Syrian rebels fight for strategic town in Hama province

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

FIGHTS FOR DAMASCUS CAMP

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

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

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

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

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

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

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

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

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

LEBANON BORDER POST TAKEN

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

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

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

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

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

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

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

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

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

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

(Reporting by Erika Solomon; Editing by Mark Heinrich)

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China economic growth likely to pick up: analysts

SHANGHAI: China's economic growth may pick up to above 8 per cent in 2013, as economists expect the government to launch policies to boost recovery.

The country is expected to report 7.5 per cent this year, the slowest pace in recent years.

Economists say investment will remain as the pillar of growth the Chinese economy in the short term, despite the government's push for consumption.

The new government may also ease some current property curbs to achieve immediate growth.

As exports are expected to remain weak, China's growth now largely relies on investment and consumption.

Experts say the country's new leaders need to roll out short-term measures to achieve immediate results and gain public support.

This is likely to start with loosening some control over the property market.

Real estate accounts for about 25 per cent of China's GDP directly and indirectly.

"Trading volume has been decreasing very quickly in the recent market, and this is a big blow to the recent investment," said Gary Liu, executive deputy director of CEIBS Lujiazui Institute of International Finance.

"For the central government, it's probably very difficult to announce that we will give up the real estate market policy because they always want to maintain their image; they care about the housing price. But the local government will loosen the real estate market policy and the price will pick up, probably not as quickly as past years, but still I think has a large space to go."

Consumption is another key growth pillar.

On top of improving income distribution and social security system to encourage spending, experts believe, it is important to encourage wealthy Chinese to spend their money at home.

This group of rich Chinese accounts for about 20 per cent of the total population, but they hold 80 per cent of China's wealth.

"What they buy overseas is mostly branded goods, which Chinese companies don't have," said Sun Lijian, vice dean of the Economy School at Fudan University.

"We need to upgrade our industries and create Chinese brands, which are recognized in the world. Our goal for next year is to attract these rich people to spend in China."

According to experts, consumers in the cities tend to splurge on properties or cars. But there are curbs and heavy traffic to consider.

China is now looking for new ways to drive growth in consumption, and encouraging urbanization could be the answer.

Qian Qimin, co-director of market research at SWS Research Co Ltd said: "For example, when people from the countryside move to towns, they need to buy cooking utensils, home appliances and furniture. This will be a good way to push consumption. Now in cities, consumption has generally reached a plateau. People in cities have own almost all the living necessities."

The Chinese economy is well on its way recovery, but experts say any major changes will have to wait till the ruling party's third plenary session or meeting of top politicians next October.

- CNA/xq

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64 lakh allied healthcare pro crunch ails India

NEW DELHI: India is short by 8.5 lakh anesthetists and technicians trained to run an operation theatre, 20.4 lakh dental staff (dental technicians and hygienists), ophthalmologists and optometrists (1.27 lakh), rehabilitation specialists (clinical psychologists) (18 lakh), medical laboratory technicians (61,000), radiographers (19,000), audiology and speech language specialists (7,500) and medical staff-like dieticians (2.3 lakh).

A landmark report on India's shortage of the most important medical cadre - allied health professionals (AHP) - to be released by Union health minister Ghulam Nabi Azad on Friday has found that India is short by a whopping 64 lakh AHPs, with highest gaps in Maharashtra, Uttar Pradesh, West Bengal, Bihar and Andhra Pradesh.

The study, conducted by Kavita Narayan from the Public Health Foundation of India (PHFI), says there are only 3,587 dieticians, optometrists (13,678), medical equipment operators (16,240), dental assistants (2,658) and physiotherapists (7,265), for every 10,000 Indians.

The study said, "AHPs are an untapped treasure, critical to fixing the gaping holes in India's health workforce, particularly the severe shortage of physicians and specialists. It would be a grave mistake to not utilize the capacities of this resource."

The report says, "AHPs are the key to health-sector reforms in India. Setting up of a National Institute of Allied Health Sciences (NIAHS) offering post-graduate courses in various allied health streams is timely. It should serve as a centre of excellence for the allied health professions."

It says lack of planned courses and institutions, non-uniform nomenclature for the existing courses, diverse standards of practice and lack of qualified faculty pose a threat to the quality of skills of AHPs.

