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Whoops!
Metallica sure angered their fans in India...
The metal rockers were set to play their first ever concert on the subcontinent Friday in the city of Guragon, India. But the show became a no-go when the band announced just prior to concert time that they'd have to postpone until Saturday due to "failure of a security barricade in front of the stage that could not be adequately repaired."
As you can guess, the fans didn't take the news well.
RELATED: Body of Missing Metallica Fan Found on Farm
The band took to their official site, explaining: "We arrived in Delhi on Friday very excited and ready to play our first show ever in India at the F1 Rocks concert. However, immediately at the end of our afternoon press conference at a hotel near the venue, we were notified that there was a serious question as to whether the show could proceed with regard to the safety of the concert audience. And our first and foremost concern is always for the safety of you, the fans."
MORE: Metallica Kicks the Volcano's Ash!
Well, apparently the feeling wasn't mutual as fans seemed unconcerned about their own safety. After the announcement many of the 25,000 concertgoers rushed?and trashed?the stage, destroying instruments and causing injuries to some fans.
Ben Stiller and Eddie Murphy lead the criminal crew. Also this week: "Rock Center" and "Project Runway All Stars" premiere; "Cars 2" drives on to DVD.
MORE: Metallica Makes Mincemeat of Demi Lovato
And the rock 'n' roll chaos didn't stop there, as the rescheduled show the following night also fell through when the band and promoter were reportedly unable to obtain the proper permissions to stage the event.
Now, not only will the band have to issue refunds to all paying customers, but the promoter must pay an additional price as well. NDTV reports that four of the concerts' organizers were arrested on charges of overselling the venue and not telling fans about the cancellations in a timely manner.
Yikes, looks like the show can't always go on!
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(Reuters) ? Shares of Amazon.com Inc fell 13 percent in pre-market trade on Wednesday, a day after the company forecast a disappointing outlook for the current quarter on costs related to Kindle and other investments to grow the company.
Analysts with at least four brokerages, including BofA Merrill Lynch and J.P. Morgan Securities, lowered their price targets on Amazon's stock, as third-quarter results came in below market expectations.
The world's largest Internet retailer had launched its Kindle Fire tablet in September, which is likely to weigh on the fourth-quarter profit, Analyst Ken Sena of Evercore Partners said in a note to clients.
"Fulfillment spending was higher than expected as the company works to expand the number of fulfillment centers and adds selection," Sena added and cut the price target on the stock to $260 from $290.
The company has been spending on support growth, primarily to handle the growth of its main online retail business, and plans to build 17 new fulfillment centers this year.
"Amazon continues to invest in high-growth opportunities at the expense of near-term profits," brokerage Stifel Nicolaus said in a note, while cutting its rating on the stock to $265 from $280.
Shares of Amazon slumped to $197.91 in pre-market trading on Wednesday. They had closed at $227.15 on Tuesday on Nasdaq.
(Reporting by Arpita Mukherjee in Bangalore; Editing by Joyjeet Das)
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Maksim Chmerkovskiy Gets Pissy With Len Goodman On DWTS (VIDEO)
There was a bit of drama last night on “Dancing with the Stars” when professional dancer Maksim Chmerkovskiy became offended by judge Len Goodman’s critique [...]
Maksim Chmerkovskiy Gets Pissy With Len Goodman On DWTS (VIDEO) Stupid Celebrities Gossip Stupid Celebrities Gossip News
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HTC has announced on its official Facebook page that thanks to its recent partnership with cloud storage provider Dropbox, the Dropbox app will come preinstalled on all HTC Android phones. HTC phone owners will also benefit from 5GB of free cloud storage, versus the standard 2GB normally given to free account holders.
Dropbox has previously partnered with Sony Ericsson to bring pre-loaded Dropbox apps to Xperia owners, however unlike the HTC deal, no additional storage is offered on SE devices.
So far it's unclear which HTC legacy devices, if any, will be able to take advantage of the 5GB storage deal. We've reached out to HTC for comment, and we'll update you when they get back to us.
