Pakistan says 29 nationals beaten by Afghans


KABUL, Afghanistan (AP) — Afghan officials say they are investigating allegations by neighboring Pakistan that Afghan forces severely beat Pakistani nationals.


The Saturday protest note from Islamabad's Foreign Office provided no details other than to say that all 29 had valid travel documents.


Afghan Foreign Ministry spokesman Janan Mosazai says he has no information about the allegations, but Kabul will try to investigate them.


Relations between the neighboring countries are poor, with the Kabul government accusing Pakistan of harboring and supporting Taliban insurgents. But last month a top Afghan peace mediator hailed Pakistan's recent decision to free nine Taliban members who favor negotiations, saying it was a sign that Pakistan is willing to bring the militants to the table and end Afghanistan's 11-year war.


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Suicide bombers attack mobile phone firms in Nigeria






KANO, Nigeria (Reuters) – Two suicide car bombers attacked the offices of mobile phone operators India’s Airtel and South Africa’s MTN on Saturday in Nigeria’s northern city of Kano, killing themselves but no civilians, police said.


Islamist sect Boko Haram has previously targeted phone firms, blowing up telephone masts and offices, saying the companies help the security forces catch its members.






“The one who hit the Airtel office was shot by military men before the bomb exploded … at the MTN office the car rammed into the fence but no civilians were killed,” Ibrahim Idris, the chief of police in Kano, told Reuters.


Airtel Nigeria’s parent company Bharti Airtel, India’s top cellphone operator, gave no immediate comment.


The national emergency agency confirmed the bombing and said it was not aware of any civilian casualties. The security forces have played down the death toll in previous bombings.


At least 2,800 people have died in fighting in the largely Muslim north since the sect launched an uprising against the government in 2009, watchdog Human Rights Watch says.


The sect wants to impose strict Islamic law on a country of 160 million people split roughly equally between Christians and Muslims.


The group has previously targeted churches on Christmas Day and security has been increased in all the major northern cities, although security experts say given the scale of Christian worship in Nigeria they cannot protect everyone.


Kano, Nigeria‘s second largest city after the southern commercial-hub Lagos, was the site of Boko Haram’s most lethal attack which killed at least 186 people in January in coordinated bombings and shootings.


(Additional reporting by Isaac Abrak in Kaduna; Writing by Joe Brock; Editing by Andrew Osborn and Janet Lawrence)


Wireless News Headlines – Yahoo! News





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Ashton Kutcher files for divorce from Demi Moore


LOS ANGELES (AP) — Ashton Kutcher filed court papers Friday to end his seven-year marriage to actress Demi Moore.


The actor's divorce petition cites irreconcilable differences and does not list a date that the couple separated. Moore announced last year that she was ending her marriage to the actor 15 years her junior, but she never filed a petition.


Kutcher's filing does not indicate that the couple has a prenuptial agreement. The filing states Kutcher signed the document Friday, hours before it was filed in Los Angeles Superior Court.


Kutcher and Moore married in September 2005 and until recently kept their relationship very public, communicating with each other and fans on the social networking site Twitter. After their breakup, Moore changed her name on the site from (at)mrskutcher to (at)justdemi.


Kutcher currently stars on CBS' "Two and a Half Men."


Messages sent to Kutcher's and Moore's publicists were not immediately returned Friday.


Moore, 50, and Kutcher, 34, created the DNA Foundation, also known as the Demi and Ashton Foundation, in 2010 to combat the organized sexual exploitation of girls around the globe. They later lent their support to the United Nations' efforts to fight human trafficking, a scourge the international organization estimates affects about 2.5 million people worldwide.


Moore was previously married to actor Bruce Willis for 13 years. They had three daughters together — Rumer, Scout and Tallulah Belle — before divorcing in 2000. Willis later married model-actress Emma Heming in an intimate 2009 ceremony at his home in Parrot Cay in the Turks and Caicos Islands that attended by their children, as well as Moore and Kutcher.


Kutcher has been dating former "That '70s Show" co-star Mila Kunis.


The divorce filing was first reported Friday by People magazine.


___


Anthony McCartney can be reached at http://twitter.com/mccartneyAP.


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


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


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


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


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


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


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


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


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


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


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


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


—Previous violent or aggressive behavior


—Being a victim of physical or sexual abuse


—Guns in the home


—Use of drugs or alcohol


—Brain damage from a head injury


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


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


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


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


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


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


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


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


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


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


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


___


Online:


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


___


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


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Parents hesitant about NRA armed schools proposal


MIAMI (AP) — The nation's largest gun-rights lobby called Friday for the placement of an armed police officer in every school, but parents and educators questioned how safe such a move would keep kids, whether it would be economically feasible and how it would alter student life. Their reactions ranged from supportive to disgusted.


Already, there are an estimated 10,000 sworn officers serving in schools around the country, most of them armed and employed by local police departments, according to a membership association for the officers. Still, they're deployed at only a fraction of the country's approximately 98,000 public schools, and their numbers have declined during the economic downturn. Some departments have increased police presence at schools since last week's shooting rampage at a Connecticut elementary school that left 26 dead, but say they can only do so temporarily because of funding.


The National Rifle Association said at a news conference that it wants Congress to fund armed officers in every American school, breaking its silence on the Connecticut shootings. The idea made sense to some anxious parents and teachers, but provoked outright anger in others.


"Their solution to resolve the issue around guns is to put more guns in the equation?" said Superintendent Hank Grishman of the Jericho, N.Y., schools on Long Island, who has been an educator for 44 years. "If anything it would be less safe for kids. You would be putting them in the midst of potentially more gunfire."


Where school resource officers are already in place, they help foster connections between the schools and police, and often develop a close enough relationship with parents and children that they feel comfortable coming forward with information that could prevent a threat, said Mo Canady, executive director of the National Association of School Resource Officers.


But an Oklahoma educator who teaches at a school with armed officers described the NRA's proposal as a "false solution," though she's not opposed to the presence of more police.


"I teach at a school that has four armed police officers on campus every day, but it's more than a quarter of a mile from the main office to my room, and I'm not even the farthest room away," said Elise Robillard, a French teacher at Westmoore High School. "If (a student) put a loaded gun in their bag and came to my classroom and pulled it out and started shooting, by the time the police officer figured out what was going on and got to my classroom, we'd all be dead. This whole hallway could be dead before a policeman got here."


