility of U.S. assets to support the mission facility in Benghazi in the event of an attack, such as the one that occurred.

“We should have closed this facility in Benghazi until we were prepared to provide the security necessary to give minimal protection, adequate protection to American personnel,” Lieberman said.

The report concludes that it is clear that terrorists were responsible for the attack on the consulate and that the administration response bouncing between the State Department, the Pentagon and the intelligence community added to some “confusion” over the attack.

Many conservatives have been skeptical of  Clinton’s illness, with former U.N. ambassador John Bolton telling Fox News  Clinton had come down with a “diplomatic illness” to avoid testifying on Dec. 2o, a charge the State Department vigorously denied.

“These people do not know what they are talking about,” spokesperson Victoria Nuland responded.

Dr. Howard Markel, a practicing doctor and medical historian at the University of Michigan, tells ABC News that history shows the best response to rumors is transparency.  The State Department did not disclose that Clinton had a concussion until several days after it occurred and currently waited a day to disclose what part of her body her blood clot is in, leaving the media and others to make assumptions about the seriousness of her condition.

“In the absence of information, this kind of speculation often takes up the vacuum,” says Markel, who points out that Clinton is receiving excellent medical care and that her condition sounds treatable.

State Department officials say they have been transparent about the secretary’s health, keeping the press and the public aware of all major developments within a reasonable amount of time, but they also maintain that Clinton is entitled to some degree of medical privacy, a claim Markel says held up historically but does not today.

“If you’re a private person, you are entitled to your privacy as a patient. When you’re a public figure and you’re working on behalf of the American people, you give up many aspects of your privacy,” he said.

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Football: Pardew blasts Ba's advisors as star eyes move

LONDON: Newcastle manager Alan Pardew has accused Demba Ba's agents of giving bad advice to their client as the Senegal striker continues to be linked with a move away from St James' Park.

Ba, who has scored 13 goals this season, has a clause in his contract allowing him to leave Newcastle if a club bids

£7 million and the former West Ham star has been linked with a host of teams ahead of the January transfer window.

Chelsea were the latest side to express interest in Ba, with representatives of the 27-year-old reportedly holding talks with the Blues on Sunday.

Those discussions were later described as unproductive, but Pardew is aware that it won't be the last time Ba is involved in transfer talk during the window as agents seek to cash in on a potential big-money move.

"In some respects, I feel a little bit sorry for Demba as well because I think people who are representing him are not actually representing him," Pardew said on Thursday.

"There are people out there who are saying this who are not actually involved or want to be involved, and that's the sort of world we are in.

"The contract is what it is, we are all aware of that, and for me as the manager I need it resolved as quickly as possible. That's the best situation for our fans and for the club."

Newcastle have spent recent months attempting to negotiate a new contract with Ba which would remove the clause and that remains on the table, but Pardew insisted it would not do so indefinitely.

"The situation with that is that it's getting close to the point where we say 'no more', but the offer is still there," Pardew added.

- AFP/de

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GMR fallout? Visa now must for Maldivian medical tourists

NEW DELHI: India has tightened visas for Maldives in what is being seen as retaliation for the GMR fiasco in that country. New Delhi has stopped Maldivians from using their visa-free travel facilities to India for other activities like medical treatment, restricting it only to tourism.

India revised its earlier "liberal" interpretation of the 1979 bilateral visa agreement with Maldives this month which allowed thousands of Maldivians to use a 90-day visa-on-arrival facility — meant only for tourism — to travel for treatment in Indian hospitals. The Indian government indulged in Maldivians' liberal use of the facility. But that will no longer be allowed, said sources. Now, Maldivians will need valid medical visas for treatment in Indian hospitals or face deportation, New Delhi has warned.

Foreign minister Salman Khurshid suggested that a lack of reciprocity by Male had forced India to cut down on its largesse in doling out visas. "We know that people from the Maldives come here for treatment but as far as visas are concerned, we will go strictly by the rules," said Khurshid. While India allowed Maldivians to seek treatment on tourist visas — as it never questioned the purpose of their visit —authorities in Male have admitted that there always was a "mutual understanding" that such travelers required medical visa.

Indications are that Maldives is already facing the heat. Calling for its nationals not to depend on any one country for treatment, Male has now approached Sri Lanka saying it wants to extend its healthcare scheme to some of the hospitals in Colombo. Now, Maldivians are queuing up outside the Indian High Commission to seek medical visas which are limited in number. The Maldivian home minister said they would approach Thailand for help in medical treatment for its citizens.

According to the Indian government, Maldives' interpretation of the visa agreement was always different and that until now it was more difficult for Indians to get into Maldives than the other way round. The fact that India workers' passports are confiscated by their employers is something India has repeatedly taken up with authorities in Male but to no avail.

According to India, Maldives detains and deports about 50 Indian nationals every year. Maldivian home minister Mohammed Jameel Ahmed denied the charge, saying that only four have been deported this year. But the Indian High Commission contradicted him on Saturday. "Regarding the deportation of Indian travelers from Male International Airport, the High Commission of India stands by its figures," said the High Commission in a statement. Unlike Maldives, India has also been giving tourist visas free of cost. After tightening visa regulations, India has put forward a list of demands to Maldives in which it has also sought quick release of 14 Indians detained in the Indian Ocean nation.

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Kenya hospital imprisons new mothers with no money

NAIROBI, Kenya (AP) — The director of the Pumwani Maternity Hospital, located in a hardscrabble neighborhood of downtown Nairobi, freely acknowledges what he's accused of: detaining mothers who can't pay their bills. Lazarus Omondi says it's the only way he can keep his medical center running.

Two mothers who live in a mud-wall and tin-roof slum a short walk from the maternity hospital, which is affiliated with the Nairobi City Council, told The Associated Press that Pumwani wouldn't let them leave after delivering their babies. The bills the mothers couldn't afford were $60 and $160. Guards would beat mothers with sticks who tried to leave without paying, one of the women said.

Now, a New York-based group has filed a lawsuit on the women's behalf in hopes of forcing Pumwani to stop the practice, a practice Omondi is candid about.

"We hold you and squeeze you until we get what we can get. We must be self-sufficient," Omondi said in an interview in his hospital office. "The hospital must get money to pay electricity, to pay water. We must pay our doctors and our workers."

"They stay there until they pay. They must pay," he said of the 350 mothers who give birth each week on average. "If you don't pay the hospital will collapse."

The Center for Reproductive Rights, which filed the suit this month in the High Court of Kenya, says detaining women for not paying is illegal. Pumwani is associated with the Nairobi City Council, one reason it might be able to get away with such practices, and the patients are among Nairobi's poorest with hardly anyone to stand up for them.

Maimouna Awuor was an impoverished mother of four when she was to give birth to her fifth in October 2010. Like many who live in Nairobi's slums, Awuor performs odd jobs in the hopes of earning enough money to feed her kids that day. Awuor, who is named in the lawsuit, says she had saved $12 and hoped to go to a lower-cost clinic but was turned away and sent to Pumwani. After giving birth, she couldn't pay the $60 bill, and was held with what she believes was about 60 other women and their infants.

