At Cliff's Edge, Reid Decries Boehner's 'Dictatorship'

With only five days left before the federal government goes over the fiscal cliff, Senate Majority Leader Harry Reid shattered any pretense of cooperation with Republicans in a scathing speech that targeted House Republicans and particularly Speaker John Boehner.

Reid, D-Nev., spoke on the floor of the Senate as President Obama returned to Washington early from an Hawaiian vacation in what appears to be a dwindling hope for a deal on taxes and spending cuts before the Jan. 1 deadline that will trigger tax increases and sharp spending cuts.

The House of Representatives will meet for legislative business Sunday evening, leaving the door cracked open ever so slightly to the possibility of a last-minute agreement to avert the looming fiscal cliff.

But on a conference call with Republican House members Thursday afternoon, Boehner kept to the Republican hard line that if the Senate wants a deal it should amend bills already passed by the House.

Earlier in the day, Reid said the Republicans should accept a bill passed by Democratic led Senate, and there was no indication either side was willing to compromise.

Boehner, however, has not returned to the Capitol quite yet.

Related: What the average American should know about capital gains and the fiscal cliff.

Scott J. Ferrell/Congressional Quarterly/Getty Images

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"We are here in Washington working while the members of the House of Representatives are out watching movies and watching their kids play soccer and basketball and doing all kinds of things. They should be here," Reid said. "I can't imagine their consciences."

House Republicans have balked at a White House deal to raise taxes on couples earning more than $250,000 and even rejected Boehner's proposal that would limit the tax increases to people earning more than $1 million.

"It's obvious what's going on," Reid said while referring to Boehner. "He's waiting until Jan. 3 to get reelected to speaker because he has so many people over there that won't follow what he wants. John Boehner seems to care more about keeping his speakership than keeping the nation on a firm financial footing."

Related: Starbucks enters fiscal cliff fray.

Reid said the House is "being operated with a dictatorship of the speaker" and suggested today that the Republicans should agree to accept the original Senate bill pass in July. Reid's comments, however, made it clear he did not expect that to happen.

"It looks like" the nation will go over the fiscal cliff in just five days, he declared.

"It's not too late for the speaker to take up the Senate-passed bill, but that time is even winding down," Reid said. "So I say to the speaker, take the escape hatch that we've left you. Put the economic fate of the nation ahead of your own fate as Speaker of the House."

Boehner's spokesman Michael Steel reacted to Reid's tirade in an email, writing, "Senator Reid should talk less and legislate more. The House has already passed legislation to avoid the entire fiscal cliff. Senate Democrats have not."

Boehner has said it is now up to the Senate to come up with a deal.

Obama, who landed in Washington late this morning, made a round of calls over the last 24 hours to Reid, Boehner, Senate Minority Leader Mitch McConnell, R-Ky., and House Minority Leader Nancy Pelosi, D-Calif.

Related: Obama pushes fiscal cliff resolution.

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Russia's Putin signals he will sign U.S. adoption ban

MOSCOW (Reuters) - President Vladimir Putin signaled on Thursday he would sign into law a bill barring Americans from adopting Russian children and sought to forestall criticism of the move by promising measures to better care for his country's orphans.

In televised comments, Putin tried to appeal to people's patriotism by suggesting that strong and responsible countries should take care of their own and lent his support to a bill that has further strained U.S.-Russia relations.

"There are probably many places in the world where living standards are higher than ours. So what, are we going to send all our children there? Maybe we should move there ourselves?" he said, with sarcasm.

Parliament gave its final approval on Wednesday to the bill, which would also introduce other measures in retaliation for new U.S. legislation which is designed to punish Russians accused of human rights violations.

For it to become law Putin needs to sign it.

"So far I see no reason not to sign it, although I have to review the final text and weigh everything," Putin said at a meeting of federal and regional officials that was shown live on the state's 24-hour news channel.

"I intend to sign not only the law ... but also a presidential decree that will modify the support mechanisms for orphaned children ... especially those who are in a difficult situation, by that I mean in poor health," Putin said.

Critics of the bill say the Russian authorities are playing political games with the lives of children, while the U.S. State Department repeated its "deep concern" over the measure.

"Since 1992 American families have welcomed more than 60,000 Russian children into their homes, and it is misguided to link the fate of children to unrelated political considerations," State Department spokesman Patrick Ventrell said in a statement.

