Five accused of rape in India appear in court for charges

NEW DELHI (Reuters) - Five men accused of the rape and murder of an Indian student appeared in court on Monday to hear charges against them after two of them offered evidence possibly in return for a lighter sentence in the case that has provoked widespread anger.

The five men, along with a teenager, are accused of raping the 23-year-old physiotherapy student after she boarded their bus on the way home from a movie in New Delhi on December 16. She died two weeks later in a Singapore hospital.

The attack on the student has ignited protests against the government and anger towards the police for their perceived failure to protect women. It has also provoked a rare national debate about rising violence against women.

A police guard said the men had their faces covered when they entered the courtroom, which had been closed to the public minutes earlier.

The five had already been charged with murder, rape and abduction along with other offences and the magistrate gave them copies of the charges, a prosecutor in the case told Reuters.

The court has yet to assign them defense lawyers or legal aid, said public prosecutor Rajiv Mohan. Most lawyers are unwilling to defend them because of the brutality of the crime.

Reuters video images showed the men stepping out of a blue police van that brought them from Tihar jail, and walking through a metal detector into the South Delhi court, across the street from the cinema where the victim watched a film before boarding the bus with a male friend on December 16.

Following shouting and angry scenes in the packed court, the magistrate, Namrita Aggarwal, closed the hearing to the media and the public. The court was cleared and police were posted at its doors before the accused were brought in.

"Keeping in view the sensitivity of this case that has risen, the proceedings including the inquiry and trial are to be held in camera," Aggarwal said, before ordering people not connected with the case out of the courtroom.

Aggarwal said the next hearing would be on January 10. She did not say when the case would go to trial in a separate, fast-track court, set up after the attack on the woman.

Two of the accused, Vinay Sharma and Pawan Gupta, moved an application on Saturday requesting they be made "approvers", or informers, against the other accused, Mukesh Kumar, Ram Singh and Akshay Thakura, prosecutor Mohan said.

Mohan said he was seeking the death sentence given the "heinous" crime.

"The five accused persons deserve not less than the death penalty," he said, echoing public sentiment and calls from the victim's family.

Most members of the bar association in Saket district, where the case is being heard, have vowed not to represent the accused.

GROUNDS FOR APPEAL?

But on Monday, lawyers Manohar Lal Sharma and V. K. Anand stood up to offer representation to the men. They were heckled by other lawyers who said the accused did not deserve representation.

"We are living in a modern society. We all are educated. Every accused, including those in brutal offences like this, has the legal right to represent his or her case to defend themselves," Lal Sharma said.

The court asked Anand to get the approval of the accused to represent them. If the men, most of them from a slum neighborhood, cannot arrange their own lawyers, the court will offer them legal aid before the trial begins.

Police have conducted extensive interrogations and say they have recorded confessions, even though the five have no lawyers.

Legal experts say their lack of representation could give grounds for appeal should they be found guilty. Similar cases have resulted in acquittals years after convictions.

Last week, chief justice Altamas Kabir inaugurated six fast-track courts to help reduce a backlog of sex crime cases in Delhi.

But some legal experts have warned that previous attempts to fast-track justice in India in some cases led to imperfect convictions that were later challenged.

The sixth member of the gang that lured the student and a male friend into the private bus is under 18 and will be tried in a separate juvenile court.

The government is aiming to lower the age teenagers can be tried as an adult, given widespread public anger that the boy will face a maximum three-year sentence.

The victim, who died on December 29 in hospital in Singapore, where she had been taken for treatment, was identified by a British newspaper on the weekend but Reuters has opted not to name her.

Indian law generally prohibits the identification of victims of sex crimes. The law is intended to protect victims' privacy and keep them from the media glare in a country where the social stigma associated with rape can be devastating.

But her father repeated on Monday his wish that she be identified and said he would be happy to release a photograph of her.

"We don't want to hide her identity, there is no reason for that. The only condition is it should not be misused," he told Reuters.

