Rural Afghan town feels caught between U.S. and Taliban

Thursday, 20 December 2012

Maidan Shahr, Dec 20 : Every day except, the little midwife school bustled with activity. Students practiced listening for fetal heartbeats and cutting umbilical cords. New mothers and babies sometimes spent the night. It was the only center of its kind in Wardak province, a region of scattered villages surrounded by mountains.

Early Nov. 23, a truck piled with firewood approached the clinic in this small provincial capital 30 miles south of Kabul. Challenged by a policeman, the driver detonated a powerful bomb hidden under his cargo, sending shock waves across the town and shattering almost every window in a five-block radius.

The midwife program was closed for the weekly Muslim holy day, so no one was harmed in the office. But much of it was destroyed, and officials there said it would not reopen. A dozen mud-brick houses nearby were reduced to rubble, and hundreds of people were knocked down or sliced by shards of glass. Panic-stricken residents stumbled or were carried to the town hospital. Four people died, including the bomber, and 160 were treated for injuries.

“The ground shook and everyone started to run,” said Abdul Wali, 25, a hardware shop owner whose gaping glass storefront was still covered with a blanket. “I don’t know who would do such a terrible thing, but we have no security at all. The police beat people, the Americans raid our villages and still we are not safe. We would be happy if they all left tomorrow.”

Even for people hardened by a decade of war, the massive truck bomb dealt a devastating psychological blow. More than a week after the attack, many shops were empty and not a single woman was to be seen outside the hospital. People in stores and offices were visibly nervous and seething with anger but unsure whether to direct it at the unknown culprits or the authorities, who had failed to protect them.

Taliban spokesmen claimed that they had carried out the bombing to avenge the execution of several Taliban prisoners in Kabul, but police officials had a different theory. They said Afghan security forces had been conducting intensive anti-insurgent raids in the area, and the Taliban wanted to prove that they could assault a high-security district that included police headquarters, the governor’s guesthouse and a joint U.S.-Afghan military command post, as well as the midwife school.

“The enemy stabbed us from behind,” said Gen. Abdul Razzak Qureshi, the deputy provincial police commander, whose office door was blown off its hinges. “We cleared 150 villages this month. We wanted to test our forces to see if they can defeat the Taliban once the American troops leave. We were very successful, but they did this cowardly attack to show they are still here.”

Wardak, a rural province where nomads camp in summer, has increasingly come under Taliban control in the past five years. The town of Maidan Shahr is strategically located on a major highway, and both the national police and the U.S. military have large bases less than a mile away. But most of the populace is from the same Pashtun ethnic group as the Taliban, and many farmers have turned to opium poppy cultivation, making them natural allies of the insurgents.

Taliban attacks have been relatively rare in Wardak, but in early September, twin suicide attacks in the town of Syedabad killed 13 people and wounded 80 when one bomber on foot and another driving a fuel tanker detonated explosives near a U.S. military base.

Although the trappings of security are visible in Maidan Shahr — including U.S. military cameras on posts and a spy balloon that floats over the town — residents complain that the Afghan government’s presence is woefully inadequate. They said the governor and most provincial officials live in Kabul for their own protection and visit Maidan Shahr a few hours a day at most, leaving well before sunset. The governor, through a spokesman in Kabul, declined to be interviewed.

“The problem is not that the Taliban are strong, it’s that the government is weak,” said Ghulam Nabi, an administrator for the Scandinavian charity that operated the midwife school. He said many civilian officials and police officers were ethnic Tajiks from the north, who have a history of conflict with Pashtuns. “If our governor and police chief lived here and had families here, they would make sure we had the peace and security and services we need.”

Residents expressed widespread indignation at the abusive behavior of local police, and half a dozen people separately described the recent beating and drowning of a truck driver at police hands. And although no one openly said they supported the Taliban, many people expressed far stronger concern and frustration about the village raids being carried out by Afghan troops with U.S. backing.

Two nervous officials from a government agency, who had driven from Kabul to assess bomb damage to shops, said they could not find most of the owners.

One of the few open stores was a small but stylishly arranged boutique for women’s fashions and shoes. The proprietor, a young man named Taj Mohammed, said he had been sleeping there at night, despite the freezing cold, because he feared being arrested if he returned to his home village.

“We have nowhere to stand. We have trouble with the government, the Americans and the Taliban too,” said Mohammed, who had just spent $400 to replace his picture window. He was clearly terrified by the bombing, which he described as a roaring wind that made the roof collapse on him. But he shook with emotion when he described other powerful forces, including NATO troops, as having replaced his town’s normal life with uncertainty, abuse and fear.

“We don’t even feel human,” he said. “I know we will suffer more when the American forces go, but we are fed up with them too. We don’t expect much from the Taliban except beatings, but the Americans are supposed to bring laws and principles. What we have here now is just chaos.”

