For Afghan Officials, Prospect of Death Comes With Territory


Bryan Denton for The New York Times


Abdul Majid Khogyani, center, the governor of Wardak Province, touring government buildings damaged by a suicide truck bombing two days earlier.







KABUL, Afghanistan — There are so many ways for an Afghan official to die: car bombs, suicide attacks, a volley of bullets or, in the case of one particularly enterprising assassin, a handgun hidden in the sole of a shoe.




On Thursday, a Taliban suicide bomber with a bomb hidden in his groin area tried to assassinate the new chief of Afghanistan’s intelligence service in Kabul, seriously wounding him. Two weeks before, insurgents welcomed two of the country’s newest governors with an armed assault in Helmand Province and a car bomb that leveled an entire city block in Wardak Province. Both governors survived and came away with an attribute essential for politicians here: a sharpened sense of fatalism.


“Assassination attempts are a part of the job,” said Abdul Majid Khogyani, the new Wardak governor, seated in a makeshift office in his compound’s frigid courtyard, the only place untouched by the bombing. “It comes with the package.” He actually grinned.


Government officials here do not worry so much about the wrath of constituents; a more immediate fear is coldblooded assassination at the hands of the Taliban. Public service jobs are among the most dangerous in Afghanistan, with hundreds of officials killed every year. The more important the official, the greater the risk — some particularly fortunate, and well defended, governors have survived more than a dozen assassination attempts.


In the last few years, the Taliban have stepped up their campaign against politicians, targeting dozens of provincial and district governors, police chiefs and even marginal officials. It has been an effective tool, demonstrating the insurgents’ power to inflict chaos and sow fear among government supporters. Last year, assassinations claimed 304 lives, the most since 2001, according to a United Nations report.


Barring the remote possibility of a peace agreement with the Taliban, the killings are only likely to rise as the American-led military coalition withdraws its combat forces over the next two years.


Perhaps the most favored targets are the 34 provincial governors, most of whom are far from the relatively secure enclave of Kabul. Appointed by the president, governors are often the highest-ranking officials most Afghans will ever see.


If the persistence of attacks suggests a high-priority target, Gulab Mangal, the former governor of Helmand Province, is a Taliban trophy. Mr. Mangal survived 17 deadly attacks in his five years in office, including a rocket attack on a helicopter, before he was replaced this year by President Hamid Karzai.


“Even my friends asked me to quit,” he said, emitting a burst of laughter. “But I loved my job and slowly, as time went on, I grew fearless.”


Not all politicians are so fortunate. Last year, a suicide bomber with explosives in his turban killed the mayor of Kandahar. This spring, the former governor of Uruzgan was fatally gunned down. A man wearing a police uniform with a suicide bomb vest underneath killed Gen. Daoud Daoud, the police commander who oversaw security in nine northern provinces, last year. The year before, insurgents killed the governor of Kunduz Province by bombing the mosque where he prayed.


Though some assassinations are carried out for personal reasons, most are political. Despite the risks, governorships have retained their allure. While the position pays an average of only $23,000 a year, the job affords great power, and abundant opportunities for patronage and corruption.


And after three decades of war — with the Soviets, among themselves or against the Taliban — some Afghans say they have become inured to the threat of death.


“The mind-set we have in Afghanistan is different,” said Farid Mamundzay, a deputy minister at the Independent Directorate of Local Governance. “We see people dying on a weekly if not daily basis. We’ve gotten used to it.”


“If you die, you die,” he added.


Still, politicians take security seriously, spending vast amounts, sometimes from their own pockets, and often taking a direct role in their self-preservation.


Sangar Rahimi contributed reporting from Kabul, Jawad Sukhanyar from Parwan, and Habib Zohori from Wardak



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James Cameron Relives Voyage to Ocean’s Deepest Spot












SAN FRANCISCO — The first thing James Cameron saw 7 miles below the sea was man-made: tracks from a remotely operated vehicle.


“When I got to the bottom, I saw skid marks from the ROV,” Cameron said yesterday (Dec. 4) here at the annual meeting of the American Geophysical Union, referring to a 2009 survey by the Monterey Bay Aquarium Research Institute. Scientific results of the film director’s expedition to the Mariana Trench were presented at the meeting this week, and Cameron and the researchers described the highlights to a packed crowd.












Cameron reported a new, corrected depth for his landing — 35,803 feet (10,912 meters) — which beats by five feet (1.5 m) the record set by U.S. Navy Lt. Don Walsh and Jacques Piccard in 1960 at the same spot. However, “because the error [calculating the depth] on Don’s dive is much greater, we’re just going to have to call it a tie,” Cameron said.


Deepsea Challenger


Cameron’s Deepsea Challenger expedition made dives to the New Britain Trench and the Mariana Trench in the southwestern Pacific Ocean between Jan. 31 and April 3, with one manned dive by Cameron to the Mariana’s Challenger Deep, the deepest spot in any ocean.


Unusual, never-before-seen species were snared and brought back to the surface. A bizarre microbial mat community was discovered living on altered rocks in the Sirena Deep, another deep pool 6.77 miles (10.9 kilometers) below the surface.


Changes in temperature and salinity starting at 26,200 feet (8 km) deep hint at an unknown current coming into the Challenger Deep, said Doug Bartlett, a microbiology professor at the Scripps Institution of Oceanography at UC San Diego.


The filmmaker journeyed inside a high-tech lime-green machine — a steel sphere encased in foam — dubbed the Deepsea Challenger. The expedition traveled with two unmanned seafloor “landers” — large contraptions hoisted over the side of a ship and dropped to the seafloor. Once on the bottom, bait attached to the lander lured seafloor creatures to the craft, and a suite of instruments took samples, photographs and data. [Images: James Cameron's Historic Deep-Sea Dive]


The two contraptions working together proved to be a very good system, Cameron said. “We could rendezvous on the bottom and see the results of that bait running for six to eight hours, and that’s how Doug could find a new species of giant arthropod,” Cameron said.


Challenging journey


The March 26 dive proved to be a physical and mental challenge for Cameron. “I did yoga for six months so I could contort myself into the sphere,” he said.


As he sank through the water, Cameron said he “burned though my whole checklist,” designed to distract him during the long hours of the dive. “I still had 3,000 meters left to go with pretty much nothing left to do but sit quietly and think about the pressure building up around the hull,” he said.


The sub touched down gently, and Cameron immediately took a sample of the seafloor, as planned. This was a good contingency, because the sub’s hydraulic fluid line then burst, leaving him unable to collect more samples.


To his surprise, the sub’s voice communications worked perfectly. “We actually expected they wouldn’t, and I would have to default to texting,” he said. “Texting while driving is not a good thing, especially if you’re using two hands to operate seven joysticks and you’re 7 miles down.”


Cameron first drove the sub about 200 meters, finding the seafloor elevation stayed the same. In fact, Challenger Deep turned out to be remarkably flat, and the sub was easy to drive. “The vehicle was quite nimble, the sub’s yaw rate was very good,” he said. (Yaw describes the left-to-right rotation of a craft.)


A quick return


After about three hours, some of the submersible’s batteries had low charge readings, the steering was problematic, and it was time to return to the surface. The mission should have lasted five to six hours. “I hate this. I hated having to go back,” Cameron recalled thinking.


The trip to the top was mercifully short at 73 minutes. The submersible covered nearly 7 miles in a little over an hour — slow in a car, but like riding a missile for a human in a metal ball. Cameron said the surface trip is when he noticed the aches and pains from the cramped sub. “That’s when your butt is really sore, and when you notice how much it hurts.” [Infographic: James Cameron's Mariana Trench Dive]


The sub now sits in a barn in Santa Barbara, waiting for Cameron or another group with enough money to send it back to the deep ocean. He declined to say how much it cost to build and mount the expedition.


“I would love for the sub to dive again,” he said. “I personally feel that we just barely got started before we had to turn back and there’s just so much out there.”