Around the country, school systems sometimes rotate armed officers through schools or supplement them with unarmed safety agents. New York City's school district is the largest in the country with more than 1 million students. The NYPD has 350 armed officers who rotate throughout the school system, and they're supplemented by unarmed safety personnel who also report to the department. In Philadelphia, school officials have rejected armed patrols in city schools and instead use unarmed school police.


In rural Blount County, Ala., a tobacco tax is used to fund a squad of nine armed sheriff's deputies and a supervisor who are assigned to work inside the system's 16 schools on a full-time basis, superintendent Jim Carr said Friday. They also assist in sports games and other after-school events.


An armed sheriff's deputy assigned to Columbine High School the day of the massacre there in 1999 was unable to stop the violence, though police procedures around the country have changed since then.


According to a Jefferson County Sheriff's Department report released in 2000, the uniformed sheriff's deputy was eating lunch in his patrol car at a park near the school when he rushed to the school in response to a radio report about the violence. The deputy briefly exchanged fire with one of the gunmen, but the gunman ran back inside the building to continue the rampage.


The officer radioed for assistance, and police followed the then-standard procedure of waiting for a SWAT team to arrive before entering the building. Since that tragedy, police procedures have been changed to call for responding officers to rush toward gunfire to stop a gunman first.


In his speech, NRA chief executive officer Wayne LaPierre said Congress should appropriate funds to post an armed police officer in every school. In the meantime, he said the NRA would develop a school emergency response program that would include volunteers from the group's 4.3 million members to help guard children.


The NRA's call came two days after a Kentucky county sheriff announced on Facebook that deputies would have an increased school presence beginning in January. The announcement was met with dozens of notes of thanks and positive comments from parents.


"Thank you so very much," wrote one commenter. "I can stop stressing a little while at work now."


"This is the best news we could have received for Christmas!" wrote another.


Monte Evans, a sixth grade teacher in Wichita, Kan., said schools should have a designated point person licensed and trained to shoot a gun.


"What am I going to stop them with? A stapler?" said Evans, an NRA member. "You need equal force."


Rose Davis, 47, who lives in Chicago's South Side Englewood neighborhood and helps care for her two young grandchildren, said she supports the idea of having armed police officers in schools. Her neighborhood is beset by gang violence and she worries about it spilling into schools.


"With the things going on today, you really don't feel secure," she said.


Even those who support the proposal, however, questioned how practical it would be.


"The real question is sustainability," said Ken Trump, president of the Cleveland-based consulting firm National School Safety and Security Services. "In the long haul, how are you going to fund that?"


But Randi Weingarten, president of the American Federation of Teachers, one of the nation's largest teachers' unions, called the NRA's idea "irresponsible and dangerous."


"Schools must be safe sanctuaries, not armed fortresses," she said.


Republican New Jersey Gov. Chris Christie said that posting armed guards outside schools wouldn't make classrooms safer or encourage learning.


"You can't make this (school) an armed camp for kids," he said.


Jacina Haro, a college educator from Malden, Mass., and the mother of two young children said the solution shouldn't be about having more weapons on campus.


"Schools shouldn't be about guns," said the 38-year-old. "It should be a safe place to learn, free from weapons and the like. I understand wanting to protect our children, but I don't know if that's the right solution. It's a scary solution."


___


Associated Press writers Frank Eltman in Mineola, N.Y.; Maryclaire Dale in Philadelphia; Barbara Rodriguez in Des Moines, Iowa; Jason Keyser in Chicago, Sean Murphy, Oklahoma City; Colleen long in New York; Colleen Slevin in Denver and Jay Reeves in Birmingham, Ala., contributed to this report.


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NKorea says it has detained a US citizen


PYONGYANG, North Korea (AP) — North Korea said Friday that an American citizen has been detained after confessing to unspecified crimes, confirming news reports about his arrest at a time when Pyongyang is facing criticism from Washington for launching a long-range rocket last week.


The American was identified as Pae Jun Ho in a brief dispatch issued by the state-run Korean Central News Agency in Pyongyang. News reports in the U.S. and South Korea said Pae is known in his home state of Washington as Kenneth Bae, a 44-year-old tour operator of Korean descent.


An expert said he is likely to become a bargaining chip for the North, an attempt to draw the U.S. into talks. Five other Americans known to have been detained in North Korea since 2009 were all eventually released.


North Korean state media said Pae arrived in the far northeastern city of Rajin on Nov. 3 as part of a tour.


Rajin is part of a special economic zone not far from Yanji, China, that has sought to draw foreign investors and tourists over the past year. Yanji, home to many ethnic Korean Chinese, also serves as a base for Christian groups that shelter North Korean defectors.


"In the process of investigation, evidence proving that he committed a crime against (North Korea) was revealed. He admitted his crime," the KCNA dispatch said.


The North said the crimes were "proven through evidence" but did not elaborate.


KCNA said consular officials from the Swedish Embassy in Pyongyang visited Pae on Friday. Sweden represents the United States in diplomatic affairs in North Korea since Washington and Pyongyang do not have diplomatic relations.


Karl-Olof Andersson, Sweden's ambassador to North Korea, told The Associated Press he could not comment on the case and referred the matter to the U.S. State Department.


The State Department was not immediately able to provide any additional information about the report.


State Department spokesperson Victoria Nuland said on Dec. 11 that Washington was "obviously aware" of reports that a U.S. citizen was detained in North Korea. She didn't confirm the reports.


In Seoul, the Segye Ilbo newspaper reported last week that Bae had been taking tourists on a five-day trip to the North when he was arrested. The newspaper cited unidentified sources.


News of the arrest comes as North Korea is celebrating the launch of a satellite into space on Dec. 12, in defiance of calls by the U.S. and others to cancel a liftoff widely seen as an illicit test of ballistic missile technology.


The announcement of the American's detainment could be a signal from the North that it wants dialogue with the United States, said Cheong Seong-chang, an analyst at the private Sejong Institute in South Korea. He said trips by former U.S. Presidents Bill Clinton and Jimmy Carter to North Korea to secure the release of other detained Americans created a mood for U.S.-North Korea talks.


"North Korea knows sanctions will follow its rocket launch. But in the long run, it needs an excuse to reopen talks after the political atmosphere moves past sanctions," Cheong said.


Cheong said he expects that the American will be tried and convicted in coming months. North Korean leader Kim Jong Un has the power to grant amnesty and will exercise it as a bargaining chip, Cheong said.


