Gas rationing expands as Sandy, Nor'easter effects linger

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Ghana building collapse traps dozens, kills 1

ACCRA, Ghana (AP) — A five-story shopping center built earlier this year in a bustling suburb of Ghana‘s capital collapsed Wednesday, killing at least one person and leaving several dozen people trapped in the rubble, authorities and eyewitnesses said.

Rescue crews used cranes to try and remove debris from the top of the building amid fears that machinery sifting through the wreckage could injure trapped survivors. Crowds of bystanders gathered as rescuers sifted through cement and glass.

The fatality at the Melcom Shopping Center at Achimota, a suburb of Accra, was confirmed by Public Affairs Officer of the Ghana Fire Service Billy Anaglate. “We are still working to find out the fate of others who may be trapped under,” he said.

Other officials told The Associated Press that the death toll was likely to rise.

An AP reporter at the scene saw at least one man pulled from the debris, covered in dust and who was then whisked into an ambulance.

A Greater Accra Regional Public Affairs officer, deputy superintendent Freeman Tettey, confirmed that one person died and told the AP that 51 have been rescued and sent to hospitals around the capital.

“I was on my way to the shop when l saw it crumpling down,” Kojo Boadi, an eyewitness, said.

President John Mahama declared the scene a disaster zone and cut short his election campaign in the north of the country to be able to visit the site. The presidential election is scheduled for December.

The five-story store opened in February is part of the Melcom chain owned by Indian immigrant magnate, Bhagwan Khubchandani. His late father arrived in Ghana in 1929 as a 14-year-old to work as a store boy in the-then Gold Coast.

The store sells a variety of cheap, imported household goods and appliances that are popular with working-class Ghanaians.

Africa News Headlines – Yahoo! News

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Exclusive: Google Ventures beefs up fund size to $300 million a year

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How South Korea’s Dark Oscar Entry ‘Pieta’ Cut Out Producers, Investors

LOS ANGELES (TheWrap.com) – By his 15th film, Kim Ki-duk, the director of South Korea‘s Best Foreign Picture Oscar entry “Pieta,” was sick of money shaping his cinematic vision.

The director, who told an audience at the Landmark Theatre that he tries in his movies to ruthlessly dissect society with all its nuances and complexities, said he didn’t want Hollywood-type producers and investors telling him how to fashion his films.

“It’s very formulaic. Film dramas, action movies – the structure is very simple, in the end, good prevails over evil,” Kim told TheWrap‘s Steve Pond at the kickoff of TheWrap’s Foreign Screening Series Monday night. “I consciously have tried to get out of the major system. … Once I had money, after that I used my own money.

“I don’t want to have producers or investors tell me what to do,” he added. “I want to maintain the same autonomy.”

“Pieta” follows a local money lender‘s thuggish enforcer, whose life changes when a woman arrives claiming to be his mother. Notorious in his impoverished neighborhood for crippling shop-owners who are unable to pay back their debt and interest on time, Lee Kang-do soon loses his hard exterior as he experiences maternal coddling for the first time.

Before the projector started rolling, Pond – at Kim’s behest – warned the audience that the first 20 minutes would contain violence that may be difficult to stomach. Indeed, it was easy to see how Kim’s producers might try to dilute the disturbing images and scenes he shoots.

The film, Kim told the audience through a translator, cost $ 100,000 to make. It earned $ 1 million in Korea alone.

“I’m going to distribute half of that to my staff members,” he said. “And half will go to the next film.”

Kim, who began his career as a screenwriter and studied art for three years in Paris, sees himself as an everyman director, more interested in cinema than profits.

“Pieta” reflects the changing culture of his native land and the economic woes the global recession brought on Korea’s poor. In the film, high-rises sprout from one side of the city – the sort of neighborhood parodied in Psy’s “Gangnam Style” music video – the other is still congested with trash and small shacks.

He explained that in Korea’s capital of Seoul, Gangnam means “south of the river.” North of it, where the working-class lives, is Gang-buk.

“That’s where working-class, people like me, regular people, live,” he said. “There are two lifestyles and classes.”