“And if not, at the very least, the technical innovations can be incorporated into other vehicle platforms,” Cameron added. “As far as I’m concerned, it’s an open source situation.”


Reach Becky Oskin at [email protected]. Follow her on Twitter @beckyoskin. Follow OurAmazingPlanet on Twitter @OAPlanet. We’re also on Facebook and Google+.


Copyright 2012 OurAmazingPlanet, a TechMediaNetwork company. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
Linux/Open Source News Headlines – Yahoo! News


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Cowboy charged after player dies in auto accident


IRVING, Texas (AP) — Police charged Dallas Cowboys defensive lineman Josh Brent with intoxication manslaughter Saturday after he flipped his car in a pre-dawn accident that killed teammate Jerry Brown.


Irving police spokesman John Argumaniz said the accident happened about 2:20 a.m. Saturday in the Dallas suburb, hours before Brent was to be on a team flight to Cincinnati for the Cowboys' game Sunday against the Bengals.


Argumaniz said the 25-year-old Brown — a practice-squad linebacker who also was Brent's teammate at the University of Illinois for three seasons — was found unresponsive at the scene and pronounced dead at a hospital.


Brown's death was the second tragedy to hit the NFL in a week. Last Saturday, Kansas City Chiefs linebacker Jovan Belcher fatally shot his girlfriend before killing himself in front of his coach and general manager.


"We are deeply saddened by the news of this accident and the passing of Jerry Brown," Cowboys owner Jerry Jones said in a statement. "At this time, our hearts and prayers and deepest sympathies are with the members of Jerry's family and all of those who knew him and loved him."


Officers conducted a field sobriety test on Brent and arrested him on suspicion of driving while intoxicated, Argumaniz said. The charge, a second-degree felony punishable by two to 20 years in prison, was upgraded after Brown was pronounced dead.


Argumaniz said Brent, who pleaded guilty to a drunken driving charge three years ago at Illinois, was being held without bond. Brent is named as Joshua Price-Brent in the police news release. Argumaniz also said Brent missed a 10 a.m. Saturday booking session with a judge because he was intoxicated. He did not know if Brent had an attorney.


Brent was speeding when the vehicle hit a curb and flipped at least once, Argumaniz said. Police received 911 calls from motorists who saw the upside-down vehicle but they did not immediately have any eyewitnesses to the wreck, the police spokesman said.


Argumaniz said when officers arrived at the scene on a state highway service road, Brent was dragging Brown from the vehicle, a Mercedes, which was on fire. Officers quickly put out the small blaze, he said.


Argumaniz wasn't sure if the vehicle was a car or SUV and said it wasn't known how fast the vehicle was traveling. The road has a 45 mph limit.


"I can say investigators are certain they were traveling well above the posted speed limit," Argumaniz said.


Before he was taken to the jail, Brent went to a hospital for a blood draw for alcohol testing and also received treatment for some minor scrapes.


Argumaniz said Brent identified himself to officers as a Cowboys player.


Brent was arrested in February 2009 near the Illinois campus for driving under the influence, driving on a suspended license and speeding, according to Champaign County, Ill., court records.


In June 2009, Brent pleaded guilty to DUI and was sentenced to 60 days in jail, two years of probation, 200 hours of community service and a fine of about $2,000. As part of his plea deal, prosecutors dropped one count of aggravated DUI/no valid driver's license. Brent successfully completed his probation in July 2011, court records show.


Brent, a nose guard, has played in all 12 games this season and has been a bigger presence on defense with starter Jay Ratliff battling injuries. Brent made his first career start in the season opener against the New York Giants and has 35 tackles and 1 1/2 sacks.


The Cowboys signed Brown to their practice squad Oct. 24, but he hasn't been on the active roster. He was released from the Indianapolis Colts' practice squad Oct. 20. Brown played in one game for the Colts, a loss to the New York Jets on Oct. 14.


"On behalf of the entire Colts family, our sincerest condolences go out to Jerry's family and friends," Colts general manager Ryan Grigson said in a statement. "He was a good teammate that was well liked by all. Today's tragic news is just another reminder of how fragile life is and how everyday given is a gift."


Brown played for San Antonio in the Arena Football League this year. In 2011, he played for Jacksonville in the AFL and the Hamilton Tiger-Cats in the Canadian Football League.


He was born and grew up in St. Louis, attending Vashon High School.


___


Associated Press Writers Michael Graczyk in Houston and Sara Burnett in Chicago contributed to this report.


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New Taxes to Take Effect to Fund Health Care Law





WASHINGTON — For more than a year, politicians have been fighting over whether to raise taxes on high-income people. They rarely mention that affluent Americans will soon be hit with new taxes adopted as part of the 2010 health care law.




The new levies, which take effect in January, include an increase in the payroll tax on wages and a tax on investment income, including interest, dividends and capital gains. The Obama administration proposed rules to enforce both last week.


Affluent people are much more likely than low-income people to have health insurance, and now they will, in effect, help pay for coverage for many lower-income families. Among the most affluent fifth of households, those affected will see tax increases averaging $6,000 next year, economists estimate.


To help finance Medicare, employees and employers each now pay a hospital insurance tax equal to 1.45 percent on all wages. Starting in January, the health care law will require workers to pay an additional tax equal to 0.9 percent of any wages over $200,000 for single taxpayers and $250,000 for married couples filing jointly.


The new taxes on wages and investment income are expected to raise $318 billion over 10 years, or about half of all the new revenue collected under the health care law.


Ruth M. Wimer, a tax lawyer at McDermott Will & Emery, said the taxes came with “a shockingly inequitable marriage penalty.” If a single man and a single woman each earn $200,000, she said, neither would owe any additional Medicare payroll tax. But, she said, if they are married, they would owe $1,350. The extra tax is 0.9 percent of their earnings over the $250,000 threshold.


Since the creation of Social Security in the 1930s, payroll taxes have been levied on the wages of each worker as an individual. The new Medicare payroll is different. It will be imposed on the combined earnings of a married couple.


Employers are required to withhold Social Security and Medicare payroll taxes from wages paid to employees. But employers do not necessarily know how much a worker’s spouse earns and may not withhold enough to cover a couple’s Medicare tax liability. Indeed, the new rules say employers may disregard a spouse’s earnings in calculating how much to withhold.


Workers may thus owe more than the amounts withheld by their employers and may have to make up the difference when they file tax returns in April 2014. If they expect to owe additional tax, the government says, they should make estimated tax payments, starting in April 2013, or ask their employers to increase the amount withheld from each paycheck.


In the Affordable Care Act, the new tax on investment income is called an “unearned income Medicare contribution.” However, the law does not provide for the money to be deposited in a specific trust fund. It is added to the government’s general tax revenues and can be used for education, law enforcement, farm subsidies or other purposes.


Donald B. Marron Jr., the director of the Tax Policy Center, a joint venture of the Urban Institute and the Brookings Institution, said the burden of this tax would be borne by the most affluent taxpayers, with about 85 percent of the revenue coming from 1 percent of taxpayers. By contrast, the biggest potential beneficiaries of the law include people with modest incomes who will receive Medicaid coverage or federal subsidies to buy private insurance.


Wealthy people and their tax advisers are already looking for ways to minimize the impact of the investment tax — for example, by selling stocks and bonds this year to avoid the higher tax rates in 2013.


The new 3.8 percent tax applies to the net investment income of certain high-income taxpayers, those with modified adjusted gross incomes above $200,000 for single taxpayers and $250,000 for couples filing jointly.


David J. Kautter, the director of the Kogod Tax Center at American University, offered this example. In 2013, John earns $160,000, and his wife, Jane, earns $200,000. They have some investments, earn $5,000 in dividends and sell some long-held stock for a gain of $40,000, so their investment income is $45,000. They owe 3.8 percent of that amount, or $1,710, in the new investment tax. And they owe $990 in additional payroll tax.


