Erectile dysfunction signals heart troubles: study

WASHINGTON: Erectile dysfunction might signal more than a need for the little purple pill, researchers said Tuesday in a study showing a link with heart disease and early death.

The Australian study -- the world's largest investigating links between erection problems and heart disease -- suggested erection problems could act as a warning sign of more serious health issues.

"The risks of future heart disease and premature death increased steadily with severity of erectile dysfunction," whether or not there was a history of cardiovascular disease, study director Emily Banks said.

Previous studies had found ties between severe erection problems and heart attacks and strokes, but this study was the first to also include mild and moderately severe erection problems.

"These results tell us that every man who is suffering from any degree of erectile dysfunction should be seeking medical assistance as early as possible and also insisting on a heart health check by their GP at the same time," said Rob Grenfell, Cardiovascular Health director at Australia's Heart Foundation.

The study, published this week in the "PLOS Medicine" journal, followed 95,000 men aged 45 and older for two to three years.

The men responded to a survey on their health and lifestyle, and the authors also studied any records of hospital stays or deaths in the group.

Over the study period, there were 7,855 hospitalisations for cardiovascular disease and 2,304 deaths.

Banks said that the study indicated that erection problems seemed to a symptom of heart problems.

"Rather than causing heart disease, erectile dysfunction is more likely to be a symptom or signal of underlying 'silent' heart disease and could in future become a useful marker to help doctors predict the risk of a cardiovascular problem.

"This is a sensitive topic but men shouldn't suffer in silence; there are many effective treatments, both for erectile dysfunction and for cardiovascular disease," she emphasized.

Erection problems are very common. About one in five men over 40 report moderate or severe erectile dysfunction.

- AFP/jc

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Army rejects bid to raise new units based on caste or religion

NEW DELHI: The Army has once again strongly rejected calls for raising new "single-class" units like the Gujarat, Kalinga, Dalit, Ahir, Paswan or Tribal regiments as well as attempts to tinker with its "time-tested" regimental system.

"The policy since Independence is not to raise any new regiment on the basis of a particular class, creed, community, religion or region but to have a force in which all Indians have representation. This is the well-defined position of both the defence ministry and Army," said a senior official.

Added a top general, "Politics should not be played with the apolitical armed forces. The Army is an inclusive, secular force, open to all. It's for that reason the force had even opposed the religious headcount proposed by the Sachar Committee in 2005-06."

Having just finished with the Republic Day celebrations as well as the Army Day on January 15, which marks the day when Field Marshal K M Cariappa became the first Indian chief of the force in 1949, the 1.13-million-strong Army is equally steadfast about resisting any changes in its regimental system.

But it's the existence of this system, with a preponderance of "single-class" regiments like the Sikh, Gorkha, Dogra, Garhwal, Jat and the like, which propels politicians and others to demand a Dalit Regiment, like LJP chief Ram Vilas Paswan often does, or a Gujarat Regiment, as proposed by L K Advani when he was the deputy prime minister.

Single-class or "pure" regiments were raised during the Raj based on the classification of certain communities as "martial races". After 1947, India, however, decided to continue with these caste or community-based units because "regimental history, ethos and loyalty" was considered to be the main driving force in combat effectiveness and operational performance.

"Soldiers from the same clan fight better from the same foxhole. These tradition-bound regiments have proved themselves in combat in all conflicts since 1947. They should not be dismantled," said a major-general.

This "battalion esprit de corps" was quite evident during the 1999 Kargil conflict. Quizzed why they had made those daredevil assaults against fortified positions held by Pakistani intruders, the common refrain among jawans was that the "paltan's izzat" (the battalion's honour) was at stake, more than loftier notions about fighting for the flag and the country.

While officers can be commissioned into any unit, the infantry's 23 regiments — with over 350 battalions under them — are basically of three types. Single-class units constitute around 60% of the whole. Even among them, the further sub-divisions are based on community or caste. The Army's seven Gorkha Rifles, for instance, recruit separately from the Gurung, Rai, Limbu, Magar and other communities, both from India and Nepal.

The aim after Independence has been to raise "All India-All Class" regiments, like the Brigade of Guards, where jawans are recruited from all over the country irrespective of class and percentage. "The endeavour is to progressively move towards such regiments," said a Brigadier.