"We were sleeping three to a bed, sometimes four," she said. "They abuse you, they call you names," she said of the hospital staff.

She said saw some women tried to flee but they were beaten by the guards and turned back. While her husband worked at a faraway refugee camp, Awuor's 9-year-old daughter took care of her siblings. A friend helped feed them, she said, while the children stayed in the family's 50-square-foot shack, where rent is $18 a month. She says she was released after 20 days after Nairobi's mayor paid her bill. Politicians in Kenya in general are expected to give out money and get a budget to do so.

A second mother named in the lawsuit, Margaret Anyoso, says she was locked up in Pumwani for six days in 2010 because she could not pay her $160 bill. Her pregnancy was complicated by a punctured bladder and heavy bleeding.

"I did not see my child until the sixth day after the surgery. The hospital staff were keeping her away from me and it was only when I caused a scene that they brought her to me," said Anyoso, a vegetable seller and a single mother with five children who makes $5 on a good day.

Anyoso said she didn't have clothes for her child so she wrapped her in a blood-stained blouse. She was released after relatives paid the bill.

One woman says she was detained for nine months and was released only after going on a hunger strike. The Center for Reproductive Rights says other hospitals also detain non-paying patients.

Judy Okal, the acting Africa director for the Center for Reproductive Rights, said her group filed the lawsuit so all Kenyan women, regardless of socio-economic status, are able to receive health care without fear of imprisonment. The hospital, the attorney general, the City Council of Nairobi and two government ministries are named in the suit.

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Associated Press reporter Tom Odula contributed to this report.

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Cliffhanger: 'Major Setback' For Budget Talks

With less than two days remaining for Congress to reach a budget agreement that would avoid the so-called "fiscal cliff," a senior White House official tells ABC News that President Obama is still "modestly optimistic" that a deal can be struck to prevent middle class taxes from increasing on New Year's Day.

Vice President Biden has now re-emerged as a key player, back in Washington and playing "a direct role" in trying to make a deal with Senate Republicans. Biden has been tapped because of his long-standing relationship with Senate Republican Leader Mitch McConnell.

A Democratic source says that McConnell seems to be genuinely interested in getting an agreement. The news dovetails with reports that the GOP has backed off a key Social Security measure that had stalled negotiations.

According to sources, the row was sparked when the GOP offered a proposal that included a new method of calculating entitlement benefits with inflation. Called the "chained consumer price index," or Chained CPI, the strategy has been criticized by some Democrats because it would lower cost of living increases for Social Security recipients.

"We thought it was mutually understood that it was off the table for a scaled-back deal," a Democratic aide said. "It's basically a poison pill."

President Obama has floated chained CPI in the past as part of a grand bargain, despite opposition from the AARP and within his own party.

Also in the Republican plan brought today: An extension of the current estate tax and no increase in the debt ceiling. Higher income earners would see their taxes increase, but at levels "well above $250,000," the sources said.

J. Scott Applewhite/AP Photo

Sens. Charles Schumer and Jon Kyl on 'This Week' Watch Video

Fiscal Cliff Negotiations: Could Economy Slip Back into Recession? Watch Video

That "major setback" in the talks was evident on the floor of the Senate this afternoon.

"I'm concerned about the lack of urgency here, I think we all know we are running out of time," Senate Minority Leader Mitch McConnell, R-Ky., said, "I want everyone to know I am willing to get this done, but I need a dance partner."

McConnell said he submitted the Republican's latest offer to Majority Leader Harry Reid, D-Nev., at 7:10 pm last night and was willing to work through the night. Reid promised to get back to him at 10 this morning, but has yet to do so.

Why have the Democrats not come up with a counteroffer? Reid admitted it himself moments later.

"At this stage we're not able to make a counteroffer," Reid said noting that he's had numerous conversations with Obama, but the two parties are still far apart on some big issues, "I don't have a counteroffer to make. Perhaps as the day wears on I will be able to."

McConnell said he believes there is no major issue that is the sticking point but rather, "the sticking point appears to be a willingness, an interest, or frankly the courage to close the deal."

Reid said the fiscal cliff negotiations are getting "real close" to falling apart completely.

"At some point in the negotiating process, it appears that there are things that stop us from moving forward," he said. "I hope we're not there but we're getting real close and that's why I still hold out hope that we can get something done. But I'm not overly optimistic but I am cautiously optimistic that we can get something done."

Reid said there are serious difference between the two sides, starting with Social Security. He said Democrats are not willing to cut Social Security benefits as part of a smaller, short-term agreement, as was proposed in the latest Republican proposal.

"We're not going to have any Social Security cuts. At this stage it just doesn't seem appropriate," he said. "We're open to discussion about entitlement reforms, but we're going to have to take a different direction. The present status will not work."

Reid said that even 36 hours before the country could go over the cliff, he remains "hopeful" but "realistic," about the prospects of reaching an agreement.

"The other side is intentionally demanding concessions they know we are not willing to make," he said.

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Brahimi says he has Syria plan all world powers may back

CAIRO: International envoy Lakhdar Brahimi warned Sunday that the Syrian war was worsening "by the day" as he announced a peace plan he believed could find support from world powers, including key Syria ally Russia.

Brahimi's comments came as Russia despatched a third warship to its naval base in the Syrian port of Tartus in readiness for a possible evacuation of its nationals and as Turkish Prime Minister Recep Tayyip Erdogan told Syrian refugees that victory over the "tyrant" President Bashar al-Assad was at hand.

The situation in Syria "is very bad and getting worse by the day," Brahimi told reporters in Cairo, a day after warning in Moscow that Damascus faced a choice between "hell or the political process."

He said he had crafted a ceasefire plan "that could be adopted by the international community."

"I have discussed this plan with Russia and Syria... I think this proposal could be adopted by the international community," the UN and Arab League envoy said, without giving details.

"There is a proposal for a political solution based on the Geneva declaration foreseeing a ceasefire, forming a government with complete prerogatives and a plan for parliamentary and presidential elections," he said, referring to a peace initiative that world powers agreed to in Geneva in June.

That plan was rejected by Syria's opposition, which is adamant that Assad's departure is a given before any national dialogue such as that under the Geneva initiative can take place.

Russia and China have so far vetoed three Security Council draft resolutions seeking to force Assad's hand with the threat of sanctions.

Brahimi held talks in Moscow on Saturday with Russian Foreign Minister Sergei Lavrov on his end-of-year bid to accelerate moves to halt the conflict that monitors say has killed 45,000 people.

The talks came amid signs that Russia was beginning to distance itself from Assad's government.

Moscow dispatched a third naval vessel to the eastern Mediterranean on Sunday in readiness for a possible evacuation of Russian nationals, many of them women who married Syrian men during the Cold War years of close relations.

