Morsi Urged to Retract Edict to Bypass Judges in Egypt

Tara Todras-Whitehill for The New York Times

Protesters lit flares and denounced the edict of President Mohamed Morsi during clashes with riot police officers in front of the high court building in Cairo on Saturday. More Photos »

CAIRO — Egyptian judges rebelled Saturday against an edict by President Mohamed Morsi exempting his decrees from judicial review, denouncing it as an attack on judicial independence and calling for a judges’ strike.

The condemnation came from an array of organizations. The Supreme Council of the Judiciary, a top judicial body, called the decree “an unprecedented attack on judicial independence” and urged the president to rescind it. A major association of judges, the Judges Club, called for a strike by courts across Egypt. The leader of the national lawyers’ association endorsed the strike call.

A judicial strike would be the steepest escalation yet in a political struggle between the country’s new Islamist leaders and the institutions of the old authoritarian government over the drafting of a new constitution. Those tensions have flared since Mr. Morsi announced his decree on Thursday, saying he acted to prevent the courts from dissolving the Constitutional Assembly, as they had dissolved an earlier assembly and the Parliament.

He said his expanded powers, which he announced a day after he won international praise for brokering a cease-fire in Gaza, would last only until the new constitution was ratified.

The judges, all of whom were appointed by Egypt’s ousted strongman, Hosni Mubarak, joined political leaders in opposing the decree. Because the court dissolved the Parliament, the judiciary was the last check on his power, and critics called the decree a step toward autocracy.

State news media reported that judges and prosecutors had already declared a strike in Alexandria, and there were other news reports of planned walkouts in Qulubiya and Beheira, but those could not be confirmed.

There were small street protests outside the court building where the judges met. And a coalition of disparate opposition leaders, including the former United Nations diplomat Mohamed ElBaradei and three other former Egyptian presidential candidates, demanded the cancellation of the decree.

The strike call by the Judges Club, which has been led in recent years by a clique loyal to Mr. Mubarak and opposed to the Islamists, followed a vote at a more representative assembly of about 1,000 of the club’s members. They urged courts to suspend all activities except those vital to citizens, and it was unclear how individual courts might respond.

As the Judges Club met in the High Court building, the small crowd of protesters outside chanted that Egypt’s judges were “a red line.” When another group armed with the flares favored by hard-core soccer fans tried to force their way into the building, the police fired tear gas.

Inside, the Mubarak-appointed chief prosecutor, Abdel Meguid Mahmoud, declared to a crowd of cheering judges that he rejected Mr. Morsi’s attempt to fire him. He called the presidential decree “null and void” and warned of a “systematic campaign against the country’s institutions in general and the judiciary in particular.” Judges in the meeting chanted for the “fall of the regime,” reprising the signature rallying cry of the revolt last year against Mr. Mubarak, but this time against Mr. Morsi.

Khaled Ali, a human rights lawyer, said he had filed one of several lawsuits asking the courts to attempt to overturn Mr. Morsi’s decree.

The coalition of opposition leaders, calling their group the National Salvation Front, declared that it would not negotiate with Mr. Morsi about resolving the crisis until he withdrew his decree. “We will not enter into a dialogue about anything while this constitutional declaration remains intact and in force,” said Amr Moussa, one of the leaders and Mr. Mubarak’s former foreign minister. “We demand that it be withdrawn, and then we can talk.”

What set off the battle was the year-end deadline for the Constitutional Assembly chosen last spring to draft a new constitution. There have been rumors that the Supreme Constitutional Court was poised to dissolve the assembly in a ruling next Sunday. Top courts had already dissolved both an earlier Constitutional Assembly and the Parliament. All three bodies were dominated by Islamists, who have prevailed in elections, and many of the top judges harbor deep fears of an Islamist takeover.

Kareem Fahim, Nevine Ramzy and Mai Ayyad contributed reporting.

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AP PHOTOS: Simple surgery heals blind Indonesians

PADANG SIDEMPUAN, Indonesia (AP) — They came from the remotest parts of Indonesia, taking crowded overnight ferries and riding for hours in cars or buses — all in the hope that a simple, and free, surgical procedure would restore their eyesight.

Many patients were elderly and needed help to reach two hospitals in Sumatra where mass eye camps were held earlier this month by Nepalese surgeon Dr. Sanduk Ruit. During eight days, more than 1,400 cataracts were removed.

The patients camped out, sleeping side-by-side on military cots, eating donated food while fire trucks supplied water for showers and toilets. Many who had given up hope of seeing again left smiling after their bandages were removed.

"I've been blind for three years, and it's really bad," said Arlita Tobing, 65, whose sight was restored after the surgery. "I worked on someone's farm, but I couldn't work anymore."

Indonesia has one of the highest rates of blindness in the world, making it a target country for Ruit who travels throughout the developing world holding free mass eye camps while training doctors to perform the simple, stitch-free procedure he pioneered. He often visits hard-to-reach remote areas where health care is scarce and patients are poor. He believes that by teaching doctors how to perform his method of cataract removal, the rate of blindness can be reduced worldwide.

Cataracts are the leading cause of blindness globally, affecting about 20 million people who mostly live in poor countries, according to the World Health Organization.

"We get only one life, and that life is very short. I am blessed by God to have this opportunity," said Ruit, who runs the Tilganga Eye Center in Katmandu, Nepal. "The most important of that is training, taking the idea to other people."

During the recent camps, Ruit trained six doctors from Indonesia, Thailand and Singapore.

Here, in images, are scenes from the mobile eye camps:

Read More..

L.A.'s revamped teacher evaluation system getting mixed grades

Third-grade teacher Kelly Vallianos wanted to find an engaging way for her students to learn about measuring perimeters. One idea — to have students design a restaurant floor plan — was too difficult, she feared.

But with the help of colleagues, she found a way to tailor that fifth-grade idea to her younger students at Dominguez Elementary School, who excitedly sketched out an imaginary pizzeria.

Vallianos credits the Los Angeles Unified School District's new teacher evaluation system for sparking deeper and more collaborative conversations with administrators, who she said gave her ideas to make the lesson work.

The district's new performance reviews have come under fire by United Teachers Los Angeles, which opposes the controversial element of using student test scores as one factor in measuring teacher effectiveness.

But largely lost in the debate is the fact that the system's centerpiece is a new classroom observation process that, despite some drawbacks, is being praised by many as a better way to help teachers improve.

"It's a more reflective, much more well-rounded process," said Vallianos, who has been teaching for 19 years.

Teachers are ranked on a scale on instruction, lesson plans, classroom environment and dozens of other criteria. A highly effective teacher, for instance, will be able to intellectually engage all students and prompt them to lead their own discussion topics. An ineffective teacher will generate all questions and most answers, involving just a handful of students.

During observations, administrators type notes into their laptops and later rate each of 61 skills. Principals and other administrators conducting the observations must pass a test to ensure they are fairly and accurately scoring instructors. Conferences with teachers before and after the classroom visits are required.

The method is meant to make observations more useful, uniform and objective, using evidence rather than opinions. But it's an elaborate process and has provoked widespread criticism that it takes too long for principals who are already overwhelmed with increasing workloads. And those who can't type well take even longer, administrators say.

"The technology is creating great difficulty and frustration," said Judith Perez, president of the Associated Administrators of Los Angeles. "It feels like an immense amount of pressure on people without alleviating their workload."

Teachers union President Warren Fletcher agrees that a better system is needed; UTLA has designed its own. He said "the jury is still out" on the district's observation process but added that it shares some common elements with the union's proposal.

The new system also includes evidence of student achievement — which could be in the form of test scores — feedback from students and parents, and the teacher's contributions to the school community.

The new observations were tested last year on a voluntary basis with about 450 teachers and 320 administrators; this year, every principal and one volunteer teacher at each of the district's 1,200 schools are expected to be trained.

Officials have not yet announced when the system will be used for every teacher — or when the ratings will begin to count for decisions on layoffs, tenure or pay. But in a video shown at the training sessions, L.A. Supt. John Deasy made the stakes clear.

"We have perhaps no greater responsibility than assuring that every student in this district is taught by an effective teacher in a school led by an effective leader," he said.

Many educators agree that the current evaluation system — known as Stull for the state law that created it — doesn't promote that goal of top-notch teachers for every student. Criticized as a perfunctory checklist of expectations that doesn't help teachers improve, the system awarded 99.3% of L.A. Unified teachers the highest rating in 2009-10 — even though only 45% of district students that year performed at grade level for reading and 56% were proficient in math.