Source: HTC on Facebook
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Ask Bono a tough question and you might get a tougher answer. U2 are about to release their most expansive reissue project yet, for 1991's "Achtung Baby" ? the album where they traded in earnest uplift for funk, noise, sex, irony and self-doubt. So how does this lavish look back square with the band's old lyric "You glorify the past when the future dries up"?
"I'm not so sure the future hasn't dried up," says Bono, who's been irritating his bandmates lately by publicly questioning U2's relevance ? despite the fact that they just finished the highest-grossing tour of all time. "The band are like, 'Will you shut up about being irrelevant?'" he says. But Bono can't help himself ? even though U2 have been in and out of the studio with various producers recently, he raises the possibility that the band may have released its final album. "We'd be very pleased to end on No Line on the Horizon," he says, before acknowledging the unlikelihood of that scenario: "I doubt that."
Bono concedes that revisiting the album where U2 punched themselves out of a tight corner ? after 1988's "Rattle and Hum" movie and album helped convince some music fans they were hopelessly solemn and pompous ? suggested a way forward. "Ironically, being forced to look back at this period reminds me of how we might re-emerge for the next phase," says Bono. "And that doesn't mean that you have to wear some mad welder's goggles or dress up in women's clothing. Reinvention is much deeper than that."
RS readers' poll: The best U2 songs
Life & Style says the actor, 56, and wife Emma Heming, 33, are expecting their first child together.
Moving forward has never been easy for U2, as chronicled in the outtakes, B sides and early versions of "Achtung" songs unearthed for a new box set ? and set forth in moving detail in "From the Sky Down," a documentary about "Achtung Baby's" genesis by "It Might Get Loud" director Davis Guggenheim. The movie, which opened the Toronto International Film Festival, makes it clear that trying to find a new sound led to what the Edge calls "a potentially career-ending series of difficulties." In tracing the creation of "One," the film also reveals that lyrics such as "We're one, but we're not the same" are as much about the band's fraught brotherhood as anything else. "I thought [Achtung Baby] was a really supercool moment in a not always supercool life," Bono says with a laugh, "and [Guggenheim] goes and makes an uncool film about us!"
"Rattle and Hum," and the horn-section-and-B.B.-King-accompanied Lovetown Tour that followed, were U2's rootsiest moment. But for a band whose actual roots were in late-Seventies post-punk, the cowboy hats and denim were starting to chafe. The Edge was listening to My Bloody Valentine, Nine Inch Nails and Einst?rzende Neubauten, while also noting the fusion of rock and dance coming out of Manchester, with groups like the Stone Roses. "I always remember the intense embarrassment when I happened to be in a club and a generous-spirited DJ would put on one of our tunes from the War album," the Edge says. "It was so evident we had never been thinking about how it would go down in clubs. So we just wanted to stretch ourselves in the area of rhythm and backbeat and groove."
Story: U2 honored as 'Greatest Act' in last 25 yearsThe band recorded the bulk of the album in Berlin's Hansa Studios, just as Germany was reunifying ? and as co-producer Brian Eno wrote, aesthetic guidelines soon emerged: "Buzzwords on this record were trashy, throwaway, dark, sexy and industrial." "We found it was more interesting to start from an extreme place," says the Edge.
Hence the buzz-saw guitars that kick off the opening track, "Zoo Station," followed by a blast of Larry Mullen Jr.'s drums distorted almost beyond recognition. "Some of the extreme sounds weren't achieved with sophisticated, outboard equipment, dialed in carefully," says the Edge. Instead, they simply overloaded their vintage recording console. "It was literally, 'What happens if you try to go to 11?'" says the guitarist.
U2 documentary shows band's struggles with 'Achtung Baby'
For the band, rediscovering the wildly different lyrics and arrangements on the early "kindergarten" versions of the songs was revelatory ? "Tryin' to Throw Your Arms Around the World," for instance, sounds like an Irish folk tune. "The first time the paint goes on the canvas is a very, very exciting moment," says Bono. He was intrigued by a line in the early "Who's Gonna Ride Your Wild Horses" that recasts its story as a "parasitic" love affair ("Your innocence I've experienced"), while the Edge is convinced the more restrained vocal melody on that version is superior to the released track.