He said he was confident the trial would be quick and reiterated a call that those responsible be hanged.

(Writing by Frank Jack Daniel; Editing by Robert Birsel)

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Indonesia police investigate baby-for-sale online ad

JAKARTA: Indonesian police on Monday said they are investigating an advertisement offering two babies for sale at US$1,000 each after it was spotted on the popular auction and shopping website Tokobagus.com.

"We are still investigating the existence of the online advertisement," Jakarta police spokesman Rikwanto told reporters.

"We have asked Tokobagus how the advertisement came to be posted, for how long, and whether any transaction was made," he added.

The National Commission for Child Protection lodged a police report last week after spotting the posting, its chairman Arist Merdeka Sirait told AFP.

"There was a photo of a baby and a telephone number. We called the advertiser and he said he wanted to sell two 18-month-olds, a boy and a girl, for Rp 10 million (US$1,000) each," Sirait said.

"We were negotiating, talking about birth certificates when he suddenly hung up. We tried contacting him again but failed," he added.

"This seems to be a new modus operandi by baby-selling syndicates. We are very concerned and must stop this crime against humanity," Sirait said, adding that human-traffickers could be jailed from 15 to 20 years.

Tokobagus posted an apology on Twitter, saying the advertisement was a result of "pure human error and was unintentional" and had been removed.

Indonesians have been using local auction and shopping sites to sell anything from cars and jewellery to body organs such as kidneys, exploiting a loophole in local laws.

Hundreds of advertisements have appeared on Indonesian personal advertising websites offering kidneys for as little as 50 million rupiah each.

- AFP/xq

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JD(U) leader's remarks against RSS chief draw BJP's ire

NEW DELHI: A senior JD(U) leader sparked a row on Monday by describing RSS chief Mohan Bhagwat and MIM leader Akbaruddin Owaisi as "two sides of the same coin", drawing swift condemnation from the BJP and the RSS which said his comments were "totally unwarranted" and "reprehensible".

JD(U) general secretary and spokesperson Shivanand Tiwari said, "Bhagwat and Owaisi are two sides of the same coin. One provokes Hindus against Muslims and the other instigates Muslims against Hindus."

All this was done with an eye on the vote bank, he told reporters on being asked about Bhagwat's comments that women were bound by contract with their husbands to look after the household.

"It is a primitive mindset. They are reviving the past. The philosophy of his organization is that a lower caste person should be punished for sitting with a upper caste one and molten glass should be poured in his ears if he hears sanskrit," Tiwari said.

Reacting sharply, BJP Chief spokesperson Ravi Shankar Prasad said, "We condemn the totally unwarranted, baseless, and undignified comments made by Shivanand Tiwari against the RSS Chief".

His observations linking Bhagwat to Owaisi is not only reprehensible but highly condemnable, he said while asking the top leadership of JD(U) to rein in Tiwari.

BJP's Hindutva face Uma Bharti also criticized Tiwari, saying,"Only somebody who has lost his mind can compare the RSS Chief and Owaisi. I pity such people."

RSS leader Indresh Kumar was also miffed at this charge from the JD(U). "Bhagwat is a patriot while Owaisi is a traitor who has justified terrorism and violence. The mental treatment of those who have made these comments is very necessary. They should get cured. I will pray that they get cured," he said.

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Your medical chart could include exercise minutes

CHICAGO (AP) — Roll up a sleeve for the blood pressure cuff. Stick out a wrist for the pulse-taking. Lift your tongue for the thermometer. Report how many minutes you are active or getting exercise.

Wait, what?

If the last item isn't part of the usual drill at your doctor's office, a movement is afoot to change that. One recent national survey indicated only a third of Americans said their doctors asked about or prescribed physical activity.

Kaiser Permanente, one of the nation's largest nonprofit health insurance plans, made a big push a few years ago to get its southern California doctors to ask patients about exercise. Since then, Kaiser has expanded the program across California and to several other states. Now almost 9 million patients are asked at every visit, and some other medical systems are doing it, too.