The new system has given teachers like Lisa Thorne a boost. Thorne, a math teacher at Hamilton High School, said the new process is "unwieldy" but far more helpful in homing in on her strengths and weaknesses.

After the self-evaluation part of the process, Thorne chose to focus on improving her work with small groups of students, prompting her to try such techniques as using a three-dimensional pegboard to teach geometry. And she started a new computer-based class to help struggling ninth-graders master algebra. Administrators had seen her use the techniques with older students during a class visit and were impressed enough to give her the green light, she said.

"I would definitely say the new system is an improvement, because it's more specific about what they're looking for," Thorne said. "It helps to get the conversation going with administrators."

Eduardo Solorzano, principal of San Fernando Middle School, agrees. In particular, he said, the focus on careful note-taking has given him specific examples to use in helping teachers improve.

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Protests Erupt After Egypt’s Leader Seizes New Power

CAIRO — Protests erupted across Egypt on Friday, as opponents of President Mohamed Morsi clashed with his supporters over a presidential edict that gave him unchecked authority and polarized an already divided nation while raising a specter, the president’s critics charged, of a return to autocracy.  

Maya Alleruzzo/Associated Press

Egyptian protesters chanted antigovernment slogans and waved a national flag in Tahrir Square on Friday.

In an echo of the uprising 22 months ago, thousands of protesters chanted for the downfall of Mr. Morsi’s government in Cairo, while others ransacked the offices of the president’s former party in Suez, Alexandria and other cities.

Mr. Morsi spoke to his supporters in front of the presidential palace here, imploring the public to trust his intentions as he cast himself as a protector of the revolution and a fledgling democracy.

In a speech that was by turns defensive and conciliatory, he ultimately gave no ground to the critics who now were describing him as a pharaoh, in another echo of the insult once reserved for the deposed president, Hosni Mubarak.

“God’s will and elections made me the captain of this ship,” Mr. Morsi said.

The battles that raged on Friday — over power, legitimacy and the mantle of the revolution — posed a sharp challenge not only to Mr. Morsi but also to his opponents, members of secular, leftist and liberal groups whose crippling divisions have stifled their agenda and left them unable to confront the more popular Islamist movement led by the Muslim Brotherhood.

The crisis over his power grab came just days after the Islamist leader won international praise for his pragmatism, including from the United States, for brokering a cease-fire between Hamas and Israel.

On Friday, the State Department expressed muted concern over Mr. Morsi’s decision. “One of the aspirations of the revolution was to ensure that power would not be overly concentrated in the hands of any one person or institution,” said the State Department spokeswoman, Victoria Nuland.

She said, “The current constitutional vacuum in Egypt can only be resolved by the adoption of a constitution that includes checks and balances, and respects fundamental freedoms, individual rights and the rule of law consistent with Egypt’s international commitments.”

But the White House was notably silent after it had earlier this week extolled the emerging relationship between President Obama and Mr. Morsi and credited a series of telephone calls between the two men with helping to mediate the cease-fire in Gaza.

For Mr. Morsi, who seemed to be saying to the nation that it needed to surrender the last checks on his power in order to save democracy from Mubarak-era judges, the challenge was to convince Egyptians that the ends justified his means.

But even as he tried, thousands of protesters marched to condemn his decision. Clashes broke out between the president’s supporters and his critics, and near Tahrir Square, the riot police fired tear gas and bird shot as protesters hurled stones and set fires.

Since Thursday, when Mr. Morsi issued the decree, the president and his supporters have argued that he acted precisely to gain the power to address the complaints of his critics, including the families of protesters killed during the uprising and its aftermath.

By placing his decisions above judicial review, the decree enabled him to replace a public prosecutor who had failed to win convictions against senior officers implicated in the killings of protesters.

The president and his supporters also argued that the decree insulated the Constituent Assembly, which is drafting the constitution, from meddling by Mubarak-era judges.

Since Mr. Mubarak’s ouster, courts have dissolved Parliament, kept a Mubarak loyalist as top prosecutor and disbanded the first Assembly.

But by ending legal appeals, the decree also removed a safety valve for critics who say the Islamist majority is dominating the drafting of the constitution.

Mayy El Sheikh contributed reporting from Cairo, and Helene Cooper from Washington.

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What Made Jessica Biel Want to Steal a Girdle?

Stylewatch
Style News Now

11/21/2012 at 11:00 AM ET

Suzanne Tenner

Her wedding gown was dreamy, pink and modern, but while filming Hitchcock, Jessica Biel found herself taken with her character’s muted — and binding — mid-century costumes.

“I would have stolen that girdle, and pretty much everything that I could have,” the actress joked to PEOPLE at the film’s Los Angeles premiere on Tuesday. “But I literally think that they would have hunted me down.”

In fact, while many actors are free to keep a memento from the project that they have worked on, Biel quickly got the sense that playing Vera Miles would be a labor of love steeped in authenticity — without the benefit of a fashion souvenir.

“Those costumes came from an amazing old costume house, and I really don’t know how many women wore the same costumes [on prior films],” Biel explained. “They have so much history, and they were not allowed to be taken away, so I didn’t actually take anything.”

That’s not to say that the stunning newlywed walked away completely empty-handed; Biel admitted that the experience, while sometimes uncomfortable, altered the way in which she views both fashion and femininity.

“I think every time that I step back into that period and really explore those beautiful, feminine shapes, especially where it’s all about the waist, I try to take that and bring that into my personal fashion and life,” she shared. “I try to do a little bit more of the feminine thing.” Tell us: Do you plan to see Hitchcock?

–Reagan Alexander

PHOTOS: SEE STARS ON SET IN ‘LIGHTS! CAMERA! FASHION!’

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AP PHOTOS: Simple surgery heals blind Indonesians

PADANG SIDEMPUAN, Indonesia (AP) — They came from the remotest parts of Indonesia, taking crowded overnight ferries and riding for hours in cars or buses — all in the hope that a simple, and free, surgical procedure would restore their eyesight.

Many patients were elderly and needed help to reach two hospitals in Sumatra where mass eye camps were held earlier this month by Nepalese surgeon Dr. Sanduk Ruit. During eight days, more than 1,400 cataracts were removed.

The patients camped out, sleeping side-by-side on military cots, eating donated food while fire trucks supplied water for showers and toilets. Many who had given up hope of seeing again left smiling after their bandages were removed.

"I've been blind for three years, and it's really bad," said Arlita Tobing, 65, whose sight was restored after the surgery. "I worked on someone's farm, but I couldn't work anymore."

Indonesia has one of the highest rates of blindness in the world, making it a target country for Ruit who travels throughout the developing world holding free mass eye camps while training doctors to perform the simple, stitch-free procedure he pioneered. He often visits hard-to-reach remote areas where health care is scarce and patients are poor. He believes that by teaching doctors how to perform his method of cataract removal, the rate of blindness can be reduced worldwide.

Cataracts are the leading cause of blindness globally, affecting about 20 million people who mostly live in poor countries, according to the World Health Organization.

"We get only one life, and that life is very short. I am blessed by God to have this opportunity," said Ruit, who runs the Tilganga Eye Center in Katmandu, Nepal. "The most important of that is training, taking the idea to other people."

During the recent camps, Ruit trained six doctors from Indonesia, Thailand and Singapore.

Here, in images, are scenes from the mobile eye camps:

Read More..

Low-income students get crash course in college preparation

For Sylmar High School senior Thalia Linares, college feels like a long shot.

It's not a lack of motivation that worries her. It's the money and her immigration status.

Linares emigrated from Michoacán, Mexico, when she was 3. Now she's concerned not only that colleges won't accept her because she's undocumented, but that she won't be able to afford the tuition if they do.

So on a recent Friday evening, she skipped going to Venice High School to watch her school's football team in the first round of playoffs and instead attended a five-hour crash course in college preparation.

She and dozens of other Sylmar students, graduates and volunteers packed a classroom for the event hosted by College Summit, a national nonprofit dedicated to increasing the number of low-income students who go to college.

Linares' dark eyes darted frantically between a printed copy of her transcript and the partially completed Cal State Northridge application open on a laptop. It was due in exactly three weeks.

Linares let out a long sigh and caught the eye of 20-year-old Maria Gonzalez, a former College Summit peer mentor who now studies liberal arts at Los Angeles Mission College and helps out with these events.

The senior nodded politely as the friendly stranger talked about application due dates and class requirements. Then Gonzalez said something that grabbed Linares' attention: She, too, had moved from Mexico as a child and was undocumented.

