Tuesday, January 31, 2012

Redefining Autism: Will New DSM-5 Criteria for ASD Exclude Some People?

News | Mind & Brain

Experts call for small and easy changes to the Diagnostic and Statistical Manual, the "bible" of psychiatry, so that everyone with autism spectrum disorder qualifies for a diagnosis


autism-childDIAGNOSING THE DSM: The DSM-5 should sharpen the definition of autism, if the American Psychiatric Association makes a few tweaks in time Image: UrsaHoogle, iStockphoto

People have been arguing about autism for a long time?about what causes it, how to treat it and whether it qualifies as a mental disorder. The controversial idea that childhood vaccines trigger autism also persists, despite the fact that study after study has failed to find any evidence of such a link. Now, psychiatrists and members of the autistic community are embroiled in a more legitimate kerfuffle that centers on the definition of autism and how clinicians diagnose the disorder. The debate is not pointless semantics. In many cases, the type and number of symptoms clinicians look for when diagnosing autism determines how easy or difficult it is for autistic people to access medical, social and educational services.

The controversy remains front and center because the American Psychiatric Association (APA) has almost finished redefining autism, along with all other mental disorders, in an overhaul of a hefty tome dubbed the Diagnostic and Statistical Manual of Mental Disorders (DSM)?the essential reference guide that clinicians use when evaluating their patients. The newest edition of the manual, the DSM-5, is slated for publication in May 2013. Psychiatrists and parents have voiced concerns that the new definition of autism in the DSM-5 will exclude many people from both a diagnosis and state services that depend on a diagnosis.

The devilish confusion is in the details. When the APA publishes the DSM-5, people who have already met the criteria for autism in the current DSM-IV will not suddenly lose their current diagnosis as some parents have feared, nor will they lose state services. But several studies recently published in child psychiatry journals suggest that it will be more difficult for new generations of high-functioning autistic people to receive a diagnosis because the DSM-5 criteria are too strict. Together, the studies conclude that the major changes to the definition of autism in the DSM-5 are well grounded in research and that the new criteria are more accurate than the current DSM-IV criteria. But in its efforts to make diagnosis more accurate, the APA may have raised the bar for autism a little too high, neglecting autistic people whose symptoms are not as severe as others. The studies also point out, however, that minor tweaks to the DSM-5 criteria would make a big difference, bringing autistic people with milder symptoms or sets of symptoms that differ from classic autism back into the spectrum

A new chapter
Autism is a disorder in which a child's brain does not develop typically, and neurons form connections in unusual ways. The major features of autism are impaired social interaction and communication?such as delayed language development, avoiding eye-contact and difficulty making friends?as well as restricted and repetitive behavior, such as repeatedly making the same sound or intense fascination with a particular toy.

The DSM-5 subsumes autistic disorder, Asperger's disorder, childhood disintegrative disorder, and pervasive developmental disorder not otherwise specified (PDD-NOS)?which are all distinct disorders in DSM-IV?into one category called autism spectrum disorder (ASD). The idea is that these conditions have such similar symptoms that they do not belong in separate categories, but instead fall on the same continuum.

Essentially, to qualify for a diagnosis of autistic disorder in DSM-IV, a patient must show at least six of 12 symptoms, which are divided into three groups: deficits in social interaction; deficits in communication; and repetitive and restricted behaviors and interests. In contrast, the DSM-5 divides seven symptoms of ASD into two main groups: deficits in social communication and social interaction; and restricted, repetitive behaviors and interests. (For a closer look at the changes, read the companion piece: "Autism Is Not a Math Problem". You can also compare DSM-IV and DSM-5 criteria for autism on the APA's Web site.)

The APA collapsed the social interaction and communication groups from DSM-IV into one group in the new edition because research in the last decade has shown that the symptoms in these groups almost always appear together. Research and clinical experience has also established that heightened or dulled sensitivity to sensory experiences is a core feature of autism, which is why it appears in DSM-5 but not in the preceding version. The psychiatric community has generally applauded these changes to the criteria for ASD.

