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 .

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Police: KC Chiefs Player Killed Girlfriend, Self













Jovan Belcher, a linebacker for the Kansas City Chiefs, committed suicide today in front of his coaches and police officers outside the team's stadium, shortly after he fatally shot his girlfriend, police said.


"We heard that they had been arguing in the past [and] as far as recently, they'd been arguing before the shooting occurred this morning," Kansas City Police spokesman Darin Snapp told ABC News Radio.


The victim was identified Kasandra Perkins, 22. Snapp said the couple had lived together and had a 3-month-old daughter.


Perkins' mother first alerted police this morning that her daughter had been shot by her boyfriend, who was a Kansas City Chiefs player, Snapp said.


It is believed Belcher drove to Arrowhead Stadium shortly after the shooting and police were called.


"When the officers arrived, when they were pulling up, they actually observed a black male who had a gun to his head and he was talking to a couple of coaches out in the parking lot," Snapp said. "As officers pulled up, and began to park, that's when they heard the gunshot and it appears the individual took his own life."


Snapp said the coaches told officers they didn't feel they were in any danger from Belcher.












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"They said the player was actually thanking them for everything they'd done for him," he said. "They were just talking to him and he was thanking them and everything. That's when he walked away and shot himself."


Kansas City is scheduled to host the Carolina Panthers on Sunday, and the league has told the Panthers to go ahead with their travel plans because the game will be played as scheduled.


In a statement posted on their website, the Chiefs said they are "cooperating with authorities in their investigation" and did not mention Belcher by name.


The 6-foot-2, 228-pound linebacker joined the Kansas City Chiefs in 2009, and had spent all four seasons of his career with the team. He has played every in game since joining the team.


Originally from West Babylon, N.Y., where he was a three-time all-America wrestler in addition to playing on the football team, Belcher went undrafted out of the University of Maine, where he started all 45 games in which he played.


Maine Head Football Coach Jack Cosgrove described Jovan as a "tremendous student-athlete."


"His move to the NFL was in keeping with his dreams," Cosgrove said in a statement released by the university today. "This is an indescribably horrible tragedy. At this difficult time, our thoughts and prayers are with Jovan, Kasandra and their families."


Belcher signed with the Chiefs as a rookie free agent, started 15 of 16 games his second season and last year started all 16 games as left inside linebacker.


Belcher expressed gratitude for his NFL career in an article posted on Nov. 21 on the Chiefs' website that has since been taken down.


"First and foremost, God. Family and friends just keeping me focused, coaches and just everyone," he said.



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Egypt's Mursi calls referendum as Islamists march

CAIRO (Reuters) - Egypt's President Mohamed Mursi called a December 15 referendum on a draft constitution on Saturday as at least 200,000 Islamists demonstrated in Cairo to back him after opposition fury over his newly expanded powers.


Speaking after receiving the final draft of the constitution from the Islamist-dominated assembly, Mursi urged a national dialogue as the country nears the end of the transition from Hosni Mubarak's rule.


"I renew my call for opening a serious national dialogue over the concerns of the nation, with all honesty and impartiality, to end the transitional period as soon as possible, in a way that guarantees the newly-born democracy," Mursi said.


Mursi plunged Egypt into a new crisis last week when he gave himself extensive powers and put his decisions beyond judicial challenge, saying this was a temporary measure to speed Egypt's democratic transition until the new constitution is in place.


His assertion of authority in a decree issued on November 22, a day after he won world praise for brokering a Gaza truce between Israel and the Palestinian Islamist Hamas movement, dismayed his opponents and widened divisions among Egypt's 83 million people.


Two people have been killed and hundreds wounded in protests by disparate opposition forces drawn together and re-energized by a decree they see as a dictatorial power grab.


A demonstration in Cairo to back the president swelled through the afternoon, peaking in the early evening at least 200,000, said Reuters witnesses, basing their estimates on previous rallies in the capital. The authorities declined to give an estimate for the crowd size.


"The people want the implementation of God's law," chanted flag-waving demonstrators, many of them bussed in from the countryside, who choked streets leading to Cairo University, where Mursi's Muslim Brotherhood had called the protest.


