Do drunks have to go to the ER?

NEW YORK (Reuters Health) – With the help of a checklist, ambulance workers may be able to safely reroute drunk patients to detoxification centers instead of emergency rooms, according to a new study.

Researchers in Colorado found no serious medical problems were reported after 138 people were sent to a detox center to sleep it off, instead of to an ER.

In 2004, according to the researchers, it’s estimated that 0.6 percent of all U.S. ER visits were made by people without any problems other than being drunk. Those visits ended up costing about $ 900 million.

“Part of the issue has been – as it is in many busy ER departments – there’s a lot of chronic alcoholics that are brought in by ambulance, police or just come in. Often they are brought in because they have not committed a crime or there is limited space in our detoxification center. So the majority were brought to the ER department,” said Dr. David Ross, the study’s lead author from Penrose-St. Francis Health Services in Colorado Springs.

Ross said the ambulance company where he serves as medical director created the checklist with the help of the local detox center, which provided limited medical care by a nurse, and the local hospitals to reduce the number of drunks without medical needs being sent to the local ERs.

They created a checklist with 29 yes-or-no questions, such as whether the patient is cooperating with the ambulance worker’s examination and if the patient is willing to go to the detox center.

The patient was sent to the ER if the ambulance worker checked “no” on any question.

The researchers then went back to look at the patients they transported between December 2003 and December 2005 to see whether or not any of them ended up having serious medical problems at the detox center.

During that two year period, the ambulance workers transported 718 drunks. The detox center received 138 and the local ERs got 580.

Overall, 11 of the patients who were taken to detox were turned away because there was no room, their blood alcohol level exceeded the limit, their family came to pick them up or they were combative.

Another four patients at the detox center were taken to the ER because of minor complications, including chest and knee pain. However, there were no serious complications reported.

“We really believe that we did not miss anybody with a serious illness and injury that didn’t go to the ER as they should have,” said Ross.

But the researchers write in the Annals of Emergency Medicine that their study did have some limitations.

Specifically, the researchers did not plan in advance to do a study when they were creating the checklist, which means their findings are limited to whatever information was collected at the detox center and ERs.

Also, the number of people who were sent to the detox center in their study is relatively small, so it’s hard to tell how many serious complications they’d see among a larger group of people.

“We tried to estimate how likely we would have been to encounter a serious event… We estimated at most we’d encounter three serious adverse events (in 748 patients),” Ross told Reuters Health.

SOURCE: http://bit.ly/QgPCT5 Annals of Emergency Medicine, online November 9, 2012.

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Amazon Kindle Fire HD 8.9 is Good, But No iPad Killer [REVIEW]

Unboxing the Kindle Fire HD 8.9

Click here to view this gallery.

[More from Mashable: Apple Now Owns the iMessage Name]

Amazon expands its tablet sights with the bigger, more powerful Kindle Fire HD 8.9. Can it compete against Apple‘s iPad?

If there’s one company that deserves credit for reigniting the iPad competitor market, it’s Amazon. Despite some bugs and an overall blah design, its 7-inch Kindle Fire was the first Android tablet that made sense to consumers who gobbled it up to help the Fire grab 50% of the Android tablet market in just 6 months.

[More from Mashable: 9 Black Friday Deals For iPhone Owners]

That tablet essentially opened the flood gates for a new set of ever-more-powerful 7-inchers from, notably, Barnes & Noble and Google. All three companies have already updated their 7-inch offerings to more powerful components and higher-resolutions screens. They’re all still running Android, though Amazon and Barnes & Noble choose to hide the Google OS behind smarter and much more consumer-friendly interfaces.

All this led Apple to finally enter the mid-sized tablet space with the iPad Mini. It’s easily the best-looking tablet of the bunch, but also $ 120 more expensive than its nearest competitor.

The more interesting development, though, is Amazon‘s (and Barnes & Noble‘s) decision to go toe-to-toe with Apple’s full-size iPad and launch the Amazon Kindle Fire HD 8.9 (in 4G LTE and WiFi-only). The move is akin to a middle weight boxer putting on the pounds to take on the Heavyweight world champion. Amazon’s Kindle Fire HD is slightly smaller (the iPad is 9.7-inches), lighter (567g vs. 625g), cheaper ($ 369 for 32 GB model vs. $ 599 for the iPad 4th Gen — Amazon subsidizes with sleep-state ads, that I do not mind) and overall somewhat less powerful. In order to win the battle, the 8.9-inch Kindle Fire HD better be pretty nimble on its feet, while able to throw that all important knockout punch.