Here's how it works: During any routine check of vital signs, a nurse or medical assistant asks how many days a week the patient exercises and for how long. The number of minutes per week is posted along with other vitals at the top the medical chart. So it's among the first things the doctor sees.

"All we ask our physicians to do is to make a comment on it, like, 'Hey, good job,' or 'I noticed today that your blood pressure is too high and you're not doing any exercise. There's a connection there. We really need to start you walking 30 minutes a day,'" said Dr. Robert Sallis, a Kaiser family doctor. He hatched the vital sign idea as part of a larger initiative by doctors groups.

He said Kaiser doctors generally prescribe exercise first, instead of medication, and for many patients who follow through that's often all it takes.

It's a challenge to make progress. A study looking at the first year of Kaiser's effort showed more than a third of patients said they never exercise.

Sallis said some patients may not be aware that research shows physical inactivity is riskier than high blood pressure, obesity and other health risks people know they should avoid. As recently as November a government-led study concluded that people who routinely exercise live longer than others, even if they're overweight.

Zendi Solano, who works for Kaiser as a research assistant in Pasadena, Calif., says she always knew exercise was a good thing. But until about a year ago, when her Kaiser doctor started routinely measuring it, she "really didn't take it seriously."

She was obese, and in a family of diabetics, had elevated blood sugar. She sometimes did push-ups and other strength training but not anything very sustained or strenuous.

Solano, 34, decided to take up running and after a couple of months she was doing three miles. Then she began training for a half marathon — and ran that 13-mile race in May in less than three hours. She formed a running club with co-workers and now runs several miles a week. She also started eating smaller portions and buying more fruits and vegetables.

She is still overweight but has lost 30 pounds and her blood sugar is normal.

Her doctor praised the improvement at her last physical in June and Solano says the routine exercise checks are "a great reminder."

Kaiser began the program about three years ago after 2008 government guidelines recommended at least 2 1/2 hours of moderately vigorous exercise each week. That includes brisk walking, cycling, lawn-mowing — anything that gets you breathing a little harder than normal for at least 10 minutes at a time.

A recently published study of nearly 2 million people in Kaiser's southern California network found that less than a third met physical activity guidelines during the program's first year ending in March 2011. That's worse than results from national studies. But promoters of the vital signs effort think Kaiser's numbers are more realistic because people are more likely to tell their own doctors the truth.

Dr. Elizabeth Joy of Salt Lake City has created a nearly identical program and she expects 300 physicians in her Intermountain Healthcare network to be involved early this year.

"There are some real opportunities there to kind of shift patients' expectations about the value of physical activity on health," Joy said.

NorthShore University HealthSystem in Chicago's northern suburbs plans to start an exercise vital sign program this month, eventually involving about 200 primary care doctors.

Dr. Carrie Jaworski, a NorthShore family and sports medicine specialist, already asks patients about exercise. She said some of her diabetic patients have been able to cut back on their medicines after getting active.

Dr. William Dietz, an obesity expert who retired last year from the Centers for Disease Control and Prevention, said measuring a patient's exercise regardless of method is essential, but that "naming it as a vital sign kind of elevates it."

Figuring out how to get people to be more active is the important next step, he said, and could have a big effect in reducing medical costs.

___

Online:

Exercise: http://1.usa.gov/b6AkMa

___

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

Read More..

Hagel Nomination Stirs Bipartisan Opposition

Two weeks before his inauguration, and with more "fiscal cliffs" on the horizon, President Obama is embracing a showdown with Congress over his pick to lead the Pentagon in his second term.

Obama will nominate former Republican Sen. Chuck Hagel to be the next Secretary of Defense at a formal White House announcement later today, administration officials said.

The president will name counterterrorism advisor John Brennan as the new CIA director to replace David Petraeus, rounding out an overhaul of his national security team.