One of the more intriguing outtakes, "Down All the Days," has the same backing track as "Numb," from U2's 1993 follow-up, Zooropa, with Bono singing an entirely different song. "It's this quite unhinged electronic backing track with a very traditional melody and lyrics," says the Edge. "It almost worked."
Meanwhile, U2's future plans are not set. "It's quite likely you might hear from us next year, but it's equally possible that you won't," says the Edge. Adds Bono, "We have so many [new] songs, some of our best. But I'm putting some time aside to just go and get lost in the music. I want to take my young boys and my wife and just disappear with my iPod Nano and some books and an acoustic guitar."
Copyright 2011 by Rolling Stone.com
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MILAN ? The Italian government and a broad European plan to save the euro were at risk on Tuesday, with Premier Silvio Berlusconi locked in a high-stakes battle with coalition partners to muster support for emergency growth measures demanded by the EU.
Markets are looking to the EU's grand plan ? promised in time for a leaders' summit on Wednesday ? for a turnaround in the debt crisis that will avert a potential global recession.
But it risked being delayed, yet again, as governments failed to agree on details. Berlusconi's government, meanwhile, showed little sign of meeting the EU's demands for reforms, a prerequisite for the grand plan to go ahead.
The summit of EU leaders, meant to be a confidence-building day, risked going down as another failure in Europe's fight to stem its two-year-long debt crisis.
EU officials say they will not present their comprehensive plan if Italy doesn't agree to new economic measures they demanded Sunday. But Berlusconi has so far been unable to get his key ally in parliament, the Northern League, to swallow an increase in pension age. The Northern League says it will alienate their constituency of workers in the productive north.
Northern League leader Umberto Bossi conceded the government is at risk.
"Let's say the situation is difficult, very dangerous," he told reporters in Rome.
Berlusconi has survived scandals, court cases and dozens of confidence votes, but experts say the economic plan he needs to get approved will be one of the most critical tests yet of his grasp on the country's leadership.
"Berlusconi has an immovable object at home which is Bossi and the Northern League, and an unstoppable force abroad which is the European Union, so he's in a very, very difficult position," said James Walston, a political science professor at American University in Rome.
A Cabinet meeting to draft the emergency growth measures ended Monday evening in silence ? a clear indication of discord within the government majority.
The European Union wants Italy to raise its standard pension age from 65 to 67, change the legal system to encourage investment and pass other reforms to improve growth. All are measures that have been talked about for years in successive governments, but there has been little political will to see through the unpopular decisions.
Bossi has said the Northern League will not support any increase in the pension age.
But it's a move that partners like Germany view as critical. Germany is raising its pension age to 67 for anyone born after 1964 and Chancellor Angela Merkel will have a hard time explaining to voters at home why Europe's largest economy should be ready to help countries whose workers retire earlier.
A policy impasse this time could cost Berlusconi his power.
The failure of Berlusconi's majority in parliament to pass a routine measure earlier this month shows just how tenuous his hold on power has become. Berlusconi survived with a vote of confidence, but the impression remained that his government is weaker than ever ? and could fall on any test.
Ratings agencies have cited the government's inaction and failure to draft growth measures as reasons for downgrading Italy's growing debt, now euro1.9 trillion ($2.64 trillion), nearly 120 percent of GDP and the second highest in the eurozone after Greece.
Despite the ratings agencies' lack of faith in Berlusconi, analysts in Italy caution that his ouster could bring months of political deadlock until a new parliament is elected. It would be up to Italy's President Giorgio Napolitano to decide to retain Berlusconi in power pending new elections, or install a technical government, which also would require the cooperation of parliament.
"I believe at this moment, a government crisis would be a disaster, because in the next months we have a huge quantity of debt that needs to be refinanced. A government crisis would destroy the market trust," said Francesco Giavazzi, an economist at Milan's Bocconi University.
The outgoing governor of Italy's central bank, Mario Draghi, has already expressed concern that rising borrowing costs are threatening to eat up a chunk of the euro54 billion in austerity measures approved by parliament last month.
Italy's fate is crucial to the eurozone because it is the bloc's third-largest economy and would be too expensive to rescue.