Short version of this story: the Kindle Fire HD 8.9 does some serious damage, but the iPad 4th Gen gets the decision and retains the tablet leader title.

The Kindle Fire HD 8.9 is by no means a failure. In many ways, it’s as good as the smaller Kindle Fire HD, but throughout my tests I noticed odd bugs and glitches (which should all be fixable by software) and a somewhat disturbing lack of power that’s especially obvious when you put the Fire HD 8.9 next to the iPad 4th Gen

What It Is

If you’ve never seen an iPad and someone handed you the Kindle Fire HD .9, you’d likely say its jet-black, soft-to-the-touch plastic body felt good in your hands and was more than effective at all the core tasks (reading, game playing, e-mail, web browsing).

Design-wise, the 8.9 device looks exactly like the 7-inch model, complete with the too-hard to find volume and power buttons. There are no other physical buttons on this device, but Amazon chooses to hide the few it has by making them the exact same color as the chassis and flush with the body. Every time I use the tablet I do the “where’s the damn button” dance, rotating the Kindle Fire HD round and round until I feel the buttons (since I can barely see them).

I have applauded Barnes & Noble for putting the physical “N” home button right on the face of their Nook HD. Bravo for having the guts to do this. Amazon apparently looks at Apple’s iPad home button and thinks to have anything similar would be seen as “copying” the Cupertino hardware giant, when instead they should realize that it works, consumers like it and tablets without it are at a distinct disadvantage.

Amazon’s interface has you make do with a virtual, slide-out home button that is always available. Problem is, I found times when it wasn’t available. When I played Spider-Man and Asphalt 7, the tiny little left-had bar would disappear and I couldn’t exit the game unless I hit the sleep/power button.

The rest of the Kindle Fire HD 8.9′s body is solid and unremarkable (if you read my Kindle fire HD 7 review, then you know exactly what to expect.). Like the iPad 4th Gen, the Kindle Fire HD 8.9 has a front-facing 720p-capable camera. It’s useful for capturing video, snapping 1 Megapixel images and, probably most important, Skype video chats. Skype has built a fairly sharp-looing Kindle Fire app, though the design doesn’t fully fit the larger 8.9-inch screen. Skype just updated its Android app for better tablet viewing and hopefully, we’ll see this update hit the Kindle Fire HD 8.9 as well.

The iPad also has an HD rear-facing camera. The Kindle fire HD 8.9 does not (Barnes & Noble leave out cameras altogether)

Not Packing a Punch

As a large-screen high-resolution tablet (though iPad’s 2048×1536 retina display beats it), the Kindle Fire HD 8.9 offers plenty of attractive screen real estate for web browsing, book and magazine reading and games. But the results can be mixed. Silk, Amazon‘s custom web browser, was occasionally less than responsive and games, though, they ran well, never looked half as good as they do on the considerably more expensive iPad 4.

Granted, you can’t always find the same high-quality immersive action games on both Android and iOS, but Asphalt 7 Heat is a notable exception and it throws the performance differences between the two tablets into stark contrast. Game play is equally responsive on both platforms: the Kindle Fire HD 8.9’s accelerometer reads my moves just as well as the iPad.

The graphics on the Kindle Fire HD, however, are reduced to blobs and blocks (palm trees without distinct leaves, buildings without discernible windows) . The iPad’s quad-core graphics simply overmatch the Kindle Fire. I have never, for example, seen an iPad draw the game as I was playing, as I did when I tried out The Amazing Spider-Man.

Additionally, I experienced more than my share of crashes with games and even magazine apps like Vanity Fair.

The Good

Not everyone, however, will compare the Kindle Fire HD 8.9 to the iPad. Some will see the $ 299 entry-level price point (for the 16 GB model) and appreciate the power, flexibility and utility of this device. Like all Fire’s before it, the Kindle Fire HD 8.9 makes it easy to consume mass quantities of content. Nearly every menu option: Games, Apps, Books, Music, Videos, Newsstand, puts you just one click away from shopping for fresh content. If you have an Amazon account (and who doesn’t) your desired book, music or movie is just a click away. Plus, you can still easily store any of it locally, and worry about running out of storage space, or in the cloud, and never worry about space or accessibility—you can get to that purchased Kindle content from any Kindle app or registered Amazon device.