The new tax on unearned income would come on top of other tax increases that might occur automatically next year if President Obama and Congress cannot reach an agreement in talks on the federal deficit and debt. If Congress does nothing, the tax rate on long-term capital gains, now 15 percent, will rise to 20 percent in January. Dividends will be treated as ordinary income and taxed at a maximum rate of 39.6 percent, up from the current 15 percent rate for most dividends.


Under another provision of the health care law, consumers may find it more difficult to obtain a tax break for medical expenses.


Taxpayers now can take an itemized deduction for unreimbursed medical expenses, to the extent that they exceed 7.5 percent of adjusted gross income. The health care law will increase the threshold for most taxpayers to 10 percent next year. The increase is delayed to 2017 for people 65 and older.


In addition, workers face a new $2,500 limit on the amount they can contribute to flexible spending accounts used to pay medical expenses. Such accounts can benefit workers by allowing them to pay out-of-pocket expenses with pretax money.


Taken together, this provision and the change in the medical expense deduction are expected to raise more than $40 billion of revenue over 10 years.


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Tax Arithmetic Shows Top Rate Is Just a Starter in Talks





WASHINGTON — Despite hints in recent days that President Obama and House Speaker John A. Boehner might compromise on the tax rate to be paid by top earners, a host of other knotty tax questions could still derail a deal to avert a fiscal crisis in January.




The math shows why. Even if Republicans were to agree to Mr. Obama’s core demand — that the top marginal income rates return to the Clinton-era levels of 36 percent and 39.6 percent after Dec. 31, rather than stay at the Bush-era rates of 33 percent and 35 percent — the additional revenue would be only about a quarter of the $1.6 trillion that Mr. Obama wants to collect over 10 years. That would be about half of the $800 billion that Republicans have said they would be willing to raise.


That calculation alone suggests the scope of the other major tax issues to be negotiated beyond tax rates. And that is why many people in both parties remain unsure that a deal will come together before Jan. 1. Without agreement, more than $500 billion in automatic tax increases on all Americans and cuts in domestic and military programs will take hold, which could cause a recession if left in place for months, economists say.


“The question is making sure that we hit a revenue target that’s required for a truly balanced deficit-reduction plan,” said Representative Chris Van Hollen of Maryland, the senior Democrat on the House Budget Committee. “And when the president and all of us say this is a question of math, we mean it. It’s very hard to make the numbers work without the top rates going back to the full Clinton-era levels.”


The top tax rates are taking center stage right now because Mr. Obama believes he won a mandate after campaigning relentlessly on the idea of extending Mr. Bush’s tax cuts only for households with annual income below $250,000. But the two parties also have ideological differences on taxes affecting savings, investment and inheritance, which have flared in battles going back to the Reagan years. To get a deal in the coming weeks, those differences must be addressed at least in broad terms, even if the details are left to a battle over revamping the tax code next year.


The argument over rates is far from settled. Although the two sides seem close enough on the percentages for easy compromise, principle and politics loom large: Republicans oppose raising rates as a matter of ideology, saying that it kills jobs, and the president insists that he will not keep the Bush-era rates on income above roughly $250,000 after two campaigns in which he vowed to return them to the levels of the Clinton years.


“Just to be clear, I’m not going to sign any package that somehow prevents the top rate from going up for folks at the top 2 percent,” he said Thursday.


In recent days, comments from some Republicans, including Mr. Boehner, their chief negotiator, have hinted that the party — recognizing its weak hand — might be moving toward a concession on tax rates. Seldom mentioned is that Mr. Obama’s revenue total also reflects four other changes from Bush-era tax cuts: higher tax rates on investment income from capital gains and dividends, and the restoration of two other Clinton-era provisions limiting deductions and tax exemptions for affluent individuals.


Together those changes would raise $407.4 billion over a decade — nearly as much as the president’s proposal on higher rates, which would raise $441.6 billion by 2023, for a total of $849 billion. Another $119 billion would come from higher estate taxes, opposed by Republicans and some Democrats.


And both the president and Republicans are committed to raising hundreds of billions of dollars by overhauling the tax code to further limit or end the tax breaks that high-income taxpayers can claim, though they differ in how to do that.


Republicans want to raise all $800 billion from overhauling the tax code, erasing tax breaks for high-income households and using the new revenues both to reduce deficits and to lower everyone’s tax rates. But they have not proposed how to do that, and the president insists it cannot be done without hitting middle-income taxpayers.


Mr. Obama has proposed to keep existing tax breaks but to limit the rate of those breaks for people in higher tax brackets to 28 percent, which would raise $584 billion in a decade. He has proposed variations of that proposal for four years, only to be ignored by both parties because of opposition from charitable groups, the housing industry, insurers and others to curbing deductions for charitable giving, mortgage insurance and other purposes.


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Afghan Spy Chief’s Attacker Hid Bomb by His Groin





KABUL, Afghanistan — The man who tried to kill Afghanistan’s intelligence chief this week by smuggling a bomb into a guesthouse in Kabul concealed the device “around his groin,” according to a statement released Friday by the government. The statement suggested one reason the bomb might not have been detected during a search.




It called the bombing, which seriously wounded the intelligence director, Asadullah Khalid, “unethical and contrary to principles of Shariah law.”


Shafiqullah Taheri, a spokesman for the National Directorate of Security, the agency headed by Mr. Khalid, said, “It is degrading and insulting to search anyone’s genital area, according to Shariah law.”


The spy agency has not said whether the bomber was searched when he entered the guesthouse on Thursday, where Mr. Khalid was meeting with the head of another government agency.


But if he were searched, the bomber would have forced any security guard who wanted to do his job thoroughly to behave in an un-Islamic fashion and intrude on an area of the body that is usually off limits to anyone other than a very close relative.


The only other information released Friday by the government was that Mr. Khalid, who is in his early 40s, was recovering. Western officials with some knowledge of the case said that while he would survive, he had serious abdominal injuries that would require multiple operations and that it was not yet clear if or when he would be able to return to work. The Taliban have claimed responsibility for the attack.


President Hamid Karzai visited Mr. Khalid on Thursday at a hospital run by the security directorate where he was initially taken, and Gen. John R. Allen, the commander of the international coalition forces in Afghanistan, visited him on Friday at the Bagram Air Base hospital where he was transferred late Thursday.


Other than the location of the bomb, the intelligence agency said little about the attack and released no information about the attacker, including whether he had died in the explosion or had been shot by a guard.


The directorate’s statement about the location of the bomb seemed in part to be a response to questions from the public about how a suicide bomber was able to get so close to Mr. Khalid without being detected.


Afghans have found the notion of security searches, which are routine in the West, extremely difficult to embrace from a religious and a cultural perspective. Muslim cultures generally place great emphasis on modesty, and men and women are reluctant to show any parts of their bodies to strangers. While different schools of Islamic law have somewhat different teachings, revealing any part of the body and touching anyone else’s body is restricted.


In Afghanistan’s extremely conservative culture, a sense of discretion runs even deeper. Even at the height of summer, most Afghan men do not wear shorts; if they were to, the shorts would be knee-length. Outside major cities, a vast majority of women would not leave their homes without wearing a burqa, a veil that completely hides the face and body.


Gradually, searches in Afghanistan have become more thorough as suicide bombers wearing explosive vests have become more prevalent. Afghan security forces have tried to inculcate a more Western approach to searches among their guards, but it has not been easy.


A number of Afghans regard a body search as an insult signifying a lack of trust. So if the bomber who tried to assassinate Mr. Khalid was being brought to meet him by a trusted person, guards might well have been reluctant to offend him with a thorough body search.


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The Era of Twitter Without Instagram Has Now Begun












We know everyone is a little bummed about all those filtered photos disappearing from your Twitter streams this weekend, but let’s not get all worked up about it: They are disappearing, and there is no scandal.