In between these two are the "mixed" and "fixed" class units like the Grenadiers or the Mahar Regiment. The 4 Grenadiers, for instance, has two companies of Jats, one company of Muslims and one company of Dogras. Similarly, Rajputana Rifles has an equal mix between Rajputs and Jats, while the Rajput Regiment mainly has Rajputs and Gujars with a sprinkling of Muslims and Bengalis.

"Jawans, with similar language and eating habits, have kinship, brotherhood...they form a cohesive fighting force. Even in mixed class regiments like Grenadiers, individual companies - the basic fighting units — are `pure'," said a Colonel.

The other "fighting arms" like the armoured corps and artillery also have several instances of "pure" units among them. Many artillery medium or field regiments, for instance, are "pure" ones recruiting only Gorkhas, Sikhs, Jats, Ahirs or Marathas into their respective folds. But "support" arms like ASC, EME, Ordnance, Signals and the like are resolutely "all-class" units.

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Soldier with new arms determined to be independent

BALTIMORE (AP) — After weeks of round-the-clock medical care, Brendan Marrocco insisted on rolling his own wheelchair into a news conference using his new transplanted arms. Then he brushed his hair to one side.

Such simple tasks would go unnoticed in most patients. But for Marrocco, who lost all four limbs while serving in Iraq, these little actions demonstrate how far he's come only six weeks after getting a double-arm transplant.

Wounded by a roadside bomb in 2009, the former soldier said he could get by without legs, but he hated living without arms.

"Not having arms takes so much away from you. Even your personality, you know. You talk with your hands. You do everything with your hands, and when you don't have that, you're kind of lost for a while," the 26-year-old New Yorker told reporters Tuesday at Johns Hopkins Hospital.

Doctors don't want him using his new arms too much yet, but his gritty determination to regain independence was one of the chief reasons he was chosen to receive the surgery, which has been performed in the U.S. only seven times.

That's the message Marrocco said he has for other wounded soldiers.

"Just not to give up hope. You know, life always gets better, and you're still alive," he said. "And to be stubborn. There's a lot of people who will say you can't do something. Just be stubborn and do it anyway. Work your ass off and do it."

Dr. W.P. Andrew Lee, head of the team that conducted the surgery, said the new arms could eventually provide much of the same function as his original arms and hands. Another double-arm transplant patient can now use chopsticks and tie his shoes.

Lee said Marrocco's recovery has been remarkable, and the transplant is helping to "restore physical and psychological well-being."

Tuesday's news conference was held to mark a milestone in his recovery — the day he was to be discharged from the hospital.

Next comes several years of rehabilitation, including physical therapy that is going to become more difficult as feeling returns to the arms.

Before the surgery, he had been living with his older brother in a specially equipped home on New York's Staten Island that had been built with the help of several charities. Shortly after moving in, he said it was "a relief to not have to rely on other people so much."

The home was heavily damaged by Superstorm Sandy last fall.

"We'll get it back together. We've been through a lot worse than that," his father, Alex Marrocco, said.

For the next few months, Marrocco plans to live with his brother in an apartment near the hospital.

The former infantryman said he can already move the elbow on his left arm and rotate it a little bit, but there hasn't been much movement yet for his right arm, which was transplanted higher up.

Marrocco's mother, Michelle Marrocco, said he can't hug her yet, so he brushes his left arm against her face.

The first time he moved his left arm was a complete surprise, an involuntary motion while friends were visiting him in the hospital, he said.

"I had no idea what was going through my mind. I was with my friends, and it happened by accident," he recalled. "One of my friends said 'Did you do that on purpose?' And I didn't know I did it."

Marrocco's operation also involved a technical feat not tried in previous cases, Lee said in an interview after the news conference.

A small part of Marrocco's left forearm remained just below his elbow, and doctors transplanted a whole new forearm around and on top of it, then rewired nerves to serve the old and new muscles in that arm.

"We wanted to save his joint. In the unlucky event we would lose the transplant, we still wanted him to have the elbow joint," Lee said.

He also explained why leg transplants are not done for people missing those limbs — "it's not very practical." That's because nerves regrow at best about an inch a month, so it would be many years before a transplanted leg was useful.

Even if movement returned, a patient might lack sensation on the soles of the feet, which would be unsafe if the person stepped on sharp objects and couldn't feel the pain.

And unlike prosthetic arms and hands, which many patients find frustrating, the ones for legs are good. That makes the risks of a transplant not worth taking.

"It's premature" until there are better ways to help nerves regrow, Lee said.

Now Marrocco, who was the first soldier to survive losing all four limbs in the Iraq War, is looking forward to getting behind the wheel of his black 2006 Dodge Charger and hand-cycling a marathon.

