Syrian air force on offensive after failed truce

























AMMAN (Reuters) – Syrian warplanes bombed rebel targets with renewed intensity on Tuesday after the end of a widely ignored four-day truce between President Bashar al-Assad‘s forces and insurgents.


State television said “terrorists” had assassinated an air force general, Abdullah Mahmoud al-Khalidi, in a Damascus suburb, the latest of several rebel attacks on senior officials.





















In July, a bomb killed four of Assad‘s aides, including his brother-in-law Assef Shawkat and the defense minister.


Air strikes hit eastern suburbs of Damascus, outlying areas in the central city of Homs, and the northern rebel-held town of Maarat al-Numan on the Damascus-Aleppo highway, activists said.


Rebels have been attacking army bases in al-Hamdaniya and Wadi al-Deif, on the outskirts of Maarat al-Numan.


Some activists said 28 civilians had been killed in Maarat al-Numan and released video footage of men retrieving a toddler’s body from a flattened building. The men cursed Assad as they dragged the dead girl, wearing a colorful overall, from the debris. The footage could not be independently verified.


The military has shelled and bombed Maarat al-Numan, 300 km (190 miles) north of Damascus, since rebels took it last month.


“The rebels have evacuated their positions inside Maarat al-Numaan since the air raids began. They are mostly on the frontline south of the town,” activist Mohammed Kanaan said.


Maarat al-Numan and other Sunni towns in northwestern Idlib province are mostly hostile to Assad’s ruling system, dominated by his minority Alawite sect, an offshoot of Shi’ite Islam.


Two rebels were killed and 10 wounded in an air strike on al-Mubarkiyeh, 6 km (4 miles) south of Homs, where rebels have besieged a compound guarding a tank maintenance facility.


Opposition sources said the facility had been used to shell Sunni villages near the Lebanese border.


“WE’LL FIX IT”


The army also fired mortar bombs into the Damascus district of Hammouria, killing at least eight people, activists said.


One video showed a young girl in Hammouria with a large shrapnel wound in her forehead sitting dazed while a doctor said: “Don’t worry dear, we’ll fix it for you.”


Syria’s military, stretched thin by the struggle to keep control, has increasingly used air power against opposition areas, including those in the main cities of Damascus and Aleppo. Insurgents lack effective anti-aircraft weapons.


U.N.-Arab League envoy Lakhdar Brahimi has said he will pursue his peace efforts despite the failure of his appeal for a pause in fighting for the Muslim Eid al-Adha holiday.


But it is unclear how he can find any compromise acceptable to Assad, who seems determined to keep power whatever the cost, and mostly Sunni Muslim rebels equally intent on toppling him.


Big powers and Middle Eastern countries are divided over how to end the 19-month-old conflict which has cost an estimated 32,000 dead, making it one of the bloodiest of Arab revolts that have ousted entrenched leaders in Tunisia, Egypt and Libya.


The United Nations said it had sent a convoy of 18 trucks with food and other aid to Homs during the “ceasefire”, but had been unable to unload supplies in the Old City due to fighting.


“We were trying to take advantage of positive signs we saw at the end of last week. The truce lasted more or less four hours so there was not much opportunity for us after all,” said Jens Laerke, a U.N. spokesman in Geneva.


The prime minister of the Gulf state of Qatar told al-Jazeera television late on Monday that Syria’s conflict was not a civil war but “a war of annihilation licensed firstly by the Syrian government and secondly by the international community”.


Sheikh Hamad bin Jassim al-Thani said some of those responsible were on the U.N. Security Council, alluding to Russia and China which have vetoed three Western-backed U.N. draft resolutions condemning Assad.


He said that the West was also not doing enough to stop the violence and that the United States would be in “paralysis” for two or three weeks during its presidential election.


(Additional reporting by Raissa Kasolowsky in Abu Dhabi and Stephanie Nebehay in Geneva; Writing by Oliver Holmes; Editing by Alistair Lyon)


World News Headlines – Yahoo! News



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In hurricane, Twitter proves a lifeline despite pranksters

SAN FRANCISCO (Reuters) - As Hurricane Sandy pounded the U.S. Atlantic coast on Monday night, knocking out electricity and Internet connections, millions of residents turned to Twitter as a part-newswire, part-911 hotline that hummed through the night even as some websites failed and swathes of Manhattan fell dark.


But the social network also became a fertile ground for pranksters who seized the moment to disseminate rumors and Photoshopped images, including a false tweet Monday night that the trading floor at the New York Stock Exchange was submerged under several feet of water.