Linares asked Gonzalez if she ever feared she couldn't afford school without access to funding reserved for citizens. "Of course," Gonzalez responded. "But there are so many scholarships out there. If you give me your email address, I'll email you every scholarship I ever applied to."

A smile spread across Linares' face.

For former College Summit peer leaders like Gonzalez and UC Santa Barbara student Alberto Perez, who got his shift covered at work and made the trek down to his alma mater for the event, giving back to this program is a no-brainer.

Each summer a handful of students from Sylmar and 11 other L.A. Unified schools who are considered "better than their numbers" — a reference to their test scores and grades — attend a weekend-long College Summit boot camp at a nearby university. They then return to their campuses as peer mentors and share what they learned with fellow students.

Perez said the days he spent at the University of Redlands in 2010 didn't just hone his focus on college, they changed his life.

During the process of writing his personal statement — each student gets assigned a writing coach at camp — he shared something he'd kept bottled up since childhood: the anger and confusion tied to losing four family members to cancer.

"Once I opened up on this, I figured I could open up about anything," Perez said.

He also credits much of his success to his former College Summit advisor, Laurie Kornblau, who hosted the recent event in her classroom.

Ms. K., as she is known, clad in blue camouflage shorts and a College Summit T-shirt, greeted her former student with a hug and a laugh at how much he'd changed. The once cripplingly shy junior had shown up wearing a sweater adorned with his fraternity's Greek letters.

Kornblau, who calls the peer mentors "dudes" or gives them such nicknames as Bristol, Shenaynay and Loco, teaches both English and courses related to college acceptance.

She said her students have the ability and the desire to become good college students.

"They're all bright and beautiful and should be doing something," she said. "The system's told them they don't deserve it, and the system is wrong."

Between 70% and 80% of the students who take her College Summit class go on to a post-secondary school, Kornblau said, adding proudly that her students fare better than the average Los Angeles Unified School District student. In the 2008-09 school year — the one for which the most up-to-date data are available on the state's Department of Education website — 63% of L.A. Unified graduates enrolled at a post-secondary institution.

Back in Classroom 33, decorated with college pennants and a sign that reads, "I'm going to college," Gonzalez pulled on her coat.

Before she headed out, she rested her hand on Linares' shoulder.

"Email me if you need anything," Gonzalez said.

Linares nodded.

"Promise?" Gonzalez asked.

Linares smiled and said yes.

marisa.gerber@latimes.com

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With Cease-Fire Joy in Gaza, Palestinian Factions Revive Unity Pledges

GAZA — Palestinians erupted in triumphant celebrations here on Thursday, vowing new unity among rival factions and a renewed commitment to the tactic of resistance, while Israel’s leaders sought to soberly sell the achievements of their latest military operation to a domestic audience long skeptical of cease-fire deals like the one announced the night before.

After eight days of intense Israeli shelling from air and sea that killed 162 Gazans, including at least 30 militant commanders, and flattened many government buildings and private homes, people poured onto the bomb-blasted streets, beaming as they shopped and strolled under the shield of the cease-fire agreement reached Wednesday in Cairo. The place was awash in flags, not only the signature green of the ruling Hamas party but also the yellow, black and red of rivals Fatah, Islamic Jihad and the Popular Front for the Liberation of Palestine, a rainbow not visible here in years.

Despite the death and destruction, Hamas emerged emboldened, analysts said, not only because it had landed rockets near Tel Aviv and Jerusalem, but also from the unprecedented visits and support by Arab and Muslim leaders, potentially resetting the balance of power and tone in Palestinian politics, as leaders from various factions declared the peace process dead.

“The blood of Jabari united the people of the nation on the choice of jihad and resistance,” Ismail Haniya, the Hamas prime minister, declared in a televised speech, referring to the commander Ahmed al-Jabari, killed in an Israeli airstrike at the beginning of the operation last week. “Resistance is the shortest way to liberate Palestine.”

There were neither celebrations nor significant protests across the border in Israel, where people in southern cities passed the first day in more than a week without constant sirens signaling incoming rockets sending them to safe rooms. Instead, an uneasy, even grim calm set in. The military announced that an officer, Lt. Boris Yarmulnik, 28, had died from wounds sustained in a rocket attack the day before, bringing the death toll on the Israeli side to six, four of them civilians. The Israeli authorities announced several arrests, including of an Arab Israeli citizen, in a bus bombing in Tel Aviv on Wednesday that revived memories of the violence from the last Palestinian uprising.

But there was collective relief in Israel as thousands of army reservists, sent to the Gaza border ahead of a possible ground invasion, gradually began returning home. With national elections eight weeks away, Israeli politicians tried to showcase accomplishments without raising expectations.

“It could last nine months or it could last nine weeks,” Defense Minister Ehud Barak said of the cease-fire. “When it does not last, we will know what to do. We see clearheadedly the possibility that we will have to do this again.”

And so it went on the day after the latest round in the decades-old Israeli-Palestinian conflict. What was widely heralded as a game changer by Palestinian politicians and independent analysts alike was viewed by Israeli officials and commentators as a maintenance mission that had succeeded in its stated goals: restoring quiet after months of intensifying rocket fire, and culling the weapons cache of Gaza’s armed groups.

Details of the cease-fire agreement announced Wednesday by Secretary of State Hillary Rodham Clinton and the Egyptian foreign minister remained unclear. Both sides pledged to stop the violence, and Palestinians say Israel will loosen its restrictions on fishing off Gaza’s Mediterranean coastline and farming along its northern and eastern borders. But the critical question of whether the border crossings would be open wide for people and commerce was not fully addressed, with only a vague promise that discussions would ensue after 24 hours. The exact agenda, time, location and even participants in these discussions have not been announced.

At the same time, Mustafa Barghouti, a West Bank leader who has spent the past several days in Gaza, said the Palestinian factions had agreed to meet in Cairo for another round of unity talks in the next few days, as President Mahmoud Abbas of the Palestinian Authority prepares to take his case for observer-state status to the United Nations next week. Though Hamas and Fatah, the party Mr. Abbas leads, have signed four reconciliation agreements in the five years since Hamas took control of Gaza after winning elections here, Mr. Barghouti said this time was different.

“Hamas is stronger, of course, and Abbas is having to change his line because negotiations failed,” he said after appearing with Mr. Haniya at a rally. “This time Israel felt the heat of the Arab Spring, and Gaza was not isolated; the whole Arab world was here. The road is open for unity.”

First, though, Hamas faces an enormous rebuilding effort, with at least 10 of its government buildings — including the ministries of culture, education and interior; the prime minister’s headquarters; and police stations — now reduced to rubble littered with payroll sheets and property tax rolls. A spokesman said that the government kept most records on laptops, but the Abu Khadra, a huge complex of constituent services, is gone.

Dr. Hassan Khalaf, director of Al Shifa Hospital, which was not attacked, dismissed the worry. “We can gather under the sky under a tent,” he said. “They can come to my house.”

In Jerusalem, Dan Meridor, a senior minister of intelligence and atomic energy, told reporters that Israel had “used force in a very moderate and measured way.” He said the military had struck 10 times the number of targets compared with the previous government’s invasion of Gaza four years ago but killed far fewer people than during that invasion: slightly over 10 percent. One of the main military achievements, he said, was the destruction of most of the long-range Iranian Fajr-5 missiles in Gaza.

Jodi Rudoren reported from Gaza, and Isabel Kershner from Jerusalem. Fares Akram contributed reporting from Gaza, and Tamir Elterman from Sderot, Israel.

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Jake Owen Welcomes a Daughter

Mom & Babies
Celebrity Baby Blog

11/22/2012 at 08:30 PM ET

Courtesy Jake Owen

It’s a Thanksgiving baby!

Jake Owen and his wife Lacey welcomed their first child, daughter Olive Pearl Owen, on Thursday, Nov. 22 in Nashville, Tenn., his rep confirms to PEOPLE.

Pearl, as she will be called after Owen’s late godmother, weighed in at 6 lbs., 3 oz. and is 19½ inches long.

“Lacey and I are so excited to start our own family,” Owen, 31, tells PEOPLE. “We are looking forward to teaching Pearl everything we learned from our parents and also learning from her.”

Sharing a photo of his newborn daughter on Twitter, the musician wrote, “Today is the greatest day of my life. Turkey baby!!! Happy Thanksgiving.”