Kim said his next movie will similarly critique 21st century life – with its speedy pace and rapid international trading – which he described as “cannibalistic.”

“My next film is again my question about, what is modern society?” he said. “I believe that modern society is some sort of cannibalistic society. Through money, money forms this huge structure.”

He said his future movies, like the past 18 he has made, will likely feature strong female characters, too.

“Korean women suffered a lot. It’s a long history of suffering,” Kim said. “Korean women are known for having very, very intense energy and warm motherly love. However their status and their images are not really intact. They’ve been harmed; they’ve been abused a lot.”

“Pieta” certainly doesn’t pull punches – the film features a rape scene, and numerous women are left weeping over their sons or husbands when Kang-do shatters their bodies.

“The images you see in my films, they make you uncomfortable, they’re violent, but that’s the reality,” he said.

But those images, he said, will almost certainly make his movie a longshot to land an Oscar nomination, something no Korean film has ever done. “If you look at the films that win, they are the ones that make you feel good,” he said. “My films are not like that.”

Movies News Headlines – Yahoo! News

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Values exercise improves doctor-patient communication

NEW YORK (Reuters Health) – A short waiting room exercise encouraging African American patients to reflect on their personal values helped improve communication between the patients and their white doctors, in a new study.

However, those patients didn’t rate their trust in their doctor or satisfaction with the appointment any higher, compared to those who didn’t do the “values affirmation” exercise.

Patients and doctors interact differently when they are of different races, compared to when both are white or both are African American, research has shown. Some of that could be due to doctors’ own unconscious racial or ethnic biases.

“Those issues play themselves out in subtle ways in how medical care gets delivered,” said Dr. Edward Havranek, the study’s lead researcher from the Denver Health Medical Center.

But so-called cultural competence training programs for doctors haven’t been shown to improve interracial doctor-patient relationships.

Another theory is that minority patients fear they’ll be judged by stereotypes – and their stress from that fear impedes communication with their doctor, whether or not the doctor is really biased.

“If black patients believe that the doctor’s going to stereotype them because of their race, they may not behave to their full potential during the visit,” said Dr. Howard Gordon, from the Jesse Brown VA Medical Center in Chicago and the University of Illinois at Chicago.

“They may feel inhibited; they may not ask questions during the visit.”

By helping minority patients focus on their own positive qualities and values, researchers believe, those patients might not be as preoccupied with the possibility of being treated differently.

Havranek’s study involved 99 African American patients with high blood pressure who had an appointment with their non-African American primary care doctor.

About half of the patients were given a questionnaire in the hour before their appointment asking them to reflect on their personal values and think about times when those values were important.

Audio recordings of the visits showed that after filling out those surveys, African American patients requested – and were provided with – a bit more information about their medical condition. Conversations with their doctors also tended to be more positive and friendly.

But there was no difference in how often doctors dominated the conversations and no more discussion about patients’ treatment or lifestyle issues after the exercise.

On post-visit patient surveys, there was no change in their stress, satisfaction or trust in their doctor, compared to patients who weren’t given the personal value questionnaires.

“It clearly wasn’t a home run. It didn’t have the major effects that we had hoped for,” Havranek told Reuters Health.

The researchers said it’s possible the positive effects they did see on patient-doctor interaction would be enough to encourage African Americans to stick to their blood pressure drugs more closely. But they weren’t able to measure that outcome in the current study, published Monday in the Archives of Internal Medicine.

Patients asking more questions “is good, but that’s all they showed. They didn’t show that their blood pressure’s better controlled. They didn’t show that they’re less likely to have a stroke, or kidney disease or heart attack,” Gordon, who studies racial disparities and patient-doctor communication but wasn’t involved in the new research, told Reuters Health.

“Theoretically if someone asks more questions, then they know more, and that will make them more likely to stick to their doctor’s (recommendations) and take their medications. And if they take their medications, their blood pressure will be better controlled,” he said. “But this study didn’t show that yet.”

The “values affirmation” intervention might have more of an effect on minority patients before they visit new specialists they don’t already know, according to Havranek.

