Kenya hospital imprisons new mothers with no money

NAIROBI, Kenya (AP) — The director of the Pumwani Maternity Hospital, located in a hardscrabble neighborhood of downtown Nairobi, freely acknowledges what he's accused of: detaining mothers who can't pay their bills. Lazarus Omondi says it's the only way he can keep his medical center running.

Two mothers who live in a mud-wall and tin-roof slum a short walk from the maternity hospital, which is affiliated with the Nairobi City Council, told The Associated Press that Pumwani wouldn't let them leave after delivering their babies. The bills the mothers couldn't afford were $60 and $160. Guards would beat mothers with sticks who tried to leave without paying, one of the women said.

Now, a New York-based group has filed a lawsuit on the women's behalf in hopes of forcing Pumwani to stop the practice, a practice Omondi is candid about.

"We hold you and squeeze you until we get what we can get. We must be self-sufficient," Omondi said in an interview in his hospital office. "The hospital must get money to pay electricity, to pay water. We must pay our doctors and our workers."

"They stay there until they pay. They must pay," he said of the 350 mothers who give birth each week on average. "If you don't pay the hospital will collapse."

The Center for Reproductive Rights, which filed the suit this month in the High Court of Kenya, says detaining women for not paying is illegal. Pumwani is associated with the Nairobi City Council, one reason it might be able to get away with such practices, and the patients are among Nairobi's poorest with hardly anyone to stand up for them.

Maimouna Awuor was an impoverished mother of four when she was to give birth to her fifth in October 2010. Like many who live in Nairobi's slums, Awuor performs odd jobs in the hopes of earning enough money to feed her kids that day. Awuor, who is named in the lawsuit, says she had saved $12 and hoped to go to a lower-cost clinic but was turned away and sent to Pumwani. After giving birth, she couldn't pay the $60 bill, and was held with what she believes was about 60 other women and their infants.

"We were sleeping three to a bed, sometimes four," she said. "They abuse you, they call you names," she said of the hospital staff.

She said saw some women tried to flee but they were beaten by the guards and turned back. While her husband worked at a faraway refugee camp, Awuor's 9-year-old daughter took care of her siblings. A friend helped feed them, she said, while the children stayed in the family's 50-square-foot shack, where rent is $18 a month. She says she was released after 20 days after Nairobi's mayor paid her bill. Politicians in Kenya in general are expected to give out money and get a budget to do so.

A second mother named in the lawsuit, Margaret Anyoso, says she was locked up in Pumwani for six days in 2010 because she could not pay her $160 bill. Her pregnancy was complicated by a punctured bladder and heavy bleeding.

"I did not see my child until the sixth day after the surgery. The hospital staff were keeping her away from me and it was only when I caused a scene that they brought her to me," said Anyoso, a vegetable seller and a single mother with five children who makes $5 on a good day.

Anyoso said she didn't have clothes for her child so she wrapped her in a blood-stained blouse. She was released after relatives paid the bill.

One woman says she was detained for nine months and was released only after going on a hunger strike. The Center for Reproductive Rights says other hospitals also detain non-paying patients.

Judy Okal, the acting Africa director for the Center for Reproductive Rights, said her group filed the lawsuit so all Kenyan women, regardless of socio-economic status, are able to receive health care without fear of imprisonment. The hospital, the attorney general, the City Council of Nairobi and two government ministries are named in the suit.

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Associated Press reporter Tom Odula contributed to this report.

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'Cliff' Summit Brings Hope for a Deal

Washington brinkmanship appears to have created a last minute chance for the White House and Congress to agree on a plan to avoid sending the country over the fiscal cliff.

President Obama emerged from a White House summit this evening to say "we had a constructive meeting today" and that he was "optimistic" that they could devise a proposal ahead of a Jan. 1 deadline that would otherwise automatically trigger a wide range of higher taxes and steep budget cuts. Economists fear that such a combination could throw the country into a recession.

The president lamented that a deal is coming down to the final hours.

"The American people are watching what we do... (their) patience is already thin," the president said. "It's deja vu all over again."

He added later that for Americans the repeated last second efforts to dodge economic crises "is mind boggling to them. It has to stop."

After leaving the summit, the Senate Democratic and Republican leaders announced on the Senate floor that they're aiming to have a proposal on the fiscal cliff drawn up by Sunday, with the potential to put it on the Senate floor that afternoon.

Mandel Ngan/AFP/Getty Images

Sen. Harry Reid Says 'US Headed Over Fiscal Cliff' Watch Video

Fiscal Cliff: Congressional Leaders Squabble at the Last Minute Watch Video

"We had a good meeting down at the White House," Sen. Mitch McConnell, R-Ky., said. "We are engaged in discussions, the majority leader, myself and the White House in the hopes that we can come forward as early as Sunday and have a recommendation that I can make to my conference and the majority leader can make to his conference."

McConnell said that he is "hopeful and optimistic" and they'll be "working hard" over the next 24 hours "to see if we can get there."

Majority Leader Harry Reid, D-Nev., echoed those sentiments.

"We certainly hope something will come from that," Reid said of today's White House meeting. "The Republican leader and I and our staffs are working to see what we can come up with. We shouldn't take a long time to do that."

The Senate will come in at 1 p.m. on Sunday. There will be a caucus meeting in the afternoon. Reid says he hopes by that time on Sunday there will be a determination if a proposal can be brought to the floor.

"There was not a lot of hilarity in the meeting. Everyone knows how important it is, it was a very serious meeting," Reid said on today's White House meeting.

Reid warned that whatever they come up with it will be "imperfect."

"Some people aren't going to like it," Reid said. "Some people will like it less but that's where we are. And I feel confident that we have an obligation to do the best we can, and that was made very clear at the White House."

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Syria opposition leader rejects Moscow invitation

ALEPPO PROVINCE, Syria/BEIRUT (Reuters) - Syria's opposition leader has rejected an invitation from Russia for peace talks, dealing another blow to international hopes that diplomacy can be resurrected to end a 21-month civil war.

Russia, President Bashar al-Assad's main international protector, said on Friday it had sent an invitation for a visit to Moaz Alkhatib, whose six-week-old National Coalition opposition group has been recognized by most Western and Arab states as the legitimate voice of the Syrian people.

But in an interview on Al Jazeera television, Alkhatib said he had already ruled out such a trip and wanted an apology from Moscow for its support for Assad.

"We have clearly said we will not go to Moscow. We could meet in an Arab country if there was a clear agenda," he said.

"Now we also want an apology from (Russian Foreign Minister Sergei) Lavrov because all this time he said that the people will decide their destiny, without foreign intervention. Russia is intervening and meanwhile all these massacres of the Syrian people have happened, treated as if they were a picnic."

"If we don't represent the Syrian people, why do they invite us?" Alkhatib said. "And if we do represent the Syrian people why doesn't Russia respond and issue a clear condemnation of the barbarity of the regime and make a clear call for Assad to step down? This is the basic condition for any negotiations."

With the rebels advancing steadily over the second half of 2012, diplomats have been searching for months for signs that Moscow's willingness to protect Assad is faltering.

So far Russia has stuck to its position that rebels must negotiate with Assad's government, which has ruled since his father seized power in a coup 42 years ago.

"I think a realistic and detailed assessment of the situation inside Syria will prompt reasonable opposition members to seek ways to start a political dialogue," Lavrov said on Friday.

That was immediately dismissed by the opposition: "The coalition is ready for political talks with anyone ... but it will not negotiate with the Assad regime," spokesman Walid al-Bunni told Reuters. "Everything can happen after the Assad regime and all its foundations have gone. After that we can sit down with all Syrians to set out the future."

BRAHIMI TO MOSCOW

Russia says it is behind the efforts of U.N. mediator Lakhdar Brahimi, fresh from a five-day trip to Damascus where he met Assad. Brahimi, due in Moscow for talks on Saturday, is touting a months-old peace plan for a transitional government.

That U.N. plan was long seen as a dead letter, foundering from the outset over the question of whether the transitional body would include Assad or his allies. Brahimi's predecessor, Kofi Annan, quit in frustration shortly after negotiating it.

But with rebels having seized control of large sections of the country in recent months, Russia and the United States have been working with Brahimi to resurrect the plan as the only internationally recognized diplomatic negotiating track.

Russia's Middle East envoy, Deputy Foreign Minister Mikhail Bogdanov, who announced the invitation to Alkhatib, said further talks were scheduled between the "three B's" - himself, Brahimi and U.S. Undersecretary of State William Burns.

Speaking in Damascus on Thursday, Brahimi called for a transitional government with "all the powers of the state", a phrase interpreted by the opposition as potentially signaling tolerance of Assad remaining in some ceremonial role.

But such a plan is anathema to the surging rebels, who now believe they can drive Assad out with a military victory, despite long being outgunned by his forces.

