Insight: Rome will burn, regardless of Italian election result


ROME (Reuters) - Regardless of who wins next weekend's parliamentary election, Italy's long economic decline is likely to continue because the next government won't be strong enough to pursue the tough reforms needed to make its economy competitive again.


Bankers, diplomats and industrialists in Rome and Milan despair at how Italians are shifting allegiances ahead of the February 24-25 vote to favor anti-establishment upstarts and show disgust with the established parties.


That makes it more likely that no bloc will have the political strength to tackle Italy's deep-rooted economic crisis, which has made it Europe's most sluggish large economy for the past two decades.


Final opinion polls predict that the vote will deliver a working majority in both houses for a centre-left coalition governing in alliance with technocrat former prime minister Mario Monti. Political risk consultancy Eurasia assigns this scenario a 50-60 percent probability.


But Italy's election for both chambers of parliament has the potential to tip the euro zone back into instability if the outcome does not produce that result.


The colorful cast of candidates includes disgraced media tycoon Silvio Berlusconi, one of the world's richest men, the bespectacled academic Monti, anti-establishment comedian Beppe Grillo who campaigns from a camper van, and Nichi Vendola, a former communist poet who is the governor of Puglia.


Investors have so far taken a relaxed view, relying on polls produced until the legal deadline for surveys of Feb 10.


One of the best indicators that they are not worried: Italian benchmark 10-year bond yields, which topped six percent during the country's worst political moments in 2011, are now trading around 4.4 percent, almost a full percentage point lower than those of Spain.


Italian stocks have performed broadly in line with the wider European market since January, despite the election and a wave of scandals which has engulfed several leading Italian groups.


But observers in Italy are increasingly nervous that the rosy election scenario favored by investors may not work out.


A jaded electorate, angry about political corruption, economic mismanagement and a national crisis that has impoverished a once-wealthy member of the G7 club of rich nations, could produce a surprise.


Pier Luigi Bersani, the standard-bearer for the centre-left, is a worthy but lackluster former minister whose party has been linked to a banking scandal in the mediaeval Tuscan town of Siena. Support for his party now seems to be fading.


Opponents have latched on to the fact that the ailing bank, Monte dei Paschi, was run by a foundation dominated by political appointees from the centre-left and accused Bersani's party of presiding over a debacle that will cost taxpayers hundreds of millions of euros.


CAMPER VAN POLITICS


Monti, dubbed "Rigor Montis" by one opponent for his austerity policies which critics say hurt growth, is stuck in fourth place and slipping. Detractors say he comes across poorly on the hustings and has been hurt because he formed an election alliance with two discredited centrist politicians who are emblematic of the traditional politics which Monti disavows.


The big gainer in the final days before the election, according to private surveys quoted by experts, is stand-up comedian Beppe Grillo and his anti-establishment 5-Star Movement. Grillo has been on a "tsunami tour" of Italy in a camper van, filling piazzas with his ringing denunciations of the country's political class. He campaigns mainly on the Internet, where his widely read blog features a list of Italy's parliamentarians convicted of a crime (it features 24 names).


"The big question is: what happens to Grillo?" said one senior banker in Milan, speaking on condition of anonymity. "He won't win but he could stop Bersani and Monti from getting enough seats to form an effective government."


Under the electoral law in force for this poll, which almost all Italians agree is in need of reform, voters cast ballots for a party list. The coalition with the most votes is awarded top-up seats in the lower house to give it a 55 percent majority. But in the Senate, the top-up premium applies by region.


Pollsters say the race is too close to call in a few battleground regions but there is a good chance the centre-left will fall short of a majority in the Senate, which has equal law-making powers to the lower house.


A substantial vote for Grillo's movement - and some experts suggest he could top 20 percent - could mean the new parliament is filled with new, inexperienced, anti-establishment deputies who may refuse to do deals with other politicians and block legislation. Bersani and Monti could find themselves without a workable majority in the Senate even in alliance - a scenario which Eurasia believe has a 20-30 percent probability.


