MPs, businesses hope Budget will address cost of living, labour crunch

SINGAPORE: Ahead of the delivery of Singapore's Budget on Monday, cost of living and labour crunch are among some issues MPs and businesses hope will be addressed.

Several MPs Channel NewsAsia spoke to said that a key concern especially amongst the sandwiched class is the cost of living in the country.

As for the elderly residents, they are concerned about healthcare costs, said the MPs.

On their part, businesses are worried about the manpower crunch and over the past month, there have been several calls to ease the tightening of the foreign worker inflow.

The government has been calling on companies to make concerted efforts to improve their productivity levels.

Zainudin Nordin, chairman of Government Parliamentary Committee (GPC) for Manpower, said: "When we look and talk about productivity, it sounds good. But how do we implement the productivity uplifting of our SMEs and companies? There needs to be a strong collaboration.

"When there is an intent on the part of the government to provide the resources in terms of consultancy and funds, there must also be a commitment and passion amongst the employers to see and understand that whenever they need to do more things, the first thing that must come to their mind is, 'how can I do more without employing more people?'. That is the direct question they have to ask themselves. Productivity is about doing more with lesser resources, that's the question.

"So, that should be the first question that comes to our mind, and when we need assistance from the government we should be able to come in and help in a much more concerted way.

"At the same time we also know the employees must also continue to ensure (they stay) relevant. So machinery, resources and employees must all be in tandem to do this. The partnership must be stronger."

Dr Lim Wee Kiak, chairman of GPC for Defence and Foreign Affairs, said: "We have received feedback as to the cost of childcare, cost of education and tuition, and these add a lot of stress to young parents. On top of that, they have to take care of their elderly parents. I think the key for that is the cost of healthcare.

"So within this Budget itself, I hope there will be some consideration for, especially the young and the old, and that will help the sandwiched class a lot."

Mr Baey Yam Keng, chairman of GPC for Culture, Community and Youth, said: "There has been some anticipation, because there has been a (budget) surplus. People know there is a surplus and people would look forward to investment in infrastructure. The gaps that we are seeing now in transport, housing, healthcare...people want to see their immediate frustrations being addressed...as well as the cost of living, these would be the key issues from residents.

"There is some apprehension over whether rentals will go up, if transport fares will go up.

"At the same time there are also residents operating their own businesses, the SMEs, who also have concerns about the manpower crunch, the cost of dong business and how they can continue to survive in this climate."

The Budget Statement will be delivered in Parliament by Deputy Prime Minister and Finance Minister Tharman Shanmugaratnam.

Channel NewsAsia will carry a special Budget programme from 3pm on Monday, together with Mr Tharman's speech live.

Budget 2013 will be tabled in Parliament against the backdrop of a 1.3 percent GDP growth for the entire 2012.

For 2013, the Ministry of Trade and Industry (MTI) has forecast an economic growth of one to three percent.

MTI also revealed on Friday that labour productivity had fallen by 2.6 percent in 2012, a reversal from the growth of 1.3 per cent from the previous year.

The ministry said productivity also dropped by 2.5 per cent in the fourth quarter, the fifth consecutive quarter of decline.

It said the fall was broad-based, with manufacturing, construction and services all experiencing negative growth.

- CNA/ir

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300% rise in suspicious terror financing cases: Report

NEW DELHI: Over 1,400 instances of terror financing in country's economic channels were red-flagged by intelligence and security agencies last year, a latest report of the finance ministry says, marking a 300% jump in such suspicious transactions.

The Financial Intelligence Unit (FIU), which functions under the ministry, has reported that it had received 1,444 reports during 2011-12 from agencies like the intelligence bureau, the Research and Analysis Wing and those in the economic domain and affiliated to the Income Tax and Customs departments.

The figure of such reports from these agencies stood at 428 during 2010-11, the agency says.

"The FIU also supports the efforts of domestic intelligence and law enforcement agencies against terror financing by providing information specifically requested by them, either by searching its database or by calling specific information from the reporting entities," the report says.

The FIU is the national agency responsible for receiving, analyzing and disseminating suspicious transaction reports (STRs) to security and anti-money laundering and tax evasion departments of the country.

The agency also reported a more than 100 per cent rise in the number of STRs received during 2011-12 as it collected a total of 69,224 such reports during this period as compared to 20,698 STRs during 2010-11.

The instances of reportage of fake currency in Indian banking channels are also on the rise, the FIU says.

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FDA approves new targeted breast cancer drug

WASHINGTON (AP) — The Food and Drug Administration has approved a first-of-a-kind breast cancer medication that targets tumor cells while sparing healthy ones.

The drug Kadcyla from Roche combines the established drug Herceptin with a powerful chemotherapy drug and a third chemical linking the medicines together. The chemical keeps the cocktail intact until it binds to a cancer cell, delivering a potent dose of anti-tumor poison.

Cancer researchers say the drug is an important step forward because it delivers more medication while reducing the unpleasant side effects of chemotherapy.

"This antibody goes seeking out the tumor cells, gets internalized and then explodes them from within. So it's very kind and gentle on the patients — there's no hair loss, no nausea, no vomiting," said Dr. Melody Cobleigh of Rush University Medical Center. "It's a revolutionary way of treating cancer."

Cobleigh helped conduct the key studies of the drug at the Chicago facility.

The FDA approved the new treatment for about 20 percent of breast cancer patients with a form of the disease that is typically more aggressive and less responsive to hormone therapy. These patients have tumors that overproduce a protein known as HER-2. Breast cancer is the second most deadly form of cancer in U.S. women, and is expected to kill more than 39,000 Americans this year, according to the National Cancer Institute.

The approval will help Roche's Genentech unit build on the blockbuster success of Herceptin, which has long dominated the breast cancer marketplace. The drug had sales of roughly $6 billion last year.

Genentech said Friday that Kadcyla will cost $9,800 per month, compared to $4,500 per month for regular Herceptin. The company estimates a full course of Kadcyla, about nine months of medicine, will cost $94,000.

FDA scientists said they approved the drug based on company studies showing Kadcyla delayed the progression of breast cancer by several months. Researchers reported last year that patients treated with the drug lived 9.6 months before death or the spread of their disease, compared with a little more than six months for patients treated with two other standard drugs, Tykerb and Xeloda.

Overall, patients taking Kadcyla lived about 2.6 years, compared with 2 years for patients taking the other drugs.

FDA specifically approved the drug for patients with advanced breast cancer who have already been treated with Herceptin and taxane, a widely used chemotherapy drug. Doctors are not required to follow FDA prescribing guidelines, and cancer researchers say the drug could have great potential in patients with earlier forms of breast cancer

Kadcyla will carry a boxed warning, the most severe type, alerting doctors and patients that the drug can cause liver toxicity, heart problems and potentially death. The drug can also cause severe birth defects and should not be used by pregnant women.

Kadcyla was developed by South San Francisco-based Genentech using drug-binding technology licensed from Waltham, Mass.-based ImmunoGen. The company developed the chemical that keeps the drug cocktail together and is scheduled to receive a $10.5 million payment from Genentech on the FDA decision. The company will also receive additional royalties on the drug's sales.