The exchange issued a denial, but not before the tweet was circulated by countless users and reported on-air by CNN, illustrating how Twitter had become the essential - but deeply fallible - spine of information coursing through real-time, major media events.


But a year after Twitter gained attention for its role in the rescue efforts in tsunami-stricken Japan, the network seemed to solidify its mainstream foothold as government agencies, news outlets and residents in need turned to it at the most critical hour.


Beginning late Sunday, government agencies and officials, from New York Governor Andrew Cuomo(@NYGovCuomo) to the Federal Emergency Management Agency (@FEMA) to @NotifyNYC, an account handled by New York City's emergency management officials, issued evacuation orders and updates.


As the storm battered New York Monday night, residents encountering clogged 9-1-1 dispatch lines flooded the Fire Department's @fdny Twitter account with appeals for information and help for trapped relatives and friends.


One elderly resident needed rescue in a building in Manhattan Beach. Another user sent @fdny an Instagram photo of four insulin shots that she needed refrigerated immediately. Yet another sought a portable generator for a friend on a ventilator living downtown.


Emily Rahimi, who manages the @fdny account by herself, according to a department spokesman, coolly fielded dozens of requests, while answering questions about whether to call 311, New York's non-emergency help line, or Consolidated Edison.


At the Red Cross of America's Washington D.C. headquarters, in a small room called the Digital Operations Center, six wall-mounted monitors display a stream of updates from Twitter and Facebook and a visual "heat map" of where posts seeking help are coming from.


The heat map informed how the Red Cross's aid workers deployed their resources, said Wendy Harman, the Red Cross director of social strategy.


The Red Cross was also using Radian6, a social media monitoring tool sold by Salesforce.com, to spot people seeking help and answer their questions.


"We found out we can carry out the mission of the Red Cross from the social Web," said Harman, who hosted a brief visit from President Barack Obama on Tuesday.


SPREADING INFORMATION


Twitter, which in the past year has heavily ramped up its advertising offerings and features to suit large brand marketers like Pepsico Inc and Procter & Gamble, suddenly found itself offering its tools to new kind of client on Monday: public agencies that wanted help spreading information.


For the first time, the company created a "#Sandy" event page - a format once reserved for large ad-friendly media events like the Olympics or Nascar races - that served as a hub where visitors could see aggregated information. The page displayed manually- and algorithmically-selected tweets plucked from official accounts like those of New York Mayor Michael Bloomberg and Governor Chris Christie of New Jersey, who was particularly active on the network.


Agencies like the Maryland Emergency Management Agency and the New York Mayor's Office also used Twitter's promoted tweets - an ad product used by advertisers to reach a broader consumer base - to get out the word.


The company said offering such services for free to government agencies was one of several initiatives, including a service that broadcasts location-specific alerts and public announcements based on a Twitter user's postal code.


"We learned from the storm and tsunami in Japan that Twitter can often be a lifeline," said Rachael Horwitz, a Twitter spokeswoman.


Jeannette Sutton, a sociologist at the University of Colorado who has received funding from the National Science Foundation and the Department of Homeland Security to study social media uses in disaster management, said government agencies have been skeptical until recently about using social media during natural disasters.


"There's a big problem with whether it's valid, accurate information out there," Sutton said. "But if you're not part of the conversation, you're going to be missing out."


As the hurricane hit one of the most wired regions in the country, news outlets also took advantage of the smartphone users who chronicled rising tides on every flooded block. On Instagram, the photo-sharing website, witnesses shared color-filtered snapshots of floating cars, submerged gas stations and a building shorn of its facade at a rate of more than 10 pictures per second, Instagram founder Kevin Systrom told Poynter.org on Tuesday.


Many of the images were republished in the live coverage by news websites and aired on television broadcasts.


LIES SLAPPED DOWN


But by late Monday, fake images began to circulate widely, including a picture of a storm cloud gathering dramatically over the Statue of Liberty and a photoshopped job of a shark lurking in a submerged residential neighborhood. The latter image even surfaced on social networks in China.


Then there was the slew of fabricated message from @comfortablysmug, the Twitter account that claimed the NYSE was underwater. The account is owned by Shashank Tripathi, the hedge fund investor and campaign manager for Christopher Wight, the Republican candidate to represent New York's 12th District in the U.S. House of Representatives.


Tripathi, who did not return emails by Reuters seeking comment, apologized Tuesday night for making a "series of irresponsible and inaccurate tweets" and resigned from Wight's campaign.


His identity was first reported by Jack Stuef of BuzzFeed.