To avoid that scenario, the EU is working on a three-part plan ? writing off more of Greece's debt, raising ailing European banks' capital levels so they can deal with those losses on Greek bonds, and boosting the bailout fund's powers.
All three measures need to be agreed together in order to work, but it appeared that agreeing on the Greek writedowns and the bailout fund would take longer than expected.
The 10 EU countries that do not use they euro won't sign off on the move to force banks to raise new capital without the other two parts of the plan in place. They insisted to call off a meeting of finance ministers, which was to iron out the technical details of the plan ahead of the leaders' summit later in the day, according to European officials said. The spoke on condition of anonymity because the talks were confidential.
Without the finance ministers' meeting, it is likely that the summit's conclusions will remain vague.
"It's a real mess once again," one of the officials said.
The negotiations over easing Greece's debt load center on talks with banks and other private investors to take losses of as much as 60 percent on their Greek bond holdings. Negotiators for the banks, however, have indicated that they will not accept losses of that magnitude.
Forcing losses onto banks could trigger big payouts of credit insurance and cause huge turbulence in global markets, analysts warn.
At the same time, two schemes to give the euro440 billion ($612 billion) European Financial Stability Facility more firepower ? by using it to guarantee bond issues from shaky countries like Italy and Spain and attract private sector capital ? also still lack detail and broad agreement.
____
Gabriele Steinhauser in Brussels and Eugenio Montesano in Rome contributed to this report.
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BRUSSELS ? True to form, European leaders on Sunday put off the tough decisions needed to save the continent from its debt crisis but promised that a comprehensive plan is still coming.
As they dawdled, the danger was rising in an already high-stakes game.
Leaders of the continent's richest countries had unusually stern words Sunday for Italian Prime Minister Silvio Berlusconi, because many fear his nation could be the next dragged into the debt crisis if it does not make major budget cuts quickly.
That would spell disaster: Europe has rescued three small nations ? Greece, Ireland and Portugal ? but cannot afford to rescue Italy, the eurozone's third largest economy. Analysts say leaders have to act now to eliminate the possibility of Italy's financial collapse.
For weeks it's been clear what the 17 countries that use the euro must do: reduce Greece's debt burden so the country eventually can stand on its own, force banks to raise more money so they can ride out the financial storm that will entail, and show that their European bailout fund is big and nimble enough to prevent larger economies from getting dragged into the crisis.
On Saturday, officials said the leaders were nearing agreement on slashing Greece's debts and strengthening the continent's banks, many of which are awash in Greek bonds.
But Sunday, the only solid detail to emerge from three days of intense talks was that banks will have to raise their capital buffers much faster than they had planned ? by the end of 2012, instead of 2019.
A European official said Saturday the banks would be forced to raise just over euro100 billion ($140 billion) more for their rainy-day funds, but leaders have not given an official figure.
Instead, at a series of news conferences Sunday, all they could do was promise to deliver big at their next summit, called for Wednesday.
"It is a comprehensive package, and the recapitalization of the banks, getting a lasting solution to the Greek debt and what we call the leveraging of the European Financial Stability Facility are the three main parts of that package," said EU President Herman Van Rompuy, who chaired the discussions of the 27 EU leaders. "We are confident that we will get an agreement on Wednesday."
Analysts who have seen this pattern for months couldn't help but be skeptical.
"By failing to agree on anything substantial today, EU leaders may have set themselves up for an even bigger fall," said Sony Kapoor, managing director of the Re-Define think tank. "They owe it to Europe to pull a rabbit out of the hat now, but this seems to be beyond them."
Part of the challenge is that European leaders are unable to decide on anything until everything is in place, since each piece of the puzzle affects the others. The value of Greece's bonds can't be slashed until banks are strengthened ? or at least have confidence they can get help from the rescue fund. But some countries are reluctant to strengthen the fund until they know there's a plan to bring Greek debt under control.
Banks ? which have already agreed to cut the value of their Greek bonds by 21 percent ? are already rumbling at suggestions that they might need to double or nearly triple those losses. But without reducing Greece's debt load, the whole plan does not work.