Asked if he could one day throw a football, Dr. Jaimie Shores said sure, but maybe not like Baltimore Ravens quarterback Joe Flacco.

"Thanks for having faith in me," Marrocco interjected, drawing laughter from the crowd.

His mother said Marrocco has always been "a tough cookie."

"He's not changed that, and he's just taken it and made it an art form," Michelle Marrocco said. "He's never going to stop. He's going to be that boy I knew was going to be a pain in my butt forever. And he's going to show people how to live their lives."

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Associated Press Chief Medical Writer Marilynn Marchione in Milwaukee and AP writer David Dishneau in Hagerstown, Md., contributed to this report.

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Jodi Arias Borrowed Gas Cans Before Killing Ex

Accused murderer Jodi Arias borrowed two five-gallon gas cans from a former boyfriend the day before she drove to Arizona to kill another ex, Travis Alexander, according to testimony in Arias' murder trial today.

In cross examination, prosecutors also forced Arias' former live-in boyfriend Darryl Brewer to describe his sex life with Arias as "pretty aggressive."

Brewer, 52, dated Arias for four years and shared a home with her in California for two years. He told the court today that Arias called him in May 2008, asking to borrow gas cans, but would not explain why. She called him again at least two more times, and arrived at his house on June 2008, to borrow the cans.

On the day she picked up the gas cans she told Brewer that she was going to visit friends in California and Arizona.

Prosecutors argue that Arias then drove to Mesa, Ariz., where she allegedly had sex with Alexander, took nude photos of him, and then stabbed him 27 times, slashed his throat, and shot him twice in the head. She is charged with murder and could face the death penalty if convicted.

Arias, who claims she killed Alexander in self defense, had approached prosecutors two years ago offering to plea to a second degree murder charge, which could carry a 25 year term, but the state rejected the offer, Nancy Grace reported on Good Morning America today.

Brewer said that Arias never returned the gas cans. The pair had been broken up two years earlier and they had only spoken "sporadically," he said.

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Prosecutors also showed receipts from Arias' trip from her California home to Alexander's home in Mesa, showing that she purchased a 10 gallons of gas at one gas station the night before she drove to Arizona, and then another 10 gallons from a different gas station 10 minutes later. Prosecutors are expected to argue she brought the gas with her to fill up her car secretly on the way to Alexander's home, showing premeditation for the murder.

Arias' attorneys called Brewer as one of their first witnesses as they began mounting their case that Arias killed Alexander in self defense, arguing that Alexander was controlling and abusive toward Arias.

They asked Brewer to explain how he and Arias had been in a stable relationship for four years, from 2002 to 2006, and had bought a home together before Arias met Alexander at a business conference and began to change.

"I saw a lot of changes in Jodi. She became a different person than I had known previously," Brewer said, describing how Arias' behavior changed in May 2006 when she joined a company called Pre-Paid Legal. There, she met Alexander and began seeing him. She continued to live with Brewer.

"She had continued to pay the mortgage, but she was not paying other household bills, she began getting into debt or financial trouble," Brewer said. "For me it seemed she was not as rational or logical."

Arias also converted to Mormonism while living with Brewer, telling him that he could no longer curse and she would no longer have sex with him because she was saving herself for marriage.

The pair had previously had an "enthusiastic" and "aggressive" sex life, Brewer admitted to prosecutors. They had engaged in anal sex, Arias had taken nude photos of Brewer, and Arias had purchased breast implants in 2006, he testified.

Brewer said that after Arias began to change, he made arrangements to move closer to his son from his first marriage, and he and Arias broke up.

They kept in touch with occasional phone calls until Arias asked to borrow the gas cans in June 2008, and then called him a week after borrowing the cans to say that her friend had been killed.

Martinez, reading notes from an interview Brewer gave to authorities during the investigation into Alexander's death, asked if Arias had ever mentioned needing an "alibi." Brewer said he did not recall any conversation about alibis.

"After this date of June 4, 2008," Martinez asked, "you received a call from Jodi Arias, and she was very agitated?"

"She was sad," Brewer said.

"Did she tell you that her friend had been killed and she did not have an alibi?"

"I don't remember that," Brewer said.

Arias was arrested a month after Alexander was found dead, in July 2008.