What is in question is how many of the DSM-5 criteria a patient must meet to receive a diagnosis?too many and the manual excludes autistic people with fewer or milder symptoms; too few and it assigns autism to people who don't have it. Since the 1980s the prevalence of autism has dramatically increased worldwide, especially in the U.S. where the Centers for Disease Control and Prevention estimates that nine per 1,000 children have been diagnosed with ASD. Many psychiatrists agree that the increase is at least partially explained by loose criteria in DSM-IV.

"If the DSM-IV criteria are taken too literally, anybody in the world could qualify for Asperger's or PDD-NOS," says Catherine Lord, one of the members of the APA's DSM-5 Development Neurodevelopmental Disorders Work Group. "The specificity is terrible. We need to make sure the criteria are not pulling in kids who do not have these disorders."

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Wednesday, January 25, 2012

Woman says US Airways lost husband's ashes

A Pennsylvania widow is on a mission to find her husband's cremated remains after she says his urn disappeared from her checked luggage. WCAU-TV's Byron Scott reports.

By Teresa Masterson and Dan Stamm, WCAU

Angeline O?Grady?s husband, Brian, died from cancer last October.

"He was a great guy -- he doesn't deserve this," O'Grady said.?

On Nov. 1 she was on her way to England to scatter Brian's ashes in his hometown of Hull when the airline lost her husband?s remains, she says.?

O'Grady says Transportation Security Administration officials who told her that she could not take her husband?s ashes, which were in a box, through airport security. Directed to go back to the US Airways counter, O?Grady put the ashes into her checked luggage and had a "Fragile" sticker put on the suitcase, she told NBC Philadelphia.?

She got off the plane and drove to her sister-in-law's home in her husband's hometown.?

"When I opened the baggage and everything the ashes weren't there," O'Grady said.?

The Trumbauersville, Pa. woman says she contacted US Air and her son sent e-mails, but to no avail.?

"We're no further along than the day I discovered they were missing on the second of November," O'Grady said.?

According to e-mails provided by O'Grady's son, the airline received the correspondence and assigned the incident a case number. But the remains were still missing nearly three months after the family says they were lost and they were looking for closure.?

"My kids, everybody's upset and yet US Air just blows us off," said O'Grady.?

US Air told NBC10 they are continuing to investigate the matter and were working with the TSA to figure out what happened. They apologized to the O'Grady's.?

This story originally appeared on nbcphiladelphia.com, the website of Philadelphia's NBC News affiliate, WCAU.

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Tuesday, January 24, 2012

The Arab League to Syria's President: It's Time for You to Go (Time.com)

The epithet that seemed to be perpetually attached to the Arab League was "toothless." On Sunday, however, the organization was baring fangs at Syria. In the absence of a detailed political roadmap from the Syrian opposition, the Arab League presented its own audacious plan, calling on Syrian President Bashar Assad to relinquish power to his vice president who would then form a national unity government within two months ahead of early parliamentary and presidential elections.

The proposal, outlined by Qatari Foreign Minister Hamad bin Jassim Al-Thani in a press conference at the League's headquarters in Cairo, also demands Assad begin a national dialogue with the opposition within two weeks, and that the unity government elect a council within three months of its formation to write a new constitution. "I call on Syrian authorities to accept their responsibilities before God, and their people and the Arab nation," Sheikh Hamad said, after a nearly-five hour meeting of Arab foreign ministers in Cairo. "We know that Syria has entered a period of violence and counter violence." He added that the members of the opposition "are arming to defend themselves." (PHOTOS: Syria's Ongoing Protests)

The Arab League had met to consider a report submitted by Sudanese General Mohammad Ahmad al-Dabi, head of the League's monitoring mission in Syria. The month-long mission, which wrapped up on Thursday, had been tasked with verifying if Assad had implemented a signed agreement with the League to withdraw his tanks and troops from Syria's cities and towns, cease violence, free political prisoners and start a meaningful dialogue with the opposition. A low-level committee had recommended that the League's foreign ministers extend the mission by a month.

