Asian shares fall from nine-month high on weak U.S. data

SINGAPORE (Reuters) - Asian shares slipped on Tuesday after a plunge in U.S. manufacturing activity hit American stocks and the dollar, while the euro hovered near a six-week high on optimism over Greece's plan to buy back debt.


MSCI's broadest index of Asia-Pacific shares outside Japan <.miapj0000pus> fell 0.3 percent to 450.79, backing away from a nine-month high reached on Monday.


Australian shares <.axjo> eased 0.5 percent, while Japan's benchmark Nikkei share average fell 0.2 percent, declining further from a seven-month intraday high of 9,525.82 struck on Monday.


The losses in Asian stock markets were suggestive of some caution after gains in the past few weeks, with some of the negative bias seeping over from weakness in the American economy and continued gridlock in the U.S. Congress over proposals to avert a fiscal cliff - $600 billion worth of tax increases and spending cuts that will be automatically triggered in early 2013.


"Investors are cautious about the market's sharp rise in the past few weeks, and as soon as the Nikkei hit the 9,500-mark, trading has slowed down. Investors started taking a wait-and-see mode," said Hiroichi Nishi, general manager at SMBC Nikko Securities in Tokyo.


Global share indexes had risen on Monday after manufacturing surveys showed signs of a recovery, albeit an uneven one, in China's economy and a slower contraction in Europe. But sentiment toward equities soured after data revealed U.S. manufacturing unexpectedly contracted in November to its lowest level in more than three years.


The Institute for Supply Management (ISM) said on Monday that its index of national factory activity fell to 49.5 in November, the weakest since July 2009, as companies worried about whether lawmakers in Washington could reach a budget deal in time to avert a fiscal crisis that may lead to a recession.


Heading into next week, even a hint of progress in the fiscal cliff negotiations could spawn a modest rally, said Vishnu Varathan, regional economist in Singapore for Mizuho Corporate Bank.


"Overall the euro zone noises are coming out positive and I don't see any turning around there. The only real deal-breaker, whatever will send the dollar spiking up and risk really off the table, will be if there is a complete breakdown in the Congress negotiations," he said.


"Right now there is some disappointment here and there, but overall still the consensus is that negotiations will result in some kind of acceptable compromise," Varathan said.


RBA CUTS


The Australian dollar recovered from initial weakness on Tuesday after a widely expected interest rate cut by the Reserve Bank of Australia (RBA). The rate was trimmed by 25 basis points to 3.0 percent, matching an earlier record low.


The RBA said the full impact of rate cuts in the past had yet to be felt, and that recent data confirmed the peak in resource investment was approaching.


The Aussie rose 0.3 percent on the day and last traded at $1.0445, not far from a two-month peak of $1.0491 touched last week.


The euro was flat at $1.3060, hovering near the previous day's high of $1.3076, the single currency's strongest level in about six weeks.


The euro gained as Greek bonds rallied on Monday after Athens announced better-than-expected terms for its planned debt buy-back, boosting chances it will succeed and lead to the release of fresh aid funds.


European stocks and peripheral bonds were also buoyed by news eurozone finance ministers have approved aid to Spanish banks, alleviating the tail risks of a banking crisis in Spain.


The U.S. fiscal cliff issue remained in the minds of many investors.


The White House dismissed a proposal from congressional Republicans on Monday that included tax reforms and spending cuts, saying it did not meet President Barack Obama's pledge to raise taxes on the wealthiest Americans.


The Republicans proposed overhauling the U.S. tax code to raise $800 billion in new revenue over 10 years. Obama's opening bid, outlined last Friday, seeks $1.6 trillion in new revenue by allowing the expiry of tax cuts enacted under President George W. Bush for the top two tax brackets.


(Additional reporting by Ayai Tomisawa in Tokyo and Vidya Ranganathan in Singapore; Editing by Richard Borsuk)


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Syrian Government Beset by Battles and Diplomatic Setbacks


Narciso Contreras/Associated Press


A kitchen in a residence in Aleppo, Syria, damaged Sunday in fighting between Free Syrian Army fighters and government forces.







BEIRUT, Lebanon — Fierce fighting on the battlefield and setbacks on the diplomatic front increased pressure on the embattled Syrian government on Monday as fresh signs emerged of a worsening battle for control of the capital.




