AP IMPACT: Steroids loom in major-college football


WASHINGTON (AP) — With steroids easy to buy, testing weak and punishments inconsistent, college football players are packing on significant weight — 30 pounds or more in a single year, sometimes — without drawing much attention from their schools or the NCAA in a sport that earns tens of billions of dollars for teams.


Rules vary so widely that, on any given game day, a team with a strict no-steroid policy can face a team whose players have repeatedly tested positive.


An investigation by The Associated Press — based on dozens of interviews with players, testers, dealers and experts and an analysis of weight records for more than 61,000 players — revealed that while those running the multibillion-dollar sport believe the problem is under control, that is hardly the case.


The sport's near-zero rate of positive steroids tests isn't an accurate gauge among college athletes. Random tests provide weak deterrence and, by design, fail to catch every player using steroids. Colleges also are reluctant to spend money on expensive steroid testing when cheaper ones for drugs like marijuana allow them to say they're doing everything they can to keep drugs out of football.


"It's nothing like what's going on in reality," said Don Catlin, an anti-doping pioneer who spent years conducting the NCAA's laboratory tests at UCLA. He became so frustrated with the college system that it drove him in part to leave the testing industry to focus on anti-doping research.


Catlin said the collegiate system, in which players often are notified days before a test and many schools don't even test for steroids, is designed to not catch dopers. That artificially reduces the numbers of positive tests and keeps schools safe from embarrassing drug scandals.


While other major sports have been beset by revelations of steroid use, college football has operated with barely a whiff of scandal. Between 1996 and 2010 — the era of Barry Bonds, Mark McGwire, Marion Jones and Lance Armstrong — the failure rate for NCAA steroid tests fell even closer to zero from an already low rate of less than 1 percent.


The AP's investigation, drawing upon more than a decade of official rosters from all 120 Football Bowl Subdivision teams, found thousands of players quickly putting on significant weight, even more than their fellow players. The information compiled by the AP included players who appeared for multiple years on the same teams, making it the most comprehensive data available.


For decades, scientific studies have shown that anabolic steroid use leads to an increase in body weight. Weight gain alone doesn't prove steroid use, but very rapid weight gain is one factor that would be deemed suspicious, said Kathy Turpin, senior director of sport drug testing for the National Center for Drug Free Sport, which conducts tests for the NCAA and more than 300 schools.


Yet the NCAA has never studied weight gain or considered it in regard to its steroid testing policies, said Mary Wilfert, the NCAA's associate director of health and safety. She would not speculate on the cause of such rapid weight gain.


The NCAA attributes the decline in positive tests to its year-round drug testing program, combined with anti-drug education and testing conducted by schools.


"The effort has been increasing, and we believe it has driven down use," Wilfert said.


Big gains, data show


The AP's analysis found that, regardless of school, conference and won-loss record, many players gained weight at exceptional rates compared with their fellow athletes and while accounting for their heights. The documented weight gains could not be explained by the amount of money schools spent on weight rooms, trainers and other football expenses.


Adding more than 20 or 25 pounds of lean muscle in a year is nearly impossible through diet and exercise alone, said Dan Benardot, director of the Laboratory for Elite Athlete Performance at Georgia State University.


The AP's analysis corrected for the fact that players in different positions have different body types, so speedy wide receivers weren't compared to bulkier offensive tackles. It could not assess each player's physical makeup, such as how much weight gain was muscle versus fat, one indicator of steroid use. In the most extreme case in the AP analysis, the probability that a player put on so much weight compared with other players was so rare that the odds statistically were roughly the same as an NFL quarterback throwing 12 passing touchdowns or an NFL running back rushing for 600 yards in one game.


In nearly all the rarest cases of weight gain in the AP study, players were offensive or defensive linemen, hulking giants who tower above 6-foot-3 and weigh 300 pounds or more. Four of those players interviewed by the AP said that they never used steroids and gained weight through dramatic increases in eating, up to six meals a day. Two said they were aware of other players using steroids.


"I just ate. I ate 5-6 times a day," said Clint Oldenburg, who played for Colorado State starting in 2002 and for five years in the NFL. Oldenburg's weight increased over four years from 212 to 290, including a one-year gain of 53 pounds, which he attributed to diet and two hours of weight lifting daily. "It wasn't as difficult as you think. I just ate anything."