But Gordon said how well it would work in real-life waiting rooms, where a lot of other things are going on and there are other forms to be filled out, is still an open question.

SOURCE: http://bitly.com/XjQoQW Archives of Internal Medicine, online November 5, 2012.

Medications/Drugs News Headlines – Yahoo! News

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Obama faces familiar world of problems in second term

WASHINGTON (AP) — Now that his re-election is secured, President Barack Obama has a freer hand to deal with a world of familiar problems in fresh ways, from toughening America's approach to Iran and Syria while potentially engaging other repressive countries such as Cuba and North Korea and refocusing on moribund Middle East peace efforts.

The first tweaks in his Iran policy could come within weeks, officials said.

But a pressing task for Obama will be to assign a new team to carry out his national security agenda. Secretary of State Hillary Rodham Clinton has announced her plans to retire but could stay a few weeks past January to help the administration as it reshuffles personnel. Defense Secretary Leon Panetta is likely to depart shortly after her. CIA Director Gen. David Petraeus is expected to stay on.

The favorite to succeed Clinton, U.N. Ambassador Susan Rice, would face a difficult Senate confirmation process after her much-maligned explanations of the attack on the U.S. Consulate in Benghazi, Libya, meaning she could land instead as Obama's national security adviser. That job that doesn't require the Senate's approval. Tom Donilon, who currently holds that position, and Chuck Hagel, a former Republican senator, are among the other contenders.

The chances of another early favorite, Senate Foreign Relations Committee Chairman John Kerry, are hampered by Democrats' fear that Republican Scott Brown, who lost his Massachusetts Senate seat Tuesday, could win Kerry's seat in a race to replace him.

Officials, however, are pointing to Jon Huntsman, the former Utah governor, Obama's ambassador to China and Republican presidential candidate, and the State Department's current No. 2, William Burns.

Huntsman is still widely respected by the administration even if he'd hoped to unseat Obama. Choosing Huntsman would allow the president to claim bipartisanship while putting an Asia expert in the job at a time when the U.S. is focusing more attention on the world's most populous continent. Burns would be an option as caretaker secretary until postelection passions in Congress subside and a permanent replacement might face smoother confirmation. He is a career diplomat who has no political baggage and would be unlikely to stir significant opposition among lawmakers.

At the Pentagon, speculation about successors has been limited. Panetta's deputy, Ashton Carter, is seen as a possibility, along with Michele Flournoy, who served as Defense Department policy chief from 2009-12 and would be the first woman in the top job.

New Cabinet members will enter at a time of various global security challenges, from the Arab Spring to China's rapid economic and military expansion in Asia. But the president's escape from any future campaigning also offers unique diplomatic opportunities, which Obama himself hinted at in March when he told then-Russian president and current prime minister Dmitry Medvedev that he'd have "more flexibility" on thorny issues after the election.

Obama's immediate predecessors, Bill Clinton and George W. Bush, used their second terms to launch major, though ultimately unsuccessful initiatives for an Israeli-Palestinian accord, an elusive goal that Obama also deeply desires. This summer he listed the lack of progress toward peace among the biggest disappointments of his presidency so far, suggesting another U.S. attempt in the offing.

Clinton's Camp David negotiations and Bush's Annapolis process became signature foreign policy priorities in 2000 and 2007. But the Israelis and the Palestinians remain as far apart as ever on the contours of an agreement, from the borders of their two separate states to issues related to refugees and resources.

Any Obama-led plan for the Middle East will be complicated by Israel's fears about the Iranian nuclear program, civil war in nearby Syria and the new reality of an Islamist-led Egypt having replaced America's most faithful Arab ally. Obama's difficult relationship with Israeli Prime Minister Benjamin Netanyahu could also complicate the process.

With Iran, the president is holding out hope that crippling economic sanctions will force the Islamic republic's leaders to scale back its uranium enrichment activity. Iran insists its program is designed for energy and medical research purposes, even as many in the West fear the ultimate goal is to produce nuclear weapons. Obama has stressed the narrowing time frame for Tehran to negotiate a peaceful solution to the standoff, while pressing Israel to hold off on any plans for a pre-emptive strike.