A senior Turkish official said that Russia had agreed on Monday to a new diplomatic approach that would seek ways to persuade President Bashar al-Assad to relinquish power, a possible weakening in Russia’s steadfast support for the government. Fighting raged around Damascus, the Syrian capital, and its airport, disrupting commercial flights for a fourth straight day.


A prominent Foreign Ministry spokesman was said to have left the country amid reports of his defection, and both President Obama and Secretary of State Hillary Rodham Clinton issued warnings that any use of chemical weapons by a desperate government would be met with a strong international response. A Western diplomat confirmed that there were grave concerns in United States intelligence circles that Syrian leaders could resort to the use of the weapons as their position deteriorates.


The Syrian Foreign Ministry, repeating earlier statements, told state television that the government “would not use chemical weapons, if it had them, against its own people under any circumstances.”


The United Nations said it was withdrawing nonessential international staff from Syria, and the European Union said it was reducing activities in Damascus “to a minimum,” as security forces pummeled the suburbs with artillery and airstrikes in a struggle to seal off the city from its restive outskirts and control the airport road. A senior Russian official spoke for the first time in detail about the possibility of evacuating Russian citizens.


Mr. Assad has held on longer than many had predicted at the start of the 21-month uprising. He still has a strong military advantage and undiminished support from his closest ally, Iran. Military analysts doubt the rebels are capable of taking Damascus by force, and one fighter interviewed on Monday said the government counteroffensive was inflicting heavy losses. There were still no firm indications from Russia that it was ready to join Turkey and Western nations in insisting on Mr. Assad’s immediate departure.


But the latest grim developments follow a week of events that suggested the Assad government was being forced to fight harder to keep its grip on power. Rebels threatened its vital control of the skies, using surface-to-air missiles to down a fighter plane and other aircraft. The opposition also gained control of strategic military bases and their arsenals, and forced the government to shut down the Damascus airport periodically. The Internet was off for two days.


A Russian political analyst with contacts at the Foreign Ministry said that “people sent by the Russian leadership” who had contact with Mr. Assad two weeks ago described a man who has lost all hope of victory or escape.


“His mood is that he will be killed anyway,” Fyodor Lukyanov, editor of a Russian foreign affairs journal and the head of an influential policy group, said in an interview in Moscow, adding that only an “extremely bold” diplomatic proposal could possibly convince Mr. Assad that he could leave power and survive.


“If he will try to go, to leave, to exit, he will be killed by his own people,” Mr. Lukyanov said, speculating that security forces dominated by Mr. Assad’s minority Alawite sect would not let him depart and leave them to face revenge. “If he stays, he will be killed by his opponents. He is in a trap. It is not about Russia or anybody else. It is about his physical survival.”


Many observers — United Nations personnel in Syria, Arab diplomats and opposition activists — stress that it is difficult to reliably assess the state of the government. But taken together, the day’s events suggested that the government’s position was declining more sharply than it had in months and that an international scramble to find a solution to the crisis was intensifying.


Nabil al-Araby, the head of the Arab League, said on Monday that the government could fall at “any time,” Agence France-Presse reported.


“I think there will be something soon,” he said. “Facts on the ground indicate very clearly now that the Syrian opposition is gaining, politically and militarily.”


The Arab League has long called for Mr. Assad to step down. But Russia, Mr. Assad’s most powerful ally, has held out the possibility of his staying in power during a transition, so the Russian government’s apparent shift of emphasis carried more weight.


Anne Barnard reported from Beirut, Lebanon, and Ellen Barry from Moscow. Reporting was contributed by Sebnem Arsu in Istanbul, Peter Baker in Washington, Hwaida Saad, Neil MacFarquhar and Hania Mourtada in Beirut and Christine Hauser in New York.



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$120 tablet that runs both Android and Linux to launch in early 2013












For anyone who has ever used his or her Android tablet and wished that it could double as a desktop-style device, PengPod has a product just for you. Ars Technica reports that the new PengPod tablet, which runs both Android and Linux, has met its crowd-sourced fundraising goals and will so on sale in January for $ 120 a 7-inch model and $ 185 for a 10-inch model. According to Ars, the tablet will be able to “dual-boot Android 4.0 and a version of Linux with the touch-friendly KDE Plasma Active interface.” Overall, the tablet received funding of nearly $ 73,000, or around 49% more than the $ 49,000 that the company had been seeking.