Ventrell added that the United States was troubled by provisions in the bill that would restrict the ability of Russian civil society organizations to work with U.S. partners.

Children in Russia's crowded and troubled orphanage system - particularly those with serious illnesses or disabilities - will have less of a chance of finding homes, and of even surviving, if it becomes law, child rights advocates say.

They point to people like Jessica Long, who was given up shortly after birth by her parents in Siberia but was raised by adoptive parents in the United States and became a Paralympic swimming champion.

However, the Russian authorities point to the deaths of 19 Russian-born children adopted by American parents in the past decade, and lawmakers named the bill after a boy who died of heat stroke in Virginia after his adoptive father left him locked in a car for hours.

Putin reiterated Russian complaints that U.S. courts have been too lenient on parents in such cases, saying Russia has inadequate access to Russian-born children in the United States despite a bilateral agreement that entered into force on November 1.

NATIONAL IDENTITY

But Putin, who began a new six-year term in May and has searched for ways to unite the country during 13 years in power, suggested there were deeper motives for such a ban.

"For centuries, neither spiritual nor state leaders sent anyone abroad," he said, indicating he was not speaking specifically about Russia but about many societies.

"They always fight for their national identities - they gather themselves together in a fist, they fight for their language, culture," he said.

The bid to ban American adoptions plays on sensitivity in Russia about adoptions by foreigners, which skyrocketed as the social safety net unraveled with the 1991 Soviet collapse.

Families from the United States adopt more Russian children than those of any other country.

Putin had earlier described the Russian bill as an emotional but appropriate response to the Magnitsky Act, legislation signed by President Barack Obama this month as part of a law granting Russia "permanent normal trade relations" (PNTR) status.

The U.S. law imposes visa bans and asset freezes on Russians accused of human rights violations, including those linked to the death in a Moscow jail of Sergei Magnitsky, an anti-graft lawyer, in 2009.

The Russian bill would impose similar measures against Americans accused of violating the rights of Russian abroad and outlaw some U.S.-funded non-governmental groups.

(Reporting By Alexei Anishchuk; additional reporting by Andrew Quinn in Washington; Writing by Alissa de Carbonnel and Steve Gutterman; Editing by Andrew Osborn and Doina Chiacu)

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Football: Forest hire former Villa boss McLeish

LONDON: Nottingham Forest's Kuwaiti owners appointed former Aston Villa boss Alex McLeish as their new manager on Thursday just 24 hours after sacking Sean O'Driscoll.

Forest chairman Fawaz Al Hasawi insisted he wanted a manager with Premier League experience when he made the surprise decision to dismiss O'Driscoll following the Championship team's 4-2 win over Leeds on Wednesday.

And Al Hasawi swiftly followed through on that commitment by hiring McLeish, who has previously led Birmingham to promotion from the second tier but was sacked by Villa at the end of last season after just one year in charge.

"I'm delighted to welcome Alex to our club and look forward to working with him," Al Hasawi told Forest's website.

"Alex took Birmingham to promotion from the Championship and has great experience of working in the Premier League.

"He's hungry for more success and I believe he's the man who can help us fulfil our ambition of making it to the Premier League."

McLeish will begin work at the City Ground on Friday before taking charge of Saturday's home league clash against promotion-chasing Crystal Palace.

But the 53-year-old's reputation for producing teams that play dour football makes his appointment something of a gamble for Forest, who had also been linked with former Chelsea manager Roberto Di Matteo and ex-Manchester United midfielder Roy Keane.

Villa only narrowly avoided relegation last season, finishing two points above the bottom three, and McLeish endured a difficult relationship with the club's fans.

It is over 30 years since two-time European champions Forest were a dominant force in English football under legendary boss Brian Clough, but Al Hasawi and co-owner Abdulaziz Al Hasawi believe they can restore the club to its former glory.

And McLeish, who led Rangers to two Scottish league titles, will be expected to deliver promotion in his first season at Forest, who are currently eighth in the Championship.

The former Scotland coach insists he is revitalised after eight months out of the game following his Villa exit and can't wait to get started on his new challenge.

"I'm really looking forward to working with Nottingham Forest," he said.

"I've had time away from the game and now feel refreshed and ready to go.

