Longer tamoxifen use cuts breast cancer deaths

Breast cancer patients taking the drug tamoxifen can cut their chances of having the disease come back or kill them if they stay on the pills for 10 years instead of five years as doctors recommend now, a major study finds.

The results could change treatment, especially for younger women. The findings are a surprise because earlier research suggested that taking the hormone-blocking drug for longer than five years didn't help and might even be harmful.

In the new study, researchers found that women who took tamoxifen for 10 years lowered their risk of a recurrence by 25 percent and of dying of breast cancer by 29 percent compared to those who took the pills for just five years.

In absolute terms, continuing on tamoxifen kept three additional women out of every 100 from dying of breast cancer within five to 14 years from when their disease was diagnosed. When added to the benefit from the first five years of use, a decade of tamoxifen can cut breast cancer mortality in half during the second decade after diagnosis, researchers estimate.

Some women balk at taking a preventive drug for so long, but for those at high risk of a recurrence, "this will be a convincer that they should continue," said Dr. Peter Ravdin, director of the breast cancer program at the UT Health Science Center in San Antonio.

He reviewed results of the study, which was being presented Wednesday at a breast cancer conference in San Antonio and published by the British medical journal Lancet.

About 50,000 of the roughly 230,000 new cases of breast cancer in the United States each year occur in women before menopause. Most breast cancers are fueled by estrogen, and hormone blockers are known to cut the risk of recurrence in such cases.

Tamoxifen long was the top choice, but newer drugs called aromatase inhibitors — sold as Arimidex, Femara, Aromasin and in generic form — do the job with less risk of causing uterine cancer and other problems.

But the newer drugs don't work well before menopause. Even some women past menopause choose tamoxifen over the newer drugs, which cost more and have different side effects such as joint pain, bone loss and sexual problems.

The new study aimed to see whether over a very long time, longer treatment with tamoxifen could help.

Dr. Christina Davies of the University of Oxford in England and other researchers assigned 6,846 women who already had taken tamoxifen for five years to either stay on it or take dummy pills for another five years.

Researchers saw little difference in the groups five to nine years after diagnosis. But beyond that time, 15 percent of women who had stopped taking tamoxifen after five years had died of breast cancer versus 12 percent of those who took it for 10 years. Cancer had returned in 25 percent of women on the shorter treatment versus 21 percent of those treated longer.

Tamoxifen had some troubling side effects: Longer use nearly doubled the risk of endometrial cancer. But it rarely proved fatal, and there was no increased risk among premenopausal women in the study — the very group tamoxifen helps most.

"Overall the benefits of extended tamoxifen seemed to outweigh the risks substantially," Dr. Trevor Powles of the Cancer Centre London wrote in an editorial published with the study.

The study was sponsored by cancer research organizations in Britain and Europe, the United States Army, and AstraZeneca PLC, which makes Nolvadex, a brand of tamoxifen, which also is sold as a generic for 10 to 50 cents a day. Brand-name versions of the newer hormone blockers, aromatase inhibitors, are $300 or more per month, but generics are available for much less.

The results pose a quandary for breast cancer patients past menopause and those who become menopausal because of their treatment — the vast majority of cases. Previous studies found that starting on one of the newer hormone blockers led to fewer relapses than initial treatment with tamoxifen did.

Another study found that switching to one of the new drugs after five years of tamoxifen cut the risk of breast cancer recurrence nearly in half — more than what was seen in the new study of 10 years of tamoxifen.

"For postmenopausal women, the data still remain much stronger at this point for a switch to an aromatase inhibitor," said that study's leader, Dr. Paul Goss of Massachusetts General Hospital. He has been a paid speaker for a company that makes one of those drugs.

Women in his study have not been followed long enough to see whether switching cuts deaths from breast cancer, as 10 years of tamoxifen did. Results are expected in about a year.

The cancer conference is sponsored by the American Association for Cancer Research, Baylor College of Medicine and the UT Health Science Center.

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Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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Capitalism and socialism wed as words of the year

NEW YORK (AP) — Thanks to the election, socialism and capitalism are forever wed as Merriam-Webster's most looked-up words of 2012.

Traffic for the unlikely pair on the company's website about doubled this year from the year before as the health care debate heated up and discussion intensified over "American capitalism" versus "European socialism," said the editor at large, Peter Sokolowski.

The choice revealed Wednesday was "kind of a no-brainer," he said. The side-by-side interest among political candidates and around kitchen tables prompted the dictionary folk to settle on two words of the year rather than one for the first time since the accolade began in 2003.