Obama tapped Sen. John Kerry of Massachusetts last month to become the next Secretary of State.

Hagel is in many ways an ideal pick for Obama, giving nod to bipartisanship while appointing someone with a demonstrated commitment to veterans of Iraq and Afghanistan and to retooling and economizing the Pentagon bureaucracy for the future.

But the nomination of Hagel to replace outgoing Defense Secretary Leon Panetta is also politically charged, expected to trigger a brutal confirmation fight in the Senate, where a bipartisan group of critics has already lined up against the pick.

"This is an in your face nomination by the president to all of us who are supportive of Israel," Sen. Lindsey Graham, R-S.C., told CNN on Sunday. "I don't know what his management experience is regarding the Pentagon -- little, if any, so I think it's an incredibly controversial choice."

Obama's Defense Nominee Chuck Hagel Stirs Washington Lawmakers Watch Video

The criticism stems from Hagel's controversial past statements on foreign policy, including a 2008 reference to Israel's U.S. supporters as "the Jewish lobby" and public encouragement of negotiations between the United States, Israel and Hamas, a Palestinian group the State Department classifies as terrorists.

"Hagel has consistently been against economic sanctions to try to change the behavior of the Islamist regime, the radical regime in Tehran, which is the only way to do it, short of war," Sen. Joe Lieberman, I-Conn., said last month.

The Nebraska Republican has also drawn fire for his outspoken opposition to the 2003 U.S.-led war in Iraq and the subsequent troop "surge" ordered by then-President George W. Bush in 2007, which has been credited with helping bring the war to a close.

On the left, gay rights groups have protested Hagel for comments he made in 1998 disparaging then-President Bill Clinton's nominee for U.S. Ambassador to Luxembourg James Hormel as "openly, aggressively gay." Hagel has since apologized for the remark as "insensitive."

Top Senate Democrats tell ABC News there is no guarantee Hagel will win confirmation and that, as of right now, there are enough Democratic Senators with serious concerns about Hagel to put him below 50 votes.

But that could change, with many top lawmakers publicly vowing to withhold final judgment until Hagel has an opportunity to answer his critics during confirmation hearings. No senator has yet publicly vowed to filibuster the Hagel nomination.

Hagel is a decorated Vietnam veteran and businessman who served in the senate from 1997 to 2009. After having sat on that chamber's Foreign Relations and Intelligence committees, he has in recent years gathered praise from current and former diplomats for his work on Obama's Intelligence Advisory Board as well as the policy board of current Defense Secretary Leon Panetta.

"Chuck Hagel is a tremendous patriot and statesman, served incredibly in Vietnam, served this country as a United States senator. He hasn't had a chance to speak for himself. And so why all the prejudging?" said Sen. Heidi Heitkamp, D-N.D., on "This Week."

"In America, you give everybody a chance to speak for themselves and then we'll decide," she said.

The top Senate Republican echoed that sentiment. "I'm going to wait and see how the hearings go and see whether Chuck's views square with the job he would be nominated to do," Senate Minority Leader Mitch McConnell of Kentucky said.

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Assad "peace plan" greeted with scorn by foes

BEIRUT (Reuters) - Syrian President Bashar al-Assad rejected peace talks with his enemies on Sunday in a defiant speech that his opponents described as a renewed declaration of war.

Although the speech was billed as the unveiling of a new peace plan, Assad offered no concessions and even appeared to harden many of his positions. He rallied Syrians for "a war to defend the nation" and disparaged the prospect of negotiations.

"We do not reject political dialogue ... but with whom should we hold a dialogue? With extremists who don't believe in any language but killing and terrorism?" Assad asked supporters who packed Damascus Opera House for his first speech since June.

"Should we speak to gangs recruited abroad that follow the orders of foreigners? Should we have official dialogue with a puppet made by the West, which has scripted its lines?"