RELATED: Why You Can’t See Instagram Photos on Twitter Anymore












TechCrunch’s  Drew Olanoff got a little too excited on Friday and thought a single in-stream photo meant that Instagram was allowing its Twitter cards back on Twitter and thought the two services were planning a sudden reunion. You may have seen some, too, but a Facebook spokesperson assured users these Instagram photos on Twitter were the last holdouts in the switchover. ”What you are seeing now may be some sort of regression depending on the mobile client, but we’re checking in with the engineers,” read Facebook’s statement, via Talking Points Memo’s Carl Franzen.


RELATED: How to Get Over the Twitter-Instagram War on Photos


Which means the end of this particular social-media marriage is upon us. Despite the immediate user backlash, Instagram CEO Kevin Systrom has made it pretty clear that the photo-sharing app doesn’t plan on making nice with Twitter. In case you hadn’t accepted the reality of Silicon Valley competition the first time around, this photo-friendly weekend might be the time to check out our handy three-step guide to getting over it. 


Social Media News Headlines – Yahoo! News


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Te'o and Manziel hit Manhattan with Heisman hopes


NEW YORK (AP) — Notre Dame linebacker Manti Te'o was looking forward to a break. It's been a long week for most decorated football player in the country.


Texas A&M quarterback Johnny Manziel seemed to have more energy when he arrived at a midtown Manhattan hotel with his fellow Heisman Trophy finalist.


The two players spent about 30 minutes getting grilled by dozens of reporters before being whisked away to more interviews.


Manziel, Te'o or Collin Klein, the other finalist — who could not make it to town Friday — each has a chance to be a Heisman first Saturday night.


Manziel is trying to be the first freshman to win the award. Te'o would be the first winner to play only defense. Klein would be Kansas State's first Heisman winner.


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The New Old Age Blog: A Son Lost, a Mother Found

My friend Yvonne was already at the front door when I woke, so at first I didn’t realize that my mother was missing.

It was less than a week after my son Spencer died. Since that day, a constant stream of friends had been coming and going, bringing casseroles and soup, love, support and chatter. Mom hated it.

My 94-year-old mother, who has vascular dementia, has been living in my home in upstate New York for the past few years. Like many with dementia, mom is courteous but, underneath, irascible. Pride defines her, especially pride in her Phi Beta Kappa intellect. She hates to be confronted with how she has become, as she calls it, “stupid.”

The parade of strangers confused her. She had to be polite, field solicitous questions, endure mundane comments. She could not remember what was going on or why people were there. It must have been stressful and annoying.

That night, like every night since the state troopers brought the news, I woke hourly, tumbling in panic. As if it were not too late to save my son. Mom knew something was wrong, but she could not remember what. As I overslept that morning, she must have decided enough was enough. She was going home.

In a cold sky, the sun blazed over tall pines. As I opened the door, the dogs raced out to greet Yvonne and her two housecleaners. Yvonne often brags about her cleaning duo. They were her gift to me. They were going to clean my house before the funeral reception, which was scheduled for later that week. This was a very big gift because, like my mother before me, I am a very bad housekeeper.

Mom’s door was shut. I cautioned the housecleaners to avoid her room as I showed them around. Yvonne went to the kitchen to listen to the 37 unheard messages on my answering machine; the housecleaners went out to their van to get their instruments of dirt removal.

I ducked into Mom’s room to warn her about the upcoming noise. The bed was unmade; the floor was littered with crumpled tissues; the room was empty.

Normally, I would have freaked out right then. I knew Mom was not in the house, because I had just shown the whole house to the cleaners. Although Mom doesn’t wander like some dementia patients, she does on occasion run away. But I could not muster a shred of anxiety.

“Yvonne,” I called, “did you see my mother outside?”

Yvonne popped her head into the living room, eyebrows raised.“Outside? No!” She was alarmed. “Is she missing?”

“Yeah,” I said wearily, “I’ll look.” I stepped out onto the front porch, tightening the belt of my bathrobe and turning up the collar. Maybe she had walked off into the woods. The dogs danced around my legs, wanting breakfast.

I had no space left in my body to care. Either we would find her, or we would not. Either she was alive, or she was not. My child was gone. How could I care about anything ever again?

Then I saw my car was missing. My mouth fell open and my eyeballs rolled up to the right, gazing blindly at the abandoned bird’s nest on top of the porch light: What had I done with the keys?

Mom likes to run away in the car when she is angry. She used to do it a lot when my father was still alive — every time they fought. Since Mom took off in my car almost a year ago, after we had had a fight, I’d kept the keys hidden. Except for this week; this week, I had forgotten.

I was reverting to old habits. I had left the doors unlocked and the keys in the cupholder next to the driver’s seat. Exactly like Mom used to do.

“Uh-oh,” I said aloud. Mom was still capable of driving, even though she did not know where she was going. I just really, really hoped that she didn’t hurt anybody on the road. I pulled out my cellphone, about to call the police.

“Celia!” Yvonne shouted from the kitchen. She hurried up behind me, excited. “They found your mother. There are two messages on your machine.”

At that very moment, Mom was holed up at the College Diner in New Paltz, a 20-minute drive over the mountain, through the fields, left over the Wallkill River and away down Main Street.

Yvonne called the diner. They promised to keep the car keys until someone arrived. By that time, Yvonne had to go to work. She drove my friend Elizabeth to the diner, and Elizabeth drove Mom home in my car.

Half an hour later, they walked in the front door. Mom’s cheeks were rouged by the chill air and her eyes sparkled, her white hair riffing with static electricity. “Hello, hello,” she sang out. “Here we are.” She was wearing the flannel nightgown and robe I had dressed her in the night before. It was covered by her oversized purple parka, and her bare feet were shoved into sneakers.

I started laughing as soon as I saw her. I couldn’t help it. Elizabeth and Mom started laughing too. “You had a big adventure,” I said, hugging them both. “How are you?”

“I’m just marvelous,” said my mother. Mom always feels great after doing something rakish. We settled her on the sofa with her feet on the ottoman. By the time I got her blanket tucked in around her shoulders, she had fallen asleep.

Elizabeth couldn’t stop laughing as she described the scene. “Your mother was holding court in this big booth. She was sitting there in her nightgown and her parka, talking to everybody, with this plate of toast and coffee and, like, three of the staff hovering around her.”

The waitress said Mom seemed “a little disoriented” when she got there. Mom said she was meeting a friend for breakfast, but since she was wearing a nightgown and didn’t know whom she was meeting or where she lived, the staff thought there might be a problem. They convinced Mom to let them look in the glove compartment of the car, where they found my name and number.

It was then that I realized I was laughing – something I’d thought I would never be able to do again. “Elizabeth, Elizabeth, I’m laughing,” I said.

“Ha, ha, ha,” laughed Elizabeth, holding her belly.

“Ha, ha, ha,” I laughed, rolling on the floor.

And she who gave me life, who had suffered the death of my child and the extinction of her own intellect, snoozed on: oblivious, jubilant, still herself, still mine.

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Off the Charts: European Banks Thriving as Investor Fears Ease





THE European bank crisis was one of the major worries of 2012. There were forecasts that the euro zone would break up, that various countries would default on their debts and that undercapitalized banks would fail because national governments could not afford to keep them alive.




The bank crisis is not yet resolved, but it “appears to have been put on the back burner of investor concerns,” Jeffrey Yale Rubin and Kevin Pleines of Birinyi Associates said in a research bulletin sent to clients this week.


The accompanying charts show what has happened to the share prices of an index of euro zone bank stocks, and to each of the 28 members in the index, since June 30. In early July, the index kept falling, but by late in the month it turned around. Anyone who bought all the banks at the end of June is up by about 25 percent. Anyone with the good fortune to buy at the exact bottom has a profit of about half the money invested.


The bank stocks have outperformed other European stocks and they have outperformed American bank stocks, although the shares of most American banks also have risen.