Tens of thousands of Egyptians had protested against Mursi on Friday. "The people want to bring down the regime," they chanted in Cairo's Tahrir Square, echoing the trademark slogan of the revolts against Hosni Mubarak and Arab leaders elsewhere.


Rival demonstrators threw stones after dark in the northern city of Alexandria and a town in the Nile Delta. Similar clashes erupted again briefly in Alexandria on Saturday, state TV said.


"COMPLETE DEFEAT"


Mohamed Noshi, 23, a pharmacist from Mansoura, north of Cairo, said he had joined the rally in Cairo to support Mursi and his decree. "Those in Tahrir don't represent everyone. Most people support Mursi and aren't against the decree," he said.


Mohamed Ibrahim, a hardline Salafi Islamist scholar and a member of the constituent assembly, said secular-minded Egyptians had been in a losing battle from the start.


"They will be sure of complete popular defeat today in a mass Egyptian protest that says 'no to the conspiratorial minority, no to destructive directions and yes for stability and sharia (Islamic law)'," he told Reuters.


Mursi has alienated many of the judges who must supervise the referendum. His decree nullified the ability of the courts, many of them staffed by Mubarak-era appointees, to strike down his measures, although says he respects judicial independence.


A source at the presidency said Mursi might rely on the minority of judges who support him to supervise the vote.


"Oh Mursi, go ahead and cleanse the judiciary, we are behind you," shouted Islamist demonstrators in Cairo.


Mursi, once a senior Muslim Brotherhood figure, has put his liberal, leftist, Christian and other opponents in a bind. If they boycott the referendum, the constitution would pass anyway.


If they secured a "no" vote to defeat the draft, the president could retain the powers he has unilaterally assumed.


And Egypt's quest to replace the basic law that underpinned Mubarak's 30 years of army-backed one-man rule would also return to square one, creating more uncertainty in a nation in dire economic straits and seeking a $4.8 billion loan from the IMF.


"NO PLACE FOR DICTATORSHIP"


Mursi's well-organized Muslim Brotherhood and its ultra-orthodox Salafi allies, however, are convinced they can win the referendum by mobilizing their own supporters and the millions of Egyptians weary of political turmoil and disruption.


"There is no place for dictatorship," the president said on Thursday while the constituent assembly was still voting on a draft constitution which Islamists say enshrines Egypt's new freedoms.


Human rights groups have voiced misgivings, especially about articles related to women's rights and freedom of speech.


The text limits the president to two four-year terms, requires him to secure parliamentary approval for his choice of prime minister, and introduces a degree of civilian oversight over the military - though not enough for critics.


The draft constitution also contains vague, Islamist-flavored language that its opponents say could be used to whittle away human rights and stifle criticism.


For example, it forbids blasphemy and "insults to any person", does not explicitly uphold women's rights and demands respect for "religion, traditions and family values".


The draft injects new Islamic references into Egypt's system of government but retains the previous constitution's reference to "the principles of sharia" as the main source of legislation.


"We fundamentally reject the referendum and constituent assembly because the assembly does not represent all sections of society," said Sayed el-Erian, 43, a protester in Tahrir and member of a party set up by opposition figure Mohamed ElBaradei.


Several independent newspapers said they would not publish on Tuesday in protest. One of the papers also said three private satellite channels would halt broadcasts on Wednesday.


Egypt cannot hold a new parliamentary election until a new constitution is passed. The country has been without an elected legislature since the Supreme Constitutional Court ordered the dissolution of the Islamist-dominated lower house in June.


The court is due to meet on Sunday to discuss the legality of parliament's upper house.


"We want stability. Every time, the constitutional court tears down institutions we elect," said Yasser Taha, a 30-year-old demonstrator at the Islamist rally in Cairo.


(Additional reporting by Marwa Awad, Yasmine Saleh and Tom Perry; Editing by Myra MacDonald and Jason Webb)


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Football: Bayern held as Dortmund keep grip on rivalry






BERLIN: Bayern Munich were unable to break champions Borussia Dortmund's stranglehold in a 1-1 draw on Saturday as their lead at the top of the Bundesliga was trimmed back to eight points.

Bayern had lost their last four league meetings with Dortmund but had looked on course for victory when Toni Kroos gave them a 67th-minute lead.

