OB/GYNs back over-the-counter birth control pills

WASHINGTON (AP) — No prescription or doctor's exam needed: The nation's largest group of obstetricians and gynecologists says birth control pills should be sold over the counter, like condoms.

Tuesday's surprise opinion from these gatekeepers of contraception could boost longtime efforts by women's advocates to make the pill more accessible.

But no one expects the pill to be sold without a prescription any time soon: A company would have to seek government permission first, and it's not clear if any are considering it. Plus there are big questions about what such a move would mean for many women's wallets if it were no longer covered by insurance.

Still, momentum may be building.

Already, anyone 17 or older doesn't need to see a doctor before buying the morning-after pill — a higher-dose version of regular birth control that can prevent pregnancy if taken shortly after unprotected sex. Earlier this year, the Food and Drug Administration held a meeting to gather ideas about how to sell regular oral contraceptives without a prescription, too.

Now the influential American College of Obstetricians and Gynecologists is declaring it's safe to sell the pill that way.

Wait, why would doctors who make money from women's yearly visits for a birth-control prescription advocate giving that up?

Half of the nation's pregnancies every year are unintended, a rate that hasn't changed in 20 years — and easier access to birth control pills could help, said Dr. Kavita Nanda, an OB/GYN who co-authored the opinion for the doctors group.

"It's unfortunate that in this country where we have all these contraceptive methods available, unintended pregnancy is still a major public health problem," said Nanda, a scientist with the North Carolina nonprofit FHI 360, formerly known as Family Health International.

Many women have trouble affording a doctor's visit, or getting an appointment in time when their pills are running low — which can lead to skipped doses, Nanda added.

If the pill didn't require a prescription, women could "pick it up in the middle of the night if they run out," she said. "It removes those types of barriers."

Tuesday, the FDA said it was willing to meet with any company interested in making the pill nonprescription, to discuss what if any studies would be needed.

Then there's the price question. The Obama administration's new health care law requires FDA-approved contraceptives to be available without copays for women enrolled in most workplace health plans.

If the pill were sold without a prescription, it wouldn't be covered under that provision, just as condoms aren't, said Health and Human Services spokesman Tait Sye.

ACOG's opinion, published in the journal Obstetrics & Gynecology, says any move toward making the pill nonprescription should address that cost issue. Not all women are eligible for the free birth control provision, it noted, citing a recent survey that found young women and the uninsured pay an average of $16 per month's supply.

The doctors group made clear that:

—Birth control pills are very safe. Blood clots, the main serious side effect, happen very rarely, and are a bigger threat during pregnancy and right after giving birth.

—Women can easily tell if they have risk factors, such as smoking or having a previous clot, and should avoid the pill.

—Other over-the-counter drugs are sold despite rare but serious side effects, such as stomach bleeding from aspirin and liver damage from acetaminophen.

—And there's no need for a Pap smear or pelvic exam before using birth control pills. But women should be told to continue getting check-ups as needed, or if they'd like to discuss other forms of birth control such as implantable contraceptives that do require a physician's involvement.

The group didn't address teen use of contraception. Despite protests from reproductive health specialists, current U.S. policy requires girls younger than 17 to produce a prescription for the morning-after pill, meaning pharmacists must check customers' ages. Presumably regular birth control pills would be treated the same way.

Prescription-only oral contraceptives have long been the rule in the U.S., Canada, Western Europe, Australia and a few other places, but many countries don't require a prescription.

Switching isn't a new idea. In Washington state a few years ago, a pilot project concluded that pharmacists successfully supplied women with a variety of hormonal contraceptives, including birth control pills, without a doctor's involvement. The question was how to pay for it.

Some pharmacies in parts of London have a similar project under way, and a recent report from that country's health officials concluded the program is working well enough that it should be expanded.

And in El Paso, Texas, researchers studied 500 women who regularly crossed the border into Mexico to buy birth control pills, where some U.S. brands sell over the counter for a few dollars a pack. Over nine months, the women who bought in Mexico stuck with their contraception better than another 500 women who received the pill from public clinics in El Paso, possibly because the clinic users had to wait for appointments, said Dr. Dan Grossman of the University of California, San Francisco, and the nonprofit research group Ibis Reproductive Health.

"Being able to easily get the pill when you need it makes a difference," he said.

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Online:

OB/GYN group: http://www.acog.org

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Tel Aviv bus blast shakes Gaza diplomacy

TEL AVIV, Israel (AP) — A bomb struck an Israeli bus near the nation's military headquarters in Tel Aviv on Wednesday, wounding 10 people and complicating major diplomatic efforts to forge a truce between Israel and Gaza's militant Hamas rulers.

The attack came as U.S. Secretary of State Hillary Rodham Clinton shuttled between Jerusalem and the West Bank to help piece together a deal to end Israel's weeklong offensive against Palestinian militants in the Gaza Strip that has killed more than 130 Palestinians. Militant rocket fire into Israel has killed five Israelis. Clinton was due to travel later to Egypt, which is mediating in the crisis.