It was his first public speech to an audience in six months. Since the last, rebels have reached the capital's outskirts.

George Sabra, vice president of the opposition National Coalition, told Reuters the peace plan Assad put at the heart of his speech did "not even deserve to be called an initiative":

"We should see it rather as a declaration that he will continue his war against the Syrian people," he said.

"The appropriate response is to continue to resist this unacceptable regime and for the Free Syrian Army to continue its work in liberating Syria until every inch of land is free."

The speech was seen by many as a response to U.N. mediator Lakhdar Brahimi, who has been meeting U.S. and Russian officials to try to narrow differences between Washington and Moscow over a peace plan. Brahimi also met Assad in Syria late last month.

"Lakhdar Brahimi must feel foolish after that Assad speech, where his diplomacy is dismissed as intolerable intervention," said Rana Kabbani, a Syrian analyst who supports the opposition.

The United States, European Union, Turkey and most Arab states have called on Assad to quit. Russia, which sells arms to and leases a naval base from Syria, says it backs a transition of power but that Assad's departure should not be a precondition for any talks.

REPETITIONS

Assad's foreign foes were scornful and dismissive of the speech: "His remarks are just repetitions of what he's said all along," said Turkish Foreign Minister Ahmet Davutoglu.

"It seems he's locked himself up in a room and only reads the intelligence reports presented to him."

British Foreign Secretary William Hague said "empty promises of reform fool no one". In a Twitter message, he added: "Death, violence and oppression engulfing Syria are of his own making."

EU foreign affairs chief Catherine Ashton said Brussels would "look carefully if there is anything new in the speech, but we maintain our position that Assad has to step aside and allow for a political transition".

The 47-year-old Assad, tall and mustachioed, in a business suit and tie, spoke confidently for about an hour before a crowd of cheering loyalists, who occasionally interrupted him to shout and applaud, at one point raising their fists and chanting: "With blood and soul we sacrifice for you, oh Bashar!"

At the end of the speech, supporters rushed to the stage, mobbing him and shouting: "God, Syria and Bashar is enough!" as a smiling president waved and was escorted from the hall past a backdrop showing a Syrian flag made of pictures of people whom state television described as "martyrs" of the conflict so far.

"We are now in a state of war in every sense of the word," Assad said in the speech, broadcast on Syrian state television. "This war targets Syria using a handful of Syrians and many foreigners. Thus, this is a war to defend the nation."

Independent media are largely barred from Damascus.

Giving the speech in the opera house, in a part of central Damascus that has been hit by rebel attacks, could be intended as a show of strength by a leader whose public appearances have grown rarer as the rebellion has gathered force.

Critics saw irony in the venue: "Assad speech appropriately made in Opera House!" tweeted Rami Khouri, a commentator for Lebanon's Daily Star newspaper. "It was operatic in its other-worldly fantasy, unrelated to realities outside the building."

DEATHS

The United Nations says 60,000 people have been killed in the civil war, the longest and bloodiest of the conflicts to emerge in two years of revolts in Arab states.

Rebels now control much of the north and east of the country, a crescent of suburbs on the outskirts of the capital and the main border crossings with Turkey in the north.

But Assad's forces are still firmly in control of most of the densely populated southwest, the main north-south highway and the Mediterranean coast. The army also holds military bases throughout the country from which its helicopters and jets can strike rebel-held areas with impunity, making it impossible for the insurgents to consolidate their grip on territory they hold.

Assad, an eye doctor, has ruled since 2000, succeeding his late father Hafez, who had seized power in a 1970 coup.

The rebels are drawn mainly from Syria's Sunni Muslim majority, while Assad, a member of the Alawite sect related to Shi'ite Islam, is supported by some members of religious minorities who fear retribution if he falls.

The conflict has heightened confrontation in the Middle East between Shi'ite Iran and Sunni Arab rulers, particularly those in the Gulf who are allied with the West against Tehran.