Nuland said earlier this week that Washington had been trying to reach out to Kim.


"Instead, that was met not only with an abrogation of agreements that had been made by the previous North Korean regime, but by missile activity both in April and in December," she told reporters.


She said Washington had no choice but to put pressure on Pyongyang, and was discussing with its allies how to "further isolate" the regime.


In April 2009, a North Korean rocket launch took place while two American journalists, Laura Ling and Euna Lee, were in North Korean custody after allegedly trying to sneak into the country across the Tumen River dividing the North from China.


They were sentenced to 12 years of hard labor before being released on humanitarian grounds after Clinton flew to Pyongyang to negotiate their release.


Subsequently, three other Americans were arrested and eventually released by North Korea. All three are believed to have been accused of illegally spreading Christianity.


North Korea has several sanctioned churches in Pyongyang but frowns on the distribution of Bibles and other religious materials by foreigners. Interaction between North Koreans and foreigners is strictly regulated.


___


AP writers Foster Klug and Sam Kim contributed to this report from Seoul, South Korea.


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Facebook tests $1 fee for messages to non-friends






SAN FRANCISCO (AP) — Facebook says it is testing a service that will charge users $ 1 to guarantee that messages they send to people they are not connected to arrive in users’ inboxes, rather than in an often-ignored folder called “other.”


Launched in 2011, the “other” folder is where Facebook routes messages it deems less relevant. Not quite spam, these include messages from people you most likely don’t know, based on Facebook’s reading of your social connections. Many users ignore this folder.






Now, users will be able to pay $ 1 to route their messages to non-friends. Facebook said Thursday that it is testing the service with a small percentage of individuals — not businesses — in the U.S.


“For example, if you want to send a message to someone you heard speak at an event but are not friends with, or if you want to message someone about a job opportunity, you can use this feature to reach their Inbox,” Facebook said in an online post. “For the receiver, this test allows them to hear from people who have an important message to send them.”


The company says charging for messages could help discourage spammers.


In October, Facebook unveiled another feature that lets users pay if they want more people to read their updates. For $ 7, users can promote a post to their friends, just as advertisers do.


Social Media News Headlines – Yahoo! News





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Country singer Tate Stevens wins Fox's 'X Factor'


NEW YORK (AP) — Tate Stevens, who was mentored by music exec L.A. Reid on the second season of "The X Factor," has won the Fox singing competition.


The 37-year-old country singer from Belton, Mo., beat runner-up Carly Rose Sonenclar, a 13-year-old schoolgirl from Westchester, N.Y., and teenage girl group Fifth Harmony on the finale that aired live Thursday night.


Stevens wins a $5 million recording contract.


More than 35 million votes were cast by viewers after Wednesday's performance show.


Besides Reid, judges this season included Demi Lovato, Britney Spears and series creator Simon Cowell.


Thursday's show was also the grand finale for Reid. Earlier this month, he said he wouldn't be returning to "The X Factor" next year. No replacement has been announced.


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AP IMPACT: Big Pharma cashes in on HGH abuse


A federal crackdown on illicit foreign supplies of human growth hormone has failed to stop rampant misuse, and instead has driven record sales of the drug by some of the world's biggest pharmaceutical companies, an Associated Press investigation shows.


The crackdown, which began in 2006, reduced the illegal flow of unregulated supplies from China, India and Mexico.


But since then, Big Pharma has been satisfying the steady desires of U.S. users and abusers, including many who take the drug in the false hope of delaying the effects of aging.


From 2005 to 2011, inflation-adjusted sales of HGH were up 69 percent, according to an AP analysis of pharmaceutical company data collected by the research firm IMS Health. Sales of the average prescription drug rose just 12 percent in that same period.


___


EDITOR'S NOTE — 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 second of a two-part series.


___


Unlike other prescription drugs, HGH may be prescribed only for specific uses. U.S. sales are limited by law to treat a rare growth defect in children and a handful of uncommon conditions like short bowel syndrome or Prader-Willi syndrome, a congenital disease that causes reduced muscle tone and a lack of hormones in sex glands.


The AP analysis, supplemented by interviews with experts, shows too many sales and too many prescriptions for the number of people known to be suffering from those ailments. At least half of last year's sales likely went to patients not legally allowed to get the drug. And U.S. pharmacies processed nearly double the expected number of prescriptions.


Peddled as an elixir of life capable of turning middle-aged bodies into lean machines, HGH — a synthesized form of the growth hormone made naturally by the human pituitary gland — winds up in the eager hands of affluent, aging users who hope to slow or even reverse the aging process.


Experts say these folks don't need the drug, and may be harmed by it. The supposed fountain-of-youth medicine can cause enlargement of breast tissue, carpal tunnel syndrome and swelling of hands and feet. Ironically, it also can contribute to aging ailments like heart disease and Type 2 diabetes.


Others in the medical establishment also are taking a fat piece of the profits — doctors who fudge prescriptions, as well as pharmacists and distributors who are content to look the other way. HGH also is sold directly without prescriptions, as new-age snake oil, to patients at anti-aging clinics that operate more like automated drug mills.


Years of raids, sports scandals and media attention haven't stopped major drugmakers from selling a whopping $1.4 billion worth of HGH in the U.S. last year. That's more than industry-wide annual gross sales for penicillin or prescription allergy medicine. Anti-aging HGH regimens vary greatly, with a yearly cost typically ranging from $6,000 to $12,000 for three to six self-injections per week.


Across the U.S., the medication is often dispensed through prescriptions based on improper diagnoses, carefully crafted to exploit wiggle room in the law restricting use of HGH, the AP found.


HGH is often promoted on the Internet with the same kind of before-and-after photos found in miracle diet ads, along with wildly hyped claims of rapid muscle growth, loss of fat, greater vigor, and other exaggerated benefits to adults far beyond their physical prime. Sales also are driven by the personal endorsement of celebrities such as actress Suzanne Somers.


Pharmacies that once risked prosecution for using unauthorized, foreign HGH — improperly labeled as raw pharmaceutical ingredients and smuggled across the border — now simply dispense name brands, often for the same banned uses. And usually with impunity.


Eight companies have been granted permission to market HGH by the U.S. Food and Drug Administration, which reviews the benefits and risks of new drug products. By contrast, three companies are approved for the diabetes drug insulin.


