Syria "Scud-type" missile said to kill 20 in Aleppo


AMMAN (Reuters) - A Syrian missile killed at least 20 people in a rebel-held district of Aleppo on Tuesday, opposition activists said, as the army turns to longer-range weapons after losing bases in the country's second-largest city.


The use of what opposition activists said was a large missile of the same type as Russian-made Scuds against an Aleppo residential district came after rebels overran army bases over the past two months from which troops had fired artillery.


As the uprising against President Bashar al-Assad, now a civil war, nears its two-year mark, rebels also landed three mortar bombs in the rarely-used presidential palace compound in the capital Damascus, opposition activists said on Tuesday.


The United Nations estimates 70,000 people have been killed in the conflict between largely Sunni Muslim rebels and Assad's supporters among his minority Alawite sect. An international diplomatic deadlock has prevented intervention, as the war worsens sectarian tensions throughout the Middle East.


A Russian official said on Tuesday that Moscow, which is a long-time ally of Damascus, would not immediately back U.N. investigators' calls for some Syrian leaders to face the International Criminal Court for war crimes.


Moscow has blocked three U.N. Security Council resolutions that would have increased pressure on Assad.


Casualties are not only being caused directly by fighting, but also by disruption to infrastructure and Syria's economy.


An estimated 2,500 people in a rebel-held area of northeastern Deir al-Zor province have been infected with typhoid, which causes diarrhea and can be fatal, due to drinking contaminated water from the Euphrates River, the World Health Organization (WHO) said on Tuesday.


"There is not enough fuel or electricity to run the pumps so people drink water from the Euphrates which is contaminated, probably with sewage," the WHO representative in Syria, Elisabeth Hoff, told Reuters by telephone.


The WHO had no confirmed reports of deaths so far.


BURIED UNDER RUBBLE


In northern Aleppo, opposition activists said 25 people were missing under rubble of three buildings hit by a several-meter-long missile. They said remains of the weapon showed it to be a Scud-type missile of the type government forces increasingly use in Aleppo and in Deir a-Zor.


NATO said in December Assad's forces fired Scud-type missiles. It did not specify where they landed but said their deployment was an act of desperation.


Bodies were being gradually dug up, Mohammad Nour, an activist, said by phone from Aleppo.


"Some, including children, have died in hospitals," he said.


Video footage showed dozens of people scouring for victims and inspecting damage. A body was pulled from under collapsed concrete. At a nearby hospital, a baby said to have been dug out from wreckage was shown dying in the hands of doctors.


Reuters could not independently verify the reports.


Opposition activists also reported fighting near the town of Nabak on the Damascus-Homs highway, another route vital for supplying forces in the capital loyal to Assad, whose family has ruled Syria since the 1960s.


Rebels moved anti-aircraft guns into the eastern Damascus district of Jobar, adjacent to the city centre, as they seek to secure recent gains, an activist said.


"The rebels moved truck-mounted anti-aircraft guns to Jobar and are now firing at warplanes rocketing the district," said Damascus activist Moaz al-Shami.


Russian Deputy Foreign Minister Gennady Gatilov told a news conference a U.N. war crimes report, which accuses military leaders and rebels of terrorizing civilians, was "not the path we should follow ... at this stage it would be untimely and unconstructive."


Syria is not party to the Rome Statute that established the ICC and the only way the court can investigate the situation is if it receives a referral from the Security Council, where Moscow is a permanent member.


(Writing by Oliver Holmes; Editing by Jason Webb)



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Football: FIFA calls for strict match-fixing laws






KUALA LUMPUR: Football authorities vowed to excise the "cancer" of match-fixing, but said Wednesday tougher laws were needed worldwide to protect the bruised integrity of the world's most popular sport.

FIFA director of security Ralk Mutschke told a two-day gathering with Interpol that the world governing body's "zero tolerance" for match-fixing needs to be helped by "the right policies for law enforcement and the football community".

The meeting comes following revelations a fortnight ago that almost 700 matches worldwide, including Champions League ties and World Cup qualifiers, were targeted by gambling gangs.

"We are banning players and referees for life but criminals are out there free -- they get no sentence. That's wrong," he told reporters when asked to comment on Singapore's refusal to arrest a key suspect wanted in Italy suspected of rigging games.

"We have to bring in governments to change legislation and laws. Many countries do not have laws to fight match manipulation," Mutschke said.