Around 3:30 p.m. on Tuesday, Tripathi began deleting many of his Hurricane Sandy tweets. Tripathi's friend, @theAshok, defended Tripathi, telling Reuters on Twitter: "People shouldn't be taking "news" from an anonymous twitter account seriously."


Tripathi's @comfortablysmug's Twitter stream, which is followed by business journalists, bloggers and various New York personalities, had been a well-known voice in digital circles, but mostly for his 140-character-or-less criticisms of the Obama administration, often accompanied by the hashtag, #ObamaIsn'tWorking.


On Tuesday, New York City Councilman Peter F. Vallone Jr. appeared to threaten Tripathi with prosecution when he tweeted that he hoped Tripathi was "less smug and comfortable cuz I'm talking to Cy," presumably referring to Manhattan District Attorney Cyrus Vance Jr.


For its part, Twitter said that it would not have considered suspending the account unless it received a request from a law enforcement agency.


"We don't moderate content, and we certainly don't want to be in a position of deciding what speech is OK and what speech is not," said Horwitz, Twitter's spokeswoman.


But Ben Smith, the editor at Buzzfeed, which outed Tripathi, said Twitter's credibility would not be affected by rumormongers because netizens often self-correct and identify falsehoods.


"They used to say a lie will travel halfway around the world before the truth puts its shoes on, but in the Twitter world, that's not true anymore," Smith said. "The lies get slapped down really fast."


For Smith, the ability to disseminate information via Twitter and Facebook on Monday night became perhaps even more important than his Web publication, which enjoyed one of its better nights in readership but went dark when the blackout crippled the site's servers in downtown Manhattan.


Buzzfeed's staff quickly began publishing on Tumblr instead, and Smith personally took over Buzzfeed's Twitter account to stay in the thick of the conversation.


"Our view of the world is that social distribution is the key thing," Smith said. "We're in the business of creating content that people want to share, more than the business of maintaining a website."


(Reporting By Gerry Shih in San Francisco and Jennifer Ablan and Felix Salmon in New York; Editing by Robert Birsel)


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“Neighbors,” “Scandal” get full-season orders

























NEW YORK, Oct 30 (TheWrap.com) – ABC has given full season orders to the aliens-next-door drama “The Neighbors” and the political drama “Scandal.”


“Neighbors,” a freshman comedy, has benefitted from a Wednesday time slot between “The Middle” and “Modern Family,” ABC’s biggest hit.





















“Scandal,” a Shonda Rhimes series that stars Kerry Washington (pictured) as a crisis management specialist, debuted in midseason last year and returned last month for its second season.


The two series are the first to receive full-season pickups from ABC this fall.


TV News Headlines – Yahoo! News



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Fresenius Medical Care warns on profits

























FRANKFURT (Reuters) – Fresenius Medical Care, the world’s largest dialysis group, cut its estimates for sales and profits this year to take account of the impact of a strong U.S. dollar on earnings outside the United States.


FMC said on Wednesday it now expected 2012 revenue and net profit to be as much as 2 percent below its original forecast of about $ 14 billion and $ 1.14 billion respectively. The company had said previously a deviation of plus or minus 2 percent from its goal was possible.





















The group, which dominates the U.S. dialysis clinics market along with rival DaVita Inc., also reported a 3 percent drop in third quarter net income to $ 270 million. This fell short of analysts’ average forecasts of $ 285 million.


The company reports in U.S. dollars because it derives about two thirds of its revenue from North America and the value of its revenues from Europe declines when the dollar rises against the euro.


Equinet Bank analyst Edouard Aubery said it was “quite unusual” for FMC to miss analysts’ forecasts. “We would stay away from the stock today,” Aubery said.


FMC’s shares were down 3.5 percent.


The company also revealed plans to take a $ 70 million one-off charge that will be excluded from its full-year earnings outlook. This mainly relates to FMC’s plans to buy itself out of a fixed-price contract for iron drugs that have become cheaper.


These drugs treat low levels of iron in the body that typically affect dialysis patients.


FMC’s parent company Fresenius, the diversified healthcare group, reported slightly higher than expected adjusted net income on Wednesday, supported by growth at its generic drugs and hospitals divisions.


Adjusted net income in the first nine months of the year rose 21 percent to 682 million euros ($ 885 million). That was above the average estimate of 675 million euros in a Reuters poll.


Fresenius still expects 2012 net income up by between 14 and 16 percent, adjusted for currency swings and excluding the effects of a failed takeover of Rhoen-Klinikum AG.