But instead of diplomatic politesse, proceedings were thrown into disarray after Saudi Arabia, stepped out of the background role it has played so far in the Syria crisis, to forcefully push for an end to the Syrian government's ferocious crackdown against its opponents. For months, Qatar has taken the lead on Syria. In a move that likely persuaded other countries, especially Gulf states, to take a stronger line against Damascus, Saudi Foreign Minister Prince Saud al-Faisal told his counterparts that his country would withdraw its observers from the much-criticized League monitoring mission in Syria due to the continued shedding of "blood that is dear to us all." (READ: The Crisis in Syria: No Immunity for Bystanders)

Assad had failed to comply with an Arab League plan to end the violence, Prince Saud said, adding that "all possible pressure" should be applied on Damascus to cease a blistering offensive that has claimed well over 5,000 lives in the past 10 months, and according to Syrian rights groups, almost 1,000 since observers first arrived in Syria on Dec. 26. "We are calling on the international community to bear its responsibility, and that includes our brothers in Islamic states and our friends in Russia, China, Europe and the United States," Prince Saud said.

The strong Saudi remarks hardened deep divides within the 22-member Arab League over how to tackle the Syrian problem. Due to the disagreements, the foreign ministers' meeting, originally scheduled for 4 p.m. Cairo time, was delayed for several hours. When it finally convened, the meeting lasted for nearly five hours. The decision to take its initiative to the United Nations Security Council did not receive the support of Algeria, which abstained from supporting that clause; Lebanon, once again in the grip of its larger, stronger neighbor Syria, rejected the pan-Arab deal.

Sheikh Hamad acknowledged that the Saudi stance had influenced its Gulf allies. "Saudi is an important country in the Gulf Cooperation Council," Sheikh Hamad said, referring to the political and economic alliance of six Gulf states. "It is like a father to all of the countries. We have disagreed with it many times, but this is the reality; If there is a clear opinion from the kingdom, the GCC will follow it."

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Qatar reiterated its call for dispatching Arab peacekeeping troops to Syria. Sheikh Hamad said the League had not seriously discussed that proposal, likening such a deployment to that of the so-called Arab Deterrent Force (comprised almost entirely of Syrian forces) dispatched during Lebanon's civil war. That mission ended disastrously when the Syrian military quickly became a party to the Lebanese conflict, rather than a peacekeeper. Still, the mere suggestion of Arab boots on the ground was a clear indication of how forceful the Arab League is prepared to be. Sheikh Hamad said Assad should accept the plan. "I think this is an honorable exit because it is a Syrian-Arab solution."

Arab League secretary general Nabil el-Araby told the joint news conference that he would appoint a special representative to oversee the implementation of the plan and to negotiate between the Syrian government and the opposition. Sheikh Hamad likened the League's roadmap for Syria to that outlined for Yemen. That comparison may cause some Syrians to cringe. It took Yemeni President Ali Abdullah Saleh months or so to sign off on that deal. (Ironically, or perhaps not coincidentally, Saleh left Yemen on Sunday, after months of clinging to power and surviving an assassination attempt that left his hands and parts of his scalp severely burned.) (WATCH: Why They Protest: Egypt, Libya and Syria)

The plan is bold but there is one clear catch: Assad must agree to it, and as El-Araby said, the violence must cease "before the political operation begins." Based on Assad's previous dealings with an Arab League he deeply despises, he may effectively buy time by studying the initiative and providing the veneer of cooperation, while continuing what he has termed his "security solution" to the country's problems. On the other hand, Assad called for a national unity government in his most recent speech. Still, having the condition imposed on him by the League is another matter.

The League's plan makes it clear that the Syrian leader has been sidelined by his peers and has few friends in the region -- other than Iran, the Lebanese militant group Hizballah and the Lebanese government it dominates. Russia and China have shielded Assad from serious censure at the U.N., but the emboldened Arab consensus against Damascus as well as its plan to go to the Security Council formally may put added pressure on Russia and China to let a resolution pass.

The Syrian National Council (SNC), the main umbrella opposition group, welcomed the League's plan. In a late-night press conference following that of the Arab League, SNC leader Burhan Ghalioun said the Arab League's decision makes it clear "that most Arab countries now consider that the regime of Bashar al-Assad is over." El-Araby said that the League's roadmap was not discussed with the SNC. (In what was a long day of dramatic developments, the SNC had earlier called on the League to transfer the Syria file to the Security Council for referral to the International Criminal Court.) (LIST: Top 10 World News Stories of 2011)

The Arab League's new-found audacity, however, wasn't enough for one Syrian journalist present at the news conference. "You haven't listened to the Syrian people. The people want to execute Assad," he demanded of the Qatari foreign minister.