"We do not agree at all with Brahimi's initiative. We do not agree with anything Brahimi says," Colonel Abdel-Jabbar Oqaidi, who heads the rebels' military council in Aleppo province, told reporters at his headquarters there.

Oqaidi said the rebels want Assad and his allies tried in Syria for crimes. Assad himself says he will stay on and fight to the death if necessary.

In the rebel-held town of Kafranbel, demonstrators held up cartoons showing Brahimi speaking to a news conference with toilet bowls in front of him, in place of microphones. Banners denounced the U.N. envoy with obscenities in English.

DIPLOMATS IMPOTENT

Diplomacy has largely been irrelevant to the conflict so far, with Western states ruling out military intervention like the NATO bombing that helped topple Libya's Muammar Gaddafi last year, and Russia and China blocking U.N. action against Assad.

Meanwhile, the fighting has grown fiercer and more sectarian, with rebels mainly from the Sunni Muslim majority battling Assad's government and allied militia dominated by his Alawite sect, an offshoot of Shi'ite Islam.

Still, Western diplomats have repeatedly touted signs of a change in policy from Russia, which they hope could prove decisive, much as Moscow's withdrawal of support for Serbian leader Slobodan Milosevic heralded his downfall a decade ago.

Bogdanov said earlier this month that Assad's forces were losing ground and rebels might win the war, but Russia has since rowed back, with Lavrov last week reiterating Moscow's position that neither side could win through force.

Still, some Moscow-based analysts see the Kremlin coming to accept it must adapt to the possibility of rebel victory.

"As the situation changes on the battlefield, more incentives emerge for seeking a way to stop the military action and move to a phase of political regulation," said Dmitry Trenin, director of the Carnegie Moscow Center.

Meanwhile, on the ground the bloodshed that has killed some 44,000 people continues unabated. According to the pro-opposition Syrian Observatory for Human Rights, a monitoring group based in Britain, 150 people were killed on Thursday, a typical toll as fighting has escalated in recent months.

Government war planes bombarded the town of Assal al-Ward in the Qalamoun district of Damascus province for the first time, killing one person and wounding dozens, the observatory said.

In Aleppo, Syria's northern commercial hub, clashes took place between rebel fighters and army forces around an air force intelligence building in the Zahra quarter, a neighborhood that has been surrounded by rebels for weeks.

(Additional reporting by Omar Fahmy in Cairo, Dominic Evans in Beirut and Steve Gutterman and Alissa de Carbonnel in Moscow; Writing by Peter Graff; Editing by Giles Elgood)

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Obama "modestly optimistic" for fiscal deal

WASHINGTON: US President Barack Obama said Friday he was "modestly optimistic" a deal could be agreed with Republicans to head off a "fiscal cliff" crisis that could trigger a recession and rock global markets.

Obama said after meeting top congressional leaders that Senate Democrats and Republicans would work overtime this weekend to try to head off a $500 billion time bomb of tax hikes and spending cuts before a January 1 deadline.

"We had a constructive meeting today," Obama said. "I'm modestly optimistic that an agreement can be achieved."

Obama said that Democratic Senate Majority leader Harry Reid and Republican minority leader Mitch McConnell would try to seal a deal on shielding the middle class from higher taxes due to come into force on Tuesday.

But he warned that if they failed, he would demand a vote in Congress on his own suggestion, to raise taxes on all American families earning over $250,000 a year and for an extension of unemployment insurance for two million people.

Such a scenario would leave Republicans in a tough political spot as if they refuse, it would be easy for the White House to blame them for the economy toppling over the cliff.

Obama also vented frustration that America's dysfunctional political system meant a slog through the Christmas and New Year vacation after it failed to come up with a deal until just before Tuesday's deadline.

"Ordinary folks, they do their jobs. They meet deadlines. They sit down and they discuss things and then things happen.

"The notion that our elected leadership can't do the same thing is mind-boggling to them. It needs to stop."

McConnell said after the talks, also involving Republican House Speaker John Boehner and Democratic House minority leader Nancy Pelosi that he was "hopeful and optimistic."

An aide to Boehner said the talks focused on "potential options and components for a plan that could pass both chambers of Congress" and said the speaker told Obama that the Senate must go first, before the House acts.

Earlier, Wall Street picked up pessimistic signs before Obama's talks.

The Dow Jones Industrial Average dropped 158.20 points or 1.21 percent, as Washington's perennial gridlock threatened to deal what Obama described as a "politically self-inflicted wound" to the economy.

If no deal is reached by January 1, all Americans will face a tax hike and massive and automatic budget cuts will come into force which budget experts say could trigger a new US recession and cause a spike in unemployment.

It is not clear whether the Obama plan would avert the massive automatic spending cuts or deal with his separate request to raise the $16 trillion ceiling on government borrowing.

Republicans want to extend George W. Bush-era tax cuts due to expire on Tuesday for everyone and accuse the president of failing to offer meaningful spending cuts in a bargain in return for them agreeing to raise revenues.

Some top lawmakers clung to hope.

Republican Senator Bob Corker earlier complained Obama and Democrats in Congress had balked at cutting spending on social programs weighing on the budget and inflating the deficit.

"We're going to end up with a small, kick-the-can-down-the-road bill that creates another fiscal cliff to deal with this fiscal cliff. How irresponsible is that?" Corker told reporters.

Retiring Democratic Senator Ben Nelson had warned: "If this meeting is not successful in achieving a proposal, I think you need to get a parachute."

Obama broke off his vacation in Hawaii in search of a last-minute deal and Boehner called the House back to work on Sunday.

It is questionable if any package could pass the House as restive conservatives last week rebuked Boehner by rejecting his fallback plan that would have raised taxes on people earning $1 million.

While each side must for the sake of appearances be seen to be seeking a deal, the easiest way out of the mess might be to allow the economy to go over the cliff, but to fix the problem in the first few days of next year.

In that scenario, Republicans, who are philosophically opposed to raising taxes, could back a bill to lower the newly raised rates on almost all Americans, thus sidestepping the stigma of raising taxes.

Recent polls show a majority of Americans back Obama's handling of the crisis, and would blame Republicans for a failure to fix it, so the president could get a short-term political boost from an early deal next year.

Should the stalemate linger however, the crisis would cloud the early months of Obama's second term, would dent his popularity and could detract from his key political goals like immigration reform and gun control.

-AFP/ac

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Centre won’t encroach upon states' rights on water, PM says

NEW DELHI: The National Water Resources Council (NWRC) on Friday approved the new National Water Policy in its meeting here after Prime Minister Manmohan Singh assured states that the Centre did not intend to encroach upon the constitutional rights or to centralize the regulation over water resources.

The new policy envisages a National Framework law for water resources that will set general principles of water management under which the Centre, states and local authorities would be required to regulate both surface and groundwater.

The policy sets the tone for creating a tariff mechanism for all kind of water uses in the country, a politically-sensitive move if it is implemented. It also requires a change in existing laws to turn groundwater into a community resource, and not a private right as it currently exists.

"The central government, I repeat, does not wish to encroach, in any manner, upon the constitutionally guaranteed rights of states or to centralize water management," the PM said.

The strong statements, demands and sentiments expressed at the meeting made it abundant that an issue that has most often remained on political backburners — save perhaps when it comes to riparian rights of states — is set to boil over into a serious governance concern.

The policy was adopted by the Council meeting attended by several CMs and state water resource ministers who also put forth their concerns. The policy pushes for differential pricing of water — the need for which was flagged earlier in the day by Union water resources minister Harish Rawat.

He also warned that India would need around 450 billion cubic metres (BCM) of water storage in the country by 2050 to meet the requirements of various sectors. Now, India has only 253 BCM storage capacity.

The Centre will amend the policy, tweaking it to address the worries expressed by state governments. "The policy will not be re-drafted. Some modifications will be made to address the states' concerns," Rawat said after the meeting.

The policy requires the state governments to set up a Water Regulatory Authority (WRA), which aided by technical experts, would subsequently impose and regulate water tariff charges.

The policy could lead to dramatic changes in the way groundwater resources are controlled. TOI had reported earlier on the move to change existing norms and do away with private ownership of groundwater which allows individuals to dig a well almost at will and draw out unregulated levels of water. The new policy seeks for these laws and regulations to be altered suitably.

Times View

It is about time we had a water policy that takes a comprehensive view of how to utilise this precious natural resource. The importance of efficiently using water has been repeatedly underscored by several global experts who have predicted that if ever there is another World War it is likely to be a fight over water resources. For far too long, we have treated it as if it were a limitless resource. That has to stop. The policy must, therefore, focus on how ensure maximum efficiency in water utilisation. At the same time, it must ensure that there is an equitable distribution of water. Meeting both goals would require a combination of market and non-market driven incentives. Getting that combination right is the key.