Fresenius last month raised the full-year profit outlook for its generic infusion drug unit Kabi for the third time this year as it benefits from rivals’ supply shortages.


(Reporting by Ludwig Burger, Andreas Kröner and Maria Sheahan. Editing by Jane Merriman)


Health News Headlines – Yahoo! News



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Back to business after Sandy's hard hit

NEW YORK (Reuters) - Millions of people across the U.S. Northeast stricken by massive storm Sandy will attempt to resume normal lives on Wednesday as companies, markets and airports reopen, despite grim projections of power and mass transit outages lasting several more days.


With six days to go before the November 6 elections, President Barack Obama will visit storm-ravaged areas of the New Jersey shore, where Sandy made landfall on Monday. His guide will be Republican Governor Chris Christie, a vocal backer of presidential challenger Mitt Romney who has nevertheless praised Obama and the federal response to the storm.


Sandy, which has killed 40 people in the United States, pushed inland and dumped snow in the Appalachian Mountains. Its remains slowed over Pennsylvania, and it was expected to move north toward western New York and Canada, the National Weather Service said.


Blizzard warnings and coastal flood warnings for the shores of the Great Lakes were in effect.


Battered by a record storm surge of nearly 14 feet of water, swaths of New York City remained submerged under several feet of water. In the city's borough of Staten Island, police used helicopters to pluck stranded residents from rooftops.


Across the Hudson River in Hoboken, New Jersey, members of the National Guard arrived to help residents pump floodwater from their homes, the city said on Twitter.


More than 8.2 million homes and businesses remained without electricity across several states as trees toppled by fierce winds tore down power lines.


In New Jersey, Christie said it could take seven to 10 days before power is restored statewide.


Subway tracks and commuter tunnels under New York City, which carry several million people a day, were under several feet of water.


In the lower half of Manhattan, a quarter million residents remained without power after a transformer explosion at a Con Edison substation Monday night.


"I'M ALL COLD INSIDE"


On Manhattan's Lower East Side, one of the neighborhoods without power, 87-year-old Thea Lucas said she came outside from her apartment, where she lives alone, to warm herself up with a walk and to feed seven cats that she looks after.


"I can make hot water," she said. "But there is no heating and I'm all cold inside."


In Brooklyn, a large tree fell on a house belonging to Jean-Claude Mersier, blocking the front entrance, breaking windows and crushing a car.


As he hauled away its branches, Mersier said police told him it might take two weeks to a month before someone could come to remove the biggest sections of the tree.


"The storm has not been good to us," he said.


In Greenwich Village, where downed trees littered the streets, residents gathered around a neighborhood police station to use its power outlets to charge their cell phones.


New York City likely will struggle without subways for days, authorities said. Buses were operating on a limited basis and many residents were walking long distances or scrambling to grab scarce taxi cabs on the streets.


In Hoboken, a fleet of yellow cabs could be seen submerged in water nearly as high as the vehicles' windows.


Despite much of the city's financial district being damaged by flooding, financial markets were scheduled to reopen on Wednesday as well. How much activity could take place remained to be seen, however, as many workers may be unlikely to get to work without subways and commuter railroads from the suburbs.


In New Jersey, Christie took a helicopter tour of devastation on Tuesday along the shore, where boats were adrift, boardwalks were washed away and roads were blocked by massive sand drifts. He stopped in the badly damaged resort towns of Belmar and Avalon.


"I was just here walking this place this summer, and the fact that most of it is gone is just incredible," he said at one stop.


The storm killed 22 people in New York City, among 27 total in New York state, while six died in New Jersey. Seven other states reported fatalities. One disaster modeling company said Sandy may have caused up to $15 billion in insured losses.


Sandy hit the East Coast with a week to go to the November 6 presidential election, dampening an unprecedented drive to encourage early voting and raising questions whether some polling stations will be ready to open on Election Day.


PRESIDENTIAL CAMPAIGNS TO RESUME


Obama faces political danger if the government fails to respond well, as was the case with his predecessor George W. Bush's botched handling of Hurricane Katrina in 2005.


Obama and Romney put campaigning on hold for a second day on Tuesday but Romney planned to hold rallies in the battleground state of Florida on Wednesday and Obama seemed likely to resume campaigning on Thursday.


Sandy became the biggest storm to hit the United States in generations when it crashed ashore with hurricane-force winds on Monday near the New Jersey gambling resort of Atlantic City.


Two of the area's major airports - John F. Kennedy International in New York and Newark Liberty International - planned to reopen with limited service on Wednesday.


New York's LaGuardia Airport, the third of the airports that serve the nation's busiest airspace, was flooded and remained closed.


