Armstrong Snubs Offer From Anti-Doping Officials

Lance Armstrong has turned down what may be his last chance at reducing his lifetime sporting ban.

Armstrong has already admitted in an interview with Oprah Winfrey to a career fueled by doping and deceit. But to get a break from the U.S. Anti-Doping Agency, all he had to do was tell his story to those who police sports doping. The deadline was today, and Armstrong now says he won't do it.

"For several reasons, Lance will not participate in USADA's efforts to selectively conduct American prosecutions that only demonize selected individuals while failing to address the 95 percent of the sport over which USADA has no jurisdiction," said Tim Herman, Armstrong's longtime lawyer. "Lance is willing to cooperate fully and has been very clear: He will be the first man through the door, and once inside will answer every question, at an international tribunal formed to comprehensively address pro cycling."

But the "international tribunal" Armstrong is anxious to cooperate with has one major problem: It doesn't exist.

The UCI, cycling's governing body, has talked about forming a "truth and reconciliation" commission, but the World Anti-Doping Agency has resisted, citing serious concerns about the UCI and its leadership.

READ MORE: Armstrong Admits to Doping

Livestrong, Elizabeth Kreutz/AP Photo

READ MORE: Lance Armstrong May Have Lied to Winfrey: Investigators

WATCH: Armstrong's Many Denials Caught on Tape

U.S. Anti-Doping Agency officials seemed stunned by Armstrong's decision simply to walk away.

"Over the last few weeks, he [Armstrong] has led us to believe that he wanted to come in and assist USADA, but was worried of potential criminal and civil liability if he did so," said Travis Tygart, CEO of the U.S. Anti-Doping Agency. "Today, we learned from the media that Mr. Armstrong is choosing not to come in and be truthful and that he will not take the opportunity to work toward righting his wrongs in sport."

Armstrong's ongoing saga plays out amid a backdrop of serious legal problems.

Sources believe one reason Armstrong wants to testify to an international tribunal, rather than USADA, is because perjury charges don't apply if Armstrong lies to a foreign agency, they told ABC News.

While Armstrong has admitted doping, he has not given up any details, including the people and methods required to pull off one of the greatest scandals in all of sport.

Armstrong is facing several multimillion-dollar lawsuits right now, but his biggest problems may be on the horizon. As ABC News first reported, a high-level source said a criminal investigation is ongoing. And the Department of Justice also reportedly is considering joining a whistleblower lawsuit claiming the U.S. Postal Service was defrauded out of millions of dollars paid to sponsor Armstrong's cycling team.

READ MORE: 10 Scandalous Public Confessions

PHOTOS: Olympic Doping Scandals: Past and Present

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Syria "Scud-type" missile said to kill 20 in Aleppo

AMMAN (Reuters) - A Syrian missile killed at least 20 people in a rebel-held district of Aleppo on Tuesday, opposition activists said, as the army turns to longer-range weapons after losing bases in the country's second-largest city.

The use of what opposition activists said was a large missile of the same type as Russian-made Scuds against an Aleppo residential district came after rebels overran army bases over the past two months from which troops had fired artillery.

As the uprising against President Bashar al-Assad, now a civil war, nears its two-year mark, rebels also landed three mortar bombs in the rarely-used presidential palace compound in the capital Damascus, opposition activists said on Tuesday.

The United Nations estimates 70,000 people have been killed in the conflict between largely Sunni Muslim rebels and Assad's supporters among his minority Alawite sect. An international diplomatic deadlock has prevented intervention, as the war worsens sectarian tensions throughout the Middle East.

A Russian official said on Tuesday that Moscow, which is a long-time ally of Damascus, would not immediately back U.N. investigators' calls for some Syrian leaders to face the International Criminal Court for war crimes.

Moscow has blocked three U.N. Security Council resolutions that would have increased pressure on Assad.

Casualties are not only being caused directly by fighting, but also by disruption to infrastructure and Syria's economy.

An estimated 2,500 people in a rebel-held area of northeastern Deir al-Zor province have been infected with typhoid, which causes diarrhea and can be fatal, due to drinking contaminated water from the Euphrates River, the World Health Organization (WHO) said on Tuesday.