"Who has stopped them?" Sheikh Hamad retorted. "Have we stopped them?"

"You know Assad will reject this," the reporter continued.

"Well, what do you think we should do?" Sheikh Hamad said.

And that is where the drama stands.

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Monday, January 23, 2012

Inside Obama's World: The President talks to TIME About the Changing Nature of American Power (Time.com)

Christopher Morris / VII for TIME

Christopher Morris / VII for TIME

Fareed Zakaria interviews President Obama for TIME in the Oval Office on Jan. 18, 2012

Fareed Zakaria: When we talked when you were campaigning for the presidency, I asked you which Administration?s foreign policy you admired. And you said that you looked at George H.W. Bush?s diplomacy, and I took that to mean the pragmatism, the sense of limits, good diplomacy, as you looked upon it favorably. Now that you are President, how has your thinking evolved?
President Obama: It is true that I?ve been complimentary of George H.W. Bush?s foreign policy, and I continue to believe that he managed a very difficult period very effectively. Now that I?ve been in office for three years, I think that I?m always cautious about comparing what we?ve done to what others have done, just because each period is unique. Each set of challenges is unique. But what I can say is that I made a commitment to change the trajectory of American foreign policy in a way that would end the war in Iraq, refocus on defeating our primary enemy, al-Qaeda, strengthen our alliances and our leadership in multilateral fora and restore American leadership in the world. And I think we have accomplished those principal goals.

Christopher Morris?VII for TIME

We still have a lot of work to do, but if you look at the pivot from where we were in 2008 to where we are today, the Iraq war is over, we refocused attention on al-Qaeda, and they are badly wounded. They?re not eliminated, but the defeat not just of [Osama] bin Laden, but most of the top leadership, the tightening noose around their safe havens, the incapacity for them to finance themselves, they are much less capable than they were back in 2008.

Our alliances with NATO, Japan, South Korea, our close military cooperation with countries like Israel have never been stronger. Our participation in multilateral organizations has been extremely effective. In the United Nations, not only do we have a voice, but we have been able to shape an agenda. And in the fastest-growing regions of the world in emerging markets in the Asia Pacific region, just to take one prominent example, countries are once again looking to the United States for leadership.

That?s not the exact same moment as existed post?World War II. It?s an American leadership that recognizes the rise of countries like China and India and Brazil. It?s a U.S. leadership that recognizes our limits in terms of resources, capacity. And yet what I think we?ve been able to establish is a clear belief among other nations that the United States continues to be the one indispensable nation in tackling major international problems.

(MORE: Read TIME?s Cover Story on Obama, Now Available to Subscribers)

And I think that there is a strong belief that we continue to be a superpower, unique perhaps in the annals of history, that is not only self-interested but is also thinking about how to create a set of international rules and norms that everyone can follow and that everyone can benefit from. So you combine all those changes, the United States is in a much stronger position now to assert leadership over the next century than it was only three years ago.

We still have huge challenges ahead. And one thing I?ve learned over the last three years is that as much as you?d like to guide events, stuff happens and you have to respond. And those responses, no matter how effective your diplomacy or your foreign policy, are sometimes going to produce less-than-optimal results. But our overall trajectory, our overall strategy, I think has been very successful.

Mitt Romney says you are timid, indecisive and nuanced.
Ah, yes.

I particularly like the third one. What do you say?
I think Mr. Romney and the rest of the Republican field are going to be playing to their base until the primary season is over. Once it is, we?ll have a serious debate about foreign policy. I will feel very confident about being able to put my record before the American people and saying that America is safer, stronger and better positioned to win the future than it was when I came into office.

And there are going to be some issues where people may have some legitimate differences, and there are going to be some serious debates, just because they?re hard issues. But overall, I think it?s going to be pretty hard to argue that we have not executed a strategy over the last three years that has put America in a stronger position than it was when I came into office.