Get more from BGR.com: Follow us on Twitter, Facebook












Linux/Open Source News Headlines – Yahoo! News


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Kellan Lutz, Hugh Jackman Take Bites and Swipes &#38; More Casting News















12/02/2012 at 07:00 PM EST







Kellan Lutz (left) and Hugh Jackman


Christopher Polk/Getty, Han Myung-Gu/WireImage


It's comeback time. Whether seeking revenge or reprising beloved roles, a fresh crop of movies shows that the best characters always come back for more.

Twilight's Kellan Lutz feasts on others as a vampire, but this time, he's utilizing his own body for powers, Zimbio reports.

The actor will star in Tatua as a tattooed assassin whose weapons are extracted from the ink on his body. The process is a strain on the hit man, but he must put that aside when his son is kidnapped by a dangerous foe.

Hugh Jackman is set to reprise his role as Wolverine in
X-Men: Days of Future Past, the Hollywood Reporter. Ian McKellen (Magneto) and Patrick Stewart (Professor Xavier), will also be joining Jennifer Lawrence, James McAvoy, Michael Fassbender and Nicholas Hoult.

Charlize Theron will star in an adaptation of the final installment of a South Korean revenge trilogy, the Hollywood Reporter also says. The original movie revolves around a woman wrongfully imprisoned for 13 years who then sets out to seek her long-awaited revenge. Writer William Monahan says the English-language remake will be "very American – and very unexpected."

The made-for-TV Disney channel movie Life-Size is getting a sequel, Variety reports. Tyra Banks will reprise her role as Eve, the doll who comes to life, and also executive produce the movie. No word yet on whether Lindsay Lohan, who played Eve's owner, will be making a return.

Also coming soon:

Beyoncé won't be slowing down after her Super Bowl performance in February. Just a couple weeks later, she'll introduce her still untitled, feature-length documentary on HBO, Deadline reports. The documentary airs Feb. 16.

Bridesmaids' Rose Byrne will be going through the motions as a newlywed in I Give it a Year, Zimbio reports. As if being newly married wasn't tough enough, the "too perfect" ex Anna Faris will be shaking up an already teetering balance.

Cate Blanchett will be stirring up her wicked ways as the evil stepmother in a live-action adaptation of Disney's Cinderella, also according to Zimbio.

And George Clooney is sticking to his winning formula by joining forces with his Argo team to produce an untitled crime drama, Variety reports.

Read More..

Asperger's dropped from revised diagnosis manual

CHICAGO (AP) — The now familiar term "Asperger's disorder" is being dropped. And abnormally bad and frequent temper tantrums will be given a scientific-sounding diagnosis called DMDD. But "dyslexia" and other learning disorders remain.

The revisions come in the first major rewrite in nearly 20 years of the diagnostic guide used by the nation's psychiatrists. Changes were approved Saturday.

Full details of all the revisions will come next May when the American Psychiatric Association's new diagnostic manual is published, but the impact will be huge, affecting millions of children and adults worldwide. The manual also is important for the insurance industry in deciding what treatment to pay for, and it helps schools decide how to allot special education.

This diagnostic guide "defines what constellations of symptoms" doctors recognize as mental disorders, said Dr. Mark Olfson, a Columbia University psychiatry professor. More important, he said, it "shapes who will receive what treatment. Even seemingly subtle changes to the criteria can have substantial effects on patterns of care."

Olfson was not involved in the revision process. The changes were approved Saturday in suburban Washington, D.C., by the psychiatric association's board of trustees.

The aim is not to expand the number of people diagnosed with mental illness, but to ensure that affected children and adults are more accurately diagnosed so they can get the most appropriate treatment, said Dr. David Kupfer. He chaired the task force in charge of revising the manual and is a psychiatry professor at the University of Pittsburgh.

One of the most hotly argued changes was how to define the various ranges of autism. Some advocates opposed the idea of dropping the specific diagnosis for Asperger's disorder. People with that disorder often have high intelligence and vast knowledge on narrow subjects but lack social skills. Some who have the condition embrace their quirkiness and vow to continue to use the label.

And some Asperger's families opposed any change, fearing their kids would lose a diagnosis and no longer be eligible for special services.

But the revision will not affect their education services, experts say.

The new manual adds the term "autism spectrum disorder," which already is used by many experts in the field. Asperger's disorder will be dropped and incorporated under that umbrella diagnosis. The new category will include kids with severe autism, who often don't talk or interact, as well as those with milder forms.

