Vice president quits as Egypt votes on constitution


CAIRO (Reuters) - Egypt's vice-president resigned on Saturday as Egyptians voted in a referendum that is expected to approve a new constitution that lays the foundations for the country's transition to democracy but will strip him of his role.


Authorities extended voting by four hours in the second and decisive round of the plebiscite on an Islamist-drafted constitution that the opposition has criticized as divisive and likely to cause more unrest.


Just hours before polls closed, Vice President Mahmoud Mekky announced his resignation, saying he wanted to quit last month but stayed on to help President Mohamed Mursi tackle a crisis that blew up when the Islamist leader assumed wide powers.


Mekky, a prominent judge who said he was uncomfortable in politics, disclosed earlier he had not been informed of Mursi's power grab. However, the timing of Mekky's move appeared linked to the fact there is no vice-presidential post under the draft constitution.


In a resignation letter, Mekky said that although he had held on in the post he had "realized for some time that the nature of political work did not suit my professional background as a judge".


Islamist supporters of Mursi say the charter is vital to move towards democracy, nearly two years after an Arab Spring revolt overthrew authoritarian ruler Hosni Mubarak. It will help restore stability needed to fix a struggling economy, they say.


But the opposition says the document is divisive and has accused Mursi of pushing through a text that favors his Islamist allies while ignoring the rights of Christians, who make up about 10 percent of the population, as well as women.


"I'm voting 'no' because Egypt can't be ruled by one faction," said Karim Nahas, 35, a stockbroker, heading to a polling station in Giza, a province included in this round of voting which covers parts of greater Cairo.


At another polling station, some voters said they were more interested in ending Egypt's long period of political instability than in the Islamist aspects of the charter.


"We have to extend our hands to Mursi to help fix the country," said Hisham Kamal, an accountant.


Queues formed at some polling stations around the country and voting was extended by four hours to 11 p.m. (2100 GMT).


Unofficial tallies are likely to emerge within hours of the close, but the referendum committee may not declare an official result for the two rounds until Monday, after hearing appeals.


CHEATING ALLEGED


As polling opened on Saturday, a coalition of Egyptian rights groups reported a number of alleged irregularities.


They said some polling stations had opened late, that Islamists urging a "yes" vote had illegally campaigned at some stations, and complained of irregularities in voter registration irregularities, including the listing of one dead person.


Last week's first round of voting gave a 57 percent vote in favour of the constitution, according to unofficial figures.


Analysts expect another "yes" on Saturday because the vote covers rural and other areas seen as having more Islamist sympathizers. Islamists may also be able to count on many Egyptians who are simply exhausted by two years of upheaval.


Among the provisions of the new basic law are a limit of two four-year presidential terms. It says the principles of sharia law remain the main source of legislation but adds an article to explain this further. It also says Islamic authorities will be consulted on sharia - a source of concern to Christians and other non-Muslims.


If the constitution is passed, a parliamentary election will be held in about two months. If not, an assembly will have to be set up to draft a new one.


After the first round of voting, the opposition said alleged abuses meant the first stage of the referendum should be re-run.


But the committee overseeing the two-stage vote said its investigations showed no major irregularities in voting on December 15, which covered about half of Egypt's 51 million voters.


MORE UNREST


Even if the charter is approved, the opposition say it is a recipe for trouble since it has not received sufficiently broad backing from the population. They say the result may go in Mursi's favour but it will not be a fair vote.


"I see more unrest," said Ahmed Said, head of the liberal Free Egyptians Party and a member of the National Salvation Front, an opposition coalition formed after Mursi expanded his powers on November 22 and then pushed the constitution to a vote.


Protesters accused the president of acting like a pharaoh, and he was forced to issue a second decree two weeks ago that amended a provision putting his decisions above legal challenge.


Said cited "serious violations" on the first day of voting, and said anger against Mursi and his Islamist allies was growing. "People are not going to accept the way they are dealing with the situation."


At least eight people were killed in protests outside the presidential palace in Cairo this month. Islamists and rivals clashed on Friday in the second biggest city of Alexandria, hurling stones at each other. Two buses were torched.


The head of the Muslim Brotherhood, an Islamist group that represents Mursi's power base, said the vote was an opportunity for Egypt to move on.


"After the constitution is settled by the people, the wheels in all areas will turn, even if there are differences here and there," the Brotherhood's supreme guide, Mohamed Badie, said as he went to vote in Beni Suef, south of Cairo.


"After choosing a constitution, all Egyptians will be moving in the same direction," he said.


The vote was staggered after many judges refused to supervise the ballot, meaning there were not enough to hold the referendum on a single day nationwide.


The first round was won by a slim enough margin to buttress opposition arguments that the text was divisive. Opponents who include liberals, leftists, Christians and more moderate-minded Muslims accuse Islamists of using religion to sway voters.


Islamists, who have won successive ballots since Mubarak's overthrow, albeit by narrowing margins, dismiss charges that they are exploiting religion and say the document reflects the will of a majority in the country where most people are Muslim.


(Additional reporting by Tamim Elyan; Writing by Edmund Blair and Giles Elgood; Editing by Mark Trevelyan and Jason Webb)



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Football: Inter Milan held by Genoa, nine points behind Juve






ROME: Inter Milan fell further behind Serie A leaders Juventus on Saturday after being held 1-1 at home to struggling Genoa.

Inter, nine points behind the defending champions who beat Cagliari 3-1 on Friday, had to rely on a goal from Argentinian veteran Esteban Cambiasso five minutes from time to rescue a point.

Genoa's Ciro Immobile had given the visitors the lead in the 77th minute with an exquisite shot with the outside of his right foot.

Cambiasso headed the leveller after being set up by Italian forward Antonio Cassano.

The hosts should have stolen all three points in the final minute of normal time but for a remarkable miss by 19-year-old Croatian Marko Livaja, who missed an open goal and hit the post.

The point could ease the pressure on Genoa coach Luigi Delneri, though; they remain second from bottom and have taken just five points since he took over on October 22.

Lazio later leapfrogged Inter into second place, eight points behind Juventus, after edging Genoa's city rivals Sampdoria 1-0 with a goal by Brazilian midfielder Hernanes to take their tally to 17 points from their last 21.

Napoli got back to winning ways -- after two defeats to Bologna in four days in Serie A and then the Italian Cup -- beating bottom side Siena 2-0 with late goals from Christian Maggio, who was set up by Slovakian Marek Hamsik, in the 86th minute and Edinson Cavani who scored his 13th of the season from the penalty spot in the 90th minute.

Juventus needed two goals in stoppage time to seal a come-from-behind 3-1 win at Cagliari on Friday.

Cagliari, just a point above the relegation zone, went ahead after 16 minutes through a Mauricio Pinilla penalty awarded after Arturo Vidal had chopped down Marco Sau in the box.

In a contentious game, Cagliari played the last 30 minutes a man short after the sending off of Davide Astori, who had already been booked, for a foul on Sebastian Giovinco.

Alessandro Matri, playing against his old club, levelled for Juventus 10 minutes later and added another in the second minute of injury time.

Mirko Vucinic put away the third in the fifth minute of time added on.

"I have waited for this moment for a long time. My morale had gone down because I wasn't scoring but I always believed in myself," said Matri, who hadn't found the back of the net since September 29.

- AFP/jc



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Govt mulling over amendment to rape law

NEW DELHI: Forced on the back foot by unprecedented public fury over the savage gang rape of a 23-year-old girl in a moving bus last Sunday, the government on Saturday announced its intent to immediately amend the law to provide for death penalty in "rarest of rare" rape cases.

Simultaneously, five police personnel found responsible for lapses that led to the gang rape going undetected despite the bus passing at least three check points have been suspended and a commission of inquiry is being set up to review the crime and the police response, according to home minister Sushilkumar Shinde.