Romney says if you are re-elected, Iran will get a nuclear weapon, and if he is elected, it won?t. Will you make a categorical statement like that: If you are re-elected, Iran will not get a nuclear weapon?
I have made myself clear since I began running for the presidency that we will take every step available to prevent Iran from obtaining a nuclear weapon. What I?ve also said is that our efforts are going to be ? Excuse me. When I came into office, what we had was a situation in which the world was divided, Iran was unified, it was on the move in the region. And because of effective diplomacy, unprecedented pressure with respect to sanctions, our ability to get countries like Russia and China ? that had previously balked at any serious pressure on Iran?? to work with us, Iran now faces a unified world community, Iran is isolated, its standing in the region is diminished. It is feeling enormous economic pressure.

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And we are in a position where, even as we apply that pressure, we?re also saying to them, There is an avenue to resolve this, which is a diplomatic path where they forego nuclear weapons, abide by international rules and can have peaceful nuclear power as other countries do, subject to the restrictions of the [Nuclear] Non-Proliferation Treaty.

But the way, the Iranians might see it as that they have made proposals ? the Brazilian-Turkish proposal ? and that they never go anywhere. They aren?t the basis of negotiations.
Yes, I think if you take a look at the track record, the Iranians have simply not engaged in serious negotiations on these issues.

We actually put forward a very serious proposal that would have allowed them to display good faith. They need medical isotopes; there was a way to take out some of their low-enriched uranium so that they could not ? so that there was clarity that they were not stockpiling that to try to upgrade to weapons-grade uranium. In exchange, the international community would provide the medical isotopes that they needed for their research facility. And they delayed and they delayed, and they hemmed and they hawed, and then when finally the Brazilian-Indian proposal was put forward, it was at a point where they were now declaring that they were about to move forward on 20% enriched uranium, which would defeat the whole purpose of showing good faith that they weren?t stockpiling uranium that could be transformed into weapons-grade.

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So, not to get too bogged down in the details, the point is that the Iranians have a very clear path where they say, We?re not going to produce weapons, we won?t stockpile material that can be used for weapons. The international community then says, We will work with you to develop your peaceful nuclear energy capacity, subject to the kinds of inspections that other countries have agreed to in the past. This is not difficult to do. What makes it difficult is Iran?s insistence that it is not subject to the same rules that everybody else is subject to.

Suppose that with all this pressure you have been able to put on Iran, and the economic pressure, suppose the consequence is that the price of oil keeps rising, but Iran does not make any significant concession. Won?t it be fair to say the policy will have failed?
It is fair to say that this isn?t an easy problem, and anybody who claims otherwise doesn?t know what they?re talking about. Obviously, Iran sits in a volatile region during a volatile period of time, and their own internal conflicts makes it that much more difficult, I think, for them to make big strategic decisions. Having said that, our goal consistently has been to combine pressure with an opportunity for them to make good decisions and to mobilize the international community to maximize that pressure.

Can we guarantee that Iran takes the smarter path? No. Which is why I have repeatedly said we don?t take any options off the table in preventing them from getting a nuclear weapon. But what I can confidently say, based on discussions that I?ve had across this government and with governments around the world, is that of all the various difficult options available to us, we?ve taken the one that is most likely to accomplish our goal and one that is most consistent with America?s security interest.

When you look at Afghanistan over the past three years ? the policies you?ve adopted ? would it be fair to say that the counterterrorism part of the policy, the killing bad guys, has been a lot more successful than the counterinsurgency, the stabilizing of vast aspects of the country, and that going forward, you should really focus in on that first set of policies?
Well, what is fair to say is that the counterterrorism strategy as applied to al-Qaeda has been extremely successful. The job is not finished, but there?s no doubt that we have severely degraded al-Qaeda?s capacity.

When it comes to stabilizing Afghanistan, that was always going to be a more difficult and messy task, because it?s not just military ? it?s economic, it?s political, it?s dealing with the capacity of an Afghan government that doesn?t have a history of projecting itself into all parts of the country, tribal and ethnic conflicts that date back centuries. So we always recognized that was going to be more difficult.