Watching movies on the tablet is a pleasure. I streamed a couple through Amazon Prime; they looked good on the 1920 x 1200 screen and the Dolby Stereo speakers produced sharp, loud, almost room-filling sound—an impressive feat not even the iPad can match.

The Kindle Fire HD 8.9 also includes a mini-HDMI-out port, which prompted me to connect the tablet to my 47-inch LED HDTV so we could watch Disney’s Brave. Yes, I had to get up and tap on the Kindle screen each time I wanted to pause and restart the move, but otherwise, I was pretty impressed with how the Kindle handled the task.

Obviously I yearn for an Apple Airplay-like feature on Android tablets (rumor has it one is coming), but this is the next, best thing.

There isn’t a lot to say about the Kindle Fire HD 8.9-inch interface that I did not say in the Kindle Fire HD 7 review. I will note, however, that the increased real estate makes the trademark task carousel seem almost too big. Icons for everything from your recently played Spider-Man game to magazine apps, books and Web sites all sit side-by-side-by side. Some, like book covers, look gorgeous.

Others like a broken web-page link look stupid. Worse yet, none of them have labels, which can occasionally make it hard to identify which app or task you’re looking at. I’m just not sure this interface metaphor is sustainable.

Personally I prefer either the clean consistent look of iOS, or the uber-user friendly, family-oriented Nook HD profile-based one. Amazon may want to take a hard look at those and start over.

Staying Connected

The Kindle Fire HD 8.9 is also Amazon’s first cellular-based tablet. That fact puts it even more squarely in competition with the iPad (which obviously has always had 3G models and now offers blazing fast 4G LTE ones as well on all major carriers).

Amazon’s mobile broadband plans are a little more conservative, with just the AT&T 4G LTE option (the 32 GB 4G model that I tested lists for $ 499, which is still $ 224 less than a comparable iPad 4th Gen).

In my experience, the connectivity is superfast and fairly ubiquitous. Amazon‘s $ 49 (a year) flat fee plan is attractive, but with a cap of 250MB per month of data, it’s unlikely it will satisfy the most data-hungry users. If you do need more data, users can also get 3GB and 5GB data plans directly from AT&T on the device.

At press time, Amazon had not enabled streaming video over LTE. Having it sounds nice, but even with the most generous data plans, streaming video would eat it up faster than you can say, “I’m streaming Back to the Future in HD over 4G LTE on my Kindle fire HD!”

The reality for most users is that WiFi is plentiful and you’ll be hard pressed to find a spot where you can’t connect for free or a small one-off fee. It’s the reason Barnes & Noble’s line of HD Nooks do not include a cellular option.

Review continues after FreeTime Gallery

FreeTime

Kindle HD FreeTime Start

Click here to view this gallery.

Perhaps the best new addition to the Kindle Fire family is not a piece of hardware or new component, but the new FreeTime app. Amazon put a lot of loving care into this parental control interface, but almost mucks the whole thing up by hiding the tool under an app that you have to scroll down to (or search) to find. By contrast profiles and age and content controls are baked into the Barnes & Noble Nook HD in a way that makes them impossible to ignore.

Even so, once you do access FreeTime, I think you’ll be pleased with the level of control it gives you. I added test profiles for my two children and then hand-picked every app and piece of content they could access. I was also able to block broadband mobile and even set time limits for access to content and overall screen viewing time (on a per profile basis). The set-up is a bit wonky and it bizarrely switches between landscape and profile screens, but I still applaud the effort. It would make sense for Amazon to move FreeTime into a device set-up screen. If the user has no additional family members or kids using the device, they can easily skip it.

To Buy or Not to Buy

Amazon’s expansive content and shopping ecosystem has always been a strong draw and it’s just as good in this large screen tablet as it was in the very first Kindle Fire. Still, you have to compare it with the equally strong iOS ecosystem, which is no slouch in the content shopping department. Apple doesn’t connect you as seamlessly to physical products, but there’s nothing difficult about shopping on Amazon.com via your iPad. It’s also notable that tablet competitor Barnes & Noble has added movie and TV viewing, rental and purchase.