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Egyptian protesters defy curfew, attack police stations

CAIRO/ISMAILIA, Egypt (Reuters) - Egyptian protesters defied a nighttime curfew in restive towns along the Suez Canal, attacking police stations and ignoring emergency rule imposed by Islamist President Mohamed Mursi to end days of clashes that have killed at least 52 people.

At least two men died in overnight fighting in the canal city of Port Said in the latest outbreak of violence unleashed last week on the eve of the anniversary of the 2011 revolt that brought down autocrat Hosni Mubarak.

Political opponents spurned a call by Mursi for talks on Monday to try to end the violence.

Instead, huge crowds of protesters took to the streets in Cairo, Alexandria and in the three Suez Canal cities - Port Said, Ismailia and Suez - where Mursi imposed emergency rule and a curfew on Sunday.

"Down, down with Mohamed Mursi! Down, down with the state of emergency!" crowds shouted in Ismailia. In Cairo, flames lit up the night sky as protesters set police vehicles ablaze.

In Port Said, men attacked police stations after dark. A security source said some police and troops were injured. A medical source said two men were killed and 12 injured in the clashes, including 10 with gunshot wounds.

"The people want to bring down the regime," crowds chanted in Alexandria. "Leave means go, and don't say no!"

The demonstrators accuse Mubarak's successor Mursi of betraying the two-year-old revolution. Mursi and his supporters accuse the protesters of seeking to overthrow Egypt's first ever democratically elected leader through undemocratic means.

Since Mubarak was toppled, Islamists have won two referendums, two parliamentary elections and a presidential vote. But that legitimacy has been challenged by an opposition that accuses Mursi of imposing a new form of authoritarianism, and punctuated by repeated waves of unrest that have prevented a return to stability in the most populous Arab state.

WEST UNNERVED

The army has already been deployed in Port Said and Suez and the government agreed a measure to let soldiers arrest civilians as part of the state of emergency.

The instability unnerves Western capitals, where officials worry about the direction of powerful regional player that has a peace deal with Israel. The United States condemned the bloodshed and called on Egyptian leaders to make clear violence is not acceptable. ID:nW1E8MD01C].

In Cairo on Monday, police fired volleys of teargas at stone-throwing protesters near Tahrir Square, cauldron of the anti-Mubarak uprising. Demonstrators stormed into the downtown Semiramis Intercontinental hotel and burned two police vehicles.

A 46-year-old bystander was killed by a gunshot early on Monday, a security source said. It was not clear who fired.

"We want to bring down the regime and end the state that is run by the Muslim Brotherhood," said Ibrahim Eissa, a 26-year-old cook, protecting his face from teargas wafting towards him.

The political unrest in the Suez Canal cities has been exacerbated by street violence linked to death penalties imposed on soccer supporters convicted of involvement in stadium rioting in Port Said a year ago.

Mursi's invitation to opponents to hold a national dialogue with Islamists on Monday was spurned by the main opposition National Salvation Front coalition, which rejected the offer as "cosmetic and not substantive".

The only liberal politician who attended, Ayman Nour, told Egypt's al-Hayat channel after the meeting ended late on Monday that attendees agreed to meet again in a week.

He said Mursi had promised to look at changes to the constitution requested by the opposition but did not consider the opposition's request for a government of national unity.

The president announced the emergency measures on television on Sunday: "The protection of the nation is the responsibility of everyone. We will confront any threat to its security with force and firmness within the remit of the law," Mursi said.

His demeanor in the address infuriated his opponents, not least when he wagged a finger at the camera.

Some activists said Mursi's measures to try to impose control on the turbulent streets could backfire.

"Martial law, state of emergency and army arrests of civilians are not a solution to the crisis," said Ahmed Maher of the April 6 movement that helped galvanize the 2011 uprising. "All this will do is further provoke the youth. The solution has to be a political one that addresses the roots of the problem."

(Additional reporting by Edmund Blair and Yasmine Saleh in Cairo and Abdelrahman Youssef in Alexandria; Writing by Edmund Blair, Yasmine Saleh and Peter Graff)

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US military plans drone base near Mali: official

WASHINGTON: The US military plans to set up a base for drones in northwest Africa to bolster surveillance of Al-Qaeda's affiliate in the region and allied Islamist extremists, a US official told AFP on Monday.

The base for the robotic, unmanned aircraft would likely be located in Niger, on the eastern border of Mali, where French forces are currently waging a campaign against Al-Qaeda in the Islamic Maghreb (AQIM), said the official, who spoke on condition of anonymity.

The base was first reported by the New York Times earlier Monday.