Shares of ImmunoGen Inc. rose 2 cents to $14.32 in afternoon trading. The stock has ttraded in a 52-wek range of $10.85 to $18.10.

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Las Vegas Strip Shooting Suspect ID'd

Las Vegas police identified a suspect today in a shooting on the strip that caused a Maserati to hit a taxi and burst into flames, killing three people.

Ammar Harris, 26, has been named a suspect in the Thursday skirmish that killed three people, including rapper Kenny Clutch.

The altercation between Harris and Clutch, 27, whose legal name was Kenneth Cherry Jr., is believed to have originated in the valet area of a Las Vegas hotel, police said.

Police said Harris fired several rounds into a Maserati that was being driven by Cherry as both vehicles continued northbound on glitzy Las Vegas Boulevard.

The rapper's expensive sports car careened out of control after he was shot, slamming into several cars, including a taxi. The impact caused the cab to burst into flames, killing the driver, Michael Boldon and a female passenger. Witnesses said it looked like the car exploded.

"He was a number one guy," Carolyn Jean Trimble, Boldon's sister, told ABC News.

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"I looked out my window and I could see one vehicle down here on the corner of the intersection totally engulfed in flames," witness John Lamb told ABC News.

Boldon, 62, and his passenger, who has not yet been identified, were both killed, as was Clutch.

Timble said her brother loved driving his taxi around Vegas.

"He came to live with me in Las Vegas last year to help take care of our mother, and the first day he got here he said, 'I have to get a job.' The second day, I came home from work, and he said he got a job," she recalled.

"He says, 'You'll never guess what it is,' and I said, 'what,' and he said, 'taxi cab driver,' and we both fell out laughing," Trimble said. "He loved that job. He never complained. He'd come home and tell me stories about what happened, who he picked up."

Boldon was a single father who raised a 36-year-old son and was a new grandfather. His grandson was named after him, Trimble said.

"Of all the people to take from this earth," she said. "But I guess the Lord needed him."

A passenger in the Maserati was hit and sustained only a minor injury to his arm. Clutch died at University Medical Center.

His father, Kenneth Cherry Sr., expressed his grief for the loss of his son while speaking with ABC News.

"This is something you never really, really ever want to experience as a parent, to lose a child before you go," he said.

Harris is described as 5-foot-11 and 180 pounds. Anyone with information is asked to contact the Las Vegas Metro Police Department's homicide division.

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China reports second fatal case of bird flu this year

BEIJING: A man in southwestern China has died of bird flu, health authorities said Saturday, becoming the second fatality from the H5N1 virus this year.

The 31-year-old died in hospital in the city of Guiyang on Friday, the Guizhou province health department said in a statement, adding that no other human cases of avian flu had been reported in the province.

Another city resident, a 21-year-old woman, died from the virus earlier this month.

The Xinhua news agency said both of them had come into close contact with birds but it was not known if the cases were related.

The H5N1 virus typically spreads from birds to humans through direct contact, but experts fear it could mutate into a form transmissible between humans with the potential to trigger a pandemic.

More than 365 people have died of bird flu globally since the virus re-emerged in 2003, according to the World Health Organization.

Its figures show that China saw 25 deadly cases of the virus between 2003 and 2009 before numbers tailed off to one fatality in each of the three following years. The deadliest year of the past decade in China saw eight deaths in 2006.

China is considered one of the nations most at risk from bird flu epidemics because it has the world's biggest poultry population and many chickens in rural areas are kept close to humans.

China has in the past been accused of covering up the extent of bird flu outbreaks, exacerbating fears when new cases are reported.

Separate outbreaks among birds were reported last year in the northern region of Ningxia and the remote northwestern region of Xinjiang, prompting massive culls of chickens.

- AFP/ir

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Polling begins in Meghalaya

SHILLONG: Polling began to elect 60 members to the ninth Meghalaya Assembly from among 345 candidates today with an electorate of 15.3 lakh.

Banned Khasi organisation, Hynniewtrep National Liberation Council, has called a 36-hour bandh from 6 PM yesterday till today in the seven districts of Khasi and Jaintia Hills region.

Prominent candidates in the fray are Chief Minister Mukul Sangma, Home Minister H D R Lyngdoh, Education Minister R C Laloo, Congress president D D Lapang, UDP president Don Kupar Roy, former Leader of Opposition and son of P A Sangma Conrad K Sangma and his brother James Sangma.

The Congress has put up candidates in all 60 seats, and ally United Democratic Party in 50.

Of the 15 parties in the fray, the P A Sangma-led National Peoples' Party is contesting at 32 seats, the NCP at 21 and the BJP in 13.

Among the candidates are 25 women. Of the 2,845 polling stations, 900 have been declared 'hyper-sensitive'.

Booths along the international border and the inter-state border with Assam have also been categorised as 'hyper-sensitive'.

The BSF, which has been put on maximum alert along the 498-km border, has deployed 10,000 personnel.

Ninety-one companies of central paramilitary forces have been deployed in the state to maintain law and order and 44 companies in the militant-hit Garo Hills region.

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Cyberattacks Bring Attention to Security Reform

Recent accusations of a large-scale cyber crime effort by the Chinese government left many wondering what immediate steps the president and Congress are taking to prevent these attacks from happening again.

On Wednesday, the White House released the administration's Strategy on Mitigating the Theft of U.S. Trade Secrets as a follow-up to the president's executive order. The strategy did not outwardly mention China, but it implied U.S. government awareness of the problem.

"We are taking a whole of government approach to stop the theft of trade secrets by foreign competitors or foreign governments by any means -- cyber or otherwise," U.S. Intellectual Property Enforcement Coordinator Victoria Espinel said in a White House statement.

As of now, the administration's strategy is the first direct step in addressing cybersecurity, but in order for change to happen Congress needs to be involved. So far, the Cyber Intelligence Sharing and Protection Act (CISPA) is the most notable Congressional legislation addressing the problem, despite its past controversy.

Last April, CISPA was introduced by House Intelligence Committee Chairman Mike Rogers, R-Mich., and Rep. Dutch Ruppersberger, D-Md. The act would allow private companies with consumer information to voluntarily share those details with the NSA and the DOD in order to combat cyber attacks.

Peter Parks/AFP/Getty Images

The companies would be protected from any liabilities if the information was somehow mishandled. This portion of the act sounded alarm bells for CISPA's opponents, like the ACLU, which worried that this provision would incentivize companies to share individuals' information with disregard.

CISPA passed in the House of Representatives, despite a veto threat from the White House stemming from similar privacy concerns. The bill then died in the Senate.

This year, CISPA was reintroduced the day after the State of the Union address during which the president declared an executive order targeting similar security concerns from a government standpoint.

In contrast to CISPA, the executive order would be initiated on the end of the government, and federal agencies would share relevant information regarding threats with private industries, rather than asking businesses to supply data details. All information shared by the government would be unclassified.

At the core of both the executive order and CISPA, U.S. businesses and the government would be encouraged to work together to combat cyber threats. However, each option would clearly take a different route to collaboration. The difference seems minimal, but has been the subject of legislative debates between the president and Congress for almost a year, until now.