Kelli Gibson of Battle Creek, Mich., who has four sons with various forms of autism, said Saturday she welcomes the change. Her boys all had different labels in the old diagnostic manual, including a 14-year-old with Asperger's.

"To give it separate names never made sense to me," Gibson said. "To me, my children all had autism."

Three of her boys receive special education services in public school; the fourth is enrolled in a school for disabled children. The new autism diagnosis won't affect those services, Gibson said. She also has a 3-year-old daughter without autism.

People with dyslexia also were closely watching for the new updated doctors' guide. Many with the reading disorder did not want their diagnosis to be dropped. And it won't be. Instead, the new manual will have a broader learning disorder category to cover several conditions including dyslexia, which causes difficulty understanding letters and recognizing written words.

The trustees on Saturday made the final decision on what proposals made the cut; recommendations came from experts in several work groups assigned to evaluate different mental illnesses.

The revised guidebook "represents a significant step forward for the field. It will improve our ability to accurately diagnose psychiatric disorders," Dr. David Fassler, the group's treasurer and a University of Vermont psychiatry professor, said after the vote.

The shorthand name for the new edition, the organization's fifth revision of the Diagnostic and Statistical Manual, is DSM-5. Group leaders said specifics won't be disclosed until the manual is published but they confirmed some changes. A 2000 edition of the manual made minor changes but the last major edition was published in 1994.

Olfson said the manual "seeks to capture the current state of knowledge of psychiatric disorders. Since 2000 ... there have been important advances in our understanding of the nature of psychiatric disorders."

Catherine Lord, an autism expert at Weill Cornell Medical College in New York who was on the psychiatric group's autism task force, said anyone who met criteria for Asperger's in the old manual would be included in the new diagnosis.

One reason for the change is that some states and school systems don't provide services for children and adults with Asperger's, or provide fewer services than those given an autism diagnosis, she said.

Autism researcher Geraldine Dawson, chief science officer for the advocacy group Autism Speaks, said small studies have suggested the new criteria will be effective. But she said it will be crucial to monitor so that children don't lose services.

Other changes include:

—A new diagnosis for severe recurrent temper tantrums — disruptive mood dysregulation disorder. Critics say it will medicalize kids' who have normal tantrums. Supporters say it will address concerns about too many kids being misdiagnosed with bipolar disorder and treated with powerful psychiatric drugs. Bipolar disorder involves sharp mood swings and affected children are sometimes very irritable or have explosive tantrums.

—Eliminating the term "gender identity disorder." It has been used for children or adults who strongly believe that they were born the wrong gender. But many activists believe the condition isn't a disorder and say calling it one is stigmatizing. The term would be replaced with "gender dysphoria," which means emotional distress over one's gender. Supporters equated the change with removing homosexuality as a mental illness in the diagnostic manual, which happened decades ago.

___

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

Read More..

Asian shares, euro rise after firm China data

TOKYO (Reuters) - Asian shares and the euro rose on Monday as further signs of a stabilizing Chinese economy boosted investor risk appetite, offsetting worries that stagnant U.S. budget talks could threaten to derail the world's largest economy.


A firm manufacturing survey from Asia's fourth-largest economy, South Korea, also brightened mood, while data from Australia showing sluggish retail sales and labor demand and tame inflation raised expectations the Reserve Bank of Australia may cut interest rates at its meeting on Tuesday.


India will report its manufacturing data later in the day.


MSCI's broadest index of Asia-Pacific shares outside Japan <.miapj0000pus> climbed 0.4 percent to a fresh nine-month high, after closing at its highest since February 29 on Friday, and a touch below 2012 highs. Hong Kong shares <.hsi> extended gains, hitting fresh intra-day highs on the year.


The pace of activity in China's vast manufacturing sector quickened for the first time in 13 months in November, with the final reading for the HSBC Purchasing Managers' Survey (PMI) rising to 50.5 in November, further evidence that the economy is reviving after seven quarters of slowing growth.


China's official PMI hit a seven-month high of 50.6 for November, according to a manufacturing survey over the weekend, while an official PMI survey of non-manufacturing sectors ticked up to 55.6 in November, led by construction services.


The euro rose to a six-week high against the dollar at $1.3048, after the upbeat data on Chinese manufacturing helped to trigger stop-loss buying of the common currency.