It’s been a whirlwind year for Owen and his wife, 22. After getting engaged on stage in April, the couple wed on the beach in May and announced the pregnancy in July.

– Sarah Michaud with reporting by Julie Dam

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Study finds mammograms lead to unneeded treatment

Mammograms have done surprisingly little to catch deadly breast cancers before they spread, a big U.S. study finds. At the same time, more than a million women have been treated for cancers that never would have threatened their lives, researchers estimate.

Up to one-third of breast cancers, or 50,000 to 70,000 cases a year, don't need treatment, the study suggests.

It's the most detailed look yet at overtreatment of breast cancer, and it adds fresh evidence that screening is not as helpful as many women believe. Mammograms are still worthwhile, because they do catch some deadly cancers and save lives, doctors stress. And some of them disagree with conclusions the new study reached.

But it spotlights a reality that is tough for many Americans to accept: Some abnormalities that doctors call "cancer" are not a health threat or truly malignant. There is no good way to tell which ones are, so many women wind up getting treatments like surgery and chemotherapy that they don't really need.

Men have heard a similar message about PSA tests to screen for slow-growing prostate cancer, but it's relatively new to the debate over breast cancer screening.

"We're coming to learn that some cancers — many cancers, depending on the organ — weren't destined to cause death," said Dr. Barnett Kramer, a National Cancer Institute screening expert. However, "once a woman is diagnosed, it's hard to say treatment is not necessary."

He had no role in the study, which was led by Dr. H. Gilbert Welch of Dartmouth Medical School and Dr. Archie Bleyer of St. Charles Health System and Oregon Health & Science University. Results are in Thursday's New England Journal of Medicine.

Breast cancer is the leading type of cancer and cause of cancer deaths in women worldwide. Nearly 1.4 million new cases are diagnosed each year. Other countries screen less aggressively than the U.S. does. In Britain, for example, mammograms are usually offered only every three years and a recent review there found similar signs of overtreatment.

The dogma has been that screening finds cancer early, when it's most curable. But screening is only worthwhile if it finds cancers destined to cause death, and if treating them early improves survival versus treating when or if they cause symptoms.

Mammograms also are an imperfect screening tool — they often give false alarms, spurring biopsies and other tests that ultimately show no cancer was present. The new study looks at a different risk: Overdiagnosis, or finding cancer that is present but does not need treatment.

Researchers used federal surveys on mammography and cancer registry statistics from 1976 through 2008 to track how many cancers were found early, while still confined to the breast, versus later, when they had spread to lymph nodes or more widely.

The scientists assumed that the actual amount of disease — how many true cases exist — did not change or grew only a little during those three decades. Yet they found a big difference in the number and stage of cases discovered over time, as mammograms came into wide use.

Mammograms more than doubled the number of early-stage cancers detected — from 112 to 234 cases per 100,000 women. But late-stage cancers dropped just 8 percent, from 102 to 94 cases per 100,000 women.

The imbalance suggests a lot of overdiagnosis from mammograms, which now account for 60 percent of cases that are found, Bleyer said. If screening were working, there should be one less patient diagnosed with late-stage cancer for every additional patient whose cancer was found at an earlier stage, he explained.

"Instead, we're diagnosing a lot of something else — not cancer" in that early stage, Bleyer said. "And the worst cancer is still going on, just like it always was."

Researchers also looked at death rates for breast cancer, which declined 28 percent during that time in women 40 and older — the group targeted for screening. Mortality dropped even more — 41 percent — in women under 40, who presumably were not getting mammograms.

"We are left to conclude, as others have, that the good news in breast cancer — decreasing mortality — must largely be the result of improved treatment, not screening," the authors write.

The study was paid for by the study authors' universities.

"This study is important because what it really highlights is that the biology of the cancer is what we need to understand" in order to know which ones to treat and how, said Dr. Julia A. Smith, director of breast cancer screening at NYU Langone Medical Center in New York. Doctors already are debating whether DCIS, a type of early tumor confined to a milk duct, should even be called cancer, she said.

Another expert, Dr. Linda Vahdat, director of the breast cancer research program at Weill Cornell Medical College in New York, said the study's leaders made many assumptions to reach a conclusion about overdiagnosis that "may or may not be correct."

"I don't think it will change how we view screening mammography," she said.

A government-appointed task force that gives screening advice calls for mammograms every other year starting at age 50 and stopping at 75. The American Cancer Society recommends them every year starting at age 40.

Dr. Len Lichtenfeld, the cancer society's deputy chief medical officer, said the study should not be taken as "a referendum on mammography," and noted that other high-quality studies have affirmed its value. Still, he said overdiagnosis is a problem, and it's not possible to tell an individual woman whether her cancer needs treated.

"Our technology has brought us to the place where we can find a lot of cancer. Our science has to bring us to the point where we can define what treatment people really need," he said.

___

Online:

Study: http://www.nejm.org/doi/full/10.1056/NEJMoa1206809

Screening advice: http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm

___

Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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Hazing case raises many questions

As a child, the boy would pretend to be his favorite soccer pro, sliding across the ground and narrating into an imaginary microphone, "Oh, what a save by Oswaldo Sanchez!" But his mother thought the game was too rough. So he could only play pickup.

When he entered La Puente High, his mother decided to let him play. What authorities have said happened next was staggering, and led to the arrest of four students in September.

According to Los Angeles County sheriff's officials, older soccer players sodomized younger ones — and attempted to sodomize the youth, who requested anonymity. The youth said they used a sharpened pole and called the hazing ritual "giving the palo."

Three students currently face various charges of sexual assault and battery in the hazing case. This week in court, they denied the accusations. Charges were rejected against the fourth player for insufficient evidence.

I was dumbfounded that such an atavistic rite allegedly could have taken place on a modern high school campus. So I met with the youth and his mother to find out more.

We sat in his aunt's living room in a modest ranch-style home in La Puente, around the corner from the cul-de-sac where he and his cousins learned to kick the ball around.

The 15-year-old is slight, with dark wavy hair and an enviably clear complexion for a kid his age. He spoke mostly in a monotone, only showing emotion when his mother described how he had changed since the alleged assault: fighting at school, getting angry. It seemed he couldn't stand to cause his mother more suffering. She'd cried enough.

When he first heard the older soccer players talk about giving the palo, the youth told me, he thought it was just a story made up to scare the younger kids. Even after he saw another player limp — red-faced and furious — out of a storage room the varsity players used as their locker room, he wasn't sure the hazing was real.

But in a civil claim filed against the school district, the youth describes being ordered one day last spring to put equipment away in the varsity changing room. The space, just four steps away from his coach's desk, was rumored to be where the hazing happened, he told me.

The claim details his fear, and how he asked the coach, Bahram Alavi, if he could clean his office instead. But a player came out of the locker room and said he needed the younger boy in the back; Alavi winked at the older player as he was led away, according to the youth and the claim.

The coach, who has not been charged in the criminal case, could not be reached for comment.

"Right there, I thought what everybody had been saying was true," the youth said during our conversation. Once in the room, he alleged being jumped from behind and beaten. The claim describes players trying to stick the palo inside him, and him fighting them off. The bell rang, he told me, and his alleged attackers let him go.

The youth told me that when he staggered out, "All I heard was the coach laughing."

Hacienda La Puente Unified School District Supt. Barbara Nakaoka, in a written notice to parents, said that observers had likened the scandal to the Penn State sexual abuse case, but she argued that the comparison was unfair.

She's got a point. Unlike Penn State, where officials have been charged with failing to take action for years after learning about abuse allegations against coach Jerry Sandusky, the district notified authorities as soon as the alleged hazing was reported. And I take Nakaoka at her word that she personally was appalled.

"I thought it was the most horrible thing I ever heard of," Nakaoka said in an interview.

But if ritual hazing has in fact been occurring in the La Puente soccer program for years, it raises so many questions:

Is it something to do with sports culture? (Similar allegations have been brought outside of the team structure: In Fontana, a teacher was charged with sex abuse after a student allegedly was sodomized last summer during a masonry class. That case is ongoing.)

Are certain boys targeted because they are perceived as powerless?

One thing is certain: Abuse flourishes in silence.

When the palo rite was first reported, the youth said, his teammates called a meeting to get everyone to keep their mouths shut. He went.

Feeling pained or embarrassed, the youth at first denied he'd been attacked. Later, he told administrators the story he told me, he said, because "I didn't want what happened to me to happen to anyone else."