"It's hard to see Grillo's movement as a source of stability," said one diplomat, speaking off the record. "There is no chance they would be part of a coalition."


CONVICTION POLITICIAN


Ironically Grillo himself will not be entering parliament regardless of how well his movement does. The shaggy-haired 63-year-old was convicted of manslaughter after three passengers died when a jeep he was driving crashed in 1981, making him ineligible for election under his own party's rules barring convicted criminals from parliament.


"Grillo's agenda is just silly," said one leading Italian columnist, speaking anonymously because his publication did not allow him to be quoted in other media before the vote.


"It's a fuck off policy. He wants to leave Europe, set up people's tribunals, halve public employees. It's the most visible symptom of Italy's political crisis."


The 5-Star Movement is not the only anti-establishment force threatening to make Italy ungovernable. The federalist Northern League, which favors greater autonomy for northern Italy, is polling around five percent nationally. Its leader Roberto Maroni told Reuters last week he would use his seats in parliament in alliance with the centre-right to block a centre-left coalition and prevent it from governing.


The League is particularly important in the Senate as its home region of Lombardy, where the party polls about 15 percent, returns by far the most senators - 49 out of a chamber of 319.


Should Grillo's movement and the Northern League win enough seats to deprive a centre-left coalition with Monti of an overall majority, the most likely outcome is a "grand coalition" of left and right, experts say.


Such a result would unsettle investors because it would be likely to bring centre-right leader former premier Berlusconi, 76, back into government in a key role and Monti would be unlikely to join it.


Berlusconi's own party has boosted its standing in polls over the past month, helped by the former premier's veteran campaigning skill and his dominance of the country's private TV channels. But nobody apart from his own supporters believes he is likely to win this time.


POPE FACTOR


Pope Benedict's unexpected resignation this month has pushed the parliamentary election off the front pages in Italy, giving Berlusconi less print space and TV air time to press his populist message. The main beneficiary appears to be Grillo, whose strategy of ignoring mainstream media and campaigning on the Internet has been unaffected by the news from the Vatican.


Investors above all want a government which will tackle the reasons for Italy's lackluster performance. Italy has hardly grown since the birth of the euro in 1999 and its economy has slumped faster since the 2007 financial crisis than any other in Europe except Greece. Last year, Italy contracted by 2.2 percent, according to official statistics.


Businessmen complain of three main obstacles: stifling bureaucracy, labor laws which offer workers so much protection that they encourage slack performance, and a dysfunctional court system which makes it hard to enforce contracts and collect debts. All are deep-rooted problems and none is likely to be tackled effectively by a weak and divided government.


"Nobody in Italy is ready to make the reforms our country needs right now," said the chief executive of a major Italian company, speaking off the record.


"I am deeply convinced that without a major change in labor flexibility, we will not be able to increase productivity. My personal experience is that Italian labor is fantastic. But if you take a very good worker and tell him his job is completely safe, you will turn him into a slacker."


Italy's byzantine court system - where cases can languish for years - and its legendary bureaucracy are major obstacles to foreign investment and competitiveness, business people and diplomats say. "Foreign companies are surprised by how hard it is to get things done here which we all thought had been agreed in Brussels 20 years ago," said one senior European diplomat.


Monti's technocratic government won plaudits from business for reforming Italy's pension system but its efforts to reform labor laws did not enjoy similar success. Monti's government lasted 13 months until Berlusconi's bloc triggered its collapse by withdrawing support. Some observers in Italy don't believe that the next parliament's make-up will be nearly as conducive to reform as the outgoing one.


MUDDLE-THROUGH OUTCOME


"I want to be optimistic but my best guess is that they will keep to this muddle-through scenario in the next parliament with lackluster results for the economy," said a second senior diplomat. "This country needs a new generation of political leaders."


Key among the concerns of diplomats and business people is the disparate nature of the centre-left coalition leading in polls.