"What does it say about the future of the (truce) talks? I leave it to (the senior officials), but this doesn't add anything," Yitzhak Aharonovich, Israel's minister of internal security, told Army Radio.

The bus exploded around noon on one of the coastal city's busiest arteries, near the Tel Aviv museum, the district courthouse and across from an entrance to Israel's national defense headquarters.

The bus was completely charred, its side windows blown out and glass scattered on the asphalt. The wounded were evacuated and blood was splattered on the sidewalk.

"We suddenly heard a huge explosion and immediately knew it was a terror attack," said Nir Zano, 35. "I saw someone running in to carry out a woman who was injured."

Aharonovitch said the device was placed inside the bus by a man who then disembarked. The explosion took place while the bus was in movement, he said.

Police set up roadblocks across the city trying to apprehend the attacker.

"We strongly believe that this was a terror attack," said police spokesman Micky Rosenfeld. He said three of the 10 wounded were moderately to seriously hurt.

In Gaza, the Tel Aviv bombing was praised from mosque loudspeakers, while Hamas' television interviewed people praising the attack as a return of militants' trademark tactics.

No group claimed responsibility for the attack, but Hamas spokesman Fawzi Barhoum welcomed it.

"We consider it a natural response to the occupation crimes and the ongoing massacres against civilians in the Gaza Strip," he told The Associated Press.

Israeli Deputy Prime Minister Silvan Shalom, who heard the explosion from his Tel Aviv office, called it "an escalation."

The cease-fire efforts come with thousands of Israeli ground troops massed on the Gaza border, awaiting a possible order to invade.

After meeting with Israeli Prime Minister Benjamin Netanyahu in Jerusalem Tuesday night, Clinton conferred with Palestinian President Mahmoud Abbas in the West Bank on Wednesday morning and was due to travel later to Cairo, which is mediating in the crisis.

The two sides had seemed on the brink of a deal Tuesday following a swirl of diplomatic activity also involving U.N. chief Ban Ki-moon and Egypt's President Mohammed Morsi. But sticking points could not be resolved as talks — and violence — stretched into the night.

Israeli aircraft pounded Gaza with at least 30 strikes overnight, hitting government ministries, smuggling tunnels, a banker's empty villa and a Hamas-linked media office.

Dozens of civilians are among the more than 130 Palestinians killed in a week of fighting. Four Israeli civilians and a soldier have been killed by rocket fire — a toll possibly kept down by a U.S.-funded rocket defense system that has shot down hundreds of Gaza projectiles.

The Tel Aviv bus bombed Wednesday was relatively empty during the explosion, which explains the relatively low number of casualties. The bombing was the first in the coastal city since April 2006, when a Palestinian suicide bomber killed 11 people at a sandwich stand near the city's old central bus station. A bomb left at a bus stand in Jerusalem last year killed one person.

More than 1,000 Israelis were killed during the violent Palestinian uprising in the last decade in bombings and shooting attacks. More than 5,000 Palestinians were killed as well.

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Associated Press writer Ibrahim Barzak contributed to this report from Gaza City.

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Obama wades into thorny Asian territorial row

PHNOM PENH, Cambodia (AP) — President Barack Obama's attendance at an annual summit of Southeast Asian leaders on Tuesday thrust him right in the eye of the region's most stormy dispute: the long-raging rivalry between China and five neighbors for control of strategic and resource-rich waters in the South China Sea.

The inability to resolve these territorial conflicts has become a major impediment to the 10-member Association of Southeast Asian Nations as it tackles ambitious dreams like a plan to turn the economically vibrant region of 600 million people into an EU-like community by the end of 2015.

Neither the U.S. nor China is a member of ASEAN, but each has strong supporters in the group. Summit host Cambodia, an ally of China, has tried at this week's summit to shift the focus to economic concerns, but Beijing's territorial disputes with its ASEAN neighbors — including staunch U.S. ally the Philippines — have yet again overshadowed discussions.

The disagreement sparked a tense moment Monday when Philippine President Benigno Aquino III challenged Cambodian Prime Minister Hun Sen, who had tried to cut off a discussion of the territorial disputes.

Into this heated atmosphere came Obama, who flew to Phnom Penh for Tuesday's expanded East Asia Summit, in which the 10 ASEAN countries were joined by eight other nations, including China and the United States. Behind closed doors, the Chinese and Philippine leaders pressed their territorial claims while others called for restraint. After the summit, the exchange shifted to the chandelier-lit lobby, where diplomats of the two countries reiterated their positions.

Senior Chinese diplomat Fu Ying expressed dismay that the disputes again got the spotlight. "We do not want to bring the disputes to an occasion like this and we do not want to give over-emphasis to the territorial disputes and differences," she said.

Washington has reiterated that it takes no sides in the territorial disputes but would not allow any country to resort to force and block access to the South China Sea, a vital commercial and military gateway to Asia's heartland.