In our conversation, he said they acted like he was "stupid" and told him he had no evidence. His mother was mostly quiet through the interview, but became indignant talking about school officials. She said the principal had told her that since her son hadn't been penetrated, he was "all right, everything's fine."

The principal, Ava Smalley, declined to comment and referred all questions about the incident to the superintendent.

I'm not sure what happened here. But I would have liked to hear from the young accuser that officials had asked how they could help him and his family.

The youth is at another school now. Some of the kids there have heard the story and make fun of him, he said, but the school lets him take a time-out to compose himself. He's getting counseling.

His grades have fallen too low to play soccer, but if he can pull them up, he'll be the varsity goalkeeper, he said.

gale.holland@latimes.com

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Cease-Fire Between Israel and Hamas Takes Effect

CAIRO — Under intense Egyptian and American pressure, Israel and the Palestinian militant group Hamas halted eight days of bloody conflict on Wednesday, averting a full-scale Israeli ground invasion of the Gaza Strip without resolving the underlying disputes.

With Israeli forces still massed on the Gaza border, a tentative calm descended after the announcement of the agreement. The success of the truce will be an early test of how Egypt’s new Islamist government might influence the most intractable conflict in the Middle East.

The United States, Israel and Hamas all praised Egypt’s role in brokering the cease-fire as the antagonists pulled back from violence that had killed more than 150 Palestinians and 5 Israelis over the past week. The deal called for a 24-hour cooling-off period to be followed by talks aimed at resolving at least some of the longstanding grievances between the two sides.

Gazans poured into the streets declaring victory against the far more powerful Israeli military. In Israel, the public reaction was far more subdued. Many residents in the south expressed doubt that the agreement would hold, partly because at least five Palestinian rockets thudded into southern Israel after the cease-fire began.

The one-page memorandum of understanding left the issues that have most inflamed the tensions between the Israelis and the Gazans up for further negotiation. Israel demands long-term border security, including an end to Palestinian missile launching over the border. Hamas want an end to the Israeli embargo.

The deal demonstrated the pragmatism of Egypt’s new Islamist president, Mohamed Morsi, who balanced public support for Hamas with a determinations to preserve the peace with Israel. But it was unclear whether the agreement would be a turning point or merely a lull in the conflict.

The cease-fire deal was reached only through a final American diplomatic push: Secretary of State Hillary Rodham Clinton conferred for hours with Mr. Morsi and the United Nations secretary general, Ban Ki-moon, at the presidential palace here. Hanging over the talks was the Israeli shock at a Tel Aviv bus bombing — praised by Hamas — that recalled past Palestinian uprisings and raised fears of heavy Israeli retaliation. After false hopes the day before, Western and Egyptian diplomats said they had all but given up hope for a quick end to the violence.

Tellingly, neither Israel nor Hamas was represented in the final talks or the announcement, leaving it in the hands of a singular partnership between their proxies, the United States and Egypt.

There were immediate questions about the durability of the deal. Hamas, which controls Gaza, has in the past not fulfilled less formal cease-fires by failing to halt all missile fire into Israel by breakaway Palestinian militants.

Neither side retreated from threats to resume the conflict if the deal fell through, and both said they had only reluctantly agreed under international pressure. In a televised news conference, Prime Minister Benjamin Netanyahu of Israel declared that some Israelis still expected “a much harsher military operation, and it is very possible we will be compelled to embark on one.”

But he said that in a telephone conversation with Mr. Obama earlier in the evening, “I agreed with him that it is worth giving the cease-fire a chance.” He added that he had reached an undisclosed agreement with Mr. Obama to “work together against the smuggling of weapons” to Palestinian militants, for which Mr. Netanyahu blamed Iran.

Khaled Meshal, Hamas’s top leader, thanked Iran for its military support in a triumphal news conference in Cairo. “This is a point on the way to a great defeat for Israel,” he said. “Israel failed in all its objectives.”

He suggested that the West had come to Hamas and its Islamist allies in Egypt pleading for peace. “The Americans and the Europeans asked the Egyptians, ‘You have the ear of the resistance,’ ” he said, using the term Hamas prefers to describe itself and other Palestinian militants fighting the Israeli occupation. “Egypt did not sell out the resistance as some people have claimed. Egypt understood the demands of the resistance and the Palestinian people.”

David D. Kirkpatrick reported from Cairo, and Jodi Rudoren from Gaza. Reporting was contributed by Fares Akram from Gaza, Isabel Kershner and Ethan Bronner from Jerusalem, Mayy El Sheikh from Cairo and Rick Gladstone from New York.

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Mayim Bialik and Michael Stone Divorcing

By Mike Fleeman

11/21/2012 at 05:00 PM EST

After "much consideration and soul-searching," Mayim Bialik announced Wednesday that she and husband Michael Stone are divorcing after nine years of marriage.

The Big Bang Theory star, who has sons Miles, 7, and Fred, 4, with Stone, cites "irreconcilable differences" for the split, which she revealed in a statement on her Kveller.com parenting blog.

"Divorce is terribly sad, painful and incomprehensible for children. It is not something we have decided lightly," she writes.

The former star of TV's Blossom, 36, also says that the split is not due to the attachment parenting she discusses in her book Beyond the Sling. "Relationships are complicated no matter what style of parenting you choose," she says.

"The main priority for us now is to make the transition to two loving homes as smooth and painless as possible," Bialik, 36, continues. "Our sons deserve parents committed to their growth and health and that’s what we are focusing on. Our privacy has always been important and is even more so now, and we thank you in advance for respecting it as we negotiate this new terrain."

She concludes by saying, "We will be ok."

The couple were married in August 2003 in Pasadena, Calif.

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Study finds mammograms lead to unneeded treatment

Mammograms have done surprisingly little to catch deadly breast cancers before they spread, a big U.S. study finds. At the same time, more than a million women have been treated for cancers that never would have threatened their lives, researchers estimate.

Up to one-third of breast cancers, or 50,000 to 70,000 cases a year, don't need treatment, the study suggests.

It's the most detailed look yet at overtreatment of breast cancer, and it adds fresh evidence that screening is not as helpful as many women believe. Mammograms are still worthwhile, because they do catch some deadly cancers and save lives, doctors stress. And some of them disagree with conclusions the new study reached.

But it spotlights a reality that is tough for many Americans to accept: Some abnormalities that doctors call "cancer" are not a health threat or truly malignant. There is no good way to tell which ones are, so many women wind up getting treatments like surgery and chemotherapy that they don't really need.

Men have heard a similar message about PSA tests to screen for slow-growing prostate cancer, but it's relatively new to the debate over breast cancer screening.

"We're coming to learn that some cancers — many cancers, depending on the organ — weren't destined to cause death," said Dr. Barnett Kramer, a National Cancer Institute screening expert. However, "once a woman is diagnosed, it's hard to say treatment is not necessary."

He had no role in the study, which was led by Dr. H. Gilbert Welch of Dartmouth Medical School and Dr. Archie Bleyer of St. Charles Health System and Oregon Health & Science University. Results are in Thursday's New England Journal of Medicine.

Breast cancer is the leading type of cancer and cause of cancer deaths in women worldwide. Nearly 1.4 million new cases are diagnosed each year. Other countries screen less aggressively than the U.S. does. In Britain, for example, mammograms are usually offered only every three years and a recent review there found similar signs of overtreatment.

The dogma has been that screening finds cancer early, when it's most curable. But screening is only worthwhile if it finds cancers destined to cause death, and if treating them early improves survival versus treating when or if they cause symptoms.

Mammograms also are an imperfect screening tool — they often give false alarms, spurring biopsies and other tests that ultimately show no cancer was present. The new study looks at a different risk: Overdiagnosis, or finding cancer that is present but does not need treatment.

Researchers used federal surveys on mammography and cancer registry statistics from 1976 through 2008 to track how many cancers were found early, while still confined to the breast, versus later, when they had spread to lymph nodes or more widely.

The scientists assumed that the actual amount of disease — how many true cases exist — did not change or grew only a little during those three decades. Yet they found a big difference in the number and stage of cases discovered over time, as mammograms came into wide use.

Mammograms more than doubled the number of early-stage cancers detected — from 112 to 234 cases per 100,000 women. But late-stage cancers dropped just 8 percent, from 102 to 94 cases per 100,000 women.

The imbalance suggests a lot of overdiagnosis from mammograms, which now account for 60 percent of cases that are found, Bleyer said. If screening were working, there should be one less patient diagnosed with late-stage cancer for every additional patient whose cancer was found at an earlier stage, he explained.

