U.S. Embassy Denies Intervening in Mexico Cabinet Choice

The United States Embassy in Mexico on Friday issued a statement denying an article in The New York Times that reported that Ambassador Anthony Wayne had met with senior Mexican officials to discuss American concerns about the possible appointment of Gen. Moisés García Ochoa of Mexico as that country’s defense secretary.

“Despite significant reporting in the Mexican press during the presidential transition about the potential candidates to head Mexico’s military,” the statement read, “Ambassador Wayne did not discuss Gen. Moisés García Ochoa with Miguel Ángel Osorio Chong, now secretary of government, or Jorge Carlos Ramírez Marín, now secretary for agrarian, territorial and urban development (SEDATU), as reported in the New York Times story.”

The embassy’s statement comes 11 days after the Times article about Washington’s exchanges with Mexico regarding General García Ochoa. It follows an avalanche of outrage in the Mexican news media, whose columnists and commentators have accused the United States of “vetoing” General García’s nomination and of infringing on Mexican sovereignty. Some in the news media have called on Mexico’s new president, Enrique Peña Nieto, to rethink the terms of his government’s cooperation with the Obama administration on security matters.

The embassy statement on Friday also came after an earlier statement by William Ostick, a State Department spokesman, that did not dispute the facts in the Times’ account.

On Feb. 4, The Times reported that some senior American officials suspected General García Ochoa of skimming money from multimillion-dollar defense contracts. It reported that the Drug Enforcement Administration suspected the general of having links to drug traffickers dating back to the late 1990s. And the newspaper reported that Ambassador Wayne discussed those concerns with Mexican officials.

In the end, General García Ochoa was passed over for his government’s top military job. The Times reported that it was unclear whether American concerns played a role in Mexico’s decision.

The Mexican government made no statement to The Times on the article. But Mr. Osorio Chong denied to Mexican newspapers that the United States had vetoed or made suggestions on any appointment, and Mr. Ramírez Marín has told Mexican reporters that while he and Mr. Chong were present at a meeting with the ambassador before the inauguration to discuss relations, the general’s possible appointment was not discussed.

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States' choices set up national health experiment

WASHINGTON (AP) — President Barack Obama's health care overhaul is unfolding as a national experiment with American consumers as the guinea pigs: Who will do a better job getting uninsured people covered, the states or the feds?

The nation is about evenly split between states that decided by Friday's deadline they want a say in running new insurance markets and states that are defaulting to federal control because they don't want to participate in "Obamacare." That choice was left to state governments under the law: Establish the market or Washington will.

With some exceptions, states led by Democrats opted to set up their own markets, called exchanges, and Republican-led states declined.

Only months from the official launch, exchanges are supposed to make the mind-boggling task of buying health insurance more like shopping on Amazon.com or Travelocity. Millions of people who don't have employer coverage will flock to the new markets. Middle-class consumers will be able to buy private insurance, with government help to pay the premiums in most cases. Low-income people will be steered to safety net programs like Medicaid.

"It's an experiment between the feds and the states, and among the states themselves," said Robert Krughoff, president of Consumers' Checkbook, a nonprofit ratings group that has devised an online tool used by many federal workers to pick their health plans. Krughoff is skeptical that either the feds or the states have solved the technological challenge of making the purchase of health insurance as easy as selecting a travel-and-hotel package.

Whether or not the bugs get worked out, consumers will be able to start signing up Oct. 1 for coverage that takes effect Jan. 1. That's also when two other major provisions of the law kick in: the mandate that almost all Americans carry health insurance, and the rule that says insurers can no longer turn away people in poor health.

Barring last-minute switches that may not be revealed until next week, 23 states plus Washington, D.C., have opted to run their own markets or partner with the Obama administration to do so.

Twenty-six states are defaulting to the feds. But in several of those, Republican governors are trying to carve out some kind of role by negotiating with federal Health and Human Services Secretary Kathleen Sebelius. Utah's status is unclear. It received initial federal approval to run its own market, but appears to be reconsidering.

"It's healthy for the states to have various choices," said Ben Nelson, CEO of the National Association of Insurance Commissioners. "And there's no barrier to taking somebody else's ideas and making them work in your situation." A former U.S. senator from Nebraska, Nelson was one of several conservative Democrats who provided crucial votes to pass the overhaul.

States setting up their own exchanges are already taking different paths. Some will operate their markets much like major employers run their health plans, as "active purchasers" offering a limited choice of insurance carriers to drive better bargains. Others will open their markets to all insurers that meet basic standards, and let consumers decide.

Obama's Affordable Care Act remains politically divisive, but state insurance exchanges enjoy broad public support. Setting up a new market was central to former Republican presidential candidate Mitt Romney's health care overhaul as governor of Massachusetts. There, it's known as the Health Connector.

A recent AP poll found that Americans prefer to have states run the new markets by 63 percent to 32 percent. Among conservatives the margin was nearly 4-1 in favor of state control. But with some exceptions, including Idaho, Nevada and New Mexico, Republican-led states are maintaining a hands-off posture, meaning the federal government will step in.

"There is a sense of irony that it's the more conservative states" yielding to federal control, said Sandy Praeger, the Republican insurance commissioner in Kansas, a state declining to run its own exchange. First, she said, the law's opponents "put their money on the Supreme Court, then on the election. Now that it's a reality, we may see some movement."

They're not budging in Austin. "Texas is not interested in being a subcontractor to Obamacare," said Lucy Nashed, spokeswoman for Gov. Rick Perry, who remains opposed to mandates in the law.

In Kansas, Praeger supported a state-run exchange, but lost the political struggle to Gov. Sam Brownback. She says Kansans will be closely watching what happens in neighboring Colorado, where the state will run the market. She doubts that consumers in her state would relish dealing with a call center on the other side of the country. The federal exchange may have some local window-dressing but it's expected to function as a national program.

Christine Ferguson, director of the Rhode Island Health Benefits Exchange, says she expects to see a big shift to state control in the next few years. "Many of the states have just run out of time for a variety of reasons," said Ferguson. "I'd be surprised if in the longer run every state didn't want to have its own approach."

In some ways, the federal government has a head start on the states. It already operates the Medicare Plan Finder for health insurance and prescription plans that serve seniors, and the Federal Employees Health Benefits Program. Both have many of the features of the new insurance markets.

Administration officials are keeping mum about what the new federal exchange will look like, except that it will open on time and people in all 50 states will have the coverage they're entitled to by law.

Joel Ario, who oversaw planning for the health exchanges in the Obama administration, says "there's a rich dialogue going on" as to what the online shopping experience should look like. "To create a website like Amazon is a very complicated exercise," said Ario, now a consultant with Manatt Health Solutions.

He thinks consumers should be able to get one dollar figure for each plan that totals up all their expected costs for the year, including premiums, deductibles and copayments. Otherwise, scrolling through pages of insurance jargon online will be a sure turn-off.

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IHT Rendezvous: IHT Quick Read: Feb. 15

NEWS The scandal over horse meat in the European food chain widened Thursday from a case of mislabeling to one of food safety as public health authorities in Britain said that a powerful equine painkiller, potentially harmful to human health, “may have entered the food chain” in France. Dan Bilefsky reports from Paris, and Stephen Castle from London.

Behind closed doors, Xi Jinping, China’s new leader, recently held up the Soviet Union’s collapse as the risk of wavering from traditional ideology. Chris Buckley reports from Hong Kong.

A senior official of the United Nations nuclear supervisory body said Thursday that talks a day earlier in Iran had ended inconclusively and that international inspectors had not been given access to a site that they suspect may have been used for testing bomb triggers. Alan Cowell reports from Paris.