He pointed to the November acquittal of three players in Switzerland accused of committing fraud by throwing games, where a judge said there was no obvious victim.

Mutschke said FIFA was cooperating with the Council of Europe to draft legislation to fight match-fixing, with hopes it would be implemented across the continent.

FIFA's legal team will also press the case at a May meeting of national sports ministers in Berlin where match-fixing is due to be discussed, he added.

About 150 delegates from Asian football associations, player and referee representatives, as well as government agencies, are meeting in the Malaysian capital of Kuala Lumpur, home to the Asian Football Confederation (AFC).

"We are ready to eradicate this cancer from the game. AFC will not rest until this plague is completely stopped in Asia," the AFC's acting president Zhang Jilong said in a speech.

But he later admitted to AFP that eradication "could be difficult, especially in Asia", where gambling is widespread and flourishing.

According to Europol, 380 suspicious match results have been identified in Europe, among nearly 700 worldwide, with the problem tied to a criminal syndicate based in Singapore.

Police in Singapore are calling for hard evidence before acting against Dan Tan Seet Eng, a Singaporean citizen whose name has cropped up in probes across several countries.

-AFP/gn



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Jallianwala Bagh massacre 'deeply shameful', says British PM Cameron

AMRITSAR: British Prime Minister David Cameron on Wednesday termed as "shameful" the Jallianwala Bagh massacre of innocent Indians by British troops.

"This was a deeply shameful act in British history. One that Winston Churchill rightly described at that time as monstrous. We must never forget what happened here and we must ensure that the UK stands up for the right of peaceful protests," Cameron wrote in the visitors' book of the memorial.

However, Cameron, who is the first British prime minister to visit the Jallianwala Bagh, did not offer any apology for the massacre.

The British prime minister earlier paid homage at the Jallianwala Bagh memorial, the site of the massacre of hundreds of men, women and children by British troops April 13, 1919.

Queen Elizabeth too had visited the Jallianwala Bagh memorial in October 1997 and paid homage to those killed in the massacre of unarmed Indians by British forces led by Brigadier General Reginald Dyer.

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Drug overdose deaths up for 11th consecutive year


CHICAGO (AP) — Drug overdose deaths rose for the 11th straight year, federal data show, and most of them were accidents involving addictive painkillers despite growing attention to risks from these medicines.


"The big picture is that this is a big problem that has gotten much worse quickly," said Dr. Thomas Frieden, head of the Centers for Disease Control and Prevention, which gathered and analyzed the data.


In 2010, the CDC reported, there were 38,329 drug overdose deaths nationwide. Medicines, mostly prescription drugs, were involved in nearly 60 percent of overdose deaths that year, overshadowing deaths from illicit narcotics.


The report appears in Tuesday's Journal of the American Medical Association.


It details which drugs were at play in most of the fatalities. As in previous recent years, opioid drugs — which include OxyContin and Vicodin — were the biggest problem, contributing to 3 out of 4 medication overdose deaths.


Frieden said many doctors and patients don't realize how addictive these drugs can be, and that they're too often prescribed for pain that can be managed with less risky drugs.


They're useful for cancer, "but if you've got terrible back pain or terrible migraines," using these addictive drugs can be dangerous, he said.


Medication-related deaths accounted for 22,134 of the drug overdose deaths in 2010.


Anti-anxiety drugs including Valium were among common causes of medication-related deaths, involved in almost 30 percent of them. Among the medication-related deaths, 17 percent were suicides.


The report's data came from death certificates, which aren't always clear on whether a death was a suicide or a tragic attempt at getting high. But it does seem like most serious painkiller overdoses were accidental, said Dr. Rich Zane, chair of emergency medicine at the University of Colorado School of Medicine.


The study's findings are no surprise, he added. "The results are consistent with what we experience" in ERs, he said, adding that the statistics no doubt have gotten worse since 2010.


Some experts believe these deaths will level off. "Right now, there's a general belief that because these are pharmaceutical drugs, they're safer than street drugs like heroin," said Don Des Jarlais, director of the chemical dependency institute at New York City's Beth Israel Medical Center.


"But at some point, people using these drugs are going to become more aware of the dangers," he said.


Frieden said the data show a need for more prescription drug monitoring programs at the state level, and more laws shutting down "pill mills" — doctor offices and pharmacies that over-prescribe addictive medicines.


Last month, a federal panel of drug safety specialists recommended that Vicodin and dozens of other medicines be subjected to the same restrictions as other narcotic drugs like oxycodone and morphine. Meanwhile, more and more hospitals have been establishing tougher restrictions on painkiller prescriptions and refills.


