What heals traumatized kids? Answers are lacking


CHICAGO (AP) — Shootings and other traumatic events involving children are not rare events, but there's a startling lack of scientific evidence on the best ways to help young survivors and witnesses heal, a government-funded analysis found.


School-based counseling treatments showed the most promise, but there's no hard proof that anxiety drugs or other medication work and far more research is needed to provide solid answers, say the authors who reviewed 25 studies. Their report was sponsored by the federal Agency for Healthcare Research and Quality.


According to research cited in the report, about two-thirds of U.S. children and teens younger than 18 will experience at least one traumatic event, including shootings and other violence, car crashes and weather disasters. That includes survivors and witnesses of trauma. Most will not suffer any long-term psychological problems, but about 13 percent will develop symptoms of post-traumatic stress, including anxiety, behavior difficulties and other problems related to the event.


The report's conclusions don't mean that no treatment works. It's just that no one knows which treatments are best, or if certain ones work better for some children but not others.


"Our findings serve as a call to action," the researchers wrote in their analysis, published online Monday by the journal Pediatrics.


"This is a very important topic, just in light of recent events," said lead author Valerie Forman-Hoffman, a researcher at the University of North Carolina-Chapel Hill.


She has two young children and said the results suggest that it's likely one of them will experience some kind of trauma before reaching adulthood. "As a parent I want to know what works best," the researcher said.


Besides the December massacre at Sandy Hook Elementary School in Connecticut, other recent tragedies involving young survivors or witnesses include the fatal shooting last month of a 15-year-old Chicago girl gunned down in front of a group of friends; Superstorm Sandy in October; and the 2011 Joplin, Mo., tornado, whose survivors include students whose high school was destroyed.


Some may do fine with no treatment; others will need some sort of counseling to help them cope.


Studying which treatments are most effective is difficult because so many things affect how a child or teen will fare emotionally after a traumatic event, said Dr. Denise Dowd, an emergency physician and research director at Children's Mercy Hospitals and Clinics in Kansas City, Mo., who wrote a Pediatrics editorial.


One of the most important factors is how the child's parents handle the aftermath, Dowd said.


"If the parent is freaking out" and has difficulty controlling emotions, kids will have a tougher time dealing with trauma. Traumatized kids need to feel like they're in a safe and stable environment, and if their parents have trouble coping, "it's going to be very difficult for the kid," she said.


The researchers analyzed 25 studies of treatments that included anti-anxiety and depression drugs, school-based counseling, and various types of psychotherapy. The strongest evidence favored school-based treatments involving cognitive behavior therapy, which helps patients find ways to cope with disturbing thoughts and emotions, sometimes including talking repeatedly about their trauma.


This treatment worked better than nothing, but more research is needed comparing it with alternatives, the report says.


"We really don't have a gold standard treatment right now," said William Copeland, a psychologist and researcher at Duke University Medical Center who was not involved in the report. A lot of doctors and therapists may be "patching together a little bit of this and a little bit of that, and that might not add up to the most effective treatment for any given child," he said.


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Online:


Pediatrics: http://www.pediatrics.org


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Vatican Says Pope Benedict Will Resign Feb. 28













Pope Benedict XVI announced Monday that he would resign on Feb. 28 because he was simply too infirm to carry on — the first pontiff to do so in nearly 600 years. The decision sets the stage for a conclave to elect a new pope before the end of March.



The 85-year-old pope announced his decision in Latin during a meeting of Vatican cardinals on Monday morning.



He emphasized that carrying out the duties of being pope — the leader of more than a billion Roman Catholics worldwide — requires "both strength of mind and body."



"After having repeatedly examined my conscience before God, I have come to the certainty that my strengths due to an advanced age are no longer suited to an adequate exercise of the Petrine ministry," he told the cardinals. "I am well aware that this ministry, due to its essential spiritual nature, must be carried out not only by words and deeds but no less with prayer and suffering.