Oscar Pistorius, a Paralympic gold medal winner from South Africa, was charged with murder after his girlfriend was fatally shot at his home. Lydia Polgreen reports from Johannesburg.

Berkshire Hathaway, the giant conglomerate run by Warren E. Buffett, said on Thursday that it would buy Heinz for about $23 billion. Berkshire is teaming up with 3G, a Brazilian investment firm that already owns most of Burger King. Michael J. de la Merced and Andrew Ross Sorkin report.

The U.S. Justice Department has cleared the proposed merger of Random House and Penguin, which would create the biggest book publisher in the world, their parent companies said. Eric Pfanner reports from Paris.

European economies shrank in the fourth quarter at their fastest rate since the depth of the financial crisis in 2009, new data showed on Thursday, with both strong and weak countries falling short of expectations and raising anxieties of a longer, deeper recession. Jack Ewing reports.

European regulators on Thursday defended plans to create the first international tax on financial transactions after business groups in the United States warned that the levy could break international agreements. James Kanter reports from Brussels.

ARTS Advocates of an effort to create a parade ground for Afro-Brazilian drum groups in Salvador, Brazil, say it would help the city’s carnaval reclaim its soul. Jon Pareles reports from Salvador, Brazil.

SPORTS Cristiano Ronaldo’s soaring header against Manchester City saved a 1-1 tie for Real Madrid in the Champions League soccer tournament and left his old manager, Alex Ferguson, astonished. Rob Hughes reports from London.

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American Idol's Top 40 Revealed

TV Watch

American Idol

By Steve Helling

02/14/2013 at 10:00 PM EST

From left: Randy Jackson, Mariah Carey, Ryan Seacrest, Nicki Minaj and Keith Urban

Michael Becker/FOX.

American Idol really, really wants a woman to win this season. At the beginning of Thursday's episode, they reminded us that a female singer hasn't won the show since 2007, when Jordin Sparks bested Blake Lewis for the top prize. Let's put this into perspective: The last time a woman won, George W. Bush was still president, J.K. Rowling was still writing the Harry Potter series, and no one had any idea who Snooki was. Well, maybe a few people knew her.

After Ryan Seacrest all but begged us to vote for a female, we finally got to see the level of the women's talent. Angela Miller sat at the piano and sang her own song, "You Set Me Free." It was a show-stopping performance, prompting judge Keith Urban to rave.

"If that was recorded right there, I would play it in my car," he said. "That was just a beautiful song."

Miller was followed by Candice Glover, who gave an strong version of Alicia Keys's "Girl on Fire." Janelle Arthur also impressed with a pleasant version of Carrie Underwood's "I told You So."

Shubha Vedula had the nerve to sing a Mariah Carey song in front of Mariah Carey and did a great job.

And then there was Zoanette Johnson. (At some point, she needs to drop her last name and just be known as Zoanette.) She played the drums as she sang a song she had improvised onstage the previous night. It was a rambling tune about her Idol experience. It was manic and baffling. And then she came to an abrupt stop and yelled at the background singers.

"Slow it down! C'mon guys," she pleaded. "I need this to be right." At some point, she lost a drumstick.

It's fun to imagine what Simon Cowell's reaction would be to her performances.

Kez Ban, the season's other memorable contestant, was quickly cut from the competition after singing her original song. There is clearly only room for one unpredictable contestant this season – and her name is Zoanette.

As the show wound down, the judges cut the field down to 20 women, and then brought in the remaining 28 male singers to cut them down to 20. That's when the judges had Josh Holiday sing "Georgia on My Mind." He split his pants from crotch to knee.

But Holiday and 39 others are season 12's top 40. One of them will be the next American Idol. Will it be a girl?

Top 20 Women

Adriana Latonio
Amber Holcomb
Angela Miller
Aubrey Cleland
Brandy Hotard
Breanna Steer
Candice Glover
Cristabel Clack
Isabelle Pasqualone
Janelle Arthur
Jenny Beth Willis
Jett Hermano
Juliana Chahayed
Kamaria Ousley
Kree Harrison
Melinlda Ademi
Rachel Hale
Shubha Vedula
Tenna Torres
Zoanette Johnson

Top 20 Men

Bryant Tadeo
Burnell Taylor
Charlie Askew
Chris Watson
Cortez Shaw
Curtis Finch, Jr.
David Willis
Devin Velez
Elijah Liu
Gurpreet Singh Sarin
Jimmy Smith
Johnny Keyser
Josh Holiday
Kevin Harris
Lazaro Arbos
Mathenee Treco
Nick Boddington
Paul Jolley
Vincent Powell

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Deputy killed in Dorner standoff was 'fun,' 'boisterous' new dad

Jeremiah MacKay was a regular at Liam's Irish Pub in Colton.

He always had a pint of Guinness and a smile, said Yara Alves, the bar's owner. He had Irish roots, and he'd show up, guaranteed, every St. Patrick's Day wearing a kilt and bringing his bagpipe.

"He never had anything sad or negative to say," Alves said. "It was as if he never had a bad day."

Alves choked up as she spoke about MacKay, 35, a San Bernardino County sheriff's deputy who was killed in a firefight Tuesday in an isolated area near Big Bear. Police said the gunman was Christopher Dorner, a former Los Angeles Police Department officer bent on revenge over his dismissal from the agency in 2009.

A second deputy, Alex Collins, was wounded in the gunfight, San Bernardino County Sheriff John McMahon said. Collins has undergone multiple surgeries and is expected to make a full recovery.

McMahon said the deputies who responded to the cabin where Dorner barricaded himself are "absolutely true heroes."

"The rounds kept coming" from the cabin, he said, "but the deputies didn't give up."

Dorner also is believed to have killed three other people, including Riverside Police Officer Michael Crain, who was shot in his marked patrol vehicle. Crain was buried Wednesday. On Feb. 3, Monica Quan, daughter of a retired LAPD captain, and her fiance, Keith Lawrence, were found shot to death in an Irvine parking garage in what police believe were the first of Dorner's crimes.

On Thursday, authorities confirmed that the charred remains found in the burned-out cabin were Dorner's.

For days, MacKay, a 14-year veteran of the department, was involved in the massive manhunt for Dorner in the mountains around Big Bear.

"We knew he was up there," MacKay's cousin Jennifer Goehring said. "We were praying for his safety, but never in a million years would we have thought this would happen."

MacKay posted photos from the mountains on his Facebook page, joking about how he — who grew up in the San Bernardino Mountains — was one of the only officers wearing short-sleeved shirts in the snow.

On Saturday he told an Associated Press reporter that he knew the danger as he scoured the mountains for Dorner: "This one, you just never know if the guy's going to pop out or where he's going to pop out. We're hoping this comes to a close without any more casualties."

On Sunday he was pictured on the front page of The Times, his eyes squinted as he put on a hat. He posted a photo of the newspaper on Facebook, making fun of his facial expression, Alves said.

San Bernardino County Sheriff's Capt. Lee Hamblin said he was responding to the call of a gun battle when he heard "Officer down." He said his worst fear was soon confirmed when he learned MacKay had been killed.

"Although we're glad it's over," Hamblin said of the manhunt, "the price we paid was way too high."

MacKay joined the department in July 1998, Hamblin said. He worked in the jails, as a detective at the department's Big Bear station and most recently as a deputy in the department's Yucaipa station.

He was married to Lynette Quinata MacKay and had a 7-year-old stepdaughter and a 4-month-old son, Goehring said. He was thrilled to be a new father. His family, she said, made him the happiest man in the world.

On Thursday, a steady stream of people stopped by a makeshift memorial outside the Yucaipa station.