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US military facing fresh questions over targeting of children in Afghanistan

Washington, Dec 20: The US military is facing fresh questions over its targeting policy in Afghanistan after a senior army officer suggested that troops were on the lookout for "children with potential hostile intent".

In comments which legal experts and campaigners described as "deeply troubling", army Lt Col Marion Carrington told the Marine Corp Times that children, as well as "military-age males", had been identified as a potential threat because some were being used by the Taliban to assist in attacks against Afghan and coalition forces.

"It kind of opens our aperture," said Carrington, whose unit, 1st Battalion, 508th Parachute Infantry Regiment, was assisting the Afghan police. "In addition to looking for military-age males, it's looking for children with potential hostile intent."

In the article, headlined "Some Afghan kids aren't bystanders", Carrington referred to a case this year in which the Afghan national police in Kandahar province said they found children helping insurgents by carrying soda bottles full of potassium chlorate.

The piece also quoted an unnamed marine corps official who questioned the "innocence" of Afghan children, particularly three who were killed in a US rocket strike in October. Last month, the New York Times quoted local officials who said Borjan, 12, Sardar Wali, 10, and Khan Bibi, eight, from Helmand's Nawa district had been killed while gathering dung for fuel.

However, the US official claimed that, before they called for the strike on suspected insurgents planting improvised explosive devices, marines had seen the children digging a hole in a dirt road and that "the Taliban may have recruited the children to carry out the mission".

Last year, Human Rights Watch reported a sharp increase in the Taliban's deployment of children in suicide bombings, some as young as seven.

But the apparent widening of the US military's already controversial targeting policy has alarmed human rights lawyers and campaigners.

Amos Guiora, a law professor at the University of Utah specialising in counter-terrorism, said Carrington's remarks reflected the shifting definitions of legitimate military targets within the Obama administration.

Guiora, who spent years in the Israel Defence Forces, including time as a legal adviser in the Gaza Strip, said: "I have great respect for people who put themselves in harm's way. Carrington is probably a great guy, but he is articulating a deeply troubling policy adopted by the Obama administration.

"The decision about who you consider a legitimate target is less defined by your conduct than the conduct of the people or category of people which you are assigned to belong to That is beyond troubling. It is also illegal and immoral."

Guiora added: "If you are looking to create a paradigm where you increase the 'aperture' – that scares me. It doesn't work, operationally, morally or practically."

Guiora cited comments made by John Brennan, the White House counter-terrorism chief, in April, in which he "talked about flexible definitions of imminent threat."

Pardiss Kebriaei, senior attorney of the Center for Constitutional Rights and a specialist in targeted killings, said she was concerned over what seemed to be an attempt to justify the killing of children.

Kebriaei said: "This is one official quoted. I don't know if that standard is what they are using but the standard itself is troubling."

The US is already facing criticism for using the term term "military-aged male" to justify targeted killings where the identities of individuals are not known. Under the US definition, all fighting-age males killed in drone strikes are regarded as combatants and not civilians, unless there is explicit evidence to the contrary. This has the effect of significantly reducing the official tally of civilian deaths.

Kebriael said the definition was reportedly being used in Pakistan, Somalia and Yemen. "Under the rules of law you can only target civilians if they are directly participating in hostilities. So, here, this standard of presuming any military aged males in the vicinity of a war zone are militants, already goes beyond what the law allows.

"When you get to the suggestion that children with potentially hostile intent may be perceived to be legitimate targets is deeply troubling and unlawful."

Children in conflict zones have additional protections under the law.

Kebriael, who is counsel for CCR in a lawsuit which seeks accountability for the killing of three American citizens – including a 16 year old boy – in US drone strikes in Yemen last year, said that the piece also raised questions over how those killed in that incident were counted. "Were they counted as military-aged males or were they counted as children with potentially hostile intent or were they counted as the innocent bystanders they were?"

In a speech in April setting out the context for the US programme of targeted killings, White House counter-terrorism chief John Brennan spoke about a threshold of "significant threat', which was widely seen as introducing a lower criteria than "imminent threat".

Brennan said: "Even if it is lawful to pursue a specific member of al-Qaida, we ask ourselves whether that individual's activities rise to a certain threshold for action, and whether taking action will, in fact, enhance our security. For example, when considering lethal force we ask ourselves whether the individual poses a significant threat to US interests. This is absolutely critical, and it goes to the very essence of why we take this kind of exceptional action."

An Isaf spokesman, Lt Col Jimmie Cummings, told the Marine Corp Times that insurgents continue to use children as suicide bombers and IED emplacers, even though Taliban leader Mullah Omar has ordered them to stop harming civilians.

There have been more than 200 children killed in Pakistan, Somalia and Yemen by the CIA and Joint Special Operating Command, according to the Bureau of Investigative Journalism.

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What future for Afghan woman jailed for being raped?

Kabul, Dec 20 : Two high profile cases of violence have sparked domestic and international outcry over the treatment of Afghan women, but campaigners fear a winding down of the military campaign will mean the international community will no longer be interested.