"There is growing confidence that China's economy bottomed in July-September, with signs of firmer external demand," said Hirokazu Yuihama, a senior strategist at Daiwa Securities.


"Sentiment is supported because the gradual recovery in Asian economies comes against the backdrop of low interest rates environment, which won't be changed anytime soon, so the recovery in risk sentiment is likely to extend into next year," he said.


The favorable Chinese data and hopes of a rate cut saw Australian shares <.axjo> up 0.7 percent to a five-week high.


South Korean shares <.ks11> rose 0.3 percent to their highest in more than six weeks, buoyed by weekend data showing exports posted their first back-to-back growth of the year and a private manufacturing survey on Monday showing a the pace of contraction slowed in November.


Japan's Nikkei stock average <.n225> added 0.7 percent to a fresh seven-month high, extending gains from Friday. <.t/>


"My understanding of the current market move is mainly due to the catch up of high-beta exporting companies due to the global economic trend ... This process of catch up will continue until the Nikkei hit 10,000," said Ryota Sakagami, chief strategist at SMBC Nikko Securities, of Nikkei.


Japanese firms raised spending on plant and equipment in the third quarter for a fourth consecutive quarterly rise, in the latest sign the world's third-largest economy may have seen the worst from the effect of slack global demand.


ANXIETY GAUGE MIXED


Major stock market indexes closed little changed and Treasury yields slipped on safe-haven demand on Friday as the stalemate in U.S. budget talks fuelled concerns about slowing U.S. economic growth.


European stocks ended Friday slightly down but posted solid monthly gains, thanks to growing views that the worst of Europe's debt crisis is over.


The Euro STOXX 50 Volatility Index <.v2tx>, Europe's widely-used measure of investor risk aversion, fell to its lowest level not seen since mid-2007 of 16.26 on Friday.


Data from EPFR Global showed on Friday that worldwide, stock funds took in $14.86 billion in the week ended November 28, the second-largest total since 2008, while investors pumped the most into U.S. stock funds in over a year even as U.S. lawmakers sparred over planned budget cuts.


But the CBOE Volatility Index <.vix>, which reflects anxiety in the Standard & Poor's 500 index <.spx>, jumped 5.4 percent on Friday for its largest daily gain in two weeks.


The euro fell on Friday after Moody's downgraded the credit ratings on the European Stability Mechanism and the European Financial Stability Fund last week, but the drop was limited.


The dollar steadied at 82.34 yen, not far from a 7-1/2-month high of 82.84 yen touched on November 22.


Data from the Commodity Futures Trading Commission released on Friday showed currency speculators in the latest week boosted short yen positions to the highest since the beginning of May, 2007, riding on speculation that a likely change in Japan's government would lead to more aggressive monetary easing.


Both U.S. crude futures and Brent inched up 0.3 percent to $89.16 a barrel and $111.57 respectively, while London copper also gained 0.3 percent to $8,018 a metric ton (1.1023 tons).


Spot gold crawled up 0.3 percent to $1,719.71 an ounce, as a 0.2 percent drop <.dxy> in the dollar against a basket of key currencies made dollar-based commodities less expensive for holders of non-dollar currencies.


(Additional reporting by Dominic Lau in Tokyo; Editing by Michael Perry)


Read More..

Memo From Colombia: Displaced Colombians Grapple With the Hurdles of Going Home


Stephen Ferry for The New York Times


Extreme fear still lingers among those who left Mampuján when paramilitary fighters invaded in 2000.







MAMPUJÁN, Colombia — The jungle owns Mampuján, this once-prosperous farming town near the Caribbean coast that has become a symbol of Colombia’s descent into lawlessness.




Paramilitary fighters invaded the town in early 2000 and accused residents of sympathizing with leftist guerrillas. They rounded up hundreds of people in the main square, threatened to kill them and ordered them to depart their homes and farms. The residents all fled.


Today, the square is choked with weeds. Bats roost in the one house that still has a roof. Green paint peels from a blackboard in the derelict schoolhouse.


Bringing people back to Mampuján and other rural communities that have been terrorized for decades by guerrillas, paramilitary groups and drug traffickers has become a priority for the Colombian government. It has begun an ambitious nationwide program to give millions of acres of land back to tens of thousands of displaced farmers. But the effort has been complicated both by the logistical difficulty of sorting out who owns long-abandoned or disputed plots and the extreme fear that still lingers among those who left.