The No. 1 maker, Roche subsidiary Genentech, had nearly $400 million in HGH sales in the U.S. last year, up an inflation-adjusted two-thirds from 2005. Pfizer and Eli Lilly were second and third with $300 million and $220 million in sales, respectively, according to IMS Health. Pfizer now gets more revenue from its HGH brand, Genotropin, than from Zoloft, its well-known depression medicine that lost patent protection.


On their face, the numbers make no sense to the recognized hormone doctors known as endocrinologists who provide legitimate HGH treatment to a small number of patients.


Endocrinologists estimate there are fewer than 45,000 U.S. patients who might legitimately take HGH. They would be expected to use roughly 180,000 prescriptions or refills each year, given that typical patients get three months' worth of HGH at a time, according to doctors and distributors.


Yet U.S. pharmacies last year supplied almost twice that much HGH — 340,000 orders — according to AP's analysis of IMS Health data.


While doctors say more than 90 percent of legitimate patients are children with stunted growth, 40 percent of 442 U.S. side-effect cases tied to HGH over the last year involved people age 18 or older, according to an AP analysis of FDA data. The average adult's age in those cases was 53, far beyond the prime age for sports. The oldest patients were in their 80s.


Some of these medical records even give explicit hints of use to combat aging, justifying treatment with reasons like fatigue, bone thinning and "off-label," which means treatment of an unapproved condition. In other cases, the drug was used "for an unknown indication," meaning that the reason for treatment wasn't clear.


Even Medicare, the government health program for older Americans, allowed 22,169 HGH prescriptions in 2010, a five-year increase of 78 percent, according to data released by the Centers for Medicare and Medicaid Services in response to an AP public records request. And nearly half the increase came in one year: 2007.


"There's no question: a lot gets out," said hormone specialist Dr. Mark Molitch of Northwestern University, who helped write medical standards meant to limit HGH treatment to legitimate patients.


And those figures don't include HGH sold directly by doctors without prescriptions at scores of anti-aging medical practices and clinics around the country. Those numbers could only be tallied by drug makers, who have declined to say how many patients they supply and for what conditions.


The AP approached every U.S.-authorized manufacturer to ask what efforts they make to market responsibly and prevent abuse. Only one HGH supplier, Novo Nordisk, agreed to an interview.


"We're doing our level best to make sure that the right patients are getting the right medicine at the right time," said company spokesman Ken Inchausti.


He said the company is aware of the abuse issue. He said if patients apply for assistance from the company's patient-support hub, prescriptions will be flagged for review if they are missing the most rigorous test or an endocrinologist's signature. He said the company won't sell HGH directly to doctors accused of bad practices and does not deal with anti-aging clinics.


Representatives of other FDA-approved HGH makers insist they do not encourage use by bodybuilders or athletes or wealthy baby boomers trying to recapture their youth. But some said they are largely powerless to control who uses their medications or why.


"Lilly cannot restrict the actions of distributors, pharmacies or doctors," Eli Lilly spokeswoman Kelley Murphy said in a written statement.


That argument doesn't fly for critics like Dr. Peter Rost, a retired Pfizer executive who filed a whistleblower lawsuit over the HGH marketing practices of Pharmacia, which later merged with Pfizer. He said drug companies are simply looking the other way and betting that their profits will eclipse the cost of any fines.


They view it as "good business," he said.


___


PEDDLED ON INTERNET


Type "human growth hormone" into any Internet search engine, and it will spit back countless websites with overblown promises of smoother skin, better sex, weight loss and even renewed body organs.


Any doctor who actually prescribes the drug for those purposes is taking a legal risk.


FDA regulations ban the sale of HGH as an anti-aging drug. In fact, since 1990, prescribing it for things like weight loss and strength conditioning has been punishable by 5 to 10 years in prison.


Such marketing claims are routinely made at hormone clinics like Palm Beach Life Extension, whose owners are among 13 people now awaiting trial on federal charges in Florida in a steroids and HGH distribution case brought last year.


"Grow YOUNG with Us!" screamed a banner on the company's now-defunct website, which advertised that HGH can reduce body fat, improve vision, strengthen the immune system, aid kidney function, lower blood pressure and enhance memory and mood.


The clinic arranged to have its clients' prescriptions filled at Treasure Coast Pharmacy, in Jensen Beach, Fla.


In 2009, the FBI recorded a phone call between the pharmacy's owner, Peter Del Toro, and a doctor in Elkton, Md., who was cooperating with agents after being implicated in a related steroid-distribution case.


Their talk, documented in a court filing, illustrates how things often work in the networks of pharmacies and clinics that drive HGH sales.


Patients submitted a medical history form by mail and took a blood test. But in most instances, the indictment said, the evaluation was a sham: One doctor was charged with giving a clinic a pad of blank, signed prescriptions to save him the chore of signing off on each diagnosis. He got $50 for every drug order bearing his name, the indictment said.


Dr. Rodney Baltazar, the Maryland physician cooperating with the FBI, sometimes consulted briefly with patients via webcam. But he made it clear in the call that those evaluations were perfunctory at best.


Baltazar was a gynecologist, not an endocrinologist. He said he knew "a little bit" about HGH and testosterone, which are often prescribed in tandem, but he relied largely on clinic salespeople to set doses.


The pharmacist coached the doctor: Keep detailed medical charts documenting that patients are taking the drug for at least some kind of health problem, just in case the U.S. Drug Enforcement Administration ever came calling.


"Because somebody questions you, you want to be able to say, 'Here, look at his chart. You know, he's got fatigue. He's got, you know, a decreased sex drive. He's got increased body fat. He has some -- some slight depression, probably.' Whatever his signs and symptoms are."


None of these conditions is a legal reason to prescribe HGH. But the pharmacist said that most investigators will be satisfied and move on "because there's guys that are just selling stuff basically like a boiler room."


Del Toro was arrested along with 12 other people in September 2011 on charges that they distributed steroids and human growth hormone to people who had no legitimate medical need. He is awaiting trial. His lawyer declined to comment. Baltazar was sentenced to six months in prison for involvement in steroid distribution schemes.


At the height of the crackdown in 2007, the federal government went after Pfizer in a case involving anti-aging clinics. The company paid $34.7 million in fines to settle the case — 11 percent of the company's annual revenue from the drug.


___


TROUBLED HISTORY


Blockbuster U.S. sales of HGH represent the latest frustration in 25 years of government efforts to control abuse of the growth drug made infamous by sports scandals.