Oldenburg told the AP he was surprised at the scope of steroid use in college football, even in Colorado State's locker room. "College performance enhancers were more prevalent than I thought," he said. "There were a lot of guys even on my team that were using." He declined to identify any of them.


The AP found more than 4,700 players — or about 7 percent of all players — who gained more than 20 pounds overall in a single year. It was common for the athletes to gain 10, 15 and up to 20 pounds in their first year under a rigorous regimen of weightlifting and diet. Others gained 25, 35 and 40 pounds in a season. In roughly 100 cases, players packed on as much 80 pounds in a single year.


In at least 11 instances, players that AP identified as packing on significant weight in college went on to fail NFL drug tests. But pro football's confidentiality rules make it impossible to know for certain which drugs were used and how many others failed tests that never became public.


What is bubbling under the surface in college football, which helps elite athletes gain unusual amounts of weight? Without access to detailed information about each player's body composition, drug testing and workout regimen, which schools do not release, it's impossible to say with certainty what's behind the trend. But Catlin has little doubt: It is steroids.


"It's not brain surgery to figure out what's going on," he said. "To me, it's very clear."


Football's most infamous steroid user was Lyle Alzado, who became a star NFL defensive end in the 1970s and '80s before he admitted to juicing his entire career. He started in college, where the 190-pound freshman gained 40 pounds in one year. It was a 21 percent jump in body mass, a tremendous gain that far exceeded what researchers have seen in controlled, short-term studies of steroid use by athletes. Alzado died of brain cancer in 1992.


The AP found more than 130 big-time college football players who showed comparable one-year gains in the past decade. Students posted such extraordinary weight gains across the country, in every conference, in nearly every school. Many of them eclipsed Alzado and gained 25, 35, even 40 percent of their body mass.


Even though testers consider rapid weight gain suspicious, in practice it doesn't result in testing. Ben Lamaak, who arrived at Iowa State in 2006, said he weighed 225 pounds in high school and 262 pounds in the summer of his freshman year on the Cyclones football team. A year later, official rosters showed the former basketball player from Cedar Rapids weighed 306, a gain of 81 pounds since high school. He graduated as a 320-pound offensive lineman and said he did it all naturally.


"I was just a young kid at that time, and I was still growing into my body," he said. "It really wasn't that hard for me to gain the weight. I had fun doing it. I love to eat. It wasn't a problem."


In addition to random drug testing, Iowa State is one of many schools that have "reasonable suspicion" testing. That means players can be tested when their behavior or physical symptoms suggest drug use.


Despite gaining 81 pounds in a year, Lamaak said he was never singled out for testing.


The associate athletics director for athletic training at Iowa State, Mark Coberley, said coaches and trainers use body composition, strength data and other factors to spot suspected cheaters. Lamaak, he said, was not suspicious because he gained a lot of "non-lean" weight.


"There are a lot of things that go into trying to identify whether guys are using performance-enhancing drugs," Coberley said. "If anybody had the answer, they'd be spotting people that do it. We keep our radar up and watch for things that are suspicious and try to protect the kids from making stupid decisions."


There's no evidence that Lamaak's weight gain was anything but natural. Gaining fat is much easier than gaining muscle. But colleges don't routinely release information on how much of the weight their players gain is muscle, as opposed to fat. Without knowing more, said Benardot, the expert at Georgia State, it's impossible to say whether large athletes were putting on suspicious amounts of muscle or simply obese, which is defined as a body mass index greater than 30.


Looking solely at the most significant weight gainers also ignores players like Bryan Maneafaiga.


In the summer of 2004, Maneafaiga was an undersized 180-pound running back trying to make the University of Hawaii football team. Twice — once in pre-season and once in the fall — he failed school drug tests, showing up positive for marijuana use. What surprised him was that the same tests turned up negative for steroids.


He'd started injecting stanozolol, a steroid, in the summer to help bulk up to a roster weight of 200 pounds. Once on the team, where he saw only limited playing time, he'd occasionally inject the milky liquid into his buttocks the day before games.


"Food and good training will only get you so far," he told the AP recently.


Maneafaiga's coach, June Jones, meanwhile, said none of his players had tested positive for doping since he took over the team in 1999. He also said publicly that steroids had been eliminated in college football: "I would say 100 percent," he told The Honolulu Advertiser in 2006.