“The love I have for my land, I haven’t lost it,” said Marquesa López, 61, recalling the 64 acres where she and her family grew yucca and corn and raised cattle. Like other displaced residents of Mampuján, she eventually moved to a makeshift settlement outside the nearby town of María la Baja. “I had my family, my banana trees, my coconut palms, my chickens,” she said. “Now I want to live that life again.”


In October, a special agrarian judge gave Ms. López and her husband, Carlos Arturo Maza, and 13 other Mampuján families title to the land they lost, the first such decision under a new land restitution law that is the centerpiece of the government’s effort to address the effects of years of violence and longstanding inequalities in rural areas.


The effort is unfolding as the government starts peace talks with the country’s largest guerrilla group, the Revolutionary Armed Forces of Colombia, or FARC.


The unequal distribution of land in Colombia’s impoverished countryside, where poor farmers were pushed aside or exploited by wealthy landowners, was a major factor in the creation of the FARC nearly 50 years ago, and it has continued to fuel the conflict.


Now, the government sees the land restitution law as a crucial lever at the bargaining table.


“This is something that takes away one of their banner issues,” President Juan Manuel Santos said in October.


But for that to be true, Mr. Santos has to deliver on the program’s promise, an enormous and intensely complex task.


The government has received more than 27,000 claims for close to five million acres of land, and more are pouring in. Each claim must be investigated, and then considered by a judge. Many are dauntingly complex, involving ownership disputes with little or no documentation.


“Of course it’s complicated, and it’s difficult, but what was the alternative?” said Juan Camilo Restrepo, the agriculture minister. “To do nothing? Which is what some people wanted to happen, to do nothing and validate with silence and inaction 25 years of land takeovers.”


Critics say the process has been too slow and unwieldy, and they question the government’s commitment to face down powerful landowners and their political allies.


“It would be very sad if this ends up where you have 10 cases that will go down in history where, yes, we were able to do this, and thousands of cases in which it couldn’t be done,” said Iván Cepeda, an opposition lawmaker.


Mr. Restrepo said that about 300 people have reported being threatened in relation to land claims under the new program and that the government has taken measures to protect 159 of them, in many cases providing bodyguards.


Mayerlis Angarita, 32, an activist who visits remote villages encouraging people to make land claims in the region of low mountains around Mampuján, called Montes de María, travels with a government-assigned bodyguard because of repeated threats.


On Aug. 28, a gunman shot at her on the streets of her hometown, San Juan Nepomuceno. She was not hit but was injured while running to take cover.


Susan Abad contributed reporting.



Read More..

Chris Brown Returns To Twitter, Instragrams Photo Of Scantily Clad Rihanna












Breezy’s back with a bang.


Chris Brown has returned to Twitter, after deleting his account last Sunday following an expletive-laced online fight with comedian Jenny Johnson.












PLAY IT NOW: Rihanna Discusses Her Fashion Sense & Tattoos


While the “Don’t Wake Me Up” singer still boasts 7.7 million followers, he has yet to grace the Twittersphere with a post since reactivating his account on Saturday.


However, the 23-year-old has been active on his Instragram account (with a handle we can’t repeat – you’ve been warned!), posting a photo of himself smoking, while a scantily clad Rihanna lays next to him with the caption, “What would music today sound like if these kids didn’t exist?”


VIEW THE PHOTOS: Rihanna: Burning Up The Stage!


Rihanna hasn’t been shy about sharing photos of Chris either.


In the last week she’s posted multiple photos of her seemingly-on-again beau – one with Chris lying shirtless on a bed, as well as a shot of her hugging the singer with the caption, “I don’t wanna leave! Killed it tonight baby!!!”


Copyright 2012 by NBC Universal, Inc. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


VIEW THE PHOTOS: Chris Brown


Social Media News Headlines – Yahoo! News


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Asperger's dropped from revised diagnosis manual

CHICAGO (AP) — The now familiar term "Asperger's disorder" is being dropped. And abnormally bad and frequent temper tantrums will be given a scientific-sounding diagnosis called DMDD. But "dyslexia" and other learning disorders remain.

The revisions come in the first major rewrite in nearly 20 years of the diagnostic guide used by the nation's psychiatrists. Changes were approved Saturday.