Outside it was a gloriously sunny winter's day. The mountains that loom above the city silhouetted against a cloudless blue sky. But inside the house was dark and the curtains drawn, so that the neighbours could not see in.

This was the safe house in Kabul where Gulnaz and her child had found refuge. The women there asked not to be identified in case their house was burnt down.

Just 21, Gulnaz had been released that week from prison, where she had given birth to her daughter Moska. Gulnaz seemed younger than her years, but she held my gaze almost defiantly as she told her story.

She had been imprisoned in a Kabul women's jail after her cousin's husband raped her.

The crime came to light when the unmarried Gulnaz became pregnant.

The police came and arrested both Gulnaz and her attacker. Under Afghan law she too was found guilty of a crime known as "adultery by force", with her sentence increased on appeal to 12 years.

When the case aroused condemnation abroad, President Hamid Karzai intervened and Gulnaz was pardoned.

Looking bewildered at her sudden freedom, she told me all she wanted was to go home to her family. In order to do that, she was prepared to marry the man who raped her - otherwise their families would be enemies.

The problem for Gulnaz is that if her attacker will not marry her - or cannot come up with a substantial dowry - the "stain" on her family's honour will remain, perhaps with lethal consequences for Gulnaz and her child. That may mean she can never go home.

For a single mother, unskilled and unqualified, there are few ways for a woman to survive in Afghanistan without family support.

An American lawyer in Kabul, Kim Motley, has taken up Gulnaz's case. She is trying to raise money for her to fund a new life, somehow, somewhere, if Gulnaz cannot go home.

I was still wondering what would happen to her when we went to meet 15-year-old Sahar Gul, as she lay in a hospital bed recovering from her injuries, too traumatised to talk.

Married off to a 30-year-old man for a dowry of about $4,500 (£3,000), Sahar had been kept locked in a cellar for several months, starved and tortured by her husband and his family. It is still not really clear why.

Sahar may not have been able to speak, but her injuries did.

Burns to her arm and her fragile body, a swollen black eye, clumps of hair torn out. One small hand was scarred, where her fingernail had been pulled out.

The abuse aroused public indignation in Afghanistan, as well as horror abroad.

But Sahar was perhaps, in a strange way, lucky.

She did not run away from a violent marriage, as some Afghan brides have, but was instead rescued from it by police. So she cannot be found guilty of what might otherwise be deemed a "moral crime", as other young Afghan women have been.

Both Sahar and Gulnaz's stories are extreme. But they made me wonder how many other women in Afghanistan still suffer in silence, 10 years after the fall of the Taliban.

There are laws banning violence against women, but enforcing them is hard. Tradition and family or community honour is often seen as more important than an individual's misery or misfortune.

Poverty and lack of education also mean under-age marriage remains common.

When Sahar did try to escape her torturers, it was apparently the neighbours who brought her back to them, before the police intervened.

In a quiet, book-lined office in Kabul - a world away from the controlled chaos of the hospital and the dimly-lit safe house - I asked the head of the Afghan Independent Human Rights Commission what she thought.

A no-nonsense woman with steely grey hair, Dr Sima Samar has long risked her own life to speak out for the principles she believes in, equality and justice.

Her answer was clear: She and her colleagues in Afghanistan will carry on fighting to improve the lives of women like Gulnaz and Sahar.

But Dr Samar, like many others, fears the international community is no longer quite so interested in keeping up the pressure on women's rights, as the West seeks to wind down its military campaign.

When Western soldiers no longer patrol the streets of Afghanistan, it will be easier to ignore what goes on behind locked doors and closed curtains in a faraway place.

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9 Maine students suspended over pot-laced cookies



Cape Elizabeth, Dec 20 : Marijuana-laced cookies taken by a student to a Maine high school on a day ethics and values were being discussed have sickened some classmates.

Nine students have been suspended, and police are investigating.

Cape Elizabeth schools superintendent Meredith Nadeau says it's unclear if all the students who ate the cookies were aware they contained marijuana. Some of them felt ill and went to the nurse's office.

The Portland Press Herald (http://bit.ly/T2lPuD) reported the episode unfolded during a daylong event featuring speakers addressing the school district's guiding values of "Community, Academics, Passion and Ethics."

School policy calls for a student who distributes or sells drugs to be suspended for 10 days and face possible expulsion, an action requiring a hearing before the School Board.

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Ex-policeman gets life for 1957 death of Ill. girl

Sycamore, Dec 20: Friends and family who had all but given up on seeing anyone brought to justice for the murder of a young Illinois girl more than 50 years ago said they were at peace after a former police officer was sentenced to life in prison.

Jack McCullough, 73, was convicted in September in one of the oldest unsolved crimes in American history to make it to trial. He was sentenced in a small town courtroom a few blocks from where Maria Ridulph played with a friend on Dec. 3, 1957, before she was grabbed, choked and stabbed to death in an alley. The 7-year-old's body was found months later, dumped in woods more than 100 miles away.