The eurozone also still needs to work out how to most effectively use Europe's bailout fund to make sure Italy and Spain don't see their borrowing costs spiral out of control, as happened with Greece, Portugal and Ireland.
Officials said leaders had reduced seven different proposals down to two options, which are not mutually exclusive. Both options would essentially use the European Financial Stability Facility to insure investors against a first round of losses on bonds from wobbly countries.
But before that can be done, those countries have to convince their partners in the eurozone that their weakness is only temporary and they can get back into shape soon.
German Chancellor Angela Merkel and French President Nicolas Sarkozy came out with particularly strong words for Italy.
"We made it very clear that Italy is a big and important partner for the euro area and that everything needs to be done to live up to this responsibility," Merkel told reporters after the two met with Berlusconi.
"Trust does not just come from a firewall," she added. "Italy has great economic power but Italy also has a very high overall debt level. And that was to be taken down in the coming years in a credible way."
The stern tone reflected the seriousness of Europe's problems, which have roiled financial markets in recent months and been blamed for slowing economic growth across the globe.
Worst off, of course, is Greece, which is reeling from repeated rounds of budget cuts, job cuts and new taxes that have sparked near-daily strikes and even riots. The country is looking at a fourth year of recession and unemployment has hit a record of 16.5 percent.
"Greece has proven again and again that we are making the necessary decisions to make our economy sustainable," Greek Prime Minister George Papandreou told reporters Sunday. "But it's been proven now that the crisis is not a Greek crisis. The crisis is a European crisis, so now is the time that we as Europeans need to act."
To ease the pressure, banks will be asked to accept much bigger losses on Greek bonds.
Austria's chancellor said the cut in the value of Greek government bonds will likely be raised "in the direction of 40 to 50 percent."
"A cut in the debt is the right step," Werner Faymann told the Austrian newspaper Wiener Kurier.
Despite massive budget cuts and reforms, a new report says Greece's economic situation is still dire and it could take the country decades to emerge from the crisis.
The eurozone has accepted that it will have to provide Greece with tens of billions of euros in extra aid ? on top of euro110 billion ($152 billion) granted in May 2010. But to keep a lid on that amount, banks must go far beyond a preliminary deal reached in July, in which they promised take a cut of 21 percent of their Greek bondholdings.
The near-consensus among eurozone countries that Greece's debt will have to be slashed is one of the reasons banks across Europe ? not only in the 17-country eurozone ? will be forced to shore up their capital buffers in the coming months.
To that end, Sarkozy said the EU will require banks to raise their capital buffers to higher levels by 2012 rather than the 2019 laid out under the Basel III banking rules.
___
Associated Press writers Gabriele Steinhauser, Raf Casert, Slobodan Lekic, Don Melvin and Elena Becatoros contributed to this report.
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It hurts to be left out. This holiday season T-Mobile is the only major wireless carrier in the United States that doesn?t carry the iPhone 4S, and it?s Media Relations team sounds a bit sad. In a press release today vaguely entitled ?STATEMENT: T-Mobile USA 4G Smartphones,? T-Mobile?s Andrew Sherrard sounds a bit mopey. No new products or services were revealed in the statement, which doesn?t seem to have much of a purpose except to put the blame on Apple for T-Mobile not getting the iPhone. It?s like T-Mobile asked Apple to the school formal and was rejected.?
T-Mobile?s 4G smartphones stack up against competitive smartphones in terms of functionality, speed, features offered and overall experience ? including the iPhone 4S. Reports continue of iPhones not operating well on some carrier networks, while our latest 4G smartphones offer many advantages vs. the iPhone 4S:
With our portfolio of Android, Windows, and BlackBerry smartphones, fast 4G network, and competitively priced worry-free unlimited talk, text, and data plans, we believe it?s a great time to be a T-Mobile customer.
T-Mobile is a fine carrier and, as we?ve said, it may have the best lineup of Android phones this holiday season, but it stings not having the iPhone, especially when the bar is so low. I mean, Sprint got it. If T-Mobile is still a carrier in a year, we assume Apple may consider it for the iPhone 6, but it may not if 4G LTE is the focus of the device. Either way, for those who value data and don?t use much voice, T-Mobile has a great $30 prepaid plan out in conjunction with Walmart.?