"Instead, we're diagnosing a lot of something else — not cancer" in that early stage, Bleyer said. "And the worst cancer is still going on, just like it always was."

Researchers also looked at death rates for breast cancer, which declined 28 percent during that time in women 40 and older — the group targeted for screening. Mortality dropped even more — 41 percent — in women under 40, who presumably were not getting mammograms.

"We are left to conclude, as others have, that the good news in breast cancer — decreasing mortality — must largely be the result of improved treatment, not screening," the authors write.

The study was paid for by the study authors' universities.

"This study is important because what it really highlights is that the biology of the cancer is what we need to understand" in order to know which ones to treat and how, said Dr. Julia A. Smith, director of breast cancer screening at NYU Langone Medical Center in New York. Doctors already are debating whether DCIS, a type of early tumor confined to a milk duct, should even be called cancer, she said.

Another expert, Dr. Linda Vahdat, director of the breast cancer research program at Weill Cornell Medical College in New York, said the study's leaders made many assumptions to reach a conclusion about overdiagnosis that "may or may not be correct."

"I don't think it will change how we view screening mammography," she said.

A government-appointed task force that gives screening advice calls for mammograms every other year starting at age 50 and stopping at 75. The American Cancer Society recommends them every year starting at age 40.

Dr. Len Lichtenfeld, the cancer society's deputy chief medical officer, said the study should not be taken as "a referendum on mammography," and noted that other high-quality studies have affirmed its value. Still, he said overdiagnosis is a problem, and it's not possible to tell an individual woman whether her cancer needs treated.

"Our technology has brought us to the place where we can find a lot of cancer. Our science has to bring us to the point where we can define what treatment people really need," he said.

___

Online:

Study: http://www.nejm.org/doi/full/10.1056/NEJMoa1206809

Screening advice: http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm

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Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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LAPD plans major presence for Black Friday

Black Friday is a day for burning off those Thanksgiving calories with some intense Christmas shopping. But for the Los Angeles Police Department, it's become a day of surveillance, crowd control and crime-suppression tactics.

Helicopters will buzz above some shopping centers, and below, a cavalry of LAPD officers will patrol on bikes and horses. From store rooftops, officers will scan the crowds below looking for unruly behavior. Electronic signs near stores will warn customers about becoming victims of theft as they navigate the mass of humanity looking for bargains.

The deployments are part of a new strategy by the LAPD to deal with the retail roller derby that comes after Thanksgiving. In addition to stationing officers around shopping centers, the LAPD has been visiting stores across the city this week, talking to managers about the psychology of the frantic shopper.

Officials said the push was prompted by a series of incidents at Black Friday sales, notably one last year at a Porter Ranch Wal-Mart in which two dozen people were injured when a woman unleashed pepper spray during a frantic battle for some discounted video games.

LAPD Cmdr. Andy Smith said he hopes people will behave. But "like Chief [Charlie] Beck says, we are not in the optimism business."

The LAPD would not say exactly how many officers it will deploy Friday, but the number is expected to be considerable. In the Valley division, for example, officials have put together detailed tactical plans for each major shopping center, using mobile command posts and both officers and cadets.

"For some people, shopping is a competitive sport," Smith said. "But it should not be a contact sport."

Even some big retailers — which for years fueled the shopping frenzy with aggressive marketing and deep discounts — are trying to rein in some of the excitement they create this year.

Fernando Reyes, manager of the Wal-Mart in Porter Ranch where the pepper spray incident occurred, said his main goal is to avoid a repeat of the chaos. He has met with the LAPD and plans new crowd-control strategies, including setting up special check-out lines for some sales items.

The store also plans to give out vouchers to shoppers for "door buster" merchandise to avoid people jockeying for the limited supplies. If a customer did not get such a voucher, Reyes said there should be a "reasonable expectation" that they won't get the sales item.

The LAPD has talked to other retailers about creating "time-specific entry passes" that would stagger the number of shoppers who are inside the store at any given time. In a flier the department is handing out to store managers, officials note that "this process has been very successful at many of the major theme parks and can help to ensure organized, safe entry into your business."

The LAPD has also suggested that retailers avoid stacking sales items on pallets "to mitigate crowd aggression."

Despite all the headlines, Black Friday misbehavior is still relatively rare. Police report a scattering of brawls, assaults and various larcenies each year. But it's the headlines that people remember. A few years ago, gunfire erupted in a crowded Palm Desert Toys R Us, killing two people. Four years ago, a Long Island, N.Y., Wal-Mart employee was trampled to death by a crush of customers who toppled large glass doors.

Aimee Drolet Rossi, a consumer psychologist at UCLA's Anderson School of Management, said it should not be surprising that some people act out on Black Friday. Research on rats and monkeys has shown that they become more aggressive when placed in a crowded situation, and Rossi said humans are no different.

"Crowding leads people to behave less altruistically, in part because people's sense of responsibility lags when a lot of other people are around," she said. "People assume that other people will step up to help someone who is in distress."

She also said research shows that people are less likely to make eye contact with people in crowded situations, and this can cause them to make bad decisions.

Retailers bear some of the responsibility for what's happened, she said.

"They set up this environment that encourages this competitive shopping ...." Rossi said. "They offer only 10 TV sets at the ridiculously low price. It's really no surprise people get upset when they don't get one."

This year, some stores are actually opening on Thanksgiving Day, and people are already lined up.

Tony Juarez, a 30-year-old North Hollywood resident, has been camping outside the Porter Ranch Best Buy for a week. It's been an eight-year tradition for Juarez and his friends, who set up a makeshift campsite with portable chairs, blankets and a heater. A few feet away, other campers actually brought tents.

This year, Juarez is hoping to score some cut-priced TVs and laptops. A few years ago, he got a $200 Toshiba laptop and is still crowing about the bargain.

He was at the Best Buy when the pepper spray incident occurred at the Wal-Mart next door. He watched, stunned, as a stampede of shoppers streamed out of the store and scores of police arrived.

This year, he's definitely noticed more police presence at the shopping center, and that has been comforting.

"We are seeing an LAPD car every five minutes. It's definitely safer," he said.

But more police isn't enough for South L.A. resident Lynnette Jordan, who plans to stay away from the Baldwin Hills Crenshaw mall on Friday.

"You are still going to deal with folks basically fighting to get into the door to get the item they so desperately want," Jordan said. "No matter what, some people will act the fool because that's what they do."

andrew.blankstein@latimes.com

hector.becerra@latimes.com

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Toll Rises as U.S. Pushes for Israel-Hamas Truce

JERUSALEM — Efforts to agree on a cease-fire between Israel and Hamas intensified on Tuesday, but the struggle to achieve even a brief pause in the fighting emphasized the obstacles to finding any lasting solution.

On the deadliest day of fighting in the week-old conflict, Secretary of State Hillary Rodham Clinton arrived hurriedly in Jerusalem and met with Prime Minister Benjamin Netanyahu of Israel to push for a truce. She was due in Cairo on Wednesday to consult with Egyptian officials in contact with Hamas, placing her and the Obama administration at the center of a fraught process with multiple parties, interests and demands.

Officials on all sides had raised expectations that a cease-fire would begin around midnight, followed by negotiations for a longer-term agreement. But by the end of Tuesday, officials with Hamas, the militant Islamist group that governs Gaza, said any announcement would not come at least until Wednesday.

The Israelis, who have amassed tens of thousands of troops on the Gaza border and have threatened to invade for a second time in four years to end the rocket fire from Gaza, never publicly backed the idea of a short break in fighting. They said they were open to a diplomatic accord but were looking for something more enduring.

“If there is a possibility of achieving a long-term solution to this problem through diplomatic means, we prefer that,” Mr. Netanyahu said before meeting with Ms. Clinton at his office. “But if not, I’m sure you understand that Israel will have to take whatever actions necessary to defend its people.”

Mrs. Clinton spoke of the need for “a durable outcome that promotes regional stability and advances the security and legitimate aspirations of Israelis and Palestinians alike.” It was unclear whether she was starting a complex task of shuttle diplomacy or whether she expected to achieve a pause in the hostilities and then head home.

The diplomatic moves came as the antagonists on both sides stepped up their attacks. Israeli aerial and naval forces assaulted several Gaza targets in multiple strikes, including a suspected rocket-launching site near Al Shifa Hospital. That attack killed more than a dozen people, bringing the total number of fatalities in Gaza to more than 130 — roughly half of them civilians, the Gaza Health Ministry said.