"My response to the president's executive order is very positive," Ruppersberger told ABC News. "[The president] brought up how important information sharing is [and] by addressing critical infrastructure, he took care of another hurdle that we do not have to deal with."

Addressing privacy roadblocks, CISPA backers said the sharing of private customer information with the government, as long as personal details are stripped, is not unprecedented.

"Think of what we do with HIPAA in the medical professions; [doctors do not need to know] the individual person, just the symptoms to diagnose a disease," Michigan Gov. John Engler testified at a House Intelligence Committee hearing in an attempt to put the problem into context.

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Abe vows to revive Japanese economy, sees no escalation with China

WASHINGTON (Reuters) - Japanese Prime Minister Shinzo Abe told Americans on Friday "I am back and so is Japan" and vowed to get the world's third biggest economy growing again and to do more to bolster security and the rule of law in an Asia roiled by territorial disputes.

Abe had firm words for China in a policy speech to a top Washington think-tank, but also tempered his remarks by saying he had no desire to escalate a row over islets in the East China Sea that Tokyo controls and Beijing claims.

"No nation should make any miscalculation about firmness of our resolve. No one should ever doubt the robustness of the Japan-U.S. alliance," he told the Center for Strategic and International Studies.

"At the same time, I have absolutely no intention to climb up the escalation ladder," Abe said in a speech in English.

After meeting U.S. President Barack Obama on his first trip to Washington since taking office in December in a rare comeback to Japan's top job, he said he told Obama that Tokyo would handle the islands issue "in a calm manner."

"We will continue to do so and we have always done so," he said through a translator, while sitting next to Obama in the White House Oval Office.

Tension surged in 2012, raising fears of an unintended military incident near the islands, known as the Senkaku in Japan and the Diaoyu in China. Washington says the islets fall under a U.S.-Japan security pact, but it is eager to avoid a clash in the region.

Abe said he and Obama "agreed that we have to work together to maintain the freedom of the seas and also that we would have to create a region which is governed based not on force but based on an international law."

Abe, whose troubled first term ended after just one year when he abruptly quit in 2007, has vowed to revive Japan's economy with a mix of hyper-easy monetary policy, big spending, and structural reform. The hawkish leader is also boosting Japan's defense spending for the first time in 11 years.

"Japan is not, and will never be, a tier-two country," Abe said in his speech. "So today ... I make a pledge. I will bring back a strong Japan, strong enough to do even more good for the betterment of the world."

'ABENOMICS' TO BOOST TRADE

The Japanese leader stressed that his "Abenomics" recipe would be good for the United States, China and other trading partners.

"Soon, Japan will export more, but it will import more as well," Abe said in the speech. "The U.S. will be the first to benefit, followed by China, India, Indonesia and so on."

Abe said Obama welcomed his economic policy, while Deputy Chief Cabinet Secretary Katsunobu Kato said the two leaders did not discuss currencies, in a sign that the U.S. does not oppose "Abenomics" despite concern that Japan is weakening its currency to export its way out of recession.

The United States and Japan agreed language during Abe's visit that could set the stage for Tokyo to join negotiations soon on a U.S.-led regional free trade agreement known as the Trans-Pacific Partnership.

In a carefully worded statement following the meeting between Obama and Abe, the two countries reaffirmed that "all goods would be subject to negotiations if Japan joins the talks with the United States and 10 other countries.

At the same time, the statement envisions a possible outcome where the United States could maintain tariffs on Japanese automobiles and Japan could still protect its rice sector.

"Recognizing that both countries have bilateral trade sensitivities, such as certain agricultural products for Japan and certain manufactured products for the United States, the two governments confirm that, as the final outcome will be determined during the negotiations, it is not required to make a prior commitment to unilaterally eliminate all tariffs upon joining the TPP negotiations," the statement said.

Abe repeated that Japan would not provide any aid for North Korea unless it abandoned its nuclear and missile programs and released Japanese citizens abducted decades ago to help train spies.

Pyongyang admitted in 2002 that its agents had kidnapped 13 Japanese in the 1970s and 1980s. Five have been sent home, but Japan wants better information about eight who Pyongyang says are dead and others Tokyo believes were also kidnapped.

Abe also said he hoped to have a meeting with new Chinese leader Xi Jinping, who takes over as president next month, and would dispatch Finance Minister Taro Aso to attend the inauguration of incoming South Korean President Park Geun-hye next week.

(Additional reporting by Jeff Mason and Doug Palmer; Editing by David Brunnstrom and Paul Simao)

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Cricket: Hyderabad Test still on, says Australia chief

SYDNEY: Australia plan to play the second Test against India in Hyderabad as scheduled next week despite deadly bomb attacks in the city on the eve of the Test series opener, reports said on Friday.

The twin blasts on Thursday killed 14 people and wounded dozens more in a busy neighbourhood in the southern Indian city, raising questions over whether Australia would play the second Test starting on March 2.

But Cricket Australia chief executive James Sutherland told Fairfax newspapers the match was still on as planned as Australia prepared for the opening match in the four-Test series in Chennai starting later Friday.

"As far as I'm concerned we are playing the second Test in Hyderabad next week. That's where we are at," said Sutherland, who is with the team in Chennai.

Sutherland told Fairfax he was happy to continue to Hyderabad where the team is scheduled to arrive on Wednesday.

"We've got great confidence in the BCCI (Board of Control for Cricket in India) and the relevant authorities here to be able to prepare as best as possible for whatever issues may change from day to day," he said.

"We're very comfortable with everything that has been done so far on this tour."

"We'll obviously take advice from relevant authorities and work with the BCCI and others here to make assessments around Hyderabad but at the same time plans have been in place for a long time," Sutherland said.

"At this stage I wouldn't be calling into question things going ahead in Hyderabad."

He added that team manager Gavin Dovey had sent players text messages overnight updating them on the blasts and that security had been stepped up.

Dozens of extra police reportedly surrounded the Chennai hotel where the Australian and Indian teams are staying.

Captain Michael Clarke said his players were focused on the Chennai game.

"From the team's point of view, our focus is wholly and solely on the field because we've got people off the field who are experts in what is going on. We'll be advised by them," he said.

"Our thoughts and prayers are with all the people of Hyderabad who have been affected."

Earlier, media reports raised doubts over the tour.

"Australia's cricket tour of India has been plunged into uncertainty," said the Herald-Sun newspaper, while the Sydney Morning Herald carried a headline "Hyderabad Test in doubt as bombings rock city".

Australia pulled out of a tour to Pakistan in 2008 over security concerns after a series of bombings in the troubled country. They also refused to play any matches in the 1996 World Cup in Sri Lanka after bombings there.

Cricket Australia, which said the safety of players was paramount, earlier said the tourists had received "no information to suggest there is any threat to the team" but that talks were ongoing.

The attacks targeted a Hindu district in the city, a hub of India's computing industry in the southern state of Andhra Pradesh, home to local offices of Google and Microsoft among other Western IT companies.

After the blasts, the Foreign Affairs Department in Canberra warned Australians following the tour in India that terror attacks could happen anywhere.