"However, in today's world, subject to so many rapid changes and shaken by questions of deep relevance for the life of faith, in order to govern the barque of St. Peter and proclaim the Gospel, both strength of mind and body are necessary — strengths which in the last few months, has deteriorated in me to the extent that I have had to recognize my incapacity to adequately fulfill the ministry entrusted to me."



The last pope to resign was Pope Gregory XII, who stepped down in 1415 in a deal to end the Great Western Schism among competing papal claimants.



Benedict called his choice "a decision of great importance for the life of the church."








Pope Benedict Brings Message of Peace to Middle East Watch Video










The move sets the stage for the Vatican to hold a conclave to elect a new pope by mid-March, since the traditional mourning time that would follow the death of a pope doesn't have to be observed.



There are several papal contenders in the wings, but no obvious front-runner — the same situation when Benedict was elected pontiff in 2005 after the death of Pope John Paul II.



When Benedict was elected pope at age 78 — already the oldest pope elected in nearly 300 years — he had been already planning to retire as the Vatican's chief orthodoxy watchdog to spend his final years writing in the "peace and quiet" of his native Bavaria.



Contenders to be his successor include Cardinal Angelo Scola, archbishop of Milan, Cardinal Christoph Schoenborn, the archbishop of Vienna, and Cardinal Marc Ouellet, the Canadian head of the Vatican's office for bishops.



Longshots include Cardinal Timothy Dolan of New York. Although Dolan is popular and backs the pope's conservative line, the general thinking is that the Catholic Church doesn't need a pope from a "superpower."



All cardinals under age 80 are allowed to vote in the conclave, the secret meeting held in the Sistine Chapel where cardinals cast ballots to elect a new pope. As per tradition, the ballots are burned after each voting round; black smoke that snakes out of the chimney means no pope has been chosen, while white smoke means a pope has been elected.



Popes are allowed to resign; church law specifies only that the resignation be "freely made and properly manifested."



Only a handful have done so, however and there's good reason why it hasn't become commonplace: Might the existence of two popes — even when one has stepped down — lead to divisions and instability in the church? Might a new resignation precedent lead to pressures on future popes to quit at the slightest hint of infirmity?



Benedict himself raised the possibility of resigning if he were simply too old or sick to continue on in 2010, when he was interviewed for the book "Light of the World."



"If a pope clearly realizes that he is no longer physically, psychologically and spiritually capable of handling the duties of his office, then he has a right, and under some circumstances, also an obligation to resign," Benedict said.



The former Cardinal Joseph Ratzinger had an intimate view as Pope John Paul II, with whom he had worked closely for nearly a quarter-century, suffered through the debilitating end of his papacy.



———



Daniela Petroff contributed from Vatican City.



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Netanyahu to discuss Iran, Syria, Palestinians with Obama


JERUSALEM (Reuters) - Iran's nuclear ambitions, the civil war in Syria and stalled Israeli-Palestinian peace efforts will top the agenda of U.S. President Barack Obama's visit to Israel, Prime Minister Benjamin Netanyahu said on Sunday.


"It is a very important visit that will emphasize the strong alliance between Israel and the United States," Netanyahu, who has had a testy relationship with Obama, told his cabinet.


The White House announced on Tuesday that Obama plans to visit Israel, the West Bank and Jordan this spring, raising prospects of a new U.S. push to restart Israeli-Palestinian peace efforts frozen for the past two years.


The White House gave no exact dates for the trip, Obama's first to Israel since taking office. Israel's Channel 10 television station cited unnamed sources in Washington last week saying the visit to Israel would start on March 20.


In public remarks at the cabinet session, Netanyahu put Iran at the top of his list of talking points with Obama and referred only in general terms to peace efforts with the Palestinians, stopping short of setting a revival of bilateral negotiations as a specific goal of the visit.


