Tuesday, November 1, 2011

Surgery to separate conjoined twins begins

Surgery-to-separate-conjoined-twins-begins Surgery began Tuesday morning in Northern California to separate Philippines-born twin girls joined at the chest and abdomen.

The complex procedure to separate Angelina and Angelica Sabuco, of San Jose, got under way at Stanford University's Lucile Packard Children's Hospital around 6:30 a.m. local time Tuesday.

If all goes according to plan, the 2-year-olds will be out of surgery by mid-afternoon, said hospital spokeswoman Reena Mukamal.

    PHOTOS: Before, during and after surgery to separate conjoined twins

The operation will involve cutting along the girls' skin and muscle and separating their diaphragms and livers. Severing the liver will be the riskiest part of the procedure because of potential blood loss, said Dr. Gary Hartman, the lead surgeon.

Hartman, who has done five separation procedures at medical centers around the U.S., said he expects the operation to go well.

Keeping the girls joined carries bigger risks for their health, doctors said. If one conjoined twin dies, the other will die within hours. Muscular and skeletal deformities can also worsen with time.

"We want them to live normally," said Ginady Sabuco, the girls' mother. "When they argue, they can be alone. When they play, they can play together or apart. When they don't want to see each other, they won't have to."

Angelica and Angelina are classified as thoraco-omphalopagus — joined at the chest and abdomen. Their livers, diaphragms, breastbones, chest and abdominal wall muscles are fused. They have separate hearts, brains, kidneys, stomachs and intestines.

The children will not likely need intense physical therapy following surgery but may experience regression with some milestones they've already hit, Hartman said. The girls can walk now despite their face-to-face orientation but may lose that ability, for example, for a few weeks to months while they recover. They were expected to be in the hospital for two to three weeks.

Angelina and Angelica live in San Jose with their parents and 10-year-old brother.
Copyright 2011 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Greek surprise sends shock waves through markets

greek-debt-newspapers-story-top Stock markets in the United States and Europe dropped Tuesday after Greek Prime Minister George Papandreou stunned the world by calling a national referendum on international aid for his country.

A "No" vote could theoretically force Greece to crash out of the euro and send shock waves through the global financial system.

Papandreou is seeking public backing from the Greek people for last week's bailout deal, which took months to hammer out.

But the move has created turmoil in domestic politics, with Papandreou forced to hold an emergency Cabinet meeting late Tuesday, and angered his European counterparts.

French President Nicolas Sarkozy and German Chancellor Angela Merkel issued a terse statement Tuesday saying they were "determined to ensure the full implementation, without delay, of decisions adopted by the summit, which are necessary now more than ever."

White House spokesman Jay Carney struck a similar note, saying Papandreou's move reinforced the need for Europe "to elaborate further and implement rapidly the decisions they made last week."

Merkel, Sarkozy and senior figures from the International Monetary Fund and European Union are to meet with Greek officials at an emergency meeting Wednesday in Cannes, ahead of the G20 summit.

German and French markets closed down about 5% Tuesday, while London's FTSE fell 2.4% and the Dow Jones Industrial Average index closed down nearly 300 points.

Greece's former deputy finance minister, Petros Doukas, a member of the opposition New Democracy Party who is not presently in office, told CNN he doubted the referendum would take place.

Papandreou is under enormous pressure to backtrack on the proposal, from Europe, the markets and opposition forces within Greece, he said.

Doukas said Papandreou's actions were a political gamble that had gone wrong, as the prime minister tried to make the opposition parties share the pain of unpopular reforms. He suggested Papandreou would have to call elections or stand down as leader, as Greece was "not governable" with him as prime minister.

The announcement of the referendum earlier rattled Papandreou's hold on power, as a lawmaker defected from his party, leaving him with a majority of only two in Parliament.

Milena Apostolaki announced her resignation from the PASOK party, saying the call for a referendum was "a deeply divisive procedure."

The deal reached last week would see the country's sky-high debts cut in half, but it comes with strings attached which have led to angry demonstrations in the streets of Greece.

Reflecting that anger, Greece's opposition leader Antonis Samaras called for a snap election Tuesday, but it is unlikely he has the votes to force one.

Papandreou has called for a vote of confidence later this week, separate from his call for a referendum on the international bailout.

Elena Panaritis, a fellow PASOK lawmaker who advises Papandreou on economics, told CNN she would support the confidence vote, saying the prime minister had been under heavy political pressure from inside and outside his party.

International lenders are demanding that Athens raise taxes, sell off state-owned companies and slash government spending -- which would mean firing tens of thousands of state workers.

The Institute of International Finance, a global association representing many of the world's biggest banks, reaffirmed its commitment Tuesday to the bailout agreement reached last week, saying it would work closely with all parties to implement it.

The European debt crisis claimed its first American victim shortly before Papandreou announced the referendum on Monday, as MF Global filed for bankruptcy protection, leaving top Wall Street creditors holding more than $2 billion in debt. The commodities and derivatives broker was run by ex-Sen. Jon Corzine, a former head of Goldman Sachs.

