French troops deployed in last Mali rebel strongholds


DOUENTZA, Mali/PARIS (Reuters) - French troops seized the airport in Mali's northern town of Kidal, the last urban stronghold held by Islamist insurgents, as they moved to wrap up the first phase of a military operation to wrest northern Mali from rebel hands.


France has deployed some 4,500 troops in a three-week ground and air offensive to break the Islamist rebels' 10-month grip on major northern towns. The mission is aimed at heading off the risk of Mali being used as a springboard for jihadist attacks in the wider region or Europe.


The French military plans to gradually hand over to a larger African force, tasked with rooting out insurgents in their mountain redoubts near Algeria's border.


Defense Minister Jean-Yves Le Drian said French forces using planes and helicopters defied a sandstorm late on Tuesday to capture the airport but had been prevented by the bad weather from entering the town itself.


"The terrorist forces are pulling back to the Adrar des Ifoghas mountains which are difficult to access," Le Drian told a news conference. "There is support from Chadian and Nigerian troops coming from the south."


The deployment of French troops to remote Kidal puts them in direct contact with pro-autonomy Tuareg MNLA rebels, whose rebellion last year was hijacked by the Islamist radicals. Le Drian said France had established good relations with local Tuareg chieftains before sending in troops.


MNLA leaders say they are ready to fight al Qaeda but many Malians, including the powerful military top brass in the capital Bamako, blame them for the division of the country. They view Paris' liaisons with the Tuaregs with suspicion.


French and Malian troops retook the major Saharan trading towns of Gao and Timbuktu at the weekend.


There were fears that many thousands of priceless ancient manuscripts held in Timbuktu, a UNESCO World Heritage site, might have been lost during the rebel occupation, but experts said the bulk of the texts were safe.


The United States and European governments strongly support the Mali intervention and are providing logistical and surveillance backing but do not intend to send combat troops.


The MNLA rebels, who want greater autonomy for the desert north, said they had moved fighters into Kidal after Islamists left the town earlier this week.


"For the moment, there is a coordination with the French troops," said Moussa Ag Assarid, the MNLA spokesman in Paris.


A spokesman for the Malian army said its soldiers were securing Gao and Timbuktu and were not heading to Kidal.


The MNLA took up arms against the Bamako government a year ago, seeking to carve out a new independent desert state.


After initially fighting alongside the Islamists, by June they had been forced out by their better armed and financed former allies, who include al Qaeda North Africa's wing, AQIM, a splinter wing called MUJWA and Ansar Dine, a Malian group.


RISK OF ATTACKS, KIDNAPPINGS


As the French wind up the first phase of their offensive, doubts remain about just how quickly the U.N.-backed African intervention force can be fully deployed in Mali to hunt down the retreating al Qaeda-allied insurgents. Known as AFISMA, the force is now expected to exceed 8,000 troops.


Foreign Minister Laurent Fabius said France's military operation, codenamed Serval (Wildcat), was planned as a lightning mission lasting a few weeks.


"Liberating Gao and Timbuktu very quickly was part of the plan. Now it's up to the African countries to take over," he told the Le Parisien daily. "We decided to put in the means and the necessary number of soldiers to strike hard. But the French contingent will not stay like this. We will leave very quickly."


One French soldier has been killed in the mission, and Fabius warned that things could now get more difficult, as the offensive seeks to flush out insurgents with experience of fighting in the desert from their wilderness hideouts.


"We have to be careful. We are entering a complicated phase where the risks of attacks or kidnappings are extremely high. French interests are threatened throughout the entire Sahel."


An attack on the In Amenas gas plant in Algeria earlier this month by Islamist fighters opposing the French intervention in Mali led to the deaths of dozens of foreign hostages and raised fears of similar reprisal strikes across North and West Africa.


NEED FOR RECONCILIATION


The French operation has destroyed the Islamists' training camps and logistics bases but analysts say a long term solution for Mali hinges on finding a political settlement between the northern communities and the southern capital Bamako.