"There is a need to standardize the course duration, curriculum and training methodologies pertaining to the education and training of AHPs. Even by the most conservative estimates, India has a massive gap in human resources. As the government envisages providing universal access to healthcare during the 12th Five-Year Plan, the availability of skilled AHPs will emerge as the cornerstone to the success of India's public sector health reforms," it says.

According to Azad, the government has just proposed a new scheme - "setting up of state institutions of paramedical sciences in states and setting up of college of paramedical education" - to establish 20 state paramedical institutions and to give one time grant-in-aid to 149 government medical colleges to meet the shortage of paramedical staff in the country.

Azad said the government has proposed to set up one National Institute of Paramedical Sciences (NIPS) at Najafgarh (Delhi) and eight Regional Institutes of Paramedical Sciences (RIPS) in Nagpur, Bhopal, Bhubaneswar, Chandigarh, Coimbatore, Hyderabad, Lucknow and Bihar at a total cost of Rs 804.43 crore.

Now, more than 50% of the allied health workforce produced annually graduate from only two courses, namely Diploma in Sanitary/ Health Inspector and Diploma in Medical Laboratory Technology stood at 12,134 (39.30%) and 3,789 (12.27%), respectively.

The largest gap of 23,000 ophthalmology professionals was found in UP, followed by Maharashtra (12,600) and a gap of 10,300-12,000 in Bihar and West Bengal.

The gap of rehabilitation-related professionals was the second largest among all the AHP categories. Gaps were found in large numbers ranging from 2.4 lakh to 1.08 lakh workers per state.

The largest gap of 34,600 workers for surgical technologies was in UP with gaps in the range of 18,000 to 19,300 were found in Maharashtra and Bihar.

Medical laboratory technicians are needed mostly in UP of the order of 12,200 professionals.

Dental technologists account for the largest gap among all types of AHPs with the maximum need being in UP of about 3.37 lakhs.

The gaps in states like Maharashtra, Bihar, West Bengal and Andhra Pradesh ranged from 1.42 lakh to 1.9 lakh.

Healthcare professionals helping in surgery and anesthesia also add significantly to the gap of AHPs. Again, Uttar Pradesh had the largest gap of 1.42 lakh. Gaps in states like Maharashtra, Bihar, West Bengal and Andhra Pradesh ranged from 60,000 to 80,000.

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Experts: Kids are resilient in coping with trauma

WASHINGTON (AP) — They might not want to talk about the gunshots or the screams. But their toys might start getting into imaginary shootouts.

Last week's school shooting in Connecticut raises the question: What will be the psychological fallout for the children who survived?

For people of any age, regaining a sense of security after surviving violence can take a long time. They're at risk for lingering anxiety, depression, post-traumatic stress disorder.

But after the grief and fear fades, psychiatrists say most of Newtown's young survivors probably will cope without long-term emotional problems.

"Kids do tend to be highly resilient," said Dr. Matthew Biel, chief of child and adolescent psychiatry at MedStar Georgetown University Hospital.

And one way that younger children try to make sense of trauma is through play. Youngsters may pull out action figures or stuffed animals and re-enact what they witnessed, perhaps multiple times.

"That's the way they gain mastery over a situation that's overwhelming," Biel explained, saying it becomes a concern only if the child is clearly distressed while playing.

Nor is it unusual for children to chase each other playing cops-and-robbers, but now parents might see some also pretending they're dead, added Dr. Melissa Brymer of the UCLA-Duke National Center for Child Traumatic Stress.

Among the challenges will be spotting which children are struggling enough that they may need professional help.

Newtown's tragedy is particularly heart-wrenching because of what such young children grappled with — like the six first-graders who apparently had to run past their teacher's body to escape to safety.

There's little scientific research specifically on PTSD, post-traumatic stress disorder, in children exposed to a burst of violence, and even less to tell if a younger child will have a harder time healing than an older one.

Overall, scientists say studies of natural disasters and wars suggest most children eventually recover from traumatic experiences while a smaller proportion develop long-term disorders such as PTSD. Brymer says in her studies of school shootings, that fraction can range from 10 percent to a quarter of survivors, depending on what they actually experienced. A broader 2007 study found 13 percent of U.S. children exposed to different types of trauma reported some symptoms of PTSD, although less than 1 percent had enough for an official diagnosis.

Violence isn't all that rare in childhood. In many parts of the world — and in inner-city neighborhoods in the U.S., too — children witness it repeatedly. They don't become inured to it, Biel said, and more exposure means a greater chance of lasting psychological harm.