The airfield would allow for better intelligence gathering by unarmed drones on the movement of AQIM and other militants, which Washington considers a growing threat, the official said.

If the plan gets the green light, up to 300 US military service members and contractors could be sent to the base to operate the drone aircraft, according to the New York Times.

US Africa Command was also looking at an alternative location for the base in Burkina Faso, the official said.

But State Department spokeswoman Victoria Nuland reiterated that there are no plans to commit US troops to any fighting on the ground.

"The US military is not going to be engaged in combat operations in Mali," she stressed, "and we don't expect US forces to become directly involved on the ground in combat either."

The United States and Niger signed a status of forces agreement Monday, which will provide legal safeguards for any American forces in the country. The Pentagon secures such agreements for base arrangements or troop deployments.

The French intervention in Mali, the recent hostage taking at an Algerian natural gas plant and the deadly assault on a US consulate in Libya in September has increased the demand in Washington for more intelligence on militants in the region.

As news emerged of the planned drone base, the Wall Street Journal reported that US military and intelligence officials were weighing plans to provide French fighter aircraft with sophisticated data to help them hunt down militants in Mali.

President Barack Obama's administration waited for more than two weeks before agreeing to offer aerial refuelling tankers to the French forces, amid concerns among some advisers that assisting the French could draw the United States into an open-ended conflict.

The Obama administration has also provided transport planes to help ferry French weapons and troops and to share intelligence with Paris from surveillance aircraft, including reportedly unmanned Global Hawk spy planes.

But Nuland stressed a political situation was also needed for Mali.

"There has to be more than a purely security solution to the problems in Mali," she said, adding "the security track and the political track have to go hand in hand."

"A key component of returning stability to Mali includes new elections and overturning the results of the coup firmly."

- AFP/jc

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Mahakumbh of the mind ends on a dramatic high

JAIPUR: It featured high controversy and deep content, emotional commemoration and vibrant celebration. The 2013 chapter of the Jaipur Literature Festival (JLF), often called the Maha Kumbh of the mind, officially pulled down the curtain on Monday after five days of energetic events attended by enormous crowds.

Notable events included a tribute to the late Bengali writer Sunil Gangopadhyay, a triumphant discourse of defiance by iconic Bengali writer Mahashweta Devi, colourful debates on religions, empires and Bollywood alongside in-depth discussions on writing fiction, reporting facts and discerning change within societies. All together with the now familiar political protests that the event has almost made a habit to attract.

The choice of events within the JLF was dazzling—in one location, cultural theorists Gayatri Spivak discussed the art of criticism with others while at another investment expert Ruchir Sharma outlined methods of economic pragmatism. At another, writers from Ian Buruma to Swapan Dasgupta discussed the sun setting on the empire while Upamanyu Chatterjee and Amit Choudhari read from their books, describing a strange, sublime and eccentric post-colonial India.

Travel writers from Pico Iyer to Samanth Subramanian described the art of falling off maps, as it were, while Madeline Miller, Lawrence Norfolk and Linda Grant discussed writing historical fiction from the odd standpoint of both knowing and not knowing how your plot could proceed. All along, Buddhist chants preceded in-depth discussions on diverse facets of Buddhist literature while strands of feminist writing as well as vernacular and diasporic writing was celebrated.

In the middle of it all came the now famous session 'The Republic of Ideas' featuring academic Ashis Nandy on a panel that debated corruption, red tape and the freedom of speech as building blocks or loose bolts in a nation's architecture. Confronted with dazzling diversity, the crowds seemed to lap the sessions. The Bollywood discussions were predictably swamped by huge numbers, eager to know more about beloved classics as well as the winds of change sweeping through a much-adored cinema. Similarly, a cricket book session featuring sports icon Rahul Dravid was flooded by fans. However, the less-predictable sessions—a crackling discussion on the ethics of reading, translation and the post-colonial between Spivak and Amit Chadhuri, for instance—were similarly inundated.

The audience was as colourful as the sessions, featuring young students clued into texts, appreciative fiction lovers, fans of history and travel narratives, seekers of spiritual solace, Jaipur's beau monde, all glittering with elaborate hair-clips and gleaming jewellery, as well as a few gentle souls who simply wanted to doze in the sun. The sleepy air was shaken when protests broke out over comments of Nandy on January 26 with the protestors filing a police complaint and demanding arrests. Audience at the JLF was left wondering not only at the finest writing, the best authors and their most polished works but also about the freedom to think aloud, to provoke, to protest and to debate. In the best traditions of literature, the JLF 2013 presented answers and questions for readers and writers alike.