"The fact that a club of Forest's magnitude has offered me a job excites me greatly, it's a wonderful opportunity.

"I can't wait to get started and I'm looking forward to meeting the players, talking to them and taking my first training session."

-AFP/ac

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Nirbhaya first private citizen treated abroad at state expense

NEW DELHI: Nirbhaya has already set a record - she has become the first Indian private citizen to have been taken abroad for medical care at the expense of the state.

Asked if there has been any precedents, a senior Union minister and a former cabinet secretary said they were unable to recall any such previous instance. Government and political leaders, also army officers have been given this help, but not a private citizen, they said.

Former prime ministers Chandrashekhar and V P Singh had been treated abroad at government expense. Besides, veteran leader Jay Prakash Narayan was airlifted for treatment within the country (from Patna to Mumbai) at government's expense. Narayan was private individual as he did not hold any public post at that time, but was a national political figure.

About the decision to take the gang rape victim abroad, the home minister Sushilkumar Shinde said, "We are all aware of the critical condition of victim. Since the day of the incident, it has been our endeavour to provide her the best of medical care. Despite the best efforts of our doctors, the victim continued to be critical and her fluctuating health remained a big cause of concern to all of us. Therefore, when we were advised by a team of doctors that she may be shifted abroad for treatment, the government decided to meet all the costs thereof."

Updating her condition, he said, "Arrangements have been made for the family to accompany her as the treatment may stretch to many weeks." Shinde also said that the government had opted for Singapore considering her critical condition and the relatively short travel time.

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Kenya hospital imprisons new mothers with no money

NAIROBI, Kenya (AP) — The director of the Pumwani Maternity Hospital, located in a hardscrabble neighborhood of downtown Nairobi, freely acknowledges what he's accused of: detaining mothers who can't pay their bills. Lazarus Omondi says it's the only way he can keep his medical center running.

Two mothers who live in a mud-wall and tin-roof slum a short walk from the maternity hospital, which is affiliated with the Nairobi City Council, told The Associated Press that Pumwani wouldn't let them leave after delivering their babies. The bills the mothers couldn't afford were $60 and $160. Guards would beat mothers with sticks who tried to leave without paying, one of the women said.

Now, a New York-based group has filed a lawsuit on the women's behalf in hopes of forcing Pumwani to stop the practice, a practice Omondi is candid about.

"We hold you and squeeze you until we get what we can get. We must be self-sufficient," Omondi said in an interview in his hospital office. "The hospital must get money to pay electricity, to pay water. We must pay our doctors and our workers."

"They stay there until they pay. They must pay," he said of the 350 mothers who give birth each week on average. "If you don't pay the hospital will collapse."

The Center for Reproductive Rights, which filed the suit this month in the High Court of Kenya, says detaining women for not paying is illegal. Pumwani is associated with the Nairobi City Council, one reason it might be able to get away with such practices, and the patients are among Nairobi's poorest with hardly anyone to stand up for them.

Maimouna Awuor was an impoverished mother of four when she was to give birth to her fifth in October 2010. Like many who live in Nairobi's slums, Awuor performs odd jobs in the hopes of earning enough money to feed her kids that day. Awuor, who is named in the lawsuit, says she had saved $12 and hoped to go to a lower-cost clinic but was turned away and sent to Pumwani. After giving birth, she couldn't pay the $60 bill, and was held with what she believes was about 60 other women and their infants.

"We were sleeping three to a bed, sometimes four," she said. "They abuse you, they call you names," she said of the hospital staff.

She said saw some women tried to flee but they were beaten by the guards and turned back. While her husband worked at a faraway refugee camp, Awuor's 9-year-old daughter took care of her siblings. A friend helped feed them, she said, while the children stayed in the family's 50-square-foot shack, where rent is $18 a month. She says she was released after 20 days after Nairobi's mayor paid her bill. Politicians in Kenya in general are expected to give out money and get a budget to do so.

A second mother named in the lawsuit, Margaret Anyoso, says she was locked up in Pumwani for six days in 2010 because she could not pay her $160 bill. Her pregnancy was complicated by a punctured bladder and heavy bleeding.

"I did not see my child until the sixth day after the surgery. The hospital staff were keeping her away from me and it was only when I caused a scene that they brought her to me," said Anyoso, a vegetable seller and a single mother with five children who makes $5 on a good day.