"They're words that sort of encapsulate the zeitgeist. They're words that are in the national conversation," said Sokolowski from company headquarters in Springfield, Mass. "The thing about an election year is it generates a huge amount of very specific interest."

Democracy, globalization, marriage and bigot — all touched by politics — made the Top 10, in no particular order. The latter two were driven in part by the fight for same-sex marriage acceptance.

Last year's word of the year was austerity. Before that, it was pragmatic. Other words in the leading dictionary maker's Top 10 for 2012 were also politically motivated.

Harken back to Oct. 11, when Vice President Joe Biden tangled with Mitt Romney running mate Paul Ryan in a televised debate focused on foreign policy — terror attacks, defense spending and war, to be specific.

"With all due respect, that's a bunch of MALARKEY," declared Biden during a particularly tough row with Ryan. The mention sent look-ups of malarkey soaring on Merriam-webster.com, Sokolowski said, adding: "Clearly a one-week wonder, but what a week!"

Actually, it was more like what a day. Look-ups of malarkey represented the largest spike of a single word on the website by percentage, at 3,000 percent, in a single 24-hour period this year. The company won't release the number of page views per word but said the site gets about 1.2 billion overall each year.

Malarkey, with the alternative spelling of "y'' at the end, is of unknown origin, but Merriam-Webster surmises it's more Irish-American than Irish, tracing it to newspaper references as far back as 1929.

Beyond "nonsense," malarkey can mean "insincere or pretentious talk or writing designed to impress one and usually to distract attention from ulterior motives or actual conditions," noted Sokolowski.

"That's exactly what Joe Biden was saying. Very precise," especially in conversation with another Irish-American, Sokolowski said. "He chose a word that resonated with the public, I think in part because it really resonated with him. It made perfect sense for this man to use this word in this moment."

An interesting election-related phenom, to be sure, but malarkey is no dead Big Bird or "binders full of women" — two Romneyisms from the defeated candidate's televised matchups with Obama that evoked another of Merriam-Webster's Top 10 — meme.

While malarkey's history is shaded, meme's roots are easily traced to evolutionary biologist Richard Dawkins, a Brit who coined the term for a unit of cultural inheritance, not unlike genes and DNA. The retired professor at the University of Oxford made up the word in 1976 for "The Selfish Gene," a book he published light years before the Internet and social media's capacity to take memes viral.

Sokolowski said traffic for meme more than doubled this year over 2011, with dramatic spikes pegged to political-related subjects that included Romney's Big Bird and binders remarks, social media shares of images pegged to Hillary Clinton texting and Obama's "horses and bayonets" debate rebuke of Romney in an exchange over the size of the Navy.

Dawkins, reached at home in Oxford, was tickled by the dictionary shoutout.

"I'm very pleased that it's one of the 10 words that got picked out," he said. "I'm delighted. I hope it may bring more people to understand something about evolution."

The book in which he used meme for the first time is mostly about the gene as the primary unit of natural selection, or the Darwinian idea that only the strongest survive. In the last chapter, he said, he wanted to describe some sort of cultural replicator.

And he wanted a word that sounded like "gene," so he took a twist on the Greek mimeme, which is the origin of "mime" and "mimesis," a scientific term meaning imitation.

"It's a very clever coinage," lauded the lexicographer Sokolowski.

Other words in Merriam-Webster's Top 10 for 2012:

— Touche, thanks in part to "Survivor" contestant Kat Edorsson misusing the word to mean "tough luck" rather than point well made, before she was voted off the island in May. Look-ups at Merriam-webster.com were up sevenfold this year over 2011.

— Schadenfreude, made up of the German words for "damage" and "joy," meaning taking pleasure in the misery of others, was used broadly in the media after the election. Look-ups increased 75 percent. The word in English dates to 1895.

— Professionalism, up 12 percent this year over last. Sokolowski suspects the bump might have been due to the bad economy and more job seekers, or a knowing "glimpse into what qualities people value."

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Online: http://www.merriam-webster.com/

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Follow Leanne Italie on Twitter at http://twitter.com/litalie

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South Loop residents oppose DePaul arena

The prospect of a DePaul University men's basketball arena being constructed on land just north of McCormick Place is drawing strong opposition from the Prairie District Neighborhood Alliance, a South Loop residents' organization, according to a letter released Tuesday.
 
A survey of 700 neighbors of the site, conducted by the community group, found more than 70 percent oppose construction of a Blue Demons arena there, Tina Feldstein, president of the organization, stated in the letter.
 