In Newtown, most at risk for longer-term problems are those who saw someone killed, said Dr. Carol North of the University of Texas Southwestern Medical Center, who has researched survivors of mass shootings.

Friday's shootings were mostly in two classrooms of Sandy Hook Elementary School, which has about 450 students through fourth-grade.

But those who weren't as close to the danger may be at extra risk, too, if this wasn't their first trauma or they already had problems such as anxiety disorders that increase their vulnerability, she said.

Right after a traumatic event, it's normal to have nightmares or trouble sleeping, to stick close to loved ones, and to be nervous or moody, Biel said.

To help, parents will have to follow their child's lead. Grilling a child about a traumatic experience isn't good, he stressed. Some children will ask a lot of questions, seeking reassurance, he said. Others will be quiet, thinking about the experience and maybe drawing or writing about it, or acting it out at playtime. Younger children may regress, becoming clingy or having tantrums.

Before second grade, their brains also are at a developmental stage some refer to as magical thinking, when it's difficult to distinguish reality and fantasy. Parents may have to help them understand that a friend who died isn't in pain or lonely but also isn't coming back, Brymer said.

When problem behaviors or signs of distress continue for several weeks, Brymer says it's time for an evaluation by a counselor or pediatrician.

Besides a supportive family, what helps? North advises getting children back into routines, together with their friends, and easing them back into a school setting. Studies of survivors of the Sept. 11 terrorist attacks found "the power of the support of the people who went through it with you is huge," she said.

Children as young as first-graders can benefit from cognitive-behavioral therapy, Georgetown's Biel said. They can calm themselves with breathing techniques. They also can learn to identify and label their feelings — anger, frustration, worry — and how to balance, say, a worried thought with a brave one.

Finally, avoid watching TV coverage of the shooting, as children may think it's happening all over again, Biel added. He found that children who watched the 9/11 clips of planes hitting the World Trade Center thought they were seeing dozens of separate attacks.

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EDITOR'S NOTE — Lauran Neergaard covers health and medical issues for The Associated Press in Washington.

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Australia a Model for Successful Gun Control?

If there is one country that best represents the possibility of cutting gun crime by increasing gun control, it is Australia.

In 1996, 28-year-old Martin Bryant finished his lunch in a café in the seaside resort of Port Arthur and pulled out a semi-automatic rifle. In the first 15 seconds of his attack, he killed 12 and wounded 10. In all, he shot more than 50 people in six locations, killing 35. The worst mass shooting in Australia's history capped a violent decade of mass shootings that killed nearly 100 – and Australians had had enough.

Only 12 days later, Prime Minister John Howard – a conservative who had just been elected with the help of gun owners – pushed through not only new gun control laws, but also the most ambitious gun buyback program seen in recent memory.

The laws banned assault rifles, tightened gun owner licensing, and created national uniform registration standards. Howard knew they might be unpopular among some of the same voters who helped put him into office -- during one particularly hostile public town hall, he wore a bulletproof vest.

But something extraordinary happened: the laws tapped into public revulsion at the shooting and became extremely popular. And they became extremely effective.

Tom Williams/CQ Roll Call/Getty Images

In the last 16 years, the risk of dying by gunshot in Australia has fallen by more than 50 percent. The national rate of gun homicide is one-thirtieth that of the United States. And there hasn't been a single mass shooting since Port Arthur.

"It's not that we are a less violent people and that you are a more violent people," says Philip Alpers, an adjunct associate professor at the University of Sydney who runs GunPolicy.org, which tracks gun violence and gun laws across the world. "It's that you have more lethal means at your disposal."

But it wasn't just the new laws that made Australia safer. The gun buyback program collected nearly 650,000 assault weapons and 50,000 additional weapons – about one sixth of the national stock. Fewer guns on the street helped severely reduce the likelihood that guns could be used for a mass shooting.

"Tens, if not hundreds of thousands of gun owners simply, voluntarily gave up guns that they did not need to give up," Alpers told ABC News. "You could not be a gun owner during that period and not feel terribly persecuted, terribly under threat from public opinion. The commentaries were vicious."

Gun advocates hold up Australia's example as a reason to try similar laws in the United States, following the massacre at Sandy Hook Elementary School. But Australians' willingness to give up their guns suggests a fundamental difference between Australia and the United States' gun cultures – and why Australia could be looked at for inspiration, rather than a model.