Anyoso said she didn't have clothes for her child so she wrapped her in a blood-stained blouse. She was released after relatives paid the bill.

One woman says she was detained for nine months and was released only after going on a hunger strike. The Center for Reproductive Rights says other hospitals also detain non-paying patients.

Judy Okal, the acting Africa director for the Center for Reproductive Rights, said her group filed the lawsuit so all Kenyan women, regardless of socio-economic status, are able to receive health care without fear of imprisonment. The hospital, the attorney general, the City Council of Nairobi and two government ministries are named in the suit.

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Associated Press reporter Tom Odula contributed to this report.

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Weather Death Toll Up to 6 as Storm Churns North

A killer Christmas storm is churning its way north leaving hundreds of thousands without power and snarling travel plans for people trying to get home after the holiday.

Six people have died, mostly in weather related car crashes, as the South was hammered by as many as 34 tornadoes and a lethal coating of sleet and snow that spread from the South into the Midwest.

Over 280,000 customers are without across the South today with 100,000 without power in Little Rock, Ark. alone.

The wild weather isn't over. Eighteen states from Tennessee to Maine are under winter storm warnings, blizzard warnings and advisories. Between one and two feet of snow is expected from Indianapolis to Cleveland to Syracuse, N.Y. and into Maine.

The number of flight cancellations nationwide is growing by the hour on one of the busiest travel days of the holiday season. But by 2 p.m. more than 1,000 flights were canceled, according to FlightAware.com.

"Traveling will definitely be affected as people go home for the holidays," Bob Oravec, lead forecaster for the National Weather Service, told ABC News. "Anywhere from the Mississippi Valley into the Ohio Valley and the Northeast, there's definitely going to be travel issues as we have heavy snow and some very high winds."

Flights were disrupted in traffic hubs like Indianapolis International Airport because of heavy snowfall as well as Dallas/Fort Worth which was hit with five inches of snow on Christmas, a rarity for the city.

PHOTOS: Christmas Storms

Cancellations and delays are expected to ripple into the Northeast today where high winds, flooding and more than a foot of snow in some areas is expected.

Heavy winds could further complicate matters for travelers. According to Flightaware.com, fliers are experiencing delays up to an hour in Baltimore, Philadelphia, New York City and Washington, D.C.

Some airlines are issuing flexible travel policies for travelers holding airline tickets today and tomorrow. Delta Airlines is allowing travelers to change their flights through Jan. 2 with no penalty. United Airlines has enacted a similar policy, as has Southwest. Policies vary slightly from airline to airline, travelers should check their carrier's web site for specifics. JetBlue, which has a major presence in New York, has not yet issued a policy but warned travelers via its web site to be prepared for delays.

Wild Holiday Weather

Severe weather on Christmas day spawned 34 tornado reports from Texas to Alabama.

In Mobile, Ala., a wide funnel cloud was barreled across the city as lightning flashed inside like giant Christmas ornaments.

The punishing winds mangled Mobile's graceful ante-bellum homes, and today, dazed residents are picking through debris while rescue crews search for people trapped in the rubble.

Teresa Mason told ABC News that she and her boyfriend panicked when they saw the tornado heading toward them in Stone County, in southern Mississippi, but she says they were actually saved when a tree fell onto the truck.

"[We] got in the truck and made it out there to the road. And that's when the tornado was over us. And it started jerking us and spinning us, "she said."This tree got us in the truck and kept us from being sucked up into the tornado."

The last time a number of tornadoes hit the Gulf Coast area around Christmas Day was in 2009, when 22 tornadoes struck on Christmas Eve morning, National Weather Service spokesman Chris Vaccaro told ABC News.

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Syria to discuss Brahimi peace proposals with Russia

BEIRUT (Reuters) - Syrian President Bashar al-Assad sent a senior diplomat to Moscow on Wednesday to discuss proposals to end the conflict convulsing his country made by international envoy Lakhdar Brahimi, Syrian and Lebanese sources said.

Brahimi, who saw Assad on Monday and is planning to hold a series of meetings with Syrian officials and dissidents in Damascus this week, is trying to broker a peaceful transfer of power, but has disclosed little about how this might be done.