An arena would not fit within the residential and historic character of the area and could put two landmark structures, the Harriet F. Rees House and the American Book Co. building, at risk, the letter stated. It would also add to traffic congestion and potential rowdiness in an area already overburdened when conventions are in progress at McCormick Place or major events, including Chicago Bears games, are taking place at Soldier Field, Feldstein said in an interview.
 
"We're not against vibrant development, which hotel and retail would bring," Feldstein said. And the group would support an arena at an alternate site on the Near South Side, she said.
 
The letter was written in support of an alternate plan for the so-called "Olde Prairie" blocks, which is being put forward in bankruptcy court by developers Pam Gleichman, Karl Norberg and Gunnar Falk. Their plan calls for hotel and retail development on property directly north of the McCormick Place administrative offices and West Building on Cermak Road.
 
If they lose control of the property, it is expected to go up for auction, making it possible for the Metropolitan Pier and Exposition Authority, the state-city agency that owns McCormick Place, or other parties to make a run at it.
 
DePaul is weighing several sites, including property near McCormick Place and the United Center on the Near West Side. As well, the Allstate Arena in Rosemont is fighting to retain the team.
 
The neighborhood's opposition adds to resistance by Ald. Robert Fioretti, whose 2nd Ward includes McCormick Place.
 "That is not a place to put an arena -- far away from the school," he said. "I think there are traffic issues related, and it would be a bad deal for taxpayers in these economic times."

Fioretti noted such a project likely would require public subsidy.
 
The Olde Prairie blocks have not been officially designated as a potential site for a DePaul arena, but Fioretti said it is his understanding that they are being seriously considered.
 
Jim Reilly, chief executive officer of the exposition authority, known as McPier, has publicly acknowledged that there have been talks with DePaul. A spokeswoman on Tuesday said it would be premature to comment further at this point.

A DePaul spokesperson could not be reached for immediate comment.
 
Chicago Mayor Rahm Emanuel has said he would like DePaul to bring men's basketball back to the city. A spokesman declined comment beyond that.
 kbergen@tribune.com | Twitter @kathy_bergen

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More than 1,000 teachers on strike in District 300

District 300 teachers walk picket line this morning. (WGN-TV / December 4, 2012)

Staff report

7:55 a.m. CST, December 4, 2012

Teachers in Carpentersville School District 300 went out on strike this morning after failing to reach an agreement on a new contract.

Negotiators for the teachers union and the school district met for nearly nine hours Monday but failed to reach an agreement, according to a statement posted by the school district.

Union officials have argued that teachers are underpaid compared to other suburban districts, yet administrators have portrayed them as “greedy and unreasonable,” according to a statement on the teachers union website.

The district in the far northwest suburbs has more than 20,000 students in grades kindergarten through 12 and employs about 1,200 teachers.

Several suburban teachers unions have staged walkouts since Chicago Public Schools teachers went on strike this fall. Most of the strikes lasted between one day and about a week.

chicagobreaking@tribune.com

Twitter: @ChicagoBreaking

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Swiss spy agency warns U.S., Britain about huge data leak

ZURICH (Reuters) - Secret information on counter-terrorism shared by foreign governments may have been compromised by a massive data theft by a senior IT technician for the NDB, Switzerland's intelligence service, European national security sources said.

Intelligence agencies in the United States and Britain are among those who were warned by Swiss authorities that their data could have been put in jeopardy, said one of the sources, who asked for anonymity when discussing sensitive information.

Swiss authorities arrested the technician suspected in the data theft last summer amid signs he was acting suspiciously. He later was released from prison while a criminal investigation by the office of Switzerland's Federal Attorney General continues, according to two sources familiar with the case.

The suspect's name was not made public. Swiss authorities believe he intended to sell the stolen data to foreign officials or commercial buyers.

A European security source said investigators now believe the suspect became disgruntled because he felt he was being ignored and his advice on operating the data systems was not being taken seriously.

Swiss news reports and the sources close to the investigation said that investigators believe the technician downloaded terrabytes, running into hundreds of thousands or even millions of printed pages, of classified material from the Swiss intelligence service's servers onto portable hard drives. He then carried them out of government buildings in a backpack.

One of the sources familiar with the investigation said that intelligence services like the U.S. Central Intelligence Agency and Britain's Secret Intelligence Service, also known as MI6, routinely shared data on counter-terrorism and other issues with the NDB. Swiss authorities informed U.S. and British agencies that such data could have been compromised, the source said.

News of the theft of intelligence data surfaced with Switzerland's reputation for secrecy and discretion in government and financial affairs already under assault.

Swiss authorities have been investigating, and in some cases have charged, whistleblowers and some European government officials for using criminal methods to acquire confidential financial data about suspected tax evaders from Switzerland's traditionally secretive banks.