The Novocherkassk landing ship joined the Azov and Nikolai Filchenkov amphibious vessels already en route for Syria since Friday and is expected to dock in Tartus in the first 10 days of the new year, Russian news agencies reported.

The Tartus base is Russia's only remaining naval station outside the former Soviet Union and is seen as a major strategic asset for Moscow.

Russia has been accused of using the base to supply Assad's government with secret military shipments supplementing the official weapons sales that Moscow has made to Damascus since Soviet times.

But recent rebel gains prompted Russia to admit for the first time this month that Assad's days in power may be numbered.

The Turkish premier visited a Syrian refugee camp near the border accompanied by armed opposition National Coalition chief Ahmed Moaz al-Khatib.

"I can see it clearly that the help of God is near," Erdogan said. "You have suffered so much but do not despair."

Turkey is currently home to almost 150,000 Syrian refugees. It is also the principal rear-base for the rebels.

On the ground, at least 63 people were killed in violence on Sunday, 40 of them civilians, according to a preliminary toll from the Syrian Observatory for Human Rights.

Among seven people killed in an air strike in the central province of Hama were a man, his wife and young daughter, the Britain-based watchdog said.

South of second city Aleppo, rebels spearheaded by fighters of the jihadist Al-Nusra Front -- blacklisted by Washington for its suspected links to Al-Qaeda -- launched a fierce assault on besieged troops in the Hamidiyeh base near the strategic crossroads town of Maaret al-Numan.

In Idlib province in the northwest, rebels downed a military helicopter near the Taftanaz airbase, the Observatory said.

In Homs province in the centre, troops shelled rebel positions around Krak des Chevaliers, a UNESCO-listed Crusader castle that is one of the jewels of Syria's architectural heritage.

- AFP/jc

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Syria opposition leader rejects Moscow invitation

ALEPPO PROVINCE, Syria/BEIRUT (Reuters) - Syria's opposition leader has rejected an invitation from Russia for peace talks, dealing another blow to international hopes that diplomacy can be resurrected to end a 21-month civil war.

Russia, President Bashar al-Assad's main international protector, said on Friday it had sent an invitation for a visit to Moaz Alkhatib, whose six-week-old National Coalition opposition group has been recognized by most Western and Arab states as the legitimate voice of the Syrian people.

But in an interview on Al Jazeera television, Alkhatib said he had already ruled out such a trip and wanted an apology from Moscow for its support for Assad.

"We have clearly said we will not go to Moscow. We could meet in an Arab country if there was a clear agenda," he said.

"Now we also want an apology from (Russian Foreign Minister Sergei) Lavrov because all this time he said that the people will decide their destiny, without foreign intervention. Russia is intervening and meanwhile all these massacres of the Syrian people have happened, treated as if they were a picnic."

"If we don't represent the Syrian people, why do they invite us?" Alkhatib said. "And if we do represent the Syrian people why doesn't Russia respond and issue a clear condemnation of the barbarity of the regime and make a clear call for Assad to step down? This is the basic condition for any negotiations."

With the rebels advancing steadily over the second half of 2012, diplomats have been searching for months for signs that Moscow's willingness to protect Assad is faltering.

So far Russia has stuck to its position that rebels must negotiate with Assad's government, which has ruled since his father seized power in a coup 42 years ago.

"I think a realistic and detailed assessment of the situation inside Syria will prompt reasonable opposition members to seek ways to start a political dialogue," Lavrov said on Friday.

That was immediately dismissed by the opposition: "The coalition is ready for political talks with anyone ... but it will not negotiate with the Assad regime," spokesman Walid al-Bunni told Reuters. "Everything can happen after the Assad regime and all its foundations have gone. After that we can sit down with all Syrians to set out the future."

BRAHIMI TO MOSCOW

Russia says it is behind the efforts of U.N. mediator Lakhdar Brahimi, fresh from a five-day trip to Damascus where he met Assad. Brahimi, due in Moscow for talks on Saturday, is touting a months-old peace plan for a transitional government.

That U.N. plan was long seen as a dead letter, foundering from the outset over the question of whether the transitional body would include Assad or his allies. Brahimi's predecessor, Kofi Annan, quit in frustration shortly after negotiating it.

But with rebels having seized control of large sections of the country in recent months, Russia and the United States have been working with Brahimi to resurrect the plan as the only internationally recognized diplomatic negotiating track.

Russia's Middle East envoy, Deputy Foreign Minister Mikhail Bogdanov, who announced the invitation to Alkhatib, said further talks were scheduled between the "three B's" - himself, Brahimi and U.S. Undersecretary of State William Burns.

Speaking in Damascus on Thursday, Brahimi called for a transitional government with "all the powers of the state", a phrase interpreted by the opposition as potentially signaling tolerance of Assad remaining in some ceremonial role.

But such a plan is anathema to the surging rebels, who now believe they can drive Assad out with a military victory, despite long being outgunned by his forces.

"We do not agree at all with Brahimi's initiative. We do not agree with anything Brahimi says," Colonel Abdel-Jabbar Oqaidi, who heads the rebels' military council in Aleppo province, told reporters at his headquarters there.

Oqaidi said the rebels want Assad and his allies tried in Syria for crimes. Assad himself says he will stay on and fight to the death if necessary.

In the rebel-held town of Kafranbel, demonstrators held up cartoons showing Brahimi speaking to a news conference with toilet bowls in front of him, in place of microphones. Banners denounced the U.N. envoy with obscenities in English.

DIPLOMATS IMPOTENT

Diplomacy has largely been irrelevant to the conflict so far, with Western states ruling out military intervention like the NATO bombing that helped topple Libya's Muammar Gaddafi last year, and Russia and China blocking U.N. action against Assad.

Meanwhile, the fighting has grown fiercer and more sectarian, with rebels mainly from the Sunni Muslim majority battling Assad's government and allied militia dominated by his Alawite sect, an offshoot of Shi'ite Islam.

Still, Western diplomats have repeatedly touted signs of a change in policy from Russia, which they hope could prove decisive, much as Moscow's withdrawal of support for Serbian leader Slobodan Milosevic heralded his downfall a decade ago.

Bogdanov said earlier this month that Assad's forces were losing ground and rebels might win the war, but Russia has since rowed back, with Lavrov last week reiterating Moscow's position that neither side could win through force.

Still, some Moscow-based analysts see the Kremlin coming to accept it must adapt to the possibility of rebel victory.

"As the situation changes on the battlefield, more incentives emerge for seeking a way to stop the military action and move to a phase of political regulation," said Dmitry Trenin, director of the Carnegie Moscow Center.

Meanwhile, on the ground the bloodshed that has killed some 44,000 people continues unabated. According to the pro-opposition Syrian Observatory for Human Rights, a monitoring group based in Britain, 150 people were killed on Thursday, a typical toll as fighting has escalated in recent months.

Government war planes bombarded the town of Assal al-Ward in the Qalamoun district of Damascus province for the first time, killing one person and wounding dozens, the observatory said.