The little girl's friends and relatives didn't utter a sound or betray the slightest emotion as a silver-haired Jack McCullough stood, turned to them and proclaimed his innocence.

"I did not, did not, kill Maria Ridulph," said McCullough, who grew up in Sycamore and was 17 when Ridulph died. "It was a crime I did not, would not, could not have done."

Judge James Hallock admonished McCullough to face him, not the spectators, and a sheriff's deputy stood behind McCullough to block his view of Ridulph's relatives and the childhood friend who was left behind.

"He can say all he wants to say," Kathy Chapman, now 63, said afterward. "This finally puts this part of my life to a resting point."

Chapman had been playing with Ridulph in the snow when she ran home to get her mittens, leaving her friend with a teenager who had been giving them piggyback rides. When she returned, both were gone.

While Chapman and others had waited 55 years for justice for Ridulph, and they made it clear they weren't going to let McCullough hurt or affect them again. When the sentencing was over, they simply left their seats and walked out of court.

"I'm satisfied," said Charles Ridulph, Maria's older brother.

"This is all we could expect," Chapman added, referring to the life sentence. Illinois abolished the death penalty last year. "Now Maria is finally at peace."

The hearing was the latest chapter in a case that started during a more trusting and innocent era, when people across the country and particularly in small towns like Sycamore, left doors unlocked and parents didn't give much thought to their children hopping on bikes and riding off with friends — or playing in their front yard.

No crime like this had ever happened in Sycamore, and the abduction of a child was rare enough anywhere that the before the massive search ended with the girl's body found in a forest the following April it was said President Dwight Eisenhower and FBI Director J. Edgar Hoover asked for daily updates on the investigation.

In asking for the longest possible sentence, DeKalb County Assistant State's Attorney Victor Escarcida tried to capture just what McCullough did to the people in the courtroom, who were children themselves when the girl vanished.

"Jack McCullough left a lifetime of emotional wreckage in his wake," he said. "Jack McCullough made Sycamore a scary place. Now there was a true boogeyman living among them."

But nobody knew it was McCullough. Though he was one of more than 100 people who were briefly suspects, he had what seemed like a solid alibi. On the day Ridulph vanished, he told investigators, he'd been traveling to Chicago for a medical exam before joining the Air Force.

McCulllough spent years in the military, first in the Air Force and then in the Army. He eventually settled in Seattle, working as a Washington state police officer.

McCullough might have lived out his life quietly, but on her deathbed in 1994, his mother told McCullough's half-sister, Janet Tessier, that she'd lied to police when she supported her son's alibi.

Once a new investigation was launched, authorities went to Chapman, Ridulph's childhood friend, and showed her an old photograph if McCullough. A half century later, she identified him as the teenager who came up to them that snowy day and introduced himself as "Johnny."

Chapman and Janet Tessier both testified at trial.

McCullough did not. He pointed to a white box that he said contained 4,000 pages of FBI documents that he said would prove he was not in Sycamore when Ridulph disappeared. His attorneys had argued during the trial that the material supported McCullough's alibi, but Hallock ruled it inadmissible because the people in the documents were dead and could not be cross-examined. McCullough's attorney said there would be an appeal and that the FBI documents would be part of that appeal.

McCullough, who suffers from heart and blood pressure problems, also was sentenced to five years for kidnapping — the maximum sentence for that crime in 1957. He will be eligible for parole in 20 years, his attorney said.

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Ancestral Russia lures land-hungry Mexican Mennonites

Cuauhtemoc, Dec 20  : More than a century after Mennonite farmers left Russia for North America in search of new lands and religious freedom, hundreds of their descendants in Mexico are thinking about completing the circle.

Shortage of farmland, drought and conflict with rivals have made some Mennonites in northern Mexico wonder if the best way of providing for their families is to go back to the plains of eastern Europe their ancestors left in the 19th century.

This summer a delegation of 11 Mexican Mennonites went to Tatarstan on the southern fringe of European Russia to look at land that could help them protect their spartan way of life from the impact of population growth and climate change.

"We're looking for a future for our children and grandchildren," said Peter Friesen, 59, one of the farmers who traveled to the town of Aznakayevo in August, himself the great-grandson of Mennonites born in the Russian Empire.

Descendants of 16th century Protestant Anabaptist radicals from Germany, the Low Countries and Switzerland, Mennonites rejected Church hierarchy and military service, suffering years of persecution and making them reliant on the patronage of rulers keen to exploit their dedication to farming and thrift.

Many Mennonites like Friesen living in the colonies around the city of Cuauhtemoc trace their origins to families that settled parts of Imperial Russia in modern Ukraine in the 18th century during the reign of Catherine the Great.

During the age of European nationalism, their freedoms came under threat and they began to leave for North America in the 1870s. More followed in the years of turmoil that convulsed Russia during the Bolshevik Revolution and the World Wars.