Bersani's election alliance is made up of four main parties, stretching from the former communist Vendola through the Christian left to socialists and centrists. If it is unable to govern alone, as most polls predict, it will need the support of Monti's bloc - itself made up of three parties.


Bankers fear that a government made up of seven different groups of widely varying political hues is highly unlikely to agree on the tough, radical reform measures the country needs.


"If we have a government made up of Bersani, Monti and Vendola, they will argue all the time," said the chief executive. "Bersani and Vendola's capacity for reform is almost zero." Comparing the present Italian centre-left candidate to the former German chancellor whose successful labor reforms belied his socialist roots, he added: "Bersani is no Schroeder".


Bersani's economic spokesman Stefano Fassina insists that the centre-left fully understands the urgency of Italy's economic plight and is committed to deliver on measures to stop the rot. But he puts the emphasis on making the public sector more efficient and persuading Berlin to tone down budget austerity at a European level rather than pursuing labor reform in Italy. Fassina insists that public commitments by Bersani and Vendola on an agreed program will minimize disagreements but he does admit to concern about how a centre-left administration could work with Grillo's unpredictable forces.


"It's impossible to have any discussions with Grillo as a party," he said. "We hope that in parliament some of his MPs will be pragmatic enough to agree on reasonable measures."


With so much uncertainty about the election and the chances fading of it returning a strong, stable reformist government, it is hard to avoid the conclusion that Italy's slow, steady economic decline will continue regardless of the result.


"We've seen a steady economic decline in Italy over the past 20 years and it's very hard to see any outcome from this election which will reverse that. The reforms which would really get the country going again are out of reach," concluded the European diplomat.


(Editing by Peter Millership and Giles Elgood)



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Pistorius "fought non-stop" with girlfriend on night of killing






PRETORIA: "Blade Runner" Oscar Pistorius returned to court Wednesday to hear explosive allegations that he fought "non-stop" with his slain girlfriend Reeva Steenkamp on the night of her killing.

With the South African sporting hero already facing a tough fight to win bail, the prosecution presented police evidence to flesh out the charge he deliberately murdered the cover girl on Valentine's Day.

Police investigator Hilton Botha told the court that an unnamed witness "heard talking that sounded like non-stop fighting from two to three in the morning" shortly before Steenkamp was found dead at Pistorius' Pretoria home last Thursday.

Botha also said 29-year-old Steenkamp was shot three times through the bathroom door, with wounds to her head, elbow and hip.

Botha said the shots were not fired straight at the toilet door, but rather "directly to the toilet, the basin itself."

"If you walk in directly and fire straight at the door you will miss the toilet," he said, suggesting Pistorius had been aiming.

Steenkamp, who had been going out with Pistorius since late last year, was declared dead shortly before 4:15am on February 14 by medics and was found covered in towels and wearing white shorts and a black vest.

Botha also said 26-year-old Pistorius would face an additional charge of possessing unlicensed .38 special calibre ammunition.

At Tuesday's hearing, the Olympic and Paralympic track star had tearfully denied premeditated murder, a charge that risks a life sentence.

Pistorius told the court he shot at Steenkamp through a locked bathroom door, mistakenly believing she was a burglar. "I had no intention to kill my girlfriend," he said.

With only the suspect and the victim in the house at the time of the killing, the state's case is expected to focus heavily on forensic evidence and witnesses who are alleged to have heard the couple argue.

Prosecutor Gerrie Nel had argued on Tuesday that Pistorius deliberately fired four shots into the bathroom door after putting on his prosthetic legs, hitting a terrified Steenkamp three times and fatally wounding her.

"She could go nowhere," Nel said. "She locked the door for a purpose."

On Tuesday, the double amputee track star broke down in tears repeatedly as his own words from his own affidavit filled the court: "We were deeply in love and couldn't be more happy.

"I am absolutely mortified by the events and the devastating loss of my beloved Reeva," he said in his first public comments on the killing.