Ultimately, all of these tablets are offering more and more of the same content options, apps, and features. The decision will likely come down to price, app selection, interface and overall ease of use. The Amazon Kindle fire HD 8.9 scores well on all of these, but does not always lead.

For the price, it’s a great value, but I want Amazon to focus on hardware and interface design for the next big update. Then, they may get my full endorsement.

This story originally published on Mashable here.

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Ivory Coast: New prime minister named

ABIDJAN, Ivory Coast (AP) — President Alassane Ouattara has tapped Foreign Minister Daniel Kablan Duncan to serve as prime minister in a new government one week after the surprise dissolution of cabinet.

The appointment of Duncan, a member of the PDCI party of former President Henri Konan Bedie, was announced at a press conference Wednesday by Amadou Gon Coulibaly, general secretary of the presidency.

Ouattara dissolved the cabinet last week over a feud between his political party and the PDCI over proposed changes to the country’s marriage law.

The PDCI supported Ouattara in the November 2010 runoff election in exchange for the prime minister’s post, helping him defeat incumbent President Laurent Gbagbo. Gbagbo’s refusal to cede office led to five months of violence that claimed at least 3,000 lives before Ouattara’s forces won.

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New York Athletes Use Twitter to Gain Cult Hero Status

If you’re one of the over 20.6 million Americans who has a Twitter account, chances are you’ve stumbled across the official SoccerGirlProblems Twitter handle, @SoccerGrlProbs, at least once while using the popular social media networking site.

SoccerGirlProblems, a feed spawned by three New York-based athletes, is a Twitter handle dedicated to the true-life outrageous complaints about everyday life as a high school or college soccer player.

The simple concept was started as a joke, but it has grown to startling dimensions.

SoccerGirlProblems has over 148,000 Twitter followers, and its explosive popularity led to the creation of a spinoff blog, a well-known YouTube account, a custom-made T-shirt business, and an official website.

Since opening in the beginning of 2012, the SoccerGirlProblems YouTube account has racked up over 3.2 million video views, and T-shirts have been selling like hotcakes. The SoccerGirlProblems Twitter page is also busier than ever, as it gained 50,000 new followers between May and November.

Punch #SGP or #SoccerGrlProbs into the Twitter search box on any given day, and you’ll immediately get a slew of hilarious tweets like “Took a long, hard stare at a pair of jeans this morning…Almost felt bad for neglecting them for so long. SWEATS IT IS,” along with other comedic gems like “family dreads thanksgiving if…i’m not on their team for flag football. Come on people what’s wrong with a little ‘friendly’ competition??”

With the SoccerGirlProblems brand finding so much success, one would expect the girls behind it to be household names by now, much like other Twitter/YouTube personalities like Jenna Marbles and Tay Zonday.

In fact, the founders of SoccerGirlProblems were afraid to reveal their identities until recently, as they feared retribution from conservative school administrators at their current school, Fairfield University.

The SoccerGirlProblems ladies believed that school officials from Fairfield would possibly find some of their hilarious tweets to be offensive or inappropriate. The founders did not want their tweets to bring negative exposure to their current or former schools.

It took over a year for the SoccerGirlProblems girls to reveal their identities publicly, but two of the three founders finally decided it was time to come out and detail how they became cult heroes via Twitter.

Carly Beyar, a South Hempstead, New York, resident and graduate of South Side High School in Rockville Centre, New York, along with Alanna Locast of Wantagh, New York, revealed that they are among the core group of tweeters handling the SoccerGirlProblems Twitter and YouTube accounts.

Locast, a graduate of Long Island’s Seaford High School, was an attacking offensive option for Fairfield until her graduation in 2011, while Beyar is still playing for the Fairfield Stags.

“It is still a shock to us that all of these girls relate to what we are saying,” Beyar said of her dedicated legion of Twitter followers in an exclusive online interview in May. “The soccer world is evidently a small one. It is comforting to know that we are not the only women soccer players out there dealing with these problems every day. Also, don’t get us wrong, we love soccer and will do anything for it; sometimes you just need to complain to keep you sane. ‘With training comes complaining.’”