First marketed in 1985 for children with stunted growth, HGH was soon misappropriated by adults intent on exploiting its modest muscle- and bone-building qualities. Congress limited HGH distribution to the handful of rare conditions in an extraordinary 1990 law, overriding the generally unrestricted right of doctors to prescribe medicines as they see fit.


Despite the law, illicit HGH spread around the sports world in the 1990s, making deep inroads into bodybuilding, college athletics, and professional leagues from baseball to cycling. The even larger banned market among older adults has flourished more recently.


For years, cheaper supplies from unauthorized foreign factories, particularly in China, fed the market via direct and Internet sales that sidestepped the medical establishment.


Though such shipments were banned under other law, the imports initially attracted little attention because they were usually labeled as raw pharmaceutical ingredients, which compounding pharmacies are allowed to bring into the country.


That flow began to be curtailed in 2006, when U.S. drug authorities stepped up efforts to block shipments at the border.


A handful of pharmacies across the country were hit with criminal charges over their handling of HGH. Federal prosecutors charged China's biggest HGH maker, GeneScience Pharmaceutical, with illegally distributing its Jintropin brand in the U.S. The company's CEO pleaded guilty in 2010.


With illicit supplies crimped, many pharmacies stopped selling unauthorized HGH. But tens of thousands of adult abusers began buying pricey U.S.-approved HGH that remained available in abundant supply, the AP found in its analysis of sales data.


Thus, pushed by a powerful demand, sales of U.S.-approved brands have swelled far beyond expected levels for a drug approved in just a handful of rare conditions.


Dr. Robert Marcus, a retired hormone specialist who left HGH manufacturer Eli Lilly and Co. in 2008, said that company was bent on stopping foreign counterfeits, not on cutting off abusers. "That's where their major level of frustration was — pharmaceutical fraud — rather than focusing on people who were using growth hormone illegitimately," he said.


Dr. Jim Meehan, of Tulsa, Okla., who has used HGH to treat aging problems and sports injuries, said the federal clampdown "never seemed to affect my patients and their ability to get Omnitrope, Tev-Tropin" and other government-approved brands.


The big drug companies have applauded the foreign crackdown and urged the government to do even more to combat sales of fake or fraudulently labeled HGH. In 2004, Bruce Kuhlik, speaking for the Pharmaceutical Research and Manufacturers of America, told a federal task force that unauthorized drug importation "is inherently unsafe" and industry representatives used Chinese HGH imports as their poster child.


In 2007, as the HGH embargo gained momentum, authorized makers picked up 41 percent more HGH orders, raising their annual total from 245,000 to 345,000, according to the analysis of the IMS Health data. Similarly, most of the drug's sales boom happened in the first two years of the crackdown, with 46 percent inflation-adjusted growth in yearly sales to $1.1 billion.


Steve Kleppe, of Scottsdale, Ariz., a restaurant entrepreneur who has taken HGH for almost 15 years to keep feeling young, said he noticed a price jump of about 25 percent after the block on imports. He now buys HGH directly from a doctor at an annual cost of about $8,000 for himself and the same amount for his wife.


Despite higher prices, the business has expanded in recent years largely on the strength of sales to healthy adults who can afford to indulge their hope of retaining youthful vigor.


___


GROWING OLD


Many older patients go for HGH treatment to scores of anti-aging practices and clinics heavily concentrated in retirement states like Florida, Nevada, Arizona and California.


These sites are affiliated with hundreds of doctors who are rarely endocrinologists. Instead, many tout certification by the American Board of Anti-Aging and Regenerative Medicine, though the medical establishment does not recognize the group's bona fides.


The clinics offer personalized programs of "age management" to business executives, affluent retirees, and other patients of means, sometimes coupled with the amenities of a vacation resort.


The clinics insist there are few, if any, side effects from HGH. Mainstream medical authorities say otherwise.


A 2007 review of 31 medical studies showed swelling in half of HGH patients, with joint pain or diabetes in more than a fifth. A French study of about 7,000 people who took HGH as children found a 30 percent higher risk of death from causes like bone tumors and stroke, stirring a health advisory from U.S. authorities.


For proof that the drug works, marketers turn to images like the memorable one of pot-bellied septuagenarian Dr. Jeffry Life, supposedly transformed into a ripped hulk of himself by his own program available at the upscale Las Vegas-based Cenegenics Elite Health. (He declined to be interviewed.)


These promoters of HGH say there is a connection between the drop-off in growth hormone levels through adulthood and the physical decline that begins in late middle age. Replace the hormone, they say, and the aging process slows.


"It's an easy ruse. People equate hormones with youth," said Dr. Tom Perls, a leading industry critic who does aging research at Boston University. "It's a marketing dream come true."


Some scientific studies of HGH have found modest benefits: some muscle and bone building, as well as limited fat loss, but nothing like the claims of the anti-aging industry. And some of the value credited to HGH may instead come from testosterone, which is routinely provided with HGH by anti-aging doctors and sports suppliers.


Endocrinologists say it's natural for the body to produce less growth hormone as people age beyond their early 20s, because they aren't growing anymore. Only a tiny number of adults with extraordinarily low HGH levels — perhaps several thousand of them — are believed to suffer real deficiencies that can properly be treated with the hormone.


Still, anti-aging doctors routinely diagnose otherwise healthy middle-aged people with an HGH deficiency, simply because their levels are lower than in young adults. "Basically anyone going through midlife," can benefit from the drug, declared one prescriber, Dr. Howard Elkin, of Whittier, Calif., who has himself competed as a bodybuilder.


Dr. Kenneth Knott, of Marietta, Ga., said HGH helps his older patients feel "more vibrant" and look "more alive."


Like many anti-aging doctors, he diagnoses patients by testing for a blood component called insulin growth factor, which is indirectly tied to HGH. Endocrinologists use a more authoritative test that stimulates the pituitary gland to make HGH itself. Nearly all insurers insist on this stimulation testing, and that's why clinic patients almost always pay for HGH out of their own pockets.


Bob Vitols, a 50-year-old lab assistant at a veterinary medicine company in Lincoln, Neb., is a rare exception. His unusually generous health plan isn't allowed to challenge a doctor's prescription.


Four years ago, Vitols began feeling run down. So he Googled his symptoms on the Internet, decided he had a hormone deficiency, and sought out a clinic.