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Kenya hospital imprisons new mothers with no money

NAIROBI, Kenya (AP) — The director of the Pumwani Maternity Hospital, located in a hardscrabble neighborhood of downtown Nairobi, freely acknowledges what he's accused of: detaining mothers who can't pay their bills. Lazarus Omondi says it's the only way he can keep his medical center running.

Two mothers who live in a mud-wall and tin-roof slum a short walk from the maternity hospital, which is affiliated with the Nairobi City Council, told The Associated Press that Pumwani wouldn't let them leave after delivering their babies. The bills the mothers couldn't afford were $60 and $160. Guards would beat mothers with sticks who tried to leave without paying, one of the women said.

Now, a New York-based group has filed a lawsuit on the women's behalf in hopes of forcing Pumwani to stop the practice, a practice Omondi is candid about.

"We hold you and squeeze you until we get what we can get. We must be self-sufficient," Omondi said in an interview in his hospital office. "The hospital must get money to pay electricity, to pay water. We must pay our doctors and our workers."

"They stay there until they pay. They must pay," he said of the 350 mothers who give birth each week on average. "If you don't pay the hospital will collapse."

The Center for Reproductive Rights, which filed the suit this month in the High Court of Kenya, says detaining women for not paying is illegal. Pumwani is associated with the Nairobi City Council, one reason it might be able to get away with such practices, and the patients are among Nairobi's poorest with hardly anyone to stand up for them.

Maimouna Awuor was an impoverished mother of four when she was to give birth to her fifth in October 2010. Like many who live in Nairobi's slums, Awuor performs odd jobs in the hopes of earning enough money to feed her kids that day. Awuor, who is named in the lawsuit, says she had saved $12 and hoped to go to a lower-cost clinic but was turned away and sent to Pumwani. After giving birth, she couldn't pay the $60 bill, and was held with what she believes was about 60 other women and their infants.

"We were sleeping three to a bed, sometimes four," she said. "They abuse you, they call you names," she said of the hospital staff.

She said saw some women tried to flee but they were beaten by the guards and turned back. While her husband worked at a faraway refugee camp, Awuor's 9-year-old daughter took care of her siblings. A friend helped feed them, she said, while the children stayed in the family's 50-square-foot shack, where rent is $18 a month. She says she was released after 20 days after Nairobi's mayor paid her bill. Politicians in Kenya in general are expected to give out money and get a budget to do so.

A second mother named in the lawsuit, Margaret Anyoso, says she was locked up in Pumwani for six days in 2010 because she could not pay her $160 bill. Her pregnancy was complicated by a punctured bladder and heavy bleeding.

"I did not see my child until the sixth day after the surgery. The hospital staff were keeping her away from me and it was only when I caused a scene that they brought her to me," said Anyoso, a vegetable seller and a single mother with five children who makes $5 on a good day.

Anyoso said she didn't have clothes for her child so she wrapped her in a blood-stained blouse. She was released after relatives paid the bill.

One woman says she was detained for nine months and was released only after going on a hunger strike. The Center for Reproductive Rights says other hospitals also detain non-paying patients.

Judy Okal, the acting Africa director for the Center for Reproductive Rights, said her group filed the lawsuit so all Kenyan women, regardless of socio-economic status, are able to receive health care without fear of imprisonment. The hospital, the attorney general, the City Council of Nairobi and two government ministries are named in the suit.

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Associated Press reporter Tom Odula contributed to this report.

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Utah Teachers Flock to Gun Training

The perception of schools as sanctuaries from violence has been "blown up" by recent events and some believe it's time for educators to literally take the situation into their own hands and carry guns.

"We've had this unwritten code, even among criminals, that schools are off limits. Those are our kids. You don't mess with that," Utah Shooting Sports Council (USSC) Chairman Clark Aposhian told ABCNews.com today.

"That perception has been blown away now," he said. "It's been shattered and if there's one thing that parents across the country are united on, it's that they are committed to and serious about protecting their kids."

Aposhian spoke shortly before opening a weapons training class for teachers and school employees that drew more than 200 Utah educators organized by the USSC, a leading gun lobby group that believes that teachers should be able to fight back when faced with an armed intruder.

"One firearm in the hands of one teacher could have made the difference at Sandy Hook or Columbine, but they weren't allowed to carry in those schools," Aposhian said.

The USSC is waiving its normal $50 training fee today for teachers who wish to attend. Aposhian said the 200 person course was filled to capacity and said he plans on holding another session for people he may have to turn away today.

INFOGRAPHIC: Gun in America: By The Numbers

"We trust these teachers to be with our kids for 8 to 10 hours a day every day," Aposhian said. "I don't think it's a far reach to think that we could think that they would act responsibly and with decorum in protecting their own lives and the lives of the kids under their care."

Gun Owners Give Back: LA Residents Return Guns After Newtown Tragedy Watch Video

The idea of armed teachers has been part of a fiery debate on gun control following the rampage at Connecticut's Sandy Hook Elementary School that left 20 children and six adults dead on Dec. 14.

Utah is one of only a handful of states, including Oregon, Hawaii and New Hampshire, that allow people to carry licensed concealed weapons into public schools. It is not known how many Utah teachers carry guns in public schools because the records are not public.

But Aposhian said that he tells detractors that Utah has not had any school shootings or accidental shootings in the approximately 12 years the law has been in effect.

In Ohio, the Buckeye Firearms Association is launching a pilot armed teacher training program in which 24 teachers will be selected to attend a three-day training class.

Arizona's Attorney General Tom Horne has proposed a state law amendment that would allow one educator in each school to carry a gun.

During today's six-hour training session, the educators will be taught about gun safety, loading and unloading, manipulating the firearm, how to clear malfunctions, use of force laws and state and federal firearm laws.

The training sessions normally draw about 15 to 20 people, Aposhian said, but many of the teachers who have signed up for today have expressed strong feelings about attending the class.

"I think it runs the gamut from passive desire to get a permit because they thought about it here and there to a fervor given the recent events," Aposhian said. "Perhaps they've had an epiphany of sorts and realized that that sanctuary they work in, or at least the perceived sanctuary, isn't all that safe."

The Utah State Board of Education Chair Debra Roberts released the following statement today on the matter:

"The Utah State Board of Education expresses sympathy to all involved in the recent school shooting in Connecticut. In the face of this terrible tragedy, as schools move forward in taking measures to ensure the safety of students and school personnel, we urge caution and thoughtful consideration."

The statement noted that its schools have emergency plans to handle such situations.

Carol Lear, the board's director of school law and legislation, was more blunt about Aposhian's gun training, telling the Associated Press, "It's a terrible idea...It's a horrible, no-good, rotten idea."

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Russia's Putin signals he will sign U.S. adoption ban

MOSCOW (Reuters) - President Vladimir Putin signaled on Thursday he would sign into law a bill barring Americans from adopting Russian children and sought to forestall criticism of the move by promising measures to better care for his country's orphans.

In televised comments, Putin tried to appeal to people's patriotism by suggesting that strong and responsible countries should take care of their own and lent his support to a bill that has further strained U.S.-Russia relations.

"There are probably many places in the world where living standards are higher than ours. So what, are we going to send all our children there? Maybe we should move there ourselves?" he said, with sarcasm.

Parliament gave its final approval on Wednesday to the bill, which would also introduce other measures in retaliation for new U.S. legislation which is designed to punish Russians accused of human rights violations.

For it to become law Putin needs to sign it.

"So far I see no reason not to sign it, although I have to review the final text and weigh everything," Putin said at a meeting of federal and regional officials that was shown live on the state's 24-hour news channel.

"I intend to sign not only the law ... but also a presidential decree that will modify the support mechanisms for orphaned children ... especially those who are in a difficult situation, by that I mean in poor health," Putin said.

Critics of the bill say the Russian authorities are playing political games with the lives of children, while the U.S. State Department repeated its "deep concern" over the measure.

"Since 1992 American families have welcomed more than 60,000 Russian children into their homes, and it is misguided to link the fate of children to unrelated political considerations," State Department spokesman Patrick Ventrell said in a statement.

Ventrell added that the United States was troubled by provisions in the bill that would restrict the ability of Russian civil society organizations to work with U.S. partners.

Children in Russia's crowded and troubled orphanage system - particularly those with serious illnesses or disabilities - will have less of a chance of finding homes, and of even surviving, if it becomes law, child rights advocates say.

They point to people like Jessica Long, who was given up shortly after birth by her parents in Siberia but was raised by adoptive parents in the United States and became a Paralympic swimming champion.

However, the Russian authorities point to the deaths of 19 Russian-born children adopted by American parents in the past decade, and lawmakers named the bill after a boy who died of heat stroke in Virginia after his adoptive father left him locked in a car for hours.