Interim President Dioncounda Traore said on Tuesday his government would aim to hold national elections on July 31. Paris is pushing strongly for Traore's government to hold talks with the MNLA, which has dropped its claims for independence.


"The Malian authorities must begin without delay talks with the legitimate representatives of the northern population and non-terrorist armed groups that recognize Mali's integrity," French Foreign ministry spokesman Philippe Lalliot said.


After months of being kept on the political sidelines, the MNLA said they were in contact with West African mediators who are trying to forge a national settlement to reunite Mali.


"We reiterate that we are ready to talk with Bamako and to find a political solution. We want self-determination, but all that will be up to negotiations which will determine at what level both parties can go," Ag Assarid said.


There have been cases in Gao and Timbuktu and other recaptured towns of reprisal attacks and looting of shops and residences belonging to Malian Tuaregs and Arabs suspected of sympathizing with the MNLA and the Islamist rebels.


(Additional reporting John Irish and Emmanuel Jarry in Paris, David Lewis and Pascal Fletcher in Dakar; Writing by David Lewis and Daniel Flynn; Editing by Pascal Fletcher and Rosalind Russell)



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Departing Kerry warns senators of crippling gridlock






WASHINGTON: US Senator John Kerry offered some tough love Wednesday to the colleagues he leaves behind to become secretary of state: end the fierce partisanship or risk the nation's reputation as a beacon of democracy.

Kerry, whose confirmation as President Barack Obama's choice to replace Hillary Clinton as chief US diplomat sailed through the Senate a day earlier, said lawmakers needed to end the chamber's "reputation as a sanctuary of gridlock" and get down to legislating through compromise and consensus.

"If democracy deadlocks here, we raise doubts about democracy everywhere," Kerry, who at times turned emotional in his farewell speech on the Senate floor, told Democrats and a smattering of Republicans.

"If we use the time to posture politically in Washington, we weaken our position across the world."

Lawmakers in the House and Senate have engaged in bruising partisan debate and voting in recent months, notably concluding the 112th Congress a month ago by waiting until the final hour to reach only a partial deal to avoid a series of fiscal crises including tax hikes and spending cuts.

Kerry, a 28-year veteran of the chamber, appeared to be offering his words of advice in part as a plea for cooperation as he takes on the task of leading US foreign policy.

"As I prepare to represent our nation in capitals around the world, I am more than conscious that my credibility as a diplomat and ours as a country is determined to a great degree by what happens right here in our capital city," Kerry said.

"The antidote to the current narrative of American decline" being put forward in rival nations like China and Iran, he said, "is to demonstrate that we can get our economic house in order -- because we can be no stronger abroad than we are here at home. It's that simple."

Despite the harsh assessment, Kerry spoke warmly of his colleagues across the aisle, particularly Republican John McCain, who, like Kerry, fought in the Vietnam War but found "common ground" with him on several issues.

And the future secretary of state could not help but make light of how he, like McCain, came up short in his presidential ambitions.

"Eight years ago I admit that I had a very different plan... to leave the Senate, but 61 million Americans voted that they wanted me to stay here with you," he said to laughter in the chamber.

Kerry choked up several times during his 45-minute speech, including when he spoke of President John F. Kennedy and brother Ted Kennedy, from whom Kerry inherited his mahogany desk in the Senate when the younger Kennedy died in 2009.

Massachusetts Governor Deval Patrick on Wednesday appointed his former chief of staff, William "Mo" Cowan, to temporarily fill Kerry's Senate seat until a special election is held on June 25.

In picking a relative political unknown, Patrick passed over other potential appointees including long-serving congressman Barney Frank, who retired early this month, and Vicki Kennedy, the widow of former US senator Ted Kennedy.

The departure of Kerry, whose confirmation breezed through the Senate on Tuesday, sets off a scramble for a seat in a liberal state where Democrat Elizabeth Warren defeated incumbent Senate Republican Scott Brown in November.

- AFP/jc



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Panel asks oil, defence ministries to resolve differences in a month

NEW DELHI: The Cabinet's panel for promoting investment by cutting red tape on Wednesday asked the oil and defence ministries to resolve within a month their differences over allowing oil hunt in 47 blocks and seek fresh approval.