"There is not enough fuel or electricity to run the pumps so people drink water from the Euphrates which is contaminated, probably with sewage," the WHO representative in Syria, Elisabeth Hoff, told Reuters by telephone.

The WHO had no confirmed reports of deaths so far.

BURIED UNDER RUBBLE

In northern Aleppo, opposition activists said 25 people were missing under rubble of three buildings hit by a several-meter-long missile. They said remains of the weapon showed it to be a Scud-type missile of the type government forces increasingly use in Aleppo and in Deir a-Zor.

NATO said in December Assad's forces fired Scud-type missiles. It did not specify where they landed but said their deployment was an act of desperation.

Bodies were being gradually dug up, Mohammad Nour, an activist, said by phone from Aleppo.

"Some, including children, have died in hospitals," he said.

Video footage showed dozens of people scouring for victims and inspecting damage. A body was pulled from under collapsed concrete. At a nearby hospital, a baby said to have been dug out from wreckage was shown dying in the hands of doctors.

Reuters could not independently verify the reports.

Opposition activists also reported fighting near the town of Nabak on the Damascus-Homs highway, another route vital for supplying forces in the capital loyal to Assad, whose family has ruled Syria since the 1960s.

Rebels moved anti-aircraft guns into the eastern Damascus district of Jobar, adjacent to the city centre, as they seek to secure recent gains, an activist said.

"The rebels moved truck-mounted anti-aircraft guns to Jobar and are now firing at warplanes rocketing the district," said Damascus activist Moaz al-Shami.

Russian Deputy Foreign Minister Gennady Gatilov told a news conference a U.N. war crimes report, which accuses military leaders and rebels of terrorizing civilians, was "not the path we should follow ... at this stage it would be untimely and unconstructive."

Syria is not party to the Rome Statute that established the ICC and the only way the court can investigate the situation is if it receives a referral from the Security Council, where Moscow is a permanent member.

(Writing by Oliver Holmes; Editing by Jason Webb)

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Football: LionsXII impress Fandi in 2-2 draw with Johor

SINGAPORE: Fandi Ahmad was left shocked and impressed after his star-studded Johor Darul Takzim were forced to share the spoils at a packed Larkin Stadium, as they drew 2-2 with an impressive LionsXII side in the Malaysian Super League (MSL) on Tuesday night.

Fandi told reporters after the match that he and his players were shocked that the LionsXII had opted to go on the offensive from the start, saying that he had expected V Sundramoorthy's side to adopt "a more counterattacking strategy".

"This has been the best I've seen the LionsXII play," praised Fandi. "I'm also quite puzzled why my players couldn't rise to the occasion tonight and perform."

Indeed, there was a very different look to the LionsXII on Tuesday as they refused to sit back in the first half and often pressed forward in numbers in search of goals.

The LionsXII hardly looked in awe of Johor - who boast the likes of former Lazio player Simone Del Nero and former Spanish international Daniel Guiza - and impressed with fluid passing and hard tackling.

Their desire to draw first blood did not take long to pay dividends when Hariss Harun - who was playing his first match since he suffered a broken fibula in November - blasted the visitors into the lead after four minutes.

The Larkin Stadium was thoroughly silenced by the midfield lynchpin, but it was only for a moment.

Just six minutes later, Johor's livewire midfielder Nurul Azwan lost his marker and sent a low cross into the area which Del Nero superbly headed past goalkeeper Izwan Mahbud to score his first club goal.

Eager to reclaim the initiative, Sundram's charges continued to attack and were rewarded in the 37th minute when Baihakki Khaizan scored with a spectacular diving header following a free-kick.

The match continued to be played at a frenetic pace even after the restart and Fandi soon brought on even more firepower in Safee Sali.

With Safee, Guiza and Norshahrul Idlan Talaha now in attack, the LionsXII found themselves pegged back and digging deep to defend.

Fandi's decision to overload the attack eventually paid off as Norshahrul shrugged off tired LionsXII defenders and fired home Johor's equaliser from 20 yards out.

Despite not bagging the win, Sundram was satisfied with the result, praising his players for the tenacity they displayed.