However, Mario Goetze equalised for Dortmund in the 74th minute as the spoils were shared.

Third-placed Dortmund improved to 27 points to remain 11 points behind Bayern while Bayer Leverkusen, in second spot, are second on 30 points after their 1-0 win earlier Saturday over Nuremberg.

"I would swap the goal for a victory," said Kroos. "I think we did enough to get the victory, and we deserved to win."

Dortmund's defence did a good job keeping the Bayern attack in check throughout the first half.

But Bayern took the lead in the 67th minute with a wonderful individual effort by Kroos, who collected a ball from Thomas Mueller, danced past two defenders before blasting a low left foot shot into the far right corner.

Dortmund equalised seven minutes later as Marco Reus' corner from the right side was headed away by Mario Mandzukic but directly to Goetze, who chested the ball down and struck into the corner of the net.

Bayern had a series of chances in the final five minutes but Dortmund keeper Roman Weidenfeller would not let his team down.

"I think we could have taken more. But we are satisfied with the one point. The championship is not decided. We saw today that we can keep track with this team," said Weidenfeller.

Leverkusen did just enough to beat Nuremberg 1-0 as Stefan Kiessling found the target in the 37th minute for the team's fourth straight victory.

"We have to remain calm and happy that we have a little streak," said Kiessling, who has scored nine goals this season.

"It's a nice moment but we have a lot of important games ahead of us and we don't want to think about Bayern. We have to worry about ourselves, and that's it."

Schalke's struggles continued with a 1-1 at home against Borussia Moenchengladbach.

Timo Hildebrand replaced Lars Unnerstall as Schalke's keeper and looked less than impressive on Igor de Camargo's goal for Gladbach in the 62nd minute.

Julian Draxler equalised for Schalke in the 85th minute.

"We were relieved to have at least picked up the point. If we had lost things would have been bad here," said Draxler.

Schalke, however, have not won in four games and improved to just 25 points while Gladbach have 21 points.

"The point was deserved. Schalke played well. But to get a point at Schalke is not too bad," said Gladbach coach Lucien Lavre.

Adam Szalai's goal in the 89th minute gave 10-man Mainz a 2-1 victory at home over Hannover in a battle of teams fighting for European spots.

Nicolai Mueller scored on a loose ball after Shawn Parker's shot hit the post after 10 minutes for Mainz but was equalised by Christian Schulz for Hannover.

Mainz lost their keeper four minutes after the break when Christian Wetklo was red-carded but Szalai provided the heroics.

Stuttgart picked up their third victory in the last four games by fending off Greuther Fuerth on the road 1-0 thanks to Shinji Okazaki's goal in the 45th minute.

Stuttgart played the final 37 minutes a man down as Serdar Tasci was shown a red card.

Fuerth dropped to last place in the table with eight points.

Eintracht Frankfurt missed a chance to keep track with the top challengers by losing 4-0 at Fortuna Duesseldorf on Friday to remain on 24 points.

Second-bottom Augsburg picked up a point in a 1-1 draw at home against Freiburg with Tobias Werner's goal being equalised by Jonathan Schmid.

- AFP/fa



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FDI in retail to safeguard international market mafias' interest: BJP

NEW DELHI: India's main opposition Bharatiya Janata Party (BJP) today said retail reform is a step taken by the Congress led-federal government to safeguard the interests of the international market mafias at the cost of national interest.

BJP vice president Mukhtar Abbas Naqvi said on Saturday that voting inside the parliament would decide as to who is in favour of national interest and who is working for international interests.

"The government feels that their responsibility is to safeguard the interest of international market mafias instead of national interest and for saving the interest of international market mafias, the government is ready to compromise with national interests. Now, the parliament will decide as to who is in support of international market mafias and who are supporting national interests," said Naqvi.

The government's decision to allow foreign supermarket chains such as Wal-Mart had triggered protest not only from opposition parties but also from some of its allies.

BJP had sought debate on the issue of allowing Foreign Direct Investment (FDI) in the retail sector, under the rule that entails voting after discussions.

Meanwhile, Minister in the Prime Minister Office (PMO), V Narayanaswamy said the government would answer all the queries raised by the opposition parties in the parliament and will explain the benefits of allowing FDI in retail sector.