"We advise you to exercise a high degree of caution in India at this time because of the risk of terrorism, civil unrest, crime and vehicle accidents," the department said.

"Terrorist attacks could occur anywhere at any time in India with little or no warning," it said.

"Possible targets include public places in New Delhi, Mumbai and other major cities, and Indian security and political interests."

However, the overall level of advice for Australians in India has not changed, with the department recommending people exercise a high degree of caution.

No major international cricket has been played in Pakistan since a deadly attack on the Sri Lankan team bus by armed militants in Lahore in 2009.

- AFP/ck

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BJP calls for shutdown in Andhra Pradesh

HYDERABAD: The Bharatiya Janata Party (BJP) has called for a shutdown in Andhra Pradesh on Friday to condemn the twin bomb blasts, which killed 14 people and injured over 100.

The Bharatiya Janata Party today demanded the suspension of question hour and said that in the wake of the Hyderabad blasts there should be a discussion the the Parliament over terror.

BJP state president G Kishan Reddy appealed to all people to voluntarily observe the shutdown to protest the blasts and show their sympathies with the victims' families.

Talking to reporters, he said the state government failed to take steps to prevent the blasts despite warnings from the intelligence agencies. He demanded the government to act firmly against terrorists.

Police have stepped up security in the city and other major towns in view of the shutdown call and Friday prayers.

The Bharatiya Janata Party today demanded the suspension of question hour and said that in the wake of the Hyderabad blasts there should be a discussion the the Parliament over terror.

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APNewsBreak: Govs to hear Oregon health care plan

SALEM, Ore. (AP) — Oregon Gov. John Kitzhaber will brief other state leaders this weekend on his plan to lower Medicaid costs, touting an overhaul that President Barack Obama highlighted in his State of the Union address for its potential to lower the deficit even as health care expenses climb.

The Oregon Democrat leaves for Washington, D.C., on Friday to pitch his plan that changes the way doctors and hospitals are paid and improves health care coordination for low income residents so that treatable medical problems don't grow in severity or expense.

Kitzhaber says his goal is to win over a handful of other governors from each party.

"I think the politics have been dialed down a couple of notches, and now people are willing to sit down and talk about how we can solve the problem" of rising health care costs, Kitzhaber told The Associated Press in a recent interview.

Kitzhaber introduced the plan in 2011 in the face of a severe state budget deficit, and he's been talking for two years about expanding the initiative beyond his state. Now, it seems he's found people ready to listen.

Hospital executives from Alabama visited Oregon last month to learn about the effort. And the U.S. Department of Health and Human Services announced Thursday that it's giving Oregon a $45 million grant to help spread the changes beyond the Medicaid population and share information with other states, making it one of only six states to earn a State Innovation Model grant.

Kitzhaber will address his counterparts at a meeting of the National Governors Association. His talk isn't scheduled on the official agenda, but a spokeswoman confirmed that Kitzhaber is expected to present.

"The governors love what they call stealing from one another — taking the good ideas and the successes of their colleagues and trying to figure out how to apply that in their home state," said Matt Salo, director of the National Association of Medicaid Directors.

There's been "huge interest" among other states in Oregon's health overhaul, Salo said, not because the concepts are brand new, but because the state managed to avoid pitfalls that often block health system changes.

Kitzhaber persuaded state lawmakers to redesign the system of delivering and paying for health care under Medicaid, creating incentives for providers to coordinate patient care and prevent avoidable emergency room visits. He has long complained that the current financial incentives encourage volume over quality, driving costs up without making people healthier.

Obama, in his State of the Union address this month, suggested that changes such as Oregon's could be part of a long-term strategy to lower the federal debt by reigning in the growing cost of federally funded health care.

"We'll bring down costs by changing the way our government pays for Medicare, because our medical bills shouldn't be based on the number of tests ordered or days spent in the hospital — they should be based on the quality of care that our seniors receive," Obama said.

The Obama administration has invested in the program, putting up $1.9 billion to keep Oregon's Medicaid program afloat over the next five years while providers make the transition to new business models and incorporate new staff and technology.

In exchange, though, the state has agreed to lower per-capita health care cost inflation by 2 percentage points without affecting quality.

The Medicaid system is unique in each state, and Kitzhaber isn't suggesting that other states should adopt Oregon's specific approach, said Mike Bonetto, Kitzhaber's health care policy adviser. Rather, he wants governors to buy into the broad concept that the delivery system and payment models need to change.

That's not a new theory. But Oregon has shown that under the right circumstances massive changes to deeply entrenched business models can gain wide support.

What Oregon can't yet show is proof the idea is working — that it's lowering costs without squeezing on the quality or availability of care. The state is just finishing compiling baseline data that will be used as a basis of comparison.

One factor driving the Obama administration's interest in Oregon's success is the president's health care overhaul. Under the Affordable Care Act, millions more Americans will join the Medicaid rolls after Jan. 1, and the health care system will have to be able to absorb the influx of patients in a logistically and financially sustainable way.

The federal government will pay 100 percent of the costs for those additional patients in the first three years before scaling back to 90 percent in 2020 and beyond.

"There are a lot of governors who are facing the same challenges we're facing in Oregon," Kitzhaber said. "They recognize that the cost of health care is something they're going to have to get their arms around."

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Arias Challenged On Pedophilia Claim

Accused murderer Jodi Arias was challenged today by phone records, text message records, and her own diary entries that appeared to contradict her claim that she caught her ex-boyfriend, Travis Alexander, looking at pictures of naked boys.

Arias had said during her testimony that one afternoon in January 2008, she walked in on Alexander masturbating to pictures of naked boys. She said she fled from the home, threw up, drove around aimlessly, and ignored numerous phone calls from Alexander because she was so upset at what she had seen.

The claim was central to the defense's accusation that Alexander was a "sexual deviant" who grew angry and abusive toward Arias in the months after the incident, culminating in a violent confrontation in June that left Alexander dead.

Arias claimed she killed him in self-defense. She could face the death penalty if convicted of murder.

Catching Up on the Trial? Check Out ABC News' Jodi Arias Trial Coverage

Today, prosecutor Juan Martinez, who has been aggressive in questioning witnesses throughout the trial, volleyed questions at her about the claim of pedophilia, asking her to explain why her and Alexander's cell phone records showed five calls back and forth between the pair throughout the day she allegedly fled in horror. Some of the calls were often initiated Arias, according to phone records.

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She and Alexander also exchanged text messages throughout the afternoon and evening at a time when Arias claims the pedophilia incident occurred. In those messages they discuss logistics of exchanging one another's cars that night. Alexander sends her text messages about the car from a church social event he attended that night that she never mentioned during her testimony.

Arias stuck by her claim that she saw Alexander masturbating to the pictures, and her voice remained steady under increasingly-loud questioning by Martinez.

But Martinez also sparred with Arias on the stand over minor issues, such as when he asked Arias detailed questions about the timing and order of events from that day and Arias said she could not remember them.

"It seems you have problems with your memory. Is this a longstanding thing? Since you started testifying?" Martinez asked.