Still speaking Plautdietsch, a unique blend of Low German, Prussian dialects and Dutch, the Mennonites that came to Chihuahua state from Canada in the 1920s have helped turn some of the most barren expanses of northern Mexico into model farmland yielding tonnes of golden corn, beans, milk and cheese.

But as the fields in Chihuahua grew more plentiful, so did the Mennonites, who are named after 16th century Anabaptist leader Menno Simons, a Frisian. Anabaptists say believers should only be baptized once old enough to understand their faith.

Dressed in plain cotton trousers, a dark shirt and cap, Friesen uses short, simple sentences in Spanish, his face tanned from years spent harvesting crops under the cloudless skies of Chihuahua, which covers an area bigger than Britain.

Only when Friesen's mobile phone rings and he switches to Plautdietsch does the tempo change. Words trip off his tongue in a much softer cadence than High German, and are all but unintelligible to speakers of the modern language.

"You know we Mennonites always want to grow. And that's what we can't do here. Everything's already taken up," said the father of 13 and grandfather of 25.

Enrique Voth, who also went to Tatarstan, said farmland can be purchased there for a tenth of the price in Mexico. "We need ten times more than what we have," said the father of 11.

The "100 or so" families interested in Russia are still undecided about whether to go, partly because they did not find a single bloc of land big enough for them, said Friesen.

But his blue eyes glitter when he talks of the dark soil, mild climate and rich water supplies the Mennonites found in Tatarstan. Once part of the Mongol Golden Horde, an empire spanning Central Asia and eastern Europe, the republic harbors flat, fertile terrain fed by the Volga and Kama rivers.

Originally about 7,000 strong in Mexico, the Mennonites today farm about three quarters of the irrigated corn fields in Chihuahua. But much of the land is leased and their holdings have increased far slower than their population.

About 1,000 of the first settlers in Mexico returned to Canada, but the Mennonite population in Chihuahua alone is now probably about 60,000, said Peter Stoesz, director of a local Mennonite credit union known as UCACSA.

The Mennonites in Chihuahua started with around 100,000 hectares of land. Today, that holding may not be much more than 250,000 hectares, according to the state government.

Since last year's drought, the land shortage has been felt more keenly, and the Mennonites have been accused by a group of rival farmers known as Barzonistas of sinking 200 illegal wells to irrigate fields, damaging the local water supply.

Chihuahua's government says it has found a few dozen illegal wells, drilled using fake permits. It is still investigating how the permits were issued, and the Barzonistas are not happy.

"We're at a disadvantage, but we're Mexicans," said Barzonista Jacko Rodriguez, who believes the Mennonites have had preferential treatment in the water dispute. "We're going to stay here and we're going to live here. They are not."

The row has taken a number of ugly turns, giving further impetus to the Mennonites' desire to find new farmland.

This summer, one Barzonista declared the pacifist Mennonites were Germans, burning up Mexican lands like the Nazis burned Jews. And when a Barzonista leader was shot dead with his wife in October, some of them pointed the finger at the Mennonites.

"This has caused us a lot of worry," said Johan Peters, 45, a farmer, who said Mennonites were also looking at land in Argentina.

The Mennonites have denied any involvement in the deaths.

During the 20th century, Mennonites fanned out into South America, Africa and India. Many preserved a lifestyle tied to tilling the soil, while adopting newer technology often still eschewed by their Anabaptist Amish cousins in America.

Lacking pasture and fields to sow, some in Chihuahua have given up farming, turning to services and handicrafts. A few have drifted into drug trafficking and prostitution, locals say.

But UCACSA estimates over two-thirds work in agriculture, which still dominates the rhythm of daily life. Sons may join fathers to work the fields from the age of 12 or younger.

"Farming is the healthiest work a person can have," said Voth from the Tatarstan delegation. "It's peaceful work without competition. With a business, you have to fight all the time."

Plenty of Mennonites in the area are skeptical the answer to the land shortage lies in Russia. Some say the families considering a move half way across the world have fallen behind. Others worry Mennonites are being swamped by the pace of change.

Though Chihuahua's Mennonites now use mobile phones, many still reject television. Some fret about the impact of the Internet on their children, who can see more and more of the world from the confines of their modest, monochrome bungalows.

"Some people are losing the true reason of being a Mennonite," said corn farmer Corny Kornelsen, 52. "They grab every new thing that comes their way. But they can't cope with all the new technologies."


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HSBC says it will pay $1.9 billion fine in money laundering case

Hong Kong, Dec 20 : HSBC said it will pay a fine of $1.92 billion in a deferred prosecution agreement with the U.S. Department of Justice over the London-based bank's inadequate compliance with anti-money laundering laws.

"We accept responsibility for our past mistakes. We have said we are profoundly sorry for them, and we do so again," said Chief Executive Stuart Gulliver in a statement.