This article was originally posted on Digital Trends
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WASHINGTON -- The Obama administration and challengers of the president's health care overhaul are pushing for Supreme Court consideration of the law in late March, judging by the speed with which they are filing legal papers.
Parties in a high court case rarely submit legal briefs before their deadline, and often ask for extensions. But this week, the administration, the 26 states that have joined in opposition to the law and the association of small businesses that also wants the law struck down filed their briefs more than a week before they were due.
Having the case argued in March, instead of April, would give the justices an extra month to write their opinions in what is expected to be the most significant Supreme Court case in recent years.
Legal scholars have complained that the justices do not do their best work when faced with resolving complicated legal issues between the final arguments in April and the term's end in late June. The justices themselves have recognized the problem by trying to have more cases argued early in the term and fewer toward the end.
According to the court's normal scheduling practices, the justices probably won't even decide whether to hear the health care case until the middle of November, at the earliest.
___
Justice Antonin Scalia, never one to mince words, had a few choice ones this week for the many groups and scholars that submit briefs in support of one side or the other in cases heard by the court.
"I'm not going to waste my time reading that stuff," Scalia said Tuesday at the Chicago-Kent College of Law in Chicago. "I make my law clerks read it."
Dozens of briefs flow in for the biggest cases, many more than when Scalia first joined the court in 1986. He said most are not very helpful.
Scalia allowed that he reads some friend-of-the-court briefs, as they are called. He listed briefs from the American Civil Liberties Union, the AFL-CIO, lawyers he respects and the federal government.
"I read the government's briefs, no matter how bad," he said.
___
Twenty years have passed since Justice John Paul Stevens sat for his official portrait. But it's a testament to his good health how little he seems to have aged since.
The portrait had been hanging in Chicago but arrived at the court last week for its formal unveiling, attended by many of the justices and dozens of former Stevens law clerks.
By custom, the clerks pitch in to pay for the artwork and it often is painted during a justice's time on the court. But the portrait isn't displayed until the justice leaves the bench.
Stevens, 91, stepped down last year after more than 34 years on the high court, although he still has an office in the building.
The portrait features a sitting Stevens wearing his trademark bow tie. It hangs in a choice spot, between the statue of John Marshall, the great 19th century chief justice who also served 34 years, and the gift shop. That's where Stevens' new book on the five chief justices he has known is for sale.
___
Associated Press writer Sophia Tareen in Chicago contributed to this report.
___
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LOS ANGELES (Reuters) ? Attorneys for Dr. Conrad Murray on Friday challenged a top anesthesiology expert over assumptions he made in a courtroom demonstration on how Murray could have given Michael Jackson a deadly drug infusion.
The cross examination of Dr. Steven Shafer came a day after the expert prosecution witness gave damaging testimony against Murray at his involuntary manslaughter trial in Jackson's 2009 death from an overdose of the drug propofol and sedatives.
Shafer had set up an IV drip system in court to suggest the way in which Murray might have wrongfully infused the powerful anesthetic propofol into the singer. But defense attorneys on Friday disputed whether such a system was ever used.
"You certainly do consider that what you have claimed occurred in this case is an extraordinary claim?" Ed Chernoff, the lead defense attorney, asked Shafer on the witness stand.
"Not at all," Shafer said.
But Chernoff did manage to get Shafer to admit that investigators did not find in Jackson's bedroom a vented IV tube with a plastic spike such as the one Shafer used in his demonstration for jurors.
Shafer testified Murray still could have used one and easily balled up the tube and pocketed it before leaving Jackson's Los Angeles mansion.
Jurors have heard prior testimony that an IV pole, saline bags and propofol vials were among the items found in Jackson's bedroom and closet after he died on June 25, 2009.
Murray has admitted that on the day Jackson died he gave the singer a relatively small dose of 25 milligrams of propofol for sleep. Defense attorneys are challenging the prosecution's argument that Murray could have administered as much as 40 times that amount of the drug afterward through an IV.