One example: The University of Colorado Hospital in Aurora is considering a rule that would ban emergency doctors from prescribing more medicine for patients who say they lost their pain meds, Zane said.


___


Stobbe reported from Atlanta.


___


Online:


JAMA: http://www.jama.ama-assn.org


CDC: http://www.cdc.gov


___


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


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Former Navy SEAL on Coming Out of Shadows












It used to be that Navy SEALs didn't just operate in the shadows. They trained in them too. Their whole story stayed shrouded in mystery. Their secret missions stayed secret to the rest of us.


But when they got Osama Bin Laden, snatched back an American cargo ship taken by pirates and rescued two air workers held hostage in Somalia, then suddenly, it seemed that SEALs were headline-makers.


Add to that some SEALs wrote books about SEAL adventures and even acted in a movie about the SEAL experience using live ammunition when they made "Act of Valor." They can't quite be called "the military unit that no one ever talked about" any longer.


Watch the full story on "Nightline" TONIGHT at 12:35 a.m. ET


Rorke Denver played Lt. Commander Rorke in "Act of Valor," a film that used dozens of SEALs and went on to gross $80 million at the box office. Now, with the help of a writer, Denver is doing some pretty decent storytelling in a new book, "Damn Few: Making the Modern SEAL Warrior."


He agrees that with SEALs like him telling their stories that these guys are out in the open like never before.


"We are, at this moment in our history, when the heat is on, the missions are getting press and coverage," Denver said.










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When asked if it was a good thing, he said, "time will tell."


"We are in the public eye and I think that mythology is something that people are hugely, hugely interested in and they have an appetite for it," Denver said. "So for us with the movie and then also with 'Damn Few' I had an opportunity, I feel, to authentically represent and hopefully do it from an honorable point of view and accurately do so."


It's mostly his own story Denver tells in "Damn Few," how he joined the SEALs after college -- they didn't want him at first.


"I put in my first application and they said no, and I am glad it went that way. I think the community really values resiliency and toughness and focus and a 'never quit' attitude. For me, when they said no I thought, that ain't going to cut it."


Denver didn't quit. He reapplied and went on to survive the SEALs brutal Hell Week and training, joined the team and deployed all over the world, including the deadly Al Anbar province in Iraq when the war there was at its hottest. His family waited for him to return stateside.


"The families, I feel, are the ones who pay the price of our choices," Denver said. "But I didn't appreciate how much I was asking my family to bear and experience it with me. They really are every bit a part of our experience and frankly they are the ones who are back home and praying and believing that you are going to come home."


But even his family didn't quite know what Denver did at work every day.


"I never ask questions about what he does," said his wife, Tracy.



But "Act of Valor" was revealing in that way, and Denver's wife watched the film.


"For me it was incredibly eye-opening to actually see a submarine mission or running around in the jungle, jumping out of a plane, shooting his weapons," she said. "For me, it was like, oh, so this is what you are doing when you are away. I appreciated it actually."






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Chavez back in Venezuela, on Twitter with four million followers


CARACAS (Reuters) - After Hugo Chavez spent two months out of the public eye for cancer surgery in Cuba, the Venezuelan government hailed his homecoming on Monday and said the president had achieved another milestone - four million followers on Twitter.


The 58-year-old flew back from Havana before dawn and was taken to a military hospital. No new details were given on his health, and there were no images of his arrival. Officials say his condition remains delicate.


The normally loquacious socialist leader, who is struggling to speak as he breathes through a tracheal tube, took to Twitter with a passion back in April 2010, tweeting regularly and encouraging other leftist Latin American leaders to do likewise.


His @chavezcandanga account quickly drew a big mixed following of fans, critics and others just curious to see how his famously long speeches and fiery anti-U.S. invective would work within the social media network's 140-character limit.


But as he fought the cancer and underwent weeks of grueling chemotherapy and radiation therapy, he began to tweet less and less frequently, before stopping altogether on November 1.


Early on Monday morning, he made his reappearance.


"It was 4:30, 5 a.m. He got to his room and surprised everyone: rat-tat-tat, he sent three or four messages, and at that moment fireworks began to go off around the country," Vice President Nicolas Maduro said in a televised cabinet meeting.


During the day, Maduro added, the president's number of followers had shot up to well over four million.