In Aleppo, Syria's northern commercial hub, clashes took place between rebel fighters and army forces around an air force intelligence building in the Zahra quarter, a neighborhood that has been surrounded by rebels for weeks.

(Additional reporting by Omar Fahmy in Cairo, Dominic Evans in Beirut and Steve Gutterman and Alissa de Carbonnel in Moscow; Writing by Peter Graff; Editing by Giles Elgood)

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Women suffer big in India's state vs rebels war

NEW DELHI:
* Soni Sori, a tribal teacher in a government school in Dantewada, Chhattisgarh, was arrested in October last year on charges of being a courier between the Maoists and Essar Group which has mining interests in the region. She alleged that she had been sexually assaulted by the Chhattisgarh police and a Kolkata hospital that examined her had found stones in her private parts and rectum.

* In November this year, Chhattisgarh police and CRPF (Central Reserve Police Force) rescued two minor tribal girls who were allegedly gang-raped by Maoists in Bijapur, Bastar district.

* In July 2004, the rape and murder of Thangjam Manorama Devi in Imphal by Assam Rifles personnel had rocked the nation with several women's groups in Manipur coming out naked in the streets to protest. A few days back, Imphal witnessed mob violence over government's inaction on molestation of an actress by an NSCN (IM) cadre.

* On the night of February 23 and 24, 1991, personnel of the 4 Rajputana Rifles had raped about 30 women in Kunan Poshpora village in the border district of Kupwara in north Kashmir.

*A young girl in Jharkhand's insurgency-hit Khunti district had to flee a separatist camp after she was forced to sleep with five Naxalites every night, according to Baidyanath Kumar of the NGO Diya Seva Sansthan that had rescued her.

Even as the Delhi bus gang-rape case simmers, women in India's insurgency-hit areas —Kashmir, Chhattisgarh, Jharkhand or the North East — continue to be exploited sexually both by separatists and the security forces. Often, women endure sexual abuse in return for life of their families. Women in villages of border districts of Rajouri or Poonch in Jammu and Kupwara and Uri in Kashmir are known to submit to sexual exploitation by militants from across the border, besides giving them food and shelter, in return for the safety of their families. In fact, sources reveal that soldier husbands inform their wives in advance of their arrival on holidays so that the terrorists can move out of their homes in time.

In Naxalite-hit areas, many women end up being recruited in the cadres, where they are exploited sexually. Says Baidyanath Kumar, "The Naxals induct women by force for dual purpose. They serve as sex slaves and cook for them too." Shambhu Kumar, Ranchi ASP (Operations), adds, "99% of women Naxals, whether arrested or those who have surrendered complain of sexual harassment in the camps." Often, women are left with no choice — they either give into the state-sponsored vigilantes, Salwa Judum, or tag along with Maoist cadres.

Most often, cases of sexual crimes go unreported either due to remoteness of the location or victims choosing to stay silent out of fear or social stigma attached to such exploitation. Babloo Loitongbam, director of Imphal-based Human Rights' Alert, says, "In a conflict zone, targeting women's honour becomes a contest between the warring parties. And the reported cases of rape by army or the para-military forces in Manipur are just the tip of the iceberg. We have documented over 20 rape cases in the last few years but most go unreported." Even if the victim reports the crime, most of these cases remain unsolved and justice remains elusive.

Anjuman Ara Begum, a Guwahati-based law researcher, says that sexual crimes in armed conflicts are always treated with a 'forget and forgive' policy. "Security forces enjoy immunity as prior sanctions are required for initiating legal cases against them under Afspa (Armed Forces Special (Powers Act), 1958) and CrPC." Many states in the North East are under the Afspa.

— Reporting by Joseph John in Raipur, Oinam Sunil in Guwahati, M Saleem Pandit in Srinagar and Alok K N Mishra in Ranchi.

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Kenya hospital imprisons new mothers with no money

NAIROBI, Kenya (AP) — The director of the Pumwani Maternity Hospital, located in a hardscrabble neighborhood of downtown Nairobi, freely acknowledges what he's accused of: detaining mothers who can't pay their bills. Lazarus Omondi says it's the only way he can keep his medical center running.

Two mothers who live in a mud-wall and tin-roof slum a short walk from the maternity hospital, which is affiliated with the Nairobi City Council, told The Associated Press that Pumwani wouldn't let them leave after delivering their babies. The bills the mothers couldn't afford were $60 and $160. Guards would beat mothers with sticks who tried to leave without paying, one of the women said.

Now, a New York-based group has filed a lawsuit on the women's behalf in hopes of forcing Pumwani to stop the practice, a practice Omondi is candid about.

"We hold you and squeeze you until we get what we can get. We must be self-sufficient," Omondi said in an interview in his hospital office. "The hospital must get money to pay electricity, to pay water. We must pay our doctors and our workers."

"They stay there until they pay. They must pay," he said of the 350 mothers who give birth each week on average. "If you don't pay the hospital will collapse."

The Center for Reproductive Rights, which filed the suit this month in the High Court of Kenya, says detaining women for not paying is illegal. Pumwani is associated with the Nairobi City Council, one reason it might be able to get away with such practices, and the patients are among Nairobi's poorest with hardly anyone to stand up for them.

Maimouna Awuor was an impoverished mother of four when she was to give birth to her fifth in October 2010. Like many who live in Nairobi's slums, Awuor performs odd jobs in the hopes of earning enough money to feed her kids that day. Awuor, who is named in the lawsuit, says she had saved $12 and hoped to go to a lower-cost clinic but was turned away and sent to Pumwani. After giving birth, she couldn't pay the $60 bill, and was held with what she believes was about 60 other women and their infants.

"We were sleeping three to a bed, sometimes four," she said. "They abuse you, they call you names," she said of the hospital staff.

She said saw some women tried to flee but they were beaten by the guards and turned back. While her husband worked at a faraway refugee camp, Awuor's 9-year-old daughter took care of her siblings. A friend helped feed them, she said, while the children stayed in the family's 50-square-foot shack, where rent is $18 a month. She says she was released after 20 days after Nairobi's mayor paid her bill. Politicians in Kenya in general are expected to give out money and get a budget to do so.

A second mother named in the lawsuit, Margaret Anyoso, says she was locked up in Pumwani for six days in 2010 because she could not pay her $160 bill. Her pregnancy was complicated by a punctured bladder and heavy bleeding.

"I did not see my child until the sixth day after the surgery. The hospital staff were keeping her away from me and it was only when I caused a scene that they brought her to me," said Anyoso, a vegetable seller and a single mother with five children who makes $5 on a good day.

Anyoso said she didn't have clothes for her child so she wrapped her in a blood-stained blouse. She was released after relatives paid the bill.

One woman says she was detained for nine months and was released only after going on a hunger strike. The Center for Reproductive Rights says other hospitals also detain non-paying patients.

Judy Okal, the acting Africa director for the Center for Reproductive Rights, said her group filed the lawsuit so all Kenyan women, regardless of socio-economic status, are able to receive health care without fear of imprisonment. The hospital, the attorney general, the City Council of Nairobi and two government ministries are named in the suit.