The suspect in the spy data theft worked for the NDB, or Federal Intelligence Service, which is part of Switzerland's Defense Ministry, for about eight years.

He was described by a source close to the investigation as a "very talented" technician and senior enough to have "administrator rights," giving him unrestricted access to most or all of the NDB's networks, including those holding vast caches of secret data.

Swiss investigators seized portable storage devices containing the stolen data after they arrested the suspect, according to the sources. At this point, they said, Swiss authorities believe that the suspect was arrested and the stolen data was impounded before he had an opportunity to sell it.

However, one source said that Swiss investigators could not be positive the suspect did not sell or pass on any of the information before his arrest, which is why Swiss authorities felt obliged to notify foreign intelligence partners their information may have been compromised.

Representatives of U.S. and British intelligence agencies had no immediate response to detailed queries about the case submitted by Reuters, although one U.S. official said he was unaware of the case.

SECURITY PROCEDURES QUESTIONED

Swiss Attorney General Michael Lauber and a senior prosecutor, Carolo Bulletti, announced in September that they were investigating the data theft and its alleged perpetrator. A spokeswoman for the attorney general said she was prohibited by law from disclosing the suspect's identity.

A spokesman for the NDB said he could not comment on the investigation.

At their September press conference, Swiss officials indicated that they believed the suspect intended to sell the data he stole to foreign countries. They did not talk about the possible compromise of information shared with the NDB by U.S. and British intelligence.

A European source familiar with the case said it raised serious questions about security procedures and structures at the NDB, a relatively new agency which combined the functions of predecessor agencies that separately conducted foreign and domestic intelligence activities for the Swiss government.

The source said that under the NDB's present structure, its human resources staff - responsible for, among other things, ensuring the reliability and trustworthiness of the agency's personnel - is lumped together organizationally with the agency's information technology division. This potentially made it difficult or confusing for the subdivision's personnel to investigate themselves, the source said.

According to the source, investigators now believe that in the months before his arrest, the data theft suspect displayed warning signs that should have been spotted by his bosses or by security officials.

The source said that the suspect became so disgruntled earlier this year that he stopped showing up for work.

However, according to Swiss news reports, the NDB did not realize that something was amiss until the largest Swiss bank, UBS, expressed concern to authorities about a potentially suspicious attempt to set up a new numbered bank account, which then was traced to the NDB technician.

A Swiss parliamentary committee is now conducting its own investigation into the data theft and is expected to report next spring. Investigators are known to be concerned that the NDB lacks investigative powers, such as to search premises or conduct wiretaps, which are widely used by counter-intelligence investigators in other countries.

(Reporting by Mark Hosenball; Editing by Mark Heinrich)

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NFC East wide open after Redskins top Giants 17-16

LANDOVER, Md. (AP) — There was the fumble by Robert Griffin III that turned into a Washington Redskins touchdown. There was the fumble by teammate Alfred Morris that led to a melee of leg-pulling followed by a kick to the midsection and something dangerously close to a stomp.

The quartet of flawed teams that make up the NFC East sure do make things interesting.

The division title that seemingly belonged to the New York Giants is up for grabs after their 17-16 loss Monday night to the Redskins, who are back in the running thanks to a rookie quarterback and a three-game winning streak.

"We had an opportunity here today," New York coach Tom Coughlin said. "But now there's one team with seven and two teams with six wins. There's four games to go."

That about sums it up.

Now that the Giants (7-5) have lost three of four, the Redskins (6-6) and Cowboys (6-6) are squarely in the hunt despite mediocre records. Washington has dispatched each of its division rivals — Philadelphia, Dallas and now New York — one by one over the last three weeks to recover from a 3-6 start that prompted coach Mike Shanahan to talk about evaluating players for future seasons.

"We know that our backs are against the wall," said Griffin, whose Redskins host Dallas in what they hope will be a meaningful season finale. "And even though we won tonight, our backs are still against the wall."

It'll be hard to count the Redskins out as long as Griffin is on the field. He completed 13 of 21 passes for 163 yards and a go-ahead, 8-yard touchdown to Pierre Garcon in the fourth quarter to finish with a 101.9 passer rating. He also ran for 72 yards to get to 714 for the season, breaking Cam Newton's NFL record for a rookie quarterback.

It was his sixth game with a 100-plus passer rating, his eighth without an interception — and his second in which one of his fumbles turned into a Redskins score.

On the way to the turf after a 12-yard run, Griffin was stripped by Stevie Brown — but the ball flew right to teammate Joshua Morgan 3 yards upfield. Morgan then ran 13 yards for a first-quarter touchdown no one would ever diagram on a whiteboard.