Janet Lopez, 55, placed flowers and a note at the memorial. MacKay, she said, had taken a liking to her father, who suffered from renal failure. MacKay would "go over and cheer him up, get him to walk," she said.

Family, friends and co-workers described the deputy as having a big personality, a big heart and a big, loud laugh. It was difficult to be sad around him, they said.

It was MacKay's laugh that first caught Edward Knuff's attention years ago in Liam's Irish Pub.

"He was a little boisterous, always fun," Knuff said.

Knuff, a commercial photographer, said he met MacKay at the pub for a meeting of the Inland Empire Emerald Society, a nonprofit that raises money for the families of fallen law enforcement officers.

Now the organization is raising money for MacKay's family.

hailey.branson@latimes.com

adolfo.flores@latimes.com

Times staff writer Joseph Serna contributed to this report.

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Woman Found Fatally Shot at Home of Pistorius

Emilio Morenatti/Associated Press

Oscar Pistorius, the South African Olympic and Paralympic track star, was involved in the fatal shooting of a 30-year-old woman, the police said.

JOHANNESBURG — South African police and media reports said on Thursday that Oscar Pistorius, a Paralympic gold medal sprinter nicknamed Blade Runner, was being questioned after his girlfriend was fatally shot at his home in Pretoria, possibly mistaken for an intruder. Police said a man had been arrested, but did not identify him by name.

Mr. Pistorius, 26, who races using carbon fiber prosthetic blades, won two gold medals and a silver at last year’s Paralympic Games in London. He was the first double amputee to also run in the Olympics and reached the 400-meter semifinal the London games.

“We found a 9-millimeter pistol at the scene. A 26-year-old man was taken into custody,” a police spokeswoman, Katlego Mogale, told Reuters without giving further detail.

Capt. Sarah Mcira, another police spokeswoman, said: “There is a woman who was shot by Oscar Pretorius.”

Johannesburg’s Talk Radio 702 said the victim was thought to have been struck in the head and arm in circumstances that have not been fully explained. But the radio said she may have been mistaken for a burglar.

In the Paralympics last September, Mr. Pistorius won individual gold, when he successfully defended his Paralympic 400 meter title. He had lost his 100- and 200-meter titles, but was part of the gold medal-winning 4x100 meter relay team. He same second in the 200 meter race.

After that race, Mr. Pistorius damaged his reputation among his followers by criticizing the winner, Alan Oliveira of Brazil, raising questions about the length of the winner’s blades. Mr. Pistorius later apologized and praised the gold medalist in the 100 meter race, Jonnie Peacock of Britain. Mr. Pistorius, who was born without fibulas, had both legs amputated below the knee before his first birthday and he battled for many years to compete against able-bodied athletes. In 2008, he qualified for the Beijing Games but was ruled ineligible by track’s world governing body because his blades were deemed to give him a competitive advantage.

South African journalists said Mr. Pretorius lived in an upscale, walled complex near the South Africa capital of Pretoria and said his girlfriend was a well-known fashion model. South Africa has a high crime rate. and elaborate security precautions, as well as personal weapons, are not uncommon.

A reporter outside the complex on Thursday said it was protected by high walls and razor wire.

Lydia Polgreen reported from Johannesburg, and Alan Cowell from Paris.

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Lady Gaga Cancels Born This Way Ball Tour Due to Severe Injury

02/13/2013 at 08:50 PM EST

It's a somber week for Lady Gaga – and her Little Monsters.

Following Tuesday's Facebook announcement that she was "devastated and sad" because she couldn't walk and had to postpone several Born This Way Ball concerts, the pop star, 26, has officially canceled the remaining dates of her world tour.

"After additional tests this morning to review the severity of the issue, it has been determined that Lady Gaga has a labral tear of the right hip," the singer's rep told PEOPLE Wednesday in a statement. "She will need surgery to repair the problem, followed by strict down time to recover. This unfortunately, will force her to cancel the tour, so she can heal."

Refunds for the cancelled performances will be available at point of purchase starting on Thursday.

"I hope you can forgive me, as it is nearly impossible for me to forgive myself," she wrote the previous day of postponing the dates. "I hate this. I hate this so much. I love you and I'm sorry."

Get well, Gaga!

•Reporting by CHUCK ARNOLD

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Couple recounts harrowing Dorner ordeal

Fugitive former police officer Christopher Jordan Dorner was apparently holed up inside a Big Bear area condo for as many as five days before the husband and wife who own the property surprised him and then were tied up and gagged, the couple said Wednesday night.

Dorner bound the husband's and wife's hands with plastic zip ties, stuffed small towels in their mouths so they couldn't scream and covered their heads with pillowcases that he tied with electrical cords, they said.

"I really thought it could be the end," Karen Reynolds, 56, told reporters gathered outside her condominium.

She and husband Jim Reynolds, 66, provided new details on some of Dorner's movements in the apparent final hours of his life. He is believed to have died Tuesday in a cabin fire after a mountainside gun battle with officers.

Law enforcement authorities previously said Dorner had held two cleaning women hostage. The Reynoldses spoke to reporters to end the confusion.

The couple said Dorner had been at the condo in the 1200 block of Club View Drive since as early as Friday, when they arrived to do maintenance in the yard. He told them he watched them — and even said they were "hardworking, good people." The couple slept at another property nearby.

When they entered the condo about noon Tuesday, the couple said, they were surprised to find the fired Los Angeles police officer inside the home, which is near the command post where authorities provided media briefings. They said they were held captive for about 15 minutes by Dorner, whom they recognized immediately.

The Reynoldses stumbled on the suspected killer when they went upstairs. Once they saw him, they said, he brandished a "big gun" and yelled, "Stay calm!"

Karen Reynolds said she tried to run down the stairs, but Dorner chased after her and caught her. He then took the couple to a bedroom, where he tied them up.

Dorner was a menacing presence but at other times tried to reassure the couple that he did not want to harm them, they said.

"He tried to calm us down, saying very frequently, he would not kill us," said Jim Reynolds, who has owned the condo with his wife for 12 years. "He huddled down beside me and said, 'You're going to be quiet right? Not make a fuss and let me get away?' "

Dorner identified himself as the man wanted by law enforcement authorities. "I know you know who I am, I know you've been seeing the news," Karen Reynolds recalled him saying.

Karen Reynolds said Dorner left the condo and stole their purple Nissan. About two minutes after they heard the car leave, Karen Reynolds propped herself up and shuffled to her cellphone. She grabbed it with her bound hands and called 911, using the speaker function.

"Dorner tied us up and he's in Big Bear," she recalled telling the dispatcher.

The couple, who have been married for 36 years, said they were "happy to be alive." They said they had mixed feelings about Dorner, whom they described as calm, alert and methodical. Karen Reynolds said she wasn't expecting to see any of the $1-million-plus reward money offered in the Dorner case. "We heard nobody was getting that because he needed to be captured and convicted," she said.

They said they found evidence that someone had been staying in the cabin, including a gallon of milk in the fridge, but that they didn't know if a previous tenant had left it behind. The last guests were there on Jan. 29.

All of the units are equipped with cable television and Internet. There was no sign of a forced entry.

It was Karen Reynolds' 12:20 p.m. 911 call that set in motion the chain of events that led to a shootout between Dorner and a state Fish and Wildlife warden, then to the standoff at another cabin where he is believed to have exchanged hundreds of rounds in the gun battle with officers before dying.

As the couple described their harrowing ordeal, they recalled that Dorner was insistent about what he wanted to do.