At its first meeting after being formed, the Cabinet committee on investment failed to break the deadlock over objections and reservations raised by the defence ministry on allowing companies to explore these blocks. "The issues involved are complex and therefore the two ministries have been asked to discuss and come back with a solution within a month," said a senior official.

The defence ministry refused to compromise on security concerns by diluting stringent conditions it had set while giving conditional nod to some of the blocks. It stuck to its stand that the oil ministry and the companies that had bid for these blocks were aware of the conditions which were yet to be met.

The defence ministry made it clear that taking conditional approval as final clearance was not proper. It pointed to 73 blocks where it had concerns but later cleared 27 after stakeholder consultations to make the point that it was accommodating the oil ministry's requests for security clearance.

Of the 47 blocks, RIL's KG-DWN-98/3 or KG-D6 block falls in 14 areas which the defence ministry has declared as 'no-go'. The reason for classifying the Krishna-Godavari basin block as 'no-go' area is that it overlaps with a proposed naval base.

"There were certain areas where certain problems were identified and therefore the ministry of petroleum and natural gas has been tasked with responsibility of sitting down with the ministry of defence and resolving some of the problems which are there with regard to 39 blocks," I&B Minister Manish Tewari said.

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Sex to burn calories? Authors expose obesity myths


Fact or fiction? Sex burns a lot of calories. Snacking or skipping breakfast is bad. School gym classes make a big difference in kids' weight.


All are myths or at least presumptions that may not be true, say researchers who reviewed the science behind some widely held obesity beliefs and found it lacking.


Their report in Thursday's New England Journal of Medicine says dogma and fallacies are detracting from real solutions to the nation's weight problems.


"The evidence is what matters," and many feel-good ideas repeated by well-meaning health experts just don't have it, said the lead author, David Allison, a biostatistician at the University of Alabama at Birmingham.


Independent researchers say the authors have some valid points. But many of the report's authors also have deep financial ties to food, beverage and weight-loss product makers — the disclosures take up half a page of fine print in the journal.


"It raises questions about what the purpose of this paper is" and whether it's aimed at promoting drugs, meal replacement products and bariatric surgery as solutions, said Marion Nestle, a New York University professor of nutrition and food studies.


"The big issues in weight loss are how you change the food environment in order for people to make healthy choices," such as limits on soda sizes and marketing junk food to children, she said. Some of the myths they cite are "straw men" issues, she said.


But some are pretty interesting.


Sex, for instance. Not that people do it to try to lose weight, but claims that it burns 100 to 300 calories are common, Allison said. Yet the only study that scientifically measured the energy output found that sex lasted six minutes on average — "disappointing, isn't it?" — and burned a mere 21 calories, about as much as walking, he said.


That's for a man. The study was done in 1984 and didn't measure the women's experience.


Among the other myths or assumptions the authors cite, based on their review of the most rigorous studies on each topic:


—Small changes in diet or exercise lead to large, long-term weight changes. Fact: The body adapts to changes, so small steps to cut calories don't have the same effect over time, studies suggest. At least one outside expert agrees with the authors that the "small changes" concept is based on an "oversimplified" 3,500-calorie rule, that adding or cutting that many calories alters weight by one pound.


—School gym classes have a big impact on kids' weight. Fact: Classes typically are not long, often or intense enough to make much difference.


—Losing a lot of weight quickly is worse than losing a little slowly over the long term. Fact: Although many dieters regain weight, those who lose a lot to start with often end up at a lower weight than people who drop more modest amounts.


—Snacking leads to weight gain. Fact: No high quality studies support that, the authors say.


—Regularly eating breakfast helps prevent obesity. Fact: Two studies found no effect on weight and one suggested that the effect depended on whether people were used to skipping breakfast or not.


—Setting overly ambitious goals leads to frustration and less weight loss. Fact: Some studies suggest people do better with high goals.