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Soldier who lost 4 limbs has double-arm transplant

On Facebook, he describes himself as a "wounded warrior...very wounded."

Brendan Marrocco was the first soldier to survive losing all four limbs in the Iraq War, and doctors revealed Monday that he's received a double-arm transplant.

Those new arms "already move a little," he tweeted a month after the operation.

Marrocco, a 26-year-old New Yorker, was injured by a roadside bomb in 2009. He had the transplant Dec. 18 at Johns Hopkins Hospital in Baltimore, his father said Monday.

Alex Marrocco said his son does not want to talk with reporters until a news conference Tuesday at the hospital, but the younger Marrocco has repeatedly mentioned the transplant on Twitter and posted photos.

"Ohh yeah today has been one month since my surgery and they already move a little," Brendan Marrocco tweeted Jan. 18.

Responding to a tweet from NASCAR driver Brad Keselowski, he wrote: "dude I can't tell you how exciting this is for me. I feel like I finally get to start over."

The infantryman also received bone marrow from the same dead donor who supplied his new arms. That novel approach is aimed at helping his body accept the new limbs with minimal medication to prevent rejection.

The military sponsors operations like these to help wounded troops. About 300 have lost arms or hands in Iraq or Afghanistan.

Unlike a life-saving heart or liver transplant, limb transplants are aimed at improving quality of life, not extending it. Quality of life is a key concern for people missing arms and hands — prosthetics for those limbs are not as advanced as those for feet and legs.

"He was the first quad amputee to survive," and there have been four others since then, Alex Marrocco said.

The Marroccos want to thank the donor's family for "making a selfless decision ... making a difference in Brendan's life," the father said.

Brendan Marrocco has been in public many times. During a July 4 visit last year to the Sept. 11 Memorial with other disabled soldiers, he said he had no regrets about his military service.

"I wouldn't change it in any way. ... I feel great. I'm still the same person," he said.

The 13-hour operation was led by Dr. W.P. Andrew Lee, plastic surgery chief at Johns Hopkins. It was the seventh double-hand or double-arm transplant done in the United States.

Lee led three of those earlier operations when he worked at the University of Pittsburgh, including the only above-elbow transplant that had been done at the time, in 2010.

Marrocco's "was the most complicated one" so far, Lee said in an interview Monday. It will take more than a year to know how fully Marrocco will be able to use the new arms.

"The maximum speed is an inch a month for nerve regeneration," he explained. "We're easily looking at a couple years" until the full extent of recovery is known.

While at Pittsburgh, Lee pioneered the immune-suppression approach used for Marrocco. The surgeon led hand-transplant operations on five patients, giving them marrow from their donors in addition to the new limbs. All five recipients have done well, and four have been able to take just one anti-rejection drug instead of combination treatments most transplant patients receive.

Minimizing anti-rejection drugs is important because they have side effects and raise the risk of cancer over the long term. Those risks have limited the willingness of surgeons and patients to do more hand, arm and even face transplants.

Lee has received funding for his work from AFIRM, the Armed Forces Institute of Regenerative Medicine, a cooperative research network of top hospitals and universities around the country that the government formed about five years ago. With government money, he and several other plastic surgeons around the country are preparing to do more face transplants, possibly using the new immune-suppression approach.

Marrocco expects to spend three to four months at Hopkins, then return to a military hospital to continue physical therapy, his father said. Before the operation, he had been fitted with prosthetic legs and had learned to walk on his own.

He had been living with his older brother in a specially equipped home on New York's Staten Island that had been built with the help of several charities. Shortly after moving in, he said it was "a relief to not have to rely on other people so much."

The home was heavily damaged by Superstorm Sandy last fall.

Despite being in a lot of pain for some time after the operation, Marrocco showed a sense of humor, his father said. He had a hoarse voice from the tube that was in his throat during the long surgery and decided he sounded like Al Pacino. He soon started doing movie lines.

"He was making the nurses laugh," Alex Marrocco said.

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Associated Press Writer Stephanie Nano in New York contributed to this report.

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Online:

Army regenerative medicine:

http://www.afirm.mil/index.cfm?pageid=home

and http://www.afirm.mil/assets/documents/annual_report_2011.pdf

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Follow Marilynn Marchione at http://twitter.com/MMarchioneAP .