"To ensure a strong law to deal with crimes of this nature, the government will take immediate steps for the amendment of the criminal law for enhanced and more effective punishment in the rarest of the rare cases of sexual assault," Shinde told a special media briefing on Saturday after police and protestors clashed through the day.

Although Shinde did not clearly commit that "enhanced punishment" meant death penalty, the proposed "rarest of rare" clause as in the case of a death sentence for murder comes in the backdrop of a deafening chorus of demands, backed by Opposition BJP, for prescribing capital punishment for rape. The minister insisted the issue needs to be weighed legally.

The briefing came in the wake of sharp criticism that the government was "absent" in the face of public demonstrations and after Congress chief Sonia Gandhi spoke to Prime Minister Manmohan Singh and Shinde urging them to ensure a speedy investigation so that the guilty could be punished without delay.

Even if the law ministry eventually shies away from placing capital punishment within anti-rape laws, legal experts say there are other avenues to make the law more stringent. This may include making such "rarest of rare" rape crimes non-bailable on the lines of Unlawful Activities (Prevention) Act or providing for a life sentence that extends to the lifespan of the rapist.

Shinde said the commission of inquiry, to be set up under the Commission of Inquiry Act, 1951, will review the response to the gang rape and suggest measures to enhance the security and safety of women in the Capital. The act gives the inquiry a certain sanctity as the government is bound to present an action taken report.

Shinde, however, ruled out a special session of Parliament to legislate laws to punish rape as demanded by leader of Opposition in the Lok Sabha Sushma Swaraj.

A day after home secretary R K Singh lauded the police for having cracked the gang-rape case swiftly, Shinde announced the decision to suspend five police personnel. It is understood more action may follow as the complaint of a vendor robbed by the accused shortly before the crime was not taken seriously. Also, the account of the victim's male friend that they had been thrown out of a white bus failed to result in a quick response.

The measures were announced by Shinde on a day when spontaneous protests by thousands of youngsters at Rajpath took on a clear anti-Congress hue. This was evident as at least two anti-Congress slogans coined by the Arvind Kejriwal's Aam Aadmi Party - "Jiski Sonia mummy hai, woh sarkar nikammi hai" and "Sonia Gandhi soti hai, desh ki mahila roti hai" - figured prominently in the protests.

Through the day, the government came under fire from protestors and the media for its silence. The Prime Minister remained closeted in meetings, further enraging the agitating students. The lack of an assurance of decisive action by Shinde, Delhi chief minister Shiela Dikshit or senior home ministry officials ensured the protestors stayed put, blocking the access to VIP areas on Raisina Hill.

Sonia's intervention seeking quick action and stern punishment for the gang-rape accused and an increasingly militant sea of protestors forced the government not only to open a channel of communication with agitated students but also to announce decisive measures meeting their demands for enhanced maximum punishment.

Shinde, who also met some student leaders on Saturday evening, sought to assure the protestors that the government shared their outrage and is doing all possible to fast-track the trial. He said though the government respected their right of legitimate protest, the police had little option but to use force, though minimal, when the protestors started forcing themselves beyond the barricades.

"The government is with you and shared your outrage...We have heard and acknowledge your protests over what has happened and will do whatever is possible....Please rest assured and return to your homes," Shinde appealed to the protestors through the media.

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'Fiscal Cliff' Leaves Boehner a Wounded Speaker













John Boehner is a bloodied House speaker following the startling setback that his own fractious Republican troops dealt him in their "fiscal cliff" struggle against President Barack Obama.



There's plenty of internal grumbling about the Ohio Republican, especially among conservatives, and lots of buzzing about whether his leadership post is in jeopardy. But it's uncertain whether any other House Republican has the broad appeal to seize the job from Boehner or whether his embarrassing inability to pass his own bill preventing tax increases on everyone but millionaires is enough to topple him.



"No one will be challenging John Boehner as speaker," predicted John Feehery, a consultant and former aide to House GOP leaders. "No one else can right now do the job of bringing everyone together" and unifying House Republicans.



The morning after he yanked the tax-cutting bill from the House floor to prevent certain defeat, Boehner told reporters he wasn't worried about losing his job when the new Congress convenes Jan. 3.



"They weren't taking that out on me," he said Friday of rank-and-file GOP lawmakers, who despite pleading from Boehner and his lieutenants were shy of providing the 217 votes needed for passage. "They were dealing with the perception that somebody might accuse them of raising taxes."






Jacquelyn Martin/AP Photo











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Next Steps for Fiscal Cliff? 'God Only Knows,' Says Boehner Watch Video






That "somebody" was a number of outside conservative groups such as the Club for Growth and Heritage Action for America, which openly pressured lawmakers to reject Boehner's bill. Such organizations often oppose GOP lawmakers they consider too moderate and have been headaches for Boehner in the past.



This time, his retreat on the tax measure was an unmistakable blow to the clout of the 22-year House veteran known for an amiable style, a willingness to make deals and a perpetual tan.



Congressional leaders amass power partly by their ability to command votes, especially in showdowns. His failure to do so Thursday stands to weaken his muscle with Obama and among House Republicans.



"It's very hard for him to negotiate now," said Sarah Binder, a George Washington University political scientist, adding that it's premature to judge if Boehner's hold on the speakership is in peril. "No one can trust him because it's very hard for him to produce votes."



She said the loss weakens his ability to summon support in the future because "you know the last time he came to you like this, others didn't step in line."



Boehner, 63, faces unvarnished hostility from some conservatives.



"We clearly can't have a speaker operate well outside" what Republicans want to do, said freshman Rep. Tim Huelskamp, R-Kan.



Huelskamp is one of four GOP lawmakers who lost prized committee assignments following previous clashes with party leaders. That punishment was an anomaly for Boehner, who is known more for friendly persuasion than arm-twisting.



He said Boehner's job would depend on whether the speaker is "willing to sit and listen to Republicans first, or march off" and negotiate with Obama.



Conservative Rep. Steve King, R-Iowa, said one of the tea party's lasting impacts would be if Boehner struggled to retain his speakership due to the fight over the fiscal cliff, which is the combination of deep tax increases and spending cuts that start in early January without a bipartisan deal to avert them.



"If there's a major defeat delivered here, it could make it tough on him," King said. "He's in a tough spot."





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Moments of silence, bells mark US school shooting






NEWTOWN: Mourners in Newtown, Connecticut, stood in silence under heavy rain while church bells rang to honour the 20 young children and six staff massacred in a school shooting a week ago.

The sombre scene at 9:30 am local time, the moment a week earlier when a deranged local man armed with semiautomatic weapons burst into the Sandy Hook Elementary School, was echoed around the country in an unofficial national day of mourning.

President Barack Obama observed the moment of silence at the White House and he tweeted: "20 beautiful children & 6 remarkable adults. Together, we will carry on & make our country worthy of their memory."

Connecticut State Governor Dannel Malloy had been the first to call on residents to stop and reflect in silence at the exact minute that 20-year-old Adam Lanza began his slaughter of the six- and seven-year-old children and their school staff.

"Let us all come together collectively to mourn the loss of far too many promising lives," Malloy said. "Though we will never know the full measure of sorrow experienced by these families, we can let them know that we stand with them during this difficult time."

Malloy asked for churches and government buildings to ring bells 26 times, symbolizing each of the victims in the school.

In Newton, bells rang as people on the street stood in a cold, driving rain.

Outside the fire station near the school, which remains closed off by police, a woman brushed tears and raindrops away from a man's face. Some stood stoically, heads bowed, while others sobbed.

Several firemen emerged from the station in full bunker gear and hugged the mourners. The rain was so hard that from the impromptu memorial, the sound of church bells couldn't even be heard, while wind and water had knocked down several Christmas trees erected to remember the dead children.

And the people of Newtown were far from alone.