"We didn't run it in practice because we wanted to save it for the game," Griffin said with a grin. "I knew he was going to be there for it. ... Joshua did a good job being in the spot where he was supposed to be."

The game's other fumble was just as chaotic — and a little scary. After Morris was stripped during a third-quarter run, New York defensive tackle Linval Joseph yanked at Redskins center Will Montgomery's leg while players were fighting for the ball in the pile.

Montgomery kicked out in response, a swipe that Joseph said hit him in the groin.

"I was just trying to get my leg loose," Montgomery said.

Joseph then stomped at Montgomery, appearing to pull back at the last second but still making contact.

"It took me everything not to kick him back because I didn't want hurt the team, and I didn't want to get fined and none of that," Joseph said. "I started, then I stopped."

Joseph and a Redskins player were whistled for offsetting unnecessary roughness penalties.

Morris finished with 124 yards, reaching 1,106 for the season to break Reggie Brooks' franchise rookie rushing record of 1,063, set in 1993. Garcon caught eight passes for 106 yards, showing no signs of the painful toe injury that forced him to miss six of the season's first nine games.

Eli Manning completed 20 of 33 passes for 280 yards and a touchdown, and Ahmad Bradshaw ran for 103 yards on 24 carries for the Giants. Victor Cruz, who caught the game-winning score when the teams met in the Meadowlands in October, had five catches for 104 yards.

The Giants moved the ball well, but they only managed three field goals by Lawrence Tynes and one touchdown — Manning's 4-yard pass to Martellus Bennett late in the second quarter.

Tynes also missed a 43-yard field goal, and the Giants were uncharacteristically penalty-prone, getting flagged nine times for 73 yards. New York led 13-10 at the half, but scored only three more points.

"This is not real complicated. I don't know what happened in the second half," Coughlin said. "We certainly didn't come out and play. Penalties. Sloppy football."

NOTES: The Giants had won 26 in a row on the road when holding a halftime lead. They last failed to finish the job in 2006 against Tennessee. ... The Redskins snapped a 10-game home losing streak in Monday night games. ... Shanahan got his 171st win (regular and postseason), tying him with Redskins' Hall of Fame coach Joe Gibbs for 12th all time. ... New York S Tyler Sash left the game with a hamstring injury, and RT Sean Locklear was carted off in the fourth quarter with a knee injury.

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Follow Joseph White on Twitter: http://twitter.com/JGWhiteAP

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“Boardwalk Empire” creator on legalizing drugs and making Nucky likeable again

NEW YORK (TheWrap.com) – The prohibition drama “Boardwalk Empire” wrapped its spectacular third season Sunday night just weeks after the states of Colorado and Washington voted to legalize marijuana.

To “Boardwalk” creator Terence Winter, who has immersed himself in the history of prohibition to research his gangster epic, the votes feel like a move in the right direction.

“It’s great. I think they should legalize drugs in general,” Winter told TheWrap. “The war on drugs is clearly not working, and I think they should take the profit motive out of being a drug dealer. And maybe kids will go to college and do something else.”

Winter, who reassembled his writers a few weeks ago to begin work on the show’s fourth season, talked to us about whether they ever go out of their way to slow down the action, making Nucky Thompson (Steve Buscemi) likable again, and whether things are worse today than they were in the 1920s.

TheWrap: Is ‘Boardwalk’ making a case for drug legalization?

Winter: Well, I think history made it for us with prohibition. We’re just reflecting the reality of how it went down. I’m not trying to bend the reality or the truth of what happened. It clearly didn’t work. I don’t think people were more disposed to drink when alcohol was legal.

Actually, it had the opposite effect. Women didn’t start drinking until prohibition was enacted and college students didn’t start drinking until prohibition was enacted. Leaving the mystery aside might have had a better impact on the country – keeping it legal. In my personal opinion I don’t think making drugs legal would make anybody more likely to become a heroin addict, for example.

This is going to sound strange, but I mean it as a compliment. “Boardwalk” has a way of lulling you into looking at the costumes, and listening to the dialogue, and marveling at how pretty everything is. There are times when I almost want to nod off, it’s so comforting – and then suddenly someone gets set on fire. I feel you’re making a conscious effort to use boredom to really shock us at other times. Do you ever put in a scene that’s deliberately slow?

No, we don’t. I would disagree and say – slow or boring – there is dialogue that needs to be attended to and I think you need to pay attention to what’s going on. The pacing can sometimes be slower than certainly an action scene or a scene with incredible violence. Because we have such wide-ranging characters and such wide-ranging circumstances, some things might seem slower by comparison.