___

Associated Press reporter Tom Odula contributed to this report.

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Woman Tied to Gun in NY Firefighter Ambush

Authorities have charged a woman for allegedly providing a convicted killer with the Bushmaster AR-15 assault rifle he used when he ambushed four volunteer firefighters and an off-duty cop at a fire scene in upstate New York on Christmas Eve, federal prosecutors said.

Dawn Nguyen, 24, was arrested today after allegedly making an illegal purchase of the weapon used by William Spengler, 62, who set a house and car on fire in Webster, N.Y., the morning of Dec. 24, then shot dead two firemen and himself.

Nguyen is facing federal and state charges for acting as a "straw purchaser," buying the Bushmaster assault weapon as well as a shotgun with the intention of giving it to someone who cannot legally purchase it himself, said U.S. Attorney William J. Hochul.

Authorities accuse Nguyen of lying about being the sole owner of the weapons when making the purchase, a violation of federal law.

As an ex-convict, Spengler could not have legally owned or purchased the weapons himself.

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"Dawn Nguyen told the seller of these weapons that she was to be true owner and buyer of these guns," said Hochul. "It is absolutely against federal law to provide any materially false information" on a firearms application.

As Hochul announced the charges, Nguyen was in a nearby court. It was unknown whether she entered a plea, and her lawyer could not be immediately contacted.

In addition to the rifle and shotgun, Spengler was found with a pistol, which authorities believe he used to kill himself by shooting himself in the head.

After apparently setting the fires, Spengler began shooting at emergency responders, officials have said. The attack left two firefighters and the gunman dead, and two other firefighters hospitalized.

Police officer John Ritter recieved shrapnel injuries at the scene but was discharged quickly from the hospital.

In a typewritten note found at the scene, Spengler revealed that he obtained the weapons from Nguyen, who for a time lived next door to him in Webster, Hochul said.

In that same note, Spengler pledged to see "how much of the neighborhood I can burn down." He said he wanted to "do what I like doing best, killing people."

Police said Spengler set a "trap" in order to ambush the first responders.

Firefighters Michael Chiapperini and Tomasz Kaczowka were gunned down. Two other firefighters, Joseph Hofsetter and Theodore Scardino, remained in guarded condition at a Rochester, N.Y. hospital.

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China tightens Internet rules

BEIJING: China has approved new rules that require Internet users nationwide to provide real-name identification, state media reported on Friday, as the government increases its already tight online grip.

The National People's Congress (NPC), the country's legislature, adopted the measures at a meeting on Friday, the official Xinhua news agency and other media said.

According to Xinhua, the decision, which came at the end of a five-day session of the NPC Standing Committee, requires Internet users to offer their names as identification to telecommunication service providers when seeking access to their services.

"Network service providers will ask users to provide genuine identification information when signing agreements to grant them access to the Internet, fixed-line telephone or mobile telecommunication services or to allow users to post information publicly," Xinhua said, quoting the decision.

Popular microblogging sites similar to Twitter have been used in China to air grievances and even to reveal wrongdoing by officials, and such muckraking is tolerated when it dovetails with the government's own desire to rein in corruption.

But with more than half a billion Chinese now online, authorities are concerned about the power of the Internet to influence public opinion in a country that maintains tight controls on its traditional media outlets.

Beijing already regularly blocks Internet searches under a vast online censorship system known as the Great Firewall of China, but the growing popularity of microblogs, known as "weibos", has posed a new challenge.

The firewall has been built up over time since the Internet began to develop in China, and uses a range of technologies to block access to particular sites' IP addresses from Chinese computers.

Censors also keep watch on the weibos that have been used to organise protests and challenge official accounts of events such as a deadly 2011 rail crash that sparked fierce criticism of the government.

Dissident artist and fierce government critic Ai Weiwei on Friday criticised efforts to hinder Internet discourse.

"Blocking the Internet, an action that will limit the exchange of information, is an uncivilised and inhumane crime," he said on Twitter, which is banned in China, but accessible for Internet users with more sophisticated equipment.

Li Fei, a senior member of the legislature, said on Friday that there was no need to worry that the new rules could hinder citizen exposure of wrongdoing, Xinhua reported.

"Identity management work can be conducted backstage, allowing users to use different names when posting material publicly," Xinhua further quoted him as saying earlier this week.

Previously, only microblog users in five cities -- the capital Beijing, the commercial hub of Shanghai, the northern port city of Tianjin and the southern cities of Guangzhou and Shenzhen -- were required to provide their real names under a trial that started a year ago.

In the past, users had been able to set up microblog accounts under assumed names, making it more difficult for authorities to track them down, and allowing them to set up new accounts if existing ones were shut down.

It was not immediately clear if users would be able to find ways to skirt the requirement, though according to Xinhua, the trend has been towards registration.

It said that by last month, nearly all fixed-line users and 70 percent of mobile users had registered with their own names, citing figures from the Ministry of Industry and Information Technology.

The ministry, which regulates the online sector in China, said in June that the then-proposed legal changes were needed to protect state security.

Xinhua, in a separate commentary on Friday, said the new rules are meant to defend the legal rights of Internet users "and will help, rather than harm, the country's netizens" by, for example, protecting their privacy.

-AFP/ac

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Russia's Putin signals he will sign U.S. adoption ban

MOSCOW (Reuters) - President Vladimir Putin signaled on Thursday he would sign into law a bill barring Americans from adopting Russian children and sought to forestall criticism of the move by promising measures to better care for his country's orphans.

In televised comments, Putin tried to appeal to people's patriotism by suggesting that strong and responsible countries should take care of their own and lent his support to a bill that has further strained U.S.-Russia relations.

"There are probably many places in the world where living standards are higher than ours. So what, are we going to send all our children there? Maybe we should move there ourselves?" he said, with sarcasm.

Parliament gave its final approval on Wednesday to the bill, which would also introduce other measures in retaliation for new U.S. legislation which is designed to punish Russians accused of human rights violations.

For it to become law Putin needs to sign it.

"So far I see no reason not to sign it, although I have to review the final text and weigh everything," Putin said at a meeting of federal and regional officials that was shown live on the state's 24-hour news channel.

"I intend to sign not only the law ... but also a presidential decree that will modify the support mechanisms for orphaned children ... especially those who are in a difficult situation, by that I mean in poor health," Putin said.

Critics of the bill say the Russian authorities are playing political games with the lives of children, while the U.S. State Department repeated its "deep concern" over the measure.

"Since 1992 American families have welcomed more than 60,000 Russian children into their homes, and it is misguided to link the fate of children to unrelated political considerations," State Department spokesman Patrick Ventrell said in a statement.

Ventrell added that the United States was troubled by provisions in the bill that would restrict the ability of Russian civil society organizations to work with U.S. partners.

Children in Russia's crowded and troubled orphanage system - particularly those with serious illnesses or disabilities - will have less of a chance of finding homes, and of even surviving, if it becomes law, child rights advocates say.