The reasons for the relaxation of investor fears are simple enough. There is a growing confidence that euro zone institutions will succeed in their support efforts. Finance ministers are still arguing about the details of a single regulator for banks throughout the zone, but the European Central Bank’s promise to lend money to banks that need it is widely accepted, and investors believe that Germany will put up whatever money is needed to keep the euro zone from breaking up.


Troubled governments like Italy and Spain are still paying much more than Germany to borrow, but their rates have fallen. Costs have declined even in Portugal, which is in the weakest position of countries other than Greece. The French banks led the way up in late 2012, but even the price of Banco Espirito, a Portuguese bank, has soared by about half since midyear. There are still major concerns about troubled Spanish banks, and two of those join an Italian institution in being the only stock market losers over the period. But the National Bank of Greece managed a small gain.


None of this means that those banks have served long-term shareholders well. Only one of them, a Finnish institution, has a share price higher than it did at the end of 2007, before the financial crisis.


But, for now at least, investors seem to have growing confidence that the banks will survive. Given the fears of a few months ago, that is reason for celebration.


Floyd Norris comments on finance and the economy at nytimes.com/economix.



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IHT Rendezvous: Trust Women Conference: A Delegate's Reflections

LONDON — The first Trust Women conference, hosted by Thomson Reuters Foundation and the International Herald Tribune in London this week, boasted an impressive line up of speakers — from Melanne Verveer, the U.S. ambassador-at-large for global women’s issues to Christy Turlington Burns of Every Mother Counts to Queen Noor of Jordan, to name a few.

The conference confronted difficult subjects like modern-day slavery, the role of women after the Arab Spring, child marriage, corruption and development. The opening speech was delivered by Daw Aung San Suu Kyi by video.

When she was small, she said, growing up with her widowed mother, she thought women ruled the world. The Burmese politician, the second woman in history to be awarded the Nobel Peace Prize, said she couldn’t empathize more with the title of the conference “Trust Women.” “We women have to learn to trust ourselves much more than society has perhaps allowed us to do,” she said.

Sessions on how to change laws, enforce existing laws and change mindsets to empower women led inevitably to discussion of the role women themselves play in passing their predicament on to future generations. Shirin Ebadi, the Iranian lawyer and human rights activist featured in my film “Lili’s Journey,” said, “Men are children of women, they are raised by women, and often these notions of patriarchy are carried from generation to generation even more fiercely by the women themselves.”

Dr. Ebadi, also a Nobel Peace Prize laureate, has set out with volunteers to collect one million signatures in Iran to address the gender discrimination laws in the country’s constitution. “The aim is not to simply gather these million signatures, but to engage the entire society so that they themselves can be the change from within.”

“We tell them useful facts, unbeknownst to many like: Did you know that in an accident, the law dictates that compensation for your male counterpart will be twice the amount of yours?”

Nazir Afzal, Britain’s chief crown prosecutor for the northwest, told the conference that he was on a drive to bring those guilty of “the organized crime that is honor killing” to justice.

Most shockingly, he explained to the audience that a missing underage girl in Britain who is forced into marriage and sent back to her parents’ native country is not protected by the laws of the Western country in which she was born.

He noted of such girls, “Nobody looks for them when they go missing. When your own family is at the origin of the harm that is being done to you, there is no one else to ring the alarm bell for them.”

Home-grown grass-roots action and leadership is needed to change some of these vast issues in different cultures, which are intrinsically linked to strong traditions.
And while the concept of the “white savior complex” crossed a few minds at the conference, it was very obvious that the activists represented today need support but are deemed best placed to know how far to stretch their own communities, challenging their own specific circumstances and heritage.

They are not expecting anybody else to do it for them. Mabel van Oranje, senior adviser to the group of global leaders known as The Elders, said, for instance, that “in the African countries where we are active, we are often told to keep our nose out, but the word of Desmond Tutu, the word of Kofi Annan is highly respected … to
them, it is the voice that comes from within” Africa.

The panel on the role of women and the Arab Spring brought out some of these perspectives. When the journalist Katrin Bennhold of the International Herald Tribune asked the panel of women from Tunisia, Saudi Arabia, Libya, Yemen, Bahrain and Egypt whether they perceive Western women to be charging around with notions of what is best for them, the answer was rather candid.

“We are not here to import Western laws,” said Alaa Murabit, the founder of Voice of Libyan Women. Then she added, “We need a more accurate interpretation of the Shariah law to establish our new constitution.”

The comment upset an Iranian delegate who begged for clarification on what exactly it meant for women to be subjected to Shariah. What is the provision for women in a correct interpretation of Shariah law when it comes to gender equality, access to your children and to financial independence? The outburst threw a lot of questions into the air. They remained unanswered.

Personally, since producing my film, “Lili’s Journey,” on women’s empowerment, I am compelled by the topic of public-private partnerships to achieve some of the important development goals broached during the conference.

At the end of a two-day meeting that created dozens of new connections, fresh stories and much determination to act, Emma Bonino took the stage — epitomizing all that energy, and vowing to take it to Yangon, where she plans to spend time over the Christmas holidays with Aung San Suu Kyi. Who knows, she speculated, perhaps we can go there next year?

Noting that much of the conference had dwelled on how to empower women and get things moving in Africa, Asia or the Middle East, Emma reminded everyone in no uncertain fashion that ”we in Europe still have a very, very long way to go.”

The latest example, she said, was the failure to get a woman on to the board of the European Central Bank. Comparing the many struggles faced by women today to one of her first campaigns — to legalize abortion in Italy in the 1970s — she urged everyone present to stay focused, and to fight for laws because they do make a difference. They are the first step to ensuring that achievements are ”set in stone,” so ”that there is no going back,” she insisted, recalling the joy she had felt when abortion was allowed in Italy, that she was no longer someone campaigning for something illegal, but working to make something that was legal work well.

Activists should remember, she added, that it is important to ask governments, politicians and other individuals and institutions to do their social duty. ”We must pretend that institutions are capable of reacting to the needs of people,” she said. ”We must mob them….The more we leave them alone, the happier they are!”


Laetitia Belmadani is a Paris-based writer and film director.

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Zynga moves to enter US gambling market












NEW YORK (AP) — Online games company Zynga said it has asked Nevada gambling regulators for a decision that could pave the way for it to enter the U.S. gambling market.


This follows Zynga’s October disclosure that it has signed a deal to offer online poker and casino games, played with real money, in the U.K. It plans to launch those games in the first half of 2013.












Zynga Inc. said in an email late Wednesday that it is seeking an “application for a preliminary finding of suitability” from the Nevada Gaming Control Board. This, the company says, is part of its plan to enter regulated “real-money gaming,” that is, gambling markets.


Zynga has not said what it plans to do with a gaming license. But the company, whose games are played primarily on Facebook, has faltered in recent months and is looking for additional revenue sources beyond online games such as “FarmVille 2″ and “Words With Friends.”


The San Francisco-based company says the process with Nevada regulators should take 12 to 18 months. If Zynga passes the first regulatory hurdle, it can then apply for a gaming license in the state. That, the company said, takes two to three months.


Zynga’s stock rose 17 cents, or 7.1 percent, to close Thursday at $ 2.49. The company went public about a year ago, when its stock priced at $ 10 per share.


Gaming News Headlines – Yahoo! News


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NHL labor talks break off after 1 hour


NEW YORK (AP) — Talks in the NHL labor fight broke down after just one hour Thursday night, and it isn't known when the league and the players' association would get back together.


After several hours of waiting for discussions to resume for a third straight day, the conversations didn't go well and had none of the momentum that existed Tuesday and Wednesday.


NHL deputy commissioner Bill Daly left the site of the negotiations and headed to the league's office.


The union held internal discussions most of the day, while keeping in contact with the NHL, and the sides finally reconvened around 5 p.m.