Washington has also called for the early crafting of a "code of conduct" to prevent clashes in the disputed territories, a call backed by Australia and Japan, but it remains unclear if and when China will sit down with rival claimants to draft such a legally binding nonaggression pact.

The potentially oil- and gas-rich South China Sea islands and waters are contested by China, Taiwan and four ASEAN members — Brunei, Malaysia, the Philippines and Vietnam.

The last fighting, involving China and Vietnam, killed more than 70 Vietnamese sailors in 1988, and fears that the conflicts could spark Asia's next war have kept governments on edge.

Vietnam and the Philippines, backed by Washington, have been loudest on the issue, and want China to negotiate with the other claimants as a group. China wants one-on-one negotiations — which would give it an advantage because of its sheer size and economic clout — and has warned Washington to stay away from an issue it says should not be "internationalized," a position echoed by Cambodia at the Phnom Penh summit.

There have been several recent standoffs involving boats and other shows of force, particularly between China and the Philippines, which both claim ownership of the Spratly Islands, a spray of tiny South China Sea atolls.

Their latest diplomatic confrontation occurred a few hours before Obama touched down Monday in the Cambodian capital, when Hun Sen announced as he was closing a meeting that all ASEAN leaders had agreed not to discuss the divisive issue in talks between the 10-nation bloc and China.

Alarmed, Aquino raised his hand, stood up and objected to Hun Sen's statement, saying his country, which plans to bring the disputes before a U.N. tribunal, was not party to any such agreement. It was a blunt gesture in the usually servile ambiance of the conservative bloc, an unwieldy collective of rigid, authoritarian regimes and nascent democracies.

After a brief lull, Hun Sen recovered and said Aquino's remarks would be reflected in the record of the meeting. Still, Cambodian and Chinese officials insisted that the agreement stood. Tensions intensified Tuesday when the Philippines was joined by Vietnam and Singapore in objecting to a plan by Cambodia to state in a post-summit statement by the host country that there was indeed such an agreement, Philippine diplomats said.

An objection from the Philippines, or any ASEAN nation, ought to be enough to thrash any agreement because the bloc decides by consensus, meaning just one veto from any member kills any proposal.

"The bottom line is they can talk all they want but if we said we're not with it, there's no consensus, finished," Philippine Foreign Secretary Albert del Rosario told reporters.

The dispute, and Obama's presence here, highlights how ASEAN has become a major battleground for influence in Asia, just like the South China Sea. The U.S. is pushing its "Pacific pivot" to the region following years of engagement in Iraq and Afghanistan. China, the Asian superpower, has acted to protect its home ground.

Southeast Asia is clearly pinned in between, and the lack of consensus among the group over the maritime disputes has pushed much of the bloc's other work to the sidelines.

In July, after a foreign ministers' meeting also hosted by Cambodia, the group failed to publicly issue a traditional after-conference communique — an embarrassing failure that was a first in ASEAN's 45-year history. Vietnam and the Philippines had insisted that the joint statement simply state that the South China Sea rifts were discussed, but Cambodia adamantly refused, echoing China's line to keep a lid on public discussions of the disputes.

Ernest Bower of the Center for Strategic & International Studies in Washington, D.C., said the imbroglio in July showed that as long as any ASEAN country remains weak and vulnerable to muscling from a major power, the entire group could be compromised.

"ASEAN learned a hard lesson from the event," Bower said, "namely, that they should never again allow a fellow ASEAN member country to feel so isolated, exposed or dependent on any foreign power that the country feels compelled to step beyond ASEAN protocols ... in a way that damages the organization's interests and profile."

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Associated Press writers Grant Peck and Sopheng Cheang contributed to this report.

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'Trapped' on Broadway? R. Kelly is working on it

NEW YORK (AP) — Is Broadway ready for Twan, Sylvester, Pimp Lucius and "the package"? R. Kelly thinks so — and says he's working to bring the wacky characters and plotlines in his even wackier "Trapped in the Closet" series to the Great White Way.

The superstar announced on Monday night that he's had an offer to bring the cult classic to the stage, and he may even be in some performances.

"To transform it into a Broadway version, that's what I'm working on," he told a packed house at the Sunshine Theater, where he unveiled the latest chapters in "Trapped in the Closet," which will debut on the IFC on Friday.

Kelly gave no other details about a possible Broadway adaptation of the wildly popular video opera. It got its start from a stirring series of songs Kelly debuted in 2005, which ended with a cliff-hanger. The songs captured so much attention, Kelly made an over-the-top video series about it that just got crazier and crazier as he added more chapters.

Kelly has often referred to "Trapped" as an alien, and on Monday, he said: "I'm glad to be one of the astronauts to take this thing to the unknown."

He thanked the enthusiastic crowd for accepting the series, and admitted that he always wanted to act: "Somehow, I landed 'Trapped in the Closet' from being silly."