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PMorgan No. 1 in U.S. customer survey, while rivals fall back

New York, Dec 20 : JPMorgan Chase & Co jumped to first in a U.S. customer satisfaction survey, as its three biggest rivals, including perennial leader Wells Fargo & Co, posted a decline in their scores.

JPMorgan, the largest U.S. bank by assets, saw its score climb nearly 6 percent from last year to 79 on a 100-point scale. But smaller banks and credit unions continued to record higher numbers than all large banks, according to an annual report by the American Customer Satisfaction Index.

Big banks have drawn the ire of customers for receiving bailouts during the financial crisis and for rolling out higher fees in recent years. Still, the survey found that all of the large banks, except for Bank of America Corp, have seen their scores match or eclipse pre-financial crisis levels.

"The gap now from Bank of America to everyone else is pretty big," said David VanAmburg, managing director of the ACSI. High fees were the biggest concerns of its customers, he said.

The survey rates satisfaction with banks' checking, savings and personal loan accounts. ACSI, which was founded at the University of Michigan's Ross School of Business, interviews about 70,000 customers each year for its surveys of 230 companies in 47 industries.

Wells Fargo had held the top spot among big banks for 11 years, counting eight years for Wachovia, which Wells bought in 2008. Its 3 percent drop to 71 is a concern for the bank, but not a major one unless a downward trend develops, VanAmburg said. Over the years, the bank has touted its No. 1 ranking in the survey, even as it was completing a major merger.

Meanwhile, Chase's score showed the bank is boosting the reliability and quality of its banking experience, producing increases in the past two years, VanAmburg said. Citigroup Inc's score fell 4 percent to 70, while Bank of America's fell 3 percent to 66.

Smaller banks as a group stayed flat with a score of 79 in this year's survey, while credit unions fell 6 percent to 82. Credit union service suffered amid an influx of new customers who departed large banks, VanAmburg said.

JPMorgan said the survey was consistent with the bank's findings. Wells Fargo said its internal surveys have showed customer satisfaction at an all-time high, but added the bank is always looking to improve customer experience.

Bank of America customer experience executive Allen Jones said the bank takes feedback from its customers seriously. "Better, more consistent service is central to our efforts, but we know we have more work to do," he said.

Citigroup said it had not seen the report, but is focused on providing customers with an "enhanced banking experience."

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2013 rings in more dovish Fed and maybe some dissent

Chicago, Dec 20: The Federal Reserve may tip toward doing even more to boost the U.S. economy in 2013 as two outspoken advocates for a super-easy monetary stance rotate into voting spots on its policy panel.

The annual shuffle of voters also raises the possibility of more dissents, analysts said, but not enough to offset the small but noticeable dovish shift.

Incoming voters Charles Evans, who leads the Chicago Federal Reserve Bank, and Eric Rosengren of the Boston Fed have argued that the central bank needs to go beyond its already aggressive easing of monetary policy to bring down unemployment.

They are also at the forefront of efforts to adopt numerical thresholds for unemployment and inflation that would underscore the Fed's willingness to keep policy easy for a long, long time.

The new lineup, which will be in place for the Fed's first meeting of 2013 in late January, "tilts slightly more in favor of further accommodation," said Michael Gapen, an economist at Barclays, in New York.

The Fed has kept interest rates near zero since December 2008 and expects to keep them there until at least mid-2015. It has also bought $2.3 trillion in long-term securities and is expected to announce more purchases after a two-day meeting.

Next year, it will wrestle with the question of just how far it should go.

Each January, four regional Fed bank presidents rotate into voting spots on the policy committee and four rotate out.

This year, Richmond Fed President Jeffrey Lacker made his discomfort with the central bank's easy stance known with dissents at every meeting.

He will be rotating off the voting roster, as will Cleveland Fed President Sandra Pianalto, Atlanta Fed President Dennis Lockhart and San Francisco Fed President John Williams.

Kansas City Fed President Esther George, who next year will cast her first votes since succeeding Thomas Hoenig in the job in 2011, could take up the baton of hawkish dissent.

While she has been less openly critical of current policy than Hoenig, who used all of his final votes to dissent against Fed easing, George has sounded a couple of skeptical notes.

"Only time will tell if George will assume the role of 2013 voting hawk," said Neal Soss, Credit Suisse economist in New York.

St. Louis Fed chief James Bullard, who has said he would have voted against the central bank's decision in September to embark on a new round of asset purchases, is also joining the voting ranks. In his last go-round in 2010, he voted with the consensus at every meeting.

"Bullard is a wild card, and so that might make the votes a little less predictable than they are in the current lineup," said JPMorgan's Michael Feroli.

And Evans could cast a dovish dissent - as he did during his last voting stint in 2011 - should the Fed pare asset purchases too early for his taste, some analysts said.

To be sure, the economic recovery does not appear to be gaining enough traction for the Fed to cut back any time soon.

In a poll, the median forecast of 32 economists was for the Fed to buy a total of $515 billion of Treasuries as part of the expanded purchase program expected to be announced this week.