Beyar and Locast, both standout high school soccer players on Long Island, think they can take SoccerGirlProblems to new heights due to the power of online marketing.

“I think it is easy to relate to our tweets when we are sarcastic and humorous,” Beyar said. “We try to take bothersome problems every day and turn it into something to just sit back and laugh about. We appreciate all of the support that our fans have given us since August. They are the best fans any Twitter account can ask for. Originally, we made this Twitter account for fun. We wanted to make it a team-based thing where everyone would tweet a problem from our team to get a laugh out of it. Little did we know how powerful the Web can be.”

Eric Holden covered the South Side Lady Cyclones girls’ soccer team in the 2010-11 season and has reported on Long Island soccer events since 2009. Follow him on Twitter @ericholden.

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A Minute With: Guillermo del Toro on “Rise of the Guardians”

LOS ANGELES (Reuters) – Mexican filmmaker Guillermo del Toro is known for putting a dark twist on super heroes and children’s fantasy, but in “Rise of the Guardians” the producer brings together holiday heroes for a festive adventure.

“Rise of the Guardians,” which will be in theaters on Friday, is based on award-winning author William Joyce’s “The Guardians of Childhood” books. In the film, traditional characters such as Santa Claus, Easter Bunny, Tooth Fairy, Sandman and Jack Frost join forces to save earth’s children from the evil Pitch Black and his band of Nightmares.

In the movie that stars Chris Pine, Alec Baldwin, Jude Law, Isla Fisher and Hugh Jackman, del Toro, 48, steps back into the executive producer role after directing dark fantasy “Pan’s Labyrinth” and the “Hellboy” superhero franchise.

He spoke to Reuters about putting his own stamp on beloved holiday heroes, and why children’s films are important to him.

Q: In “Rise of the Guardians,” Santa has tattoos, the Easter Bunny is Australian and the Tooth Fairy is half-human, half bird. Not the way most of us grew up imagining them, is it?

A: “We didn’t want the characters to have the affections that are given to them in certain cultures. We didn’t want to go with the safe Easter Bunny that is now a marketing tool … We wanted them to represent the world and to geographically make sense. Where would a burrower live, the Outback? The original incarnation of Santa is almost that of a hunter and wild man. It comes from the Nordic and Eastern European notions so we thought it would be great to make him Slavic.”

Q: The film is about addressing fear, which is always a challenging lesson for parents to teach their children. Why make this the central theme?

A: “In order to address fear, parents always end up tiptoeing around the subject. Shielding our kids is not the way to go, but you also don’t want to send them out unprepared without a healthy sense of self. I thought the movie was a great analogy to many things. It’s a great metaphor for kids to interpret the world.”

Q: What attracts you to the children’s genre?

A: “Some of my favorite authors in literature are guys that are great portrayers of childhood, but not necessarily childish – Mark Twain, Charles Dickens, Roald Dahl. And my movies like ‘Hellboy‘ and ‘Hellboy 2′ are about misfits coming together. Same with my Spanish movie ‘The Devil’s Backbone.’ So this movie is thematically very much within what I like to do.

“I think that for good or for bad, we spend the rest of our lives dealing with our first 13 years of life, trying to remedy or be lifted by whatever tools we were given when we were kids. Those first years are when we, as adults, sculpt the character of our kids … In reality, life puts kids in our lives for us to learn from them. There is no braver soul in the world than a kid.”

Q: Which “Guardian” do you identify with the most?

A: “I identify with North (Santa Claus). I have the greatest blessing in my life, which is the capacity to remain a child in the way I like to see the world. Like every artist, I have turmoil and I suffer. But ultimately I am able to find magic in the world. When North declares those principles, when he says ‘I feel it in my belly,’ it’s very much something I identify completely with.”

Q: Can we expect to see more of this band of heroes in future films?

A: “Obviously the possibility of telling another tale is completely dependent on the studio. But Bill Joyce has written many books on the characters and we are on board to create more and more adventures for them. We’ve been talking about some storylines. I am eager to tell everyone the story of North.”

Q: You recently finished shooting sci-fi adventure “Pacific Rim,” due in theaters in 2013, which is your first directing venture since 2008′s “Hellboy II: The Golden Army.” Why the break?