Putin reiterated Russian complaints that U.S. courts have been too lenient on parents in such cases, saying Russia has inadequate access to Russian-born children in the United States despite a bilateral agreement that entered into force on November 1.

NATIONAL IDENTITY

But Putin, who began a new six-year term in May and has searched for ways to unite the country during 13 years in power, suggested there were deeper motives for such a ban.

"For centuries, neither spiritual nor state leaders sent anyone abroad," he said, indicating he was not speaking specifically about Russia but about many societies.

"They always fight for their national identities - they gather themselves together in a fist, they fight for their language, culture," he said.

The bid to ban American adoptions plays on sensitivity in Russia about adoptions by foreigners, which skyrocketed as the social safety net unraveled with the 1991 Soviet collapse.

Families from the United States adopt more Russian children than those of any other country.

Putin had earlier described the Russian bill as an emotional but appropriate response to the Magnitsky Act, legislation signed by President Barack Obama this month as part of a law granting Russia "permanent normal trade relations" (PNTR) status.

The U.S. law imposes visa bans and asset freezes on Russians accused of human rights violations, including those linked to the death in a Moscow jail of Sergei Magnitsky, an anti-graft lawyer, in 2009.

The Russian bill would impose similar measures against Americans accused of violating the rights of Russian abroad and outlaw some U.S.-funded non-governmental groups.

(Reporting By Alexei Anishchuk; additional reporting by Andrew Quinn in Washington; Writing by Alissa de Carbonnel and Steve Gutterman; Editing by Andrew Osborn and Doina Chiacu)

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Egypt's Mubarak back in hospital as health worsens

CAIRO: Egypt's state prosecutor on Thursday ordered imprisoned former dictator Hosni Mubarak transferred to a military hospital after his health deteriorated, a source at the prosecutor's office said.

Mubarak, serving a life sentence over the killings of protesters, was briefly taken to hospital on December 19 for scans after he fell in his prison bathroom and hurt his head.

Mubarak, 84, will be returned to prison after he is treated, the source said.

A court sentenced the veteran strongman to life in June for failing to prevent the killings of protesters during the 18-day revolt that ended his three-decade rule in February 2011. Some 850 people died in the uprising.

Since his fall from power, Mubarak's health has appeared to deteriorate significantly, and he has suffered repeated health scares.

He spent nearly a month in hospital after he fell unconscious on June 19, with state media declaring him clinically dead on arrival. Medical sources however said he appeared to have fallen into a temporary coma.

During his time in power, the subject of his health was very much off-limits.

In 2004, he underwent surgery in Germany for a slipped disc, and he returned to Germany in March 2010 for the removal of his gall bladder and a growth on the small intestine.

During his time in power, he survived 10 attempts on his life.

-AFP/ac

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Punjab’s shame: Minor kill self over gang rape

PATIALA: Harassed by policemen and constantly threatened by her rapists, a minor ended her life on Wednesday night in a village near Patiala, over one-and-a-half month after she was abducted and gang-raped.

In her suicide note, the 17-year-old victim blamed three men and a woman for "destroying her life, which forced to her commit suicide."

The victim was abducted from Samana in Patiala district and gangraped on November 13. However, it took the local police over two weeks to register a case of rape. And, her tormentors roamed free - though the victim named them in her report - till she killed herself by consuming poison on Wednesday night.

Fearing criticism following her death, the police acted only on Wednesday night, arresting three, including a woman. Another named in the FIR is absconding. Charges of abetment to suicide were also slapped on them.

While an assistant sub-inspector and station house officer of Ghagga police station were dismissed, a DSP was suspended. IGP (Patiala) Paramjit Gill has ordered a departmental inquiry.

The incident has left the Punjab Police shamed as it comes close on the heels of an assistant sub-inspector being gunned down in broad daylight by a SAD leader in Amritsar when he tried to save his daughter from being harassed earlier this month.

In Patiala, not only did the cops refuse to register a case or arrest the accused, they also harassed the victim by asking her "awkward questions" and passing vulgar remarks whenever the victim would visit the Ghagga police station requesting registration of a case.

And, if this was not enough, the accused - Balwinder Singh, Gurpreet Singh and Sandip Singh - had started threatening her and pressuring her not to approach the police or be ready to face dire consequences.

All the accused are clerks with commission agents at local grain markets.

Scared, the victim had even shifted from her village to her relative's house in Samana town near her village on November 29. But, the accused followed her there too.

When the police failed to register a case despite her repeated rounds to the police station, the victim had gone on record on a video and told a local television channel how police were pressuring her to withdraw her complaint.

The victim, a class 9 dropout, was abducted in the evening by Balwinder Singh and Gurpreet Singh from her village, forcibly pushed inside a car, and taken to a room near a tubewell in the field in nearby Brahamanmajra village and gangraped.

As per her complaint, the girl was repeatedly raped after the accused forcibly made her to swallow some drugs and was later dumped near the gurdwara of her village.

She has also stated that her neighbour Shinderpal Kaur, the fourth accused, was present at the time of her abduction and helped the accused.

According to victim's elder sister, the police, instead of registering a case, mentally tortured her.

"She would be asked to visit the police station alone in the night and was asked uneasy questions on the pretext of taking her statement," said her sister.

"She used to be the lone woman in the police station when the male policemen would ask her questions like - "How did they raped you?" After that they would threaten her to withdraw her complaint," she added.

When the victim did not budge, the police were forced to register a case on November 27.

According to the victim's mother, the accused had also offered her Rs 5 lakh for not pursuing the case and even the village panchayat members forced the family to withdraw the complaint.

"My daughter died because of these three men and a woman and the policemen who threatened and harassed her. A case should be registered against the policemen too for creating a situation that led to my daughter's death," she said.

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Predicting who's at risk for violence isn't easy

CHICAGO (AP) — It happened after Columbine, Virginia Tech, Aurora, Colo., and now Sandy Hook: People figure there surely were signs of impending violence. But experts say predicting who will be the next mass shooter is virtually impossible — partly because as commonplace as these calamities seem, they are relatively rare crimes.

Still, a combination of risk factors in troubled kids or adults including drug use and easy access to guns can increase the likelihood of violence, experts say.

But warning signs "only become crystal clear in the aftermath, said James Alan Fox, a Northeastern University criminology professor who has studied and written about mass killings.

"They're yellow flags. They only become red flags once the blood is spilled," he said.

Whether 20-year-old Adam Lanza, who used his mother's guns to kill her and then 20 children and six adults at their Connecticut school, made any hints about his plans isn't publicly known.

Fox said that sometimes, in the days, weeks or months preceding their crimes, mass murderers voice threats, or hints, either verbally or in writing, things like "'don't come to school tomorrow,'" or "'they're going to be sorry for mistreating me.'" Some prepare by target practicing, and plan their clothing "as well as their arsenal." (Police said Lanza went to shooting ranges with his mother in the past but not in the last six months.)

Although words might indicate a grudge, they don't necessarily mean violence will follow. And, of course, most who threaten never act, Fox said.

Even so, experts say threats of violence from troubled teens and young adults should be taken seriously and parents should attempt to get them a mental health evaluation and treatment if needed.

"In general, the police are unlikely to be able to do anything unless and until a crime has been committed," said Dr. Paul Appelbaum, a Columbia University professor of psychiatry, medicine and law. "Calling the police to confront a troubled teen has often led to tragedy."

The American Academy of Child & Adolescent Psychiatry says violent behavior should not be dismissed as "just a phase they're going through."

In a guidelines for families, the academy lists several risk factors for violence, including:

—Previous violent or aggressive behavior

—Being a victim of physical or sexual abuse

—Guns in the home

—Use of drugs or alcohol

—Brain damage from a head injury

Those with several of these risk factors should be evaluated by a mental health expert if they also show certain behaviors, including intense anger, frequent temper outbursts, extreme irritability or impulsiveness, the academy says. They may be more likely than others to become violent, although that doesn't mean they're at risk for the kind of violence that happened in Newtown, Conn.

Lanza, the Connecticut shooter, was socially withdrawn and awkward, and has been said to have had Asperger's disorder, a mild form of autism that has no clear connection with violence.

Autism experts and advocacy groups have complained that Asperger's is being unfairly blamed for the shootings, and say people with the disorder are much more likely to be victims of bullying and violence by others.

According to a research review published this year in Annals of General Psychiatry, most people with Asperger's who commit violent crimes have serious, often undiagnosed mental problems. That includes bipolar disorder, depression and personality disorders. It's not publicly known if Lanza had any of these, which in severe cases can include delusions and other psychotic symptoms.

Young adulthood is when psychotic illnesses typically emerge, and Appelbaum said there are several signs that a troubled teen or young adult might be heading in that direction: isolating themselves from friends and peers, spending long periods alone in their rooms, plummeting grades if they're still in school and expressing disturbing thoughts or fears that others are trying to hurt them.