Malloy's appeal was quickly matched by state governors from Hawaii to Florida, who called on residents to observe their own moment of silence in solidarity.

Houses of worship around the country also embraced the week's anniversary.

The National Council of Churches said that thousands of churches would "observe a minute of silence and at 9:30 am Friday sound their bells 26 times in memory of the victims who died in the school."

On the crowd-sourced charity site, causes.com, almost 177,000 people had signed up by early Friday to pledge a moment's silence.

The first lady, Michelle Obama, wrote to the people of Newtown that "as a mother of two young daughters, my heart aches for you and your families."

However, "the countless acts of courage, kindness and love here in Newtown and across America" had inspired her to believe the country had shown its good side in the aftermath of the massacre, she said.

- AFP/jc



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'Seven out of ten women sexually harassed'

Of these 90% don't register a police complaint because they think it's of no use, reveals TOI survey

An overwhelming majority of women (90%) who experience sexual harassment do not register a police complaint. Majority of them do not do so as they do not think it would serve any purpose revealing abysmal faith in law enforcement agencies.

This was revealed in an online survey conducted by the Times of India to gauge the kind of sexual harassment women faced following the horrific gang rape and brutalisation of a 23-year-old in Delhi on Sunday. Of the 3,840 who responded to the survey from across the country including some from abroad, almost 2,000 were women.

Almost 70% of the women said they had been subjected to lewd comments or songs from groups of men. About a quarter of them had been groped or molested by men. Stalking was reported by just 8%. Alarmingly, in over 90% of the incidents people around did not respond to help the women.

Over 70% of the men who said they had witnessed a woman being sexually harassed claimed that they had registered a complaint with the police. However, only 5% of the women said that they made a formal complaint to the police. Of the men who did not report it to the police, 40% said they stayed mum as they were "scared of the consequences". About 8% of the men did not do so because they did not think it was their business to do so.

Debunking the general belief that women do not report cases of sexual harassment because of social stigma, most of the women respondents (77%) said they did not report incidents of sexual harassment as they did not think it would serve any purpose. Their reading of the situation seems quite accurate from the fact that of those who did complain to the police, 95% were not satisfied with the police response.

Women seem to display a lot of grit as only a small proportion of the women said that they did not report sexual harassment as they were afraid of public humiliation or because they were scared of facing the perpetrators.

Quite predictably, almost all the men and women who responded (96%) thought that there was an increase in crimes against women. The top most reason for the increase, according to the survey respondents, is absence of fear of the law. Less than 20% also said that it was due to women being increasingly viewed as sex objects. Despite cops and most people in power implying often enough that women invite sexual harassment by the way they dress, barely 4% of the respondents thought that crime against women was increasing as women dressed in skimpy clothes.

The deep-seated rage that society feels at the increasing number of rapes is reflected in the overwhelming support for harsh punishments like death penalty (48%) and for chemical castration (38%). There was not much enthusiasm for life term for rapists (14%). In the same vein, almost half the respondents (46%) seem to believe that harsher punishment is the most effective step to curb crimes against women. A quarter of them also felt that better parenting with sons being taught to respect women would also be an effective curb on such incidents. Again, indicating low faith in police, there were few takers for anything to do with improving law enforcement such as better patrolling and sensitization of the police. Almost one fifth of those who responded also believed fast-track courts would help.

The survey capture's the poor image of the law enforcement agencies among the public. It also reflects the rage that people seem to feel at the rising incidence of crimes against women.

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AP IMPACT: Big Pharma cashes in on HGH abuse


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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Amid Protest, NRA Calls for Armed Guards in Schools













The National Rifle Association stood its ground today in arguing that the answer to gun violence in schools is an armed security force that can protect students, while blaming the media and violent entertainment and video games for recent deadly shootings.


"The only thing that can stop a bad guy with a gun is a good guy with a gun," NRA executive vice president Wayne LaPierre said in presenting the NRA's first comments about the Connecticut school shooting since it occurred a week ago today.


LaPierre offered no olive branch to gun-control advocates who have called for tougher laws in the wake of the shooting at Sandy Hook Elementary School. Instead, he called for schools across the country to recruit armed security professionals to protect their students.


"It's not just our duty to protect [our children], it's our right to protect them," LaPierre said at a news conference. "The NRA knows there are millions of qualified active and reserved police, active and reserve military, security professionals, rescue personnel, an extraordinary corps of qualified trained citizens to join with local school officials and police in devising a protection plan for every single school."


He was interrupted twice by protestors who stood in front of LaPierre's podium holding signs and shouting that the NRA "has blood on its hands" and that the NRA is "killing our kids." The protestors were eventually escorted out of the room.


LaPierre also scoffed at the notion that banning so-called assault weapons or enacting gun control laws would stop school violence. He instead cast blame for gun violence in schools on violent entertainment, including video games, and the media.








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"How many more copycats are waiting in the wings for their moment of fame from a national media machine that rewards them with a wall of attention they crave while provoking others to make their mark?" he asked.


LaPierre announced that former U.S. congressman Asa Hutchinson of Arkansas would lead the NRA's effort to advocate for school security forces. Hutchinson specified that the NRA is calling for volunteers to act as the armed guards, rather than requiring funding from local or federal authorities.


"Whether they're retired police, retired military or rescue personnel, I think there are people in every community in this country who would be happy to serve if only someone asked them and gave them the training and certifications to do so," Hutchinson said.


NRA leaders have held off on interviews this week after refusing to appear on Sunday morning public affairs shows. They said they would grant interviews beginning next week to discuss their position.


NRA News anchor Ginny Simone said Thursday that in the wake of the Sandy Hook shooting, membership surged "with an average of 8,000 new members a day."


New York City Mayor Michael Bloomberg has said the NRA is partially to blame for the tragedy.


"We're not trying to take away your right to advance the interests of gun owners, hunters, people who want to protect themselves," Bloomberg told "Nightline" anchor Cynthia McFadden in an interview Thursday. "But that's not an absolute right to encourage behavior which causes things like Connecticut. In fact, Connecticut is because of some of their actions."


The guns used in the attack were legally purchased and owned by the shooter's mother, Nancy Lanza, whom Adam Lanza shot to death before his assault on the school.


In the aftermath of the shooting, many, including Bloomberg, have called for stricter regulations on the type of weapons used in this and other instances of mass gun violence this year.


Sen. Dianne Feinstein, D-Calif., has said she intends to introduce a bill banning assault weapons on the first day of next year's Congress -- a step the president said he supports.






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Syrian rebels fight for strategic town in Hama province


BEIRUT (Reuters) - Rebels thrust into a strategic town in Syria's central Hama province on Thursday, activists said, pursuing a string of territorial gains to help cut army supply lines and cement a foothold in the capital Damascus to the south.


They have made a series of advances across the country, seizing several military installations and more heavy weaponry, hardening the threat to President Bashar al-Assad's power base in Damascus 21 months into an uprising against his rule.


Rebels said a day earlier they had captured at least six towns in Hama province. On Thursday heavy fighting erupted in Morek, a town on the highway that runs from Damascus north to Aleppo, Syria's largest city and another battleground.


The opposition-linked Syrian Observatory for Human Rights said rebels were trying to take checkpoints in Morek, one of which they had already seized, and described the town as a critical position for the Syrian army.


"The town of Morek lies on the Damascus-Aleppo road ... it has eight checkpoints and two security and military headquarters. If the rebels were able to control the town they would completely sever the supply lines between Hama and Damascus to Idlib province," the group said in an email.


Idlib is in the rebel-dominated north bordering on Turkey.


The British-based Observatory has a network of activists across the country. Activist reports are difficult to verify, as the government restricts media access into Syria.


Fighting in Hama could aggravate Syria's sectarian strife as it is home to many rural minority communities of Alawites and Christians. Minorities, and particularly the Alawite sect to which Assad himself belongs, have largely backed the president. Syria's Sunni Muslim majority has been the engine of the revolt.