One doctor put him on testosterone replacement therapy. A second clinic added HGH after diagnosing him with osteopenia, a mild bone thinning common in aging adults. It is not, however, a condition that can properly be treated with HGH.


Despite the diagnosis, the treatments — which can cost $10,000 per year — have been covered by his health insurance, he said. He takes Genotropin, the HGH made by Pfizer. His prescriptions are filled via mail order by CVS Caremark Corp., one of the largest dispensers of prescription drugs in the U.S.


Vitols said the drug changed his life: his mood is better, and he isn't burning out every day at 2 p.m. "I feel like I could walk outside and just walk through a fence — and come out fine on the other side," he said.


His experiences with the drug haven't all been positive, though. Vitols said he initially developed elevated liver enzymes and went to a specialist, who told him to stop taking hormones immediately.


Instead, Vitols said, he adjusted his dosage, and the problem disappeared.


He also dumped the specialist:


"I could tell he was against hormones right at the start," Vitols said.


___


Associated Press Writer David Caruso reported from New York and AP National Writer Jeff Donn reported from Plymouth, Mass. AP Writer Troy Thibodeaux provided data analysis assistance from New Orleans.


___


AP's interactive on the HGH investigation: http://hosted.ap.org/interactives/2012/hgh


___


The AP National Investigative Team can be reached at investigate(at)ap.org


EDITOR'S NOTE _ 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 second of a two-part series.


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Silence, ringing of bells to honor Newtown shooting victims


NEWTOWN, Conn./WASHINGTON (Reuters) - Many Americans will remember the victims of the Newtown, Connecticut, school massacre with a moment of silence on Friday, just before a powerful U.S. gun rights lobbying group plunges into the national debate over gun control.


Connecticut Governor Dannel Malloy called for residents of his state to observe the moment at 9:30 a.m. EST (1430 GMT) to mark a week since a 20-year-old gunman killed his mother and then stormed Sandy Hook Elementary School in Newtown, where he shot to death 20 children and six adults before killing himself.


Malloy's fellow governors in Maine, Illinois, Michigan and several other states called on residents to follow suit with a moment of silence and to ring bells to remember the dead. The National Cathedral in Washington plans to ring its bell 28 times as part of an interfaith memorial.


"We have the moral obligation to stand for and with the victims of gun violence and to work to end it," said Reverend Gary Hall, dean of Washington National Cathedral, who called on Americans to pray "that we may have courage to act, so that the murderous violence done on Friday may never be repeated."


The company that operates the Nasdaq stock exchange said its operations would observe a moment of silence at 9:30 a.m., although market will open trading at that time as usual.


The observances will be held not long before the National Rifle Association, the largest U.S. gun rights group and one with powerful ties to Washington politicians, begins a media campaign to become part of the gun control debate prompted by the stunning slaughter of 20 children, all 6 or 7 years old.


Laws restricting gun ownership are controversial in the United States, a nation with a strong culture of individual gun ownership. Hundreds of millions of weapons are in private hands.


About 11,100 Americans died in gun-related killings in 2011, not including suicides, according to preliminary data from the U.S. Centers for Disease Control and Prevention.


The NRA remained quiet for four days after the Newtown slaughter, citing "common decency." It released a short statement on Tuesday saying it was "prepared to offer meaningful contributions to help make sure this never happens again."


The group scheduled a news conference for 10:45 a.m. (1545 GMT) on Friday in Washington. NRA chief executive Wayne LaPierre planned to appear on the NBC television talk show "Meet the Press" on Sunday.


Some U.S. lawmakers called for swift passage of an assault weapons ban.


Vice President Joe Biden convened a new White House task force on Thursday charged by President Barack Obama with finding ways to quell violence.


"We have to have a comprehensive way in which to respond to the mass murder of our children that we saw in Connecticut," Biden told the group, which included Attorney General Eric Holder, Thomas Nee, president of the National Association of Police Organizations, and other officials.


The gunman, Adam Lanza, used a military-style assault rifle and police said he carried hundreds of bullets in high-capacity magazines, as well as two handguns. The weapons were legally purchased and registered to his mother, Nancy, his first victim.


By Thursday, funeral services had been held for more than half of the 27 people Lanza killed last week.


Newtown school officials said that Friday would be a shortened day for students heading into the Christmas break.


Reflecting a heightened state of alert at schools across the United States, a school district near Boise, Idaho, canceled planned assemblies at a number of its 50 schools after receiving a rash of threats that suggested "something bad" would happen on Friday, Meridian school spokesman Eric Exline said.


"The event last Friday in Connecticut has unnerved people in a lot of ways," he said.


The New Milford school district, near Newtown, canceled Friday classes "on the advice of the New Milford Police Department" but did not offer any further explanation.


In Florida, a 13-year-old student was arrested on Thursday after he allegedly posted a Facebook message threatening to "bring a gun to school tomorrow and shoot everyone," said the St. Lucie County Sheriff's office on Florida's east coast.


Police said the teen did not have any weapons and posed no threat to local schools. He was charged with making a written threat and is being held at a local Juvenile Detention Center.


(Reporting by Edith Honan and Patrica Zengerle; Writing by Jim Loney; Editing by Jackie Frank)



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SKorea's president-elect faces NKorea uncertainty


SEOUL, South Korea (AP) — Park Geun-hye promises to reach out to North Korea with more humanitarian aid and deeper engagement after she moves into South Korea's presidential Blue House on Feb. 25. Pyongyang, however, may be in no mood to talk anytime soon.


Park's declarations ahead of Wednesday's election that she will soften five years of hard-line policy rang true with voters, even as they rejected her opponent's calls for a more aggressive pursuit of reconciliation with the North.


A skeptical North Korea may quickly test the sincerity of Park's offer to engage — possibly even before she takes office. She is both a leading member of the conservative ruling party and the daughter of the late anti-communist dictator Park Chung-hee, and Pyongyang has repeatedly called her dialogue offers "tricks."


Outgoing President Lee Myung-bak's tough approach on North Korea — including his demand that engagement be accompanied by nuclear disarmament progress — has been deemed a failure by many South Koreans. During his five years in office, North Korea has conducted nuclear and rocket tests — including a rocket launch last week — and it was blamed for two incidents that left 50 South Koreans dead in 2010.