He said: "I'm very happy the players fought for every ball tonight. The MSL is a very physical league and we've got to be able to fight hard on the field. Player to player, I'm very pleased that our boys can compete against Fandi's."

- TODAY

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No trace of 3,772 children missing from Delhi in last 5 years

NEW DELHI: Over 3,700 children, majority of whom are girls, went missing from Delhi homes in the last five years and are still untraceable yet the Delhi government says it has no evidence of organized gangs operating in the national capital indulging in kidnapping or trafficking of children.

The Delhi home department through advocate S Wasim Qadri cited a special initiative taken by Delhi Police under 'Pehchan' scheme to photograph children belonging to poorer sections of society living in slums.

"This scheme covers areas from where most children go missing and the police are unable to make any headway in tracing them as poor families seldom have photographs of their children. Delhi Police has so far photographed 64,755 children in the last last months," it said.

But the National Human Rights Commission was sceptical about the intent of state governments in protecting children from being kidnapped or trafficked. NHRC's affidavit filed through advocate Shobha said the states had confined to paper the guidelines for protection of children and went through the motion of filing periodic data before the commission.

On Tuesday, this made a bench of Chief Justice Altamas Kabir and Justices A R Dave and Vikramjit Sen to observe, "We are dealing with a PIL concerning children, who constitute 42% of the population. But this does not seem to bother the states which are supposed to be their guardians. This is possibly because they do not have voice."

Though the Delhi government listed its initiatives, it was discernible that the number of missing children not being traced in the last five years had registered a steady increase. Another disturbing factor in the statistics was that majority of the untraced children were girls.

In 2008, a total of 413 missing children remained untraceable of which 222 were girls. Corresponding figures in the next four years are - 485 untraceable of which 213 were girls (2009), 854 of which 416 were girls (2010), 981 of which 559 were girls (2011) and 1,139 of which 623 were girls (2012).

The Sheila Dikshit government said it was pro-active in analyzing the trends in kidnapping or missing children. "Involvement of organized gangs in kidnapping or trafficking of children for any unlawful activity has so far not come to notice in Delhi," it said.

On the other hand, the NHRC was scathing in its affidavit. It recognized the importance of the issue of missing children raised by by NGO Bachpan Bachao Andolan through senior advocate H S Phoolka and said, "This is high time the issue is given top-most priority by the central government, all state governments and all other government and non-government actors/stakeholders."

The commission said it had constituted a committee after the Nithari serial rape-cum-murders to address the issue of missing children. The committee had issued guidelines and sent it to all states.

"But what happens to most of the recommendations, guidelines and reports has happened to the guidelines sent by the commission. The status remains the same, the guidelines became part of record, some states have simply filled up the form and sent back to the commission, while rest still have to find time to complete the paper formality," the NHRC said.

Taking note of Phoolka's allegation that nearly 200 children went missing every day from various states and 100 remained untraceable, the bench said, "Still no one seems to be bothered about it." It listed the matter for detailed hearing on April 15.

On March 17 last year, the court had issued notices to the Centre and states on the NGO's PIL seeking an advanced scientific mechanism to investigate and recover missing children. "In India, in the period from January 2008 to January 2010, over 1.17 lakh children have gone missing in 392 districts in India. Out of them, 41,546 are still untraced," it had said.

The petitioner had sought a direction to the Union government to formulate a National Action Plan on the issue of missing children which should include investigation, recovery, counseling and standard operating procedures for law enforcing agencies on coordinating their efforts.

dhananjay.mahapatra@timesgroup.com

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Drug overdose deaths up for 11th consecutive year

CHICAGO (AP) — Drug overdose deaths rose for the 11th straight year, federal data show, and most of them were accidents involving addictive painkillers despite growing attention to risks from these medicines.

"The big picture is that this is a big problem that has gotten much worse quickly," said Dr. Thomas Frieden, head of the Centers for Disease Control and Prevention, which gathered and analyzed the data.

In 2010, the CDC reported, there were 38,329 drug overdose deaths nationwide. Medicines, mostly prescription drugs, were involved in nearly 60 percent of overdose deaths that year, overshadowing deaths from illicit narcotics.

The report appears in Tuesday's Journal of the American Medical Association.