The lower house of parliament has set December 04 and 05 as the date to vote and debate on FDI. The dates for the upper house are yet to be decided.

Narayanaswamy said the government is confident of becoming victorious in the debate.

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South Africa makes progress in HIV, AIDS fight

JOHANNESBURG (AP) — In the early '90s when South Africa's Themba Lethu clinic could only treat HIV/AIDS patients for opportunistic diseases, many would come in on wheelchairs and keep coming to the health center until they died.

Two decades later the clinic is the biggest anti-retroviral, or ARV, treatment center in the country and sees between 600 to 800 patients a day from all over southern Africa. Those who are brought in on wheelchairs, sometimes on the brink of death, get the crucial drugs and often become healthy and are walking within weeks.

"The ARVs are called the 'Lazarus drug' because people rise up and walk," said Sue Roberts who has been a nurse at the clinic , run by Right to Care in Johannesburg's Helen Joseph Hospital, since it opened its doors in 1992. She said they recently treated a woman who was pushed in a wheelchair for 3 kilometers (1.8 miles) to avoid a taxi fare and who was so sick it was touch and go. Two weeks later, the woman walked to the clinic, Roberts said.

Such stories of hope and progress are readily available on World AIDS Day 2012 in sub-Saharan Africa where deaths from AIDS-related causes have declined by 32 percent from 1.8 million in 2005 to 1.2 million in 2011, according to the latest UNAIDS report.

As people around the world celebrate a reduction in the rate of HIV infections, the growth of the clinic, which was one of only a few to open its doors 20 years ago, reflects how changes in treatment and attitude toward HIV and AIDS have moved South Africa forward. The nation, which has the most people living with HIV in the world at 5.6 million, still faces stigma and high rates of infection.

"You have no idea what a beautiful time we're living in right now," said one of the doctors at the clinic, Dr. Kay Mahomed, over the chatter of a crowd of patients outside her door.

President Jacob Zuma's government decided to give the best care, including TB screening and care at the clinic, and not to look at the cost, she said. South Africa has increased the numbers treated for HIV by 75 percent in the last two years, UNAIDS said, and new HIV infections have fallen by more than 50,000 in those two years. South Africa has also increased its domestic expenditure on AIDS to $1.6 billion, the highest by any low-and middle-income country, the group said.

Themba Lethu clinic, with funding from the government, the United States Agency for International Development and the United States President's Emergency Plan for AIDS Relief, is now among some 2,500 anti-retroviral therapy facilities in the country that treat approximately 1.9 million people.

"Now, you can't not get better. It's just one of these win-win situations. You test, you treat and you get better, end of story," Mahomed said.

But it hasn't always been that way.

In the 1990s South Africa's problem was compounded by years of misinformation by President Thabo Mbeki, who questioned the link between HIV and AIDS, and his health minister, Manto Tshabalala-Msimang, who promoted a "treatment" of beets and garlic.

Christinah Motsoahae first found out she was HIV positive in 1996, and said she felt nothing could be done about it.

"I didn't understand it at that time because I was only 24, and I said, 'What the hell is that?'" she said.

Sixteen years after her first diagnosis, she is now on anti-retroviral drugs and her life has turned around. She says the clinic has been instrumental. To handle the flow of patients, they're electronically checked in at reception, several nursing stations with partitions are set up to check vital signs and a new machine even helps dispense medicine to the pharmacists.

"My status has changed my life, I have learned to accept people the way they are. I have learned not to be judgmental. And I have learned that it is God's purpose that I have this," the 40-year-old said.

She works with a support group of "positive ladies" in her hometown near Krugersdorp. She travels to the clinic as often as needed and her optimism shines through her gold eye shadow and wide smile. "I love the way I'm living now."

Motsoahae credits Nelson Mandela's family for inspiring her to face up to her status. The anti-apartheid icon galvanized the AIDS community in 2005 when he publicly acknowledged his son died of AIDS.

Motsoahae is among about a hundred people waiting in a room to see one of about 10 doctors or to collect medications. A woman there rises up, slings her baby behind her back in a green fleece blanket, and tries to leave by zigzagging through the intercrossing legs of those seated.