But reaching out to North Korea's authoritarian government also has failed to pay off. Before Lee, landmark summits under a decade of liberal governments resulted in lofty statements and photo ops in Pyongyang between then-leader Kim Jong Il and South Korean presidents, but the North continued to develop its nuclear weapons, which it sees as necessary defense and leverage against Washington and Seoul.


Analysts said Park's vague promises of aid and engagement are not likely to be enough to push Pyongyang to give up its nuclear weapons ambitions, which Washington and Seoul have demanded for true reconciliation to begin. To reverse the antipathy North Korea has so far shown her, Park may need to go further than either her deeply conservative supporters and political allies or a cautious Obama administration will want.


"North Korea is good at applying pressure during South Korean transitions" after presidential elections, said Yoo Ho-yeol, a professor at Korea University in South Korea. "North Korea will do something to try to test, and tame, Park."


Even the last liberal president, Roh Moo-hyun, a champion of no-strings-attached aid to Pyongyang, faced a North Korean short-range missile launch on the eve of his 2003 inauguration.


North Korea put its first satellite into space with last week's rocket launch, which the U.N. and others called a cover for a test of banned ballistic missile technology.


Despite the launch, Park says humanitarian aid, including food, medicine and daily goods meant for infants, the sick and other vulnerable people, will flow. She says none of the aid will be anything that North Korea's military could use. She's open to conditional talks with North Korean leader Kim Jong Un.


The aid won't be as much as North Korea will want, to be sure, and it won't be as much as her liberal challenger in Wednesday's election, Moon Jae-in, would have sent. Park's conditions on aid and talks also could doom talks before they begin.


Pursuing engagement with North Korea "really would have to be her top priority for her to be a game-changing kind of leader on the issue," said John Delury, an analyst at Seoul's Yonsei University. He added that Park is more likely to take a passive, moderate approach.


"In the inter-Korean context, there's not a big difference between a passive approach and a hostile approach," Delury said, "because if you don't take the initiative with North Korea, they'll take the initiative" in the form of provocations meant to raise their profile.


North Korea was not a particularly pressing issue for South Korean voters, who were more worried about their economic futures and a host of social issues. But it is of deep interest to Washington, Beijing and Tokyo, which had been holding off on pursuing their North Korea policies until South Korean voters chose their new leader.


The next Japanese prime minister, Shinzo Abe, is a hawk on North Korea matters who has supported tighter sanctions because of the rocket launch.


The U.S. had attempted to warm relations with North Korea with an aid-for-nuclear-freeze deal reached with Pyongyang in February, but that collapsed in April when the North conducted a failed rocket launch.


Washington could use a new thaw on the Korean Peninsula as a cover to pursue more nuclear disarmament talks, analysts say, but the Obama administration will also likely want a carefully coordinated approach with Seoul toward Pyongyang.


Park's North Korea policy aims to hold talks meant to build trust and resolve key issues, like the nuclear problem and other security challenges. Humanitarian assistance to the North won't be tied to ongoing political circumstances, though her camp hasn't settled details, including the amount.


Park also plans to restart joint economic initiatives that were put on hold during the Lee administration as progress occurs on the nuclear issue and after reviewing the projects with lawmakers.


Park's statement that she's willing to talk with Kim Jong Un "practically means she's willing to give more money to North Korea," which is Pyongyang's typical demand for dialogue, said Andrei Lankov, a scholar on the North at Seoul's Kookmin University.


But the heart of the matter — North Korea's nuclear program — might be off limits, no matter how deeply the next Blue House decides to engage.


"North Korea isn't going to surrender its nukes. They're going to keep them indefinitely," Lankov said. "No amount of bribing or blackmail or begging is going to change it. They are a de facto nuclear power, period, and they are going to stay that way."


___


AP writer Hyung-jin Kim contributed to this report.


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$66M Kinkade estate dispute secretly settled


SAN JOSE, Calif. (AP) — Thomas Kinkade's widow and girlfriend have reached a settlement after a dispute over the late artist's $66 million estate, their attorneys said Wednesday.


The San Jose Mercury News reports (http://bit.ly/Wq5kti ) that counsel for Nanette Kinkade and his girlfriend Amy Pinto announced the settlement but wouldn't provide further details, leaving it unclear who will inherit Kinkade's San Francisco Bay area mansion and his warehouse of paintings.


In a statement, they said the women kept Kinkade's message of "love, spirituality and optimism" in their amicable resolution.


The dispute went public after the 54-year-old artist died April 6 from an accidental overdose of alcohol and prescription tranquilizers.


Pinto, who began dating Kinkade six months after his marriage of 28 years imploded, claimed Kinkade wrote two notes bequeathing her his mansion and $10 million to establish a museum of his paintings. Her lawyers filed court papers stating that she and Kinkade had planned to marry as soon as his divorce went through.


Nanette Kinkade disputed those claims and sought full control of the estate. She portrayed Pinto in court papers as a gold-digger who is trying to cheat the artist's rightful heirs.


Kinkade, the self-described "Painter of Light," was known for sentimental scenes of country gardens and pastoral landscapes. His work led to a commercial empire of franchised galleries, reproduced artwork and spin-off products that was said to fetch some $100 million each year in sales.


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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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Newtown residents ready to step out of media glare


Hundreds of reporters from around the world converged on Newtown, Conn., after the shooting at Sandy Hook Elementary …NEWTOWN, Conn.-- Message to the media: It's time to go away.


That's what many residents here have been saying about the media since Monday, when funerals began for more than two dozen adults and children killed in last week's massacre at Sandy Hook Elementary School.


"There are people who should be able to get to these funerals," Janice Butler of Newtown told Yahoo News on Wednesday, standing a few hundred yards from the entrance to the school where Friday's shootings took place. "But some of them can't because you all are here."


At the Newtown General Store, when a member of the media thanked a store employee for breakfast sandwich, she replied, smiling, "Thank you for leaving."


In the first days after the tragedy, most reporters here were respectful of the town's 27,000 residents, sharing in their shock and grief while trying to cover it. And most residents and shop owners seemed to understand that it was a major news story of deep interest to many readers and viewers.


Figs Restaurant here welcomed TV host Geraldo Rivera for two meals late Saturday afternoon. By Tuesday, though, the restaurant had stationed one of the cooks in the parking lot, barring media from parking there.