It details which drugs were at play in most of the fatalities. As in previous recent years, opioid drugs — which include OxyContin and Vicodin — were the biggest problem, contributing to 3 out of 4 medication overdose deaths.

Frieden said many doctors and patients don't realize how addictive these drugs can be, and that they're too often prescribed for pain that can be managed with less risky drugs.

They're useful for cancer, "but if you've got terrible back pain or terrible migraines," using these addictive drugs can be dangerous, he said.

Medication-related deaths accounted for 22,134 of the drug overdose deaths in 2010.

Anti-anxiety drugs including Valium were among common causes of medication-related deaths, involved in almost 30 percent of them. Among the medication-related deaths, 17 percent were suicides.

The report's data came from death certificates, which aren't always clear on whether a death was a suicide or a tragic attempt at getting high. But it does seem like most serious painkiller overdoses were accidental, said Dr. Rich Zane, chair of emergency medicine at the University of Colorado School of Medicine.

The study's findings are no surprise, he added. "The results are consistent with what we experience" in ERs, he said, adding that the statistics no doubt have gotten worse since 2010.

Some experts believe these deaths will level off. "Right now, there's a general belief that because these are pharmaceutical drugs, they're safer than street drugs like heroin," said Don Des Jarlais, director of the chemical dependency institute at New York City's Beth Israel Medical Center.

"But at some point, people using these drugs are going to become more aware of the dangers," he said.

Frieden said the data show a need for more prescription drug monitoring programs at the state level, and more laws shutting down "pill mills" — doctor offices and pharmacies that over-prescribe addictive medicines.

Last month, a federal panel of drug safety specialists recommended that Vicodin and dozens of other medicines be subjected to the same restrictions as other narcotic drugs like oxycodone and morphine. Meanwhile, more and more hospitals have been establishing tougher restrictions on painkiller prescriptions and refills.

One example: The University of Colorado Hospital in Aurora is considering a rule that would ban emergency doctors from prescribing more medicine for patients who say they lost their pain meds, Zane said.

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Stobbe reported from Atlanta.

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Online:

JAMA: http://www.jama.ama-assn.org

CDC: http://www.cdc.gov

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AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com

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Report Fingers Chinese Military Unit in US Hacks

A Virginia-based cyber security firm has released a new report alleging a specific Chinese military unit is likely behind one of the largest cyber espionage and attack campaigns aimed at American infrastructure and corporations.

In the report, released today by Mandiant, China's Unit 61398 is blamed for stealing "hundreds of terabytes of data from at least 141 organizations" since 2006, including 115 targets in the U.S. Twenty different industrial sectors were targeted in the attacks, Mandiant said, from energy and aerospace to transportation and financial institutions.

Mandiant believes it has tracked Unit 61398 to a 12-story office building in Shanghai that could employ hundreds of workers.

"Once [Unit 61398] has established access [to a target network], they periodically revisit the victim's network over several months or years and steal broad categories of intellectual property, including technology blueprints, proprietary manufacturing processes, test results, business plans, pricing documents, partnership agreements, and emails and contact lists from victim organizations' leadership," the report says.

The New York Times, which first reported on the Mandiant paper Monday, said digital forensic evidence presented by Mandiant pointing to the 12-story Shangai building as the likely source of the attacks has been confirmed by American intelligence officials. Mandiant was the firm that The Times said helped them investigate and eventually repel cyber attacks on their own systems in China last month.

Peter Parks/AFP/Getty Images

The Chinese government has repeatedly denied involvement in cyber intrusions and Chinese Foreign Ministry spokesperson Hong Lei said today that the claims in the Mandiant report were unsupported, according to a report by The Associated Press.

"To make groundless accusations based on some rough material is neither responsible nor professional," he reportedly said.

Mandiant's report was released a week after President Obama said in his State of the Union address that America must "face the rapidly growing threat from cyber attack."

"We know hackers steal people's identities and infiltrate private e-mail. We know foreign countries and companies swipe our corporate secrets. Now our enemies are also seeking the ability to sabotage our power grid, our financial institutions, and our air traffic control systems. We cannot look back years from now and wonder why we did nothing in the face of real threats to our security and our economy," he said.