Now, we?ve made significant progress in places like Helmand province and in the southern portions of the country. And because of the cohesion and effectiveness of coalition forces, there are big chunks of Afghanistan where the Taliban do not rule, there is increasingly effective local governance, the Afghan security forces are beginning to take the lead. And that?s all real progress.

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But what is absolutely true is that there are portions of the country where that?s not the case, where local governance is weak, where local populations still have deep mistrust of the central government. And part of our challenge over the next two years as we transition to Afghan forces is to continue to work with the Afghan government so that it recognizes its responsibilities not only to provide security for those local populations but also to give them some credible sense that the local government ? or the national government is looking out for them, and that they?re going to be able to make a living and they?re not going to be shaken down by corrupt police officials and that they can get products to market. And that?s a long-term process.

I never believed that America could essentially deliver peace and prosperity to all of Afghanistan in a three-, four-, five-year time frame. And I think anybody who believed that didn?t know the history and the challenges facing Afghanistan. I mean, this is the third poorest country in the world, with one of the lowest literacy rates and no significant history of a strong civil service or an economy that was deeply integrated with the world economy. It?s going to take decades for Afghanistan to fully achieve its potential.

What we can do, and what we are doing, is providing the Afghan government the time and space it needs to become more effective, to serve its people better, to provide better security, to avoid a repetition of all-out civil war that we saw back in the ?90s. And what we?ve also been able to do, I think, is to maintain a international coalition to invest in Afghanistan long beyond the point when it was politically popular to do so.

But ultimately, the Afghans are going to have to take on these responsibilities and these challenges, and there will be, no doubt, bumps in the road along the way.

From the perspective of our security interests, I think we can accomplish our goal, which is to make sure that Afghanistan is not a safe haven from which to launch attacks against the United States or its allies. But the international community ? not just us; the Russians and the Chinese and the Indians and the Pakistanis and the Iranians and others ? I think all have an interest in making sure that Afghanistan is not engulfed in constant strife, and I think that?s an achievable goal.

As the Chinese watched your most recent diplomacy in Asia, is it fair for them to have looked at the flurry of diplomatic activity ? political, military, economic ? and concluded, as many Chinese scholars have, that the United States is building a containment policy against China?
No, that would not be accurate, and I?ve specifically rejected that formulation.

I think what would be fair to conclude is that, as I said we would do, the United States has pivoted to focus on the fastest-growing region of the world, where we have an enormous stake in peace, security, the free flow of commerce and, frankly, an area of the world that we had neglected over the last decade because of our intense focus on Iraq, Afghanistan and the Middle East.

So if you look at what we?ve done, we?ve strengthened our alliances with Japan and South Korea ? I think they?re in as good of shape as they?ve ever been. We have involved ourselves in the regional architecture of ? including organizations like ASEAN and APEC. We?ve sent a clear signal that we are a Pacific power and we will continue to be a Pacific power, but we have done this all in the context of a belief that a peacefully rising China is good for everybody.

One of the things we?ve accomplished over the last three years is to establish a strong dialogue and working relationship with China across a whole range of issues. And where we have serious differences, we?ve been able to express those differences without it spiraling into a bad place.

I think the Chinese government respects us, respects what we?re trying to do, recognizes that we?re going to be players in the Asia Pacific region for the long term, but I think also recognize that we have in no way inhibited them from continuing their extraordinary growth. The only thing we?ve insisted on, as a principle in that region is, everybody?s got to play by the same set of rules, everybody?s got to abide by a set of international norms. And that?s not unique to China. That?s true for all of us.

But do you think they?re not?
Well, I think that when we?ve had some friction in the relationship, it?s because China, I think, still sees itself as a developing or even poor country that should be able to pursue mercantilist policies that are for their benefit and where the rules applying to them shouldn?t be the same rules that apply to the United States or Europe or other major powers.

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And what we?ve tried to say to them very clearly is, Look, you guys have grown up. You?re already the most populous country on earth, depending on how you measure it, the largest or next-largest economy in the world and will soon be the largest economy, almost inevitably. You are rapidly consuming more resources than anybody else. And in that context, whether it?s maritime issues or trade issues, you can?t do whatever you think is best for you. You?ve got to play by the same rules as everybody else.