Appelbaum said the most agonizing calls he gets are from parents whose children are descending into severe mental illness but who deny they are sick and refuse to go for treatment.

And in the case of adults, forcing them into treatment is difficult and dependent on laws that vary by state.

All states have laws that allow some form of court-ordered treatment, typically in a hospital for people considered a danger to themselves or others. Connecticut is among a handful with no option for court-ordered treatment in a less restrictive community setting, said Kristina Ragosta, an attorney with the Treatment Advocacy Center, a national group that advocates better access to mental health treatment.

Lanza's medical records haven't been publicly disclosed and authorities haven't said if it is known what type of treatment his family may have sought for him. Lanza killed himself at the school.

Jennifer Hoff of Mission Viejo, Calif. has a 19-year-old bipolar son who has had hallucinations, delusions and violent behavior for years. When he was younger and threatened to harm himself, she'd call 911 and leave the door unlocked for paramedics, who'd take him to a hospital for inpatient mental care.

Now that he's an adult, she said he has refused medication, left home, and authorities have indicated he can't be forced into treatment unless he harms himself — or commits a violent crime and is imprisoned. Hoff thinks prison is where he's headed — he's in jail, charged in an unarmed bank robbery.

___

Online:

American Academy of Child & Adolescent Psychiatry: http://www.aacap.org

___

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

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WH Lashes Out at 'Congressional Stupidity'

With only days to come up with a deal to avoid the fiscal cliff, the White House said “congressional stupidity” was damaging the economy but that an agreement could be reached if Republican leaders don’t get in the way.

President Obama cut his Hawaiian vacation short and headed back to Washington today while the Senate is scheduled to reconvene on Thursday. House Speaker John Boehner, R-Ohio, said previously that he would give House members a 48-hour notice of any upcoming vote, which means that the soonest the House could consider a bill would be Saturday — just two days before a deadline to make a deal or trigger a rise in taxes and steep budget cuts.

Boehner and other GOP leaders issued a statement today following a conference call saying: “The House has acted on two bills which collectively would avert the entire fiscal cliff if enacted. Those bills await action by the Senate.  If the Senate will not approve and send them to the president to be signed into law in their current form, they must be amended and returned to the House.”

While Boehner put the onus on the president and Senate Majority Leader Harry Reid, a White House official used testy language to  put the responsibility back on Boehner and Senate Minority Leader Mitch McConnell.

“What we need is for the Senate Minority Leader not to block a vote and for Boehner to allow a vote,” a White House official told ABC News. “The hits to our economy aren’t coming from outside factors, they’re coming from congressional stupidity.”

Reid’s plan would serve as a Democratic counterpart to Boehner’s plan B, which failed to gain enough support for a vote last week. Boehner left the ball in the Senate’s court after withdrawing  his plan Thursday.

Any plan from Reid is expected to include extending the Bush tax cuts for Americans making $250,000 or less.

Related: What if Bush tax cuts expire?

This has been a sticking point for the left and the right throughout discussions. Democrats believe that lower- and middle-class families should keep the  tax cut, while letting it expire for households making more than $250,000. Republicans counter that no Americans should be forced to pay higher taxes come Jan. 1, though Boehner’s plan would have required those making more than $1 million to lose the cut.

Reid could also propose cuts to tax deductions to generate more federal revenue.

Related: Can the mortgage deduction survive the fiscal cliff?

Michael Ettlinger, vice president for economic policy at the liberal think tank Center for American Progress, said that would make his plan very similar to Obama’s.

“I think this is likely to go smaller more than bigger as they try to gather votes in the Senate,” Ettlinger told ABC News Wednesday. “The Democratic vision of things is fairly clear. Where the Senate Republicans are willing to go is less so. That’s going to be the issue.”

Dan Holler of conservative policy advocacy group Heritage Action for America expects the plan to include an extension of unemployment benefits, something he says would be “extremely counterproductive for the economy.”

Democrats “see it as one of the most stimulative things you can do,” Holler told ABC News Wednesday. “Heritage has great research to go ahead and say this doesn’t really help.”

Related: Fiscal Cliff negotiators search for cuts without sacrifice.

In addition to an immediate measure to stop taxes from going up, Holler suggested there would be a mechanism to compel leaders to do more further down the road, a method he said has not historically been effective at reducing the deficit.

“I think Republicans are going to look at the entire package skeptically,” Holler said of Reid’s expected plan.

Boehner press secretary Michael Steel told ABC News the speaker’s office “will take a look” at Reid’s proposal once he brings it up for a vote or shares his ideas with the House.

Garnering consensus among both parties will be difficult for any plan now. Starbucks CEO Howard Schultz is trying to bring D.C. politicians together with every coffee cup sold in the District.

Critics have called into question  Boehner’s ability to bring his own party together.

“It seems that, in the House now, Boehner has no control over his extreme right-wing faction,” Sen. Bernie Sanders, I-Vt., said on MSNBC Wednesday. “You have, over in the House, a situation where the Republicans are saying, ‘Hey, we don’t think billionaires should pay a nickel more in taxes, but we do think there should be devastating cuts in programs that are impacting working families who are already hurting as a result of the recession.’ So that’s the problem that we have.”

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Syria to discuss Brahimi peace proposals with Russia

BEIRUT (Reuters) - Syrian President Bashar al-Assad sent a senior diplomat to Moscow on Wednesday to discuss proposals to end the conflict convulsing his country made by international envoy Lakhdar Brahimi, Syrian and Lebanese sources said.

Brahimi, who saw Assad on Monday and is planning to hold a series of meetings with Syrian officials and dissidents in Damascus this week, is trying to broker a peaceful transfer of power, but has disclosed little about how this might be done.

More than 44,000 Syrians have been killed in a revolt against four decades of Assad family rule, a conflict that began with peaceful protests but which has descended into civil war.

Past peace efforts have floundered, with world powers divided over what has become an increasingly sectarian struggle between mostly Sunni Muslim rebels and Assad's security forces, drawn primarily from his Shi'ite-rooted Alawite minority.

Deputy Foreign Minister Faisal Makdad flew to Moscow to discuss the details of the talks with Brahimi, said a Syrian security source, who would not say if a deal was in the works.

However, a Lebanese official close to Damascus said Makdad had been sent to seek Russian advice on a possible agreement.

He said Syrian officials were upbeat after talks with Brahimi, the U.N.-Arab League envoy, who met Foreign Minister Walid Moualem on Tuesday a day after his session with Assad, but who has not outlined his ideas in public.

"There is a new mood now and something good is happening," the official said, asking not to be named. He gave no details.

Russia, which has given Assad diplomatic and military aid to help him weather the 21-month-old uprising, has said it is not protecting him, but has fiercely criticized any foreign backing for rebels and, with China, has blocked U.N. Security Council action on Syria.

"ASSAD CANNOT STAY"

A Russian Foreign Ministry source said Makdad and an aide would meet Foreign Minister Sergei Lavrov and Mikhail Bogdanov, the Kremlin's special envoy for Middle East affairs, on Thursday, but did not disclose the nature of the talks.

On Saturday, Lavrov said Syria's civil war had reached a stalemate, saying international efforts to get Assad to quit would fail. Bogdanov had earlier acknowledged that Syrian rebels were gaining ground and might win.

Given the scale of the bloodshed and destruction, Assad's opponents insist the Syrian president must go.

Moaz Alkhatib, head of the internationally-recognized Syrian National Coalition opposition, has criticized any notion of a transitional government in which Assad would stay on as a figurehead president stripped of real powers.

Comments on Alkhatib's Facebook page on Monday suggested that the opposition believed this was one of Brahimi's ideas.

"The government and its president cannot stay in power, with or without their powers," Alkhatib wrote, saying his Coalition had told Brahimi it rejected any such solution.

While Brahimi was working to bridge the vast gaps between Assad and his foes, fighting raged across the country and a senior Syrian military officer defected to the rebels.

Syrian army shelling killed about 20 people, at least eight of them children, in the northern province of Raqqa, a video posted by opposition campaigners showed.

The video, published by the Syrian Observatory for Human Rights, showed rows of blood-stained bodies laid out on blankets. The sound of crying relatives could be heard in the background.

The shelling hit the province's al-Qahtania village, but it was unclear when the attack had occurred.

STRATEGIC BASE

Rebels relaunched their assault on the Wadi Deif military base in the northwestern province of Idlib, in a battle for a major army compound and fuel storage and distribution point.

Activist Ahmed Kaddour said rebels were firing mortars and had attacked the base with a vehicle rigged with explosives.

The British-based Observatory, which uses a network of contacts in Syria to monitor the conflict, said a rebel commander was among several people killed in Wednesday's fighting, which it said was among the heaviest for months.