Defense attorneys have said Jackson might have given himself an extra, fatal dose of propofol when Murray was out of his bedroom.
Court proceedings on Friday also pointed to a looming duel between Shafer's testimony and what is expected to come from the defense's propofol expert, Dr. Paul White, who is scheduled to take the witness stand next week.
Shafer, a professor at Columbia University, said he considers White a friend, but those bonds of friendship appear to be tested by the Murray trial.
On Friday, Los Angeles Superior Court Judge Michael Pastor scolded White for a media report in which he was quoted as uttering the word "scumbag" in court after a prosecutor aided in Shafer's IV system demonstration on Thursday.
Pastor, who earlier imposed a gag order for lawyers and witnesses in the trial, told White he had no business making those kinds of comments, and set a November 16 hearing for possible sanctions against the defense expert. "Dr. White knows better," Pastor said.
Murray, who has pleaded not guilty, faces a maximum sentence of four years in prison if convicted.
(Editing by Bob Tourtellotte and Todd Eastham)
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WASHINGTON (Reuters) ? A U.S. government-backed medical panel on Wednesday took a cautious view of a new generation of cervical cancer tests, discouraging women under the age of 30 to screen for human papillomavirus as a way to prevent cancer.
In proposing changes to its 2003 guidelines on cervical cancer, the U.S. Preventive Services Task Force (USPSTF) said it still didn't have enough evidence to weight the health benefits and harms of HPV testing in women older than 30.
Overall, the panel maintained that a Pap smear test in women between 21 and 65 years of age "substantially" reduces the number of cervical cancer cases and deaths.
The panel, comprised of primary care physicians who are experts at evidence-based research, is highly influential in setting the tone for primary care practice.
It must weigh the potential benefits of early detection of disease through screenings against the potential harms to healthy patients who may be subjected unnecessarily to more invasive procedures or side-effects.
Earlier this month, the task force came under fire from doctors and cancer patients after recommending against prostate cancer screening in healthy men.
It was the subject of a similar controversy in 2009 after recommending that doctors scale back on routine mammograms in women in their 40s and 50s to prevent breast cancer.
Under President Barack Obama's healthcare overhaul, the services recommended by USPSTF would also have to be covered by insurance companies with no co-pays or deductibles.
On Wednesday, the task force largely aligned with general practice and cancer societies' guidelines on screening for cervical cancer it terms of frequency and age group-specific recommendations.
Maintaining the recommendation of screening women every three years, the panel said it found "little to no benefit" in screening women older than 65 who had been previously tested and no impact on women younger than 21.
Previously, USPSTF's recommendations applied to women of 21 years old or within three years of becoming sexually active.
FALSE POSITIVES
However, USPSTF was more skeptical of HPV testing and so-called "liquid-based" Pap tests, which have largely replaced the conventional Pap smear in the United States.
After reviewing all clinical data available on the subject, the panel recommended against HPV tests, alone or in combination with a Pap, in women under 30, noting that screening for HPV causes more false positive cancer results than the Pap smear alone.
"There are no clinically important differences between liquid-based and conventional cytology" in cervical cancer detection, the task force said. For women over 30, evidence remains insufficient to weigh HPV test harms and benefits.
HPV is a common virus that causes warts, including genital warts. Usually, the immune system clears the infection, but persistent infection with certain strains of HPV leads to cervical cancer in some women.
In recent years, tests for those "high-risk" HPV strains have been developed to help in screening for the disease. A few HPV tests are approved for use, along with Pap tests, for screening women age 30 or older. In younger women, the HPV virus, while common, often clears out on its own.
Every year, about 12,000 U.S. women are diagnosed with cervical cancer and a third of them die from it. HPV, a sexually-transmitted virus, is the most common cause of such cancer, which predominantly strikes middle-aged women.
In a regular Pap, a doctor swabs or scrapes cells from the cervix to examine them under a microscope to find cancer or precancerous changes. Some have raised concerns that the Pap may not be able to detect some cell changes, but the routine test is greatly credited for a steep decline in cervical cancer deaths the United States has seen since the 1950s.