Obviously a scene involving a political figure or Margaret’s storyline, as opposed to something Al Capone is doing, is just by the very nature of it going to feel slow. But no, none of it is done by design.

I mean it in a good way. If you think things are slowing down, they’re not. It’s almost a trick.

The audience is so wide-ranging, too. We have people who can’t stand the violence and they’re much more entertained by the family stuff. One person’s slow is another person’s fascinating.

With the final episodes we got to see Nucky become really likable again. He’s always been generous, but at times he seemed a little too caught up in himself to care about the people around him. Was there an effort to make him a good guy again?

One of the points of this season is that he does get caught up in himself. That all comes home to visit in a big way in episode 11. He doesn’t know anything about Eddie Kessler the guy who works really closely with him. He doesn’t know if he has a family. He doesn’t know Chalky White’s phone number. It becomes apparent that he’s spent way too much time concerned with himself and his own affairs.

If you depict any character honestly, and show all of their colors, you’re going to find something relatable or likeable with anybody. And that’s certainly the truth with Al Capone or Luciano or Tony Soprano or any other famous character.

And certainly Steve Buscemi has an inherent likable quality to him. So when you add that to the mix you can’t help but like the guy.

Imagery is so important to the show, and I feel like at one point this season you did something just because it was gorgeous. When Billie changes her hair color to blonde, was there any reason to do that besides how incredible it looked in the explosion?

Well, she was sort of finally coming to terms with who she really was. That was the episode where she dropped the façade of Billie Kent and told Nucky her real name. She was going through a metamorphosis and that sort of illustrated that a little bit. They were sort of not pretending with each other any more.

Is Billie a natural blonde?

That color wasn’t natural. She wasn’t being Billie Kent that night. She was being the real person underneath. … But I agree it did look great in the explosion. Meg Chambers Steedle, who plays Billie Kent, is absolutely one of those people the camera just falls in love with. Unfortunately the context was terrible. But it was extremely cinematic.

Harrow kind of became the hero of the show this season. His scene of taking down the entire house full of gangsters: Wow. We’ve always been fascinated with the character and for me this season I was more interested in seeing who he is as a person and seeing him take that journey and fall in love and really explore that side of him. Given the way the story was, we knew it would end in violence.

But following the trajectory from the end of season 2, we knew this guy was very loyal to Jimmy and Angela and we knew he would stick around and take care of that kid. And of course Gillian being who she is, it wasn’t going to end well.

Is Gillian kaput at this point? The last time we saw her she was in a heroin daze, and she’s kind of lost everything.

She will be back on the show. She’s certainly still alive.

Is there anybody on the show you think you can’t kill?

Nope. Everybody’s up for grabs and that’s from the top on down. Anything can happen.

We hear so much about how much trouble our country is in. Do you think things are worse than they were in the 1920s?

No, and if anything, reading about how bad things were in the 1920s is strangely comforting in terms of how we think about things today. The level of corruption and the whole idea of going to hell in a hand basket is certainly nothing new. You look back and think, this pales in comparison. I think the more things change the more they stay the same.

TV News Headlines – Yahoo! News

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Fossil fuel subsidies in focus at climate talks

DOHA, Qatar (AP) — Hassan al-Kubaisi considers it a gift from above that drivers in oil- and gas-rich Qatar only have to pay $1 per gallon at the pump.

"Thank God that our country is an oil producer and the price of gasoline is one of the lowest," al-Kubaisi said, filling up his Toyota Land Cruiser at a gas station in Doha. "God has given us a blessing."

To those looking for a global response to climate change, it's more like a curse.

Qatar — the host of U.N. climate talks that entered their final week Monday — is among dozens of countries that keep gas prices artificially low through subsidies that exceeded $500 billion globally last year. Renewable energy worldwide received six times less support — an imbalance that is just starting to earn attention in the divisive negotiations on curbing the carbon emissions blamed for heating the planet.

"We need to stop funding the problem, and start funding the solution," said Steve Kretzmann, of Oil Change International, an advocacy group for clean energy.

His group presented research Monday showing that in addition to the fuel subsidies in developing countries, rich nations in 2011 gave more than $58 billion in tax breaks and other production subsidies to the fossil fuel industry. The U.S. figure was $13 billion.

The Paris-based Organization for Economic Cooperation and Development has calculated that removing fossil fuel subsidies could reduce carbon emissions by more than 10 percent by 2050.

Yet the argument is just recently gaining traction in climate negotiations, which in two decades have failed to halt the rising temperatures that are melting Arctic ice, raising sea levels and shifting weather patterns with impacts on droughts and floods.