In the U.S., the founding fathers wrote gun ownership into the country's bedrock documents. Gun owners have long seen their weapons as a sign of freedom.

"But Australians are predisposed toward not having guns," Alpers argues. "We take it for granted that you license the gun owner and you register the firearm. Just as you do with a car. In the United States, everything went in the different direction."

So gun control advocates urge the Obama administration to look at certain steps Australia took – but not necessarily reproduce them.

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Park set to win South Korean presidential election

SEOUL (Reuters) - The daughter of a former military ruler took a commanding lead in South Korea's presidential election on Wednesday, putting her on track to become the country's first woman head of state.

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

With more than 70 percent of the votes counted, Park led with 51.6 percent to 48 percent for her left-wing challenger, human rights lawyer Moon Jae-in.

Her raucous, jubilant supporters braved sub-zero temperatures to chant her name and wave South Korean flags outside her house.

An elated Park reached into the crowd to grasp hands.

Park will take office for a mandatory single, five-year term in February and will face an immediate challenge from a hostile North Korea and have to deal with an economy in which annual growth rates have fallen to about 2 percent from an average of 5.5 percent in the past 50 years.

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

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

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

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

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

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

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

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

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

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

NEGOTIATE WITH NORTH

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

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

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

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

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

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

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

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

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

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Moon concedes S. Korea presidential election

SEOUL: Liberal candidate Moon Jae-In conceded victory Wednesday in South Korea's presidential election to conservative Park Geun-Hye, saying he "humbly" accepted the decision of the voters.

"Everyone did their best but I lacked the ability," Moon told reporters outside his Seoul residence. "I humbly accept the outcome of the election."

- AFP/ck

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Delhi gang rape victim battles on, undergoes fifth surgery

NEW DELHI: The 23-year-old paramedical student, who was gang-raped and tortured in a moving bus on Sunday night, today underwent fifth surgery and "continues to be critical but stable", doctors attending on her said.

Doctors at the Safdarjung hospital where she is undergoing treatment performed an elective abdominal surgery --gastronomy and duodenustromy -- and surgeons had to remove her gangrenous small intestine. They said she has lost most of here intestine.

"This was a planned surgery and at this juncture she is responding to treatment fairly well, she is stable but she continues to be critical," Dr B D Athani, Medical Superintendent of the hospital, said.

The girl, who remains on ventilatory support, was taken to operation theatre at 10 AM and was shifted to ICU at around 1 PM after surgery. Doctors said she had withstood the operation fairly well.

"She is fairly stable at this juncture and we have to wait and watch. We would observe for the stability for next few hours," she said.

"Before going for surgery, she was quite alert and spoke to her mother and brother as at that time there was no tube so she utilised that opportunity but her father didn't go inside," doctors said.

Athani said that yesterday also her level of alertness was good but today since she is recovering from anaesthesia, she is "not communicating nor are we are trying to communicate".

"Her abdomen has been cleaned and it has been closed today. Because most of the intestine, almost all portion, I would say, because of the initial loss and subsequent gangrene is not existent," he said.

Doctors said that Duodenum, which is the first part of the intestine, has been brought out of the stomach and a tube has been put into drain out whatever secretions are there.

She is being fed intravenously. She is getting feeding as well as antibiotics and all her essential drugs through intravenous route.

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Experts: No link between Asperger's, violence

NEW YORK (AP) — While an official has said that the 20-year-old gunman in the Connecticut school shooting had Asperger's syndrome, experts say there is no connection between the disorder and violence.

Asperger's is a mild form of autism often characterized by social awkwardness.

"There really is no clear association between Asperger's and violent behavior," said psychologist Elizabeth Laugeson, an assistant clinical professor at the University of California, Los Angeles.

Little is known about Adam Lanza, identified by police as the shooter in the Friday massacre at a Newtown, Conn., elementary school. He fatally shot his mother before going to the school and killing 20 young children, six adults and himself, authorities said.

A law enforcement official, speaking on condition of anonymity because the person was not authorized to discuss the unfolding investigation, said Lanza had been diagnosed with Asperger's.

High school classmates and others have described him as bright but painfully shy, anxious and a loner. Those kinds of symptoms are consistent with Asperger's, said psychologist Eric Butter of Nationwide Children's Hospital in Columbus, Ohio, who treats autism, including Asperger's, but has no knowledge of Lanza's case.