"Rebels are trying to take Mohardeh and al-Suqaylabiya, which are strongholds of the regime and are strategic. The residents are Christian and the neighboring towns are Alawite. The rebels worry security forces may be arming people there," said activist Safi al-Hamawi, speaking on Skype.


He said the opposition feared skirmishes that had previously been largely Sunni-Alawite could spread into a broader sectarian conflict.


"I think it is still unlikely, because the residents have tried to maintain neutrality, but if the battle became a sectarian clash, it could be a catastrophe. Christians and Muslims could suddenly find themselves enemies."


U.N. human rights investigators said on Thursday that Syria's conflict was becoming more "overtly sectarian", with more civilians seeking to arm themselves and foreign fighters - mostly Sunnis - flocking in from 29 countries.


"They come from all over, Europe and America, and especially the neighboring countries," said Karen Abuzayd, one of U.N. investigators, told a news conference in Brussels.


The deepened sectarian divisions may diminish prospects for post-conflict reconciliation even if Assad is ousted, and the influx of foreigners raises the risk of fighting spilling into neighboring countries riven by similar communal fault lines.


President Vladimir Putin of Russia, Assad's main ally and arms supplier, warned that any solution to the conflict must ensure government and rebel forces do not merely swap roles and fight on forever. It appeared to be his first direct comment on the possibility of a post-Assad Syria.


The West and some Arab states accuse Russia of shielding Assad after Moscow blocked three U.N. Security Council resolutions intended to increase pressure on Damascus to end the violence, which has killed more than 40,000 people. Putin said the Syrian people would ultimately decide their own fate.


FIGHTS FOR DAMASCUS CAMP


Assad's forces have been hitting back at rebel advances with bouts of heavy shelling, particularly along the eastern ring of suburbs outside Damascus, where rebels are dominant.


A Syrian security source said the army was planning heavy offensives in northern and central Syria to stem rebel advances, but there was no clear sign of such operations yet.


Rebels seized the Palestinian refugee district of Yarmouk earlier this week, which put them within 3 km (2 miles) of downtown Damascus. Heavy shelling and fighting forced thousands of Palestinian and Syrian residents to flee the Yarmouk area.


But rebels said on Thursday they were negotiating to put the camp - actually a densely packed urban district - back into the hands of pro-opposition Palestinian fighters. There are some 500,000 Palestinian refugees and their descendants living in Syria, and they have been divided by the uprising.


Palestinian factions, some backed by the government and others by the rebels, had begun fighting last week, a development that allowed Syrian insurgents to take the camp.


Despite warnings of continued violence, a video released by activists on Thursday showed dozens of people returning to Yarmouk. Most of the people in the footage were men, suggesting entire families may not be venturing back yet.


"There are still negotiations going on between the Palestinians and the rebels. The rebels want control of the checkpoints to be sure they can keep supply routes open to central Damascus," said a rebel who asked not to be named.


"Palestinians want their fighters to run the checkpoints so the army will stop attacking and people can go home. But we are worried there are government collaborators among them."


The fighter said rebels were looking to ensure their Palestinian allies could keep open access for rebels in Yarmouk, which they have described as a gateway to central Damascus.


LEBANON BORDER POST TAKEN


Elsewhere, Syrian insurgents took over an isolated border post on the western frontier with Lebanon earlier this week, local residents told Reuters on Thursday.


They said around 20 rebels from the Qadissiyah Brigade overran the post at Rankus, which is linked by road to the remote Lebanese village of Tufail.


Video footage downloaded on the Internet on Thursday, dated December 16, showed a handful of fighters dressed in khaki fatigues and wielding rifles as they kicked down a stone barricade around a small, single-storey army checkpoint.


"This is the end of you, Bashar you dog," one of the fighters said. The remains of two army trucks, which the rebels said had been blown up, stood nearby on a single track dirt road crossing a flat brown plain between snow-capped mountains.


The rebels already hold much of the terrain along Syria's northern and eastern borders with Turkey and Iraq respectively.


Syrian Interior Minister Ibrahim al-Shaar arrived in Lebanon on Wednesday for treatment of wounds sustained in a bomb attack on his ministry in Damascus a week ago.


Lebanese medical sources said Shaar had shrapnel wounds in his shoulder, stomach and legs but they were not critical.


The Syrian opposition has tried to peel off defectors not only from the army but from the government as well, though only a handful of high-ranking officials have abandoned Assad.


But the conflict has divided many Syrian families. Security forces arrested on Thursday an opposition activist who is also the relative of Vice President Farouq al-Sharaa, the Syrian Observatory said. The man was arrested along with five other activists who are considered pacifists, it said.


Sharaa, a Sunni Muslim who has few powers in Assad's Alawite-dominated power structure, said earlier this week that neither side could win the war in Syria. He called for the formation of a national unity government to solve a crisis that has killed more than 40,000 Syrians.


(Reporting by Erika Solomon; Editing by Mark Heinrich)



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Russia's Putin denies propping up Assad






MOSCOW: Russian President Vladimir Putin on Thursday denied propping up Syrian President Bashar al-Assad and stressed that Moscow was only seeking to avert a perpetual civil war.

"We are not concerned about (Bashar Assad's fate. We understand that the family has been in power for 40 years and there is a need for change," Putin told a major Moscow press briefing.

But he made no call on Assad to step down and said it remained up to the Syrian people themselves to decide their future through peaceful talks.

"What is our position? Not to leave Assad's regime in power at any price, but to first (let the Syrians) agree among themselves how they should live next," Putin said.

"Only then should we start looking at ways to change the existing order."

Russia has remained Syria's main major ally throughout 21 months of violence that an opposition monitoring group said on Thursday has killed 44,000 people.

It scuttled three rounds of UN Security Council sanctions against Assad for his crackdown and condemned Washington for recognising the Syrian opposition as the legitimate voice of the country's citizens.

That position has frustrated Western attempts to end the bloodshed by forcing Assad from power. It has also condemned Moscow's continued military ties with Damascus.

Putin on Thursday argued that Russia's call for dialogue was meant to avert "an endless civil war" between the armed rebels and government forces who still control most of the capital Damascus.

"We want to avoid (Syrian) disintegration," said Putin.

Putin's comments came less than a week after Russia's chief Middle East envoy said it appeared that Assad would not be able to fend off the rebels much longer.

The foreign ministry later denied an official shift in Russia's position and noted that Moscow still recognised the Assad regime.

- AFP/fa



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Jaya writes to PM on Cauvery issue

CHENNAI: Tamil Nadu chief minister J Jayalalithaa today requested the Centre to expedite steps for notification of the final award of the Cauvery Water Disputes Tribunal.

In a letter to Prime Minister Manmohan Singh, she said "the Counsels for all states, including Karnataka, brought to the notice of the Supreme Court (on December 5) the fact that the final order of the Cauvery Water Disputes Tribunal is yet to be notified by the Government of India, despite a statutory mandate."

The Supreme Court ordered the Counsel for the Government of India to seek instructions as to when the final order of the Tribunal would be notified, and report to the Court, she said.

"The Cauvery Monitoring Committee, in its 31st meeting on December 7, had categorically stated that the final order of the Tribunal will be notified at the earliest but not later than the end of this month (December 2012). Once the award is notified, the institutions like Cauvery Monitoring Committee and Cauvery River Authority shall cease to exist. New Organisations like the Cauvery Management Board and Cauvery Regulation Committee will be constituted," she said.

Jayalalithaa said the apex court had on December 10 taken on record the proceedings of the 31st meeting of CMC.

"In the circumstances, I request you to expedite the Notification of the final order of the Cauvery Water Disputes Tribunal and also to constitute the Cauvery Management Board forthwith so as to safeguard the livelihood of the farmers of Tamil Nadu," she said.