In Doha, the talks have been slowed by wrangling over financial aid to help poor countries cope with global warming and how to divide carbon emissions rights until 2020 when a new planned climate treaty is supposed to enter force. Calls are now intensifying to include fossil fuel subsidies as a key part of the discussion.

"I think it is manifestly clear ... that this is a massive missing piece of the climate change jigsaw puzzle," said Tim Groser, New Zealand's minister for climate change.

He is spearheading an initiative backed by Scandinavian countries and some developing countries to put fuel subsidies on the agenda in various forums, citing the U.N. talks as a "natural home" for the debate.

The G-20 called for their elimination in 2009, and the issue also came up at the U.N. earth summit in Rio de Janeiro earlier this year. Frustrated that not much has happened since, European Union climate commissioner Connie Hedegaard said Monday she planned to raise the issue with environment ministers on the sidelines of the talks in Doha.

Many developing countries are positive toward phasing out fossil fuel subsidies, not just to protect the climate but to balance budgets. Subsidies introduced as a form of welfare benefit decades ago have become an increasing burden to many countries as oil prices soar.

"We are reviewing the subsidy periodically in the context of the total economy for Qatar," the tiny Persian gulf country's energy minister, Mohammed bin Saleh al-Sada, told reporters Monday.

Qatar's National Development Strategy 2011-2016 states it more bluntly, saying fuel subsides are "at odds with the aspirations" and sustainability objectives of the wealthy emirate.

The problem is that getting rid of them comes with a heavy political price.

When Jordan raised fuel prices last month, angry crowds poured into the streets, torching police cars, government offices and private banks in the most sustained protests to hit the country since the start of the Arab unrest. One person was killed and 75 others were injured in the violence.

Nigeria, Indonesia, India and Sudan have also seen violent protests this year as governments tried to bring fuel prices closer to market rates.

Iran has used a phased approach to lift fuel subsidies over the past several years, but its pump prices remain among the cheapest in the world.

"People perceive it as something that the government is taking away from them," said Kretzmann. "The trick is we need to do it in a way that doesn't harm the poor."

The International Energy Agency found in 2010 that fuel subsidies are not an effective measure against poverty because only 8 percent of such subsidies reached the bottom 20 percent of income earners.

The IEA, which only looked at consumption subsidies, this year said they "remain most prevalent in the Middle East and North Africa, where momentum toward their reform appears to have been lost."

In the U.S., environmental groups say fossil fuel subsidies include tax breaks, the foreign tax credit and the credit for production of nonconventional fuels.

Industry groups, like the Independent Petroleum Association of America, are against removing such support, saying that would harm smaller companies, rather than the big oil giants.

In Doha, Mohammed Adow, a climate activist with Christian Aid, called all fuel subsidies "reckless and dangerous," but described removing subsidies on the production side as "low-hanging fruit" for governments if they are serious about dealing with climate change.

"It's going to oil and coal companies that don't need it in the first place," he said.

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Associated Press writers Abdullah Rebhy in Doha, Qatar, and Brian Murphy in Dubai, United Arab Emirates, contributed to this report

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Karl Ritter can be reached at www.twitter.com/karl_ritter

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US reacts with joy to royal baby news

WESTPORT, Connecticut (AP) — An heir to the British throne is on the way — and Americans may be as enthralled as the Brits.

This former colony has been riveted by the royal news that the former Kate Middleton is pregnant — perhaps as much as Britain, where such regal developments are taken in stride.

"We don't really have a princess here," said Kathy Gitlin, an elementary school teacher in Connecticut who was thrilled to hear that Kate is with child. "I'm an Anglophile, I love England, and I think it's wonderful that two people in love wanted to get married and start a family. It's great."

There are several reasons for the American public's pleasure in Kate's news, manifested not only by the good wishes sent by President Obama but also by the breathless news coverage and the general good will toward the actually not-so-young young couple, who have both now reached 30.

First, and least complicated, is the fact that Kate seems a likeable and sensible young woman who married one of the world's most eligible bachelors without letting the power, prestige and A-plus jewelry go to her head.

Then there are the long ties between the two countries, so alike and so maddeningly different.

When Americans proudly declared their independence, they swore off sovereign kings and queens forever, yet several centuries later they find themselves drawn to the royals' pomp and pageantry, embracing the more colorful aspects of a system whose substance they had eagerly overthrown.

Finally, hardest to quantify, is the fading, almost ghostly, image of Princess Diana, who died so young. Americans want Diana's sons to flourish, and Kate seems to have made William very, very happy.