"It's incredible, in just a few hours ... he's the second most-followed president in the world (after Barack Obama), and the first if we make the comparison by per capita," he said.


Obama has more than 27 million Twitter followers and is No. 5 most followed globally. Chavez is Twitter's No. 190 globally.


4TH MILLION FOLLOWER


Maduro said Chavez's four millionth follower was a 20-year-old single Venezuelan woman named Alemar Jimenez from the gritty San Juan neighborhood in downtown Caracas, near the military hospital where the president arrived earlier in the day.


"She's one of the golden generation of youth who support the fatherland and have been waiting with growing love for commander Hugo Chavez," Maduro said, before presenting a dazzled-looking Jimenez to the cameras and giving her a bunch of flowers.


"We were really emotional" she said, recounting how she was with her mother when they heard Chavez had returned. "I sent him a message on Twitter saying he must get better."


There are still big questions over the president's health. He could have come back to govern from behind the scenes, or he may be hoping to ease political tensions and pave the way for a transition to Maduro, his preferred successor.


Chavez has often ordered followers to fight back against opposition critics of his self-styled revolution by using social media, leading from the front himself on Twitter and referring to the Internet as a "battle trench."


As his ranks of followers grew, Chavez said he hired 200 assistants to help him respond to messages - which he said were a great way to receive first-hand the requests, demands, complaints and denunciations of citizens in the thousands.


During his re-election campaign last year, the government launched an SMS text message service that forwards his tweets to cellphones that lack Internet service, broadening their reach to the poorest corners of the South American country.


"He's a communication revolution!" Maduro said, later unbuttoning his shirt on TV to show he was wearing a T-shirt bearing Chavez's eyes emblazoned across his chest.


For the tens of thousands who signed up on Monday to follow Chavez on Twitter, it is unclear how much will be posted there in the weeks and months ahead. Venezuela's 29 million people are mostly wondering something similar.


(Additional reporting by Diego Ore; Editing by Todd Eastham)



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Cricket: Injured Jayawardene out of Bangladesh series






COLOMBO: Former Sri Lanka captain Mahela Jayawardene has been ruled out of the forthcoming home series against Bangladesh because of a finger injury.

Jayawardene, 35, who is Sri Lanka's highest run-getter in Tests, dislocated a finger in his left hand while fielding during a domestic first-class match in Colombo on Sunday.

Scans of the injury have been sent to Australia for further analysis, Sri Lanka Cricket said in a statement, adding that the batsman could be out of action for four to six weeks.

Bangladesh are due to play two Tests, three one-dayers and one Twenty20 international during their month-long tour of Sri Lanka in March.

Jayawardene, who resigned as captain after the recent Australian tour, has scored 10,806 runs in 138 Tests at an average of 49.56 with 31 centuries.

He also has 10,892 one-day runs from 391 matches with 15 hundreds, and 1,293 runs in 46 Twenty20 internationals.

All-rounder Angelo Mathews replaced Jayawardene as Test and one-day captain, while Dinesh Chandimal will lead in Twenty20 matches.

- AFP/de



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Akhilesh Yadav presents deficit budget for Uttar Pradesh

LUCKNOW: Uttar Pradesh chief minister Akhilesh Yadav on Tuesday presented a Rs 23,913 crore deficit budget for the state for 2013-14 at Rs 2,21,201.19 crore.

The budget tabled in the assembly showed a 10% increase from the last year's size of Rs 2,00,110.61 crore.

While no new tax has been imposed in the budget, the fiscal deficit has been estimated at Rs 23,913 crore -- 2.9% of the gross domestic product (GDP).

The government has estimated revenue receipts at Rs 2,15,919.82 crore and revenue savings at Rs 9,856.01 crore for the next financial year.

After deducting from the consolidated fund, the actual deficit would be Rs 5,281.37 crore, Yadav said in his address.

After adjusting Rs 3,550 crore from the PLA (personal ledger account), the net deficit is of Rs 1,731.7 crore.

While the opening balance is at Rs 2,957.9 crore, the expected closing balance has been shown at a surplus of Rs 1,226.53 crore.

Earlier, the BSP members staged a walk-out from the House.

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Hip implants a bit more likely to fail in women


CHICAGO (AP) — Hip replacements are slightly more likely to fail in women than in men, according to one of the largest studies of its kind in U.S. patients. The risk of the implants failing is low, but women were 29 percent more likely than men to need a repeat surgery within the first three years.