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Immigration Plan Includes Path to Citizenship

A bipartisan group of senators on Monday formally unveiled their proposal to drastically overhaul the nation's immigration system, with the hope of passing a bill out of the Senate by late spring or early summer.

"We believe this will be the year Congress finally gets it done," Sen. Chuck Schumer (D-N.Y.) one of the members of the so-called "Gang of Eight" said during a press conference on Capitol Hill.

See Also: Transcript: Framework for Immigration Reform

Five of the eight members of the group -- Schumer, Bob Menendez (D-N.J.), Dick Durbin (D-Ill.), Marco Rubio (R-Fla.), and John McCain (R-Ariz.) -- appeared at the press conference intended to outline their immigration proposal. The proposal would provide a path to citizenship for many of the nation's 11 million undocumented immigrants while upping border security and cracking down on businesses that hire workers who are not legally present in the U.S.

Sens. Jeff Flake (R-Ariz.), Lindsey Graham (R-S.C.), and Michael Bennet (D-Colo.) were the members not in attendance.

The senators all expressed optimism that their legislation could pass both the House and the Senate. Schumer added that he hopes to have an actual piece of legislation done by the end of March, and then have the Senate act on it right away.

Saul Loeb/AFP/Getty Images

But while some conservatives have signaled support for the Senate framework, many others have resisted any plan that could grant a pathway to citizenship to undocumented immigrants, saying it amounts to amnesty for people who broke the law.

The Senate's plan does not grant undocumented immigrants automatic "amnesty," rather it requires them to go through an arduous process that includes undergoing a background check, paying fines, back taxes and learning English and American civics over the course of a number of years. The new law would grant eligible undocumented immigrants permission to live and work in the U.S. legally, but would not confer permanent legal status, or a green card, until the border is deemed to be secure. Young people brought into the U.S. illegally as minors and some agricultural workers would face an easier path to citizenship.

"We will never put these people on a path to citizenship until we have secured the border," Schumer said.

McCain, who helped lead the last effort on a comprehensive immigration bill in 2007 said, "We have been too content for too long to allow individuals to mow our lawns, grow our food, clean our homes, and even watch our children while not affording them any of the benefits that make our country so great."

Senators in both political parties suggested that the reason that some Republicans have had a change of heart was because of the results of last November's election, when seven in 10 Latino voters backed President Barack Obama over Republican Mitt Romney.

"The politics on this issue have been turned upside down," Schumer said. "For the first time ever, there is more political risk in opposing immigration reform, than in supporting it."

Perhaps more than anyone on the stage, McCain understands this. While he backed comprehensive immigration reform five years ago, he backed away from it during his 2010 run for Senate, just as his home state was considering the SB 1070 crackdown law on undocumented immigrants.

McCain went so far as to say that the current plan is a "testimonial" to bill he worked on with Sen. Ted Kennedy (D-Mass.), the late liberal icon, in 2007.

Another member of the group, Marco Rubio, had not always voiced support for a pathway to citizenship for undocumented immigrants during his Senate career. But on Monday, he said that Congress needs to "address the reality" of the massive undocumented population in the U.S.

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Nightclub fire kills 233 in Brazil

SANTA MARIA, Brazil (Reuters) - A nightclub fire killed at least 233 people in southern Brazil early on Sunday when a band's pyrotechnics show set the building ablaze and fleeing partygoers stampeded toward blocked and overcrowded exits in the ensuing panic, officials said.

The blaze in the university town of Santa Maria was ignited by sparks from pyrotechnics used by the band for visual effects. They set fire to soundproofing on the ceiling and the club rapidly filled with toxic smoke, local fire officials said.

Most of those who died were suffocated by fumes, fire brigade Sergeant Robson Muller told Reuters. Others were crushed in the stampede.

"Smoke filled the place instantly, the heat became unbearable," survivor Murilo Tiescher, a medical student, told GloboNews TV. "People could not find the only exit. They went to the toilet thinking it was the exit and many died there."

Fire officials said at least one exit was locked and that club bouncers, who at first thought those fleeing were trying to skip out on bar tabs, initially blocked patrons from leaving. The security staff relented only when they saw flames engulfing the ceiling.

The tragedy, in a packed venue in one of Brazil's most prosperous states, comes as the country scrambles to improve safety, security and logistical shortfalls ahead of the 2014 World Cup soccer tournament and the 2016 Olympics, both intended to showcase the economic advances and first-world ambitions of Latin America's largest nation.