The plan unveiled in Sunday's speech could hardly have been better designed to ensure its rejection by the opposition. Among its proposals: rebels would first be expected to halt operations before the army would cease fire, a certain non-starter.

Assad also repeatedly emphasized rebel links to al Qaeda and other Sunni Islamist radicals. Washington has also labeled one of the main rebel groups a terrorist organization and says it is linked to the network founded by Osama bin Laden.

Diplomacy has been largely irrelevant so far in the conflict, with Moscow vetoing U.N. resolutions against Assad.

U.N. mediator Brahimi has been trying to bridge the gap, meeting senior U.S. and Russian officials to discuss his own peace proposal, which does not explicitly mention Assad's fate.

National Coalition spokesman Walid Bunni said Assad's speech appeared timed to prevent a breakthrough in those talks, by taking a position that could not be reconciled with diplomacy.

"The talk by Brahimi and others that there could be a type of political solution being worked out has prompted him to come out and tell the others 'I won't accept a solution'," Bunni said, adding that Assad feared any deal would mean his downfall.

(Additional reporting by Suleiman al-Khalidi in Amman, Gulsen Solaker in Ankara and Tim Castle in London; Writing by Peter Graff; Editing by Alastair Macdonald)

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US drones kill 12 Taliban in Pakistan: officials

MIRANSHAH, Pakistan: US drones fired a volley of missiles at militant hideouts in northwest Pakistan on Sunday, killing at least 12 Taliban fighters near the Afghan border, security officials said.

The missile attack took place in Babar Ghar village in South Waziristan, a tribal district bordering Afghanistan which is a stronghold of Taliban and Al-Qaeda-linked militants.

"US drones fired several missiles at two militant compounds. At least 12 militants have been killed and several others were wounded," a security official in Miranshah told AFP under condition of anonymity.

The official earlier said eight militants were killed.

"There are members of Tehreek-e-Taliban Pakistan (TTP) among those who have been killed," he said, adding that a close relative of TTP chief Hakimullah Mehsud was among the dead.

"Most of the militants were from Punjabi Taliban group and a close relative of Hakimullah Mehsud," the official said.

Another security official in the northwestern city of Peshawar confirmed the drone attacks and casualties.

Intelligence officials in Miranshah said that militants had died after US drones fired up to 10 missiles on three militant compounds in the Babar Ghar attack, but the security officials could not verify that account.

Residents said that militants had cordoned off the area and were looking for more dead or wounded in the debris.

US drone strikes last week killed a prominent warlord who sent insurgents to fight NATO troops in Afghanistan along with nine other militants in Pakistan's tribal belt.

Mullah Nazir was the main militant commander in South Waziristan, part of the tribal zone where militants linked to the Taliban and Al-Qaeda have bases on the Afghan border. He is one of the highest-profile drone victims in recent years.

The covert US drone strikes are publicly criticised by the Pakistani government as a violation of sovereignty, but American officials believe they are a vital weapon in the war against Islamist militants.

A report commissioned by legal lobby group Reprieve in September estimated that between 474 and 881 civilians were among 2,562 to 3,325 people killed by drones in Pakistan between June 2004 and September 2012.

- AFP/xq

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Decision on Telangana: All eyes on Rahul

HYDERABAD: With the January 28 self-imposed deadline for the Centre to decide on Telangana looming, all attention is on the Congress general secretary Rahul Gandhi who is to arrive in Delhi on Monday late evening from a foreign tour, as he is expected to nudge the decision making process on Tuesday. Sources in the Congress said chief minister N Kiran Kumar Reddy, and PCC president Botsa Satyanarayana were called to Delhi for consultation, and they were waiting for the confirmation.

"There are certain issues relating to the state politics to be discussed with the party high command, and I am waiting for the confirmation of timing before leaving for Delhi," said Botsa Satyanarayana.