He also joked about the ridiculous nature of the series.

"I'm just having a lot of fun. I don't have a job so I sit in the studio all day and think of stuff to do and this is just something stupid I've done that's been successful for me," he said. "I'm having a lot of fun with it."

The latest chapters introduce a few new faces, and like the others series, ends with a cliffhanger. While it's taken Kelly five years to add these latest chapters to the series, Kelly says he won't take as long to produce more.

"I want everybody to know I've got 85 chapters of 'Trapped in the Closet' waiting in the studio for y'all," he said. "The chapters that are coming — the show, we call it — is going to exceed every chapter that you have ever seen."

Kelly capped of the evening with a rendition of one of his biggest hits, "I Believe I Can Fly," for the audience.

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http://www.r-kelly.com

http://www.ifc.com

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Nekesa Mumbi Moody is the AP's Global Entertainment & Lifestyles Editor. Follow her at http://www.twitter.com/nekesamumbi

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New push for most in US to get at least 1 HIV test

WASHINGTON (AP) — There's a new push to make testing for the AIDS virus as common as cholesterol checks.

Americans ages 15 to 64 should get an HIV test at least once — not just people considered at high risk for the virus, an independent panel that sets screening guidelines proposed Monday.

The draft guidelines from the U.S. Preventive Services Task Force are the latest recommendations that aim to make HIV screening simply a routine part of a check-up, something a doctor can order with as little fuss as a cholesterol test or a mammogram. Since 2006, the Centers for Disease Control and Prevention also has pushed for widespread, routine HIV screening.

Yet not nearly enough people have heeded that call: Of the more than 1.1 million Americans living with HIV, nearly 1 in 5 — almost 240,000 people — don't know it. Not only is their own health at risk without treatment, they could unwittingly be spreading the virus to others.

The updated guidelines will bring this long-simmering issue before doctors and their patients again — emphasizing that public health experts agree on how important it is to test even people who don't think they're at risk, because they could be.

"It allows you to say, 'This is a recommended test that we believe everybody should have. We're not singling you out in any way,'" said task force member Dr. Douglas Owens of Stanford University and the Veterans Affairs Palo Alto Health Care System.

And if finalized, the task force guidelines could extend the number of people eligible for an HIV screening without a copay in their doctor's office, as part of free preventive care under the Obama administration's health care law. Under the task force's previous guidelines, only people at increased risk for HIV — which includes gay and bisexual men and injecting drug users — were eligible for that no-copay screening.

There are a number of ways to get tested. If you're having blood drawn for other exams, the doctor can merely add HIV to the list, no extra pokes or swabs needed. Today's rapid tests can cost less than $20 and require just rubbing a swab over the gums, with results ready in as little as 20 minutes. Last summer, the government approved a do-it-yourself at-home version that's selling for about $40.

Free testing is available through various community programs around the country, including a CDC pilot program in drugstores in 24 cities and rural sites.

Monday's proposal also recommends:

—Testing people older and younger than 15-64 if they are at increased risk of HIV infection,

—People at very high risk for HIV infection should be tested at least annually.

—It's not clear how often to retest people at somewhat increased risk, but perhaps every three to five years.

—Women should be tested during each pregnancy, something the task force has long recommended.

The draft guidelines are open for public comment through Dec. 17.

Most of the 50,000 new HIV infections in the U.S. every year are among gay and bisexual men, followed by heterosexual black women.

"We are not doing as well in America with HIV testing as we would like," Dr. Jonathan Mermin, CDC's HIV prevention chief, said Monday.

The CDC recommends at least one routine test for everyone ages 13 to 64, starting two years younger than the task force recommended. That small difference aside, CDC data suggests fewer than half of adults under 65 have been tested.

"It can sometimes be awkward to ask your doctor for an HIV test," Mermin said — the reason that making it routine during any health care encounter could help.

But even though nearly three-fourths of gay and bisexual men with undiagnosed HIV had visited some sort of health provider in the previous year, 48 percent weren't tested for HIV, a recent CDC survey found. Emergency rooms are considered a good spot to catch the undiagnosed, after their illnesses and injuries have been treated, but Mermin said only about 2 percent of ER patients known to be at increased risk were tested while there.

Mermin calls that "a tragedy. It's a missed opportunity."

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Clinton heads to Mideast amid Gaza crisis

GAZA CITY, Gaza Strip (AP) — Efforts to end a week-old convulsion of Israeli-Palestinian violence drew in the world's top diplomats on Tuesday, with President Barack Obama dispatching his secretary of state to the region on an emergency mission and the U.N. chief appealing from Cairo for an immediate cease-fire.

Israel and Gaza's militant Hamas rulers have staked out tough, hard-to-bridge positions, and the gaps keep alive the threat of an Israeli ground invasion. On Tuesday, grieving Gazans were burying militants and civilians killed in ongoing Israeli airstrikes, and barrages of rockets from Gaza sent terrified Israelis scurrying to take cover.