"The president and I spoke about this visit and agreed that we would discuss three main issues ... Iran's attempt to arm itself with nuclear weapons, the unstable situation in Syria ... and the efforts to advance the diplomatic process of peace between the Palestinians and us," Netanyahu said.


U.S.-hosted negotiations between Israel and the Palestinians collapsed in September 2010 in a dispute over Israeli settlement-building in the occupied West Bank, land captured in a 1967 war and which Palestinians seek as part of a future state that includes Gaza and East Jerusalem.


Obama and Netanyahu discussed the coming trip in a January 28 telephone call.


COALITION TALKS


The visit will take place only after Netanyahu puts together a new governing coalition following his narrower-than-expected victory in Israel's January 22 election.


Netanyahu, who heads the right-wing Likud party, has begun talks with prospective political partners and still has up to five weeks to complete the process.


Citing the dangers Israel faces from the "earthquake that is happening around us", a reference to Arab upheaval in the region and the prospect of a nuclear-armed Iran, Netanyahu said Obama's visit now was particularly important.


Obama's tensions with Netanyahu have been aggravated by the Israeli leader's demands for U.S. "red lines" on Iran's nuclear program - something the president has resisted, though he has said military options are on the table if sanctions and diplomacy fail.


Iranian President Mahmoud Ahmadinejad said on Sunday that Tehran would not negotiate about its nuclear program under pressure, and would talk to its adversaries only if they stopped "pointing the gun".


Iran dismisses Western suspicions that its nuclear program is aimed at building weapons. Israel is widely believed to have the Middle East's only nuclear arsenal.


Netanyahu has insisted he will stick to the red line laid down in September, when he told the United Nations that Iran should not have enough enriched uranium to make even a single warhead.


He gave a rough deadline of summer 2013, and Israeli political commentators have speculated that Obama had opted to visit Israel before that date to caution Netanyahu against any go-it-alone attack against Iran's nuclear facilities.


Obama visited Israel as a presidential candidate in 2008 but drew Republican criticism for not travelling there in his first term. His Republican predecessor, former President George W. Bush, also waited until his second term to go to Israel.


(Editing by Matthew Tostevin)



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LNY festivities at Marina Bay Sands in full swing






SINGAPORE: Shoppers at Marina Bay Sands were in for a treat on Sunday as festivities to usher in the Lunar New Year of the Snake got into full swing.

Stilt-walkers dressed as the Gods of Prosperity, Wealth, and Longevity mingled with the crowds while mascots representing the 12 animals of the Zodiac paraded round the skating rink and posed for pictures with delighted shoppers.

A lion dance troop also traipsed from store to store, adding more cheer to the already festive atmosphere.

- CNA/ck



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Russia remains a key defense technology exporter: Komardin

BANGALORE: Russia is still a key defense technology exporter to India said deputy general director of Russia's state arms exporter, Rosoboronexport, Viktor Komardin, on Friday, on the sidelines of AeroIndia 2013.

"We have helped develop the Indian defence system since the very beginning. And we are still an important strategic parnter for Government of India, in the sphere of defence, sharing technology, and exporting weapons and material," said Komardin, who heads the Russian delegation at the upcoming Aero India 2013.

Russia, which accounts for about 70 per cent of Indian defence purchases, has lost four crucial multi-billion dollar bids to American or European firms, since Aero show 2011. Also, the country faces growing competition on the Indian defense market as India diversified military imports in the past few years.

In the recent past, US-based Boeing won the tender for attack and heavy left copters beating the Russian MI-28 and MI-26, respectively, Dassault Aviation from France bagged $11 billion (about Rs 55,000 crore) deal for 126 fighter jets, leaving Russian MiG-35 and four others out.

"We provide India with the cheapest and most substantial options and we are open to technology transfers with you unlike most other Western countries," said Komardin.

Komardin was referring to the Indian deals with US defense companies.

He, however, declined to answer the reason behind the Russian companies failing to some clinch key deals in the recent times.