A: “I went to New Zealand to direct ‘The Hobbit’ and I was there for two years. I co-wrote the script, and at the end of the process there was a moment of decision where I really wanted to pursue something else and not keep waiting (‘The Hobbit’ production was delayed due to movie studio MGM’s financial troubles).

“Then I spent over a year trying to get a movie called ‘Mountains of Madness’ off the ground. That didn’t happen. Next it took another two years to get ‘Pacific Rim’ to the screen. But in the meantime, I co-wrote three novels, produced three movies and wrote a TV series. It’s been a very busy five years.”

(Reporting by Zorianna Kit, editing by Piya Sinha-Roy and Jeffrey Benkoe)

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FDA took 684 days to warn meningitis-linked firm: files

BOSTON (Reuters) – The U.S. Food and Drug Administration took 684 days to issue a warning letter after uncovering infractions that could potentially harm patients at the pharmacy at the center of the deadly U.S. meningitis outbreak, newly released documents show.

The New England Compounding Center (NECC) chastised the FDA in a letter dated January 5, 2007, telling the agency its response time was nearly 18 months longer than the FDA’s average response, according to letters released under an open records request.

“We believe that FDA’s nearly two year delay in issuing the Warning Letter contradicts FDA’s rhetoric regarding the asserted risks associated with our compounded products,” NECC co-owner and chief pharmacist Barry Cadden said in the letter, released by the FDA under an open records request.

The FDA acknowledged in a letter to Cadden dated October 31, 2008, that there had been a “significant delay” in its response but insisted that the delay “in no way diminishes our serious concerns about your firm’s operations.”

On Wednesday, a spokeswoman for the FDA, Erica Jefferson, said the delay in issuing the warning letter was due to the agency’s limited, unclear and contested authority.

“During the time between the inspection of NECC and the issuance of the warning letter, there was ongoing litigation pertaining to pharmacy compounding and significant internal discussion about how to regulate compounders, all of which delayed FDA,” she said.

The FDA has asked lawmakers to clarify its authority to oversee large-scale drug compounders such as NECC. But several Republicans have argued that the agency already had the authority that could have prevented the outbreak.

And on November 19, a congressional panel investigating the outbreak told the FDA not to expect new authority until it releases documents about its role.

According to the Centers for Disease Control and Prevention, 34 people have died and 490 have been injured after Framingham, Massachusetts-based NECC shipped a tainted steroid, methylprednisolone acetate, to medical facilities throughout the United States. The steroid is typically used to ease back pain.

On Tuesday, defense lawyers for NECC’s owners told a U.S. District Judge in Boston there was nothing to show they had a direct hand in the cause of the meningitis outbreak.

INDIGNANT AND UNCOOPERATIVE

NECC has consistently pushed back against attempts by regulators to discipline it, despite a series of violations dating back to 1999.

And the pharmacy’s principals have sometimes shown little respect for the FDA or its inspectors.

During a re-inspection of the pharmacy in 2004 following up on certain marketing and packaging violations, Cadden and his brother-in-law, Gregory Conigliaro, a co-owner of NECC, became indignant, according to a 2005 memorandum from the FDA inspector. Cadden declined to cooperate without speaking to a lawyer first and at one point instructed his brother-in-law not to answer any more questions.

Conigliaro said he had “a lot of things to finish and just did not have the time to sit with us to answer our questions,” the inspector said in his memo.

The FDA’s eventual warning letter to NECC in December 2006 was based on an inspection that began in September 2004 and ended on January 19, 2005, according to the documents.

(Reporting by Tim McLaughlin; Editing by Jeffrey Benkoe and Andre Grenon)

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Obama praises Netanyahu on Gaza cease-fire

Egypt's Foreign Minister Mohamed Kamel Am, Secretary of State Hillary Clinton and Egypt's President Mohammed Morsi …President Barack Obama praised Israeli Prime Minister Benjamin Netanyahu on Wednesday for agreeing to an Egypt-crafted cease-fire with Palestinian militants in Gaza. Obama, speaking to Netanyahu by telephone, also underlined America's unwavering support for Israel's security and said he hoped to "intensify" U.S. assistance.