From Egypt, U.N. chief Ban Ki-moon said he came to the region because of the "alarming situation."

"This must stop, immediate steps are needed to avoid further escalation, including a ground operation," Ban said. "Both sides must hold fire immediately ... Further escalation of the situation could put the entire region at risk."

U.S. Secretary of State Hillary Rodham Clinton departed for the Mideast on Tuesday from Cambodia, where she had accompanied Obama on a visit. Clinton is to meet with Israeli Prime Minister Benjamin Netanyahu in Jerusalem, Palestinian President Mahmoud Abbas in the West Bank and Egyptian leaders in Cairo, according to U.S. and Palestinian officials.

The U.S. considers Hamas, which has killed hundreds of Israelis in suicide and other attacks, to be a terror group and does not meet with its officials. Washington blames Hamas rocket fire for the latest eruption of violence and says Israel has the right to defend itself. At the same time, it has cautioned that a ground invasion could send casualties spiraling.

By Tuesday, 115 Palestinians, including 54 civilians, have been killed since Israel mounted an air onslaught that has so far included nearly 1,500 strikes. Some 840 people have been wounded, including 225 children, Gaza health officials said.

Three Israeli civilians have also been killed and dozens wounded since the fighting began last week, the numbers possibly kept down by a rocket-defense system Israel developed with U.S. funding. More than 1,000 rockets have been fired at Israel this week, the military said.

Netanyahu said Tuesday that Israel wouldn't balk at a broader military operation.

"I prefer a diplomatic solution," Netanyahu said in a statement after meeting with Germany's foreign minister, Guido Westerwelle, who is also in the region trying to advance peace efforts. "But if the fire continues, we will be forced to take broader measures and will not hesitate to do so."

Successive Israeli governments have struggled to come up with an effective policy toward Hamas.

Neither Israel's economic blockade of the territory of 1.6 million people nor bruising military strikes have cowed Gaza's Islamists, weakened their grip on the coastal strip or fire rockets at the Jewish state.

An Israeli ground invasion would risk Israeli troop losses, and could send the number of Palestinian civilian casualties ballooning — a toll Israel could be reluctant to risk just four years after its last invasion drew allegations of war crimes.

Still, with Israeli elections just two months away, polls show Israeli public sentiment has lined up staunchly behind the Netanyahu government's offensive.

Turkey's foreign minister and a delegation of Arab League foreign ministers headed to Gaza on Tuesday on a separate truce mission. Before setting off, Foreign Minister Ahmet Davutoglu signaled Turkey was in contact with Israel bout a truce — an important development given the two countries' chilly ties.

"We would be involved in all kinds of efforts if it amounted to saving the life of a single brother from Gaza," Davutoglu said. "We are determined to keep all direct or indirect channels (of dialogue) open."

Turkey's once-close ties with Israel frayed badly over the high civilian toll during Israel's 2009 war in Gaza.

With tens of thousands of Israeli soldiers dispatched to the Gaza border, awaiting a possible order to invade, the truce missions were all the more urgent.

Egypt, the traditional mediator between Israel and the Arab world, has been at the center of recent diplomatic efforts.

Israel demands an end to rocket fire from Gaza and a halt to weapons smuggling into Gaza through tunnels under the border with Egypt. It also wants international guarantees that Hamas will not rearm or use Egypt's Sinai region, which abuts both Gaza and southern Israel, to attack Israelis.

Hamas wants Israel to halt all attacks on Gaza and lift tight restrictions on trade and movement to and from the territory imposed after Hamas seized Gaza by force in 2007. Israel has rejected such demands in the past.

Resurgent rocket fire set off the Israeli offensive, launched with the assassination of the Hamas military chief and followed by hundreds of airstrikes on militant rocket launchers and weapons stores.

The onslaught turned deadlier over the weekend, as airstrikes began targeting the homes of suspected Hamas activists, leading to a spike in civilian casualties. Israel sent warnings in some cases, witnesses said, but in other instances missiles hit suddenly, burying residents under the rubble of their homes.

Hamas is deeply rooted in densely populated Gaza, and the movement's activists live in the midst of ordinary Gazans. Israel says militants are using civilians as human shields, both for their own safety and to launch rocket strikes from residential neighborhoods.

In one case, a senior member of the military wing of Islamic Jihad rented a small apartment in a 15-story high-rise of offices and news outlets. The militant, Ramez Harb, was killed Monday in a rocket strike that damaged the building.

One journalist said he and others were furious that Harb had apparently used their building as a hideout, putting others at risk. He spoke on condition of anonymity because he feared repercussions from Gaza militants.

Early Tuesday, Israeli aircraft targeted another Hamas symbol of power, the headquarters of a bank senior Hamas officials set up to sidestep international sanctions on the militant group's rule. After Hamas overran Gaza, foreign lenders stopped doing business with its militant-led government, afraid of running afoul of international terror financing laws.