None of Motsoahae's children was born with HIV. The number of children newly infected with HIV has declined significantly. In six countries in sub-Saharan Africa — South Africa, Burundi, Kenya, Namibia, Togo and Zambia —the number of children with HIV declined by 40 to 59 percent between 2009 and 2011, the UNAIDS report said.

But the situation remains dire for those over the age of 15, who make up the 5.3 million of those infected in South Africa. Fear and denial lend to the high prevalence of HIV for that age group in South Africa, said the clinic's Kay Mahomed.

About 3.5 million South Africans still are not getting therapy, and many wait too long to come in to clinics or don't stay on the drugs, said Dr. Dave Spencer, who works at the clinic .

"People are still afraid of a stigma related to HIV," he said, adding that education and communication are key to controlling the disease.

Themba Lethu clinic reaches out to the younger generation with a teen program.

Tshepo Hoato, 21, who helps run the program found out he was HIV positive after his mother died in 2000. He said he has been helped by the program in which teens meet one day a month.

"What I've seen is a lot people around our ages, some commit suicide as soon as they find out they are HIV. That's a very hard stage for them so we came up with this program to help one another," he said. "We tell them our stories so they can understand and progress and see that no, man, it's not the end of the world."

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Mo. Couple Wins Half of Powerball Jackpot













The lucky winners of half of the record $587.5 million Powerball jackpot have been identified as Mark and Cindy Hill of Dearborn, Mo., their working-class lives suddenly taking a turn to the financial stratosphere.


Cindy Hill, who with her husband has three adult sons and a 6-year-old daughter adopted from China, purchased the ticket at a Trex Mart gas station in Dearborn.


"I called my husband and told him, 'I think I am having a heart attack,'" Cindy Hill, 51, said, according to the Missouri Lottery. "I think we just won the lottery!"


Cindy, who worked as an office manager but was laid off in 2010, said that when she learned that a winning ticket was sold in Missouri, she dropped her daughter off at school, went to a convenience store for a winning numbers report, and checked her tickets in her car, according to the Missouri State Lottery.


"I was just telling my daughter the night before, 'Honey, that probably never happens (people winning)," Cindy said. "It's really going to be nice to spend time – not have to work – and be able to take trips with our family."


Cindy did mention that her husband has mentioned one extravagance -- a red Camaro, but today he said that he plans on keeping his same old pick-up truck.


The winning ticket was one of five Cindy purchased, for a total of $10. She let the computer quick-pick choose the numbers, according to the Missouri Lottery. As soon as she saw that she had a winning ticket, Cindy had her mother-in-law and husband double check it.


"You know it's the Show Me State, so he said, 'Show me,'" she said.


Appearing at a press conference today in Dearborn along with their three sons, aged 28, 30, 31, and their 6-year-old daughter, the Hills appeared overjoyed.


"We were blessed before we ever won this," Cindy said. "We want to go back to China, Ireland of course -- we're Irish, and wherever the win takes us."


Cindy said that she bought the winning ticket Wednesday at about 4:45 p.m.


"I stuck it in my car, and it stayed there all night," she said. "Now that I know that it was a winner I wouldn't have done that!"








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The Hills will take home $193,750,000 in lump sum payout -- which works out to $396,000 for each person in Dearborn, a town of 496.


The couple say that they will remain in Dearborn, and plan on launching a scholarship at the local high school.


Speculation began running wild in the small town when 52-year-old Hill, a factory worker, updated his Facebook account late Thursday, writing, "We are truly blessed, we are lucky winners of the Powerball."


Within hours, his family began celebrating, telling ABC News Hill is one of the two big winners.


"Just shocked. I mean, I thought we were all going to have heart attacks," Hill's mother, Shirley, said Thursday.


Hill's mother says her son and his wife have been struggling financially. Hill works in a hot dog and deli packaging factory, but it was unclear whether he showed up for work Thursday night.


"I'm very happy for him. He's worked hard in his life; well, not anymore," Hill's son Jason said. "Well, I hope we all stay very grounded, stay humble and don't forget who we are."


Missouri Lottery official Susan Goedde confirmed to ABC News Thursday that one of the winning tickets was purchased at a Trex Mart in Dearborn, about 30 miles north of Kansas City.