Nearly 19,000 flights have been canceled since Sunday, according to flight tracking service FlightAware.com.


On Broadway, the Theater League announced that most shows would resume performances on Wednesday. Shows had been canceled since Sunday due to the storm.


Sandy forced New York City to postpone its traditional Halloween parade, which had been set for Wednesday night in Greenwich Village.


(Additional reporting by Daniel Bases, Michael Erman, Anna Louie Sussman, Atossa Abrahamian, Michelle Nichols, Ed Krudy, Chris Michaud and Scott DiSavino in New York and Ian Simpson in West Virginia; Writing by Ellen Wulfhorst; Editing by Bill Trott)


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Cuba’s 2nd city without power, water after Sandy

























HAVANA (AP) — Residents of Cuba‘s second-largest city of Santiago remained without power or running water Monday, four days after Hurricane Sandy made landfall as the island’s deadliest storm in seven years, ripping rooftops from homes and toppling power lines.


Across the Caribbean, the storm’s death toll rose to 69, including 52 people in Haiti, 11 in Cuba, two in the Bahamas, two in the Dominican Republic, one in Jamaica and one in Puerto Rico.





















Cuban authorities have not yet estimated the economic toll, but the Communist Party newspaper Granma reported there was “severe damage to housing, economic activity, fundamental public services and institutions of education, health and culture.”


Yolanda Tabio, a native of Santiago, said she had never seen anything like it in all her 64 years: Broken hotel and shop windows, trees blown over onto houses, people picking through piles of debris for a scrap of anything to cover their homes. On Sunday, she sought solace in faith.


“The Mass was packed. Everyone crying,” said Tabio, whose house had no electricity, intermittent phone service and only murky water coming out of the tap on Monday. “I think it will take five to ten years to recover. … But we’re alive.”


Sandy came onshore early Thursday just west of Santiago, a city of about 500,000 people in agricultural southeastern Cuba. It is the island’s deadliest storm since 2005′s Hurricane Dennis, a category 5 monster that killed 16 people and did $ 2.4 billion in damage. More than 130,000 homes were damaged by Sandy, including 15,400 that were destroyed, Granma said.


“It really shocked me to see all that has been destroyed and to know that for many people, it’s the effort of a whole lifetime,” said Maria Caridad Lopez, a media relations officer at the Roman Catholic Archdiocese in Santiago. “And it disappears in just three hours.”


Lopez said several churches in the area collapsed and nearly all suffered at least minor damage. That included the Santiago cathedral as well as one of the holiest sites in Cuba, the Sanctuary of the Virgin del Cobre. Sandy’s winds blew out its stained glass windows and damaged its massive doors.


“It’s indescribable,” said Berta Serguera, an 82-year-old retiree whose home withstood the tempest but whose patio and garden did not. “The trees have been shredded as if with a saw. My mango only has a few branches left, and they look like they were shaved.”


On Monday, sound trucks cruised the streets urging people to boil drinking water to prevent infectious disease. Soldiers worked to remove rubble and downed trees from the streets. Authorities set up radios and TVs in public spaces to keep people up to date on relief efforts, distributed chlorine to sterilize water and prioritized electrical service to strategic uses such as hospitals and bakeries.


Enrique Berdion, a 45-year-old doctor who lives in central Santiago, said his small apartment building did not suffer major damage but he had been without electricity, water or gas for days.


“This was something I’ve never seen, something extremely intense, that left Santiago destroyed. Most homes have no roofs. The winds razed the parks, toppled all the trees,” Berdion said by phone. “I think it will take years to recover.”


Raul Castro, who toured Cuba’s hardest-hit regions on Sunday, warned of a long road to recovery.


Granma said the president called on the country to urgently implement “temporary solutions,” and “undoubtedly the definitive solution will take years of work.”


Venezuela sent nearly 650 of tons of aid, including nonperishable food, potable water and heavy machinery both to Cuba and to nearby Haiti, which was not directly in the storm’s path but suffered flash floods across much of the country’s south.


Across the Caribbean, work crews were repairing downed power lines and cracked water pipes and making their way into rural communities marooned by impassable roads. The images were similar from eastern Jamaica to the northern Bahamas: Trees ripped from the ground, buildings swamped by floodwaters and houses missing roofs.


Fixing soggy homes may be a much quicker task than repairing the financial damage, and island governments were still assessing Sandy’s economic impact on farms, housing and infrastructure.


In tourism-dependent countries like Jamaica and the Bahamas, officials said popular resorts sustained only superficial damage, mostly to landscaping.