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AP IMPACT: Steroids loom in major-college football


WASHINGTON (AP) — With steroids easy to buy, testing weak and punishments inconsistent, college football players are packing on significant weight — 30 pounds or more in a single year, sometimes — without drawing much attention from their schools or the NCAA in a sport that earns tens of billions of dollars for teams.


Rules vary so widely that, on any given game day, a team with a strict no-steroid policy can face a team whose players have repeatedly tested positive.


An investigation by The Associated Press — based on dozens of interviews with players, testers, dealers and experts and an analysis of weight records for more than 61,000 players — revealed that while those running the multibillion-dollar sport believe the problem is under control, that is hardly the case.


___


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


___


The sport's near-zero rate of positive steroids tests isn't an accurate gauge among college athletes. Random tests provide weak deterrence and, by design, fail to catch every player using steroids. Colleges also are reluctant to spend money on expensive steroid testing when cheaper ones for drugs like marijuana allow them to say they're doing everything they can to keep drugs out of football.


"It's nothing like what's going on in reality," said Don Catlin, an anti-doping pioneer who spent years conducting the NCAA's laboratory tests at UCLA. He became so frustrated with the college system that it drove him in part to leave the testing industry to focus on anti-doping research.


Catlin said the collegiate system, in which players often are notified days before a test and many schools don't even test for steroids, is designed to not catch dopers. That artificially reduces the numbers of positive tests and keeps schools safe from embarrassing drug scandals.


While other major sports have been beset by revelations of steroid use, college football has operated with barely a whiff of scandal. Between 1996 and 2010 — the era of Barry Bonds, Mark McGwire, Marion Jones and Lance Armstrong — the failure rate for NCAA steroid tests fell even closer to zero from an already low rate of less than 1 percent.


The AP's investigation, drawing upon more than a decade of official rosters from all 120 Football Bowl Subdivision teams, found thousands of players quickly putting on significant weight, even more than their fellow players. The information compiled by the AP included players who appeared for multiple years on the same teams, making it the most comprehensive data available.


For decades, scientific studies have shown that anabolic steroid use leads to an increase in body weight. Weight gain alone doesn't prove steroid use, but very rapid weight gain is one factor that would be deemed suspicious, said Kathy Turpin, senior director of sport drug testing for the National Center for Drug Free Sport, which conducts tests for the NCAA and more than 300 schools.


Yet the NCAA has never studied weight gain or considered it in regard to its steroid testing policies, said Mary Wilfert, the NCAA's associate director of health and safety. She would not speculate on the cause of such rapid weight gain.


The NCAA attributes the decline in positive tests to its year-round drug testing program, combined with anti-drug education and testing conducted by schools.


"The effort has been increasing, and we believe it has driven down use," Wilfert said.


Big gains, data show


The AP's analysis found that, regardless of school, conference and won-loss record, many players gained weight at exceptional rates compared with their fellow athletes and while accounting for their heights. The documented weight gains could not be explained by the amount of money schools spent on weight rooms, trainers and other football expenses.


Adding more than 20 or 25 pounds of lean muscle in a year is nearly impossible through diet and exercise alone, said Dan Benardot, director of the Laboratory for Elite Athlete Performance at Georgia State University.


The AP's analysis corrected for the fact that players in different positions have different body types, so speedy wide receivers weren't compared to bulkier offensive tackles. It could not assess each player's physical makeup, such as how much weight gain was muscle versus fat, one indicator of steroid use. In the most extreme case in the AP analysis, the probability that a player put on so much weight compared with other players was so rare that the odds statistically were roughly the same as an NFL quarterback throwing 12 passing touchdowns or an NFL running back rushing for 600 yards in one game.


In nearly all the rarest cases of weight gain in the AP study, players were offensive or defensive linemen, hulking giants who tower above 6-foot-3 and weigh 300 pounds or more. Four of those players interviewed by the AP said that they never used steroids and gained weight through dramatic increases in eating, up to six meals a day. Two said they were aware of other players using steroids.


"I just ate. I ate 5-6 times a day," said Clint Oldenburg, who played for Colorado State starting in 2002 and for five years in the NFL. Oldenburg's weight increased over four years from 212 to 290, including a one-year gain of 53 pounds, which he attributed to diet and two hours of weight lifting daily. "It wasn't as difficult as you think. I just ate anything."


Oldenburg told the AP he was surprised at the scope of steroid use in college football, even in Colorado State's locker room. "College performance enhancers were more prevalent than I thought," he said. "There were a lot of guys even on my team that were using." He declined to identify any of them.


The AP found more than 4,700 players — or about 7 percent of all players — who gained more than 20 pounds overall in a single year. It was common for the athletes to gain 10, 15 and up to 20 pounds in their first year under a rigorous regimen of weightlifting and diet. Others gained 25, 35 and 40 pounds in a season. In roughly 100 cases, players packed on as much 80 pounds in a single year.


In at least 11 instances, players that AP identified as packing on significant weight in college went on to fail NFL drug tests. But pro football's confidentiality rules make it impossible to know for certain which drugs were used and how many others failed tests that never became public.


What is bubbling under the surface in college football, which helps elite athletes gain unusual amounts of weight? Without access to detailed information about each player's body composition, drug testing and workout regimen, which schools do not release, it's impossible to say with certainty what's behind the trend. But Catlin has little doubt: It is steroids.


"It's not brain surgery to figure out what's going on," he said. "To me, it's very clear."


Football's most infamous steroid user was Lyle Alzado, who became a star NFL defensive end in the 1970s and '80s before he admitted to juicing his entire career. He started in college, where the 190-pound freshman gained 40 pounds in one year. It was a 21 percent jump in body mass, a tremendous gain that far exceeded what researchers have seen in controlled, short-term studies of steroid use by athletes. Alzado died of brain cancer in 1992.


The AP found more than 130 big-time college football players who showed comparable one-year gains in the past decade. Students posted such extraordinary weight gains across the country, in every conference, in nearly every school. Many of them eclipsed Alzado and gained 25, 35, even 40 percent of their body mass.


Even though testers consider rapid weight gain suspicious, in practice it doesn't result in testing. Ben Lamaak, who arrived at Iowa State in 2006, said he weighed 225 pounds in high school and 262 pounds in the summer of his freshman year on the Cyclones football team. A year later, official rosters showed the former basketball player from Cedar Rapids weighed 306, a gain of 81 pounds since high school. He graduated as a 320-pound offensive lineman and said he did it all naturally.


"I was just a young kid at that time, and I was still growing into my body," he said. "It really wasn't that hard for me to gain the weight. I had fun doing it. I love to eat. It wasn't a problem."


In addition to random drug testing, Iowa State is one of many schools that have "reasonable suspicion" testing. That means players can be tested when their behavior or physical symptoms suggest drug use.


Despite gaining 81 pounds in a year, Lamaak said he was never singled out for testing.


The associate athletics director for athletic training at Iowa State, Mark Coberley, said coaches and trainers use body composition, strength data and other factors to spot suspected cheaters. Lamaak, he said, was not suspicious because he gained a lot of "non-lean" weight.


"There are a lot of things that go into trying to identify whether guys are using performance-enhancing drugs," Coberley said. "If anybody had the answer, they'd be spotting people that do it. We keep our radar up and watch for things that are suspicious and try to protect the kids from making stupid decisions."


There's no evidence that Lamaak's weight gain was anything but natural. Gaining fat is much easier than gaining muscle. But colleges don't routinely release information on how much of the weight their players gain is muscle, as opposed to fat. Without knowing more, said Benardot, the expert at Georgia State, it's impossible to say whether large athletes were putting on suspicious amounts of muscle or simply obese, which is defined as a body mass index greater than 30.


Looking solely at the most significant weight gainers also ignores players like Bryan Maneafaiga.