The inside of the bank was destroyed and a building supply business in the basement was damaged.

"I'm not involved in politics," said the business owner, Suleiman Tawil. "I'm a businessman. But the more the Israelis pressure us, the more we will support Hamas."

Israel and Gaza's militants have a long history of fighting, but the dynamics have changed radically since they last warred four years ago. Though their hardware is no match for the Israeli military, militants have upgraded their capabilities with weapons smuggled in from Iran and Libya, Israeli officials claim.

Only a few years ago, tens of thousands of Israelis were within rocket range. Today those numbers have swollen to 3.5 million, as the militants' improved weapons reached Tel Aviv and Jerusalem for the first time this past week.

Hamas, a branch of the region-wide Muslim Brotherhood, is also negotiating from a stronger position than four years ago. At that time, Hamas was internationally isolated; now, the Muslim Brotherhood is in power in Egypt and Tunisia, and Hamas is also getting political support from Qatar and Turkey.

At home, too, the military offensive has shored up Hamas at a time when it was riven by internal divisions over its direction and the new Egyptian government's refusal to lift the blockade it imposed along with Israel after Hamas seized the territory.

This newfound backing contrasts radically with the loss of stature the Western-backed Palestinian President Mahmoud Abbas has endured as Palestinians lose faith in his ability to bring them a state through negotiations with Israel.

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Teibel reported from Jerusalem. With contributions from Ibrahim Barzak in Gaza City and Suzan Fraser in Ankara, Turkey.

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Obama in Cambodia after rousing Myanmar welcome

PHNOM PENH, Cambodia (AP) — Making history twice within hours, President Barack Obama on Monday became the first U.S. president to set foot in Cambodia, a country once known for its Khmer Rouge "killing fields." He left behind flag-waving crowds on the streets of Myanmar, the once internationally shunned nation now showing democratic promise.

Unlike the visit to Myanmar, where Obama seemed to revel in that nation's new hope, the White House made clear that Obama is only in Cambodia to attend an East Asia Summit and said the visit should not be seen as an endorsement of Prime Minister Hun Sen and his government.

Indeed, Obama's arrival in Cambodia lacked the euphoria of his greeting in Myanmar, where tens of thousands of people lined the streets of Yangon to cheer the first American president to visit a country that until recently had long been isolated from the West. "You gave us hope," Obama declared in Yangon.

In Phnom Penh, small clusters of Cambodians gathered in the streets to watch the motorcade pass by, without any of the outpouring that greeted Obama in Myanmar.

From the airport, Obama headed straight to the Peace Palace for a meeting with Hun Sen that later was described by U.S. officials as a tense encounter dominated by the president voicing concerns about Cambodia's human rights record. He specifically raised the lack of free and fair elections, the detention of political prisoners and land seizures, officials said.

Deputy national security adviser Ben Rhodes said Obama told the prime minister that those issues are "an impediment" to a deeper relationship between the U.S. and Cambodia. Rhodes said Hun Sen defended his country's record, saying unique circumstances motivate its policies and practices. Still, the prime minister expressed a desire to deepen ties with the U.S., Rhodes said.

Earlier in Myanmar, Obama addressed a national audience from the University of Yangon, offering a "hand of friendship" and a lasting U.S. commitment, yet a warning, too. He said the new civilian government must nurture democracy or watch it, and U.S. support, disappear.

The six-hour stop in Myanmar was the centerpiece of a four-day trip to Southeast Asia that began in Bangkok and ends Tuesday in Cambodia, where Obama will visit with Chinese, Japanese and Southeast Asia leaders in addition to attending the East Asia Summit with regional leaders.

Obama celebrated the history of what he was witnessing in Myanmar — a nation shedding years of military rule, and a relationship between two nations changing fast.

"This remarkable journey has just begun," he said.

In a notable detour from U.S. policy, the president referred to the nation as Myanmar in his talks with President Thein Sein. That is the name preferred by the former military regime and the new government, rather than Burma, the old name favored by democracy advocates and the U.S. government.

Rhodes said afterward that Obama's use of Myanmar was "a diplomatic courtesy" that doesn't change the U.S. position that the country is still Burma.

On his first trip abroad since his re-election earlier this month, Obama's motorcade sped him to the lakeside home in Yangon of longtime opposition leader Aung San Suu Kyi. He hugged her and lauded her as a personal inspiration. Suu Kyi spent most of the past 20 years in house detention at her home.

In remarks after their meeting, Suu Kyi echoed Obama's tone with an admonition of her own, one that could have been directed at her own ruling party as much as to the United States:

"The most difficult time in any transition is when we think that success is in sight," she said. "Then we have to be very careful that we're not lured by the mirage of success."

Rhodes said Obama was moved the visit with Suu Kyi at her home, and was pleased to see on prominent display a stuffed replica of the president's dog Bo in the house. Obama gave Suu Kyi the stuffed animal when she visited Washington earlier this year.