The military used artillery and air strikes to try to hold back rebels assaulting Wadi Deif and the town of Morek in Hama province further south. In one air raid, several rockets fell near a field hospital in the town of Saraqeb, in Idlib province, wounding several people, the Observatory said.

As violence has intensified in recent weeks, daily death tolls have climbed. The Observatory reported at least 190 had been killed across the country on Tuesday alone.

The head of Syria's military police changed sides and declared allegiance to the anti-Assad revolt.

"I am General Abdelaziz Jassim al-Shalal, head of the military police. I have defected because of the deviation of the army from its primary duty of protecting the country and its transformation into gangs of killing and destruction," the officer said in a video published on YouTube.

A Syrian security source confirmed the defection, but said Shalal was near retirement and had only defected to "play hero".

Syrian Interior Minister Mohammed Ibrahim al-Shaar left Lebanon for Damascus after being treated in Beirut for wounds sustained in a rebel bomb attack this month.

(Additional reporting by Laila Bassam; Writing by Alistair Lyon; Editing by Andrew Osborn)

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US stocks dip in absence of 'fiscal cliff' deal

NEW YORK: US stocks fell Wednesday amid uncertainty about whether a deal to avert the "fiscal cliff" could be reached by an end-of-year deadline.

The Dow Jones Industrial Average was down 24.49 points (0.19 percent) to finish the session at 13,114.59.

The broad-market S&P 500 lost 6.83 points (0.48 percent) at 1,419.83, while the tech-rich Nasdaq Composite shed 22.44 points (0.74 percent) at 2,990.16.

"Investors in the US returned to business in the midst of the omnipresent tick-tick-ticking of the fiscal cliff clock," said analysts with Charles Schwab & Co.

The White House and Congress have until the end of the month to reach a compromise on how to avert a year-end crisis that could lead to stiff tax hikes and drastic budget cuts.

Experts say a dive over the so-called "fiscal cliff" could drive the world's biggest economy back into recession.

Obama was to head back to the capital late Wednesday from a shortened family Christmas break in Hawaii, and lawmakers are also expected back in Washington on Thursday.

Stocks in focus during the midweek session included those of online video giant Netflix, which gained 0.47 percent in the wake of an outage of its online film streaming service on Christmas Eve. On Wednesday, Netflix blamed Amazon for the incident, which rents out computing power in datacenters in the Internet "cloud." Amazon dropped 3.86 percent.

US commodities and derivatives market InterContinentalExchange (ICE) and its transatlantic peer NYSE Euronext were down 0.03 percent and up 0.09 percent respectively, after at least one shareholder complaint was filed to contest their planned fusion, announced last week.

Shares of BlackBerry maker Research In Motion meanwhile soared 11.5 percent, recovering after a plunge on Friday on investor fears that its new smartphone platform will thin the ranks paying for its service.

Tech heavyweight Apple meanwhile lost 1.4 percent.

Bond prices rose. The 10-year US Treasury yield fell to 1.76 percent from 1.77 percent late Monday, while the 30-year dipped to 2.93 percent from 2.94 percent. Bond prices and yields move inversely. Markets were closed Tuesday in observance of Christmas Day.

-AFP/ac

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Delhi gang rape case: Mega rally today to keep agitation alive

NEW DELHI: With the crowd at Jantar Mantar thinning considerably after the Sunday's clampdown, protesters have planned a huge non-violent rally to revive the movement. On Thursday, several student and women's rights organizations will march from Nizamuddin Sabz Burj to India Gate and place five specific demands. Many students who gathered at Jantar Mantar on Wednesday said the movement was slowing down as they were restricted to a small space at Jantar Mantar.

Security on this route has been beefed up across New Delhi and south districts. While top officers refused to comment on the issue, sources said the Nirbhaya's (the victim's symbolic name) deteriorating health coupled with the threat of a fresh round of protests around India gate, was forcing them to stay on their guard. They denied having any knowledge on whether the PM was visiting Safdarjung Hospital or whether there were plans to shift Nirbhaya out of the hospital. "We do not know whether we need to stop traffic movement around India Gate and close Metro stations again. It is too early to speculate . A decision will be taken later."

Organizations that have called for a protest rally include All India Progressive Women's Association (AIPWA), student groups from Jawaharlal Nehru University Students' Union, Students' Federation of India, All India Students' Association and National Federation of Indian Women — over 1,000 — on Thursday.

"Many students from different educational institutions and student groups wanted to come together and do a rally, so we decided to mobilize them. We also want to announce the five demands of students to avoid any confusion about what exactly the protesters are seeking," said Kavita Krishnan, secretary of AIPWA.

The demands of this coalition are: removal of Neeraj Kumar; fast-tracking of 1 lakh rape cases pending within 100 days; registration of FIRs of all complaints relating to rape, sexual harassment and crimes against women; putting in place and publicizing gender-just protocols for FIRs and police investigation of crimes against women, including decisive action against police personnel who violate the protocol and display gender bias; announcement of a consultation process with women's organizations and students before calling a special session of Parliament; and ensuring safe public transport for women.

Their call for the rally also specifies that 'no form of violence or provocation will be tolerated.' It is a call to the government to 'commit or quit!' No organization banners, flags or slogans will be allowed, according to members. The protesters will head towards Zakir Hussain Marg from Nizamuddin to go straight to India Gate.

"We also think that protesting in separate groups will have no impact. We want immediate action on the previous rape cases. Rape is not limited to Delhi, every day we are hearing about rapes and sexual assaults from remote areas across the country. We demand a special parliament session and police reforms. Tomorrow's rally will make our demands reach the government," said Aakash and Tarun, both BSc students of DU.

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Predicting who's at risk for violence isn't easy

CHICAGO (AP) — It happened after Columbine, Virginia Tech, Aurora, Colo., and now Sandy Hook: People figure there surely were signs of impending violence. But experts say predicting who will be the next mass shooter is virtually impossible — partly because as commonplace as these calamities seem, they are relatively rare crimes.

Still, a combination of risk factors in troubled kids or adults including drug use and easy access to guns can increase the likelihood of violence, experts say.

But warning signs "only become crystal clear in the aftermath, said James Alan Fox, a Northeastern University criminology professor who has studied and written about mass killings.

"They're yellow flags. They only become red flags once the blood is spilled," he said.

Whether 20-year-old Adam Lanza, who used his mother's guns to kill her and then 20 children and six adults at their Connecticut school, made any hints about his plans isn't publicly known.

Fox said that sometimes, in the days, weeks or months preceding their crimes, mass murderers voice threats, or hints, either verbally or in writing, things like "'don't come to school tomorrow,'" or "'they're going to be sorry for mistreating me.'" Some prepare by target practicing, and plan their clothing "as well as their arsenal." (Police said Lanza went to shooting ranges with his mother in the past but not in the last six months.)

Although words might indicate a grudge, they don't necessarily mean violence will follow. And, of course, most who threaten never act, Fox said.

Even so, experts say threats of violence from troubled teens and young adults should be taken seriously and parents should attempt to get them a mental health evaluation and treatment if needed.

"In general, the police are unlikely to be able to do anything unless and until a crime has been committed," said Dr. Paul Appelbaum, a Columbia University professor of psychiatry, medicine and law. "Calling the police to confront a troubled teen has often led to tragedy."

The American Academy of Child & Adolescent Psychiatry says violent behavior should not be dismissed as "just a phase they're going through."

In a guidelines for families, the academy lists several risk factors for violence, including:

—Previous violent or aggressive behavior

—Being a victim of physical or sexual abuse

—Guns in the home

—Use of drugs or alcohol

—Brain damage from a head injury

Those with several of these risk factors should be evaluated by a mental health expert if they also show certain behaviors, including intense anger, frequent temper outbursts, extreme irritability or impulsiveness, the academy says. They may be more likely than others to become violent, although that doesn't mean they're at risk for the kind of violence that happened in Newtown, Conn.

Lanza, the Connecticut shooter, was socially withdrawn and awkward, and has been said to have had Asperger's disorder, a mild form of autism that has no clear connection with violence.

Autism experts and advocacy groups have complained that Asperger's is being unfairly blamed for the shootings, and say people with the disorder are much more likely to be victims of bullying and violence by others.

According to a research review published this year in Annals of General Psychiatry, most people with Asperger's who commit violent crimes have serious, often undiagnosed mental problems. That includes bipolar disorder, depression and personality disorders. It's not publicly known if Lanza had any of these, which in severe cases can include delusions and other psychotic symptoms.

Young adulthood is when psychotic illnesses typically emerge, and Appelbaum said there are several signs that a troubled teen or young adult might be heading in that direction: isolating themselves from friends and peers, spending long periods alone in their rooms, plummeting grades if they're still in school and expressing disturbing thoughts or fears that others are trying to hurt them.