"The president commended the prime minister for agreeing to the Egyptian cease-fire proposal—which the president recommended the prime minister do—while reiterating that Israel maintains the right to defend itself," the White House said in a summary of the conversation.

Obama "expressed his appreciation for the prime minister's efforts to work with the new Egyptian government to achieve a sustainable cease-fire and a more durable solution to this problem," the White House said. Netanyahu initiated the call, according to an Obama aide.

The president's press office released the statement to reporters moments into a joint press conference in Cairo where Secretary of State Hillary Clinton and Egyptian Foreign Minister Mohamed Kamel Amr announced the cease-fire.

The emphasis on Egypt's role has been a cornerstone of the American effort ever since Israel answered persistent rocket fire by Gaza's Hamas rulers with punishing airstrikes in a steadily escalating conflict. The country shares a border with Gaza, and President Mohammed Morsi is seen in Washington as someone able to influence the militant Islamist organization's decision-making.

Obama also highlighted American backing of Israel. "The president made clear that no country can be expected to tolerate rocket attacks against civilians," the White House said.

"The president said that the United States would use the opportunity offered by a cease-fire to intensify efforts to help Israel address its security needs, especially the issue of the smuggling of weapons and explosives into Gaza," it said.

"The president said that he was committed to seeking additional funding for Iron Dome and other U.S.-Israel missile defense programs," the White House said.

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Obama praises Netanyahu on Gaza cease-fire

Egypt's Foreign Minister Mohamed Kamel Am, Secretary of State Hillary Clinton and Egypt's President Mohammed Morsi …President Barack Obama praised Israeli Prime Minister Benjamin Netanyahu on Wednesday for agreeing to an Egypt-crafted cease-fire with Palestinian militants in Gaza. Obama, speaking to Netanyahu by telephone, also underlined America's unwavering support for Israel's security and said he hoped to "intensify" U.S. assistance.

"The president commended the prime minister for agreeing to the Egyptian cease-fire proposal—which the president recommended the prime minister do—while reiterating that Israel maintains the right to defend itself," the White House said in a summary of the conversation.

Obama "expressed his appreciation for the prime minister's efforts to work with the new Egyptian government to achieve a sustainable cease-fire and a more durable solution to this problem," the White House said. Netanyahu initiated the call, according to an Obama aide.

The president's press office released the statement to reporters moments into a joint press conference in Cairo where Secretary of State Hillary Clinton and Egyptian Foreign Minister Mohamed Kamel Amr announced the cease-fire.

The emphasis on Egypt's role has been a cornerstone of the American effort ever since Israel answered persistent rocket fire by Gaza's Hamas rulers with punishing airstrikes in a steadily escalating conflict. The country shares a border with Gaza, and President Mohammed Morsi is seen in Washington as someone able to influence the militant Islamist organization's decision-making.

Obama also highlighted American backing of Israel. "The president made clear that no country can be expected to tolerate rocket attacks against civilians," the White House said.

"The president said that the United States would use the opportunity offered by a cease-fire to intensify efforts to help Israel address its security needs, especially the issue of the smuggling of weapons and explosives into Gaza," it said.

"The president said that he was committed to seeking additional funding for Iron Dome and other U.S.-Israel missile defense programs," the White House said.

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Greek PM presses for deal on loan

ATHENS, Greece (AP) — Greece has reacted with dismay to the European Union‘s failure to agree to release vital rescue loan funds for the debt-ridden country, with the prime minister warning it was not just Greece’s future that hangs in the balance.

The delay prolongs uncertainty over the future of Greece, which faces a messy default that would threaten the entire euro currency used by 17 EU nations.

Prime Minister Antonis Samaras stressed that Greece has done what its creditors from the EU and International Monetary Fund required. “Our partners, along with the IMF, also must do what they have committed to doing,” he said.

He said that “it is not just the future of our country, but the stability of the entire eurozone” that depend on the success of negotiations in coming days.

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Elmo left behind on ‘Sesame Street’ as actor exits

NEW YORK (AP) — Even on “Sesame Street,” where everything is famously A-OK, problems can arise for its residents.

And that includes the Muppets. Cookie Monster grapples with an eating disorder. Oscar the Grouch gets cranky. Mr. Snuffleupagus gets the blues.