Constantine Michalos, chairman of the Athens Chamber of Commerce, told CNN that Papandreou's referendum move had taken everyone by surprise, both locally and internationally.

As a consequence, he said, "Greece is facing a credibility gap as a result of the problems that have been created both on a political level and on a financial market level."

Michalos also said he saw little point in Papandreou holding a confidence vote this week if the bailout deal -- which was reached after top-level negotiations in Europe -- could be overturned by the Greek people just a few weeks later.

One expert called the surprise plan for a referendum "a political gamble which adds further uncertainty to the European debt crisis."

"The prime minister will be hoping for a vote in favor to strengthen his mandate, but if the Greek population votes against, it will leave the IMF and Greece's European partners in a very difficult situation," said Gary Jenkins of Evolution Securities.

The planned referendum casts a shadow on a hard-fought deal that would allow Greece to write off as much as 50% of its debts to banks.

The agreement for private lenders to scrap half of Greece's debt is worth 100 billion euros to Athens, and comes along with a promise of 30 billion euros from the public sector to help pay off some of the remaining debts, making the whole deal worth 130 billion euros ($178 billion).

No date has been set on the vote, although local news reports say the referendum could come in January. A "no" vote threatens to unravel the deal, which was greeted with fanfare last week as a way to keep debt woes in Greece and other European nations from spilling across other borders, threatening the 17 nations united under the euro currency.

A weekend survey in Greece found nearly 60% opposed the debt deal reached in Brussels last week.

But other surveys have shown a more complicated picture.

A survey by Kappa Research for the newspaper To Vima last week showed a majority of Greeks wanted a referendum on the international rescue plan, and that more would oppose it than accept it.

But in the same survey, 70% of Greeks wanted to stay in the euro, according to RBS European Economics -- a result that may not be possible if they vote "no" on the referendum.

"(It) clearly opens a can of worms because the referendum vote could go one of two ways," said Frederic Neumann, a senior economist for HSBC.

"If approved, a vote of confidence in the government's handling of the situation ... if calmer heads prevail and it can rationally be explained to the public, I wouldn't discount the measure being approved.

"The problems for the markets, until the referendum is passed, there is added uncertainty. That's just an added headache."

Besides the Greek debt reduction plan, last week's European Union deal pledged to quadruple the EU's bailout fund to about $1.38 trillion and raise the capital required to help cushion the region's banks from financial shocks.

CNN

Israel to speed up settlement construction in Jerusalem, West Bank

netanyahu-story-top Israeli Prime Minister Benjamin Netanyahu on Tuesday called for speeding up the construction of 2,000 housing units in East Jerusalem and the West Bank.

The announcement from his office comes in retaliation for the U.N. cultural agency UNESCO's vote, a day earlier, to accept a Palestinian bid for full membership.

According to a senior Israeli official, the plan involves building 1,650 units in East Jerusalem and the rest in the West Bank settlements of Efrat and Maaleh Adumin.

The construction will take place in areas that are expected to be part of Israeli territory in any future peace agreement, and there is no contradiction between it and the various peace plans that have been on the table, the official said.

Palestinians claim the land Israel occupied in East Jerusalem and the West Bank after the 1967 war as part of a future Palestinian state.

Palestinian Authority President Mahmoud Abbas has said repeatedly that the Palestinians will not return to negotiations until Israel halts all settlement construction and accepts 1967 border lines.

Israel, for its part, has maintained that negotiations should begin with no preconditions.

"You cannot expect Israel to continue to be restrained when the Palestinian Authority leadership repeatedly slams the door in our face," said the Israeli official, who was not authorized to speak to the media.

As an example of a door slamming, the official cited the UNESCO bid, among other instances of alleged aggression.

The Israeli government has also put a temporary hold on the transfer of Palestinian tax revenue collected by the Israeli government, the official said. Palestinians rely on the revenue to fund government operations, including the payment of public sector salaries.

Nabil Abu Rudeineh, Abbas' spokesman, criticized the Israeli construction announcement, calling the decision one "to accelerate the destruction of the peace process," according to WAFA, the Palestinian Authority's official news agency.

Senior Palestinian negotiator, Mohamad Ishtayeh, similarly condemned the move.

"Two days ago, they (Israeli government) announced the building of one million settlement housing units over the span of ten years. What Israel decided today was another episode in settlement construction. Using the UNESCO Palestinian membership is only looking for excuses and another way of building settlement housing units. This fits within the overall plan which was announced two days ago before the UNESCO vote," he told CNN.

The United States said on Monday that it would cut funding to UNESCO after the agency voted in support of Palestinian membership.

The vote, which required two-thirds approval by UNESCO members, passed with 107 in favor, 14 against, and 52 abstentions.

It was the first such vote by a part of the world body and is separate from the Palestinian bid for full membership in the United Nations.

After Monday's vote, Palestinian officials told CNN they are considering the pursuit of membership in other international groups, such as the World Health Organization.