Appelbaum said the most agonizing calls he gets are from parents whose children are descending into severe mental illness but who deny they are sick and refuse to go for treatment.

And in the case of adults, forcing them into treatment is difficult and dependent on laws that vary by state.

All states have laws that allow some form of court-ordered treatment, typically in a hospital for people considered a danger to themselves or others. Connecticut is among a handful with no option for court-ordered treatment in a less restrictive community setting, said Kristina Ragosta, an attorney with the Treatment Advocacy Center, a national group that advocates better access to mental health treatment.

Lanza's medical records haven't been publicly disclosed and authorities haven't said if it is known what type of treatment his family may have sought for him. Lanza killed himself at the school.

Jennifer Hoff of Mission Viejo, Calif. has a 19-year-old bipolar son who has had hallucinations, delusions and violent behavior for years. When he was younger and threatened to harm himself, she'd call 911 and leave the door unlocked for paramedics, who'd take him to a hospital for inpatient mental care.

Now that he's an adult, she said he has refused medication, left home, and authorities have indicated he can't be forced into treatment unless he harms himself — or commits a violent crime and is imprisoned. Hoff thinks prison is where he's headed — he's in jail, charged in an unarmed bank robbery.

___

Online:

American Academy of Child & Adolescent Psychiatry: http://www.aacap.org

___

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

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Gunman Killed Firemen With Bushmaster, Left Note

A convicted killer, who shot dead two firefighters with a Bushmaster assault rifle after leading them into an ambush when they responded to a house fire he set in Western New York, left behind a typewritten note saying he wanted to "do what I like doing best, killing people," police said.

William Spengler, 62, set his home and a car on fire early Monday morning with the intention of setting a trap to kill firefighters and to see "how much of the neighborhood I can burn down," according to the note he wrote and which police found at the scene. The note did not give a reason for his actions.

Spengler, who served 18 years in prison for beating his 92-year-old grandmother to death with a hammer in 1981, hid Monday morning in a small ditch beside a tree overlooking the sleepy lakeside street in Webster, N.Y., where he lived with his sister, police said today in a news conference.

Police said they found remains in the house, believed to be that of the sister, Cheryl Spengler, 67.

As firefighters arrived on the scene after a 5:30 a.m. 911 call on the morning of Christmas Eve, Spengler opened fire on them with the Bushmaster, the same semi-automatic, military-style weapon used in the Dec. 14 rampage killing of 20 children in Newtown, Conn.

"This was a clear ambush on first responders… Spengler had armed himself heavily and taken area of cover," said Gerald Pickering, the chief of the Webster Police Department.

Armed with a Smith & Wesson .38 caliber revolver, a Mossman 12-gauge shotgun, and the Bushmaster, Spengler killed two firefighters, and injured two more as well as an off-duty police officer at the scene.

As a convicted felon, Spengler could not legally own a firearm and police are investigating how he obtained the weapons.

One firefighter tried to take cover in his fire engine and was killed with a gunshot through the windshield, Pickering said.

Responding police engaged in a gunfight with Spengler, who ultimately died, likely by a self-inflicted gunshot wound to the head.

As police engaged the gunman, more houses along Lake Ontario were engulfed, ultimately razing seven of them. Some 33 people in adjoining homes were displaced by the fire.

SWAT teams were forced to evacuate residents using armored vehicles.

Police identified the two slain firefighter as Lt. Michael Chiapperini, a 20-year veteran of the Webster Police Department and "lifetime firefighter," according to Pickering, and Tomasz Kaczowka, who also worked as a 911 dispatcher.

Two other firefighters were wounded and remain the intensive care unit at Strong Memorial Hospital in Rochester, N.Y.

Joseph Hofsetter was shot once. He sustained an injury to his pelvis and has "a long road to recovery," said Dr. Nicole A. Stassen, a trauma physician.

The second firefighter, Theodore Scardino, was shot twice and received injuries to his left shoulder and left lung, as well as a knee.

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Egypt approves constitution drafted by Mursi allies

CAIRO (Reuters) - Egyptian voters overwhelmingly approved a constitution drafted by President Mohamed Mursi's allies, results announced on Tuesday showed, proving that liberals, leftists and Christians have been powerless to halt the march of Islamists in power.

Final elections commission figures showed the constitution adopted with 63.8 percent of the vote in the referendum held over two days this month, giving Mursi's Islamists their third straight electoral victory since veteran autocrat Hosni Mubarak was toppled in a 2011 revolution.

Opposition groups had taken to the streets to block what they see as a move to ram through a charter that mixes politics and religion dangerously and ignores the rights of minorities.

Mursi says the text - Egypt's first constitution since Mubarak's fall - offers enough protection for minorities, and adopting it quickly is necessary to end two years of turmoil and political uncertainty that has wrecked the economy.

"I hope all national powers will now start working together now to build a new Egypt," Murad Ali, a senior official in the Muslim Brotherhood's Freedom and Justice Party, told Reuters.

"I see this as the best constitution in Egypt's history."

In a sign that weeks of unrest have taken a further toll on the economy, the government ordered new restrictions on foreign currency apparently designed to prevent capital flight. Leaving or entering with more than $10,000 cash is now banned.

Two years since waves of unrest broke out across the Middle East and North Africa - sweeping away long-entrenched rulers in Tunisia, Libya and Yemen as well as Egypt - well-organized Islamist parties have emerged as the main beneficiaries.

Urban secularists and liberals who were behind the revolts complain that their success has been hijacked.

"We need a better constitution," said Khaled Dawood, an opposition spokesman. "It does not represent all Egyptians."

Mursi's opponents say the new constitution could allow clerics to intervene in lawmaking, while offering scant protections to minorities and women. Mursi dismisses those criticisms, and many Egyptians are fed up with street protest movements that have prevented a return to normality.

Immediately after the announcement, a small group of protesters set tires on fire and blocked traffic near the central Tahrir square, the cradle of Egypt's uprising, but there were no immediate signs of violence or major demonstrations.

Washington, which provides billions of dollars a year in military and other support for Egypt and regards it as a pillar of security in the Middle East, called on Egyptian politicians to bridge divisions and on all sides to reject violence.

"President Mursi, as the democratically elected leader of Egypt, has a special responsibility to move forward in a way that recognizes the urgent need to bridge divisions," State Department spokesman Patrick Ventrell said. He noted that many Egyptians had voiced "significant concerns" over the constitutional process.

WORSENING ECONOMY

The government says its opponents are worsening the economic crisis by prolonging political upheaval. It has pledged to impose unpopular tax increases and spending cuts to win a loan package from the International Monetary Fund.

The ban on travelling with more than $10,000 in cash followed a pledge by the central bank to take unspecified measures to protect Egyptian banks. Some Egyptians have begun withdrawing their savings in fear of more restrictions.

"I am not going to put any more money in the bank and neither will many of the people I know," said Ayman Osama, father of two young children.

He said he had taken out the equivalent of about $16,000 from his account this week and planned to withdraw more, adding that he had also told his wife to buy more gold jewellery.

The "yes" vote paves the way for a parliamentary election in about two months, setting the stage for another battle between surging Islamists and their fractious opponents.

The final result, announced by the election commission, matched - to the last decimal place - an earlier unofficial tally announced by Mursi's Muslim Brotherhood.

But the opposition said it was disappointed - it had appealed for the result to be amended to reflect what it described as major vote violations during the two-round vote.

Officials said there were no violations serious enough to change the result significantly. "We have seriously investigated all the complaints," said judge Samir Abu el-Matti of the Supreme Election Committee. The final turnout was 32.9 percent.

SENSE OF CRISIS

The referendum has sharpened painful divisions in the Arab world's most populous nation and a growing atmosphere of crisis has gripped Egypt's polarized society.

Anxiety about the economy deepened this week when Standard and Poor's cut Egypt's long-term credit rating. Prime Minister Hisham Kandil told the nation of 83 million on Tuesday the government was committed to fixing the economy.

"The main goals that the government is working towards now is plugging the budget deficit, and working on increasing growth to boost employment rates, curb inflation, and increase the competitiveness of Egyptian exports," he said.

The referendum follows Islamist victories in parliamentary and presidential elections, representing a decisive shift in a country at the heart of the Arab world where Mursi's Muslim Brotherhood was suppressed for generations by military rulers.

However, secularist and liberal opposition members hope they can organize better in time for the next parliamentary vote.

Hossam El-Din Ali, a 35-year-old newspaper vendor in central Cairo, said he agreed the new constitution would help bring some political stability but like many others he feared the possible economic austerity measures lying ahead.

"People don't want higher prices. People are upset about this," he said. "There is recession, things are not moving. But I am wishing for the best, God willing."