Players' association executive director Donald Fehr was expected to address reporters to give an update. Fehr rejoined the negotiations Thursday after sitting out the previous two days. NHL Commissioner Gary Bettman stayed out for the third consecutive day.


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Extended Use of Breast Cancer Drug Suggested


The widely prescribed drug tamoxifen already plays a major role in reducing the risk of death from breast cancer. But a new study suggests that women should be taking the drug for twice as long as is now customary, a finding that could upend the standard that has been in place for about 15 years.


In the study, patients who continued taking tamoxifen for 10 years were less likely to have the cancer come back or to die from the disease than women who took the drug for only five years, the current standard of care.


“Certainly, the advice to stop in five years should not stand,” said Prof. Richard Peto, a medical statistician at Oxford University and senior author of the study, which was published in The Lancet on Wednesday and presented at the San Antonio Breast Cancer Symposium.


Breast cancer specialists not involved in the study said the results could have the biggest impact on premenopausal women, who account for a fifth to a quarter of new breast cancer cases. Postmenopausal women tend to take different drugs, but some experts said the results suggest that those drugs might be taken for a longer duration as well.


“We’ve been waiting for this result,” said Dr. Robert W. Carlson, a professor of medicine at Stanford University. “I think it is especially practice-changing in premenopausal women because the results do favor a 10-year regimen.”


Dr. Eric P. Winer, chief of women’s cancers at the Dana-Farber Cancer Institute in Boston, said that even women who completed their five years of tamoxifen months or years ago might consider starting on the drug again.


Tamoxifen blocks the effect of the hormone estrogen, which fuels tumor growth in estrogen receptor-positive cancers that account for about 65 percent of cases in premenopausal women. Some small studies in the 1990s suggested that there was no benefit to using tamoxifen longer than five years, so that has been the standard.


About 227,000 cases of breast cancer are diagnosed each year in the United States, and an estimated 30,000 of them are in premenopausal women with estrogen receptor-positive cancer and prime candidates for tamoxifen. But postmenopausal women also take tamoxifen if they cannot tolerate the alternative drugs, known as aromatase inhibitors.


The new study, known as Atlas, included nearly 7,000 women with ER-positive disease who had completed five years of tamoxifen. They came from about three dozen countries. Half were chosen at random to take the drug another five years, while the others were told to stop.


In the group assigned to take tamoxifen for 10 years, 21.4 percent had a recurrence of breast cancer in the ensuing 10 years, meaning the period 5 to 14 years after their diagnoses. The recurrence rate for those who took only five years of tamoxifen was 25.1 percent.


About 12.2 percent of those in the 10-year treatment group died from breast cancer, compared with 15 percent for those in the control group.


There was virtually no difference in death and recurrence between the two groups during the five years of extra tamoxifen. The difference came in later years, suggesting that tamoxifen has a carry-over effect that lasts long after women stop taking it.


Whether these differences are big enough to cause women to take the drug for twice as long remains to be seen.


“The treatment effect is real, but it’s modest,” said Dr. Paul E. Goss, director of breast cancer research at the Massachusetts General Hospital.


Tamoxifen has side effects, including endometrial cancer, blood clots and hot flashes, which cause many women to stop taking the drug. In the Atlas trial, it appears that roughly 40 percent of the patients assigned to take tamoxifen for the additional five years stopped prematurely.


Some 3.1 percent of those taking the extra five years of tamoxifen got endometrial cancer versus 1.6 percent in the control group. However, only 0.6 percent of those in the longer treatment group died from endometrial cancer or pulmonary blood clots, compared with 0.4 percent in the control group.


“Over all, the benefits of extended tamoxifen seemed to outweigh the risks substantially,” Trevor J. Powles of the Cancer Center London, said in a commentary published by The Lancet.


Dr. Judy E. Garber, director of the Center for Cancer Genetics and Prevention at Dana-Farber, said many women have a love-hate relationship with hormone therapies.


“They don’t feel well on them, but it’s their safety net,” said Dr. Garber, who added that the news would be welcomed by many patients who would like to stay on the drug. “I have patients who agonize about this, people who are coming to the end of their tamoxifen.”


Emily Behrend, who is a few months from finishing her five years on tamoxifen, said she would definitely consider another five years. “If it can keep the cancer away, I’m all for it,” said Ms. Behrend, 39, a single mother in Tomball, Tex. She is taking the antidepressant Effexor to help control the night sweats and hot flashes caused by tamoxifen.


Cost is not considered a huge barrier to taking tamoxifen longer because the drug can be obtained for less than $200 a year.


The results, while answering one question, raise many new ones, including whether even more than 10 years of treatment would be better still.


Perhaps the most important question is what the results mean for postmenopausal women. Even many women who are premenopausal at the time of diagnosis will pass through menopause by the time they finish their first five years of tamoxifen, or will have been pushed into menopause by chemotherapy.


Postmenopausal patients tend to take aromatase inhibitors like anastrozole or letrozole, which are more effective than tamoxifen at preventing breast cancer recurrence, though they do not work for premenopausal women.


Mr. Peto said he thought the results of the Atlas study would “apply to endocrine therapy in general,” meaning that 10 years of an aromatase inhibitor would be better than five years. Other doctors were not so sure.


The Atlas study was paid for by various organizations including the United States Army, the British government and AstraZeneca, which makes the brand-name version of tamoxifen.


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Jobless Claims Drop as Storm’s Effects Fade





WASHINGTON (AP) — The number of people applying for unemployment benefits fell sharply last week as a temporary spike caused by Hurricane Sandy faded. Weekly first-time jobless claims have fallen back to a level consistent with modest hiring.




The Labor Department said Thursday that applications for unemployment benefits dropped 25,000 last week to a seasonally adjusted 370,000.


New unemployment claims surged a month ago after the storm forced businesses to close in the Northeast. Applications jumped to 451,000 in the week that ended Nov. 10. People can claim unemployment benefits if their workplaces are forced to close and they are not paid.


Some analysts were encouraged by how quickly new jobless claims returned to pre-storm levels. Pierre Ellis, an economist at Decision Economics, said the rapid drop suggested that companies were quickly rehiring workers displaced by the storm. Rebuilding and repair efforts could also be creating jobs, he said.


The early impact of Hurricane Sandy could still be seen in the four-week average of new unemployment applications. It rose to 408,000 last week.


Before the storm hit on Oct. 29, new jobless claims had fluctuated this year from 360,000 to 390,000. They were above 400,000 for most of last year. That has coincided with only modest declines in the unemployment rate.


The impact of Hurricane Sandy is also likely to depress November’s employment figures, which the government will report on Friday. And fears over looming tax increases and government spending cuts also may have dragged on job gains last month.


Economists were forecasting on average that employers added 110,000 jobs in November, according to FactSet. And they predicted that the unemployment rate would remain at 7.9 percent. But some analysts expected much lower job gains, roughly 25,000 to 50,000, because of the storm and anxiety over the fiscal crisis.


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The Lede Blog: Clashes in Cairo After Morsi Supporters Attack Palace Sit-In

Video, said to show a Morsi supporter firing a shotgun in the direction of protesters in Cairo on Wednesday night, was posted on YouTube by the Mosireen film collective.

Last Updated, 6:55 p.m. Street battles erupted in Cairo on Wednesday night, after Islamist supporters of President Mohamed Morsi attacked protesters camped outside the gates of the presidential palace, according to journalists and activists who witnessed the raid.

Morsi supporters reportedly attempted to stifle coverage by attacking journalists and bloggers, but activists from the Mosireen film collective managed to record video of tents being ripped down, which was quickly posted on YouTube.

Raw footage of an attack on a sit-in outside the presidential palace in Cairo on Wednesday posted on YouTube by Mosireen, a collective of activist filmmakers.

Egypt’s ON TV, which posted a live stream of the scene outside the palace on YouTube, also broadcast video of the president’s supporters clearing the sit-in and putting up barriers to block the return of protesters to the area.