Officials say the administration is likely to adjust its two-track approach to Iran — which offers Tehran rewards for coming clean on its nuclear program and harsher penalties for continued defiance — in the coming weeks. Details are still being debated. In the end, however, Obama may have to resort to a military strategy if Iran continues to enrich uranium at higher levels and nears production of weapons-grade material — a possible scenario he acknowledges.

"The clock is ticking. We're not going to allow Iran to perpetually engage in negotiations that lead nowhere," Obama said in his last foreign policy debate with Republican presidential candidate Mitt Romney. "We have a sense of when they would get breakout capacity, which means that we would not be able to intervene in time to stop their nuclear program."

Syria's widening conflict is another concern. More than 36,000 people have died in the last 20 months, as a brutal crackdown on dissent by President Bashar Assad's regime has descended into a full-scale civil war. Obama has demanded Assad's departure, yet has ruled out military assistance to the rebels or American military actions such as airstrikes or enforcing a no-fly zone over Syria.

Last week, in a significant shift in policy, the secretary of state demanded a major shakeup in the opposition's ranks in the hopes of rallying Syrians behind the rebellion. However, Clinton's spokeswoman, Victoria Nuland, reiterated Wednesday the administration still rejects the notion of providing weapons to anti-Assad fighters or any talk of armed intervention.

In other places, Obama's engagement efforts may get another look. After some success with a rapidly liberalizing Myanmar, there are hopes for democratic reforms and human rights advances in Cuba and North Korea, among others.

But short of a rapid change in attitude from these governments, Obama's options for a landmark breakthrough in U.S. diplomacy are limited. He won't be able to reach out to Havana until it frees the jailed U.S. contractor Alan Gross, while Pyongyang will have to denuclearize if it wants better relations with America — steps neither regime has shown a willingness to entertain. The recent re-election of Venezuelan President Hugo Chavez has halted chances for now of any rapprochement between Washington and Caracas.

In Afghanistan, the president will seek to stick to NATO's 2014 withdrawal date for most international troops, a central campaign promise. His administration has been trying unsuccessfully to jump-start peace negotiations between President Hamid Karzai's Western-backed government and the Taliban. The so-called reconciliation effort relies heavily on America's frustrating and unreliable ally Pakistan, where extremist groups such as al-Qaida and the Haqqani network will continue to face U.S. drone attacks.

Behind all the diplomatic efforts are larger questions of American geopolitical strategy. Obama had initial success improving U.S. relations with Russia, getting a nuclear arms-reduction pact in 2011, but has since seen America's former Cold War foe frustrate U.S. missile defense plans and hopes of an international consensus on Syria. The president has continued to trumpet the benefits of his Russia "reset" policy but may take a firmer stance against Moscow if it refuses to show compromise.

For economic reasons, China policy is less likely to change. The world's two biggest economies are deeply interdependent and, despite lingering disagreements over Beijing's currency exchange rates and intellectual property infringement, neither side will want to do anything that threatens a trade war and jeopardizes China's booming growth or America's still-fragile jobs recovery.

___

Associated Press writers Donna Cassata, Robert Burns and Kimberly Dozier contributed to this report.

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Canada firms to capitalize on nuclear trade with India

NEW DELHI (Reuters) – Canadian firms will be able to export uranium and nuclear reactors to India for the first time in almost four decades under an agreement between the two nations, their prime ministers said, but more work is needed to implement the deal.

Once implemented, the agreement will end a ban on nuclear cooperation Canada imposed in 1976 after India secretly exploded its first nuclear bomb in 1974, commonly called the “Smiling Buddha”, using material from a Canadian-built reactor in India.

“Being able to resolve these issues and move forward is, we believe, a really important economic opportunity for an important Canadian industry, part of the energy industry, that should pay dividends in terms of jobs and growth for Canadians down the road,” Canadian Prime Minister Stephen Harper said on Tuesday on a visit to New Delhi.

A negotiator with the Canadian Nuclear Safety Commission (CNSC), speaking on condition of anonymity because of the delicacy of the talks, said that what remained was a careful legal review of the language; translation into French and Hindi; and then a signing.