Jones said it was news to him that one of his players had used steroids. Jones, who now coaches at Southern Methodist University, said many of his former players put on bulk working hard in the weight room. For instance, adding 70 pounds over a three- to four-year period isn't unusual, he said.


Jones said a big jump in muscle year-over-year — say 40 pounds — would be a "red light that something is not right."


Jones, a former NFL head coach, said he is unaware of any steroid use at SMU and believes the NCAA is doing a good job testing players. "I just think because the way the NCAA regulates it now that it's very hard to get around those tests," he said.


The cost of testing


While the use of drugs in professional sports is a question of fairness, use among college athletes is also important as a public policy issue. That's because most top-tier football teams are from public schools that benefit from millions of dollars each year in taxpayer subsidies. Their athletes are essentially wards of the state. Coaches and trainers — the ones who tell players how to behave, how to exercise and what to eat — are government employees.


Then there are the health risks, which include heart and liver problems and cancer.


On paper, college football has a strong drug policy. The NCAA conducts random, unannounced drug testing and the penalties for failure are severe. Players lose an entire year of eligibility after a first positive test. A second offense means permanent ineligibility from sports.


In practice, though, the NCAA's roughly 11,000 annual tests amount to just a fraction of all athletes in Division I and II schools. Exactly how many tests are conducted each year on football players is unclear because the NCAA hasn't published its data for two years. And when it did, it periodically changed the formats, making it impossible to compare one year of football to the next.


Even when players are tested by the NCAA, people involved in the process say it's easy enough to anticipate the test and develop a doping routine that results in a clean test by the time it occurs. NCAA rules say players can be notified up to two days in advance of a test, which Catlin says is plenty of time to beat a test if players have designed the right doping regimen. By comparison, Olympic athletes are given no notice.


"Everybody knows when testing is coming. They all know. And they know how to beat the test," Catlin said, adding, "Only the really dumb ones are getting caught."


Players are far more likely to be tested for drugs by their schools than by the NCAA. But while many schools have policies that give them the right to test for steroids, they often opt not to. Schools are much more focused on street drugs like cocaine and marijuana. Depending on how many tests a school orders, each steroid test can cost $100 to $200, while a simple test for street drugs might cost as little as $25.


When schools call and ask about drug testing, the first question is usually, "How much will it cost," Turpin said.


Most schools that use Drug Free Sport do not test for anabolic steroids, Turpin said. Some are worried about the cost. Others don't think they have a problem. And others believe that since the NCAA tests for steroids their money is best spent testing for street drugs, she said.


Wilfert, the NCAA official, said the possibility of steroid testing is still a deterrent, even at schools where it isn't conducted.


"Even though perhaps those institutional programs are not including steroids in all their tests, they could, and they do from time to time," she said. "So, it is a kind of deterrence."


For Catlin, one of the most frustrating things about running the UCLA testing lab was getting urine samples from schools around the country and only being asked to test for cocaine, marijuana and the like.


"Schools are very good at saying, 'Man, we're really strong on drug testing,'" he said. "And that's all they really want to be able to say and to do and to promote."


That helps explain how two school drug tests could miss Maneafaiga's steroid use. It's also possible that the random test came at an ideal time in Maneafaiga's steroid cycle.


Enforcement varies


The top steroid investigator at the U.S. Drug Enforcement Administration, Joe Rannazzisi, said he doesn't understand why schools don't invest in the same kind of testing, with the same penalties, as the NFL. The NFL has a thorough testing program for most drugs, though the league has yet to resolve a long-simmering feud with its players union about how to test for human growth hormone.


"Is it expensive? Of course, but college football makes a lot of money," he said. "Invest in the integrity of your program."


For a school to test all 85 scholarship football players for steroids twice a season would cost up to $34,000, Catlin said, plus the cost of collecting and handling the urine samples. That's about 0.2 percent of the average big-time school football budget of about $14 million. Testing all athletes in all sports would make the school's costs higher.


When schools ask Drug Free Sport for advice on their drug policies, Turpin said she recommends an immediate suspension after the first positive drug test. Otherwise, she said, "student athletes will roll the dice."


But drug use is a bigger deal at some schools than others.