Also Saturday, a Newtown teacher offered use of his bathroom and WiFi to several reporters. And the back dining room of the Iron Bridge bar in Sandy Hook became an ABC News bureau on Sunday, where network staff watched President Barack Obama's speech at the interfaith vigil at Newtown High School.


But on Monday, the Newtown Bee posted a note on its Facebook page, imploring its colleagues and journalists in the media to leave families of the dead alone. "PLEASE STAY AWAY FROM THE VICTIMS," the note said.


"We acknowledge it is your right to try and make contact," the paper added on Facebook, "But we beg you to do what is right and let them grieve and ready their funeral plans in peace."


Several local residents visited the page, adding their voices to the chorus of criticism.


"We want our town, our lives back," Dennis Brinkmann wrote. "You did your job, now leave us be."


"Journalists should be reporters not voyeurs," wrote another.


"We did turn to you when it was unfolding, because we needed to know what was going on, but now leave," Dorene Doran wrote. "We need to give these families time to themselves. Don't worry they will seek you out if they want to talk to you."


"As I drove down Main Street today I was upset at the number of cameras just aimed at the door to the funeral home," Gail Lovorn wrote, suggesting the community erect a screen to block the view. "The last thing these families need is to see their family and friends in these tender moments broadcast for the world to see."


On Tuesday night, a man walking up Church Hill Road carried a sign that read: "Dear Media, GTFO!"


There are signs that the media swarm is beginning to ease.


CNN’s Wolf Blitzer, who arrived Saturday, left Newtown after his broadcast on Tuesday night. Most of the satellite trucks that lined the center of Sandy Hook, steps from a makeshift memorial and less than a half mile from Sandy Hook Elementary, were gone on Wednesday. The parking lot at Treadwell Park, where nearly close to 100 satellite trucks were parked on Saturday, sat empty, too.


The Starbucks next to Saint Rose of Lima Church on Church Hill Road served as a makeshift international media center since the funerals began. On Wednesday, it was filled with residents heading to services for 7-year-old victim Daniel Barden--no media in sight.


But not everyone in Newtown wants to see the media gone.


"Please, please don't leave," a Sandy Hook resident named Dennis told Connecticut Public Radio's Colin McEnroe on Wednesday. "Because I know that people on the outside are feeling the same thing that the people on the inside are feeling. And it's ... it's just helplessness. So the more information they can get--as long as it's correct information--it might help them a little bit. It might, you know?"



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Outrage in India over gang rape on bus


NEW DELHI (AP) — The hours-long gang-rape and near-fatal beating of a 23-year-old student on a bus in New Delhi triggered outrage and anger across the country Wednesday as Indians demanded action from authorities who have long ignored persistent violence and harassment against women.


In the streets and in Parliament, calls rose for stringent and swift punishment against those attacking women, including a proposal to make rapists eligible for the death penalty.


"I feel it is sick what is happening across the country . it is totally sick, and it needs to stop," said Smitha, a 32-year-old protester who goes by only one name.


Thousands of demonstrators clogged the streets in front of New Delhi's police headquarters, protested near Parliament and rallied outside a major university.


Angry university students set up roadblocks across the city, causing massive traffic jams.


"We want to jolt people awake from the cozy comfort of their cars. We want people to feel the pain of what women go through every day," said Aditi Roy, a Delhi University student.


Hundreds rallied outside the home of the city's top elected official before police dispersed them with water cannons, a move that earned further condemnation from opposition leaders, who accused the government of being insensitive.


Meanwhile, the victim lay in critical condition in the hospital with severe internal injuries, doctors said.


Police said six men raped the woman and savagely beat her and her companion with iron rods on a bus driving around the city — passing through several police checkpoints — before stripping them and dumping them on the side of the road Sunday night.


Delhi police chief Neeraj Kumar said four men have been arrested and a search was underway for the other two.


Sonia Gandhi, head of the ruling Congress Party, visited the victim, promised swift action against the perpetrators and called for police to be trained to deal with crimes against women.


"It is a matter of shame that these incidents recur with painful regularity and that our daughters, sisters and mothers are unsafe in our capital city," she wrote in a letter to Delhi Chief Minister Sheila Dikshit.


The outpouring of anger is unusual in a country where attacks against women are rarely prosecuted. The Times of India newspaper dedicated four pages to the rape Wednesday, demanding an example be made of the rapists, while television stations debated the nation's treatment of its women.


Opposition lawmakers shouted slogans and protested outside Parliament and called for making rape a capital crime. Cutting across party affiliations, lawmakers demanded the government announce a plan to safeguard women in the city.


Home Minister Sushil Kumar Shinde told Parliament he had ordered increased police patrols on the streets, especially at night.


Shinde said the government has introduced bills to increase the punishment for rapes and other crimes against women, but they are bogged down in Parliament.


Analysts and protesters said the upsurge of anger was chiefly due to increasing incidents of crime against women and the seeming inability of authorities to protect them.


"We have been screaming ourselves hoarse demanding greater security for women and girls. But the government, the police, and others responsible for public security have ignored the daily violence that women face," said Sehba Farooqui, a women's rights activist.


Farooqui said women's groups were demanding fast-track courts to deal with rape and other crimes against women.


In India's painfully slow justice system, cases can languish for 10 to 15 years before reaching court.


"We have thousands of rape cases pending in different courts of the country. As a result, there is no fear of law," says Ranjana Kumari, a sociologist and head of the New Delhi-based Center for Social Research.


"We want this case to be dealt with within 30 days and not the go the usual way when justice is denied to rape victims because of inordinate delays and the rapists go scot-free," Farooqui said.


Analysts say crimes against women were on the rise as more young women left their homes to join the work force in India's booming economy, even as deep-rooted social attitudes that women are inferior remained unchanged. Many families look down on women, viewing the girl child as a burden that forces them to pay a huge dowry to marry her off.


Kumari says a change can come about only when women are seen as equal to men.


Rapes in India remain drastically underreported. In many cases, families do not report rapes due to the stigma that follows the victim and her family. In other instances, families may decide not to report a rape out of frustration with the long delays in court and harassment at the hands of the police. Police, themselves are reluctant to register cases of rape and domestic violence in order to keep down crime figures or to elicit a bribe from the victim.


In a sign of the protesters' fury, Khushi Pattanaik, a student, said death was too easy a punishment for the rapists, they should instead be castrated and forced to suffer as their victim did.


"It should be made public so that you see it, you feel it and you also live with it . the kind of shame and guilt," she said.


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