While the political circle is buzzed with the possibility of Rahul Gandhi attending a Congress core committee meeting focusing on Telangana on Tuesday where a decision would be taken, Botsa declined to confirm the news saying he didn't wish to discuss the issue with the media.

The sources said the Congress high command has started deliberating on Telangana issue weighing different options. Owing to the vehement opposition from the pro-Telangana forces for the idea of creating a development council for Telangana and awarding special package, the Centre is understood to have put it on the back-burner. The sources said there were parlays on the future of Hyderabad in case the state is divided and Telangana state is formed, and the CM and Botsa would be consulted on the issue before the core committee meeting.

The sources said the Congress high command was also looking at an option of postponing the decision on Telangana until the AICC session to be held at Jaipur on January 20, as some of the national leaders wanted to discuss the issue at a two-day Chintan Shivir ( brain storming session) starting January 18 ahead of the AICC session.

"All depends on Rahul Gandhi and Sonia Gandhi who have consulted the state leaders from Telangana and Seemandhra, and taken their views on the issue. We hope things will be cleared in a week's time before this Sankranthi," said a Congress leader.

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Your medical chart could include exercise minutes

CHICAGO (AP) — Roll up a sleeve for the blood pressure cuff. Stick out a wrist for the pulse-taking. Lift your tongue for the thermometer. Report how many minutes you are active or getting exercise.

Wait, what?

If the last item isn't part of the usual drill at your doctor's office, a movement is afoot to change that. One recent national survey indicated only a third of Americans said their doctors asked about or prescribed physical activity.

Kaiser Permanente, one of the nation's largest nonprofit health insurance plans, made a big push a few years ago to get its southern California doctors to ask patients about exercise. Since then, Kaiser has expanded the program across California and to several other states. Now almost 9 million patients are asked at every visit, and some other medical systems are doing it, too.

Here's how it works: During any routine check of vital signs, a nurse or medical assistant asks how many days a week the patient exercises and for how long. The number of minutes per week is posted along with other vitals at the top the medical chart. So it's among the first things the doctor sees.

"All we ask our physicians to do is to make a comment on it, like, 'Hey, good job,' or 'I noticed today that your blood pressure is too high and you're not doing any exercise. There's a connection there. We really need to start you walking 30 minutes a day,'" said Dr. Robert Sallis, a Kaiser family doctor. He hatched the vital sign idea as part of a larger initiative by doctors groups.

He said Kaiser doctors generally prescribe exercise first, instead of medication, and for many patients who follow through that's often all it takes.

It's a challenge to make progress. A study looking at the first year of Kaiser's effort showed more than a third of patients said they never exercise.

Sallis said some patients may not be aware that research shows physical inactivity is riskier than high blood pressure, obesity and other health risks people know they should avoid. As recently as November a government-led study concluded that people who routinely exercise live longer than others, even if they're overweight.

Zendi Solano, who works for Kaiser as a research assistant in Pasadena, Calif., says she always knew exercise was a good thing. But until about a year ago, when her Kaiser doctor started routinely measuring it, she "really didn't take it seriously."

She was obese, and in a family of diabetics, had elevated blood sugar. She sometimes did push-ups and other strength training but not anything very sustained or strenuous.

Solano, 34, decided to take up running and after a couple of months she was doing three miles. Then she began training for a half marathon — and ran that 13-mile race in May in less than three hours. She formed a running club with co-workers and now runs several miles a week. She also started eating smaller portions and buying more fruits and vegetables.

She is still overweight but has lost 30 pounds and her blood sugar is normal.

Her doctor praised the improvement at her last physical in June and Solano says the routine exercise checks are "a great reminder."

Kaiser began the program about three years ago after 2008 government guidelines recommended at least 2 1/2 hours of moderately vigorous exercise each week. That includes brisk walking, cycling, lawn-mowing — anything that gets you breathing a little harder than normal for at least 10 minutes at a time.