But Elmo seemed immune to any of that. Since enjoying his breakout success more than two decades ago, the 3 1/2-year-old red monster has radiated good cheer, love and trilling giggles. No wonder everyone — adults as well as children — adores him.

The key to Elmo is “his innocence, his positiveness and his sweetness,” according to Kevin Clash, the man who created him and once told The Associated Press, “I would love to be totally like Elmo.”

Now Clash has been scandalously separated from Elmo and from “Sesame Street,” the TV series where he reigned behind the scenes for 28 years.

Clash spoke of “personal matters” as the cause of his resignation Tuesday after an unthinkable nine-day stretch that began with an unnamed man in his 20s claiming he had sex with Clash at age 16. That allegation was quickly recanted. But then came another accusation of sexual abuse, and a lawsuit.

That second accuser, a 24-year-old college student named Cecil Singleton, said the actor had engaged in sexual behavior with him when he was 15. He is suing Clash for $ 5 million.

“I am deeply sorry to be leaving,” said Clash in his parting statement, “and am looking forward to resolving these personal matters privately.”

But privacy may no longer be possible for Clash, the 52-year-old divorced father of a grown daughter who acknowledged last week that he is gay. Singleton’s lawyer, Jeff Herman, said he has been contacted by two other potential victims of Clash and expects additional legal action.

At a news conference Tuesday, Singleton said he and Clash met on a gay chat line and then, for a two-week period, they engaged in sexual contact, though not intercourse. Sex with a person under 17 is a felony in New York if the perpetrator is 21 or older.

Singleton said he didn’t know Clash’s profession until years later, when he Googled the man’s name.

“I was shocked when I found out what he did for a living,” said Singleton.

Now that career has ended for Clash, who, in his dream job as a puppeteer for “Sesame Street,” was assigned a little-used puppet now known as Elmo, then turned him into a star. In the process, Clash won 23 daytime Emmy awards and one prime-time Emmy. He published his 2006 autobiography, “My Life as a Furry Red Monster,” and was the subject of the 2011 documentary “Being Elmo: A Puppeteer’s Journey.”

Elmo overshadowed Big Bird and other “Sesame” Muppets in popularity and screen time, while marginalizing the cast of live actors. Since 1998, he has had his own show-within-a-show on “Sesame Street” in addition to appearances elsewhere in the hour.

He is also a major moneymaker for Sesame Workshop, the New York-based company that produces the show, and for licensees. At his merchandising height in 1996, he inspired the Tickle Me Elmo doll, which became a cultural phenomenon and that Christmas season’s hottest toy.

This year’s Elmo dolls, “LOL Elmo,” which giggles, and “Let’s Rock! Elmo,” which sings and comes with a microphone and drum set, haven’t made any of this year’s hot toy lists. Even so, Elmo toys probably account for one-half to two-thirds of the $ 75 million in annual sales the “Sesame Street” toy line generates for toy maker Hasbro, estimates BMO Capital Markets analyst Gerrick Johnson.

Johnson said he wasn’t sure how this week’s news might affect sales of Elmo toys this holiday.

“How many people are going to want to explain to their kid why they’re not getting an Elmo?” he asked.

On Tuesday, Hasbro issued a statement saying “We are confident that Elmo will remain an integral part of Sesame Street and that Sesame Street toys will continue to delight children for years to come.”

Despite his resignation, Clash will remain an integral part of “Sesame Street” for the foreseeable future. Taping of season No. 44 will wrap by mid-December and will begin airing next September, according to someone close to the show who spoke on condition of anonymity because the person was not authorized to publicly discuss details of its production. That means new episodes with Clash performing as Elmo will presumably continue well into 2014.

As for who might take over as Elmo, other “Sesame Street” puppeteers were already being trained to serve as Clash’s stand-in, Sesame Workshop said. It’s part of an understudy policy being adopted for all the major Muppet characters.

But no one knows how Elmo will fare going forward. Will the jokes spurred by Clash’s downfall leave a lasting mark on Elmo’s image? Will there be parents who see him tainted by association with the man who brought him to life?

In the wake of a personal tragedy that may still be unfolding, Elmo’s innocence, positiveness and sweetness will be put to the test.

___

AP Television Writer David Bauder and AP Retail Writer Mae Anderson contributed to this report.

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