Haiti, where even minor storms can send water gushing down hills denuded of trees, listed a death toll of 52 as of Monday and officials said it could still rise. Prime Minister Laurent Lamothe has described the storm as a “disaster of major proportions.”


In Jamaica, where Sandy made landfall first on Wednesday as a Category 1 hurricane, people coped with lingering water and power outages with mostly good humor.


“Well, we mostly made it out all right. I thought it was going to be rougher, like it turned out for other places,” laborer Reginald Miller said as he waited for a minibus at a sunbaked Kingston intersection.


In parts of the Bahamas, the ocean surged into coastal buildings and deposited up to six feet of seawater. Sandy was blamed for two deaths on the archipelago off Florida’s east coast, including a British bank executive who fell off his roof while trying to fix a window shutter and an elderly man found dead beneath overturned furniture in his flooded, low-lying home.


___


Associated Press writers Anne-Marie Garcia in Havana, David McFadden in Kingston, Jamaica, and Jeff Todd in Nassau, Bahamas, contributed to this report.


___


Peter Orsi is on Twitter: www.twitter.com/Peter_Orsi


Latin America News Headlines – Yahoo! News



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Nokia says shipping new Lumia smartphones this week

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Daniel Craig, Bill Murray confirmed for “The Monuments Men”

























LOS ANGELES (TheWrap.com) – Daniel Craig and Bill Murray are joining Cate Blanchett and Jean Dujardin in George Clooney‘s ‘The Monuments Men,” as previously reported in TheWrap.


A rep for George Clooney confirmed the castings to TheWrap.





















Blanchett will play the role of Rose Valland, an art historian and member of the French resistance. Dujardin, who became the first French actor to win an Oscar for Best Actor earlier this year (for “The Artist”), will play a supporting role in this story about a group of men and women who chased down the stolen art of Europe during World War II.


“The Monument’s Men” is based on the book “The Monuments Men: Allied Heroes, Nazi Thieves and the Greatest Treasure Hunt in History,” by Robert M Edsel.


Clooney will star in the film and also direct. He is also producing and writing the screenplay with Grant Heslov. Clooney plays George Stout, a U.S. Army officer and leading art conservationist, who repatriated tens of thousands of pieces of art from the Nazis.


The film is shooting in Germany, Austria, Paris and England next spring.


The book focuses on the 11-month period between D-Day and V-E Day.


Movies News Headlines – Yahoo! News



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Breast-cancer checks save lives despite over diagnosis

























LONDON (Reuters) – Breast-cancer screening saves lives even though it also picks up cases in some women that would never have caused them a problem, according to a review published in The Lancet medical journal.


The independent review, commissioned by the charity Cancer Research UK (CRUK) and Britain’s Department of Health, follows fierce international debate about the benefits of routine screening and recent research that has argued it does more harm than good.





















“This has become an area of high controversy,” said Sir Mike Richards, the Department of Health‘s National Cancer Director and one of the sponsors of the review.


Critics of routine screening argue that women can be subjected to unnecessary surgery, radiotherapy and medication to treat cancers that would have posed them no risk.


Harpal Kumar, chief executive of CRUK, acknowledged the shortcomings of screening but argued that until testing for breast cancer becomes more sophisticated, regular monitoring is the best option.


“Screening remains one of the best ways to spot the very early signs of breast cancer, at a stage when treatment is most likely to be successful,” he said.


“Yet, as the review shows, some cancers will be diagnosed and treated that would never have caused any harm.”


A panel of experts led by University College London professor Sir Michael Marmot concluded that screening prevents about 1,300 deaths per year in Britain but can also lead to about 4,000 women having treatment for a condition that would never have troubled them.


This means that for every death that is prevented, three women are over-diagnosed.


The review panel called for improved information, in health leaflets for instance, to give women a clearer picture of both the benefits and potential harms before they go for a mammogram.


Breast cancer is the most common form of cancer among women in Britain, affecting one in eight at some point in their lives. The country’s screening program invites women aged 50 to 70 for a mammogram every three years and this is being expanded to ages 47 and 73.


Earlier diagnosis and better treatments have improved the survival rate to 77 percent in 2007 from 41 percent in 1971, according to CRUK.


The conclusions of the review are based on analysis of 11 trials that all took place more than 20 years ago, which assessed whether screening resulted in fewer deaths due to the disease, compared to when no screening takes place.


The panel acknowledged the studies had limitations, not least because of their age, but decided the evidence was strong enough to conclude that women invited for screening have a relative risk of dying from breast cancer that is 20 percent less than those who are not invited.