Some things may not have the strongest evidence for preventing obesity but are good for other reasons, such as breastfeeding and eating plenty of fruits and vegetables, the authors write. And exercise helps prevent a host of health problems regardless of whether it helps a person shed weight.


"I agree with most of the points" except the authors' conclusions that meal replacement products and diet drugs work for battling obesity, said Dr. David Ludwig, a prominent obesity research with Boston Children's Hospital who has no industry ties. Most weight-loss drugs sold over the last century had to be recalled because of serious side effects, so "there's much more evidence of failure than success," he said.


___


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


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Arias Trial Shocked by Slashed Throat Photo













The courtroom at the Jodi Arias murder trial was shocked -- and Arias began sobbing -- when the prosecutor stunned them by suddenly flashing a photograph of Arias' ex-boyfriend Travis Alexander with his throat slashed open.


Alexander's sisters and friends burst into tears and one ran out of the courtroom when prosecutor Juan Martinez held up the grisly picture of Alexander with his throat slashed and bloodied.


Arias, who is on trial for allegedly murdering Alexander, sobbed uncontrollably at the sight of the photo. She is accused of stabbing Alexander 27 times, slashing his throat, and shooting him twice in the head in a bout of jealousy. She could face the death penalty if convicted.


In the moments before the incident, Martinez was questioning Lisa Daidone, who dated Alexander in 2007 after Alexander's break up with Arias but while he and Arias continued to sleep together. The defense had gone painstakingly through an angry email Daidone had sent Alexander to break up with him, after she found out he was cheating on her with Arias.


"Do you think that even with everything they claimed he put you through, do you think it is appropriate to take a knife and slash somebody's throat?" Martinez yelled.


"Is this what a normal relationship looks like to you?" Martinez shouted as he held up the picture amid shouts of "objection" from the defense and gasps from onlookers.


Judge Sherry Stephens called for a recess, and when the court returned the judge warned the audience to keep their reactions to testimony silent.








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The outburst came at the end of an intense line of questioning from Martinez as he asked Daidone to explain that Alexander treated her well during their relationship, attempting to disprove the defense's accusations that Alexander was a sex-obsessed, aggressive cheater.


Daidone had testified under questioning by Arias' lawyers that she broke off her relationship with Alexander several times partly out of her suspicions that he was cheating on her, although he had asked her to marry him.


As Mormons they refrained from sex before marriage and she was surprised to find out after Alexander's death that he was not a virgin. Another witness, Desiree Freeman, told the court that Alexander claimed to be a virgin. "He made jokes about it" and seemed proud of the fact, Freeman testified.


The defense cited Daidone's breakup email listing her complaints about Alexander in their effort to portray Alexander as an aggressive philanderer.


"Did you tell him that you felt he wanted you just for your body, that kissing didn't mean anything to him and was just a way for him to let out sexual tension? And that it made you feel used and dirty?" defense attorney Jennifer Willmott asked Daidone.


Daidone said yes, and that she "had felt that way then."


But the prosecutor grilled Daidone about that email, drawing a picture of a more reserved and sexually restrained Alexander.


"You were asked about that email," Martinez said, "and one of the things you talked about, isn't it true that Mr. Alexander wouldn't kiss you at the start of the relationship? You were the person who initiated contact? He was the person holding it up, right? He was holding up your religious beliefs?" Martinez asked.


Daidone agreed.


"He was doing everything he could to conform to what you wanted, wasn't he? Not other way around," Martinez said.


Daidone said that when she sent the angry email to Alexander, criticizing him for thinking about sex and talking about sex, that she was "inexperienced" and "immature," and she later came to regret saying those things to him.


Daidone said that Alexander always kept in close contact with Arias, texting and calling her often. She was suspicious that he was cheating on her, but did not know they were involved sexually.






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Sixty-five people executed in Syria's Aleppo: activists


BEIRUT (Reuters) - At least 65 people were found shot dead with their hands bound in the northern Syrian city of Aleppo on Tuesday in a "new massacre" in the near two-year revolt against President Bashar al-Assad, activists said.