More than 44,000 Syrians have been killed in a revolt against four decades of Assad family rule, a conflict that began with peaceful protests but which has descended into civil war.

Past peace efforts have floundered, with world powers divided over what has become an increasingly sectarian struggle between mostly Sunni Muslim rebels and Assad's security forces, drawn primarily from his Shi'ite-rooted Alawite minority.

Deputy Foreign Minister Faisal Makdad flew to Moscow to discuss the details of the talks with Brahimi, said a Syrian security source, who would not say if a deal was in the works.

However, a Lebanese official close to Damascus said Makdad had been sent to seek Russian advice on a possible agreement.

He said Syrian officials were upbeat after talks with Brahimi, the U.N.-Arab League envoy, who met Foreign Minister Walid Moualem on Tuesday a day after his session with Assad, but who has not outlined his ideas in public.

"There is a new mood now and something good is happening," the official said, asking not to be named. He gave no details.

Russia, which has given Assad diplomatic and military aid to help him weather the 21-month-old uprising, has said it is not protecting him, but has fiercely criticized any foreign backing for rebels and, with China, has blocked U.N. Security Council action on Syria.

"ASSAD CANNOT STAY"

A Russian Foreign Ministry source said Makdad and an aide would meet Foreign Minister Sergei Lavrov and Mikhail Bogdanov, the Kremlin's special envoy for Middle East affairs, on Thursday, but did not disclose the nature of the talks.

On Saturday, Lavrov said Syria's civil war had reached a stalemate, saying international efforts to get Assad to quit would fail. Bogdanov had earlier acknowledged that Syrian rebels were gaining ground and might win.

Given the scale of the bloodshed and destruction, Assad's opponents insist the Syrian president must go.

Moaz Alkhatib, head of the internationally-recognized Syrian National Coalition opposition, has criticized any notion of a transitional government in which Assad would stay on as a figurehead president stripped of real powers.

Comments on Alkhatib's Facebook page on Monday suggested that the opposition believed this was one of Brahimi's ideas.

"The government and its president cannot stay in power, with or without their powers," Alkhatib wrote, saying his Coalition had told Brahimi it rejected any such solution.

While Brahimi was working to bridge the vast gaps between Assad and his foes, fighting raged across the country and a senior Syrian military officer defected to the rebels.

Syrian army shelling killed about 20 people, at least eight of them children, in the northern province of Raqqa, a video posted by opposition campaigners showed.

The video, published by the Syrian Observatory for Human Rights, showed rows of blood-stained bodies laid out on blankets. The sound of crying relatives could be heard in the background.

The shelling hit the province's al-Qahtania village, but it was unclear when the attack had occurred.

STRATEGIC BASE

Rebels relaunched their assault on the Wadi Deif military base in the northwestern province of Idlib, in a battle for a major army compound and fuel storage and distribution point.

Activist Ahmed Kaddour said rebels were firing mortars and had attacked the base with a vehicle rigged with explosives.

The British-based Observatory, which uses a network of contacts in Syria to monitor the conflict, said a rebel commander was among several people killed in Wednesday's fighting, which it said was among the heaviest for months.

The military used artillery and air strikes to try to hold back rebels assaulting Wadi Deif and the town of Morek in Hama province further south. In one air raid, several rockets fell near a field hospital in the town of Saraqeb, in Idlib province, wounding several people, the Observatory said.

As violence has intensified in recent weeks, daily death tolls have climbed. The Observatory reported at least 190 had been killed across the country on Tuesday alone.

The head of Syria's military police changed sides and declared allegiance to the anti-Assad revolt.

"I am General Abdelaziz Jassim al-Shalal, head of the military police. I have defected because of the deviation of the army from its primary duty of protecting the country and its transformation into gangs of killing and destruction," the officer said in a video published on YouTube.

A Syrian security source confirmed the defection, but said Shalal was near retirement and had only defected to "play hero".

Syrian Interior Minister Mohammed Ibrahim al-Shaar left Lebanon for Damascus after being treated in Beirut for wounds sustained in a rebel bomb attack this month.

(Additional reporting by Laila Bassam; Writing by Alistair Lyon; Editing by Andrew Osborn)

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'Thunderbirds' creator Gerry Anderson dies aged 83

LONDON: Gerry Anderson, the British director and creator of the cult sci-fi animation series "Thunderbirds", died on Wednesday aged 83, his son announced.