Harpal Kumar said research is under way that could lead to more sophisticated tests that distinguish aggressive cancers from those that are not.


This, coupled with a better understanding of genetic predisposition and lifestyle factors that play a role in breast cancer, could mean more finely targeted screening and less over-diagnosis.


“Until this is possible, we’d recommend women who have had something unusual picked up through screening to seek full advice and discuss all possible options with their breast cancer specialist team,” he said.


(Editing by Michael Roddy)


Diseases/Conditions News Headlines – Yahoo! News



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7.4 million wake up in the dark: Sandy leaves death and destruction in wake

NEW YORK (AP) — As Superstorm Sandy marched slowly inland, millions along the East Coast awoke Tuesday without power or mass transit, with huge swaths of the nation's largest city unusually vacant and dark.

New York was among the hardest hit, with its financial heart in Lower Manhattan shuttered for a second day and seawater cascading into the still-gaping construction pit at the World Trade Center. President Barack Obama declared a major disaster in the city and Long Island.

The storm that made landfall in New Jersey on Monday evening with 80 mph sustained winds killed at least 16 people in seven states, cut power to more than 7.4 million homes and businesses from the Carolinas to Ohio, caused scares at two nuclear power plants and stopped the presidential campaign cold.

The massive storm reached well into the Midwest: Chicago officials warned residents to stay away from the Lake Michigan shore as the city prepares for winds of up to 60 mph and waves exceeding 24 feet well into Wednesday.

"This will be one for the record books," said John Miksad, senior vice president for electric operations at Consolidated Edison, which had more than 670,000 customers without power in and around New York City.

An unprecedented 13-foot surge of seawater — 3 feet above the previous record — gushed into Gotham, inundating tunnels, subway stations and the electrical system that powers Wall Street, and sent hospital patients and tourists scrambling for safety. Skyscrapers swayed and creaked in winds that partially toppled a crane 74 stories above Midtown.

Right before dawn, a handful of taxis were out on the streets, though there was an abundance of emergency and police vehicles.

Remnants of the former Category 1 hurricane were forecast to head across Pennsylvania before taking another sharp turn into western New York by Wednesday morning. Although weakening as it goes, the massive storm — which caused wind warnings from Florida to Canada — will continue to bring heavy rain and local flooding, said Daniel Brown, warning coordination meteorologist at the National Hurricane Center in Miami.

As Hurricane Sandy closed in on the Northeast, it converged with a cold-weather system that turned it into a monstrous hybrid of rain and high wind — and even snow in West Virginia and other mountainous areas inland.

Just before it made landfall at 8 p.m. near Atlantic City, N.J., forecasters stripped Sandy of hurricane status — but the distinction was purely technical, based on its shape and internal temperature. It still packed hurricane-force wind, and forecasters were careful to say it was still dangerous to the tens of millions in its path.

While the hurricane's 90 mph winds registered as only a Category 1 on a scale of five, it packed "astoundingly low" barometric pressure, giving it terrific energy to push water inland, said Kerry Emanuel, a professor of meteorology at MIT.

Officials blamed at least 16 deaths on the converging storms — five in New York, three each in New Jersey and Pennsylvania, two in Connecticut, and one each in Maryland, North Carolina and West Virginia. Three of the victims were children, one just 8 years old.

Sandy, which killed 69 people in the Caribbean before making its way up the Eastern Seaboard, began to hook left at midday Monday toward the New Jersey coast. Even before it made landfall, crashing waves had claimed an old, 50-foot piece of Atlantic City's world-famous Boardwalk.

"We are looking at the highest storm surges ever recorded" in the Northeast, said Jeff Masters, meteorology director for Weather Underground, a private forecasting service.

Sitting on the dangerous northeast wall of the storm, the New York metropolitan area got the worst of it.

An explosion at a ConEdison substation knocked out power to about 310,000 customers in Manhattan, said Miksad.

"We see a pop. The whole sky lights up," said Dani Hart, 30, who was watching the storm from the roof of her building in the Navy Yards.

"It sounded like the Fourth of July," Stephen Weisbrot said from his 10th-floor apartment.

New York University's Tisch Hospital was forced to evacuate 200 patients after its backup generator failed. NYU Medical Dean Robert Grossman said patients — among them 20 babies from neonatal intensive care that were on battery-powered respirators — had to be carried down staircases and to dozens of waiting ambulances.