Crowds swelled at every intersection in Yangon, yelling affectionately for both Obama and his secretary of state, Hillary Rodham Clinton.

"You are the legend hero of our world," one banner read.

Obama spoke at a university that was once the center of government opposition, and his message was as much a call for Myanmar to continue in its promising steps as it was a tribute to democracy in general. He held up the United States as an example of its triumph and its imperfections.

Coinciding with the president's visit, the government of Myanmar announced further human rights steps to review prisoner cases and de-escalate conflicts in ethnic regions of the country.

But Obama urged even more, calling for a government where, as he put it, "those in power must accept constraints."

"The flickers of progress that we have seen must not be extinguished," Obama said in the address televised to the nation.

Rhodes said the president was moved by the throngs of people who lined the streets to greet him. The president made one unscheduled stop, at the Shwedagon Pagoda. After seeing the pagoda as Air Force One approached Yangon, then seeing the outpouring of support from people who worship the site, Obama personally decided to make the unscheduled stop, Rhodes said.

As Obama arrived in Cambodia, he was dogged by concerns from human rights groups that have cast Hun Sen as a violent authoritarian and voiced apprehension that Obama's visit will be perceived inside Cambodia as validation of the prime minister's regime.

Still, many Cambodians credit Hun Sen with helping the country emerge from the horrors of the 1970s Khmer Rouge reign, when systematic genocide by the communist regime left 1.7 million dead. Vietnam invaded and ousted that regime in 1979. By 1985, Hun Sen had become prime minister.

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Kuhnhenn reported from Yangon, Myanmar.

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Wii U Launch Day: Everything You Need to Know

For Nintendo fans, the big day has arrived. Nintendo‘s newest console, the Wii U, began selling at midnight on Sunday morning across the United States.

[More from Mashable: Meet the Super Fan Who Waited in Line for a Month for a Wii U [VIDEO]]

The Wii U boasts high definition graphics and an innovative, new tablet controller called the GamePad. The GamePad can act as a second screen, either mirroring or displaying asynchronous content from the console. The GamePad can also function without the television even turned on.

Nintendo hosted a launch event at its Nintendo World store in Rockefeller Center in New York on Saturday night. Some fans had been lined up for a week or longer to pick up a console, and as the countdown ticked down to midnight, the line wrapped around the building. The event was attended by Nintendo of America President Reggie Fils-Amie, who addressed the crowd, as well as other Nintendo executives.

[More from Mashable: Marijuana Vending Machine Maker’s Stock Skyrockets and Everybody Freaks Out]

But demand for the console may not reach the insatiable levels of the 2006′s Wii launch, which sold out in stores across the country preceding the holidays. At 11:30 a.m., a Nintendo World employee said they still had consoles in stock, though there was a line of 30 people outside. Mashable was able to pick up a Wii U in a Brooklyn Target with no lines at 9:30 a.m.

We collected peoples’ photos and tweets of their experiences waiting in line across the country with Storify.

We want to hear your stories. Are you picking up a Wii U today? Drop a note in the comments or tweet a picture with the hashtag #wiiulines.

Assassin’s Creed III

A version of the latest chapter in the Assassin’s Creed saga, a week after it was released on other console.

Click here to view this gallery.

This story originally published on Mashable here.

Gaming News Headlines – Yahoo! News

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Justin Bieber gets love at American Music Awards

Justin Bieber may be Canadian, but he was the all-American boy at Sunday night's American Music Awards.

The pop singer dominated the awards show, winning three trophies, including artist of the year. His mom joined him onstage as he collected the award, beating out Rihanna, Maroon 5, Katy Perry and Drake.

"I wanted to thank you for always believing in me," Bieber said, looking to his mom.

The 18-year-old also won the honor in 2010. He said it's "hard growing up with everyone watching me" and asked that people continue to believe in him.

But the teenager who brought his mom as a date also got in some grinding with Nicki Minaj — who shared the stage with him and took home two awards — and a kiss on the neck from presenter Jenny McCarthy.

"Wow. I feel violated right now," he said, laughing.

"I did grab his butt," McCarthy said backstage. "I couldn't help it. He was just so delicious. So little. I wanted to tear his head off and eat it."

Another collaboration was the night's most colorful performance: Korean rapper PSY and MC Hammer. Hammer joined the buzzed-about pop star for his viral hit "Gangnam Style." PSY rocked traditional "Hammer" pants as they danced to his jam and to Hammer's "Too Legit to Quit."

Minaj, who wore three different wigs and four outfits throughout the night, repeated her AMAs wins from last year, picking up trophies for favorite rap/hip-hop artist and album for "Pink Friday: Roman Reloaded." She was in an all-white get-up, including fur coat and pink hair when she performed her new song "Freedom." The scene was ghostly and snowy, as a choir — also in white — joined her onstage. One background singer stole the performance, belting semi-high notes as Minaj looked on.