Full details of all the revisions will come next May when the American Psychiatric Association's new diagnostic manual is published, but the impact will be huge, affecting millions of children and adults worldwide. The manual also is important for the insurance industry in deciding what treatment to pay for, and it helps schools decide how to allot special education.

This diagnostic guide "defines what constellations of symptoms" doctors recognize as mental disorders, said Dr. Mark Olfson, a Columbia University psychiatry professor. More important, he said, it "shapes who will receive what treatment. Even seemingly subtle changes to the criteria can have substantial effects on patterns of care."

Olfson was not involved in the revision process. The changes were approved Saturday in suburban Washington, D.C., by the psychiatric association's board of trustees.

The aim is not to expand the number of people diagnosed with mental illness, but to ensure that affected children and adults are more accurately diagnosed so they can get the most appropriate treatment, said Dr. David Kupfer. He chaired the task force in charge of revising the manual and is a psychiatry professor at the University of Pittsburgh.

One of the most hotly argued changes was how to define the various ranges of autism. Some advocates opposed the idea of dropping the specific diagnosis for Asperger's disorder. People with that disorder often have high intelligence and vast knowledge on narrow subjects but lack social skills. Some who have the condition embrace their quirkiness and vow to continue to use the label.

And some Asperger's families opposed any change, fearing their kids would lose a diagnosis and no longer be eligible for special services.

But the revision will not affect their education services, experts say.

The new manual adds the term "autism spectrum disorder," which already is used by many experts in the field. Asperger's disorder will be dropped and incorporated under that umbrella diagnosis. The new category will include kids with severe autism, who often don't talk or interact, as well as those with milder forms.

Kelli Gibson of Battle Creek, Mich., who has four sons with various forms of autism, said Saturday she welcomes the change. Her boys all had different labels in the old diagnostic manual, including a 14-year-old with Asperger's.

"To give it separate names never made sense to me," Gibson said. "To me, my children all had autism."

Three of her boys receive special education services in public school; the fourth is enrolled in a school for disabled children. The new autism diagnosis won't affect those services, Gibson said. She also has a 3-year-old daughter without autism.

People with dyslexia also were closely watching for the new updated doctors' guide. Many with the reading disorder did not want their diagnosis to be dropped. And it won't be. Instead, the new manual will have a broader learning disorder category to cover several conditions including dyslexia, which causes difficulty understanding letters and recognizing written words.

The trustees on Saturday made the final decision on what proposals made the cut; recommendations came from experts in several work groups assigned to evaluate different mental illnesses.

The revised guidebook "represents a significant step forward for the field. It will improve our ability to accurately diagnose psychiatric disorders," Dr. David Fassler, the group's treasurer and a University of Vermont psychiatry professor, said after the vote.

The shorthand name for the new edition, the organization's fifth revision of the Diagnostic and Statistical Manual, is DSM-5. Group leaders said specifics won't be disclosed until the manual is published but they confirmed some changes. A 2000 edition of the manual made minor changes but the last major edition was published in 1994.

Olfson said the manual "seeks to capture the current state of knowledge of psychiatric disorders. Since 2000 ... there have been important advances in our understanding of the nature of psychiatric disorders."

Catherine Lord, an autism expert at Weill Cornell Medical College in New York who was on the psychiatric group's autism task force, said anyone who met criteria for Asperger's in the old manual would be included in the new diagnosis.

One reason for the change is that some states and school systems don't provide services for children and adults with Asperger's, or provide fewer services than those given an autism diagnosis, she said.

Autism researcher Geraldine Dawson, chief science officer for the advocacy group Autism Speaks, said small studies have suggested the new criteria will be effective. But she said it will be crucial to monitor so that children don't lose services.

Other changes include:

—A new diagnosis for severe recurrent temper tantrums — disruptive mood dysregulation disorder. Critics say it will medicalize kids' who have normal tantrums. Supporters say it will address concerns about too many kids being misdiagnosed with bipolar disorder and treated with powerful psychiatric drugs. Bipolar disorder involves sharp mood swings and affected children are sometimes very irritable or have explosive tantrums.

—Eliminating the term "gender identity disorder." It has been used for children or adults who strongly believe that they were born the wrong gender. But many activists believe the condition isn't a disorder and say calling it one is stigmatizing. The term would be replaced with "gender dysphoria," which means emotional distress over one's gender. Supporters equated the change with removing homosexuality as a mental illness in the diagnostic manual, which happened decades ago.