"You (Indian media) often give us bad publicity and don't highlight us as your country's most important strategic partner," he said adding, "My criticism is not towards the Government of India but the media."

In 2012, Russia finalised over $3.5 billion new arms export agreements with India, which includes the purchase of 71 Mi-17B-5 Hip helicopters and the delivery of assembly kits for 42 Su-30MKI Flanker fighters, while the current portfolio of Indian contracts is worth more than $7 billion.

Rosoboronexport ships at least $3 billion worth of weapons and material annually under the contracts that have already been signed with the Indian state clients, Komardin said.

"We are also talking over plans to upgrade India's fleet of Ka-28 anti-submarine helicopters and Su-30MKIs, and to supply a batch of Mi-17V-5 to the Indian interior ministry," he said.

At the Aero India 2013, Rosoboronexport will present the Yak-130 combat trainer, II-78MK-90 tanker, latst II-76MD-90A military transport aircraft, Be-200 multipurpose amphibian, Mi-35M, Mi26T2, Ka 31 and Ka 226T helicopters and other samples of Russian aircraft industry like training aids and airborne weapons.

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Japan may release data proving Chinese radar incident: media


TOKYO (Reuters) - Japan may release data it says will prove a Chinese naval vessel directed its fire control radar at a Japanese destroyer near disputed islands in the East China Sea, local media reported.


Japan has said a Chinese frigate on January 30 locked its targeting radar on a Japanese destroyer - a step that usually precedes the firing of weapons - but China insists that its vessel used only ordinary surveillance radar.


The incident has added to tensions between the two nations over the disputed islands.


Japan will consider how much normally classified data it can release, the media reports said, citing comments by Japan Defence Minister Itsunori Onodera on local television.


"The government is considering the extent of what can be disclosed," Kyodo news agency quoted Onodera as saying.


China has accused Japan of smearing its name with the accusations, and on Saturday, the official Xinhua news agency continued the war of words.


"By spreading false accusations and posing as a poor victim, Japan had intended to tarnish China's image so as to gain sympathy and support, but a lie does not help," it said in an English language commentary.


"China has been exercising maximum restraint and stayed committed to solving the dispute through dialogue and consultation."


Japan and China have been involved in a series of incidents in recent months in the East China Sea where Chinese and Japanese naval vessels regularly shadow each others movements.


Both countries claim a small clusters of islands, known as Diaoyu in China and Senkaku in Japan, believed to be rich in oil and gas. Controlled by Japan, possession of the uninhabited outcrops and the sea surrounding them would provide China with easier access to the Pacific.


Hopes had been rising for an easing in tensions, including a possible summit between Japanese Prime Minister Shinzo Abe and Chinese Communist Party chief Xi Jinping. But the radar issue has seen China and Japan engage in a fresh round of invective.


China's Defence Ministry on Thursday said Japan's complaints did not "match the facts". The Chinese ship's radar, it said, had maintained regular alerting and surveillance operations and the ship "did not use fire control radar".


Japan's position against China has hardened since Abe led his conservative party to a landslide election victory in December, promising to beef up the military and stand tough in territorial disputes.


The commander of U.S. forces in the Asia-Pacific said the squabble between Japan and China underlined the need for rules to prevent such incidents turning into serious conflict.


China also has ongoing territorial disputes with other Asian nations including Vietnam and the Philippines over islands in the South China Sea.


(Reporting by Tim Kelly; Additional reporting by Ben Blanchard in BEIJING; Editing by Michael Perry)



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Guided tours on Istana Open House days






SINGAPORE: For the first time, a guided tour will be held at the Istana to promote a deeper understanding of the national monument - a collaboration between the Preservation of Monuments Board and the Istana of Singapore.

The first tour will be offered on Monday at the Istana's Lunar New Year Open House.

Whether it's a painting inspired by a tropical plantation or a decorated ceiling, there's a human interest story behind each art piece.