With HPV tests, doctors analyze a swipe of cells for presence of viral DNA. The liquid-based Pap version allows the cervix cells to be used for HPV testing.
"We believe that this type of decision (showing no difference between liquid-based and conventional Pap) could create a stir in the women's health community, given the near complete conversion to liquid-based tests," Capitol Street analyst Ipsita Smolinski wrote in a note ahead of the release.
Makers of liquid-based tests include Hologic Inc and Becton Dickinson & Co, while Qiagen makes the convention Pap smear test.
USPSTF is collecting public comment on the proposed recommendation changes. To see them, see 1.usa.gov/4xXexl.
(Additional reporting by Lily Kuo in Washington; Editing by Michele Gershberg)
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WASHINGTON ? The Veterans of Foreign Wars on Tuesday urged its 2 million members to plead with Congress to spare military and veterans' benefits as a special deficit-cutting panel looks to slash $1.2 trillion from the federal budget.
In a "call to action," the VFW said it opposes any changes to the programs and decried any congressional attempt to balance the budget on the backs of military retirees and disabled veterans. The organization implored members, their families and friends to contact lawmakers immediately.
"It is critical that our voices not be lost in the ongoing budget debate that seems to now equate national service and sacrifice with the size of health care premiums," said Richard L. DeNoyer, a retired Marine and head of the VFW. "The `people programs' inside the (departments) are expensive because it takes people to fight our wars, and with less than 1 percent of our citizens currently in uniform, any degradation of these hard fought-for programs will break faith with those who sacrifice the most."
The plea was prompted by several recommendations to the so-called supercommittee that sent shock waves through the powerful groups of retired officers and veterans. Last Friday, the top Democrat and Republican on the Senate Armed Services Committee suggested that the panel consider some of President Barack Obama's proposed cost-saving changes to health and retirement benefits for the military.
Sens. Carl Levin, D-Mich., and John McCain, R-Ariz., said they would support establishing an annual enrollment fee for TRICARE for Life, the health care program that has no fee for participation. Obama had proposed an initial annual fee of $200.
McCain also urged the supercommittee to consider restricting working-age military retirees and their dependents from enrolling in TRICARE Prime, which has the lowest out-of-pocket expenses. The retirees could still enroll in other TRICARE programs. McCain pointed out that the Congressional Budget Office has estimated that such a move would save $111 billion over 10 years.
Active-duty personnel still would be enrolled in the program automatically.
McCain, who was Obama's rival for the presidency in 2008, also said he supported Obama's proposal for a commission to review military retirement benefits that should consider changes to the military compensation system. He said he agreed with Defense Secretary Leon Panetta, who said those currently serving in the military should be "grandfathered" in, so expected benefits aren't reduced.
Levin also backed creation of a commission, but suggested that it look at all elements of military compensation, including basic pay, allowances such as housing, incentive pay and the tax structure for military pay. He said current service members should be grandfathered in "to avoid breaking faith with the force."
The Pentagon's health care costs have skyrocketed from $19 billion in 2001 to $53 billion, but lawmakers and various groups argue that members of the military and their families sacrifice far more than the average American, with a career that includes long and dangerous deployments overseas that overshadow civilian work. Health and retirement benefits help attract service members to the all-volunteer force.
Asked about the response from groups such as the VFW, McCain said Tuesday in an interview, "They're very worried and we want to assure them that we will protect present beneficiaries."
Another member of the Armed Services Committee, Sen. Lindsey Graham, R-S.C., expressed support for McCain's proposal.
Separately, the top lawmakers on the House and Senate Veterans' Affairs committees also sent a letter to the supercommittee that offered no specific recommendations on cuts but did describe cost-saving steps that Congress and administrations have taken in the past.
"In past times of fiscal restraint, thoughtful and measured areas of budgetary savings found within veterans' programs have advanced on a bipartisan basis," the lawmakers wrote. "We recommend that the Select Committee refer to these lists when making the difficult decisions ahead."
Signing the letter were Reps. Jeff Miller, R-Fla., and Bob Filner, D-Calif., and Sens. Richard Burr, R-N.C., and Patty Murray, D-Wash. Murray is co-chair of the supercommittee. .
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