A delegation visiting from the Arab League canceled a news conference at the hospital because of the Israeli aerial assaults as wailing ambulances brought victims in, some of them decapitated.

The Israeli assaults carried into early Wednesday, with multiple blasts punctuating the otherwise darkened Gaza skies.

Militants in Gaza fired a barrage of at least 200 rockets into Israel, killing an Israeli soldier — the first military casualty on the Israeli side since the hostilities broke out. The Israeli military said the soldier, identified as Yosef Fartuk, 18, had died from a rocket strike that hit an area near Gaza. Israeli officials said a civilian military contractor working near the Gaza border was also killed, bringing the number of fatalities in Israel from the week of rocket mayhem to five.

Other Palestinian rockets hit the southern Israeli cities of Beersheba and Ashdod, and longer-range rockets were fired at Tel Aviv and Jerusalem. Neither main city was struck, and no casualties were reported. One Gaza rocket hit a building in Rishon LeZion, just south of Tel Aviv, injuring one person and wrecking the top three floors.

Senior Egyptian officials in Cairo said Israel and Hamas were “very close” to a cease-fire agreement. “We have not received final approval, but I hope to receive it any moment,” said Essam el-Haddad, President Mohamed Morsi’s top foreign affairs adviser.

Foreign diplomats who were briefed on the outlines of a tentative agreement said it had been structured in stages — first, an announcement of a cease-fire, followed by its implementation for 48 hours. That would allow time for Mrs. Clinton to involve herself in the process on the ground here and create a window for negotiators to agree on conditions for a longer-term cessation of hostilities.

But it seemed that each side had steep demands of a longer-term deal that the other side would reject.

Khaled Meshal, the Hamas leader, said in Cairo that Israel needed to end its blockade of Gaza. Israel says the blockade keeps arms from entering the coastal strip.

Ethan Bronner reported from Jerusalem, and David D. Kirkpatrick from Cairo. Reporting was contributed by Jodi Rudoren and Fares Akram from Gaza; Isabel Kershner from Jerusalem; Peter Baker from Phnom Penh, Cambodia; David E. Sanger and Mark Landler from Washington; and Rick Gladstone from New York.

This article has been revised to reflect the following correction:

Correction: November 20, 2012

Because of an editing error, an earlier version of this article misspelled the family name of the Israeli soldier who was killed in a Palestinian rocket attack on Tuesday. He is Yosef Fartuk, not Yosef Faruk. 

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Review: Gift guide to full-size tablets

NEW YORK (AP) — Tablets are at the top of many wish lists this holiday season. But what to get? The choice used to be pretty limited, with the iPad dominating the latecomers. But this year, the field is more even, as tablets from Apple‘s competitors have matured. In addition, Google and Microsoft are diving in with their own tablets, providing more choice.

The first step in the buying process is to decide on the size of the tablet. They fall into two rough categories: the full-sized tablet, pioneered by the iPad, and the half-size tablet, epitomized by the Kindle Fire.

Full-sized tablets, which generally have screens measuring about 10 inches on the diagonal, are better for surfing websites designed for PCs, and far better when it comes to displaying magazines and documents. Overall, they go further toward replacing a laptop. They cost $ 400 and up.

Half-sized tablets, which have screens measuring roughly 7 inches on the diagonal, are cheaper and lighter, but just as good as full-sized tablets for e-book reading. It’s an excellent first computing device for a kid, or a gentle nudge into the digital world for an older adult with little computing experience. This year’s crop costs $ 199 and up, but last year’s models are available for less.

If you’ve settled on a large tablet, here are some top choices. A review of smaller tablets ran Monday.

— Apple iPad, fourth generation (starts at $ 499)

Apple usually updates the iPad once a year, so it was a surprise when it dropped a new model in October, with a faster processor and the new “Lightning” connection and charging port, replacing the wide port inherited from the iPod. Like the third-generation iPad launched in March it has an ultra-high-resolution “Retina” screen. The model’s resolution of 2,048 by 1,536 pixels is only surpassed by the Google Nexus 10.

That means the current iPad is two generations ahead of the iPad 2 that was on sale last holiday season. It packs enough improvements to make the upgrade worth it. The iPad 2 is still on sale for $ 100 less, but it’s not a very good value for the money: if $ 400 is all you can spend, there are better tablets out there than the iPad 2.

While other tablets are starting to approach it in terms of hardware, the iPad still enjoys the best support by far from third parties, both in terms of quality applications and accessories like cases.

One caveat: the base model of the iPad has only 16 gigabytes of storage, which fills up fast these days. The thoughtful giver goes for at least a 32-gigabyte model, for $ 100 more.

Other than that, there are few downsides to the iPad: no one will frown when opening this package.

— Barnes & Noble Nook HD+ (starts at $ 269)

For a book store, Barnes & Noble makes some amazing tablets. The HD+ is its first model that approaches the iPad in size, with a screen that’s 9 inches on the diagonal. That makes it slightly smaller than the iPad, and the resolution is lower as well, but still very respectable. At 1,920 by 1,280 pixels, it can show more detail than a living-room HDTV.

The Nook is family-friendly too. You can create user accounts and restrict them from certain content, so there’s less risk that your kids will stumble on your copy of “Fifty Shades of Grey.”

Like the basic iPad, the basic Nook HD+ comes with just 16 gigabytes of storage memory, but it can be expanded with a microSD memory card. That means another 32 gigabytes will cost you just $ 25 — a good deal.

But the Nook is the least versatile tablet in our roundup. The number of apps available is small, and it’s focused on Barnes & Noble content like e-books, magazines and movies. It doesn’t have any cameras, while the competitors have two each. It’s best for someone who’s likely to stick to media consumption, and doesn’t need the latest apps and games.

— Samsung Galaxy Note 10.1 (starts at $ 499)

If the Nook is for the avid reader or movie watcher, the Galaxy Note 10.1 is for the creative type. It’s the only tablet in our roundup that comes with a “pen” that can be used to write and draw on the screen. In our test, this worked well, though the number of apps that take advantage of the pen is still small. (Other tablets, like the iPad, only respond to finger-like objects, so third-party styluses for them are of necessity thick and clumsy.)

The Note 10.1 runs Google‘s Android software, giving it access to a wide array of apps originally written for smartphones. The selection is not on par with the iPad’s but better than other alternatives.

The Note’s screen falls into the low-resolution category, sporting 1,280 by 800 pixels. That’s a third of what the iPad musters.

Like the Nook, the Note 10.1′s storage memory can be expanded with cards.

The Note’s appeal is somewhat niche, but it could be just the thing for the budding or established artist.

— Microsoft Surface (starts at $ 499)

Microsoft’s first tablet seems at first like a throwback to the first iPad. It’s thick, heavy and rugged. But it’s really doesn’t have much in common with the first iPad or any Apple- or Google-powered tablet. It runs Windows RT, a version of Windows 8 adapted for tablets. It comes with a version of Microsoft’s Office suite and the ability to connect to wireless printers and some other peripherals, like USB drives. The covers for it have functional keyboard printed on the inside.

The screen resolution is 1,366 by 768 pixels, placing it in the low-resolution category.

The Surface screams “work, work, work.” It’s the tablet for those who are wedded to Word and want to take their writing on the go.

One thing to note about the Surface: the basic model starts out with “32 gigabytes” of memory, but of that, only 16 gigabytes are available to the user. It accepts memory cards of up to 64 gigabytes, however, so expanding the memory is cheap.

Note that even though it runs Windows, the Surface doesn’t run standard Windows applications. It will run only programs specifically adapted for Windows RT. The selection is, for now, quite limited.

— Asus Vivo Tab RT (starts at $ 599 with a dock)

Asus has a quality line of Android tablets they call “Transformer” because they dock into a keyboard with an extra battery. The combination folds up just like a small laptop and has excellent battery life. The Vivo Tab RT essentially takes a Transformer and stuffs it with Windows RT instead of Android.

The tablet part is smaller and thinner than the Surface. Together with the keyboard, it makes for a familiar little setup: a tiny laptop running Windows. Like the Surface, it has a memory card slot and a USB port. The screen resolution is the same.

The Vivo Tab is a good tool for those who want to get some work done on the commute or plane, or those who can’t decide if they want a laptop or a tablet.

— Google Nexus 10 (starts at $ 399)

This is Google’s first full-size tablet and the only tablet from any manufacturer that beats the screen resolution of the iPad. It boasts 2,560 by 1,600 pixels, a third more than the fourth-generation iPad.