At Notre Dame and Alabama, the teams that will soon compete for the national championship, players don't automatically miss games for testing positive for steroids. At Alabama, coaches have wide discretion. Notre Dame's student-athlete handbook says a player who fails a test can return to the field once the steroids are out of his system.


"If you're a strength-and-conditioning coach, if you see your kids making gains that seem a little out of line, are you going to say, 'I'm going to investigate further? I want to catch someone?'" said Anthony Roberts, an author of a book on steroids who says he has helped college football players design steroid regimens to beat drug tests.


There are schools with tough policies. The University of North Carolina kicks players off the team after a single positive test for steroids. Auburn's student-athlete handbook calls for a half-season suspension for any athlete caught using performance-enhancing drugs.


Wilfert said it's not up to the NCAA to determine whether that's fair.


"Obviously if it was our testing program, we believe that everybody should be under the same protocol and the same sanction," she said.


Fans typically have no idea that such discrepancies exist and players are left to suspect who might be cheating.


"You see a lot of guys and you know they're possibly on something because they just don't gain weight but get stronger real fast," said Orrin Thompson, a former defensive lineman at Duke. "You know they could be doing something but you really don't know for sure."


Thompson gained 85 pounds between 2001 and 2004, according to Duke rosters and Thompson himself. He said he did not use steroids and was subjected to several tests while at Duke, a school where a single positive steroid test results in a yearlong suspension.


Meanwhile at UCLA, home of the laboratory that for years set the standard for cutting-edge steroid testing, athletes can fail three drug tests before being suspended. At Bowling Green, testing is voluntary.


At the University of Maryland, students must get counseling after testing positive, but school officials are prohibited from disciplining first-time steroid users. Athletic department spokesman Matt Taylor denied that was the case and sent the AP a copy of the policy. But the policy Taylor sent included this provision: "The athletic department/coaching staff may not discipline a student-athlete for a first drug offense."


By comparison, in Kentucky and Maryland, racehorses face tougher testing and sanctions than football players at Louisville or the University of Maryland.


"If you're trying to keep a level playing field, that seems nonsensical," said Rannazzisi at the DEA. He said he was surprised to learn that what gets a free pass at one school gets players immediately suspended at another. "What message does that send? It's OK to cheat once or twice?"


Only about half the student athletes in a 2009 NCAA survey said they believed school testing deterred drug use.


As an association of colleges and universities, the NCAA could not unilaterally force schools to institute uniform testing policies and sanctions, Wilfert said.


"We can't tell them what to do, but if went through a membership process where they determined that this is what should be done, then it could happen," she said.


'Everybody around me was doing it'


Steroids are a controlled substance under federal law, but players who use them need not worry too much about prosecution. The DEA focuses on criminal operations, not individual users. When players are caught with steroids, it's often as part of a traffic stop or a local police investigation.


Jared Foster, 24, a quarterback recruited to play at the University of Mississippi, was kicked off the team in 2008 after local authorities arrested him for giving a man nandrolone, an anabolic steroid, according to court documents. Foster pleaded guilty and served jail time.


He told the AP that he doped in high school to impress college recruiters. He said he put on enough lean muscle to go from 185 pounds to 210 in about two months.


"Everybody around me was doing it," he said.


Steroids are not hard to find. A simple Internet search turns up countless online sources for performance-enhancing drugs, mostly from overseas companies.


College athletes freely post messages on steroid websites, seeking advice to beat tests and design the right schedule of administering steroids.


And steroids are still a mainstay in private, local gyms. Before the DEA shut down Alabama-based Applied Pharmacy Services as a major nationwide steroid supplier, sales records obtained by the AP show steroid shipments to bodybuilders, trainers and gym owners around the country.


Because users are rarely prosecuted, the demand is left in place after the distributor is gone.


When Joshua Hodnik was making and wholesaling illegal steroids, he had found a good retail salesman in a college quarterback named Vinnie Miroth. Miroth was playing at Saginaw Valley State, a Division II school in central Michigan, and was buying enough steroids for 25 people each month, Hodnik said.


"That's why I hired him," Hodnik said. "He bought large amounts and knew how to move it."


Miroth, who pleaded no contest in 2007 and admitted selling steroids, helped authorities build their case against Hodnik, according to court records. Now playing football in France, Miroth declined repeated AP requests for an interview.


Hodnik was released from prison this year and says he is out of the steroid business for good. He said there's no doubt that steroid use is widespread in college football.