Opposition campaigners blamed the government but it was impossible to confirm who was responsible. Assad's forces and rebels have been battling in Syria's commercial hub since July and both have been accused of carrying out summary executions.


U.N.-Arab League mediator Lakhdar Brahimi told the U.N. Security Council "unprecedented levels of horror" had been reached in Syria, and that both the government and rebels had committed atrocious crimes, diplomats said.


He appealed to the 15-nation council to overcome its deadlock and take action to help end the civil war in which Syria is "breaking up before everyone's eyes".


More than 60,000 people are estimated to have been killed in the war, the longest and deadliest of the revolts that began throughout the Arab world two years ago.


The U.N. refugee agency said the fighting had forced more than 700,000 people to flee. World powers fear the conflict could envelop Syria's neighbors including Lebanon, Jordan and Turkey, further destabilizing an already explosive region.


Opposition activists posted a video of at least 51 muddied male bodies alongside what they said was the Queiq River in Aleppo's rebel-held Bustan al-Qasr neighborhood.


The bodies had what looked like bullet wounds in their heads and some of the victims appeared to be young, possibly teenagers, dressed in jeans, shirts and trainers.


Aleppo-based opposition activists who asked not to be named for security reasons blamed pro-Assad militia fighters.


They said the men had been executed and dumped in the river before floating downstream into the rebel area. State media did not mention the incident.


The British-based Syrian Observatory for Human Rights, which says it provides objective information about casualties on both sides of Syria's war from a network of monitors, said the footage was evidence of a new massacre and the death toll could rise as high as 80.


"They were killed only because they are Muslims," said a bearded man in another video said to have been filmed in central Bustan al-Qasr after the bodies were removed from the river. A pickup truck with a pile of corpses was parked behind him.


STALEMATE


It is hard for Reuters to verify such reports from inside Syria because of restrictions on independent media.


Rebels are stuck in a stalemate with government forces in Aleppo - Syria's most populous city which is divided roughly in half between the two sides.


The revolt started as a peaceful protest movement against more than four decades of rule by Assad and his family, but turned into an armed rebellion after a government crackdown.


About 712,000 Syrian refugees have registered in other countries in the region or are awaiting processing as of Tuesday, the U.N. refugee agency said.


"We have seen an unrelenting flow of refugees across all borders. We are running double shifts to register people," Sybella Wilkes, spokeswoman for the U.N. High Commissioner for Refugees (UNHCR), told Reuters in Geneva.


The United Nations said it had received aid promises ahead of a donor conference in Kuwait on Wednesday where it is seeking $1.5 billion for refugees and people inside Syria. Washington announced an additional $155 million that its said brought the total U.S. humanitarian aid to the crisis to some $365 million.


Aid group Médecins Sans Frontières said the bulk of the current aid was going to government-controlled areas in Syria and called on donors to make sure they were even-handed.


MISSILES


In the eastern city of Deir al-Zor, insurgents including al Qaeda-linked Islamists captured a security agency after days of heavy fighting, according to an activist.


Some of the fighters were shown carrying a black flag with the Islamic declaration of faith and the name of the al-Nusra Front, which has ties to al Qaeda in neighboring Iraq.


The war has become heavily sectarian, with rebels who mostly come from the Sunni Muslim majority fighting an army whose top generals are mostly from Assad's Alawite sect, an offshoot of Shi'ite Islam. Assad has framed the revolt as a foreign-backed conspiracy and blames the West and Sunni Gulf states.


Fighting also took place in the northern town of Ras al-Ain, on the border with Turkey, between rebels and Kurdish militants, the Observatory said.


In Turkey, a second pair of Patriot missile batteries being sent by NATO countries are now operational, a German security official said.


The United States, Germany and the Netherlands each committed to sending two batteries and up to 400 soldiers to operate them after Ankara asked for help to bolster its air defenses against possible missile attack from Syria.


(Additional reporting by Sylvia Westall in Kuwait, Sabine Siebold in Berlin and Stephanie Nebehay in Geneva; Editing by Andrew Heavens and Robin Pomeroy)



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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."


___


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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