Though Obama did not reference China or any country specifically, U.S. officials have previously accused the Asian nation of undertaking a widespread cyber espionage campaign.

Referring to alleged Chinese hacking in October 2011, House Intelligence Committee Chairman Rep. Mike Rogers (R-Mich.) said in an open committee meeting that he did not believe "that there is a precedent in history for such a massive and sustained intelligence effort by a government agency to blatantly steal commercial data and intellectual property."

Rogers said that cyber intrusions into American and other Western corporations by hackers working on behalf of Beijing -- allegedly including attacks on corporate giants like Google and Lockheed Martin -- amounted to "brazen and widespread theft."

"The Chinese have proven very, very good at hacking their way into very large American companies that spend a lot of money trying to protect themselves," cyber security expert and ABC News consultant Richard Clarke said in an interview last week.

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Time to refer Syrian war crimes to ICC: U.N. inquiry

GENEVA (Reuters) - United Nations investigators said on Monday that Syrian leaders they had identified as suspected war criminals should face the International Criminal Court (ICC).

The investigators urged the U.N. Security Council to "act urgently to ensure accountability" for violations, including murder and torture, committed by both sides in an uprising and civil war that has killed about 70,000 people since March 2011.

"Now really it's time ... We have a permanent court, the International Criminal Court, who would be ready to take this case," Carla del Ponte, a former ICC chief prosecutor who joined the U.N. team in September, told a news briefing in Geneva.

But because Syria is not party to the Rome Statute that established the ICC, the only way the court can investigate the situation is if it receives a referral from the Security Council. Russia, Assad's long-standing ally and a permanent veto-wielding member of the council, has opposed such a move.

"We cannot decide. But we pressure the international community to decide because it's time to act," del Ponte said.

Brazilian expert Paulo Pinheiro, who leads the U.N. inquiry set up in 2011, said: "We are in very close dialogue with all the five permanent members and with all the members of the Security Council, but we don't have the key that will open the path to cooperation inside the Security Council."

His team of some two dozen experts is tracing the chain of command in Syria to establish criminal responsibility and build a case for eventual prosecution.

"Of course we were able to identify high-level perpetrators," del Ponte said, adding that these were people "in command responsibility...deciding, organizing, planning and aiding and abetting the commission of crimes".

She said it was urgent for the Hague-based war crimes tribunal to take up cases of "very high officials", but did not identify them, in line with the inquiry's practice.

"We have crimes committed against children, rape and sexual violence. We have grave concerns. That is also one reason why an international body of justice must act because it is terrible."

Del Ponte, who tried former Yugoslav President Slobodan Milosevic at the International Criminal Tribunal for the Former Yugoslavia on war crimes charges, said the ICC prosecutor would need to deepen the investigation on Syria before an indictment could be prepared.

Karen Koning AbuZayd, an American member of the U.N. team, told Reuters it had information pointing to "people who have given instructions and are responsible for government policy, people who are in the leadership of the military, for example".

The inquiry's third roster of suspects, building on lists drawn up in the past year, remains secret. It will be entrusted to U.N. High Commissioner for Human Rights Navi Pillay upon expiry of its mandate at the end of March, the report said.

Pillay, a former ICC judge, said on Saturday Assad should be investigated for war crimes, and called for outside action on Syria, including possible military intervention.

Pinheiro said the investigators would not speak publicly about "numbers, names or levels" of suspects.

SEVEN MASSACRES IDENTIFIED

The investigators' latest report, covering the six months to mid-January, was based on 445 interviews conducted abroad with victims and witnesses, as they have not been allowed into Syria.

"We identified seven massacres during the period, five on the government side, two on the armed opponents' side. We need to enter the sites to be able to confirm elements of proof that we have," del Ponte said.

The U.N. report said the ICC was the appropriate institution for the fight against impunity in Syria. "As an established, broadly supported structure, it could immediately initiate investigations against authors of serious crimes in Syria."

Government forces have carried out shelling and air strikes across Syria including Aleppo, Damascus, Deraa, Homs and Idlib, the 131-page report said, citing corroborating satellite images.