"I don't have a problem with you," he told them. "I just want to clear my name."

adolfo.flores@latimes.com

robert.lopez@latimes.com

Flores reported from Big Bear, Lopez from Los Angeles. Times staff writers Andrew Blankstein and Rong-Gong Lin II contributed to this report.

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Morning-after pill use up to 1 in 9 younger women

NEW YORK (AP) — About 1 in 9 younger women have used the morning-after pill after sex, according to the first government report to focus on emergency contraception since its approval 15 years ago.

The results come from a survey of females ages 15 to 44. Eleven percent of those who'd had sex reported using a morning-after pill. That's up from 4 percent in 2002, only a few years after the pills went on the market and adults still needed a prescription.

The increased popularity is probably because it is easier to get now and because of media coverage of controversial efforts to lift the age limit for over-the-counter sales, experts said. A prescription is still required for those younger than 17 so it is still sold from behind pharmacy counters.

In the study, half the women who used the pills said they did it because they'd had unprotected sex. Most of the rest cited a broken condom or worries that the birth control method they used had failed.

White women and more educated women use it the most, the research showed. That's not surprising, said James Trussell, a Princeton University researcher who's studied the subject.

"I don't think you can go to college in the United States and not know about emergency contraception," said Trussell, who has promoted its use and started a hot line.

One Pennsylvania college even has a vending machine dispensing the pills.

The morning-after pill is basically a high-dose version of birth control pills. It prevents ovulation and needs to be taken within a few days after sex. The morning-after pill is different from the so-called abortion pill, which is designed to terminate a pregnancy.

At least five versions of the morning-after pills are sold in the United States. They cost around $35 to $60 a dose at a pharmacy, depending on the brand.

Since it is sold over-the-counter, insurers generally only pay for it with a doctor's prescription. The new Affordable Care Act promises to cover morning-after pills, meaning no co-pays, but again only with a prescription.

The results of the study were released Thursday by the Centers for Disease Control and Prevention. It's based on in-person interviews of more than 12,000 women in 2006 through 2010. It was the agency's first in-depth report on that issue, said Kimberly Daniels, the study's lead author.

The study also found:

—Among different age groups, women in their early 20s were more likely to have taken a morning-after pill. About 1 in 4 did.

—About 1 in 5 never-married women had taken a morning-after pill, compared to just 1 in 20 married women.

—Of the women who used the pill, 59 percent said they had done it only once, 24 percent said twice, and 17 percent said three or more times.

A woman who uses emergency contraception multiple times "needs to be thinking about a more regular form" of birth control, noted Lawrence Finer, director of domestic research for the Guttmacher Institute, a nonprofit group that does research on reproductive health.

Also on Thursday, the CDC released a report on overall contraception use. Among its many findings, 99 percent of women who've had sex used some sort of birth control. That includes 82 percent who used birth control pills and 93 percent whose partner had used a condom.

___

Online:

CDC report: http://www.cdc.gov/nchs/

Emergency contraception info: http://ec.princeton.edu/index.html

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Iran to Resume Nuclear Talks

PARIS — As it prepares for two sets of negotiations with outsiders on its disputed nuclear program starting on Wednesday, Iran said on that it was converting some of its enriched uranium into reactor fuel, the state news agency IRNA reported, potentially limiting the expansion of stockpiles that the West fears could be used for weapons.

Iranian officials are to meet on Wednesday in Tehran with Herman Nackaerts, the deputy director of the International Atomic Energy Agency, the United Nations nuclear watchdog, who has been pressing for months for access to a restricted military area at Parchin, 20 miles south of Tehran. International inspectors suspect that the site may have been used for testing bomb triggers.

“Differences remain but we will work hard to try to resolve these differences,” Mr. Nackaerts told reporters before leaving Vienna for Tehran, IRNA said.

On a separate negotiating track later this month, Iranian negotiators are to meet in Kazakhstan with representatives of six powers — the United States, China, Russia, Britain, France and Germany — for a further round in a series of long-running and inconclusive talks about curbing Tehran’s uranium enrichment program.

Faced with economic sanctions, suspected cyber attacks and threats of military action against its nuclear facilities, Iran came under fresh pressure from President Obama in his State of the Union address to settle its differences with the West.

"The leaders of Iran must recognize that now is the time for a diplomatic solution, because a coalition stands united in demanding that they meet their obligations and we will do what is necessary to prevent them from getting a nuclear weapon,” Mr. Obama said.

Western countries suspect that the Iranian government is seeking to acquire the technology to make nuclear weapons despite its assertion that the program is for peaceful purposes like the creation of reactor fuel for civilian use.

At a news conference on Tuesday in Tehran, Ramin Mehmanparast, the Foreign Ministry spokesman, was asked to comment on a news report that Iranian scientists had converted some uranium enriched to 20 percent purity into fuel for a research reactor in Tehran. The spokesman said that the “work is being done” and that details had been sent to the I.A.E.A., which is based in Vienna.

Iran’s nuclear program came under added scrutiny on Tuesday after North Korea conducted its third nuclear test, since many intelligence officials believe that the two countries share nuclear knowledge, though so far there is no hard evidence to substantiate that belief.

Reuters quoted Mr. Mehmanparast as saying, “We think we need to come to a point where no country will have any nuclear weapons.” While all countries should be allowed to use nuclear technology for peaceful purposes, he said, “all weapons of mass destruction and nuclear arms need to be destroyed.”

Iran’s stockpile of enriched uranium is believed by Western negotiators and international inspectors to be of far lower purity than is required to make nuclear weapons. Diplomats in Vienna said on Tuesday that enriched uranium converted into reactor fuel is hard to convert into fuel for weapons.

Some analysts argue that, by slowing the growth of its stockpile, Tehran could delay the moment when it acquires enough 20 percent enriched uranium to set off a response by Israel, which has signaled readiness to attack Iran’s nuclear sites.

The likely outcomes of the forthcoming sets of negotiations remain unclear.

Mr. Mehmanparast, the Iranian spokesman, said the talks with the I.A.E.A. team in Tehran on Wednesday had “bright” prospects if the I.A.E.A. negotiators recognized Iran’s rights, IRNA said.

But Yukiya Amano, the director general of the I.A.E.A., said Monday that “the outlook is not bright” for obtaining permission to visit the Parchin site. Mr. Amano’s remarks contrasted with a more optimistic tone from the agency less than a month ago, when his deputy, Mr. Nackaerts, expressed hope that the negotiations would lead to an agreement on an inspection plan.

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Westminster Names Affenpinscher Banana Joe Best in Show

People Pets

By Kiran Hefa & Alison Schwartz

02/12/2013 at 11:55 PM EST

Westminster has its top dog!

After two days of meticulous primping, prizes and the less-pretty realities of any spirited championship, the 137th Annual Westminster Kennel Club Dog Show came to its finale Tuesday night, declaring Affenpinscher Banana Joe the best in show.

The competition proved fur-rocious as the pint-sized, black-haired furball bested six other finalists (and 2,721 entries total) for the honor, including Old English Sheepdog Swagger, who was named the reserve best in show. It’s the first time the breed has ever taken home the top prize in Westminster history.

Earning top marks at Westminster is the latest accolade in Banana Joe's storied run. The paw-dorable pooch, who is 5 years old, has been named best in show 86 times in his career, and his Westminster win will go down as his last.

"It's all so indescribable. It's just a wonderful thing as a tribute for a small breed with such a big heart," handler Ernesto Lara said post-victory. "The plans for him now is for him to retire back home where he was born, and that's in the Netherlands."

Describing his little buddy, Lara praised the breed for its commendable qualities as a canine companion.

"An Affenpinscher is a very human-like dog," he said. "It's definitely a breed you don’t want to tame or train, in the proper sense."