The winning numbers were 5, 23, 16, 22 and 29; Powerball was 6.


Hill did not respond to ABC News' requests for comment.
Meanwhile, employees and customers at Marlboro Village Exxon in Upper Marlboro, Md., said a tall, black, bald man held the winning ticket purchased in Arizona, according to ABC News affiliate WJLA-TV.


Surveillance cameras at the Upper Marlboro gas station captured the apparent winner walking into the store Thursday afternoon, digging into his chest pocket for his lottery tickets. After a few seconds of scanning the wad of tickets, the man began jumping up and down, pumping his arms.


The man gave the tickets to store manager Nagassi Ghebre, who says the six Powerball numbers were on the ticket, which the apparent winner said he bought in Arizona.


"And then he said, 'I got to get out of here,'" employee Freddie Lopez told WJLA.


But before leaving, the possible winner felt the need to check again to see whether he really had the ticket that millions of Americans dreamed of having.


"He says, 'Is this the right number? I don't know.' And I said, 'Yeah that's the numbers. You got them all,'" customer Paul Gaug told WJLA.


Employees and customers said the main stuck around for a few more seconds shouting, "I won," before leaving.


"He came back a minute later and said, 'I forgot to get my gas. What am I thinking?'" Lopez said.


The man drove out of the gas station in a black car and on a full tank of gas with a cash payout of $192.5 million coming his way.


"He said he lives in Maryland. I'm pretty sure," Gaug said.


The possible jackpot winner was wearing bright neon clothing and store employees told WJLA that he appeared to be a highway or construction worker.


Arizona lottery officials told WJLA that if the man does have the winning ticket, it needs to be redeemed within 180 days of the drawing in Arizona.






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Egyptians protest after draft constitution raced through

CAIRO (Reuters) - Tens of thousands of Egyptians protested against President Mohamed Mursi on Friday after an Islamist-led assembly raced through approval of a new constitution in a bid to end a crisis over the Islamist leader's newly expanded powers.


"The people want to bring down the regime," they chanted in Tahrir Square, echoing the chants that rang out in the same place less than two years ago and brought down Hosni Mubarak.


Mursi said a decree halting court challenges to his decisions, which sparked eight days of protests and violence by Egyptians calling him a new dictator, was "for an exceptional stage" and aimed to speed up the democratic transition.


"It will end as soon as the people vote on a constitution," he told state television while the constituent assembly was still voting on a draft, which the Islamists say reflects Egypt's new freedoms. "There is no place for dictatorship."


But the opposition cried foul. Liberals, leftists, Christians, more moderate Muslims and others had withdrawn from the assembly, saying their voices were not being heard.


Even in the mosque where Mursi said Friday prayers some opponents chanted "Mursi: void" before sympathizers surrounded him shouting in support, journalists and a security source said.


Tens of thousands gathered across the country, filling Tahrir Square and hitting the streets in Alexandria and other cities, responding to opposition calls for a big turnout. Rival demonstrators clashed after dark in Alexandria and the Nile Delta town of Al-Mahala Al-Kobra, some hurling rocks in anger.


An opposition leaflet distributed on Tahrir urged protesters in Cairo to stay overnight before Saturday's rallies by Islamists; the Muslim Brotherhood and its allies said they would avoid the square during their demonstrations backing Mursi.


The disparate opposition, which has struggled to compete with well-organized Islamists, has been drawn together and reinvigorated by the crisis. Tens of thousands had also protested on Tuesday, showing the breadth of public anger.


POTENT MACHINE


But Islamists have a potent political machine and the United States has looked on warily at the rising power of a group it once kept at arms length now ruling a nation that has a peace treaty with Israel and is at the heart of the Arab Spring.


Protesters said they would push for a 'no' vote in a constitutional referendum, which could happen as early as mid-December. If the new basic law were approved, it would immediately cancel the president's decree.


"We fundamentally reject the referendum and constituent assembly because the assembly does not represent all sections of society," said Sayed el-Erian, 43, a protester in Tahrir and member of a party set up by opposition figure Mohamed ElBaradei.


ElBaradei said in a statement the constitution had "lost legitimacy" and called for ending the polarization of Egypt.