"Government forces and affiliated militias have committed extra-judicial executions, breaching international human rights law. This conduct also constitutes the war crime of murder. Where murder was committed as part of a widespread or systematic attack against a civilian population, with knowledge of that attack, it is a crime against humanity," the report said.

Those forces have targeted bakery queues and funeral processions to spread "terror among the civilian population".

Rebels fighting to topple Assad have also committed war crimes including murder, torture, hostage-taking and using children under age 15 in hostilities, the U.N. report said.

"They continue to endanger the civilian population by positioning military objectives inside civilian areas" and rebel snipers had caused "considerable civilian casualties", it said.

George Sabra, a vice president of the opposition Syrian National Coalition, asked about the U.N. report, told Reuters at a conference in Stockholm: "We condemn all kind of crimes, regardless who did it.

"We can't ignore that some mistakes have been made and maybe still happen right now. But nobody also can ignore that the most criminal file is that of the regime."

(This story has been corrected to fix name of Milosevic tribunal in 11th paragraph)

(Reporting by Stephanie Nebehay; additional reporting by Anna Ringstrom in Stockholm; Editing by Mark Heinrich)

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Greater US military role in Mali likely after polls: senator

BAMAKO: The United States is likely to play a more active military role in Mali, where French-led forces are battling Islamist rebels, after the country holds elections, the chair of a key Senate sub-committee said Monday.

Washington has been providing intelligence, transport and mid-air refuelling to France, which launched its intervention last month, but cannot work directly with the Malian army until a democratically elected government replaces current leaders who came to power after a coup, said Christopher Coons, chair of the Senate foreign relations committee's Africa sub-committee.

"There is the hope that there will be additional support from the United States in these and other areas, but ... American law prohibits direct assistance to the Malian military following the coup," Coons told journalists in the Malian capital.

"After there is a full restoration of democracy, I would think it is likely that we will renew our direct support for the Malian military," added the senator, who led a bipartisan congressional delegation to Mali to meet with interim president Dioncounda Traore and French and African defence officials.

US military aid to Mali before the March 2012 coup consisted largely of training and equipment such as vehicles, a State Department official said.

But military assistance "would obviously be resumed in a way commensurate with the current needs. Priorities would have shifted a bit," the official added.

"There could be other kinds of assistance that had there not been a coup we could have provided, or requests for things now that we can't provide."

Some US lawmakers criticised President Barack Obama's administration last week for not doing more to help France in Mali.

"This is a NATO ally fighting Al-Qaeda-linked terrorists -- it shouldn't be that hard," said House foreign affairs committee chairman Ed Royce.

The hint of greater US involvement after elections adds to the complicated calculus of picking a date for the polls.

Traore, the interim president, has said he wants elections by July 31.

But critics say that is too soon given the problems Mali still faces, including ongoing insurgent attacks, a deeply divided military and hundreds of thousands of people who have fled their homes.

The minister responsible for organising the elections, Territorial Administration Minister Moussa Sinko Coulibaly, said last week the timeline "can be changed if necessary".

France, which launched its intervention on January 11 as Al-Qaeda-linked groups that had occupied the north for 10 months made incursions into government territory, is keen to share the military burden in Mali, and has announced plans to start bringing its 4,000 troops home in March.

The European Union formally approved a military training mission Monday that will be tasked with getting Mali's under-funded army ready to secure reclaimed territory.

But France is the only Western country with combat troops on the ground, and would like to hand over to some 6,000 west African troops who are slowly being deployed to help.

Mali imploded after a coup by soldiers who blamed the government for the army's humiliation at the hands of separatist rebels in the north.

With the capital in disarray, Al-Qaeda-linked fighters hijacked the independence rebellion and took control of a territory larger than Texas.

-AFP/ac

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Wait of Rajiv killer's mother continues

CHENNAI: A shiver runs down her spine every time 66-year-old Arputham Ammal recalls the hanging of Afzal Guru, convicted for the Parliament attack. Her son Perarivalan, one of the three convicts on death row in Vellore prison for his role in the Rajiv Gandhi assassination, is awaiting a verdict from the Supreme Court as his mercy plea was rejected by President Pranab Mukherjee. The case is now pending for a different reason — the 11-year delay in execution.