"You want to befriend it," Lara continued. "Once you gain the friendship, they're loyal just like a human friend."

As for Banana Joe's big victory, "Nobody told him he's small," said Lara, "and I don't think he'll believe that."

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Study questions kidney cancer treatment in elderly

In a stunning example of when treatment might be worse than the disease, a large review of Medicare records finds that older people with small kidney tumors were much less likely to die over the next five years if doctors monitored them instead of operating right away.

Even though nearly all of these tumors turned out to be cancer, they rarely proved fatal. And surgery roughly doubled patients' risk of developing heart problems or dying of other causes, doctors found.

After five years, 24 percent of those who had surgery had died, compared to only 13 percent of those who chose monitoring. Just 3 percent of people in each group died of kidney cancer.

The study only involved people 66 and older, but half of all kidney cancers occur in this age group. Younger people with longer life expectancies should still be offered surgery, doctors stressed.

The study also was observational — not an experiment where some people were given surgery and others were monitored, so it cannot prove which approach is best. Yet it offers a real-world look at how more than 7,000 Medicare patients with kidney tumors fared. Surgery is the standard treatment now.

"I think it should change care" and that older patients should be told "that they don't necessarily need to have the kidney tumor removed," said Dr. William Huang of New York University Langone Medical Center. "If the treatment doesn't improve cancer outcomes, then we should consider leaving them alone."

He led the study and will give results at a medical meeting in Orlando, Fla., later this week. The research was discussed Tuesday in a telephone news conference sponsored by the American Society of Clinical Oncology and two other cancer groups.

In the United States, about 65,000 new cases of kidney cancer and 13,700 deaths from the disease are expected this year. Two-thirds of cases are diagnosed at the local stage, when five-year survival is more than 90 percent.

However, most kidney tumors these days are found not because they cause symptoms, but are spotted by accident when people are having an X-ray or other imaging test for something else, like back trouble or chest pain.

Cancer experts increasingly question the need to treat certain slow-growing cancers that are not causing symptoms — prostate cancer in particular. Researchers wanted to know how life-threatening small kidney tumors were, especially in older people most likely to suffer complications from surgery.

They used federal cancer registries and Medicare records from 2000 to 2007 to find 8,317 people 66 and older with kidney tumors less than 1.5 inches wide.

Cancer was confirmed in 7,148 of them. About three-quarters of them had surgery and the rest chose to be monitored with periodic imaging tests.

After five years, 1,536 had died, including 191 of kidney cancer. For every 100 patients who chose monitoring, 11 more were alive at the five-year mark compared to the surgery group. Only 6 percent of those who chose monitoring eventually had surgery.

Furthermore, 27 percent of the surgery group but only 13 percent of the monitoring group developed a cardiovascular problem such as a heart attack, heart disease or stroke. These problems were more likely if doctors removed the entire kidney instead of just a part of it.

The results may help doctors persuade more patients to give monitoring a chance, said a cancer specialist with no role in the research, Dr. Bruce Roth of Washington University in St. Louis.

Some patients with any abnormality "can't sleep at night until something's done about it," he said. Doctors need to say, "We're not sticking our head in the sand, we're going to follow this" and can operate if it gets worse.

One of Huang's patients — 81-year-old Rhona Landorf, who lives in New York City — needed little persuasion.

"I was very happy not to have to be operated on," she said. "He said it's very slow growing and that having an operation would be worse for me than the cancer."

Landorf said her father had been a doctor, and she trusts her doctors' advice. Does she think about her tumor? "Not at all," she said.

___

Online:

Kidney cancer info: http://www.cancer.net/cancer-types/kidney-cancer

and http://www.cancer.gov/cancertopics/types/kidney

Study: http://gucasym.org

___

Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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North Korea Conducts Nuclear Test

Lee Jin-Man/Associated Press

A South Korean watched news reporting about a possible nuclear test conducted by North Korea on a TV screen in Seoul on Tuesday.

WASHINGTON — North Korea confirmed on Tuesday that it had conducted its third, long-threatened nuclear test, according to the official KCNA news service, posing a new challenge for the Obama administration in its effort to keep the country from becoming a full-fledged nuclear power.

The KCNA said it used a “miniaturized and lighter nuclear device with greater explosive force than previously” and that the test “did not pose any negative impact on the surrounding ecological environment.”

The test led to a crescendo of international condemnation Tuesday, with President Obama calling for “swift and credible action by the international community” against North Korea, and Russia, Britain, South Korea and the United Nations echoing the U.S. tone. The United Nations Security Council scheduled an emergency meeting at 9 a.m. New York time to take up the matter.

Preliminary estimates suggested a test far larger than the previous two conducted by the North, though probably less powerful than the first bomb the United States dropped on Japan, in Hiroshima, in 1945. The Russian defense ministry was quoted as saying the blast surpassed 7 kilotons; the Hiroshima bomb had an explosive yield of 15 kilotons.

The test is the first under the country’s new leader, Kim Jong-un, and an open act of defiance to the Chinese, who urged the young leader not to risk open confrontation by setting off the weapon. In the past few days a Chinese newspaper that is often reflective of the government’s thinking said the North would “pay a heavy price” if it proceeded with the test. But it was unclear how China would act at the United Nations Security Council, which scheduled an emergency session as news of the blast played out.

The United Nations secretary-general Ban Ki-moon, condemned the test in a statement Tuesday.

The Obama administration has already threatened to take additional action to penalize the North through the United Nations in the event of a test. But the fact is that there are few sanctions left to apply against the most unpredictable country in Asia. The only penalty that would truly hurt the North would be a cutoff of oil and other aid from China. And until now, despite issuing warnings, the Chinese have feared instability and chaos in the North more than its growing nuclear and missile capability, and the Chinese leadership has refused to participate in sanctions.

Mr. Kim, believed to be about 29, appears to be betting that even a third test would not change the Chinese calculus.

The test set off a scramble among Washington’s Asian allies to assess what the North Koreans had done.

The United States sent aloft aircraft equipped with delicate sensors that may, depending on the winds, be able to determine whether it was a plutonium or uranium weapon. The Japanese defense minister, Itsunori Onodera, said Japan had ordered the dispatch of an Air Self-Defense Force jet to monitor for radioactivity in Japanese airspace.

Japan’s new prime minister, Shinzo Abe, told Parliament that “based on precedents, Japan believes that this quake was triggered by a North Korean nuclear test,” and said the country was considering “its own actions, including sanctions, to resolve this and other issues.”

But the threat may be largely empty, because trade is limited and the United States and its allies have refrained from a naval blockade of North Korea or other steps that could revive open conflict, which has been avoided on the Korean Peninsula since an armistice was declared 60 years ago.

It may take days or weeks to determine independently if the test, was successful. American officials will also be looking for signs of whether the North, for the first time, conducted a test of a uranium weapon, based on a uranium enrichment capability it has been pursuing for a decade. The past two tests used plutonium, reprocessed from one of the country’s now-defunct nuclear reactors. While the country has only enough plutonium for a half-dozen or so bombs, it can produce enriched uranium well into the future.

No country is more interested in the results of the North’s nuclear program, or the Western reaction, than Iran, which is pursuing its own uranium enrichment program. The two countries have long cooperated on missile technology, and many intelligence officials believe they share nuclear knowledge as well, though so far there is no hard evidence.

David E. Sanger reported from Washington, and Choe Sang-hun reported from Seoul, South Korea. Jane Perlez contributed reporting from Beijing and Hiroko Tabuchi from Tokyo.

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It's a Girl for John Cho

Mom & Babies
Celebrity Baby Blog

02/11/2013 at 06:30 PM ET

Paul Drinkwater/NBC

Surprise: Actor John Cho is a dad again!