"I remember when Diana died, it was such a shock," said Gitlin, 52. "No one can ever take her place, but it's nice to have another person, someone this generation can look up to, and someone who William can love."

There's no doubt that many Britons are thrilled as well, and the country's embattled tabloid press certainly views a royal pregnancy (at Christmastime no less!) as a surefire circulation booster and a welcome diversion from a series of press scandals.

But some on Monday expressed a rather blasé attitude to the prospect of a new generation of Windsors seemingly bound for the throne. In the chill of early evening in north London's Camden market, young couples strolling among the stalls received the news of Kate's pregnancy with a shrug.

"I'm happy for them, but I don't really care," said Enya Lonergan, 19, who was visiting from Canterbury, south of London, with her friend Will Nichols, 20.

They could muster little enthusiasm for the news, noting that they had little in common with the royals, particularly in these bleak economic times.

"I don't think about them," Nichols said, adding that — naturally — he'd send them a gift. Or not.

Others said they were not interested and questioned the need for a royal family in the 21st century.

"I don't think it's a good thing," said Stephen Jowitt, 63, as he ambled down Camden High Street. "It reinforces a class system."

The news did provide a boost to one of Britain's national pastimes — finding new ways to wager money. Bookmakers are now taking bets on the gender of Kate's child, what the infant will be named and the color of his/her hair.

Joe Crilly, a spokesman for the William Hill bookmaker, said a high level of betting interest is expected, with favored names including Diana, Philip, Elizabeth and Sarah.

In America, ABC News even offered a poll, asking people to rate likely baby names.

Baby thoughts have been found in some less-than-fully-credible supermarket tabloids for months. They've been trumpeting "stories" about Kate's pregnancies for months, without any apparent basis in fact.

But that didn't keep the public from gobbling them up — the British royals, with their haughty glamour and slightly tragic air, have long captivated Americans.

"I'm always looking for any news of William and Kate," said 19-year-old Stacy McFacken, a clerk at a grocery store in Mentor, Ohio, in August when a number of tabloids offered screaming headlines about Kate's purported pregnancy.

"There's nothing like this in the States," she said. "It's just like all the fairy tales we read about as kids. We all want to be Kate."

Word of Kate's condition, including her hospitalization for complications, was top news on websites throughout the world. Her condition requires specialist treatment but if diagnosed early, it is unlikely to have long-term consequences for the mother or baby, and does not raise the risk of a miscarriage.

But while the parents might be anxious, world leaders stepped in to wish her well. The news was featured prominently on front pages in Argentina, India, France, South Africa and other countries. It sent Twitter into a tizzy, with the hashtag "royalbaby" trending worldwide and used more than 28,000 times in the first few hours following the official announcement. U.S. media websites such as People, Vanity Fair and the Daily Beast provided extensive coverage, with the Huffington Post launching a live blog to track developments.

"The whole wide world is excited," said Shao Hua Huang, a surgical nurse who practices in New York and Connecticut. "We're really happy for her. It's because of England and all the tradition. We Americans followed in their footsteps."

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Associated Press writers Paisley Dodds, Danica Kirka and Cassandra Vinograd in London contributed to this report.

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Baxter to buy Gambro for $4B

The sign at the headquarters of Baxter International in Deerfield. (Tim Boyle/Getty Images / November 23, 2012)

Reuters

7:07 a.m. CST, December 4, 2012

Baxter International Inc. said on Tuesday that it would buy privately held Swedish dialysis product company Gambro AB for about $4 billion to complement its kidney therapy portfolio.

Baxter will finance the deal, which it expects to close in the first half of 2013, with debt and cash generated from overseas operations.

The company, which posted sales of $13.89 billion in 2011, manufactures kidney dialysis equipment, drug infusion pumps and blood therapy products. The Gambro acquisition will round out Baxter's renal business, which accounts for almost one-fifth of its revenue.

Gambro is one of the largest makers of equipment for hemodialysis, generally performed in a hospital or clinic. The dialysis from Baxter's machines is called peritoneal and can be performed at home.

Excluding special items, Baxter expects this transaction to reduce earnings per diluted share by 10 cents to 15 cents in 2013 and be neutral or add modestly to them in 2014.

Excluding special items and estimated amortization of intangible assets, the company said the deal should not affect earnings in 2013 and add 20 cents to 25 cents a diluted share to them in 2014.

Baxter said it expected the deal to add to earnings per diluted share, excluding special items, after 2014.

The company said it expected over five years to increase its sales by 7 percent to 8 percent, excluding the impact of currency fluctuations, on a compound annual basis, with earnings per diluted share, excluding special items, rising  8 to 10 percent.

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