Usher kicked off the three-hour show with green laser lights beaming onstage as he performed a medley of songs, including "Numb," ''Climax" and "Can't Stop, Won't Stop," which featured a smoky floor and a number of backup dancers, as Usher jammed in all black, with the exception of his red shoes. He won favorite soul/R&B male artist.

His protege Bieber won favorite pop/rock male artist in the first award handed out and gave a shout-out to those who didn't think he would last on the music scene.

"I want to say this is for all the haters who thought I was just here for one or two years. I feel like I'm going to be here for a very long time," he said.

He also won favorite pop/rock album for his platinum-selling third album, "Believe." He gave a stripped down, acoustic performance of "As Long As You Love Me," then transitioned to the dance-heavy "Beauty and a Beat," where Minaj joined him onstage, grinding with the teen for a few seconds.

Swift won her fifth consecutive award for favorite country female artist.

"This is unreal. I want to thank the fans. You guys are the ones who voted on this," she said.

Swift gave a masquerade-themed performance of the pop song "I Knew You Were Trouble." She sang onstage in a light dress while dancers wore mostly black. But then she changed into a red corset and black skirt, matching their dark mood. She even danced and sang on the floor as lights flickered throughout the performance.

Dick Clark, who created the AMAs, was remembered by Ryan Seacrest and an upbeat performance by Stevie Wonder.

"What a producer he was," said Seacrest, as Wonder sang his hits, including "My Cherie Amour."

Carly Rae Jepsen, who performed early in the night, won favorite new artist.

"I am floored. Wow," she said, thanking Bieber and his manager, Scooter Braun.

Party girl Ke$ha was glammed up on the red carpet, rocking long, flowy blonde hair and a light pink dress. She switched to her normal attire when she performed her hit single "Die Young." It was tribal, with shirtless dancers in skin-tight pants, silver hair and skeleton-painted faces, who also played the drums. Ke$ha was pants-less, rocking knee-high boots and rolling on the floor as she finished up the song.

Minaj and Christina Aguilera were blonde bombshells, too: Minaj's hair was busy and full of volume and she sported a neon strapless gown to accept her first award. Aguilera wore a blonde bob in a purple dress that matched her eyeshadow.

Aguilera performed a medley of material from her new album and joined Pitbull onstage.

Kelly Clarkson also hit the stage, making a nod to her "American Idol" roots with a number on her dress and three judges looking on as she sang "Miss Independent." Then she went into "Since U Been Gone," ''Stronger" and "Catch My Breath."

Fellow "Idol" winner Carrie Underwood won best favorite country album and performed, hitting the right notes while singing "Two Black Cadillacs." She talked about singing competition shows backstage.

"These people that go on these shows are so talented, you know? And I would love to see if so many of the other artists that are out there today would go back and try out for these shows, because they might get their behinds kicked by some of the contestants," she said.

Luke Bryan won favorite country male artist and Lady Antebellum favorite country group.

American Music Awards nominees were selected based on sales and airplay, and fans chose the winners by voting online. At this award show, even the stars were fans: Pink said on the red carpet that she'd like to collaborate with Lauryn Hill. Cyndi Lauper said her musical playlist includes Pink and Minaj. Boy band The Wanted said they were excited to see PSY and Colbie Caillat wanted to watch No Doubt.

"What makes the American Music Awards special is the fans choose the winning artists," said Chester Bennington of Linkin Park, who won favorite alternative rock artist and performed "Burn It Down," as Brandy sang along and Gwen Stefani, Usher and Phillip Phillips bobbed their heads.

David Guetta won the show's first-ever electronic dance music award. Non-televised awards went to Katy Perry for pop/rock female artist, Beyonce for soul/R&B female artist, Adele for adult contemporary artist and Shakira for Latin artist.

Along with Rihanna, Minaj was the top nominee with four nominations.

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AP Entertainment Writer Sandy Cohen contributed to this report from Los Angeles.

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Follow Mesfin Fekadu on Twitter at http://twitter.com/MusicMesfin

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Online:

http://beta.abc.go.com/shows/american-music-awards

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EU drug regulator OKs Novartis' meningitis B shot

LONDON (AP) — Europe's top drug regulator has recommended approval for the first vaccine against meningitis B, made by Novartis AG.

There are five types of bacterial meningitis. While vaccines exist to protect against the other four, none has previously been licensed for type B meningitis. In Europe, type B is the most common, causing 3,000 to 5,000 cases every year.

Meningitis mainly affects infants and children. It kills about 8 percent of patients and leaves others with lifelong consequences such as brain damage.

In a statement on Friday, Andrin Oswald of Novartis said he is "proud of the major advance" the company has made in developing its vaccine Bexsero. It is aimed at children over two months of age, and Novartis is hoping countries will include the shot among the routine ones for childhood diseases such as measles.

Novartis said the immunization has had side effects such as fever and redness at the injection site.

Recommendations from the European Medicines Agency are usually adopted by the European Commission. Novartis also is seeking to test the vaccine in the U.S.

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