The Go On star and his wife welcomed a daughter recently, Cho’s rep confirms to PEOPLE exclusively.

Baby girl is the second child for the couple, who are also parents to a son. No further details are available.

Cho currently stars alongside Jason Bateman in Identity Thief and will reprise his role as Hikaru Sulu in Star Trek Into Darkness in May.

He is also well known for his roles in American Pie and the Harold and Kumar films.

– Anya Leon with reporting by Julie Jordan

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Metrolink executive quits after report cites accounting problems

A high-ranking Metrolink executive resigned over the weekend following a scathing report that revealed accounting irregularities, poor management and record-keeping that made it difficult for board members to understand the railroad's financial situation.

Metrolink officials said Monday that Nancy Weiford, the regional commuter line's chief financial officer, stepped down after a special committee assigned to look into the railroad's business practices revealed its findings at Friday's board meeting. They declined to comment further on Weiford's departure, saying that personnel matters are confidential.

In a statement, railroad officials said: "Metrolink takes very seriously the recent findings of Metrolink's Ad Hoc Finance Committee regarding the agency's financial management. As one of the nation's largest commuter rail systems, Metrolink has been, and continues to be, committed to sound financial practices."

Reached by The Times, Weiford declined to comment.

Describing the accounting system as a "morass," the internal report found that Metrolink has inadequate cash reserves to meet its current obligations and that another cash account was underfunded by an estimated $66 million. Certain funds were improperly commingled and poor record-keeping made it hard to track the railroad's cash flows, according to the committee findings.

Because of a lack of sound business practices, the report stated that board members were unable to make informed decisions or accurately understand the financial situation of Metrolink, which serves more than 40,000 riders a day from six Southern California counties.

"These are very significant issues. The committee shows deficiencies in the fundamental operating systems for our financial management," said Mike Hennessey, vice chairman of the Metrolink board and a board member for the Orange County Transportation Authority, one of Metrolink's member agencies.

Metrolink formed the finance committee in early 2012 at the request of Richard Katz, who serves on the boards of Metrolink and the Los Angeles County Metropolitan Transportation Authority.

Some of the accounting problems, Katz said, date back to the tenure of former Metrolink Chief Executive David Solow, who resigned after the deadly 2008 Metrolink crash in Chatsworth. Solow's replacement, John Fenton, identified some of the problems before he stepped down in May.

"The past couple of years, we've been focused on developing our safety culture," Katz said. "But we also have to be careful stewards of the taxpayers' and our customers' money. What has been going on has been unacceptable and it will be fixed."

The report recommended a variety of solutions: adopting basic accounting practices, maintaining adequate cash reserves, improvements in record-keeping, hiring financial consultants and working with the five county transportation agencies that help fund Metrolink.

Committee members concluded that if their findings and recommendations are not addressed, they could not recommend that Metrolink's member agencies provide the railroad additional funding.

Their report requested that Metrolink's new chief executive, Michael DePallo, who started in October, provide the board accurate financial statements going back two years, an assessment of the railroad's financial condition and a response to the committee findings within 30 days.

"A lot of work has to be done at Metrolink," said Carolyn Cavecche, a Metrolink board member from Orange County who served on the committee. "Changes need to be made on how we do business internally."

dan.weikel@latimes.com

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IHT Rendezvous: IHT Quick Read: Feb. 11

NEWS For months, Damascus has hunched in a defensive crouch as fighting raged in suburbs, but a rebel advance has created a new level of alarm and disorder. An employee of the New York Times reports from Damascus and Anne Barnard reports from Beirut.

President Obama will use his State of the Union speech on Tuesday to reinvigorate one of his signature national security objectives — drastically reducing nuclear arsenals around the world — after securing agreement in recent months with the United States military that the American nuclear force can be cut in size by roughly a third. David E. Sanger reports from Washington.

Scotland would have to renegotiate membership in the European Union and other international organizations if it votes for independence in a referendum next year, according to legal advice expected to be published Monday by the British government. Stephen Castle reports from London.

A Hong Kong television series has tapped into the tensions between the city’s residents and mainland Chinese visitors, striking a nerve on both sides of the border and drawing the attention of Chinese censors. Gerry Mullany reports from Hong Kong.

Several journalists who cover Myanmar said Sunday that they had received warnings from Google that their email accounts might have been hacked by “state-sponsored attackers.” Thomas Fuller reports from Bangkok.

The Financial Times is celebrating its 125th birthday Wednesday. While the print editions are fading, The F.T. has figured out how to make money from new outlets. Eric Pfanner reports.

EDUCATION The use of part-time faculty who have little possibility of tenure or permanent employment is increasingly common at U.S. colleges and universities. But European law gives workers more rights, and French workers are among the most protected in Europe — unless, it seems, they work for an American university. D. D. Gutenplan reports from Paris.

ARTS An exhibition at the Museo del Novecento in Milan celebrates Olivetti’s contribution to the design culture of the modern industrial era. Alice Rawsthorn reviews from Milan.

FASHION The blizzard kept Suzy Menkes from getting to the early New York fashion shows, so she pulled out her iPad to watch them online. Suzy Menkes writes from the virtual front row.

SPORTS England was the big winner of a second weekend of the 2013 European Six Nations rugby championship that ended with the perennial power France at the bottom of the table. Huw Richards reports from Paris.

As Gareth Bale of Tottenham and Cristiano Ronaldo of Madrid led their teams to victories this weekend, some wonder if they will be playing together next season. Rob Hughes reports from London.

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How'd They Make Carrie Underwood's Glowing Gown?

Stylewatch
Style News Now

02/11/2013 at 12:25 AM ET

Kevork Djansezian/Getty; John Shearer/Invision/AP (2)

We can’t say we were surprised to see that Carrie Underwood had ditched her form-fitting Roberto Cavalli number for a princess-y silver gown to perform her song “Blown Away” at the Grammys Sunday night. When glowing paisley details began to unscroll across her full skirt, however? We definitely didn’t see that coming.

“We wanted it to be artful and dramatic,” Underwood told reporters backstage. “I just like to stand still and sing sometimes, so this seemed like the best way I could do that and still create something visually attention-capturing.” On the technology behind it, she was a little more tight-lipped, saying “I guess I probably shouldn’t tell my secret, should I?” — but luckily, we’ve already got the inside info.

To perform the song that won her best solo country performance, the superstar donned a custom Theia gown designed specifically for the vivid light show. The line’s creative director Don O’Neill sourced fabric for the 4 feet 5 inches-wide skirt that had to be approved by both Underwood’s stylist, Trish Townsend, as well as the video team creating the special effects.

With only three days to create the gown, O’Neill’s team worked around the clock, stitching together 10 yards of Duchesse satin, 100 yards of tulle and crinoline and thousands of Swarovski crystals onto the bodice. Meanwhile, the production team created the effects that were projected onto her gown, including sparkling stars, rose petals and butterflies.

And was all that work worth it? Judging by your overwhelmingly positive reactions on Twitter, absolutely. And O’Neill was thrilled with the result too, especially because he took the line’s name from the Greek goddess of light. “There couldn’t be a more perfect opportunity to fuse light in a literal sense with one of my gowns,” he says in a statement, “and have it showcased on a national stage by Carrie Underwood, the first celebrity to wear a Theia dress four years ago when we launched.”

Tell us: What did you think of Underwood’s high-tech couture?

–Alex Apatoff

PHOTOS: SEE MORE GRAMMY RISK-TAKERS!