They point to people like Jessica Long, who was given up shortly after birth by her parents in Siberia but was raised by adoptive parents in the United States and became a Paralympic swimming champion.

However, the Russian authorities point to the deaths of 19 Russian-born children adopted by American parents in the past decade, and lawmakers named the bill after a boy who died of heat stroke in Virginia after his adoptive father left him locked in a car for hours.

Putin reiterated Russian complaints that U.S. courts have been too lenient on parents in such cases, saying Russia has inadequate access to Russian-born children in the United States despite a bilateral agreement that entered into force on November 1.

NATIONAL IDENTITY

But Putin, who began a new six-year term in May and has searched for ways to unite the country during 13 years in power, suggested there were deeper motives for such a ban.

"For centuries, neither spiritual nor state leaders sent anyone abroad," he said, indicating he was not speaking specifically about Russia but about many societies.

"They always fight for their national identities - they gather themselves together in a fist, they fight for their language, culture," he said.

The bid to ban American adoptions plays on sensitivity in Russia about adoptions by foreigners, which skyrocketed as the social safety net unraveled with the 1991 Soviet collapse.

Families from the United States adopt more Russian children than those of any other country.

Putin had earlier described the Russian bill as an emotional but appropriate response to the Magnitsky Act, legislation signed by President Barack Obama this month as part of a law granting Russia "permanent normal trade relations" (PNTR) status.

The U.S. law imposes visa bans and asset freezes on Russians accused of human rights violations, including those linked to the death in a Moscow jail of Sergei Magnitsky, an anti-graft lawyer, in 2009.

The Russian bill would impose similar measures against Americans accused of violating the rights of Russian abroad and outlaw some U.S.-funded non-governmental groups.

(Reporting By Alexei Anishchuk; additional reporting by Andrew Quinn in Washington; Writing by Alissa de Carbonnel and Steve Gutterman; Editing by Andrew Osborn and Doina Chiacu)

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Nirbhaya’s will power pulling her through: Amar Singh

NEW DELHI: It is Nirbhaya's sheer will power that she has pulled through this critical state, said Rajya Sabha MP Amar Singh who is recuperating in Mount Elizabeth Hospital in Singapore where she was flown to on Wednesday night.

Singh said Nirbhaya was "as stable as she was in Delhi" which is an "achievement", raising hopes amid grim signals over what the future holds for the tenacious girl.

He underwent kidney transplant at the famous Singapore hospital in 2009. His prolonged stay there, followed by the presence of the who's who of industry, Bollywood and politics, put it on the A-list of the country's VIPs. Since then, megastar Rajnikanth has been treated there.

The surprise decision to shift Nirbhaya out of Safdarjung Hospital in a critical state has raised many questions, with the choice of hospital intriguing many. But Singh, once close to Mulayam Singh Yadav and Amitabh Bachchan, vouched for it.

"It is the best hospital for organ transplant and more importantly, it is very good for post-operative care," Singh said.

Intestinal problem ties Nirbhaya to the Singapore hospital's first Indian star patient. Singh had his intestines cut up after an ailment was callously assumed as malignant. A large part of his bowels were removed before he realized that it was a medical mess-up. Then, a famous surgeon from a top Mumbai hospital suggested the Singapore medical centre.

Since then, movie icon Rajnikanth has come here, putting the hospital in the spotlight for situations like Nirbhaya's crisis.

"Singapore is the nearest destination to bring her to in her state of criticality. It is only five hours from India," Singh said.

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Kenya hospital imprisons new mothers with no money

NAIROBI, Kenya (AP) — The director of the Pumwani Maternity Hospital, located in a hardscrabble neighborhood of downtown Nairobi, freely acknowledges what he's accused of: detaining mothers who can't pay their bills. Lazarus Omondi says it's the only way he can keep his medical center running.

Two mothers who live in a mud-wall and tin-roof slum a short walk from the maternity hospital, which is affiliated with the Nairobi City Council, told The Associated Press that Pumwani wouldn't let them leave after delivering their babies. The bills the mothers couldn't afford were $60 and $160. Guards would beat mothers with sticks who tried to leave without paying, one of the women said.

Now, a New York-based group has filed a lawsuit on the women's behalf in hopes of forcing Pumwani to stop the practice, a practice Omondi is candid about.

"We hold you and squeeze you until we get what we can get. We must be self-sufficient," Omondi said in an interview in his hospital office. "The hospital must get money to pay electricity, to pay water. We must pay our doctors and our workers."

"They stay there until they pay. They must pay," he said of the 350 mothers who give birth each week on average. "If you don't pay the hospital will collapse."

The Center for Reproductive Rights, which filed the suit this month in the High Court of Kenya, says detaining women for not paying is illegal. Pumwani is associated with the Nairobi City Council, one reason it might be able to get away with such practices, and the patients are among Nairobi's poorest with hardly anyone to stand up for them.

Maimouna Awuor was an impoverished mother of four when she was to give birth to her fifth in October 2010. Like many who live in Nairobi's slums, Awuor performs odd jobs in the hopes of earning enough money to feed her kids that day. Awuor, who is named in the lawsuit, says she had saved $12 and hoped to go to a lower-cost clinic but was turned away and sent to Pumwani. After giving birth, she couldn't pay the $60 bill, and was held with what she believes was about 60 other women and their infants.

"We were sleeping three to a bed, sometimes four," she said. "They abuse you, they call you names," she said of the hospital staff.

She said saw some women tried to flee but they were beaten by the guards and turned back. While her husband worked at a faraway refugee camp, Awuor's 9-year-old daughter took care of her siblings. A friend helped feed them, she said, while the children stayed in the family's 50-square-foot shack, where rent is $18 a month. She says she was released after 20 days after Nairobi's mayor paid her bill. Politicians in Kenya in general are expected to give out money and get a budget to do so.

A second mother named in the lawsuit, Margaret Anyoso, says she was locked up in Pumwani for six days in 2010 because she could not pay her $160 bill. Her pregnancy was complicated by a punctured bladder and heavy bleeding.

"I did not see my child until the sixth day after the surgery. The hospital staff were keeping her away from me and it was only when I caused a scene that they brought her to me," said Anyoso, a vegetable seller and a single mother with five children who makes $5 on a good day.

Anyoso said she didn't have clothes for her child so she wrapped her in a blood-stained blouse. She was released after relatives paid the bill.

One woman says she was detained for nine months and was released only after going on a hunger strike. The Center for Reproductive Rights says other hospitals also detain non-paying patients.

Judy Okal, the acting Africa director for the Center for Reproductive Rights, said her group filed the lawsuit so all Kenyan women, regardless of socio-economic status, are able to receive health care without fear of imprisonment. The hospital, the attorney general, the City Council of Nairobi and two government ministries are named in the suit.

___

Associated Press reporter Tom Odula contributed to this report.

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Utah Teachers Flock to Gun Training

The perception of schools as sanctuaries from violence has been "blown up" by recent events and some believe it's time for educators to literally take the situation into their own hands and carry guns.