Anderson had been suffering from Alzheimer's disease since 2010 and his health had deteriorated in the past six months, causing him to be moved into a care home in October, Jamie Anderson said.

The animator created "Joe 90", "Stingray" and "Captain Scarlet", but he was best known for "Thunderbirds", which used a form of marionette puppetry dubbed "Supermarionation".

The series, first shown in Britain in 1965, followed the adventures of a highly secretive organisation whose mission was to help those in peril using spacecraft and a range of high-tech vehicles operating from a Pacific Island.

The characters' catchphrases, such as "Thunderbirds are go!" and "FAB", were incorporated into the vocabularies of a generation of young fans.

"I'm very sad to announce the death of my father, 'Thunderbirds' creator, Gerry Anderson," his son announced on his personal website.

"He died peacefully in his sleep at midday today having suffered with mixed dementia for the past few years."

Earlier this year, Anderson himself described how he became aware of his illness.

"I don't think I realised at all. It was my wife Mary who began to notice that I would do something quite daft like putting the kettle in the sink and waiting for it to boil," he told the BBC.

At a charity event for the Alzheimer's Society in July, Anderson said that although he tried to stay positive "and enjoy every day", dementia was a debilitating illness that affected not just him but also his family.

He said that not being able to drive was "the bitterest blow", adding: "That virtually took away my freedom.

"It meant that I couldn't go to Pinewood Studios where I worked, and this depressed me enormously because my film work was my life. Suddenly my life was cut off."

Anderson began his career studying fibrous plastering, the technique used to make mouldings, but he suffered from dermatitis and had to switch to work as a photographer.

He also briefly earned a living as an air traffic controller before setting up a film company with friends.

His first commission was a children's puppet series called "The Adventures of Twizzle", which allowed him to perfect the technique of Supermarionation.

It first involved recording the soundtrack for the voices. Then when the puppets were being filmed, the electric signal from the taped dialogue was transmitted to sensors in the puppets' heads.

That meant that the marionettes' lips were synchronised with the soundtrack, which after being perfected in "Fireball XL5" and "Stingray" was ready for the launch of "Thunderbirds".

Anderson came up with the idea for "Thunderbirds" in 1963 while listening to a radio report about a revolutionary machine being transported across Germany to rescue miners trapped deep in a mine.

He developed the concept with his second wife, TV and film producer Sylvia Anderson, to whom he was married from 1960 to 1981.

First shown on Britain's ITV network, the series was set 100 years in the future, but despite its glamorous concept, it was filmed in the drab surroundings of a trading estate in Slough to the west of London.

The plot revolved around International Rescue, manned by the Tracy family, often assisted by the glamorous Lady Penelope -- voiced by Sylvia Anderson -- and her butler, Parker.

Anderson remained involved in the film industry until relatively recently, working on a CGI-animated television version of "Captain Scarlet", and as consultant on a Hollywood remake of his 1969 series "UFO".

Anderson leaves behind his widow Mary and their son Jamie, and three children from his previous marriages, Joy, Linda and Gerry Junior.

-AFP/ac

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Main accused in Dera chief attack sent in judicial custody

SIRSA: Baljit Singh Dadduwal, the main accused in the case of attack on cavalcade of Dera Sacha Sauda chief Gurmeet Ram Rahim Singh, was sent in judicial custody on Wednesday. He was produced in the court of Payal Bansal, Sub-Divisional Judicial Magistrate, after his arrest on Tuesday from Amritsar international airport on his arrival from UK.

To maintain law and order situation, heavy police force was deployed in the court complex when the accused was brought there. Dadduwal was first taken to a community health centre (CHC) for a medical check-up before producing him in the court.

Dadduwal and 13 Sikh activists had allegedly tried to attack the cavalcade of the dera chief on July 16, 2007, near Ghukanwali village, when he was returning to his headquarters in Sirsa after attending a satsang in the village. Odhan police had booked him under various sections of IPC.

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Predicting who's at risk for violence isn't easy

CHICAGO (AP) — It happened after Columbine, Virginia Tech, Aurora, Colo., and now Sandy Hook: People figure there surely were signs of impending violence. But experts say predicting who will be the next mass shooter is virtually impossible — partly because as commonplace as these calamities seem, they are relatively rare crimes.