"Given the environment that we are looking at ... I don't know that any of the hawks will have a strong argument because growth is likely to be slowing, and inflation is cooling," said Mark Vitner, an economist at Wells Fargo, in Charlotte, N.C.

Meanwhile, officials continue to debate whether to adopt numerical thresholds for unemployment and inflation to help guide their decision on when to eventually raise rates.

Both Evans and Rosengren have said the Fed should keep rates low until the jobless rate falls to at least 6.5 percent unless inflation heats up. The unemployment rate dropped to 7.7 percent in November from 7.9 percent in October, but only because thousands of Americans stopped looking for work.

It is unclear how far Evans' and Rosengren's status as voters will nudge the needle for the committee as a whole, although 33 of 55 economists polled said the Fed would eventually adopt thresholds.

"Thresholds will be a front-burner issue and will likely get done in 2013," said Eric Stein, a portfolio manager at Eaton Vance, in Boston.

Fed Chairman Ben Bernanke and Vice Chair Janet Yellen have both already indicated support for the threshold idea.

But Bernanke probably would want broad backing for such a significant change in the Fed's policy framework. When officials adopted an inflation goal of 2 percent this past January, all regional Fed bank chiefs were afforded a say.

"To make credible long-run programs, (Bernanke) wants a broader consensus, not just the voting members," said former Fed Governor Randall Kroszner, a professor at the University of Chicago Booth School of Business.

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Hide and seek signals for white blood cells

Islamabad, Dec 20 : The white blood cells that fight disease and help our bodies heal are directed to sites of infection or injury by "exit signs" -- chemical signals that tell them where to pass through the blood vessel walls and into the underlying tissue.

New research at the Weizmann Institute, which appeared in Nature Immunology online, shows how the cells lining blood vessel walls may act as "selectors" by hiding the signals where only certain "educated" white blood cells will find them.

In previous studies, Prof. Ronen Alon and his team in the Immunology Department had found that near sites of inflammation, white blood cells rapidly crawl along the inner lining of the blood vessels with tens of tiny legs that grip the surface tightly, feeling for the exit sign. Such signs consist of migration-promoting molecules called chemokines, which the cells lining the blood vessels -- endothelial cells -- display on their outer surfaces like flashing lights.

In the new study, Alon and his team, including Drs. Ziv Shulman and Shmuel Cohen, found that not all chemokine signals produced by endothelial cells are on display.

They observed the recruitment of subsets of immune cells called effector cells that are the "special forces" of the immune system: They receive training in the lymph nodes, where they learn to identify a particular newly-invading pathogen and then return to the bloodstream on a search and destroy mission. Like the other white blood cells, effector cells crawled on tiny appendages along the lining of inflamed blood vessels near the site of pathogen entry, but rather than sensing surface chemokines, they used their legs to reach into the endothelial cells in search of the migration-promoting chemokines.

As opposed to the external exit signs, these chemokines were held in tiny containers -- vesicles -- inside the inflamed endothelial cell walls. The effector cells paused in the joins where several cells met, inserting their legs through the walls of several endothelial cells at once to trap chemokines as they were released from vesicles at the endothelial cell membrane. Once they obtained the right chemokine directives, the immune cells were quickly ushered out through the blood vessel walls toward their final destination.

The researchers think that keeping the chemokines inside the endothelial cells ensures, on the one hand, that these vital signals will be safe from getting washed away in the blood or eaten by various enzymes. On the other hand, it guarantees that only those effector cells with special training -- that can make the extra effort to find the signals -- will pass through.

Alon: "We are now seeing that the blood vessel endothelium is much more than just a passive, sticky barrier -- it actively selects which recruited cells actually cross the barrier and which will not. The endothelial cells seem to play an active role in showing the immune cells the right way out, though we're not sure exactly how. Moreover, we think that tumors near blood vessels might exploit these trafficking rules for their benefit by putting the endothelial cells in a quiescent state or making the endothelium produce the "wrong" chemokines. Thus, immune cells capable of destroying these tumors will not be able to exit the blood and navigate to the tumor site, while other immune cells that aid in cancer growth will."

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New study shows promise for preventing preterm births

Islamabad, Dec 20 : A new study co-authored by the University of Kentucky's Dr. John O'Brien found that applying vaginal progesterone to women who are at a high risk of preterm birth significantly decreased the odds of a premature delivery.

The new study, published in the American Journal of Obstetrics and Gynecology, described a two-prong strategy used by doctors: participating pregnant women underwent a measurement of the cervical length via transvaginal cervical ultrasound to define risk for preterm birth; and those found to have a short cervix were successfully treated with vaginal progesterone. A short cervix -- defined as a length of 25 millimeters or less -- is a major risk factor for preterm birth.