As the court hearing proceeded on Tuesday, Steenkamp was laid to rest at an emotional private ceremony at a crematorium in her hometown of Port Elizabeth.

Pistorius was an inspiration to millions when he became the first double amputee to compete against able-bodied athletes in the Olympics in London last year.

Pistorius said he had awoken in the dead of night when he heard a noise at his upscale home in a gated Pretoria estate

"Filled with horror and fear" that someone was in the bathroom, he said he felt "very vulnerable" because he did not have his prosthetic legs on.

He said he fired shots at the toilet door and shouted to his girlfriend to phone the police, but then realised it could have been Steenkamp in the bathroom.

After smashing the door with a cricket bat, Pistorius said "Reeva was slumped over but alive".

He said he kept a firearm under his bed at night because he had been a victim of violence and burglaries before and had received death threats.

Magistrate Desmond Nair said he could not rule out that there was some planning involved in the killing, which may be considered as a premeditated murder, setting a high bar for bail.

Pistorius, who off the track has had a rocky private life with stories of rash behaviour, beautiful women, guns and fast cars, has built up a powerful team of lawyers, medical specialists and public relations experts for his defence.

In 2009, Pistorius -- who once admitted to a newspaper that he slept with a pistol, machine gun, cricket bat and baseball bat for fear of burglars -- spent a night in jail after allegedly assaulting a 19-year-old woman at a party.

The Paralympian gold medallist became the first double amputee to run against able-bodied athletes at last year's Olympics in London on the carbon-fibre running blades that inspired his nickname.

But his career has been put on hold since the shooting, forcing him to cancel races in Australia, Brazil, Britain and the United States between March and May.

Pistorius revealed he earned 5.6 million rand ($640,000) a year and owned the $570,000 house where the killing took place as well as two other homes.

But two of his American sponsors, Nike and sunglasses maker Oakley, announced they were dropping Pistorius from their advertising campaigns, which have earned him millions of dollars in endorsements.

- AFP/al



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CBI summons Shahid Balwa for questioning in 2G scam

NEW DELHI: The CBI on Wednesday summoned 2G scam accused Shahid Balwa for questioning with regards to audio recordings of purported conversation between its prosecutor A K Singh and another accused Unitech Managing Director Sanjay Chandra on the case.

Agency sources said Swan and DB Realty promoter Balwa was asked to join investigations in the case as his name cropped up in the purported conversation.

The agency is expecting more such conversations to emerge as it strongly believes that the recording and subsequent leakage of these conversations is the result of corporate rivalry in the telecom sector, they said.

Meanwhile, the agency has received the report from Central Forensic Science Laboratory (CFSL) about the previous CD, having conversations between its prosecutor A K Singh and Chandra, who is an accused in the 2G Telecom spectrum allocation scam.

The CFSL in its report has said that the conversations are "untampered". However, in the absence of any voice samples of Singh and Chandra, it could not authenticate whether the voices in the recordings are of the duo, they said.

They clarified that so far there are no indications of CBI's case getting affected in the 2G scam.

Singh, who was removed after surfacing of tapes, has reportedly told investigators that there was nothing unusual in discussing case related facts with the defence and it is a normal practice as far as it does not adversely affect prosecution's case, they claimed.

Unitech had rejected the allegations, saying Chandra had never met the prosecutor in the 2G case outside the court or had any phone conversation with him.

The company has also denied that Chandra's voice was on the tape and said it appeared a fabricated voice recording sent anonymously to CBI.

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Drug overdose deaths up for 11th consecutive year


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


___


Stobbe reported from Atlanta.


___


Online:


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


CDC: http://www.cdc.gov


___


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


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Former Navy SEAL on Coming Out of Shadows












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


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


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


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


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


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


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










Acts of Valor: Four Boyfriends Took Bullets to Save Girlfriends Watch Video









'Zero Dark Thirty' Screenwriter Responds to Film's Controversy Watch Video





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


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


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


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


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


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


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


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



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


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






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Chavez back in Venezuela, on Twitter with four million followers


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


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


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


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


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


Early on Monday morning, he made his reappearance.