Still, a combination of risk factors in troubled kids or adults including drug use and easy access to guns can increase the likelihood of violence, experts say.

But warning signs "only become crystal clear in the aftermath, said James Alan Fox, a Northeastern University criminology professor who has studied and written about mass killings.

"They're yellow flags. They only become red flags once the blood is spilled," he said.

Whether 20-year-old Adam Lanza, who used his mother's guns to kill her and then 20 children and six adults at their Connecticut school, made any hints about his plans isn't publicly known.

Fox said that sometimes, in the days, weeks or months preceding their crimes, mass murderers voice threats, or hints, either verbally or in writing, things like "'don't come to school tomorrow,'" or "'they're going to be sorry for mistreating me.'" Some prepare by target practicing, and plan their clothing "as well as their arsenal." (Police said Lanza went to shooting ranges with his mother in the past but not in the last six months.)

Although words might indicate a grudge, they don't necessarily mean violence will follow. And, of course, most who threaten never act, Fox said.

Even so, experts say threats of violence from troubled teens and young adults should be taken seriously and parents should attempt to get them a mental health evaluation and treatment if needed.

"In general, the police are unlikely to be able to do anything unless and until a crime has been committed," said Dr. Paul Appelbaum, a Columbia University professor of psychiatry, medicine and law. "Calling the police to confront a troubled teen has often led to tragedy."

The American Academy of Child & Adolescent Psychiatry says violent behavior should not be dismissed as "just a phase they're going through."

In a guidelines for families, the academy lists several risk factors for violence, including:

—Previous violent or aggressive behavior

—Being a victim of physical or sexual abuse

—Guns in the home

—Use of drugs or alcohol

—Brain damage from a head injury

Those with several of these risk factors should be evaluated by a mental health expert if they also show certain behaviors, including intense anger, frequent temper outbursts, extreme irritability or impulsiveness, the academy says. They may be more likely than others to become violent, although that doesn't mean they're at risk for the kind of violence that happened in Newtown, Conn.

Lanza, the Connecticut shooter, was socially withdrawn and awkward, and has been said to have had Asperger's disorder, a mild form of autism that has no clear connection with violence.

Autism experts and advocacy groups have complained that Asperger's is being unfairly blamed for the shootings, and say people with the disorder are much more likely to be victims of bullying and violence by others.

According to a research review published this year in Annals of General Psychiatry, most people with Asperger's who commit violent crimes have serious, often undiagnosed mental problems. That includes bipolar disorder, depression and personality disorders. It's not publicly known if Lanza had any of these, which in severe cases can include delusions and other psychotic symptoms.

Young adulthood is when psychotic illnesses typically emerge, and Appelbaum said there are several signs that a troubled teen or young adult might be heading in that direction: isolating themselves from friends and peers, spending long periods alone in their rooms, plummeting grades if they're still in school and expressing disturbing thoughts or fears that others are trying to hurt them.

Appelbaum said the most agonizing calls he gets are from parents whose children are descending into severe mental illness but who deny they are sick and refuse to go for treatment.

And in the case of adults, forcing them into treatment is difficult and dependent on laws that vary by state.

All states have laws that allow some form of court-ordered treatment, typically in a hospital for people considered a danger to themselves or others. Connecticut is among a handful with no option for court-ordered treatment in a less restrictive community setting, said Kristina Ragosta, an attorney with the Treatment Advocacy Center, a national group that advocates better access to mental health treatment.

Lanza's medical records haven't been publicly disclosed and authorities haven't said if it is known what type of treatment his family may have sought for him. Lanza killed himself at the school.

Jennifer Hoff of Mission Viejo, Calif. has a 19-year-old bipolar son who has had hallucinations, delusions and violent behavior for years. When he was younger and threatened to harm himself, she'd call 911 and leave the door unlocked for paramedics, who'd take him to a hospital for inpatient mental care.

Now that he's an adult, she said he has refused medication, left home, and authorities have indicated he can't be forced into treatment unless he harms himself — or commits a violent crime and is imprisoned. Hoff thinks prison is where he's headed — he's in jail, charged in an unarmed bank robbery.

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Online:

American Academy of Child & Adolescent Psychiatry: http://www.aacap.org

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

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