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Dorner's LAPD firing case hinged on credibility

For a Los Angeles Police Department disciplinary panel, the evidence was persuasive: Rookie officer Christopher Jordan Dorner lied when he accused his training officer of kicking a mentally ill man during an arrest.

But when a Los Angeles County Superior Court judge examined the case a year later in 2010 as part of an appeal filed by Dorner, he seemed less convinced.

Judge David P. Yaffe said he was "uncertain whether the training officer kicked the suspect or not" but nevertheless upheld the department's decision to fire Dorner, according to court records reviewed by The Times.

As the manhunt for the ex-cop wanted in the slayings of three people enters its sixth day, Dorner's firing has been the subject of debate both within and outside the LAPD. An online manifesto that police attributed to Dorner claims he was railroaded by the LAPD and unjustly fired. His allegations have resonated among the public and some LAPD employees who have criticized the department's disciplinary system, calling it capricious and retaliatory toward those who try to expose misconduct.

Seeking to address those concerns, LAPD Chief Charlie Beck announced this weekend that he was reopening the investigation into Dorner's disciplinary case. "It is important to me that we have a department that is seen as valuing fairness," Beck said.

LAPD records show that Dorner's disciplinary panel heard from several witnesses who testified that they did not see the training officer kick the man. The panel found that the man did not have injuries consistent with having been kicked, nor was there evidence of having been kicked on his clothes. A key witness in Dorner's defense was the man's father, who testified that his son told him he had been kicked by police. The panel concluded that the father's testimony "lacked credibility," finding that his son was too mentally ill to give a reliable account.

The online manifesto rails against the LAPD officials who took part in the review hearing and vows revenge. Police allege Dorner killed his own attorney's daughter and her fiance last weekend in Irvine.

"Your lack of ethics and conspiring to wrong a just individual are over. Suppressing the truth will [lead] to deadly consequences for you and your family," the manifesto says.

Dorner's case revolved around a July 28, 2007, call about a man causing a disturbance at the DoubleTree Hotel in San Pedro. When Dorner and his training officer showed up, they found Christopher Gettler. He was uncooperative and threw a punch at one of the officers, prompting Dorner's training officer, Teresa Evans, to use an electric Taser weapon on him.

Nearly two weeks later, Dorner walked into Sgt. Donald Deming's office at the Harbor Division police station. There were tears in Dorner's eyes, the sergeant later testified.

Deming gave the following account of what happened next:

"I have something bad to talk to you about, something really bad," Dorner told him.

Evans, Dorner explained, had kicked Gettler once in the face and twice in the left shoulder or nearby chest area. Afterward, Dorner said, Evans told him not to include the kicks on the arrest report.

"Promise me you won't do anything," Dorner asked Deming.

"No, Chris. I have to do something," Deming responded.

An internal affairs investigation into the allegation concluded the kicks never occurred. Investigators subsequently decided that Dorner had fabricated his account. He was charged with making false accusations.

At the December 2008 Board of Rights hearing, Dorner's attorney, Randal Quan, conceded that his client should have reported the kicks sooner but told the board that Dorner ultimately did the right thing. He called the case against Dorner "very, very ugly."

"This officer wasn't given a fair shake," Quan said, according to transcripts of the board hearing. "In fact, what's happening here is this officer is being made a scapegoat."

At the hearing, Dorner stuck to his story. Evans, he said, kicked Gettler once in the left side of his collarbone lightly with her right boot as they struggled to handcuff him. She kicked him once more forcefully in the same area, Dorner testified, and then much harder in the face, snapping Gettler's head back. Dorner said he noticed fresh blood on Gettler's face.

Dorner did not immediately report the kicks to a sergeant, he said, because he was asked only what force he had used, not what his partner had done. And as a rookie who had already filed complaints against fellow officers, he feared retaliation from within the department, Dorner testified.

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What heals traumatized kids? Answers are lacking

CHICAGO (AP) — Shootings and other traumatic events involving children are not rare events, but there's a startling lack of scientific evidence on the best ways to help young survivors and witnesses heal, a government-funded analysis found.

School-based counseling treatments showed the most promise, but there's no hard proof that anxiety drugs or other medication work and far more research is needed to provide solid answers, say the authors who reviewed 25 studies. Their report was sponsored by the federal Agency for Healthcare Research and Quality.

According to research cited in the report, about two-thirds of U.S. children and teens younger than 18 will experience at least one traumatic event, including shootings and other violence, car crashes and weather disasters. That includes survivors and witnesses of trauma. Most will not suffer any long-term psychological problems, but about 13 percent will develop symptoms of post-traumatic stress, including anxiety, behavior difficulties and other problems related to the event.

The report's conclusions don't mean that no treatment works. It's just that no one knows which treatments are best, or if certain ones work better for some children but not others.

"Our findings serve as a call to action," the researchers wrote in their analysis, published online Monday by the journal Pediatrics.

"This is a very important topic, just in light of recent events," said lead author Valerie Forman-Hoffman, a researcher at the University of North Carolina-Chapel Hill.

She has two young children and said the results suggest that it's likely one of them will experience some kind of trauma before reaching adulthood. "As a parent I want to know what works best," the researcher said.

Besides the December massacre at Sandy Hook Elementary School in Connecticut, other recent tragedies involving young survivors or witnesses include the fatal shooting last month of a 15-year-old Chicago girl gunned down in front of a group of friends; Superstorm Sandy in October; and the 2011 Joplin, Mo., tornado, whose survivors include students whose high school was destroyed.

Some may do fine with no treatment; others will need some sort of counseling to help them cope.

Studying which treatments are most effective is difficult because so many things affect how a child or teen will fare emotionally after a traumatic event, said Dr. Denise Dowd, an emergency physician and research director at Children's Mercy Hospitals and Clinics in Kansas City, Mo., who wrote a Pediatrics editorial.

One of the most important factors is how the child's parents handle the aftermath, Dowd said.

"If the parent is freaking out" and has difficulty controlling emotions, kids will have a tougher time dealing with trauma. Traumatized kids need to feel like they're in a safe and stable environment, and if their parents have trouble coping, "it's going to be very difficult for the kid," she said.

The researchers analyzed 25 studies of treatments that included anti-anxiety and depression drugs, school-based counseling, and various types of psychotherapy. The strongest evidence favored school-based treatments involving cognitive behavior therapy, which helps patients find ways to cope with disturbing thoughts and emotions, sometimes including talking repeatedly about their trauma.

This treatment worked better than nothing, but more research is needed comparing it with alternatives, the report says.

"We really don't have a gold standard treatment right now," said William Copeland, a psychologist and researcher at Duke University Medical Center who was not involved in the report. A lot of doctors and therapists may be "patching together a little bit of this and a little bit of that, and that might not add up to the most effective treatment for any given child," he said.

___

Online:

Pediatrics: http://www.pediatrics.org

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IHT Rendezvous: Sharper Tongues in China's Year of the Snake?

BEIJING — The Snake is determined and smart, according to traditional Chinese beliefs. Today is New Year’s Day in China, the first day in the Year of the Snake, and a good day to ask: Will Xi Jinping, a “snake” set to become president in March (Mr. Xi was born in a Year of the Snake, in 1953) bring change to China?

Whether or not one believes in feng shui – the thought system based on geomancy, astronomy and folk wisdom of which the 12-yearly animal cycle is part – many here swear by it, and that makes the confluence of the man and the year important.

As the rational economist He Fan said last year, at the beginning of the Year of the Dragon: Feng shui may not be rational, but it is “symbolic,” “and that’s important, because that’s how China’s political culture works.”