"No it goes back farther than that. I don't know even know if I'd call it a problem," Arias said.

"How far back does it go? You don't want to call them problems, are they issues? Can we call them issues? When did you start having them?" he asked in rapid succession. "You say you have memory problems, that it depends on the circumstance. Give me the factors that influence that."

"Usually when men like you or Travis are screaming at me," Arias shot back from the stand. "It affects my brain, it makes my brain scramble."

"You're saying it's Mr. Martinez's fault?" Martinez asked, referring to himself in the third person.

"Objection your honor," Arias' attorney finally shouted. "This is a stunt!"

Timeline of the Jodi Arias Trial

Martinez dwelled at one point about a journal entry where Arias wrote that she missed the Mormon baptism of her friend Lonnie because she was having kinky sex with Alexander. He drew attention to prior testimony that she and Alexander used Tootsie Pops and Pop Rocks candy as sexual props.

"You're trying to get across (in the diary entry) that this involved a sexual liaison with Mr. Alexander right?" he asked. "And you're talking about Tootsie Pops and Pop Rocks?"

"That happened also that night," Arias said.

"You were there, enjoying it, the Tootsie Pops and Pop Rocks?" he asked again, prompting a smirk from Arias.

"I enjoyed his attention," Arias said.

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French, Malian forces fight Islamist rebels in Gao

GAO, Mali (Reuters) - French and Malian troops fought Islamists on the streets of Gao and a car bomb exploded in Kidal on Thursday, as fighting showed little sign of abating weeks before France plans to start withdrawing some forces.

Reuters reporters in Gao in the country's desert north said French and Malian forces fired at the mayor's office with heavy machineguns after Islamists were reported to have infiltrated the Niger River town during a night of explosions and gunfire.

French Defense Minister Jean-Yves Le Drian told a news conference in Brussels that Gao was back under control after clashes earlier in the day.

"Malian troops supported by French soldiers killed five jihadists and the situation is back to normal," he said.

In Kidal, a remote far north town where the French are hunting Islamists, residents said a car bomb killed two. A French defense ministry source reported no French casualties.

French troops dispatched to root out rebels with links to al Qaeda swiftly retook northern towns last month. But they now risk being bogged down in a guerrilla conflict as they try to help Mali's weak army counter bombings and raids.

"There was an infiltration by Islamists overnight and there is shooting all over the place," Sadou Harouna Diallo, Gao's mayor, told Reuters by telephone earlier in the day, saying he was not in his office at the time.

Gao is a French hub for operations in the Kidal region, about 300 km (190 miles) northeast, where many Islamist leaders are thought to have retreated and foreign hostages may be held.

"They are black and two were disguised as women," a Malian soldier in Gao who gave his name only as Sergeant Assak told Reuters during a pause in heavy gunfire around Independence Square.

Six Malian military pickups were deployed in the square and opened fire on the mayor's office with the heavy machineguns. Two injured soldiers were taken away in an ambulance.

French troops in armored vehicles later joined the battle as it spilled out into the warren of sandy streets, where, two weeks ago, they also fought for hours against Islamists who had infiltrated the town via the nearby river.

Helicopters clattered over the mayor's office, while a nearby local government office and petrol station was on fire.

A Gao resident said he heard an explosion and then saw a Malian military vehicle on fire in a nearby street.

Paris has said it plans to start withdrawing some of its 4,000 troops from Mali next month. But rebels have fought back against Mali's weak and divided army, and African forces due to take over the French role are not yet in place.

Islamists abandoned the main towns they held but French and Malian forces have said there are pockets of Islamist resistance across the north, which is about the size of France.

CAR BOMB

Residents reported a bomb in the east of Kidal on Thursday.

"It was a car bomb that exploded in a garage," said one resident who went to the scene but asked not to be named.

"The driver and another man were killed. Two other people were injured," he added.

A French defense ministry official confirmed there had been a car bomb but said it did not appear that French troops, based at the town's airport, had been targeted.

Earlier this week, a French soldier was killed in heavy fighting north of Kidal, where French and Chadian troops are hunting Islamists in the Adrar des Ifoghas mountains, which border Algeria.

Operations there are further complicated by the presence of separatist Tuareg rebels, whose rebellion triggered the fighting in northern Mali last year but were sidelined by the better-armed Islamists.

Having dispatched its forces to prevent an Islamist advance south in January, Paris is eager not to become bogged down in a long-term conflict in Mali. But their Malian and African allies have urged French troops not to pull out too soon.

(Additional reporting by Emanuel Braun in Gao, Adama Diarra in Bamako, David Lewis and John Irish in Dakar and Adrian Croft in Brussels; Writing by David Lewis; Editing by Jason Webb and Roger Atwood)

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Oscar hopeful Haneke fears failure with Mozart

MADRID: Although he is nursing hopes of an Oscar, Austrian film-maker Michael Haneke says he feels doomed to failure with his latest project -- a staging of a Mozart opera in Spain.

"Amour", Haneke's film about an ageing couple that won the Palme d'Or at Cannes last year, is up for five Oscars on Sunday, including for best film and best director.

First, however, the 69-year-old faces another big night -- Saturday's premier of "Cosi Fan Tutte", by his fellow Austrian at Madrid's Teatro Real.

"With Mozart you are condemned to fail. The question is on what level," Haneke, considered one of the greatest and most uncompromising living film-makers, told reporters in Madrid on Wednesday.

"I don't much like talking about opera. I prefer to talk about my films. I see myself more as a film director."

The Madrid show is his second opera project after "Don Giovanni" in Paris in 2007, and "probably my last" before returning to film-making, he added.

"After 'Don Giovanni' I received about 15 offers to direct operas but I rejected them all because I didn't think I was the right person to do them," he said.

Haneke's films such as "The White Ribbon" -- a macabre tale of pre-war Germany for which he won the first of his two Palmes D'Or -- have earned him a reputation for painful subjects.

"Cosi Fan Tutte" is ostensibly a romantic comedy -- the tale of two women who are tricked and tested by their suitors -- but the theatre says its meditation on love and loyalty has its hard side too.

Written by a depressed Mozart when he was having love pains of his own, "Cosi Fan Tutte" is one of the composer's most challenging operas to stage, said the theatre's Belgian director Gerard Mortier.

"It is the most profound and difficult Mozart, with some extraordinarily difficult arias," he said.

Haneke has stage-directed the opera in Madrid under the musical baton of French conductor Sylvain Cambreling.

"Amour" meanwhile examines the intimate life of an elderly man and his dying wife.

"It touches people because it could happen to any family," Haneke said.

"If you are young it could happen to your grandparents. If you're less young, to your parents. And if you're even less young, it could happen to you."

The film is nominated for Oscars in the best film, director, actress, script and foreign film categories.

"I would like to win them all. I would hope to win at least one -- any of them," he said. "I am crossing my fingers."

- AFP/sf

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Day 2 of nationwide strike: Cops on alert in Noida; UP govt forms panel to probe violence

NEW DELHI: Normal life in several parts of the country continued to remain affected on Day 2 of the nationwide strike called by the trade unions.

Cops in Noida are on high alert, after widespread violence on the first day of the strike. According to TV reports, several schools and offices in Noida have been closed.