In Santa Maria, a city of more than 275,000 people, rescue workers and weary officials wept alongside family and friends of the victims at a local gymnasium being used as a makeshift morgue.

"It's the saddest, saddest day of my life," said Neusa Soares, the mother of one of those killed, 22-year-old Viviane Tolio Soares. "I never thought I would have to live to see my girl go away."

President Dilma Rousseff cut short an official visit to Chile and flew to Santa Maria, where she wept as she spoke to relatives of the victims at the gym.

"All I can say at the moment is that my feelings are of deep sorrow," said Rousseff, who began her political career in Rio Grande do Sul, the state where the fire occurred.

News of the fire broke on Sunday morning, when local news broadcast images of shocked people outside the nightclub called Boate Kiss. Gradually, grisly details emerged.

"BARRIER OF THE DEAD"

"We ran into a barrier of the dead at the exit," Colonel Guido Pedroso de Melo, commander of the fire brigade in Rio Grande do Sul, said of the scene that firefighters found on arrival. "We had to clear a path to get to the rest of those that were inside."

Officials said more than 1,000 people may have been in the club, possibly exceeding its legal capacity. Though Internet postings about the venue suggested as many as 2,000 people at times have crammed into the club, Pedroso de Melo said no more than half that should have been inside.

He said the club was authorized to be open but its permit was in the process of being renewed.

However, Pedroso de Melo did point to several egregious safety violations - from the flare that went off during the show to the locked door that kept people from leaving.

The club's management said in a statement that its staff was trained and prepared to deal with any emergency. It said it would help authorities with their investigation.

When the fire began at about 2:30 a.m., many revelers were unable to find their way out in the chaos.

"It all happened so fast," survivor Taynne Vendrusculo told GloboNews TV. "Both the panic and the fire spread rapidly, in seconds."

Once security guards realized the building was on fire, they tried in vain to control the blaze with a fire extinguisher, according to a televised interview with one of the guards, Rodrigo Moura. He said patrons were getting trampled as they rushed for the doors, describing it as "a horror film."

Band member Rodrigo Martins said the fire started after the fourth or fifth song and the extinguisher did not work.

"It could have been a short circuit, there were many cables there," Martins told Porto Alegre's Radio Gaucha station. He said there was only one door and it was locked. A band member died in the fire.

CLUB OWNER QUESTIONED

One of the club's owners has surrendered to police for questioning, GloboNews reported.

TV footage showed people sobbing outside the club before dawn, while shirtless firefighters used sledge hammers and axes to knock down an exterior wall to open up an exit.

Rescue officials moved the bodies to the local gym and separated them by gender. Male victims were easier to identify because most had identification on them, unlike the women, whose purses were left scattered in the devastated nightclub. Local authorities said 120 men and 113 women died in the fire.

Piles of shoes remained in the burnt out club, along with tufts of hair pulled out by people fleeing desperately. Firemen who removed bodies said victims' cell phones were still ringing.

The disaster recalls other incidents including a 2003 fire at a nightclub in West Warwick, Rhode Island, that killed 100 people [ID:nL1N0AW2NR], and a Buenos Aires nightclub blaze in 2004 that killed nearly 200. In both incidents, a band or members of the audience ignited fires that set the establishment ablaze.

The Rhode Island fire shocked local and federal officials because of the rarity of such incidents in the United States, where enforcement of safety codes is considered to be relatively strict. After the Buenos Aires blaze, Argentine officials closed many nightclubs and other venues and ultimately forced the city's mayor from office because of poor oversight of municipal codes.

The fire early on Sunday occurred in one of the wealthiest, most industrious and culturally distinct regions of Brazil. Santa Maria is about 186 miles west of Porto Alegre, the capital of a state settled by Germans and other immigrants from northern Europe.

Local clichés paint the region as stricter and more organized than the rest of Brazil, where most residents are a mix descended from native tribes, Portuguese colonists, African slaves, and later influxes of immigrants from southern Europe.

Rio Grande do Sul state's health secretary, Ciro Simoni, said emergency medical supplies from all over the state were being sent to the scene. States from all over Brazil offered support, and messages of sympathy poured in from foreign leaders.

(Additional reporting by Guillermo Parra-Bernal, Gustavo Bonato, Jeferson Ribeiro, Eduardo Simões, Brian Winter and Guido Nejamkis.; Writing by Paulo Prada and Anthony Boadle; Editing by Todd Benson, Kieran Murray and Christopher Wilson)

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