Approximately 12.9 million births worldwide are preterm which is defined as less than 37 weeks of gestation. The United States has the highest rate of preterm births in the world. "Early" preterm births -- those less than 32 weeks -- are associated with a high rate of neonatal complications and long-term neurologic disability.

"Late" preterm births (between 34 and 36-6/7 weeks) represent 70 percent of all preterm births; and although they have a lower rate of complications than early preterm births, they are still a major health care problem.

The study showed that the vaginal application of progesterone gel significantly reduces the rate of preterm birth in women at less than 33 weeks of gestation, but also is effective at less than 28, 32 and 35 weeks. This means that vaginal progesterone reduces both "early" and "late" preterm births.

Vaginal progesterone administered to women with a short cervix detected via ultrasound also reduced the rate of admissions to the newborn intensive care unit; respiratory distress syndrome; the need for mechanical ventilation; and a composite score of complications that included intracranial hemorrhage, bowel problems, respiratory difficulties, infection and death.

O'Brien, division chief of Maternal-Fetal Medicine at UK, says the progesterone treatment is safe because the natural pregnancy hormone is the made by the placenta and the ovaries during pregnancy.

"For too long, little progress has been made in the prevention of premature births," said O'Brien. "However, this new large study shows that it's possible to both help women determine if they are at risk for preterm birth, and provide a safe and effective treatment to help prevent preterm births.

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Less blood clot damage with extra treatment

Islamabad, Dec 20: Roughly half the people who get a serious blood clot in the leg experience lasting damage. Norwegian researchers are the first to show that a little-used supplementary treatment can help to prevent such complications.

Pain, swelling, itching, eczema and venous ulcers are characteristic signs of post-thrombotic syndrome, a condition developed by roughly half the patients who have experienced serious deep vein thrombosis, or blood clots in the leg.

Blood clots in the leg can lead to long-term damage, but an additional treatment reduces that risk.

In a study carried out in a group of Norwegian hospitals it has been demonstrated for the first time that a treatment to dissolve blood clots prevented such complications in a substantial number of patients. The treatment is called catheter-directed thrombolytic therapy.

Based at Oslo University Hospital, the project is a collaboration between the Department of Haematology and the Department of Radiology. All the hospitals in the South-Eastern Norway Health Region have participated.

Catheter-directed thrombolytic therapy has been in modest use in Norway since the early 1990s and is known in other countries as well. But it is a costly treatment and until now its effect had not been documented.

Per Morten Sandset  said "In our study we have shown for the first time that catheter-directed thrombolysis truly can reduce the long-term complications of blood clots in the legs," says project manager Per Morten Sandset, a professor at Oslo University Hospital's Department of Haematology. "This means it is no longer considered an experimental treatment and will likely be offered on a far larger scale."

Roughly half of the study's 209 blood-clot patients were randomly selected to receive standard treatment with blood-thinning medicine. The other half received thrombolysis in addition, administered via catheter and intended to dissolve blood clots.

The effects of the treatments were measured after six months and after two years, and will be measured again after five years. After two years, 41 per cent of patients who received both thrombolysis and conventional therapy had developed post-thrombotic syndrome (PTS) compared to 55 per cent of patients receiving conventional therapy only.

The findings were recently presented at a conference organised by the American Society of Hematology and have been published in the electronic version of the medical journal The Lancet.
In their commentary in The Lancet, radiologists Lawrence V. Hofmann and William T. Kuo of the Stanford University School of Medicine in the US hail the Norwegian study as a very important contribution to the literature on treating blood clots in the legs. They conclude that the findings should lead to the adoption of thrombolytic therapy for patients with blood clots in the legs.

The two US radiologists point out, however, that although the results are promising, the PTS rate among the thrombolysis group is still too high. Professor Sandset concurs, but believes that refinements in the therapy will be able to substantially increase the rate of patients avoiding complications.

In the study, only one treatment regime was tested. Professor Sandset also points out that the health care personnel involved had relatively little experience with the therapy.

"It is to be expected that more experience with the actual procedure would yield better results. It is also reasonable to presume there are more effective ways of administering the therapy. This is a vital topic for further research," asserts Professor Sandset, who believes the gap between the two patient groups will widen with the follow-up after five years.

The study's researchers observed a clear correlation between thrombolytic therapy, unobstructed veins and lower risk of developing PTS.

"Patients with unobstructed veins had a far lower risk of developing PTS," explains Professor Sandset. "It is crucial to open up the veins and get the blood flowing properly again."

In thrombolytic therapy, patients receive medication through a catheter in the blood vessel and directly into the clot. This enables physicians to use a much lower dose than with conventional treatment, which is given intravenously.

The study also identified a drawback to thrombolytic therapy: increased risk of haemorrhaging. The researchers therefore recommend not using the treatment on patients at high risk for haemorrhage.

Professor Sandset emphasises that more and larger studies are needed in this area. US researchers are now recruiting 700 patients for a similar study on thrombolysis. Those results, due in a few years, will be compared with those of Professor Sandset and his colleagues.

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