The UP government has formed a two-member panel to probe the violence in Noida on the first day of the two-day nationwide shutdown.

The state government late on Wednesday named additional director general of police (Law and Order) Arun Kumar and home secretary Rakesh as members of the probe committee and asked them to submit a fact finding report within three days.

Principal secretary (Home) RM Srivastava told IANS that "toughest action" would be taken against those found guilty of violence.

The committee has been asked to look into the state of preparedness of the Noida police to handle the shutdown and identify district officials guilty of dereliction of duty.

"The government has taken a serious note of the whole episode, wherein properties were gutted, people were beaten up and several vehicles were set on fire. There should be no doubt that the government would crack down on all found guilty," Srivastava said.

Violence erupted on Wednesday in Noida and Greater Noida where factories were targeted and set on fire. Violent clashes took place and several vehicles were set afire.

Officials have started screening the video footage of the violence in order to identify and book the perpetrators.

"We are also exploring possibilities of slapping the National Security Act (NSA) on the rioters," a senior official said.

State government sources said chief minister Akhilesh Yadav was particularly miffed at the Noida violence as he views it as a big blow to his efforts to create a pro-investment climate in Uttar Pradesh.

"The chief minister has taken a serious note of the clashes as it could send a wrong signal that industries are not safe in UP," an official said.

In Kerala, workers from most sectors ranging from transport to banking keeping away from work.

Reports from across the state said buses and taxis were off the roads and markets remained shut. Train and air services were not affected.

Attendance in government offices was thin and educational institutions remained closed as pro-Left service and teachers unions joined the strike. Universities have cancelled examinations scheduled for the last two days.

Barring stray incidents of minor violence, the state has remained peaceful since Wednesday.

Police in their vehicles facilitated the short-distance travels of train and air passengers, who arrived in the state unaware of the hartal atmosphere.

Emergency services like healthcare, milk supply and media have been exempted from the strike.

In Mangalore, however, there has been no effect of strike on Day 2. The buses are plying normally and the schools are functioning as usual.

(With inputs from PTI, IANS)

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Arias Leaves Stand After Describing Killing, Her Lies

Jodi Arias stepped down from the witness stand today after mounting an emotional effort to save herself from death row, insisting to the Arizona jury that an explosive fight with ex-boyfriend Travis Alexander led to his death, and that her lies about killing him masked deep regret and plans to commit suicide.

Arias, 32, will now face what is expected to be a withering cross-examination beginning Thursday from prosecutor Juan Martinez, who has been aggressive to many witnesses throughout the trial and who is expected to go after Arias' claim that she was forced to kill Alexander or be killed herself.

She is charged with murder for her ex-boyfriend's death and could face the death penalty if convicted.

Catching Up on the Trial? Check Out ABC News' Jodi Arias Trial Coverage

The day's dramatic testimony started with Arias describing the beginning of the fight on June 4, 2008 when she and Alexander were taking nude photos in his shower and she claims she accidentally dropped his new camera, causing Alexander to lose his temper. Enraged, he picked her up and body slammed her onto the tile floor, screaming at her, she told the jury.

Arias said she ran to his closet to get away from him, but could hear Alexander's footsteps coming after her down the hall. She grabbed a gun from his shelf and tried to keep running, but Alexander came after her, she said.

"I pointed it at him with both of my hands. I thought that would stop him, but he just kept running. He got like a linebacker. He got low and grabbed my waist, and as he was lunging at me the gun went off. I didn't mean to shoot. I didn't even think I was holding the trigger," she said.

"But he lunged at me and we fell really hard toward the tile wall, so at this point I didn't even know if he had been shot. I didn't see anything different. We were struggling, wrestling, he's a wrestler.

"So he's grabbing at my clothes and I got up, and he's screaming angry, and after I broke away from him. He said 'f***ing kill you bitch,'" she testified.

Asked by her lawyer whether she was convinced Alexander intended to kill her, Arias answered, "For sure. He'd almost killed me once before and now he's saying he was going to." Arias had earlier testified that Alexander had once choked her.

Timeline of the Jodi Arias Trial

Jodi Arias Describes Violent Sex Before Shooting Watch Video

Jodi Arias Testifies Ex Assaulted Her, Broke Her Fingers Watch Video

Jodi Arias Gives Explicit Details About Doomed Relationship Watch Video

But Arias' story of the death struggle ended there as she told the court that she has no memory of stabbing or slashing Alexander whose body was later found with 27 stab wounds, a slit throat and two bullets in his head. She said she only remembered standing in the bathroom, dropping the knife on the tile floor, realizing the "horror" of what had happened, and screaming.

"I have no memory of stabbing him," she said. "There's a huge gap. I don't know if I blacked out or what, but there's a huge gap. The most clear memory I have after that point is driving in the desert."

Arias said that she decided in the desert not to admit to killing Alexander, a decision that would last for two years as Arias lied to friends, family, investigators and reporters about what really happened in Alexander's bathroom.

During that time she initially claimed she got lost that night while driving to a friend's house and never went to Alexander's home in Mesa,Ariz. She later changed her story and said two masked people, a man and a woman, burst into the home and killed Alexander and threatened to kill her family if she told anyone what happened.

She eventually confessed to killing her ex-boyfriend, but insisted it was self defense.

"The main reason (for lying) is because I was very ashamed of what happened. It's not something I ever imagined doing. It's not the kind of person I was. It was just shameful," she said. "I was also very scared of what might happen. I didn't want my family to know that I had done that, and I just couldn't bring myself to say that I did that."

"From day one there was a part of me that always wanted to (tell the truth) but didn't dare do that. I would rather have gone to my grave than admit I had done something like that," she said.

Arias said that she continued to lie because she figured she would never get caught; she was planning to kill herself before trial.

"I was concerned with how it would affect my family. I wanted to die. I was going to definitely kill myself," she said. "That was my plan. You can purchase different things in jail and I bought a bunch of Advil... and took it all in the next few days so it was in my system. They have razors for shaving, so I got one and took it apart one night with intentions to slit my wrists."

Arias said she balked at slitting her wrists after accidentally cutting herself, but that she still planned to commit suicide sometime in the future. When she told news reporters that "no jury would convict her," she claims she said it believing that she would be dead before they'd have a chance to put her on trial, Arias testified.

Arias said support from the public and her family eventually led her to change her mind.

"My family remained very supportive, and told me 'it doesn't matter what happens, we love you anyway.' I realized even if I told the truth they would still be there and wouldn't walk away," she testified.

"By the time spring, 2010, rolled around, I confessed. I basically told everyone what I could remember of the day and that the intruder story was all BS pretty much."

She said that her testimony today, a third version of events, was the truth.

Arias was arrested a month after Alexander's death, and prosecutors have argued that her behavior during those weeks showed a lack of remorse for the killing and an attempt to get away with murder.

Arias said today that after she killed Alexander and drove away from his Mesa, Ariz., home in a panic, it dawned on her that police would soon be looking for Alexander's killer, and she decided that she would pretend the bloody confrontation had never happened.