Video from Egypt’s ON TV showed Islamists driving away protesters camped outside the presidential palace in Cairo on Wednesday

Activists and journalists posted images on Twitter showing the president’s supporters dispersing the sit-in and taking control of the area outside the palace, with the apparent acquiescence of the police.

The attack on the sit-in came one day after tens of thousands of protesters rallied outside the gates of the palace to protest the president’s decree granting himself unchecked power to help push through a new constitution written by Islamists.

Before the attack, a message posted on the Muslim Brotherhood’s official @Ikhwanweb Twitter account called for a million-man counter-demonstration at the same location.

As several journalists noted, the Morsi supporters cleared the sit-in just as the vice president told reporters that the crisis could be resolved by allowing a referendum on the draft constitution to proceed and then passing amendments to the document after a new Parliament convenes.

While Muslim Brotherhood officials denied that they were responsible for the violence, claiming that “both sides” engaged in attacks, opposition activists blamed the Islamist president for the escalation and compared the use of force by civilian supporters of the Islamist movement to the tactics of the Mubarak regime and the way Iran’s government deploys members of the Basij militia to attack protesters there.

After the Morsi supporters cleared the small number of protesters who had camped outside the palace walls following Tuesday night’s protest, they moved on to erasing graffiti left by the revolutionaries, including a portrait of Jika Gaber, a young man who was killed at the start of the protests against the president’s decree.

As opposition protesters rallied nearby in response to the attack, activists reported that the president’s supporters remained on the offensive. Video streamed live from the scene to the video-sharing site Bambuser by the activist blogger Tarek Shalaby seemed to capture the sound of shots being fired.

Raw footage posted online later by the activist filmmakers from Mosireen appeared to show clear images of one of the Morsi supporters firing a shotgun in the direction of the protesters.

Later, a researcher for the Egyptian Initiative for Personal Rights reported that Morsi supporters were firing shotgun pellets at the protesters on the other side, and one blogger took cover under a car to avoid being attacked.

After reports of serious casualties accompanied by graphic images began to circulate online, the journalists Sharif Kouddous and Sarah Carr reported on clashes between supporters and opponents of the president from the front line between the two groups.

More footage of the street battle posted online late in the evening by Mosireen appeared to show a police officer firing at protesters from the Morsi supporters’ side of the barricades.

Mosireen video of the street battles on Wednesday night in Cairo.

Late in the evening, the blogger who writes as @Egyptocracy on Twitter drew attention to video that appeared to show a protester who had been captured by the president’s supporters. Refusing to give into the demands of his captors to confess to having been paid to take part in the demonstration, the man shouted instead, “I will voice my opinion.”

After the violence escalated, Brotherhood officials, including Essam el-Erian, a senior leader of the group’s political party, and the young, Islamist bloggers running the official Twitter account tried to blame opposition politicians, and were met with jeers from activists.

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Chiefs players head to Belcher memorial service


KANSAS CITY, Mo. (AP) — Several players for the Kansas City Chiefs attended a memorial service for teammate Jovan Belcher, who killed his girlfriend and then fatally shot himself in the head.


Belcher killed 22-year-old Kasandra Perkins on Saturday at the home they shared in Kansas City with their 3-month-old daughter. He then drove to the Chiefs practice facility at Arrowhead Stadium, where he killed himself in front of team officials, who pleaded with him to put down his gun.


Retired Chiefs Hall of Famer Bobby Bell said after the private hour-long service that general manager Scott Pioli, who witnessed Belcher's suicide, spoke during the service. Bell said an uncle of Belcher also spoke.


The service was held at a church that Belcher and Perkins attended.


Several other Chiefs players declined comment after the service.


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Extended Use of Breast Cancer Drug Suggested


The widely prescribed drug tamoxifen already plays a major role in reducing the risk of death from breast cancer. But a new study suggests that women should be taking the drug for twice as long as is now customary, a finding that could upend the standard that has been in place for about 15 years.


In the study, patients who continued taking tamoxifen for 10 years were less likely to have the cancer come back or to die from the disease than women who took the drug for only five years, the current standard of care.


“Certainly, the advice to stop in five years should not stand,” said Prof. Richard Peto, a medical statistician at Oxford University and senior author of the study, which was published in The Lancet on Wednesday and presented at the San Antonio Breast Cancer Symposium.


Breast cancer specialists not involved in the study said the results could have the biggest impact on premenopausal women, who account for a fifth to a quarter of new breast cancer cases. Postmenopausal women tend to take different drugs, but some experts said the results suggest that those drugs as well might be taken for a longer duration.


“We’ve been waiting for this result,” said Dr. Robert W. Carlson, a professor of medicine at Stanford University. “I think it is especially practice-changing in premenopausal women because the results do favor a 10-year regimen.”


Dr. Eric P. Winer, chief of women’s cancers at the Dana-Farber Cancer Institute in Boston, said that even women who completed their five years of tamoxifen months or years ago might consider starting on the drug again.


Tamoxifen blocks the effect of the hormone estrogen, which fuels tumor growth in estrogen receptor-positive cancers that account for about 65 percent of cases in premenopausal women. Some small studies in the 1990s suggested that there was no benefit to using tamoxifen longer than five years, so that has been the standard.


About 227,000 cases of breast cancer are diagnosed each year in the United States, and an estimated 30,000 of them would be in premenopausal women with ER-positive cancer and prime candidates for tamoxifen. But postmenopausal women also take tamoxifen if they cannot tolerate the alternative drugs, known as aromatase inhibitors.


The new study, known as Atlas, included nearly 7,000 women with ER-positive disease who had completed five years of tamoxifen. They came from about three dozen countries. Half were chosen at random to take the drug another five years, while the others were told to stop.


In the group assigned to take tamoxifen for 10 years, 21.4 percent had a recurrence of breast cancer in the ensuing ten years, meaning the period 5 to 14 years after their diagnoses. The recurrence rate for those who took only five years of tamoxifen was 25.1 percent.


About 12.2 percent of those in the 10-year treatment group died from breast cancer, compared with 15 percent for those in the control group.


There was virtually no difference in death and recurrence between the two groups during the five years of extra tamoxifen. The difference came in later years, suggesting that tamoxifen has a carry-over effect that lasts long after women stop taking it.


Whether these differences are big enough to cause women to take the drug for twice as long remains to be seen.


“The treatment effect is real, but it’s modest,” said Dr. Paul E. Goss, director of breast cancer research at the Massachusetts General Hospital.


Tamoxifen has side effects, including endometrial cancer, blood clots and hot flashes, which cause many women to stop taking the drug. In the Atlas trial, it appears that roughly 40 percent of the patients assigned to take tamoxifen for the additional five years stopped prematurely.


Some 3.1 percent of those taking the extra five years of tamoxifen got endometrial cancer versus 1.6 percent in the control group. However, only 0.6 percent of those in the longer treatment group died from endometrial cancer or pulmonary blood clots, compared with 0.4 percent in the control group.


“Over all, the benefits of extended tamoxifen seemed to outweigh the risks substantially,” Trevor J. Powles of the Cancer Center London, said in a commentary published by The Lancet.


Dr. Judy E. Garber, director of the Center for Cancer Genetics and Prevention at Dana-Farber, said many women have a love-hate relationship with hormone therapies.


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Obama Tells G.O.P. Not to Tie Debt Ceiling to Fiscal Debate


Doug Mills/The New York Times


President Obama spoke to members of the Business Roundtable in Washington on Wednesday.







WASHINGTON — President Obama warned Republicans on Wednesday not to use the debt ceiling as leverage on spending and tax decisions, saying he refused to engage again in the sort of brinkmanship that brought the country close to default last year and damaged its credit rating.