In the summer of 2004, Maneafaiga was an undersized 180-pound running back trying to make the University of Hawaii football team. Twice — once in pre-season and once in the fall — he failed school drug tests, showing up positive for marijuana use. What surprised him was that the same tests turned up negative for steroids.


He'd started injecting stanozolol, a steroid, in the summer to help bulk up to a roster weight of 200 pounds. Once on the team, where he saw only limited playing time, he'd occasionally inject the milky liquid into his buttocks the day before games.


"Food and good training will only get you so far," he told the AP recently.


Maneafaiga's coach, June Jones, meanwhile, said none of his players had tested positive for doping since he took over the team in 1999. He also said publicly that steroids had been eliminated in college football: "I would say 100 percent," he told The Honolulu Advertiser in 2006.


Jones said it was news to him that one of his players had used steroids. Jones, who now coaches at Southern Methodist University, said many of his former players put on bulk working hard in the weight room. For instance, adding 70 pounds over a three- to four-year period isn't unusual, he said.


Jones said a big jump in muscle year-over-year — say 40 pounds — would be a "red light that something is not right."


Jones, a former NFL head coach, said he is unaware of any steroid use at SMU and believes the NCAA is doing a good job testing players. "I just think because the way the NCAA regulates it now that it's very hard to get around those tests," he said.


The cost of testing


While the use of drugs in professional sports is a question of fairness, use among college athletes is also important as a public policy issue. That's because most top-tier football teams are from public schools that benefit from millions of dollars each year in taxpayer subsidies. Their athletes are essentially wards of the state. Coaches and trainers — the ones who tell players how to behave, how to exercise and what to eat — are government employees.


Then there are the health risks, which include heart and liver problems and cancer.


On paper, college football has a strong drug policy. The NCAA conducts random, unannounced drug testing and the penalties for failure are severe. Players lose an entire year of eligibility after a first positive test. A second offense means permanent ineligibility from sports.


In practice, though, the NCAA's roughly 11,000 annual tests amount to just a fraction of all athletes in Division I and II schools. Exactly how many tests are conducted each year on football players is unclear because the NCAA hasn't published its data for two years. And when it did, it periodically changed the formats, making it impossible to compare one year of football to the next.


Even when players are tested by the NCAA, people involved in the process say it's easy enough to anticipate the test and develop a doping routine that results in a clean test by the time it occurs. NCAA rules say players can be notified up to two days in advance of a test, which Catlin says is plenty of time to beat a test if players have designed the right doping regimen. By comparison, Olympic athletes are given no notice.


"Everybody knows when testing is coming. They all know. And they know how to beat the test," Catlin said, adding, "Only the really dumb ones are getting caught."


Players are far more likely to be tested for drugs by their schools than by the NCAA. But while many schools have policies that give them the right to test for steroids, they often opt not to. Schools are much more focused on street drugs like cocaine and marijuana. Depending on how many tests a school orders, each steroid test can cost $100 to $200, while a simple test for street drugs might cost as little as $25.


When schools call and ask about drug testing, the first question is usually, "How much will it cost," Turpin said.


Most schools that use Drug Free Sport do not test for anabolic steroids, Turpin said. Some are worried about the cost. Others don't think they have a problem. And others believe that since the NCAA tests for steroids their money is best spent testing for street drugs, she said.


Wilfert, the NCAA official, said the possibility of steroid testing is still a deterrent, even at schools where it isn't conducted.


"Even though perhaps those institutional programs are not including steroids in all their tests, they could, and they do from time to time," she said. "So, it is a kind of deterrence."


For Catlin, one of the most frustrating things about running the UCLA testing lab was getting urine samples from schools around the country and only being asked to test for cocaine, marijuana and the like.


"Schools are very good at saying, 'Man, we're really strong on drug testing,'" he said. "And that's all they really want to be able to say and to do and to promote."


That helps explain how two school drug tests could miss Maneafaiga's steroid use. It's also possible that the random test came at an ideal time in Maneafaiga's steroid cycle.


Enforcement varies


The top steroid investigator at the U.S. Drug Enforcement Administration, Joe Rannazzisi, said he doesn't understand why schools don't invest in the same kind of testing, with the same penalties, as the NFL. The NFL has a thorough testing program for most drugs, though the league has yet to resolve a long-simmering feud with its players union about how to test for human growth hormone.


"Is it expensive? Of course, but college football makes a lot of money," he said. "Invest in the integrity of your program."


For a school to test all 85 scholarship football players for steroids twice a season would cost up to $34,000, Catlin said, plus the cost of collecting and handling the urine samples. That's about 0.2 percent of the average big-time school football budget of about $14 million. Testing all athletes in all sports would make the school's costs higher.


When schools ask Drug Free Sport for advice on their drug policies, Turpin said she recommends an immediate suspension after the first positive drug test. Otherwise, she said, "student athletes will roll the dice."


But drug use is a bigger deal at some schools than others.


At Notre Dame and Alabama, the teams that will soon compete for the national championship, players don't automatically miss games for testing positive for steroids. At Alabama, coaches have wide discretion. Notre Dame's student-athlete handbook says a player who fails a test can return to the field once the steroids are out of his system.


"If you're a strength-and-conditioning coach, if you see your kids making gains that seem a little out of line, are you going to say, 'I'm going to investigate further? I want to catch someone?'" said Anthony Roberts, an author of a book on steroids who says he has helped college football players design steroid regimens to beat drug tests.


There are schools with tough policies. The University of North Carolina kicks players off the team after a single positive test for steroids. Auburn's student-athlete handbook calls for a half-season suspension for any athlete caught using performance-enhancing drugs.


Wilfert said it's not up to the NCAA to determine whether that's fair.


"Obviously if it was our testing program, we believe that everybody should be under the same protocol and the same sanction," she said.


Fans typically have no idea that such discrepancies exist and players are left to suspect who might be cheating.


"You see a lot of guys and you know they're possibly on something because they just don't gain weight but get stronger real fast," said Orrin Thompson, a former defensive lineman at Duke. "You know they could be doing something but you really don't know for sure."


Thompson gained 85 pounds between 2001 and 2004, according to Duke rosters and Thompson himself. He said he did not use steroids and was subjected to several tests while at Duke, a school where a single positive steroid test results in a yearlong suspension.


Meanwhile at UCLA, home of the laboratory that for years set the standard for cutting-edge steroid testing, athletes can fail three drug tests before being suspended. At Bowling Green, testing is voluntary.


At the University of Maryland, students must get counseling after testing positive, but school officials are prohibited from disciplining first-time steroid users. Athletic department spokesman Matt Taylor denied that was the case and sent the AP a copy of the policy. But the policy Taylor sent included this provision: "The athletic department/coaching staff may not discipline a student-athlete for a first drug offense."


By comparison, in Kentucky and Maryland, racehorses face tougher testing and sanctions than football players at Louisville or the University of Maryland.


"If you're trying to keep a level playing field, that seems nonsensical," said Rannazzisi at the DEA. He said he was surprised to learn that what gets a free pass at one school gets players immediately suspended at another. "What message does that send? It's OK to cheat once or twice?"


Only about half the student athletes in a 2009 NCAA survey said they believed school testing deterred drug use.


As an association of colleges and universities, the NCAA could not unilaterally force schools to institute uniform testing policies and sanctions, Wilfert said.


"We can't tell them what to do, but if went through a membership process where they determined that this is what should be done, then it could happen," she said.


'Everybody around me was doing it'


Steroids are a controlled substance under federal law, but players who use them need not worry too much about prosecution. The DEA focuses on criminal operations, not individual users. When players are caught with steroids, it's often as part of a traffic stop or a local police investigation.


Jared Foster, 24, a quarterback recruited to play at the University of Mississippi, was kicked off the team in 2008 after local authorities arrested him for giving a man nandrolone, an anabolic steroid, according to court documents. Foster pleaded guilty and served jail time.