"We've had this unwritten code, even among criminals, that schools are off limits. Those are our kids. You don't mess with that," Utah Shooting Sports Council (USSC) Chairman Clark Aposhian told ABCNews.com today.

"That perception has been blown away now," he said. "It's been shattered and if there's one thing that parents across the country are united on, it's that they are committed to and serious about protecting their kids."

Aposhian spoke shortly before opening a weapons training class for teachers and school employees that drew more than 200 Utah educators organized by the USSC, a leading gun lobby group that believes that teachers should be able to fight back when faced with an armed intruder.

"One firearm in the hands of one teacher could have made the difference at Sandy Hook or Columbine, but they weren't allowed to carry in those schools," Aposhian said.

The USSC is waiving its normal $50 training fee today for teachers who wish to attend. Aposhian said the 200 person course was filled to capacity and said he plans on holding another session for people he may have to turn away today.

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"We trust these teachers to be with our kids for 8 to 10 hours a day every day," Aposhian said. "I don't think it's a far reach to think that we could think that they would act responsibly and with decorum in protecting their own lives and the lives of the kids under their care."

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The idea of armed teachers has been part of a fiery debate on gun control following the rampage at Connecticut's Sandy Hook Elementary School that left 20 children and six adults dead on Dec. 14.

Utah is one of only a handful of states, including Oregon, Hawaii and New Hampshire, that allow people to carry licensed concealed weapons into public schools. It is not known how many Utah teachers carry guns in public schools because the records are not public.

But Aposhian said that he tells detractors that Utah has not had any school shootings or accidental shootings in the approximately 12 years the law has been in effect.

In Ohio, the Buckeye Firearms Association is launching a pilot armed teacher training program in which 24 teachers will be selected to attend a three-day training class.

Arizona's Attorney General Tom Horne has proposed a state law amendment that would allow one educator in each school to carry a gun.

During today's six-hour training session, the educators will be taught about gun safety, loading and unloading, manipulating the firearm, how to clear malfunctions, use of force laws and state and federal firearm laws.

The training sessions normally draw about 15 to 20 people, Aposhian said, but many of the teachers who have signed up for today have expressed strong feelings about attending the class.

"I think it runs the gamut from passive desire to get a permit because they thought about it here and there to a fervor given the recent events," Aposhian said. "Perhaps they've had an epiphany of sorts and realized that that sanctuary they work in, or at least the perceived sanctuary, isn't all that safe."

The Utah State Board of Education Chair Debra Roberts released the following statement today on the matter:

"The Utah State Board of Education expresses sympathy to all involved in the recent school shooting in Connecticut. In the face of this terrible tragedy, as schools move forward in taking measures to ensure the safety of students and school personnel, we urge caution and thoughtful consideration."

The statement noted that its schools have emergency plans to handle such situations.

Carol Lear, the board's director of school law and legislation, was more blunt about Aposhian's gun training, telling the Associated Press, "It's a terrible idea...It's a horrible, no-good, rotten idea."

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Football: Cole and Gibson win red card appeals

LONDON: West Ham striker Carlton Cole and Everton midfielder Darron Gibson have both had their suspensions quashed after the pair were sent off in Saturday's Premier League match at Upton Park.

Cole was dismissed by referee Anthony Taylor for a high challenge on Leighton Baines and Gibson also saw red for a similar challenge on Mark Noble during Everton's 2-1 win.

Everton appealed against Gibson's three-match ban on Christmas Eve and announced on their website on Thursday that the dismissal had been overturned at a Football Association hearing.

Cole has also seen West Ham's appeal over his red card upheld by the FA, meaning he will be available for Saturday's Premier League match against Reading.

A statement from the FA said: "The FA can confirm that red cards shown to both Carlton Cole and Darron Gibson have been rescinded.

"Both players were sent from the field of play in the Premier League fixture between West Ham United and Everton at Upton Park on Saturday 22 December.

"Their three-match suspensions have been withdrawn immediately and written reasons will be provided at a later date."

-AFP/ac

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Syria to discuss Brahimi peace proposals with Russia

BEIRUT (Reuters) - Syrian President Bashar al-Assad sent a senior diplomat to Moscow on Wednesday to discuss proposals to end the conflict convulsing his country made by international envoy Lakhdar Brahimi, Syrian and Lebanese sources said.

Brahimi, who saw Assad on Monday and is planning to hold a series of meetings with Syrian officials and dissidents in Damascus this week, is trying to broker a peaceful transfer of power, but has disclosed little about how this might be done.

More than 44,000 Syrians have been killed in a revolt against four decades of Assad family rule, a conflict that began with peaceful protests but which has descended into civil war.

Past peace efforts have floundered, with world powers divided over what has become an increasingly sectarian struggle between mostly Sunni Muslim rebels and Assad's security forces, drawn primarily from his Shi'ite-rooted Alawite minority.

Deputy Foreign Minister Faisal Makdad flew to Moscow to discuss the details of the talks with Brahimi, said a Syrian security source, who would not say if a deal was in the works.

However, a Lebanese official close to Damascus said Makdad had been sent to seek Russian advice on a possible agreement.

He said Syrian officials were upbeat after talks with Brahimi, the U.N.-Arab League envoy, who met Foreign Minister Walid Moualem on Tuesday a day after his session with Assad, but who has not outlined his ideas in public.

"There is a new mood now and something good is happening," the official said, asking not to be named. He gave no details.

Russia, which has given Assad diplomatic and military aid to help him weather the 21-month-old uprising, has said it is not protecting him, but has fiercely criticized any foreign backing for rebels and, with China, has blocked U.N. Security Council action on Syria.

"ASSAD CANNOT STAY"

A Russian Foreign Ministry source said Makdad and an aide would meet Foreign Minister Sergei Lavrov and Mikhail Bogdanov, the Kremlin's special envoy for Middle East affairs, on Thursday, but did not disclose the nature of the talks.

On Saturday, Lavrov said Syria's civil war had reached a stalemate, saying international efforts to get Assad to quit would fail. Bogdanov had earlier acknowledged that Syrian rebels were gaining ground and might win.

Given the scale of the bloodshed and destruction, Assad's opponents insist the Syrian president must go.

Moaz Alkhatib, head of the internationally-recognized Syrian National Coalition opposition, has criticized any notion of a transitional government in which Assad would stay on as a figurehead president stripped of real powers.

Comments on Alkhatib's Facebook page on Monday suggested that the opposition believed this was one of Brahimi's ideas.

"The government and its president cannot stay in power, with or without their powers," Alkhatib wrote, saying his Coalition had told Brahimi it rejected any such solution.

While Brahimi was working to bridge the vast gaps between Assad and his foes, fighting raged across the country and a senior Syrian military officer defected to the rebels.

Syrian army shelling killed about 20 people, at least eight of them children, in the northern province of Raqqa, a video posted by opposition campaigners showed.