In a speech to the Business Roundtable, Mr. Obama called that irresponsible. “That is a bad strategy for America, it’s a bad strategy for your businesses and it is not a game that I will play,” he said. “Everybody here is concerned about uncertainty. There’s no uncertainty like the prospect that the United States of America, the largest economy, that holds the world’s reserve currency, potentially defaults on its debts.”


While saying he would not “play that game,” a phrase he repeated, Mr. Obama did not say what he would do in response, but some Democrats have urged him in the past to simply raise the borrowing limit using his own executive authority and let the courts determine if he overstepped his constitutional bounds.


He seemed to embrace a suggestion by John Engler, the Business Roundtable president, to raise the debt ceiling enough to last five years. “John is exactly right when he says that the only thing that the debt ceiling is good for as a weapon is just to destroy your credit rating,” Mr. Obama said.


Mr. Obama was reacting to reports that Republican leadership officials were looking for a fallback in the current debate to avert an end-of-the-year fiscal crisis. Some Republicans foresee accepting Mr. Obama’s call to extend Bush-era tax cuts for the middle class while allowing them to expire for the wealthiest Americans, and then taking up the fight again when the nation’s debt rises to the point that the statutory borrowing limit needs to be raised again, which could be in late January or February.


Republicans view any vote to raise the debt ceiling as a chance to enforce more fiscal discipline on Mr. Obama. Speaker John A. Boehner has said any increase in borrowing capacity should be offset by spending cuts that exceed the increased debt. Mr. Obama has responded by proposing to take away the Congressional power to approve increases in the debt ceiling, but Mr. Boehner said last weekend that “Congress is never going to give up this power.”


Appearing before reporters on Wednesday, Mr. Boehner and other House Republican leaders implored Mr. Obama to sit down with them and begin negotiating in earnest to head off the looming fiscal crisis, but with flattery and aggravation, they made it clear that they were now playing on his turf.


Mr. Boehner and his leadership team did not give an inch on their opposition to raising tax rates on the wealthy or their insistence that any deficit-reduction plan emphasize spending cuts. But the speaker sounded exasperated as he insisted that he had moved toward the president’s position by agreeing to $800 billion in higher tax revenue over 10 years.


“The revenues we’re putting on the table will come from guess who? The rich,” he said, his voice rising. “There are ways to limit deductions, close loopholes and have the same people pay more of their money to the federal government without raising tax rates.”


Representative Peter Roskam of Illinois, a member of the Republican leadership, appealed to Mr. Obama’s own view of himself as a politician able to rise above partisanship, a characterization Republicans have rarely, if ever, agreed with.


“I’ve seen an attribute in President Obama when we served together in the Illinois State Senate, where he was able to rise above donkeys and elephants and transform some very controversial issues in a way that was powerful,” Mr. Roskam said, imploring the president to eschew the politics of the victor and seize “an unbelievable opportunity to be a transformational president, that is to bring the country together.”


The dueling public appearances underscored how far apart the two sides were, at least as a matter of principle. Mr. Obama’s plan calls for $1.6 trillion in new taxes over 10 years, mainly through allowing rates to rise on income above $200,000 a year for individuals or $250,000 for families. He has also revived a year-old plan to trim health care and other mandatory spending by $600 billion over 10 years, but he also wants to spend $50 billion in the short term to help the economy.


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32% of Young People Use Social Media in the Bathroom












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Bielema agrees to leave Wisconsin for Arkansas


FAYETTEVILLE, Ark. (AP) — Wisconsin coach Bret Bielema is taking his brand of power football to Arkansas.


Bielema has agreed to become the new coach of the Razorbacks, according to a person familiar with the situation that was first reported by Yahoo Sports.


The person, who spoke only on condition of anonymity because the school had not announced the hire, said a news conference was planned for Wednesday. Arkansas athletic director Jeff Long tweeted that an announcement was planned Tuesday evening.


"He's the guy Jeff was after all along," the person said of Long. "It's hard to get these coaches to sit still."


Another person familiar with the situation said Bielema's deal is for six years, paying $3.2 million annually.


Bielema is leaving the Big Ten for the SEC and a Razorbacks program that opened the year with hopes of challenging for a national championship only to get mired in the Bobby Petrino scandal before stumbling to a 4-8 finish.


The move was the second stunning hire this year at Arkansas, which brought in John L. Smith as the interim coach after firing Petrino for hiring his mistress to work in the athletic department.


Bielema seems likely to bring a far different approach than what the Razorbacks have become accustomed to. Arkansas continually ranked among the Southeastern Conference's best passing teams under Petrino while Bielema is known for his dominant offensive lines and slew of running backs.


Wisconsin running back Montee Ball tied Barry Sanders' long-standing single-season record of 39 touchdowns last year, and this year became the all-time FBS leader in touchdowns. He currently has 82 touchdowns after running for three in Saturday's Big Ten title game against Nebraska — a 70-31 romp that secured the Badgers third straight trip to the Rose Bowl, where they will play Stanford on Jan. 1.


Bielema is in his seventh season as Barry Alvarez's hand-picked successor at Wisconsin. He's 68-24 with the Badgers, with four double-digit win seasons, and he coached Wisconsin to a 17-14 win over Arkansas in his first season at the Capital One Bowl.


The 42-year-old Bielema was the defensive coordinator at Wisconsin for two years before being promoted to head coach in 2006. He played for Iowa and started his coaching career there as an assistant under Hayden Fry and later Kirk Ferentz.


The Illinois native takes over a program still reeling following the April scandal, one eager for stability and leadership.


"I'm excited about this decision," Arkansas cornerback Tevin Mitchel tweeted.


The Razorbacks improved their win total in four straight seasons under Petrino, including a 21-5 mark in 2010-11, and finished last season ranked No. 5. They had talked openly in the spring about competing for the school's first SEC championship and perhaps a national title.


Then came the April 1 motorcycle accident that led to Petrino's downfall. The married father of four initially lied about being alone during the wreck, later admitting to riding with his mistress — a former Arkansas volleyball player he had hired to work in the athletic department.


Smith, who had been an assistant the last three seasons at Arkansas under Petrino, was chosen by Long to guide a team that returned first-team All-SEC quarterback Tyler Wilson and a host of other key playmakers. The decision was lauded by the Razorbacks, who welcomed the personable Smith back with open arms.


The season hit the skids with a stunning overtime loss to Louisiana-Monroe on Sept. 8, starting a four-game losing streak that dropped Arkansas out of the rankings. The Razorbacks finished with the school's lowest win total since 2005, missing a bowl game for the first time since 2008.


"It's very difficult for me to believe that is not a bowl-eligible team," LSU coach Les Miles said following the Tigers' win over the Razorbacks in the season finale. "Watching the talent there, (it's) very capable."


Arkansas struggled to find its identity in the SEC after leaving the former Southwest Conference in 1992, but it appeared to have finally found just that under Petrino, who was hired after leaving the Atlanta Falcons during the season in 2007.


The Razorbacks turned into an offensive powerhouse under Petrino, leading the league in scoring and total offense last season. After winning 10 games and reaching the school's first BCS bowl game in 2010, losing to Ohio State, Arkansas won 11 games in 2011, capped by a Cotton Bowl win over Kansas State.


Still, Arkansas has yet to win the SEC, losing in the conference championship game three times.


While the country watched closely to see how Arkansas would react following Petrino's dismissal, Smith made headlines of his own throughout the season. The former Michigan State and Louisville coach filed for bankruptcy during the season, revealing $40.7 million in debt he blamed on bad land deals.


He was under far more fire from Arkansas fans for the mounting losses and it will be up to Bielema to turn things around in the loaded SEC West, with Alabama, LSU and now Texas A&M.


Long said during the season that the new coach would be tasked with building on the recent success at the school, which is looking into expanding the 72,000-seat Razorback Stadium and is currently building an 80,000-square-foot football operations center.


"Our new coach will be an individual who shares the passion for success our fans do, and who is willing to work relentlessly to achieve our goals," Long said following the announcement of Smith's departure.


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