It’s also the only tablet in this roundup that has speakers on either side of the screen when it’s held horizontally, making for good stereo reproduction when you’re watching movies. It has a grippy, rubberized back and widely rounded corners. There’s no memory card slot or an option for a cellular modem.

The array of third-party software is wide, just as it is for the Note 10.1. Most people don’t associate Google with online books, music or movies, so it may feel odd that the Nexus steers buyers to Google’s Play store. Of course, given the open nature of Google’s Android operating system, there are apps available for other entertainment stores, including Amazon’s, and for streaming services like Netflix.

The Nexus 10 is a snappy performer, and among the iPad’s competitors, it comes the closest to matching the versatility of Apple products.

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Peter Svensson can be reached at http://www.twitter.com/petersvensson

Gadgets News Headlines – Yahoo! News

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Dancing with the Stars Season 15 Finalists Revealed

Tom Bergeron and Brooke Burke Charvet

Adam Larkey/ABC

They were so close!

After five couples performed mixed-up routines and a tribute to Michael Jackson on Dancing with the Stars the night before, two contestants will be sent packing Tuesday night, just one week short of season 15's all-star finale.

And that's got to hurt.

Going into the elimination, it stacked up like this: Shawn Johnson and Derek Hough were in the lead with 59 out of 60 points.

Melissa Rycroft and Tony Dovolani were in second place with 57.5 points, followed closely by Apolo Ohno and Karina Smirnoff with 57.

And Kelly Monaco and Val Chmerkovskiy, and Emmitt Smith and Cheryl Burke were tied with 54 points each.

Keep reading to find out whose scores and votes put them in the running for the mirror-ball trophy next week and which pairs are kaput. We'll be updating as the results come in ...

Leaders of the pack Shawn and Derek will dance in the finale.

Update: Melissa and Tony are also dancing next week. But Apolo and Karina are going home. "This competition has been hard from the beginning," says Ono. But he adds: "It's a been a blessing."

More results to come ...

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OB/GYNs back over-the-counter birth control pills

WASHINGTON (AP) — No prescription or doctor's exam needed: The nation's largest group of obstetricians and gynecologists says birth control pills should be sold over the counter, like condoms.

Tuesday's surprise opinion from these gatekeepers of contraception could boost longtime efforts by women's advocates to make the pill more accessible.

But no one expects the pill to be sold without a prescription any time soon: A company would have to seek government permission first, and it's not clear if any are considering it. Plus there are big questions about what such a move would mean for many women's wallets if it were no longer covered by insurance.

Still, momentum may be building.

Already, anyone 17 or older doesn't need to see a doctor before buying the morning-after pill — a higher-dose version of regular birth control that can prevent pregnancy if taken shortly after unprotected sex. Earlier this year, the Food and Drug Administration held a meeting to gather ideas about how to sell regular oral contraceptives without a prescription, too.

Now the influential American College of Obstetricians and Gynecologists is declaring it's safe to sell the pill that way.

Wait, why would doctors who make money from women's yearly visits for a birth-control prescription advocate giving that up?

Half of the nation's pregnancies every year are unintended, a rate that hasn't changed in 20 years — and easier access to birth control pills could help, said Dr. Kavita Nanda, an OB/GYN who co-authored the opinion for the doctors group.

"It's unfortunate that in this country where we have all these contraceptive methods available, unintended pregnancy is still a major public health problem," said Nanda, a scientist with the North Carolina nonprofit FHI 360, formerly known as Family Health International.

Many women have trouble affording a doctor's visit, or getting an appointment in time when their pills are running low — which can lead to skipped doses, Nanda added.

If the pill didn't require a prescription, women could "pick it up in the middle of the night if they run out," she said. "It removes those types of barriers."

Tuesday, the FDA said it was willing to meet with any company interested in making the pill nonprescription, to discuss what if any studies would be needed.

Then there's the price question. The Obama administration's new health care law requires FDA-approved contraceptives to be available without copays for women enrolled in most workplace health plans.

If the pill were sold without a prescription, it wouldn't be covered under that provision, just as condoms aren't, said Health and Human Services spokesman Tait Sye.

ACOG's opinion, published in the journal Obstetrics & Gynecology, says any move toward making the pill nonprescription should address that cost issue. Not all women are eligible for the free birth control provision, it noted, citing a recent survey that found young women and the uninsured pay an average of $16 per month's supply.

The doctors group made clear that:

—Birth control pills are very safe. Blood clots, the main serious side effect, happen very rarely, and are a bigger threat during pregnancy and right after giving birth.

—Women can easily tell if they have risk factors, such as smoking or having a previous clot, and should avoid the pill.

—Other over-the-counter drugs are sold despite rare but serious side effects, such as stomach bleeding from aspirin and liver damage from acetaminophen.

—And there's no need for a Pap smear or pelvic exam before using birth control pills. But women should be told to continue getting check-ups as needed, or if they'd like to discuss other forms of birth control such as implantable contraceptives that do require a physician's involvement.

The group didn't address teen use of contraception. Despite protests from reproductive health specialists, current U.S. policy requires girls younger than 17 to produce a prescription for the morning-after pill, meaning pharmacists must check customers' ages. Presumably regular birth control pills would be treated the same way.

Prescription-only oral contraceptives have long been the rule in the U.S., Canada, Western Europe, Australia and a few other places, but many countries don't require a prescription.

Switching isn't a new idea. In Washington state a few years ago, a pilot project concluded that pharmacists successfully supplied women with a variety of hormonal contraceptives, including birth control pills, without a doctor's involvement. The question was how to pay for it.

Some pharmacies in parts of London have a similar project under way, and a recent report from that country's health officials concluded the program is working well enough that it should be expanded.

And in El Paso, Texas, researchers studied 500 women who regularly crossed the border into Mexico to buy birth control pills, where some U.S. brands sell over the counter for a few dollars a pack. Over nine months, the women who bought in Mexico stuck with their contraception better than another 500 women who received the pill from public clinics in El Paso, possibly because the clinic users had to wait for appointments, said Dr. Dan Grossman of the University of California, San Francisco, and the nonprofit research group Ibis Reproductive Health.

"Being able to easily get the pill when you need it makes a difference," he said.

___

Online:

OB/GYN group: http://www.acog.org

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Truth and honesty, that's the ticket

Marty Ingels, the actor and comedian whose wife is Oscar-winning actress and "Partridge Family" mom Shirley Jones, could not believe the injustice.

He went into a photo shop on Ventura Boulevard, looked out the window and saw a ticket on his car windshield. Ingels charged outside, read the ticket and was convinced there'd been a terrible mistake. The ticket was for parking in a bus zone.

Ingels looked left, he looked right. No bus zone.

Not long after, Ingels called a colleague of mine at The Times, who passed his story on to me. I called him to ask what he'd done about the ticket.

"Fight it, like I do everything," Ingels told me on the phone, saying his wife shared his outrage after hearing him tell the story.

Ingels said he called LAPD Chief Charlie Beck and "what's his name?"

Who? I asked.

"The mayor."

Villaraigosa?

"Yeah, what's-his-name."

Ingels, 76, says the mayor told him he'd have someone look into it. Meanwhile, Ingels had to pay the $293 fine, which he found outrageous, while contesting the ticket. Twice, his challenges were thrown out at administrative hearings, and even then, he kept fighting.

I remembered Ingels, who sounds like he just left Brooklyn yesterday, from his comic days and a TV show called "I'm Dickens, He's Fenster." That was a long time ago, though, and I wondered if the ticket writer got it right and Ingels was a little hazy on where he'd been that day. So I asked him to tell me if the address on the ticket was the address of the photo shop.

No, he said. That was part of the mistake. The ticket was written for a location 10 or 20 blocks away.

OK, I said, but wasn't it possible he had been parked in the bus zone earlier and got the ticket, but didn't notice it until he got to the photo shop?

"You're like a priest and a therapist," Ingels said. "I'll deny we ever spoke."

At this point, Ingels made two confessions.

First, in the time between him calling The Times, and me returning his call, he'd already beaten the ticket.

But the next confession was a doozy. Just as he was notified by mail that the ticket had been dismissed, he realized he was guilty, after all.

Say what?

It was an honest mistake, Ingels insisted. He ran a hundred errands that day, and totally forgot parking in the bus zone while he ran into a sign shop. But the ticket writer had taken photos, and at one of the ticket hearings, a car that looked very much like Ingels' Cadillac Escalade was parked in the bus zone.

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