I think that message is one that resonates with other Asia Pacific countries, all of whom want a good relationship with China, all of whom are desperately seeking access to China?s markets and have forged enormous commercial ties, but who also recognize that unless there are some international norms there, they?re going to get pushed around and taken advantage of.

You think it?s inevitable that China will be the largest economy in the world? It?s now the second largest, even on PPP.
Well, they are ? assuming that they maintain stability and current growth patterns, then, yes, it?s inevitable. Even if they slow down somewhat, they?re so large that they?d probably end up being, just in terms of the overall size of the economy, the largest.

But it?s doubtful that any time in the near future they achieve the kind of per capita income that the United States or some of the other highly developed countries have achieved. They?ve just got a lot of people, and they?re moving hundreds of millions of people out of poverty at the same time.

You have developed a reputation for managing your foreign policy team very effectively, without dissention. So how come you can manage this fairly complex process so well, and relations with Congress are not so good?
Well, in foreign policy, the traditional saying is, Partisan differences end at the water?s edge, that there is a history of bipartisanship in foreign policy.

Now, obviously, there were huge partisan differences during the Bush years and during the Iraq war. But I do think there?s still a tradition among those who work in foreign policy, whether it?s our diplomatic corps or our military or intelligence services, that says our focus is on the mission, our focus is on advancing American interests, and we?re going to make decisions based on facts and analysis and a clear-eyed view of the world, as opposed to based on ideology or what?s politically expedient.

And so when I?m working with my foreign policy team, there?s just not a lot of extraneous noise. There?s not a lot of posturing and positioning and ?How?s this going to play on cable news?? and ?Can we score some points here?? That whole political circus that has come to dominate so much of Washington applies less to the foreign policy arena, which is why I could forge such an effective working relationship and friendship with Bob Gates, who comes out of that tradition, even though I?m sure he would?ve considered himself a pretty conservative, hawkish Republican. At least that was where he was coming out of. I never asked him what his current party affiliation was, because it didn?t matter. I just knew he was going to give me good advice.

But have you been able to forge similar relationships with foreign leaders? Because one of the criticisms people make about your style of diplomacy is that it?s very cool, it?s aloof, that you don?t pal around with these guys.
I wasn?t in other Administrations, so I didn?t see the interactions between U.S. Presidents and various world leaders. But the friendships and the bonds of trust that I?ve been able to forge with a whole range of leaders is precisely, or is a big part of, what has allowed us to execute effective diplomacy.

I think that if you ask them, Angela Merkel or Prime Minister Singh or President Lee or Prime Minister Erdogan or David Cameron would say, We have a lot of trust and confidence in the President. We believe what he says. We believe that he?ll follow through on his commitments. We think he?s paying attention to our concerns and our interests. And that?s part of the reason we?ve been able to forge these close working relationships and gotten a whole bunch of stuff done.

You just can?t do it with John Boehner.
You know, the truth is, actually, when it comes to Congress, the issue is not personal relationships. My suspicion is that this whole critique has to do with the fact that I don?t go to a lot of Washington parties. And as a consequence, the Washington press corps maybe just doesn?t feel like I?m in the mix enough with them, and they figure, well, if I?m not spending time with them, I must be cold and aloof.

The fact is, I?ve got a 13-year-old and 10-year-old daughter, and so, no, Michelle and I don?t do the social scene, because as busy as we are, we have a limited amount of time, and we want to be good parents at a time that?s vitally important for our kids.

In terms of Congress, the reason we?re not getting enough done right now is you?ve got a Congress that is deeply ideological and sees a political advantage in not getting stuff done. John Boehner and I get along fine. We had a great time playing golf together. That?s not the issue. The problem was that no matter how much golf we played or no matter how much we yukked it up, he had trouble getting his caucus to go along with doing the responsible thing on a whole bunch of issues over the past year.

You talked a lot about how foreign policy ultimately has to derive from American strength, and so when I talk to businessmen, a lot of them are dismayed that you have not signaled to the world and to markets that the U.S. will get its fiscal house in order by embracing your deficit commission, the Simpson-Bowles. And that walking away from that,which is a phrase I?ve heard a lot, has been a very bad signal to the world. Why won?t you embrace Simpson-Bowles?
I?ve got to say, most of the people who say that, if you asked them what?s in Simpson-Bowles, they couldn?t tell you. So first of all, I did embrace Simpson-Bowles. I?m the one who created the commission. If I hadn?t pushed it, it wouldn?t have happened, because congressional sponsors, including a whole bunch of Republicans, walked away from it.