He told the AP that he doped in high school to impress college recruiters. He said he put on enough lean muscle to go from 185 pounds to 210 in about two months.


"Everybody around me was doing it," he said.


Steroids are not hard to find. A simple Internet search turns up countless online sources for performance-enhancing drugs, mostly from overseas companies.


College athletes freely post messages on steroid websites, seeking advice to beat tests and design the right schedule of administering steroids.


And steroids are still a mainstay in private, local gyms. Before the DEA shut down Alabama-based Applied Pharmacy Services as a major nationwide steroid supplier, sales records obtained by the AP show steroid shipments to bodybuilders, trainers and gym owners around the country.


Because users are rarely prosecuted, the demand is left in place after the distributor is gone.


When Joshua Hodnik was making and wholesaling illegal steroids, he had found a good retail salesman in a college quarterback named Vinnie Miroth. Miroth was playing at Saginaw Valley State, a Division II school in central Michigan, and was buying enough steroids for 25 people each month, Hodnik said.


"That's why I hired him," Hodnik said. "He bought large amounts and knew how to move it."


Miroth, who pleaded no contest in 2007 and admitted selling steroids, helped authorities build their case against Hodnik, according to court records. Now playing football in France, Miroth declined repeated AP requests for an interview.


Hodnik was released from prison this year and says he is out of the steroid business for good. He said there's no doubt that steroid use is widespread in college football.


"These guys don't start using performance-enhancing drugs when they hit the professional level," the Oklahoma City man said. "Obviously it starts well before that. And you can go back to some of the professional players who tested positive and compare their numbers to college and there is virtually no change."


Maneafaiga, the former Hawaii running back, said his steroids came from Mexico. A friend in California, who was a coach at a junior college, sent them through the mail. But Maneafaiga believes the consequences were nagging injuries. He found religion, quit the drugs and became the team's chaplain.


"God gave you everything you need," he said. "It gets in your mind. It will make you grow unnaturally. Eventually, you'll break down. It happened to me every time."


At the DEA, Rannazzisi said he has met with and conducted training for investigators and top officials in every professional sport. He's talked to Major League Baseball about the patterns his agents are seeing. He's discussed warning signs with the NFL.


He said he's offered similar training to the NCAA but never heard back. Wilfert said the NCAA staff has discussed it and hasn't decided what to do.


"We have very little communication with the NCAA or individual schools," Rannazzisi said. "They've got my card. What they've done with it? I don't know."


___


Associated Press writers Ryan Foley in Cedar Rapids, Iowa; David Brandt in Jackson, Miss.; David Skretta in Lawrence, Kan.; Don Thompson in Sacramento, Calif.;and Alexa Olesen in Shanghai, China; and researchers Susan James in New York and Monika Mathur in Washington contributed to this report.


___


Contact the Washington investigative team at DCinvestigations (at) ap.org.


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


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Winter Weather Threatens Christmas Travel













A pre-Christmas blizzard that is battering at least eight states in the middle of the nation could trip up travelers headed home for Christmas in the coming days.


Nearly 20 inches of snow have been reported in Colorado just west of Denver. Nebraska has reported 6-to-10 inches so far. Between 3 and 8 inches have accumulated in Iowa already and more is possible. Snow is falling 2 inches per hour in Wisconsin.


No planes were able to land at Iowa's Des Moines International airport. All flights were cancelled until at least 11:45 a.m.


But it's Chicago that will prove most problematic for travelers. Rain has cancelled 300 flights into and out of Chicago O'Hare today so far, according to data from FlightAware. Snow and wind that are expected tonight will further complicate travel and likely cancel more flights.


Several airlines have already issued flexible travel policies, allowing travelers with flights into, out of and through affected areas to change their plans without penalty. For example, travelers headed to O'Hare today on American Airlines can change their flight to any day Dec. 21 to Dec. 25. Delta, United and others have similar policies.








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Airlines for America, an airline industry trade group, estimates that 42 million passengers will fly on U.S. airlines for the 21-day holiday travel period from Dec 17 to Jan 6. Daily passenger volumes are expected to range from 1.5 million to 2.3 million.


The busiest days of the Christmas travel season are expected to be Dec. 21, 22, 23 and 26; and Jan 2. Foul weather in major hub cities, particularly on these days, will most certainly cause travel headaches on the roads and in the skies.


When bad weather grounds flights at major airports, delays pile up around the nation, stranding travelers even in places where the weather is good. And because planes fly so full around the holidays, it's difficult for the airlines to find empty seats to accommodate fliers whose flights have been cancelled.


Passengers are also entitled to a refund if their flight is cancelled.


Travelers should confirm their flight is taking off as planned on their carrier's website before leaving their homes. If you are at the airport by the time you find out, use every avenue available to get re-accommodated. While you stand online to talk to a customer service agent, also call your carrier and use Twitter to get in touch with your airline. Many airlines are faster to respond on Twitter than on the phone. Delta Airlines and JetBlue are particularly active.


A few Twitter handles to know:
@JetBlue
@DeltaAssist
@AmericanAir
@United
@SouthwestAir
@FlyFrontier
@USAirways.


Travelers who find themselves stranded and in need of a hotel room should use apps such as HotelTonight, Travelocity's LastMinute.com Hotel Booking App and the Priceline app to find deals on last-minute hotel stays.


RELATED: The Best Last-Minute Hotel Booking App


The Midwest storm moves east tonight, spreading rain into the Northeast with some areas from Washington, D.C., to Boston getting up to 2 inches. Behind the storm, cold air comes in and changes rain to snow in Western Pennsylvania, Maryland, New York and West Virginia, where 3 to 14 inches (in the highest elevations) could accumulate.


ABC News' Max Golembo and Ginger Zee contributed to this report.



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Park wins South Korea presidency, to be first woman leader


SEOUL (Reuters) - The daughter of a former military ruler won South Korea's presidential election on Wednesday and will become the country's first female leader, saying she would work to heal a divided society.


The 60-year old conservative, Park Geun-hye, will return to the presidential palace in Seoul where she served as her father's first lady in the 1970s, after her mother was assassinated by a North Korean-backed gunman.


With more than 88 percent of the votes counted, Park led with 51.6 percent to 48 percent for her left-wing challenger, human rights lawyer Moon Jae-in, giving her an unassailable lead that forced Moon to concede.


Her raucous, jubilant supporters braved sub-zero temperatures to chant her name and wave South Korean flags outside her house. When she reached her party headquarters, Park was greeted with shouts of "president".


An elated Park reached into the crowd to grasp hands of supporters wearing red scarves, her party's color.


"This is a victory brought by the people's hope for overcoming crisis and for economic recovery," she told supporters at a rally in central Seoul.


Park will take office for a mandatory single, five-year term in February and will face an immediate challenge from a hostile North Korea and have to deal with an economy in which annual growth rates have fallen to about 2 percent from an average of 5.5 percent in its decades of hyper-charged growth.


She is unmarried and has no children, saying that her life will be devoted to her country.


The legacy of her father, Park Chung-hee, who ruled for 18 years and transformed the country from the ruins of the 1950-53 Korean War into an industrial power-house, still divides Koreans.


For many conservatives, he is South Korea's greatest president and the election of his daughter would vindicate his rule. His opponents dub him a "dictator" who trampled on human rights and stifled dissent.


"I trust her. She will save our country," said Park Hye-sook, 67, who voted in an affluent Seoul district, earlier in the day.


"Her father ... rescued the country," said the housewife and grandmother, who is no relation to the candidate.


For younger people, the main concern is the economy and the creation of well-paid jobs in a country where income inequalities have grown in recent years.


"Now a McDonald's hamburger is over 5,000 Korean won ($4.66) so you can't buy a McDonald's burger with your hourly pay. Life is hard already for our two-member family but if there were kids, it would be much tougher," said Cho Hae-ran, 41, who is married and works at a trading company.