"I knew that it was really bad, that my life was probably done now. I wished it was just a nightmare I could wake up from, but I knew I had messed up pretty badly and the inevitable was going to be something I could not really run from," she testified.

"I didn't want anyone to know that that had happened or that I did it, so I started taking steps in the aftermath to cover it up. I did a whole bunch of things to try to make it seem like I was never there," she said.

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French general urges EU to equip "impoverished" Mali army

BAMAKO, Mali (Reuters) - The European Union should complement a mission to train Mali's army, routed by rebels last year, by providing equipment from uniforms to vehicles and communications technology, a French general said on Wednesday.

General Francois Lecointre, appointed to head the EU training mission to Mali (EUTM) that was formally launched this week, said in Bamako equipping the "very impoverished" and disorganized Malian army was as important as training it.

Europe, along with the United States, has backed the French-led military intervention in Mali which since January 11 has driven al Qaeda-allied Islamist insurgents out of the main northern towns into remote mountains near Algeria's border.

European governments have ruled out sending combat troops to join French and African soldiers pursuing the Islamist rebels.

But the EU is providing a 500-strong multinational training force that will give military instruction to Malian soldiers for an initial period of 15 months at an estimated cost of 12.3 million euros ($16.45 million).

While hailing what he called the EU's "courageous, novel, historic" decision to support Mali, Lecointre told a news conference the Malian army's lack of equipment was a problem.

"I know the Malian state is poor, but the Malian army is more than poor," the French general told a news conference, adding that it urgently needed everything from uniforms and weapons to vehicles and communications equipment.

Last year, when Tuareg separatist forces swelled by weapons and fighters from the Libyan conflict swept out of the northern deserts, a demoralized and poorly-led Malian army collapsed and fled before them, abandoning arms and vehicles.

Mali's military was further shaken by a March 22 coup by junior officers who toppled President Amadou Toumani Toure, sowing division among rival army factions. Islamist radicals allied to al Qaeda later hijacked the victorious Tuareg rebellion to occupy the northern half of the country.

In a fast-charging military campaign led by Paris, French and African troops have driven the jihadists out of principal northern towns like Gao and Timbuktu, and are fighting the rebels in the Adrar des Ifoghas mountains.

HUMAN RIGHTS INSTRUCTION

Flanked by Mali's armed forces chief, General Ibrahima Dembele, Lecointre said he was disappointed that a meeting of international donors last month pledged funds for an African military force, known as AFISMA, being deployed in Mali, but included "very few" contributions for the Malian army itself.

"The European Union needs to invest today in the equipping of the Malian army and not just in its training," the general said, adding he would make this point strongly in a report to EU member state representatives early next month.

Asked how much re-equipping the army would cost, he said it would be "much more" than the 12 million euros of EU financing for the training mission, but could not give a precise estimate.

Starting early in April, the EU mission will start instructing Malian soldiers with a plan to train four new battalions of 600-700 members each, formed from existing enlisted men and new recruits.

Lecointre said the EU training would include instruction in human rights. Demands for this increased after allegations by Malian civilians and international human rights groups that Malian soldiers were executing Tuaregs and Arabs accused of collaborating with Islamist rebels.

The European training contingent is drawn from a range of European countries, but the main contributors would be France, Germany, Italy, Spain and Britain, EUTM officers said.

Mali's army has received foreign training before - several battalions that fled before the rebels last year were trained by the U.S. military and the leader of the March 22 coup, Captain Amadou Sanogo, attended training courses in the United States.

Dembele said U.S. training failed to forge cohesion among Malian units and he hoped the EU training would achieve this.

The United States, which halted direct support for the Malian military after last year's coup, could eventually resume aid if planned national elections in July fully restore democracy to the West African country.

Washington is providing airlift, refuelling and intelligence support to the French-led military intervention in Mali. ($1 = 0.7479 euros)

(Reporting by Pascal Fletcher; Editing by Jason Webb)

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Pro-family and women-friendly workplaces called for by PAP Women's Wing

Singapore: The Women's Wing of the People' Action Party wants to see bolder government intervention in the drive for pro-family and women-friendly workplaces.

In a position paper submitted to the Ministry of Manpower (MOM) on Wednesday, it called for legislation to allow employees with children below the age of 12-years to request for flexible work arrangements.

Such requests, it said, should be seriously considered by employers.

It's also proposing legislation to allow employees to take no-pay leave for up to one year to take care of their children, and have their positions guaranteed when they return to work.

To champion and implement the necessary Human Resource policy changes, the paper suggested that the government set up a one-stop centre that can also provide training and handle complains.

The Women's Wing also wants to see better protection for freelance and contract workers - to include CPF contributions, medical benefits and injury compensation.

It also suggested a Back to Work Employment credit scheme - similar to the special employment credit scheme for older workers - to offset employers' costs for on-the-job training for women and job redesign.

People's Action Party (PAP) Member of Parliament for West Coast GRC, Ms Foo Mee Har says the government needs to take bold legislative action to ensure a shift towards a pro-family work culture.

- CNA/sf

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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.

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Stobbe reported from Atlanta.

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Online:

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

CDC: http://www.cdc.gov

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

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Arias Says Violent Sex Preceded Killing

Jodi Arias and her ex-boyfriend, Travis Alexander,, had increasingly violent sex in which he tied her to his bed, twisted her arm, bent her over a desk for anal sex, and made sex videos with her in the hours leading up to the stabbing and shooting frenzy that left Alexander dead.

It was a day in which Arias, 32, inched closer to telling the court how the killing of Alexander took place, but after several hours of increasingly emotional testimony the court was adjourned until Wednesday.

In her sixth day on the stand, Arias tearfully described the sex-filled hours that led to Alexander's death on June 4, 2008. She is charged with murder for killing her former boyfriend, but claims she was forced to kill him self-defense. She could face the death penalty if convicted.

"He tied me up, (on) the bed. It's not my favorite but it's not unbearable," Arias told the court.

She said he used a kitchen knife in the bathroom to cut the rope to the proper length, but she didn't remember whether he left the knife in the bathroom or brought it back to the nightstand in the bedroom.

"There are a lot gaps that day... a lot of things I don't remember that day," she said.

Arias and Alexander then took graphic sexual photos of one another and made a sex video, both of which Arias said were Alexander's ideas. Arias has girlish braids in the pictures.

But the mood of the afternoon turned, she said, when Alexander became angry over a scratched computer disk of photos she gave him. He threw the CD and Arias said she became "apprehensive" of his rising temper.

"I know he's getting angry because Napoleon [Alexander's dog] got up and left the room and he always leaves the room when he gets mad." she testified.

"I don't know that I was consciously thinking (of violence) but I was more tense. I stood up, went to walk over to him, to rub his back and make sure he was okay," she said. "But he grabbed me on the upper arms, spun me around and grabbed my right arm and twisted it behind my back, and bent me over the desk, and pressed up against me."

Charlie Leight/Pool/The Arizona Republic/AP Photo

Jodi Arias Gives Explicit Details About Doomed Relationship Watch Video

Jodi Arias Murder Trial: Why She Said She Did It Watch Video

Jodi Arias Tells How She Met Ex-Boyfriend on Stand Watch Video

"I was scared he was going to throw me or something, kick me," she continued. "He pressed his groin up against my butt, did a few thrusts and then started pulling my pants down."