Not only was the subway shut down, but the Holland Tunnel connecting New York to New Jersey was closed, as was a tunnel between Brooklyn and Manhattan. The Brooklyn Bridge, the George Washington Bridge, the Verrazano-Narrows Bridge and several other spans were closed due to high winds.

The three major airports in the New York area — LaGuardia, Newark Liberty and Kennedy — remained shut down Tuesday.

A construction crane atop a $1.5 billion luxury high-rise in midtown Manhattan collapsed in high winds and dangled precariously. Thousands of people were ordered to leave several nearby buildings as a precaution, including 900 guests at the ultramodern Le Parker Meridien hotel.

Alice Goldberg, 15, a tourist from Paris, was watching television in the hotel — whose slogan is "Uptown, Not Uptight" — when a voice came over the loudspeaker and told everyone to leave.

"They said to take only what we needed, and leave the rest, because we'll come back in two or three days," she said as she and hundreds of others gathered in the luggage-strewn marble lobby. "I hope so."

Trading at the New York Stock Exchange was canceled again Tuesday — the first time the exchange suspended operations for two consecutive days due to weather since an 1888 blizzard struck the city.

Fire destroyed at least 50 homes Monday night in a flooded neighborhood in the Breezy Point section of the borough of Queens, where the Rockaway peninsula juts into the Atlantic Ocean. Firefighters told WABC-TV that they had to use a boat to rescue residents because the water was chest high on the street. About 25 people were trapped in one home, with two injuries reported.

Airlines canceled around 12,500 flights because of the storm, a number that was expected to grow.

Off North Carolina, not far from an area known as "the Graveyard of the Atlantic," a replica of the 18th-century sailing ship HMS Bounty that was built for the 1962 Marlon Brando movie "Mutiny on the Bounty" sank when her diesel engine and bilge pumps failed. Coast Guard helicopters plucked 14 crew members from rubber lifeboats bobbing in 18-foot seas.

A 15th crew member who was found unresponsive several hours after the others was later pronounced dead. The Bounty's captain was still missing.

One of the units at Indian Point, a nuclear power plant about 45 miles north of New York City, was shut down around 10:45 p.m. Monday because of external electrical grid issues, said Entergy Corp., which operates the plant. The company said there was no risk to employees or the public.

And officials declared an "unusual event" at the Oyster Creek nuclear power plant in Lacey Township, N.J., the nation's oldest, when waters surged to 6 feet above sea level during the evening. Within two hours, the situation at the reactor — which was offline for regular maintenance — was upgraded to an alert, the second-lowest in a four-tiered warning system. Oyster Creek provides 9 percent of the state's electricity.

In Baltimore, fire officials said four unoccupied rowhouses collapsed in the storm, sending debris into the street but causing no injuries. Meanwhile, a blizzard in far western Maryland caused a pileup of tractor-trailers that blocked the westbound lanes of Interstate 68 on slippery Big Savage Mountain near the town of Finzel.

"It's like a long-tailed cat in a room full of rocking chairs up here," said Bill Wiltson, a Maryland State Police dispatcher.

Hundreds of miles from the storm's center, gusts topping 60 mph prompted officials to close the port of Portland, Maine, and scaring away several cruise ships. A state of emergency in New Hampshire prompted Vice President Joe Biden to cancel a rally in Keene and Republican nominee Mitt Romney's wife, Ann, to call off her bus tour through the Granite State.

About 360,000 people in 30 Connecticut towns were urged to leave their homes under mandatory and voluntary evacuation orders. Christi McEldowney was among those who fled to a Fairfield shelter. She and other families brought tents for their children to play in.

"There's something about this storm," she said. "I feel it deep inside."

Despite dire warnings and evacuation orders that began Saturday, many stayed put.

New Jersey Gov. Chris Christie — whose own family had to move to the executive mansion after his home in Mendham, far from the storm's center, lost power — criticized the mayor of Atlantic City for opening shelters there instead of forcing people out.

Eugenia Buono, 77, and her neighbor, Elaine DiCandio, 76, were among several dozen people who took shelter at South Kingstown High School in Narragansett, R.I. They live on Harbor Island, which is connected to the mainland by a causeway.

"I'm not an idiot," said Buono, who survived hurricanes Carol in 1954 and Bob in 1991. "People are very foolish if they don't leave."

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Hays reported from New York and Breed reported from Raleigh, N.C.; AP Science Writer Seth Borenstein contributed to this report from Washington. Associated Press writers David Dishneau in Delaware City, Del., Katie Zezima in Atlantic City, Emery P. Dalesio in Elizabeth City, N.C., and Erika Niedowski in Cranston, R.I., also contributed.

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