This is not expected to take very long, he said. The two sides have set up a joint committee to liaise on nuclear issues, but he said it would not be negotiating.

India aims to lift its nuclear capacity to 63,000 MW in the next 20 years by adding nearly 30 reactors. The country currently operates 20 mostly small reactors at six sites with a capacity of 4,780 MW, or 2 percent of its total power capacity, according to the Nuclear Power Corporation of India Limited.

Canada’s ambassador to India, Stewart Beck, said on Monday his country wanted to be able to track all nuclear material, but that India felt it only needed to report to the International Atomic Energy Agency (IAEA).

It was not clear who made concessions in the talks and how effective the safeguards would be to ensure that Canadian material did not get used again for making nuclear weapons.

However, the CNSC official said India would now be required to notify Canada of any transfers to a third country and trade could only go to facilities that are safeguarded by the IAEA.

PROBABLY BEATING AUSTRALIA

Harper said the CNSC had worked to “achieve all of our objectives in terms of non-proliferation”.

Canada is in a race against Australia, its strategic ally but a commercial rival in the uranium business. Australia is also trying to nail down safeguards under which it too could sell uranium to India.

“We are effectively ahead of the Australians,” the CNSC official said, noting however that Russia and Kazakhstan were already supplying into India.

Opening up the Indian market would be a big help to Canada’s Cameco Corp, which is the world’s largest publicly traded uranium producer but which recently cut its long-term output targets due to the Fukushima disaster.

“Anytime we can reduce the roadblocks to selling our product around the world is always helpful,” Cameco chief executive Tim Gitzel told Reuters in Canada. “It opens a new market for us with the appropriate safeguards in place. So this is good news.”

Another potential beneficiary is Canadian engineering firm SNC Lavalin Group Inc, which bought the government’s commercial nuclear division, which designed the Candu reactor that is in use in numerous countries.

“As far as the sales of reactors goes, we would normally now request that Canada be accorded the same treatment as the Russians, the French and the Americans and that a site be designated in India for the implementation of at least a twin- unit Candu nuclear power station,” SNC Lavalin International President Ronald Denom, part of Harper’s delegation in India, told Reuters.

He also said it should open up the market to service the existing reactors in India.

Harper also said Canada welcomed foreign investment, after the country temporarily blocked Malaysian state oil firm Petronas’ C$ 5.17 billion ($ 5.19 billion) bid for gas producer Progress Energy Resources on October 20.

Late on Friday, Canada extended to December 10 its review of a $ 15.1 billion bid made in July by China’s CNOOC Ltd for Canadian energy producer Nexen Inc.

“Those decisions have to be taken looking at the global evolving economy in which we operate,” Harper said.

($ 1 = C$ 0.9965)

(Additional reporting by Julie Gordon in Toronto; Additional writing by Frank Jack Daniel; Editing by Jonathan Thatcher and Michael Roddy)

Canada News Headlines – Yahoo! News

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Move over, Obama; Twitter had a big night too

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TV networks to staff: watch what you tweet on Election Day

LOS ANGELES (Reuters) – U.S. television networks face a new challenge in covering this year’s excruciatingly close presidential election: prevent closely guarded exit poll results from leaking onto Twitter, Facebook and other social media platforms.

The major TV news networks agreed to shield early exit poll data suggesting who is leading in a state until the state’s polls close. That means no tweeting exit polls, posting on Facebook, or re-tweeting figures reported by others.

“We will not either project or characterize a race until all the polls are scheduled to have closed in that state,” said Sheldon Gawiser, director of elections for NBC News.

Election officials worry that leaks could discourage people from voting if they think the race in their state is already decided, depressing the vote count and distorting the results. In 1985, Congress extracted a promise from the major TV networks to refrain from using exit polls to project a winner in a particular state, or to characterize who is leading, while voting continues in that area.

The closeness of this year’s election between President Barack Obama and Republican challenger Mitt Romney has focused attention on key battleground states – such as Ohio, Virginia and Florida – and what their exit polls might signal about who will win the White House.