A recently published study of nearly 2 million people in Kaiser's southern California network found that less than a third met physical activity guidelines during the program's first year ending in March 2011. That's worse than results from national studies. But promoters of the vital signs effort think Kaiser's numbers are more realistic because people are more likely to tell their own doctors the truth.

Dr. Elizabeth Joy of Salt Lake City has created a nearly identical program and she expects 300 physicians in her Intermountain Healthcare network to be involved early this year.

"There are some real opportunities there to kind of shift patients' expectations about the value of physical activity on health," Joy said.

NorthShore University HealthSystem in Chicago's northern suburbs plans to start an exercise vital sign program this month, eventually involving about 200 primary care doctors.

Dr. Carrie Jaworski, a NorthShore family and sports medicine specialist, already asks patients about exercise. She said some of her diabetic patients have been able to cut back on their medicines after getting active.

Dr. William Dietz, an obesity expert who retired last year from the Centers for Disease Control and Prevention, said measuring a patient's exercise regardless of method is essential, but that "naming it as a vital sign kind of elevates it."

Figuring out how to get people to be more active is the important next step, he said, and could have a big effect in reducing medical costs.

___

Online:

Exercise: http://1.usa.gov/b6AkMa

___

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

Read More..

Assad Calls On Syrians to Defend the Country

President Bashar Assad called on Syrians to defend their country against religious extremists seeking to destroy the nation, dismissing any prospect of dialogue with the "murderous criminals" he says are behind the uprising even as he outlined his vision for a peaceful settlement to the civil war.

In a one-hour speech to the nation in which he appeared confident and relaxed, Assad struck a defiant tone, ignoring international demands for him to step down and saying he is ready to hold a dialogue but only with those "who have not betrayed Syria."

He offered a national reconciliation conference, elections and a new constitution but demanded regional and Western countries stop funding and arming rebels trying to overthrow him first.

Syria's opposition swiftly rejected the proposal. Those fighting to topple the regime, including rebels on the ground, have repeatedly said they will accept nothing less than the president's departure, dismissing any kind of settlement that leaves him in the picture.

"It is an excellent initiative that is only missing one crucial thing: His resignation," said Kamal Labwani, a veteran secular dissident and member of the opposition's Syrian National Coalition umbrella group.

"All what he is proposing will happen automatically, but only after he steps down," Lawani told The Associated Press by telephone from Sweden.

Remy de la Mauviniere/AP Photo

On top of that, Assad's new initiative is reminiscent of symbolic changes and concessions that his government made earlier in the uprising, which were rejected at the time as too little too late.

Speaking at the Opera House in central Damascus, Assad told the hall packed with supporters — who frequently broke out in cheers and applause — that "we are in a state of war."

"We are fighting an external aggression that is more dangerous than any others, because they use us to kill each other," he said. "It is a war between the nation and its enemies, between the people and the murderous criminals."

Assad has rarely spoken since the uprising against his rule began in March 2011, and Sunday's speech was his first since June. His last public comments came in an interview in November to Russian TV in which he vowed to die in Syria.

On Sunday, he seemed equally confident in his troops' ability to crush the rebels fighting his rule, even as they edge in closer than ever to his seat of power, Damascus.

British Foreign Secretary William Hague said Assad's speech was "beyond hypocritical." In a message posted on his official Twitter feed, Hague said "empty promises of reform fool no one."

EU foreign policy chief Catherine Ashton's office said in a statement that the bloc will "look carefully if there is anything new in the speech but we maintain our position that Assad has to step aside and allow for a political transition."

Wearing a suit and tie, Assad spoke before a collage of pictures of what appeared to be Syrians who have been killed since March 2011. At the end of his speech and as he was leaving the hall, he was mobbed by a group of loyalists shouting: "With our blood and souls we redeem you, Bashar!"

The president waved and blew kisses to the crowd on his way out.

Assad acknowledged the enormous impact of the conflict, which the United Nations recently estimated had killed more than 60,000 people.

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