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


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


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


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


4TH MILLION FOLLOWER


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


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


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


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


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


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


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


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


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


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



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Turkey crackdown on radical group after US embassy attack






ANKARA: Turkish police launched a massive nationwide crackdown on Tuesday against a radical Marxist group which claimed a suicide bomb attack against the US embassy this month, the state-run Anatolia news agency reported.

Police issued arrest warrants for 167 people in 28 cities as part of the operation against the Revolutionary People's Liberation Front (DHKP-C), which is classified as a terrorist organisation by the United States, Anatolia said.

A Turkish guard at the US embassy in Ankara was killed in the February 1 attack and three other people including a journalist were wounded.

The outlawed DHKP-C has waged a string of attacks over the past few decades that have left dozens of people dead, including prominent political and military figures.

The fiercely anti-US group has threatened further attacks on other US diplomatic facilities in Turkey.

- AFP/fa



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20 fishermen assaulted by Sri Lankan naval personnel

RAMESWARAM (TN): Twenty fishermen from Tamil Nadu were allegedly assaulted by Sri Lankan navalmen while they were fishing near Katchathivu islet early Tuesday morning, officials said.

The navy personnel surrounded the fishermen's boats, allegedly beat them up and then took away the GPS equipment.

They also cut the fishing nets and threw the catch into the sea, officials said.

Katchathivu is an islet ceded by India to Sri Lanka in the 1970.

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Hip implants a bit more likely to fail in women


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


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


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


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


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


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


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


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


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


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


___


Online:


Journal: http://www.jamainternalmed.com


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Russian Meteor: Close Encounter, Preventing Impacts





Feb 18, 2013 7:03pm



MOSCOW — As if Friday’s massive meteor explosion over central Russia weren’t enough, just hours later a large asteroid buzzed dangerously close to Earth.


And that evening, the California sky was lit up by a fireball, apparently entering Earth’s atmosphere.


It’s a barrage from space that has people asking: Are we ready for the big one?


Nearly 100 tons of space debris enters Earth’s atmosphere every day. Most of it burns up or falls harmlessly into the ocean, but experts still worry that eventually something big will come our way.


PHOTOS: Meteorite Crashes in Russia


epa russia meteor Chebarkul lake jt 130217 wblog Russian Meteor: Close Encounters and Plans to Prevent Impacts

Image credit: Chelyabinsk Region Branch of Russian Interior Ministry/HO/EPA


The prospect of Earth getting hit by a giant hunk of space rock is concerning enough that the United Nations is gathering top minds in Italy this week to discuss it.


Scientists say the idea of blowing up an asteroid — as Bruce Willis’ character did in the movie “Armageddon” — is pure Hollywood fantasy. Even if we could hit it, it’s unlikely to stop it.


Existing sky-watching programs run by NASA and others can only spot the biggest asteroids, not the small ones that sneak up on us.


But fear not, citizens of Earth. Scientists have a plan.


RELATED: Russian Meteor: Rushing to Cash in on the Blast


One group, the non-profit B612 Foundation, proposes sending a telescope, called Sentinel, into space to detect incoming objects decades before their orbits intersect ours. Then, unmanned spacecraft could fly to them and nudge them clear of Earth’s path.


The group is trying to raise $200 million to make it happen and hopes to launch the telescope by 2016.


Another project, proposed by the University of Hawaii, aims to give earthlings a heads-up when necessary, starting by 2015.


RELATED: Meteor Events: Rare, but Dangerous


It is called the Atlas program, and the plan is to deploy a string of telescopes that would search for even smaller objects in the sky, hoping to be able to give people at least a few day’s notice that could allow time for an evacuation.


Until then, better keep Bruce Willis on speed dial.



SHOWS: World News






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