The fact that the letter informing Guru's wife about the hanging, sent by speed post, was delayed, is stuck in her mind. "I dread the morning news flashes or seeing the postman on the street," she said. When she met her son last Thursday, Perarivalan talked about Guru's hanging.

A badge pinned on her sari that reads 'Marana Thandanai Ozhipom' (abolish capital punishment) says everything she feels about the death penalty. It's a badge she has decided to wear for the rest of her life. Ammal said she and her family are wedded to the ideals of Periyar and Dravida Kazhagam.

"He (Perarivalan) was 19 when he was arrested, now he is 41. All I can do is meet him in prison and talk. I have done that for the last 22 years and he gives me courage during my visits," said Ammal, who finished her SSLC in 1963. Ammal, 66, lives with her grandson in Chennai, while her 76-year-old husband Kuyil Dasan aka Gnanasekaran, a Tamil poet, stays with one of her two daughters.

"Arivu (as she calls her son) and I us used to sing together," she said, recalling the days when her son was free. "He sings better than me, especially the melodies of Ilayaraja. I like the older MGR songs," says Ammal. She has a reason to like MGR songs. "His movies and songs were about people and their lives. Unlike others, his songs had a substance of life, and those lyrics had something we could easily relate to," she said.

"He (Arivu) was an avid reader since school. Other than reading history, he enjoyed Bharathiyar and Bharathidasan poems. He continues to maintain the habit of reading and discusses about the latest novels and poems published in Tamil when we meet," she said.

Whenever she meets her son, she takes a bundle of books he's asked for, mostly international history, poems and novels. "We never gave him any luxury in life. Following Periyar's ideology, we lived a simple life. Throughout his school days, he was the best student and passed his higher secondary examination with distinction," she said. "Everyone likes him. Even the retired jail officers have great regard for him. I hope I can live with him before I die."

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Hip implants a bit more likely to fail in women

CHICAGO (AP) — Hip replacements are slightly more likely to fail in women than in men, according to one of the largest studies of its kind in U.S. patients. The risk of the implants failing is low, but women were 29 percent more likely than men to need a repeat surgery within the first three years.

The message for women considering hip replacement surgery remains unclear. It's not known which models of hip implants perform best in women, even though women make up the majority of the more than 400,000 Americans who have full or partial hip replacements each year to ease the pain and loss of mobility caused by arthritis or injuries.

"This is the first step in what has to be a much longer-term research strategy to figure out why women have worse experiences," said Diana Zuckerman, president of the nonprofit National Research Center for Women & Families. "Research in this area could save billions of dollars" and prevent patients from experiencing the pain and inconvenience of surgeries to fix hip implants that go wrong.

Researchers looked at more than 35,000 surgeries at 46 hospitals in the Kaiser Permanente health system. The research, published Monday in JAMA Internal Medicine, was funded by the U.S. Food and Drug Administration.

After an average of three years, 2.3 percent of the women and 1.9 percent of the men had undergone revision surgery to fix a problem with the original hip replacement. Problems included instability, infection, broken bones and loosening.

"There is an increased risk of failure in women compared to men," said lead author Maria Inacio, an epidemiologist at Southern California Permanente Medical Group in San Diego. "This is still a very small number of failures."

Women tend to have smaller joints and bones than men, and so they tend to need smaller artificial hips. Devices with smaller femoral heads — the ball-shaped part of the ball-and-socket joint in an artificial hip — are more likely to dislocate and require a surgical repair.

That explained some, but not all, of the difference between women and men in the study. It's not clear what else may have contributed to the gap. Co-author Dr. Monti Khatod, an orthopedic surgeon in Los Angeles, speculated that one factor may be a greater loss of bone density in women.

The failure of metal-on-metal hips was almost twice as high for women than in men. The once-popular models were promoted by manufacturers as being more durable than standard plastic or ceramic joints, but several high-profile recalls have led to a decrease in their use in recent years.

"Don't be fooled by hype about a new hip product," said Zuckerman, who wrote an accompanying commentary in the medical journal. "I would not choose the latest, greatest hip implant if I were a woman patient. ... At least if it's been for sale for a few years, there's more evidence for how well it's working."

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Online:

Journal: http://www.jamainternalmed.com

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