The plebiscite on the constitution is a gamble based on the Islamists' belief they can mobilize voters again after winning every election held since Mubarak was toppled in February 2011.


Despite the big numbers opposed to him, Mursi can count on backing from the disciplined Brotherhood and Islamist allies, as well as many Egyptians who are simply exhausted by the turmoil.


"He just wants us to move on and not waste time in conflicts," said 33-year-old Cairo shopkeeper Abdel Nasser Marie. "Give the man a chance and Egypt a break."


But Mursi needs the cooperation of judges to oversee the vote, and many have been angered by a decree from Mursi they said undermined the judiciary. Some judges are on strike.


The assembly concluded the vote after a 19-hour session, faster than many expected, approving all 234 articles of the draft, covering presidential powers, the status of Islam, the military's role and human rights.


It introduces a presidential term limit of eight years - Mubarak served for 30. It also bring in a degree of civilian oversight over the military - though not enough for critics.


An Egyptian official said Mursi was expected to approve the document on Saturday and then has 15 days to hold a referendum.


"This is a revolutionary constitution," said Hossam el-Gheriyani, head of the assembly, urging members to campaign for the new constitution across Egypt, after the all-night session.


DEEPENING DIVISIONS


Critics argue it is an attempt to rush through a draft they say has been hijacked by the Muslim Brotherhood, which backed Mursi for president in a June election, and its Islamist allies.


Two people have been killed and hundreds injured in protests since the decree was announced on November 22, deepening the divide between the newly empowered Islamists and their critics.


Seeking to placate opponents, Mursi welcomed criticism but said there was no place for violence. "I am very happy that Egypt has real political opposition," he told state television.


He said Egypt needed to attract investors and tourists. The crisis threatens to derail a fragile economic recovery after two years of turmoil. Egypt is waiting for the International Monetary Fund to finalize a $4.8 billion loan to help it out.


An alliance of opposition groups pledged to keep up protests and said broader civil disobedience was possible to fight what it described as an attempt to "kidnap Egypt from its people".


Several independent newspapers said they would not publish on Tuesday in protest. One of the papers also said three private satellite channels would halt broadcasts on Wednesday.


The draft injects new Islamic references into Egypt's system of government but keeps in place an article defining "the principles of sharia" as the main source of legislation - the same phrase found in the previous constitution.


The president can declare war with parliament's approval, but only after consulting a national defense council with a heavy military and security membership. That was not in the old constitution, used when Egypt was ruled by ex-military men.


Critics highlighted other flaws, such as articles pertaining to the rights of women and freedom of speech.


A new parliamentary election cannot be held until a new constitution is passed. Egypt has been without an elected legislature since a court ordered the dissolution of the Islamist-dominated lower house in June.


(Additional reporting by Yasmine Saleh and Marwa Awad; Writing by Edmund Blair; Editing by Philippa Fletcher and Alastair Macdonald)


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Abbas calls for renewed talks with Israel after UN vote






NEW YORK: Palestinian leader Mahmud Abbas called on Friday for a return to peace talks, but slammed Israel's latest settlement plans in reaction to a United Nations vote recognising Palestine as a non-member state.

"I've said a thousand times that we want to resume negotiations and we are ready to do it," Abbas told reporters in New York.

"We are not setting any condition but there are at least 15 UN resolutions which consider settlement activity as illegal and an obstacle to peace which must be removed," he said. "Why do (the Israelis) not stop settlement?"

In the landmark Thursday vote in New York, the United Nations General Assembly overwhelmingly backed a resolution recognising Palestine within the 1967 borders as a non-member observer state.

Israel lashed out in response on Friday, with an official confirming to AFP plans to build 3,000 settler homes in east Jerusalem and the West Bank, without specifying exactly where they were to be sited.

Palestine Liberation Organisation official Hanan Ashrawi reacted by telling AFP "it is an act of Israeli aggression against a state, and the world needs to take up its responsibilities."

Israeli Prime Minister Benjamin Netanyahu had previously warned that by going to the UN, the Palestinians had "violated" previous agreements with Israel, such as the 1993 Oslo Accords, and that his country would "act accordingly."

Israel's US ally the United States also criticised the decision on new homes.