"These guys don't start using performance-enhancing drugs when they hit the professional level," the Oklahoma City man said. "Obviously it starts well before that. And you can go back to some of the professional players who tested positive and compare their numbers to college and there is virtually no change."


Maneafaiga, the former Hawaii running back, said his steroids came from Mexico. A friend in California, who was a coach at a junior college, sent them through the mail. But Maneafaiga believes the consequences were nagging injuries. He found religion, quit the drugs and became the team's chaplain.


"God gave you everything you need," he said. "It gets in your mind. It will make you grow unnaturally. Eventually, you'll break down. It happened to me every time."


At the DEA, Rannazzisi said he has met with and conducted training for investigators and top officials in every professional sport. He's talked to Major League Baseball about the patterns his agents are seeing. He's discussed warning signs with the NFL.


He said he's offered similar training to the NCAA but never heard back. Wilfert said the NCAA staff has discussed it and hasn't decided what to do.


"We have very little communication with the NCAA or individual schools," Rannazzisi said. "They've got my card. What they've done with it? I don't know."


___


Associated Press writers Ryan Foley in Cedar Rapids, Iowa; David Brandt in Jackson, Miss.; David Skretta in Lawrence, Kan.; Don Thompson in Sacramento, Calif.;and Alexa Olesen in Shanghai, China; and researchers Susan James in New York and Monika Mathur in Washington contributed to this report.


___


Contact the Washington investigative team at DCinvestigations (at) ap.org.


Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the first of a two-part series.


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Virginia Tech Survivor Fights Back Against Guns













Colin Goddard knows what it's like to be in a classroom when an armed man bursts through the door and starts randomly shooting people. Goddard was a student at Virginia Tech when a gunman shot him and killed 32 people in the deadliest mass shooting in U.S. history.


"It was the most terrifying nine minutes of my life," Goddard told Terry Moran of "Nightline" Wednesday.
"One moment you're conjugating French verbs, the next you're shot."


Four of Seung-Hui Cho's bullets hit Goddard April 16, 2007. Three of the bullets are still in him and serve as a constant reminder in his work with the Brady Campaign to Prevent Gun Violence.


Goddard does more than just lobby and appear in public-service announcements. He says he goes undercover to show how easy it is to buy guns without any background check. It's the subject of his documentary called "Living for 32," after the 32 people who died at Virginia Tech in Blacksburg.


"There is not one thing that will stop all shootings," Goddard said. "
There's not one policy that will save us all, but a background check is something that will make it more difficult for dangerous people to get their hands on a gun."










School Shooting Survivor Documents Gun Law Fight Watch Video









Virginia Tech Documentary Debuts at Sundance Watch Video





In "Living for 32," Goddard says he was able to buy, for example, an Egyptian Maadi AK-47, a TEC-9 and a MAC-11 machine pistol at gun shows across the United States.


"I bought the same gun that was used to shoot me," he said. "I bought it all, all without a background check and it was all legal. My question is, 'Why is that legal?'"


Only licensed dealers are required by law to perform background checks on the people to whom they sell guns while private sellers can make gun-show sales with no background checks.


This is known as the "gun-show loophole" and Goddard has made it his mission to close it.


In one instance, Goddard was able to buy the Maadi Egyptian for $660 and was told by the dealer "there's no tax and no paperwork."


The dealer requested to see Goddard's Ohio driver's license. When Goddard couldn't provide it, he was still able to purchase the gun by providing an Ohio address instead.


"I didn't think I was going to be able to do it at first," he said. "And then once I did it once, then twice, then three times. I was like, 'Wow, this is really easy.'


"Toward the end I wasn't even thinking about it. I tried to do it as quickly as I could, say as few words as I could."


Polls show that a majority of Americans favor closing the loophole.


Goddard says closing the loophole won't end all gun violence, but that the government can do better.


The Brady Campaign recently launched a YouTube series, "We Are Better than This," in the wake of last week's shooting at Sandy Hook Elementary School in Newtown, Conn. The videos feature celebrities and, perhaps more significantly, families of mass-shooting victims.


In the first three videos, Goddard appears, as do Lonnie and Sandy Phillips, whose daughter Jessica Redfield Ghawi, died in the Aurora, Colo., mass shooting in July.






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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.


___


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 cafĂ© 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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