President Tony Tan Keng Yam said: "People come here but they don't really understand the significance of the building and some of the artefacts and paintings until somebody explains it to you. Just like myself, I come here everyday and I pass all these things and it doesn't register until you know what are the details."

But now you can get the chance to hear the stories behind the 144-year-old national monument through a guided tour.

The 45-minute tour, led by a team of volunteers, will take visitors through Singapore during the colonial days to the tumultuous years towards independence.

One of the art pieces that stood out for President Tony Tan was a Balinese painting which has multiple stories playing out simultaneously within the picture.

So one can expect to see iconic structures and buildings of Singapore's landscape which include the Merlion, Changi Airport and the Singapore River.

Visitors can also expect to hear stories of individuals involved in the daily management in each of the three stately rooms.

A banquet hall that used to be the kitchen underwent renovation to now host State banquets held in honour of visiting heads of states and governments. The centrepiece of the room is a chandelier weighing 220 kilogrammes.

The tour will be offered on all Istana Open House days from 9:30am to 4:30pm.

Ticket fees for the guided tour are at S$2 for children between the ages of 4 and 12, S$4 for Singapore citizens and Permanent Residents, and S$10 for foreigners.

All proceeds collected from the tours will be donated to the Community Chest.
Tickets can be bought at the site itself.

- CNA/ck



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Afzal Guru hanged: 8 injured in Kashmir during protests

SRINAGAR: At least eight people were injured, two seriously, as violence erupted in the Kashmir Valley on Saturday against Afzal Guru's hanging.

A group of protesters started marching in north Kashmir's Doabgah village near Sopore town, the ancestral village of Afzal Guru, after they got news of his hanging.

Police sources said the protesters defied the curfew and attacked security forces with stones.

The security forces used batons and tear gas to quell the protests. Warning shots were fired in the air.

In another incident, three protesters sustained injuries in Baramullah in clashes with security forces.

Doctors in a Baramullah hospital told the media that two cases were referred to Srinagar.

The Hurriyat has called for four days of mourning.

It called the hanging a "political killing which has nothing to do with the legal system of India".

"Afzal's hanging has more to do with forthcoming elections than any legal process which he faced," its statement said.

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After early start, worst of flu season may be over


NEW YORK (AP) — The worst of the flu season appears to be over.


The number of states reporting intense or widespread illnesses dropped again last week, and in a few states there was very little flu going around, U.S. health officials said Friday.


The season started earlier than normal, first in the Southeast and then spreading. But now, by some measures, flu activity has been ebbing for at least four weeks in much of the country. Flu and pneumonia deaths also dropped the last two weeks, the Centers for Disease Control and Prevention reported.


"It's likely that the worst of the current flu season is over," CDC spokesman Tom Skinner said.


But flu is hard to predict, he and others stressed, and there have been spikes late in the season in the past.


For now, states like Georgia and New York — where doctor's offices were jammed a few weeks ago — are reporting low flu activity. The hot spots are now the West Coast and the Southwest.


Among the places that have seen a drop: Lehigh Valley Hospital-Cedar Crest in Allentown, Pa., which put up a tent outside its emergency room last month to help deal with the steady stream of patients. There were about 100 patients each day back then. Now it's down to 25 and the hospital may pack up its tent next week, said Terry Burger, director of infection control and prevention for the hospital.


"There's no question that we're seeing a decline," she said.


In early December, CDC officials announced flu season had arrived, a month earlier than usual. They were worried, saying it had been nine years since a winter flu season started like this one. That was 2003-04 — one of the deadliest seasons in the past 35 years, with more than 48,000 deaths.


Like this year, the major flu strain was one that tends to make people sicker, especially the elderly, who are most vulnerable to flu and its complications


But back then, that year's flu vaccine wasn't made to protect against that bug, and fewer people got flu shots. The vaccine is reformulated almost every year, and the CDC has said this year's vaccine is a good match to the types that are circulating. A preliminary CDC study showed it is about 60 percent effective, which is close to the average.