(Additional reporting by Patrick Werr, Tamim Elyan, Ahmed Tolba and Marwa Awad; Writing by Maria Golovnina)

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Hawkish Abe to be named Japan's next prime minister

TOKYO: Japan's conservative leader Shinzo Abe is to be named as the country's new prime minister Wednesday, after he swept to power on a hawkish platform of getting tough on diplomacy while fixing the economy.

The powerful lower house will name the 58-year-old as leader in an extraordinary session Wednesday afternoon, following a resounding national election victory for his Liberal Democratic Party earlier this month.

As Japan's seventh premier in less than seven years, Abe will replace outgoing Prime Minister Yoshihiko Noda whose Democratic Party of Japan suffered a stinging defeat at the polls.

The party, which came to power in 2009, was seen as being punished for policy flip-flops and its clumsy handling of last year's atomic disaster at Fukushima.

Noda's cabinet is to resign en masse Wednesday morning before the LDP-controlled lower house names Abe as Japan's leader.

Abe, who previously served as prime minister from 2006 to 2007, is expected to form a new cabinet later in the day as he rushes to draft an extra budget to spur the nation's flagging economy.

Japanese media have suggested Abe was likely to tap close associates and senior party members for key posts.

Taro Aso, another former prime minister in Japan's revolving-door political system, was widely expected to be named as both Abe's deputy and also finance minister, the reports said.

Japan's new foreign minister was likely to be Fumio Kishida, 55, who served as a state minister in charge of Okinawan affairs under Abe's previous tenure.

The expected appointment was seen as a reflection of Abe's desire for progress on the relocation of US military bases in the southern island chain.

Sadakazu Tanigaki, the head of the LDP when the party was in opposition after ruling Japan for most of the past six decades, is tipped to become the country's justice minister, the reports said.

Abe won conservative support with nationalistic pronouncements on diplomacy in the midst of a territorial row with Beijing over a group of East China Sea islands, saying Japan would stand firm on its claim to the chain.

But he quickly toned down the campaign rhetoric and has said he wants improved ties with China, Japan's biggest trading partner.

Abe called for a solution through what he described as "patient exchanges".

The new leader, whose key campaign platform was reviving the world's third-largest economy, has also said he would look at revising Japan's post-war pacifist constitution, alarming officials in China and South Korea.

He vowed to pressure the Bank of Japan for further easing measures to boost growth, while also promising big government spending to spur the economy.

Analysts said Abe was likely to hold off drastic policy measures ahead of upper house elections next year, while the LDP's moderate junior coalition partner New Komeito could balance his right-leaning instincts.

-AFP/ac

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i-age protests rob govt comfort zone

NEW DELHI: Frequent street mobilization with participation of politically non-aligned public has left parties and governments bereft of the comfort of not being seriously questioned or held to account in between elections when voters express their anger through the ballot.

Activists and opposition leaders argue that the response of the government to a swiftly developing situation like the one that unfolded in Delhi over the past week shows that the Centre announced a slew of measures only after being brought under intense pressure.

Although the government appeared to be reactive rather than proactive, it has had to respond in a manner that its predecessors did not consider necessary. The trigger for this was the toll the protests took of government's credibility.

Aam Aadmi Party member Yogendra Yadav hit out at the government accusing it of lacking political skills to respond to the public's anger and disappointment. "The government has shown itself to be particularly short-sighted. The people in the political establishment lack political skills. They should have anticipated the people's emotion much earlier and responded to it," he said.

I&B minister Manish Tewari defended the government, saying, "We understand the anguish and concern of the protestors. However, violence is neither a solution nor an end in itself. It is indeed unfortunate that a law enforcement officer succumbed to the depredations of the protest. The government has taken a series of measures for the quick prosecution of the crime which no civilized society countenances or tolerates as well as measures to address the systemic problem of the security and safety of women."

Yadav also found PM Manmohan Singh's speech wanting on several fronts. "If you say on Day 1 that you have three daughters, it has some meaning. But to say it Day 8, it is just a joke. The government has state power and they have used it to put down a peaceful protest," he added.

CPM leader Brinda Karat said the incident had only demonstrated the lack of political will on the part of the government. "There is total drift and lack of political direction on the part of the government whether it is PM's ineffectual speech or home minister's remarks," she said.

Karat, who led a delegation of women's groups to meet President Pranab Mukherjee a day earlier, said there were small but critical steps like taking action against buses with tinted glasses that the government had not done so far. "This was an occasion when the top cop should have taken responsibility," she added.

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Predicting who's at risk for violence isn't easy

CHICAGO (AP) — It happened after Columbine, Virginia Tech, Aurora, Colo., and now Sandy Hook: People figure there surely were signs of impending violence. But experts say predicting who will be the next mass shooter is virtually impossible — partly because as commonplace as these calamities seem, they are relatively rare crimes.

Still, a combination of risk factors in troubled kids or adults including drug use and easy access to guns can increase the likelihood of violence, experts say.

But warning signs "only become crystal clear in the aftermath, said James Alan Fox, a Northeastern University criminology professor who has studied and written about mass killings.

"They're yellow flags. They only become red flags once the blood is spilled," he said.

Whether 20-year-old Adam Lanza, who used his mother's guns to kill her and then 20 children and six adults at their Connecticut school, made any hints about his plans isn't publicly known.

Fox said that sometimes, in the days, weeks or months preceding their crimes, mass murderers voice threats, or hints, either verbally or in writing, things like "'don't come to school tomorrow,'" or "'they're going to be sorry for mistreating me.'" Some prepare by target practicing, and plan their clothing "as well as their arsenal." (Police said Lanza went to shooting ranges with his mother in the past but not in the last six months.)

Although words might indicate a grudge, they don't necessarily mean violence will follow. And, of course, most who threaten never act, Fox said.

Even so, experts say threats of violence from troubled teens and young adults should be taken seriously and parents should attempt to get them a mental health evaluation and treatment if needed.

"In general, the police are unlikely to be able to do anything unless and until a crime has been committed," said Dr. Paul Appelbaum, a Columbia University professor of psychiatry, medicine and law. "Calling the police to confront a troubled teen has often led to tragedy."

The American Academy of Child & Adolescent Psychiatry says violent behavior should not be dismissed as "just a phase they're going through."

In a guidelines for families, the academy lists several risk factors for violence, including:

—Previous violent or aggressive behavior

—Being a victim of physical or sexual abuse

—Guns in the home

—Use of drugs or alcohol

—Brain damage from a head injury

Those with several of these risk factors should be evaluated by a mental health expert if they also show certain behaviors, including intense anger, frequent temper outbursts, extreme irritability or impulsiveness, the academy says. They may be more likely than others to become violent, although that doesn't mean they're at risk for the kind of violence that happened in Newtown, Conn.

Lanza, the Connecticut shooter, was socially withdrawn and awkward, and has been said to have had Asperger's disorder, a mild form of autism that has no clear connection with violence.

Autism experts and advocacy groups have complained that Asperger's is being unfairly blamed for the shootings, and say people with the disorder are much more likely to be victims of bullying and violence by others.

According to a research review published this year in Annals of General Psychiatry, most people with Asperger's who commit violent crimes have serious, often undiagnosed mental problems. That includes bipolar disorder, depression and personality disorders. It's not publicly known if Lanza had any of these, which in severe cases can include delusions and other psychotic symptoms.

Young adulthood is when psychotic illnesses typically emerge, and Appelbaum said there are several signs that a troubled teen or young adult might be heading in that direction: isolating themselves from friends and peers, spending long periods alone in their rooms, plummeting grades if they're still in school and expressing disturbing thoughts or fears that others are trying to hurt them.

Appelbaum said the most agonizing calls he gets are from parents whose children are descending into severe mental illness but who deny they are sick and refuse to go for treatment.

And in the case of adults, forcing them into treatment is difficult and dependent on laws that vary by state.

All states have laws that allow some form of court-ordered treatment, typically in a hospital for people considered a danger to themselves or others. Connecticut is among a handful with no option for court-ordered treatment in a less restrictive community setting, said Kristina Ragosta, an attorney with the Treatment Advocacy Center, a national group that advocates better access to mental health treatment.

Lanza's medical records haven't been publicly disclosed and authorities haven't said if it is known what type of treatment his family may have sought for him. Lanza killed himself at the school.

Jennifer Hoff of Mission Viejo, Calif. has a 19-year-old bipolar son who has had hallucinations, delusions and violent behavior for years. When he was younger and threatened to harm himself, she'd call 911 and leave the door unlocked for paramedics, who'd take him to a hospital for inpatient mental care.

Now that he's an adult, she said he has refused medication, left home, and authorities have indicated he can't be forced into treatment unless he harms himself — or commits a violent crime and is imprisoned. Hoff thinks prison is where he's headed — he's in jail, charged in an unarmed bank robbery.

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Online:

American Academy of Child & Adolescent Psychiatry: http://www.aacap.org

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

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