It has resurrected memories of the disputed 2000 election between Republican George W. Bush and Democrat Al Gore – some media outlets projected a Gore victory in Florida while polls in the western part of the state remained open. The networks later pulled back, leaving doubt about who won and leading to a month of recounts and court battles.

If early results become public, “it can be a real problem,” said Jeff Berkowitz, a Republican strategist who runs Berkowitz Public Affairs. “For somebody who’s got seven things on their list to do that day, and if they’re already being told the election is over, are they really going to prioritize voting over the other six?”

Exit poll data is collected by New Jersey-based Edison Media Research on behalf of the National Election Pool, a consortium of Walt Disney Co’s ABC, News Corp’s Fox, Time Warner Inc’s CNN, Comcast Corp’s NBC, CBS Corp’s CBS and the Associated Press. The media companies use the findings to help them call results in each state, and to inform post-election analysis.

Reuters is not a member of the consortium and collects exit data with market research firm Ipsos. The news organization will not share any exit data before polls close, a Thomson Reuters Corp spokeswoman said.

Smaller news outlets and Internet blogs are not bound by the commitment made by members of the National Election Pool, and could post any exit poll numbers they get their hands on.

In 2004, for example, The Drudge Report posted early results that favored John Kerry. U.S. stocks dipped, and Kerry eventually lost the race, highlighting that early and incomplete results can prove wrong. A representative for The Drudge Report could not immediately be reached by e-mail.

There is no evidence that exit poll results influence voters, but the rise of social media means any leaked data could spread like wildfire.

After leaks in past elections, the big TV networks have taken steps to keep a tighter lid on information. While some findings previously were available as early as 1 p.m. Eastern time, news staff are not to be given an initial look until 5 p.m. – still two hours before the earliest poll closings.

Following a template used in the last three elections, six analysts – one from each news organization in the National Election Pool – will be locked in a “quarantine room” from 11 a.m. to 5 p.m. Eastern time on Tuesday with no phone or e-mail access, Gawiser said. They will conduct preliminary analysis of the data before it is released to staff at the news outlets.

“They cannot talk to us. We don’t know anything about it. We can’t see any of these data until five o’clock,” Gawiser said.

These kinds of restrictions helped keep exit data under wraps in 2008, when Obama defeated John McCain. The race also was not as close as in the two previous elections, or indeed this year’s vote, reducing demand for early information.

This year, the tight race and prevalence of social media increases the risk that data will spread quickly if it leaks, said Tom Rosenstiel, director of the Pew Research Center’s Project for Excellence in Journalism.

“If that were to happen today, with Internet penetration and the speed of social media, that (data) would be known pretty widely,” he said.

(Reporting By Lisa Richwine; Editing by Ronald Grover and Steve Orlofsky)

TV News Headlines – Yahoo! News

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Insomnia doubles risk of heart attack, stroke, research shows

The study by researchers in Taiwan found that people with insomnia were twice as likely to have heart attacks or strokes than those without the sleep disorder during the trial’s four-year period. The research was presented Monday at the American Heart Association meeting in Los Angeles.

The findings add to previous research showing not enough sleep can contribute to high blood pressure, and waking too early may raise heart risks. Sleep should be part of the patient-doctor discussion during checkups, said Kristen Knutson, a sleep researcher who wasn’t part of the study.

“A lot of people and many physicians don’t ask about sleep,” said Knutson, an assistant professor in the Department of Medicine at the University of Chicago. “The first thing is to talk to their patients and also for the patients to talk to their doctors about their sleep and discussing sleep as one of the many important health behaviors like diet and exercise.”

No one is certain how lack of sleep contributes to heart attacks and strokes, she said. It may be that the body’s “fight or flight” system is more active with not enough sleep, which can increase heart rate and over time increase blood pressure and raise the risk for cardiovascular disease, she said.

Chronic insomnia affects about 1 in 5 adults and is also a risk factor for depression, substance abuse and impaired waking function, according to the National Institutes of Health.

Diseases/Conditions News Headlines – Yahoo! News

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