The message for women considering hip replacement surgery remains unclear. It's not known which models of hip implants perform best in women, even though women make up the majority of the more than 400,000 Americans who have full or partial hip replacements each year to ease the pain and loss of mobility caused by arthritis or injuries.


"This is the first step in what has to be a much longer-term research strategy to figure out why women have worse experiences," said Diana Zuckerman, president of the nonprofit National Research Center for Women & Families. "Research in this area could save billions of dollars" and prevent patients from experiencing the pain and inconvenience of surgeries to fix hip implants that go wrong.


Researchers looked at more than 35,000 surgeries at 46 hospitals in the Kaiser Permanente health system. The research, published Monday in JAMA Internal Medicine, was funded by the U.S. Food and Drug Administration.


After an average of three years, 2.3 percent of the women and 1.9 percent of the men had undergone revision surgery to fix a problem with the original hip replacement. Problems included instability, infection, broken bones and loosening.


"There is an increased risk of failure in women compared to men," said lead author Maria Inacio, an epidemiologist at Southern California Permanente Medical Group in San Diego. "This is still a very small number of failures."


Women tend to have smaller joints and bones than men, and so they tend to need smaller artificial hips. Devices with smaller femoral heads — the ball-shaped part of the ball-and-socket joint in an artificial hip — are more likely to dislocate and require a surgical repair.


That explained some, but not all, of the difference between women and men in the study. It's not clear what else may have contributed to the gap. Co-author Dr. Monti Khatod, an orthopedic surgeon in Los Angeles, speculated that one factor may be a greater loss of bone density in women.


The failure of metal-on-metal hips was almost twice as high for women than in men. The once-popular models were promoted by manufacturers as being more durable than standard plastic or ceramic joints, but several high-profile recalls have led to a decrease in their use in recent years.


"Don't be fooled by hype about a new hip product," said Zuckerman, who wrote an accompanying commentary in the medical journal. "I would not choose the latest, greatest hip implant if I were a woman patient. ... At least if it's been for sale for a few years, there's more evidence for how well it's working."


___


Online:


Journal: http://www.jamainternalmed.com


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Obama's Speech on Guns Doesn't Stop Ill. Killing












A Chicago teenager was shot and killed Friday only hours after her sister attended President Obama's speech on the city's rampant gun violence.
Janay McFarlane, 18, was killed while walking with a friend during a visit to her dad, Herbert McFarlane, in North Chicago.


"All this gun violence going on, you never think it would be your child," he told ABC's Chicago station WLS. "This is the hardest thing for me in my life."


Herbert McFarlane told WLS that the loss of Janay is especially hard because she leaves behind a 3-month old son, who likes to wear an "I love Mommy" shirt. The shooting occurred in Lake County, a northern suburb miles from the epicenter of the gun violence on the city's South Side.


"I'm in Lake County to get away from violence and now it happened in Lake County where I moved to," he told WLS.


McFarlane and her child spent time both in Lake County and on the South Side where her mother lives.






Janay Proudmommie Mcfarlane/Facebook











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Only hours before McFarlane was shot and killed, President Obama returned to his hometown to speak on the South Side at a Hyde Park high school. McFarlane's sister, Destini Warren, 14, sat behind the president during the speech.


More than 500 people were shot and killed here last year, and this year the situation has worsened with the most deadly January the city has seen in over a decade. The shooting death of Hadiya Pendleton, a 15-year old who performed in Washington, D.C. at events connected to the president's inauguration last month, garnered national attention.


"Too many of our children are being taken away from us," Obama said in Hyde Park, with McFarlane's sister in the audience.


"Last year there were 443 murders with a firearm on the streets of this city, and 65 of those victims were 18 and under," he said. "So that's the equivalent of a Newtown every four months." He was referring to Newtown, Conn., where 20 first graders were gunned down by Adam Lanza along with seven adults.


Only hours later in Chicago, another 18-year old was shot and killed.


"I felt like someone took a knife and stabbed me in the heart, and a piece of my heart I will never get back," Angela Blakely, Janay McFarlane's mother, told WLS.


North Chicago Police on Sunday reportedly questioned two people in connection to McFarlane's death. Her family said McFarlane was an unintended target of the shooting.


Messages left by ABC News with the North Chicago Police Department and the Lake County Coroner's Office went unreturned Monday.


Another Chicago teenager, Frances Colon, was also shot and killed Friday just hours after she had told her father that she saw President Obama's helicopter fly over her neighborhood.



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