___

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

Read More..

Cliff fight may knock out December rally

NEW YORK (Reuters) - In normal times, next week's slew of U.S. economic data could be a springboard for a December rally in the stock market.


December is historically a strong month for markets. The S&P 500 has risen 16 times in the past 20 years during the month.


But the market hasn't been operating under normal circumstances since November 7 when a day after the U.S. election, investors' focus shifted squarely to the looming "fiscal cliff."


Investors are increasingly nervous about the ability of lawmakers to undo the $600 billion in tax increases and spending cuts that are set to begin in January; those changes, if they go into effect, could send the U.S. economy into a recession.


A string of economic indicators next week, which includes a key reading of the manufacturing sector on Monday, culminates with the November jobs report on Friday.


But the impact of those economic reports could be muted. Distortions in the data caused by Superstorm Sandy are discounted.


The spotlight will be more firmly on signs from Washington that politicians can settle their differences on how to avoid the fiscal cliff.


"We have a week with a lot of economic data, and obviously most of the economic data is going to reflect the effects of Sandy, and that might be a little bit negative for the market next week, but most of that is already expected - the main focus remains the fiscal cliff," said Peter Cardillo, chief market economist at Rockwell Global Capital in New York.


Concerns about the cliff sent the S&P 500 <.spx> into a two-week decline after the elections, dropping as much as 5.3 percent, only to rally back nearly 4 percent as the initial tone of talks offered hope that a compromise could be reached and investors snapped up stocks that were viewed as undervalued.


On Wednesday, the S&P 500 gained more than 20 points from its intraday low after House Speaker John Boehner said he was optimistic that a budget deal to avoid big spending cuts and tax hikes could be worked out. The next day, more pessimistic comments from Boehner, an Ohio Republican, briefly wiped out the day's gains in stocks.


On Friday, the sharp divide between the Democrats and the Republicans on taxes and spending was evident in comments from President Barack Obama, who favors raising taxes on the wealthy, and Boehner, the top Republican in Congress, who said Obama's plan was the wrong approach and declared that the talks had reached a stalemate.


"It's unusual to end up with one variable in this industry, it's unusual to have a single bullet that is the causal factor effect, and you are sitting here for the next maybe two weeks or more, on that kind of condition," said Sandy Lincoln, chief market strategist at BMO Asset Management U.S. in Chicago.


"And that is what is grabbing the markets."


BE CONTRARY AND MAKE MERRY


But investor attitudes and seasonality could also help spur a rally for the final month of the year.


The most recent survey by the American Association of Individual Investors reflected investor caution about the cliff. Although bullish sentiment rose above 40 percent for the first time since August 23, bearish sentiment remained above its historical average of 30.5 percent for the 14th straight week.


December is a critical month for retailers such as Target Corp and Macy's Inc . They saw monthly retail sales results dented by Sandy, although the start of the holiday shopping season fared better.


With consumer spending making up roughly 70 percent of the U.S. economy, a solid showing for retailers during the holiday season could help fuel any gains.


Ryan Detrick, senior technical strategist at Schaeffer's Investment Research in Cincinnati, believes the recent drop after the election could be a market bottom, with sentiment leaving stocks poised for a December rally.


"The concerns on the fiscal cliff - as valid as they might be - could be overblown. When you look at a lot of the overriding sentiment, that has gotten extremely negative," said Detrick.


"From that contrarian point of view with the historically bullish time frame of December, we once again could be setting ourselves up for a pretty nice end-of-year rally, based on lowered expectations."


SOME FEEL THE BIG CHILL


Others view the fiscal cliff as such an unusual event that any historical comparisons should be thrown out the window, with a rally unlikely because of a lack of confidence in Washington to reach an agreement and the economic hit caused by Sandy.


"History doesn't matter. You're dealing with an extraordinary set of circumstances that could very well end up in the U.S. economy going into a recession," said Phil Orlando, chief equity market strategist at Federated Investors in New York.


"And the likelihood of that is exclusively in the hands of our elected officials in Washington. They could absolutely drag us into a completely voluntary recession."


(Wall St Week Ahead runs every Friday. Questions or comments on this column can be emailed to: charles.mikolajczak(at)thomsonreuters.com )


(Reporting by Chuck Mikolajczak; Editing by Jan Paschal)


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