So far, the season has been labeled moderately severe.


Like others, Lehigh Valley's Burger was cautious about making predictions. "I'm not certain we're completely out of the woods," with more wintry weather ahead and people likely to be packed indoors where flu can spread around, she said.


The government does not keep a running tally of flu-related deaths in adults, but has received reports of 59 deaths in children. The most — nine — were in Texas, where flu activity was still high last week. Roughly 100 children die in an average flu season, the CDC says


On average, about 24,000 Americans die each flu season, according to the CDC.


According to the CDC report, the number of states with intense activity is down to 19, from 24 the previous week, and flu is widespread in 38 states, down from 42.


Flu is now minimal in Florida, Kentucky, Maine, Montana, New Hampshire and South Carolina.


___


Online:


CDC: http://www.cdc.gov/flu/


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Blizzard Drops 2 Feet of Snow on Northeast













A behemoth storm packing hurricane-force wind gusts and blizzard conditions swept through the Northeast on Saturday, dumping more than 2 feet of snow on New England and knocking out power to 650,000 homes and businesses.



More than 28 inches of snow had fallen on central Connecticut by early Saturday, and areas of southeastern Massachusetts, Rhode Island and New Hampshire notched 2 feet or more of snow — with more falling. Airlines scratched more than 5,300 flights through Saturday, and New York City's three major airports and Boston's Logan Airport closed.



The wind-whipped snowstorm mercifully arrived at the start of a weekend, which meant fewer cars on the road and extra time for sanitation crews to clear the mess before commuters in the New York-to-Boston region of roughly 25 million people have to go back to work. But it also could mean a weekend cooped up indoors.



For a group of stranded European business travelers, it meant making the best of downtime in a hotel restaurant Friday night in downtown Boston, where snow blew outside and drifted several inches deep on the sidewalks.



The six Santander bank employees found their flights back to Spain canceled, and they gave up on seeing the city or having dinner out.






AP Photo/Standard Times, Peter Pereira











Blizzard 2013: Boston Families Brace for Extreme Weather Watch Video








"We are not believing it," said Tommaso Memeghini, 29, an Italian who lives in Barcelona. "We were told it may be the biggest snowstorm in the last 20 years."



The National Weather Service says up to 3 feet of snow is expected in Boston, threatening the city's 2003 record of 27.6 inches. A wind gust of 76 mph was recorded at Logan Airport.



In heavily Catholic Boston, the archdiocese urged parishioners to be prudent about attending Sunday Mass and reminded them that, under church law, the obligation "does not apply when there is grave difficulty in fulfilling this obligation."



Halfway through what had been a mild winter across the Northeast, blizzard warnings were posted from parts of New Jersey to Maine. The National Weather Service said Boston could get close to 3 feet of snow by Saturday evening, while most of Rhode Island could receive more than 2 feet, most of it falling overnight Friday into Saturday. Connecticut was bracing for 2 feet, and New York City was expecting as much as 14 inches.



Early snowfall was blamed for a 19-car pileup in Cumberland, Maine, that caused minor injuries. In New York, hundreds of cars began getting stuck on the Long Island Expressway on Friday afternoon at the beginning of the snowstorm and dozens of motorists remained disabled early Saturday as police worked to free them.



About 650,000 customers in the Northeast lost power during the height of the snowstorm, most of them in Massachusetts and Rhode Island. The Pilgrim Nuclear Power Plant in Plymouth, Mass., lost electricity and shut down Friday night during the storm. Authorities say there's no threat to public safety.



At least four deaths were being blamed on the storm, three in Canada and one in New York. In southern Ontario, an 80-year-old woman collapsed while shoveling her driveway and two men were killed in car crashes. In New York, a 74-year-old man died after being struck by a car in Poughkeepsie; the driver said she lost control in the snowy conditions, police said.





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