The video, published by the Syrian Observatory for Human Rights, showed rows of blood-stained bodies laid out on blankets. The sound of crying relatives could be heard in the background.

The shelling hit the province's al-Qahtania village, but it was unclear when the attack had occurred.

STRATEGIC BASE

Rebels relaunched their assault on the Wadi Deif military base in the northwestern province of Idlib, in a battle for a major army compound and fuel storage and distribution point.

Activist Ahmed Kaddour said rebels were firing mortars and had attacked the base with a vehicle rigged with explosives.

The British-based Observatory, which uses a network of contacts in Syria to monitor the conflict, said a rebel commander was among several people killed in Wednesday's fighting, which it said was among the heaviest for months.

The military used artillery and air strikes to try to hold back rebels assaulting Wadi Deif and the town of Morek in Hama province further south. In one air raid, several rockets fell near a field hospital in the town of Saraqeb, in Idlib province, wounding several people, the Observatory said.

As violence has intensified in recent weeks, daily death tolls have climbed. The Observatory reported at least 190 had been killed across the country on Tuesday alone.

The head of Syria's military police changed sides and declared allegiance to the anti-Assad revolt.

"I am General Abdelaziz Jassim al-Shalal, head of the military police. I have defected because of the deviation of the army from its primary duty of protecting the country and its transformation into gangs of killing and destruction," the officer said in a video published on YouTube.

A Syrian security source confirmed the defection, but said Shalal was near retirement and had only defected to "play hero".

Syrian Interior Minister Mohammed Ibrahim al-Shaar left Lebanon for Damascus after being treated in Beirut for wounds sustained in a rebel bomb attack this month.

(Additional reporting by Laila Bassam; Writing by Alistair Lyon; Editing by Andrew Osborn)

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Manmohan congratulates Japan's new PM Shinzo Abe

NEW DELHI: Prime Minister Manmohan Singh on Wednesday congratulated Shinzo Abe, the new PM of Japan, on the victory of his Liberal Democratic Party in the general elections recently held in Japan. The PM underlined the importance of the strategic and global partnership between India and Japan and noted that Abe has been a key architect of this partnership, sources said.

He emphasized that the bilateral relationship between the two countries is of immense importance to ensure peace, stability and prosperity in the region and the world. He also noted that the rapid growth in the bilateral economic engagement (through trade, investment and flagship projects) has brought rich dividends to both the countries.

Singh expressed confidence that Japan's economy will further prosper and Japan will play an important role in the world affairs under his leadership and emphasized on working with him for further strengthening India's relations with Japan.

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Predicting who's at risk for violence isn't easy

CHICAGO (AP) — It happened after Columbine, Virginia Tech, Aurora, Colo., and now Sandy Hook: People figure there surely were signs of impending violence. But experts say predicting who will be the next mass shooter is virtually impossible — partly because as commonplace as these calamities seem, they are relatively rare crimes.

Still, a combination of risk factors in troubled kids or adults including drug use and easy access to guns can increase the likelihood of violence, experts say.

But warning signs "only become crystal clear in the aftermath, said James Alan Fox, a Northeastern University criminology professor who has studied and written about mass killings.

"They're yellow flags. They only become red flags once the blood is spilled," he said.

Whether 20-year-old Adam Lanza, who used his mother's guns to kill her and then 20 children and six adults at their Connecticut school, made any hints about his plans isn't publicly known.

Fox said that sometimes, in the days, weeks or months preceding their crimes, mass murderers voice threats, or hints, either verbally or in writing, things like "'don't come to school tomorrow,'" or "'they're going to be sorry for mistreating me.'" Some prepare by target practicing, and plan their clothing "as well as their arsenal." (Police said Lanza went to shooting ranges with his mother in the past but not in the last six months.)

Although words might indicate a grudge, they don't necessarily mean violence will follow. And, of course, most who threaten never act, Fox said.

Even so, experts say threats of violence from troubled teens and young adults should be taken seriously and parents should attempt to get them a mental health evaluation and treatment if needed.

"In general, the police are unlikely to be able to do anything unless and until a crime has been committed," said Dr. Paul Appelbaum, a Columbia University professor of psychiatry, medicine and law. "Calling the police to confront a troubled teen has often led to tragedy."

The American Academy of Child & Adolescent Psychiatry says violent behavior should not be dismissed as "just a phase they're going through."

In a guidelines for families, the academy lists several risk factors for violence, including:

—Previous violent or aggressive behavior

—Being a victim of physical or sexual abuse

—Guns in the home

—Use of drugs or alcohol

—Brain damage from a head injury

Those with several of these risk factors should be evaluated by a mental health expert if they also show certain behaviors, including intense anger, frequent temper outbursts, extreme irritability or impulsiveness, the academy says. They may be more likely than others to become violent, although that doesn't mean they're at risk for the kind of violence that happened in Newtown, Conn.

Lanza, the Connecticut shooter, was socially withdrawn and awkward, and has been said to have had Asperger's disorder, a mild form of autism that has no clear connection with violence.

Autism experts and advocacy groups have complained that Asperger's is being unfairly blamed for the shootings, and say people with the disorder are much more likely to be victims of bullying and violence by others.

According to a research review published this year in Annals of General Psychiatry, most people with Asperger's who commit violent crimes have serious, often undiagnosed mental problems. That includes bipolar disorder, depression and personality disorders. It's not publicly known if Lanza had any of these, which in severe cases can include delusions and other psychotic symptoms.

Young adulthood is when psychotic illnesses typically emerge, and Appelbaum said there are several signs that a troubled teen or young adult might be heading in that direction: isolating themselves from friends and peers, spending long periods alone in their rooms, plummeting grades if they're still in school and expressing disturbing thoughts or fears that others are trying to hurt them.

Appelbaum said the most agonizing calls he gets are from parents whose children are descending into severe mental illness but who deny they are sick and refuse to go for treatment.

And in the case of adults, forcing them into treatment is difficult and dependent on laws that vary by state.

All states have laws that allow some form of court-ordered treatment, typically in a hospital for people considered a danger to themselves or others. Connecticut is among a handful with no option for court-ordered treatment in a less restrictive community setting, said Kristina Ragosta, an attorney with the Treatment Advocacy Center, a national group that advocates better access to mental health treatment.

Lanza's medical records haven't been publicly disclosed and authorities haven't said if it is known what type of treatment his family may have sought for him. Lanza killed himself at the school.

Jennifer Hoff of Mission Viejo, Calif. has a 19-year-old bipolar son who has had hallucinations, delusions and violent behavior for years. When he was younger and threatened to harm himself, she'd call 911 and leave the door unlocked for paramedics, who'd take him to a hospital for inpatient mental care.

Now that he's an adult, she said he has refused medication, left home, and authorities have indicated he can't be forced into treatment unless he harms himself — or commits a violent crime and is imprisoned. Hoff thinks prison is where he's headed — he's in jail, charged in an unarmed bank robbery.

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Online:

American Academy of Child & Adolescent Psychiatry: http://www.aacap.org

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

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