"We reiterate our longstanding opposition to settlements and east Jerusalem construction and announcements. We believe these actions are counterproductive and make it harder to resume direct negotiations or (to) achieve a two-state solution," said National Security Council spokesman Tommy Vietor.

"Direct negotiations remain our goal and we encourage all parties to take steps to make that easier to achieve," Vietor said.

Such talks have been on hold since September 2010, with the Palestinians insisting on a settlement freeze before returning to the negotiating table and the Israelis insisting on no preconditions.

The move was also denounced by Peace Now, Israel's settlement watchdog.

"Instead of punishing the Palestinians, this government is punishing Israel by making peace harder to achieve and showing that Israel does not want peace," said spokeswoman Hagit Ofran. "That is very dangerous."

Israeli rights group Yesh Din said the plan amounted to "collective punishment trampling Palestinian human rights".

"Expanding building in the West Bank will also implicate more Israelis in committing offenses against international law," a statement said.

Israel has long feared that if the Palestinians won the rank of a UN non-member state, they could pursue the Jewish state for war crimes at the International Criminal Court in The Hague -- particularly over settlement.

With their newly acquired status, the Palestinians now have access to a range of UN agencies as well as to the ICC, but Abbas said he had no plans to immediately petition the tribunal.

"We now have the right to appeal the ICC, but we are not going to do it now and will not do it except in the case of Israeli aggression," he said.

Israeli media reports said that some new settlement construction would be in a highly contentious area of the West Bank known as E1, a corridor that runs between the easternmost edge of annexed east Jerusalem and the Maaleh Adumim settlement.

Palestinians bitterly oppose the E1 project, as it effectively cuts the occupied West Bank in two, north to south, and makes the creation of a viable Palestinian state highly problematic.

The Palestinians want east Jerusalem as capital of their state and vigorously oppose expansion plans for Maaleh Adumim, which lies five kilometres (three miles) from the city's eastern edge.

Linking the settlement and the city is an idea espoused by hardliners within Netanyahu's right-wing Likud party but strongly opposed by Washington.

Arab east Jerusalem was captured by Israel with the rest of the West Bank in the 1967 Six Day War and later annexed in a move not recognised by the international community.

Israel considers all of Jerusalem as its "eternal, indivisible" capital, and does not view construction in the eastern sector to be settlement activity.

-AFP/ac



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Shweta Bhatt raised voice to free husband who was targeted by Narendra Modi

AHMEDABAD: Shweta Bhatt, wife of suspended IPS officer Sanjiv Bhatt who would take on Narendra Modi from the Maninagar assembly seat, launched a national campaign to free her husband, who she alleged was targeted by the Modi government for alleging the CM's complicity in the 2002 riots.

Sanjiv Bhatt had told the Supreme Court last year that Modi was complicit in the 2002 riots. He also deposed against him before the Nanavati Commission set up to probe the riots. Bhatt, who was principal, State Reserve Police Training School in Junagadh, was later suspended by the government.

Shweta's campaign won support across sections: from Bollywood actors to college students in Allahabad. Social networking sites were full with blogs and campaigns supporting her.

"I was scared and cried for the first night after he was arrested. I had two options: to sit at home and pray for his release or tell world about the injustice. I chose the latter," Shweta later said.

Modi, on the other hand, took on bete noire Keshubhai Patel and Sonia Gandhi's political advisor Ahmed Patel. He harped on the incident in which a 12-year-old child reportedly snatched away the Congress candidate's nomination paper in Visavadar, the constituency Keshubhai is contesting from.

"Recently, the Congress supporters were seen crying because the child snatched away a Congress candidate's papers. In a state where a child is so wise, people are set to snatch way Congress's mandate for good. Congress doesn't dare say there is fixing (between them and Keshubhai's party, GPP)," he said.

"Congress is unable to find anyone other than Ahmed Patel... it lacks leaders," Modi said, adding, "In the last four days, no Congress leader has been seen. Even their party workers are trying to locate them."

Reacting to the jibe, Gujarat Congress said Modi is hungry for power. Describing him as 'Khursidas', state Congress chief Arjun Modhwadia said, "Modi only dreams of the chair. Ahmed Patel has never asked for CM's post in the past and never will."

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