"Instead of sitting around the negotiating table," Netanyahu said after the vote, Palestinian leaders "have decided to make an alliance with Hamas and are carrying out one-sided endeavors in the U.N., including today. We will not sit with folded arms against these measures which are hurting Israel and are violating bluntly the most basic obligations the parties took in the peace process, to solve the conflict between us through negotiations."

CNN

Report: Suicide increase threatens volunteer military's future

Military suicides are such a serious and growing problem that they threaten the future of the voluntary military, a new report warns.

The study from the Center for a New American Security says the upswing in suicides during the wars in Afghanistan and Iraq will undercut recruitment and public confidence.

"America is losing its battle against suicide by veterans and service members," the report says. "As more troops return from deployment, the risk will only grow."

The report says that suicides have climbed steadily since in recent years.

Department of Defense statistics show the upswing -- there were 309 suicides among active-duty and reserve troops from all branches of the military in 2009, compared with 160 in 2001. That's a rate of 18.4 suicides for every 100,000 troops in 2009 compared with a rate 10.3 per 100,000 in 2001.

The Army reported a record-high number of suicides in July 2011 with the deaths of 33 active- and reserve-component service members categorized as suicides, according to the report.

"The military must take care of its own," the report says. "Although a goal of no suicides may be unachievable, the increasing number of suicides is unacceptable."

The Army has the most severe problem although all the services are working to fight the problem.

The report lists a number of recommendations including better accounting of how many suicides actually occur among active-duty and retired military, how service members can be monitored more carefully, especially between once-a-month training sessions for Guard and Reserves, and improved efforts to limit or destroy excess prescription medications that can used in suicides.

The report authors, Dr. Margaret C. Harrell and Nancy Berglassit, call on Congress to fund additional mental health care providers.

"There is a national shortage of mental health care and behavioral health care professionals, a factor linked to higher rates of suicide," the report says. "Congress should permanently establish expedited or direct hire authority allowing military hospitals to hire behavioral health care providers."

CNN

Papandreou Vows to Honor Public Verdict on Debt Plan

ap_George_Papandreou_Greece The Greek prime minister has stunned the world by saying he will put his country's debt-relief deal with the European Union to a public vote and abide by the voters' decision.

Prime Minister George Papandreou's announcement sent global stock markets plummeting as investors reacted to a major jolt of uncertainty in the European economy.

Papandreou told a Cabinet meeting Tuesday that the Greek people will be asked whether they want to keep using the euro currency.  He said any deal will only be implemented with the consent of the Greek people, and that he hopes any turmoil caused by his unexpected announcement will be only temporary.

A number of lawmakers in the prime minister's Socialist Party oppose an up-or-down public vote, which would come early next year.  Some party members are demanding Papandreou's resignation, and his government faces a no-confidence vote Friday in Parliament.

Papandreou has strongly supported the European Union plan to cut Greece's debt, which would obligate severe domestic spending cuts and tax hikes. It also would eliminate jobs now held by thousands of public employees. 

Terms of the latest deal offered by the EU call for European banks to forgive 50 percent of Greece's debt.  That appeared to calm nervous markets at first, but then Mr. Papandreou told Socialist lawmakers Tuesday that he will honor results of the referendum.

EU leaders Herman Van Rompuy and Jose Manuel Barroso said they "fully trust" Greece to uphold last week's eurozone debt-relief agreement.  French President Nicolas Sarkozy said letting people vote is "always legitimate," but that a Europe-wide agreement is the only possible way to resolve the debt crisis.

World Bank president Robert Zoellick said that if voters reject the plan, "It's going to be a mess."

Sarkozy and German Chancellor Angela Merkel plan to meet Wednesday in Cannes, France, with leaders from the International Monetary Fund and Greece to discuss the latest snag in solving the continent's debt crisis.

VOA News

Thursday, October 27, 2011

Egyptian Court Jails 2 Policemen in Death of Activist

Egyptian judicial sources say a court Wednesday sentenced two policemen to seven years in prison each for their role in the 2010 death of Egyptian democracy advocate Khalid Said.

Activists say the two officers beat Said to death in June 2010 after dragging him out of an Internet cafe in Alexandria. Police say he choked after swallowing a packet of drugs. Photos of the activist showed he was severely beaten.

His death sparked massive protests across the country.  The Facebook page set up in his honor, "We are all Khalid Said" helped spark the uprising that toppled former Egyptian President Hosni Mubarak in February.

Egypt is scheduled to hold democratic parliamentary elections in late November.  A presidential vote is planned after the parliament is seated, and could be held at the end of next year.

VOA News

Mercedes considers BMW X6 rival

Mercedes-considers-BMW-X6-rival Mercedes is expected to add a four-door SUV to its line-up to rival cars such as BMW's X6 4x4 coupe.

The company has revealed that an all-new model will be built at its US base in Alabama, and that it has invested $350m (around £220m) in the factory to prepare for production.

No official announcement has been made, but Mercedes sources have hinted that a new SUV is on the way.

This is despite figures showing that BMW's X6 has recorded sales of just 6087 cars since it was launched in September 2008.

A Mercedes spokesman confirmed that any new model would not be released before 2013 at the earliest.

Further information is expected at the Detroit motor show in January.

What car?