Park has spent 15 years in politics as a leading legislator in the ruling Saenuri party, although her policies are sketchy.


She has a "Happiness Promotion Committee" and her campaign was launched as a "National Happiness Campaign", a slogan she has since changed to "A Prepared Woman President".


She has cited former British Prime Minister Margaret Thatcher, a tough proponent of free markets, as her role model as well as Angela Merkel, the conservative German chancellor who is Europe's most powerful leader.


NEGOTIATE WITH NORTH


One of those who voted on Wednesday was Shin Dong-hyuk, a defector from North Korea who is the only person known to have escaped from a slave labor camp there.


He Tweeted that he was voting "for the first time in my life", although he didn't say for whom.


Park has said she would negotiate with Kim Jong-un, the youthful leader of North Korea who recently celebrated a year in office, but wants the South's isolated and impoverished neighbor to give up its nuclear weapons program as a precondition for aid, something Pyongyang has refused to do.


The two Koreas remain technically at war after an armistice ended their conflict. Kim Il Sung, the grandfather of the North's current leader, ordered several assassination attempts on Park's father, one of which resulted in her mother being shot to death in 1974.


Park herself met Kim Jong-un's father, the late leader Kim Jong-il, and declared he was "comfortable to talk to" and he seemed to be someone "who would keep his word".


The North successfully launched a long-range rocket last week in what critics said was a test of technology for an intercontinental ballistic missile and has recently stepped up its attacks on Park, describing her as holding a "grudge" and seeking "confrontation", code for war.


Park remains a firm supporter of a trade pact with the United States that and looks set to continue the free-market policies of her predecessor, although she has said she would seek to spread wealth more evenly.


The biggest of all the chaebol, Samsung Group, which produces the world's top selling smartphone as well as televisions, computer chips and ships, has sales equivalent to about a fifth of South Korea's national output.


(Additional reporting by Jumin Park, Seongbin Kang, Narae Kim, SoMang Yang; Writing by David Chance; Editing by Robert Birsel)



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Football: Wilshere, four others sign new Arsenal deals






LONDON: Arsenal were given a major fillip on Wednesday when they announced that English midfielder Jack Wilshere and four other players have agreed new long-term contracts with the club.

Wilshere joins fellow England internationals Alex Oxlade-Chamberlain, Kieran Gibbs and Carl Jenkinson and Welsh midfielder Aaron Ramsey in committing his future to the Emirates Stadium.

"We are delighted that these five young players have all signed new long-term contracts," manager Arsene Wenger said.

"The plan is to build a team around a strong basis of young players, in order to get them to develop their talent at the club.

"Jack is certainly the best known, the leader of this group -- but the other four players are exceptional footballers, and we're very happy that we could conclude their new deals at the same time.

"Gibbs, Jenkinson, Oxlade-Chamberlain, Ramsey and Wilshere represent a core of the squad and it's an extension for a long period for all of them.

"I'm a strong believer in stability and I believe when you have a core of British players, it's always easier to keep them together and that's what we'll try to achieve going forward."

Arsenal did not reveal details of the lengths of the five players' new contracts.

Wenger will now hope to persuade another England international, winger Theo Walcott, to commit himself to the club, with talks over a new contract for the former Southampton player currently at an impasse.

The 23-year-old, whose contract expires at the end of the current season, reportedly wants a higher salary and assurances that he will be given more opportunities to play as a striker.

Arsenal have endured an arduous season, notably being eliminated from the League Cup by fourth-tier Bradford City last week.

However, their 5-2 victory at Reading on Monday took them up to fifth place in the Premier League and they are also in the hat for Thursday's Champions League last 16 draw.

- AFP/de



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Get to the heart of saving lives

Raja Ali, a former first-class cricketer, collapses on a pavement in Bhopal. He has a cardiac arrest and onlookers simply watch.

That left-handed batsman Ali, was an important member of the Railways team that lifted the Ranji Trophy twice and Irani Trophy once did not matter as he lay writhing in pain a couple of months ago before departing from this world within minutes at a young age of 36. Eventually police take him to hospital where he is declared brought dead.

While the real cause of his cardiac arrest cannot be ascertained, the ignorance of the onlookers about its symptoms and the first aid that could have saved his life definitely had a role in his death.

Ali was one among about 7.5 lakh people who die of sudden cardiac arrest every year in India. While news of Ali's death was a rude shock to the cricketing fraternity, the manner of his death raised a pertinent question. Is anyone doing anything to make India embrace the concept of 'First Responders', which is common in western countries?

First Responders are people who provide the initial treatment at the scene of the incident or accident before definitive treatment is provided. They include fire, police and emergency medical personnel. But because an emergency, by definition, happens unannounced, it is rightly believed that common men, regardless of their fields of specialization, ought to be trained in basic life-saving techniques.

A victim of a cardiac arrest begins to suffer irreversible brain damage four minutes after the cardiac arrest takes place if no CPR (cardio-pulmonary resuscitation), a combination of rescue breathing and chest compressions, is administered.

The recently held 64th conference of the Cardiological Society of India revealed that heart disease is the biggest killer in India and by 2015 it will supersede all other fatal ailments. Fifty per cent of heart disease cases in the world are from India and heart attacks are more common among youth here than anywhere else in the world.

According to the World Health Organization, cardio-vascular diseases are the No. 1 cause of death annually. In 2008, 17.3 million people died of heart disease, accounting for 30% of all global heart disease deaths that year. So, the importance of remedies for diseases of the heart cannot be overemphasized.

In the past five years several organizations and specialist trainers have come up in the Delhi-NCR region who offer training in basic life-saving techniques to tackle any unexpected health emergencies or natural calamities, thereby transforming ordinary individuals into extraordinary saviours.

"Training in handling emergencies still take a back seat in most training schedules planned for the year by companies. Corporates tend to take these courses and workshops as 'nice to have' rather than as essential," says Dr (Col) G S Ahlowalia, owner of Gurgaon-based Spearhead Training Solutions, who has been conducting programmes on health and safety needs for the past six years in Gurgaon.

"The cost of first aid training is minimal, but the result of not having it could be fatal for someone who needs treatment and detrimental to one's business or the individual who administers first aid in the wrong manner," Ahlowalia says.

While several countries across the world are training the common man - in schools, colleges and workplaces - about chest compressions or CPR to save cardiac victims from dying, the World Heart Federation (WHF) says less than one per cent of Indians would know how to carry out a CPR.

"For every minute that a cardiac arrest victim does not receive CPR, his chances of survival drop by 10%. An effective CPR from a bystander can double a victim's chances of surviving a cardiac arrest," says Ahlowalia.

The time duration of the training programmes on CPR ranges from two hours to four hours. The workshop could extend up to five days when it includes first aid in other medical emergencies such as road accidents.

What if a First Responder gets it wrong when he is tending a patient?

"While it is difficult to give a categorical answer to this question, the training usually does not fail a person at the time of need," says Vikas Tripathi of VIVO Healthcare, a Gurgaon-based company that has trained 10,000 First Responders in more than 20 cities across the country from its inception in April 2011 till now.

Says Ahlowalia, "It is untrained bystanders who cause more damage unwittingly because of their ignorance. They tend to overlook the importance of blood loss in injuries that could lead to irreversible shock and irrational mobilization of fracture cases, aggravating even minor injuries into serious or fatal ones by the time medical aid reaches them."

The reason why bystander care is particularly important in India is that the country does not have a well-established emergency medical service (EMS) system to bring urgent care to accident victims, leading to thousands of avoidable deaths every year.

On the logistics of covering the second most populous country in the world, Ahlowalia has a suggestion: "Why not set up a national network of permanent first-aid training centres at airports, bus stands and railway stations under the aegis of the Red Cross? Travellers spend many hours waiting in these places, so they can learn to be life-givers in zero time."

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