The pair then had anal sex, which Arias said pacified Alexander.

"I was very relieved. I felt like we had avoided catastrophe. It could have led to another fight," she said.

Instead of a fight, Alexander, who was 27 and a devout Mormon, and Arias decide to go upstairs and take more nude photos of one another. Arias said she hoped the photos would satisfy Alexander over his frustration with the scratched CD.

Evidence introduced earlier in the trial show that Alexander was killed while Arias was photographing Alexander in the shower.

Catching Up on the Trial? Check Out ABC News' Jodi Arias Trial Coverage

Timeline of the Jodi Arias Trial

Earlier, Arias explained that she wasn't planning to visit Alexander during her roadtrip from her home in California, but was convinced by him to spontaneously take a detour to his house for sex and to hang out.

"The very last time I called Travis it was kind of like, I don't know how to describe it, he had been very sweet and was guilting me and making me feel bad that I was taking this big trip without going to see him," Arias said this afternoon.

"When I called him last time it was just like all right, I'm going," she said. "(Sex) was our thing at that time. I wasn't going to go there, stay the night and not do that."

Arias' attorney, Kirk Nurmi, asked her repeatedly on the stand if Arias brought a gun or knife with her on the roadtrip and to Alexander's house. She said that she did not.

She also denied a series of allegations made by the prosecution that she dyed her hair, rented an inconspicuous car, borrowed gas cans, turned off her cell phone, and switched money around her bank accounts as she left for Alexander's house because she was planning to murder him when she got there.

Arias said that her hair remained the same color, auburn-brown, throughout May and June, that she rented a car because her own car was not stable enough for highway travel, that she requested a white car instead of a red one because police pull red ones over more often, and that she transferred money to a business banking account for a tax write-off to classify it as a business trip.

The testimony about the road trip and Arias' planning could be key to the jury as they decide whether the killing was pre-meditated, as the prosecution claims. Arias could face the death penalty if convicted of murder with aggravating factors such as pre-meditation.

Arias said that she "didn't sleep at all last night" before testifying about the dramatic incident today. Her comment was stricken from the record.

Arias also described a barrage of threatening text messages sent by Alexander in which he told her he would exact "revenge" on her soon and called her a "sociopath."

She told the court that Alexander's temper would make her "cower."

The messages show a growing discord between the pair in April 2008, less than two months before Arias killed Alexander.

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

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

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

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

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

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

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

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

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

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

The WHO had no confirmed reports of deaths so far.

BURIED UNDER RUBBLE

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

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

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

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

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

Reuters could not independently verify the reports.

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

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

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

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

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

(Writing by Oliver Holmes; Editing by Jason Webb)

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S'pore, Malaysia agree on high-speed rail link

SINGAPORE: Singapore and Malaysia have agreed to build a high speed rail link between Kuala Lumpur and Singapore.

This was announced by Prime Minister Lee Hsien Loong and Malaysian Prime Minister Najib Razak on Tuesday.

In a joint statement, they said this is a strategic development in the bilateral relations that will dramatically improve the connectivity between Malaysia and Singapore.

They added that it will usher in a new era of strong growth, prosperity and opportunities for both countries.

Mr Lee and Mr Najib also said the High Speed Rail link will facilitate seamless travel between KL and Singapore, enhance business links, and bring peoples of Singapore and Malaysia closer together.

They added that ultimately the project will give both countries greater stakes in each other's prosperity and success.

The leaders have tasked the joint ministerial committee between both countries to look into the details and modalities of the high speed rail link.

- CNA/al

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Hold panchayat polls as per existing quota: SC to Andhra Pradesh

NEW DELHI/HYDERABAD: The Supreme Court on Monday cleared the decks for elections to the panchayati raj (PR) institutions in the state and an upbeat chief minister Kiran Kumar Reddy wants to hold the polls at the earliest. With state election commissioner P Ramakanth Reddy stating that his department is fully prepared, the PR polls, touted as an acid test for the chief minister as well as new entrant YS Jaganmohan Reddy, could be held as early as April this year.

In its judgment on Monday, the SC bench of Justice P Sathasivam and Justice J S Khehar directed the state to conduct the polls on the basis of the existing 60.5% reservation for BCs (34%), SCs (18.25%) and STs (8.25%). Following a petition challenging the quota as exceeding the limit fixed by the apex court, the AP High Court had directed the state to hold the PR polls by fixing 50% as upper limit of the quota for the BCs, SC-STs . Monday's decision of the Supreme Court was on the basis of an appeal filed by the state government against the HC order.

Kiran Kumar Reddy's optimism of the Congress putting up a good performance is based on the public assurance given by Union panchayat raj minister Kishore Chandra Deo in Delhi soon after the SC verdict on Monday that Rs 2,400 crore that was held up for the last two years for providing drinking water and sanitation in rural areas will be released as soon as the local bodies are in place. "Assured of the funds, the CM can sway the voters in Congress' favour by announcing several welfare schemes," averred political analysts.

The term of the panchayati raj institutions, namely 1,094 zilla parishad territorial constituency (ZPTC) members , 14,591 mandal parishad territorial constituency members (MPTC), and 21,843 sarpanches , ended in July 2011 and since then, they have been under the control of special officers in the absence of elected councils. The PR polls could not be held till now as the issue was pending in the court.

Confident that he will be flush with funds, the chief minister has directed the concerned departments to be ready for the polls at the earliest . "Jagan is in jail. Telangana is calm. The state government is politically stable. And summer is far away. All this should work in Congress favour ," said a senior Congress leader.

Deo promises to release blocked funds

Although the recently held primary agricultural cooperative societies polls were not party-based , the Congress has claimed that it won a majority. In fact, the Congress claims that candidates owing allegiance to it won the elections even in Telangana, much to the chagrin of TRS and other parties .

The PR polls will be party based and the opposition parties, including the YSR Congress, TDP, TRS, BJP, Left parties and Lok Satta welcomed the SC order and wanted the state to hold the local body elections immediately. Jagan is confident that the polls will prove that he has mass following, while the TDP believes that the elections will pave the way for its leader Chandrababu Naidu's return to power. Panchayat raj department officials said they would initiate the process of delimitation of the constituencies and fixing quota in a week. State election chief Ramakanth Reddy told the media in Delhi that the commission would launch its process once it receives the data from the government.

Welcoming the SC decision, Union panchayat raj minister Kishore Chandra Deo announced that he would release the amount withheld as per the Constitution. "We have withheld Rs 2400 crore in the past two years, meant for providing drinking water and sanitation for rural areas, as there were no local governing bodies. We will release the amount once the local bodies are in place," Deo told media in Delhi.

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Hip implants a bit more likely to fail in women

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

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

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

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

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

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

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

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

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

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

___

Online:

Journal: http://www.jamainternalmed.com

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

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

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

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

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

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

Janay Proudmommie Mcfarlane/Facebook

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

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

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

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

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

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

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

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

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

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