So as ordinary people across the nation settle into their hard-earned, weeklong holiday amid the thunder of festival firecrackers, some are wondering whether recent calls by Mr. Xi to attack corruption and “criticize sharply” the ruling Communist Party will bring unwelcome shocks to members of the privileged classes in China, including the party, the government and state-run companies, widely seen as too powerful and too corrupt.

Skepticism about real change is rife, for sure, but signs say maybe, at least to some degree. And if that sounds woolly, it is because making predictions in China is notoriously difficult. Yet it is also important as the nation grows in international stature: As Bloomberg News notes, 2012 may have marked the year when China became the world’s largest trading nation. China was last the world’s biggest economy during the Qing dynasty, Bloomberg noted (though back then it didn’t focus on trade, Bloomberg wrote).

Some say the change has already begun, amid a deepening campaign against corruption announced by Mr. Xi after he was appointed general secretary of the party in November. The state’s anti-corruption warnings are being taken more seriously now than at any time in the past decade because they come from Mr. Xi, who is regarded as potentially a strong leader fast establishing his dominance, already the most eminent member of the seven-man Standing Committee of the Politburo, China’s inner circle of power.

One sign: Traditionally lavish end-of-the-year parties thrown by powerful state-owned companies, and thus paid for from the public purse, have been canceled in large numbers, causing great satisfaction among ordinary people as high-end restaurants in Beijing are suddenly available for traditional New Year family dinners. In previous years, getting a booking was impossible. This year, it’s not.

Another sign: a recent call by Mr. Xi for “sharp criticism” of the Communist Party.

“Chinese leader Xi Jinping has urged the Communist Party of China (CPC) to be more tolerant of criticism and receptive to the views of non-communists,” Xinhua, the state-run news agency, reported last week.

“The CPC should be able to put up with sharp criticism, correct mistakes if it has committed them and avoid them if it has not,” Xinhua quoted Mr. Xi as saying, adding that nonparty members should “have the courage to tell the truth, speak words jarring on the ear, and truthfully reflect public aspirations.”

The call has been – what else? – sharply criticized, in fast and furious microblog postings showing just how deep is the well of resentment against the state’s heavy hand in some quarters.

Shortly after 9 a.m. on New Year’s Day, Ai Weiwei, the artist, snapped on his Twitter account: “First sentence of the New Year, release all political prisoners.”

The South China Morning Post, a Hong Kong newspaper, gathered more acerbic responses:

The venture capitalist Kai-Fu Lee: “Will you stop silencing and shutting down microblog accounts?”

Xu Xiaonian, an economics professor: “Will you stop censoring books and media reports?”

Chen Tongkui, an academic: “Will you stop press censorship?”

Wang Xiaoyu, another academic: “Can you not delete the comments on this microblog post?”

The real estate magnante Ren Zhiqiang: “Will you stop criminalizing people’s speech and sentencing them to re-education through labor?”

Cui Weiping, an academic: “Will you put an end to police harassment” of activists and netizens?

And yet, for many ordinary Chinese, there is hope. Incomes are rising, and there is a whiff of, yes, change in the air. In a recent, colorfully presented survey by TNS, part of Kantar, an information and consulting group, 88 percent of people surveyed in China were positive about the Year of the Snake, the company said.

As Mr. He said of last year, which saw the dramatic downfall of the political scion Bo Xilai, seen by some as a contender for Mr. Xi’s position, amid a murder and corruption scandal: “Something happens in every Dragon Year, even if it’s just a turning point.” Often, the real action begins a year or two later.

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Tiger Woods & Lindsey Vonn Are 'Spending More Time' Together: Source

Buzz

By Steve Helling

02/09/2013 at 06:00 PM EST

Tiger Woods and Lindsey Vonn

Mick Tsikas/Reuters/Landov; Luis Guerra/Ramey

It was quite the gesture.

After Lindsey Vonn suffered a devastating injury during the Alpine World Championships in Austria, she got a bit of help from Tiger Woods. Walking on crutches, Vonn – who tore two ligaments in her right knee and fractured her shin when she crashed on Tuesday ­– boarded Woods's private jet to return home.

Is it a sign that the rumored relationship between Woods and Vonn is heating up?

"Tiger and Lindsey have been friends for a while, and nothing started out romantically at all," a source tells PEOPLE. "But they really have a lot in common and got closer and closer. He still refers to her as 'my very good friend,' but he's been spending more and more time talking to her – and talking about her."

Last month, Vonn's reps kept mum about the rumored relationship, telling PEOPLE that her "focus is solely on competing and on defending her titles and thus she will not participate in any speculation surrounding her personal life at this time."

But the source close to Woods tells PEOPLE that Woods, 37, and Vonn. 28, talk and text frequently.

"Tiger really does want a woman who he can have good conversations with," he says. "He wants shared interests and outlooks. He is finding that with [Lindsey]."

Woods made international headlines in 2009 when he was linked to dozens of women while still married to his ex-wife, Elin Nordegren.

Since then, he has dated sporadically, but struggled to find someone who wanted a relationship for the right reasons.

"She's not freaked out by his past, and that's really appealing to him," says the source. "He really does deserve to be happy. He has been flogging himself for three years, and it's good to see him moving forward."

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After early start, worst of flu season may be over

NEW YORK (AP) — The worst of the flu season appears to be over.

The number of states reporting intense or widespread illnesses dropped again last week, and in a few states there was very little flu going around, U.S. health officials said Friday.

The season started earlier than normal, first in the Southeast and then spreading. But now, by some measures, flu activity has been ebbing for at least four weeks in much of the country. Flu and pneumonia deaths also dropped the last two weeks, the Centers for Disease Control and Prevention reported.

"It's likely that the worst of the current flu season is over," CDC spokesman Tom Skinner said.

But flu is hard to predict, he and others stressed, and there have been spikes late in the season in the past.

For now, states like Georgia and New York — where doctor's offices were jammed a few weeks ago — are reporting low flu activity. The hot spots are now the West Coast and the Southwest.

Among the places that have seen a drop: Lehigh Valley Hospital-Cedar Crest in Allentown, Pa., which put up a tent outside its emergency room last month to help deal with the steady stream of patients. There were about 100 patients each day back then. Now it's down to 25 and the hospital may pack up its tent next week, said Terry Burger, director of infection control and prevention for the hospital.

"There's no question that we're seeing a decline," she said.

In early December, CDC officials announced flu season had arrived, a month earlier than usual. They were worried, saying it had been nine years since a winter flu season started like this one. That was 2003-04 — one of the deadliest seasons in the past 35 years, with more than 48,000 deaths.

Like this year, the major flu strain was one that tends to make people sicker, especially the elderly, who are most vulnerable to flu and its complications

But back then, that year's flu vaccine wasn't made to protect against that bug, and fewer people got flu shots. The vaccine is reformulated almost every year, and the CDC has said this year's vaccine is a good match to the types that are circulating. A preliminary CDC study showed it is about 60 percent effective, which is close to the average.

So far, the season has been labeled moderately severe.

Like others, Lehigh Valley's Burger was cautious about making predictions. "I'm not certain we're completely out of the woods," with more wintry weather ahead and people likely to be packed indoors where flu can spread around, she said.

The government does not keep a running tally of flu-related deaths in adults, but has received reports of 59 deaths in children. The most — nine — were in Texas, where flu activity was still high last week. Roughly 100 children die in an average flu season, the CDC says

On average, about 24,000 Americans die each flu season, according to the CDC.

According to the CDC report, the number of states with intense activity is down to 19, from 24 the previous week, and flu is widespread in 38 states, down from 42.

Flu is now minimal in Florida, Kentucky, Maine, Montana, New Hampshire and South Carolina.

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Online:

CDC: http://www.cdc.gov/flu/

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