Research suggests people with autism do have a higher rate of aggressive behavior — outbursts, shoving or pushing or angry shouting — than the general population, he said.

"But we are not talking about the kind of planned and intentional type of violence we have seen at Newtown," he said in an email.

"These types of tragedies have occurred at the hands of individuals with many different types of personalities and psychological profiles," he added.

Autism is a developmental disorder that can range from mild to severe. Asperger's generally is thought of as a mild form. Both autism and Asperger's can be characterized by poor social skills, repetitive behavior or interests and problems communicating. Unlike classic autism, Asperger's does not typically involve delays in mental development or speech.

Experts say those with autism and related disorders are sometimes diagnosed with other mental health problems, such as depression, anxiety, bipolar disorder or obsessive-compulsive disorder.

"I think it's far more likely that what happened may have more to do with some other kind of mental health condition like depression or anxiety rather than Asperger's," Laugeson said.

She said those with Asperger's tend to focus on rules and be very law-abiding.

"There's something more to this," she said. "We just don't know what that is yet."

After much debate, the term Asperger's is being dropped from the diagnostic manual used by the nation's psychiatrists. In changes approved earlier this month, Asperger's will be incorporated under the umbrella term "autism spectrum disorder" for all the ranges of autism.

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AP Writer Matt Apuzzo contributed to this report.

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Online:

Asperger's information: http://1.usa.gov/3tGSp5

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Siblings of Sandy Hook Victims Face Survivor's Guilt

Six-year-old Arielle Pozner was in a classroom at Sandy Hook school when Adam Lanza burst into the school with his rifle and handguns. Her twin brother, Noah, was in a classroom down the hall.

Noah Pozner was killed by Lanza, along with 19 other children at the school, and six adults. Arielle and other students' siblings survived.

"That's going to be incredibly difficult to cope with," said Dr. Jamie Howard, a clinical psychologist at the Child Mind Institute in New York. "It is not something we expect her to cope with today and be OK with tomorrow."

READ: Two Adult Survivors of Connecticut School Shooting Will be Key Witnesses

As the community of Newtown, Conn., begins to bury the young victims of the Sandy Hook elementary school shooting today, the equally young siblings of those killed will only be starting to comprehend what happened to their brothers and sisters.

"Children this young do experience depression in a diagnosable way, they do experience post-traumatic stress disorder. Just because they're young, they don't escape the potential for real suffering," said Rahil Briggs, a child psychologist and professor at Montefiore Medical Center in New York City.

Spencer Platt/Getty Images

President Obama on Newtown Shooting: 'We Must Change' Watch Video

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Arielle and other survivor siblings could develop anxiety or other emotional reactions to their siblings' death, including "associative logic," where they associate their own actions with their sibling's death, Howard said.

"This is when two things happen, and (children) infer that one thing caused the other. (Arielle) may be at risk for that type of magical thinking, and that could be where survivor's guilt comes in. She may think she did something, but of course she didn't," Howard said.

CLICK HERE for photos from the shooting scene.

Children in families where one sibling has died sometimes struggle as their parents are overwhelmed by grief, Howard noted. When that death is traumatic, adults and children sometimes choose not to think about the person or the event to avoid pain.

Interested in How to Help Newtown Families?

"With traumatic grief, it's really important to talk about and think about the children that died, not to avoid talking and thinking about them because that interferes with grieving process, want their lives to be celebrated," Howard said.

Children may also have difficulty understanding why their deceased brother or sister is receiving so much, or so little, attention, according Briggs.

"I think one of the most challenging questions we can be faced with as parents is how to 'appropriately' remember a child that is gone. So much that can go wrong with that," Briggs said. "You have the child who is fortunate enough to escape, who thinks 'Why me? Why did my brother go?' But if you don't remember the sibling enough the child says 'it seems like we've forgotten my brother.'"

"They may even find themselves feeling jealous of all the attention the sibling seems to be receiving," Briggs said.

Parents and other adults in the family's support system need to be on alert, watching the child's behavior, she said. Children could show signs of withdrawing, or seeming spacy or in a daze. They could also seem jumpy or have difficulty concentrating in the wake of a traumatic event.

"For kids experiencing symptoms, and interfering with ability to go to school, they may be suffering from acute stress disorder, and there are good treatments," Howard said.

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