The basic premise of Simpson-Bowles was, we have to take a balanced approach in which we have spending cuts and we have revenues, increased revenues, in order to close our deficits and deal with our debt. And although I did not agree with every particular that was proposed in Simpson-Bowles ? which, by the way, if you asked most of the folks who were on Simpson-Bowles, did they agree with every provision in there?, they?d say no as well.

What I did do is to take that framework and present a balanced plan of entitlement changes, discretionary cuts, defense cuts, health care cuts as well as revenues and said, We?re ready to make a deal. And I presented that three times to Congress. So the core of Simpson-Bowles, the idea of a balanced deficit-reduction plan, I have consistently argued for, presented to the American people, presented to Congress.

There wasn?t any magic in Simpson-Bowles. They didn?t have some special sauce or formula that avoided us making these tough choices. They?re the same choices that I?ve said I?m prepared to make. And the only reason it hasn?t happened is the Republicans were unwilling to do anything on revenue. Zero. Zip. Nada.

The revenues that we were seeking were far less than what was in Simpson-Bowles. We?ve done more discretionary cuts than was called for in Simpson-Bowles. The things that supposedly would be harder for my side to embrace we?ve said we?d be willing to do. The whole half of Simpson-Bowles that was hard ideologically for the Republicans to embrace they?ve said they?re not going to do any of them.

So this notion that the reason that it hasn?t happened is we didn?t embrace Simpson-Bowles is just nonsense. And by the way, if you talk to some of these same business leaders who say, Well, he shouldn?t have walked away from Simpson-Bowles, and you said, Well, are you prepared to kick capital gains and dividends taxation up to ordinary income ?

? which is what Simpson-Bowles ?
? which is what Simpson-Bowles called for, they would gag. There?s not one of those business leaders who would accept a bet. They?d say, Well, we embrace Simpson-Bowles except for that part that would cause us to pay a lot more.

And in terms of the defense cuts that were called for in Simpson-Bowles, they were far deeper than even what would have been required if the sequester goes through, and so would have not been a responsible pathway for us to reduce our deficit spending. Now, that?s not the fault of Simpson-Bowles. What they were trying to do was provide us a basic framework, and we took that framework, and we have pushed it forward.

And so there should be clarity here. There?s no equivalence between Democratic and Republican positions when it comes to deficit reduction. We?ve shown ourselves to be serious. We?ve made a trillion dollars worth of cuts already. We?ve got another $1.5 trillion worth of cuts on the chopping blocks. But what we?ve also said is, in order for us to seriously reduce the deficit, there?s got to be increased revenue. There?s no way of getting around it. It?s basic math. And if we can get any Republicans to show any serious commitment ? not vague commitments, not ?We?ll get revenues because of tax reform somewhere in the future, but we don?t know exactly what that looks like and we can?t identify a single tax that we would allow to go up? ? but if we can get any of them who are still in office, as opposed to retired, to commit to that, we?ll be able to reduce our deficit.

Now, to your larger point, you?re absolutely right. Our whole foreign policy has to be anchored in economic strength here at home. And if we are not strong, stable, growing, making stuff, training our workforce so that it?s the most skilled in the world, maintaining our lead in innovation, in basic research, in basic science, in the quality of our universities, in the transparency of our financial sector, if we don?t maintain the upward mobility and equality of opportunity that underwrites our political stability and makes us a beacon for the world, then our foreign policy leadership will diminish as well.

Can we do that in a world with so much competition from so many countries? One of the things you do hear people say is, You know, we have all this regulation. You?re trying to make America more competitive, but you?ve got Dodd-Frank, you?ve got health care. There?s all this new regulation. And in that context, are we going to be able to be competitive, to attract investment, to create jobs?
Absolutely. Look, first of all, with respect to regulation, this whole notion that somehow there?s been this huge tidal wave of regulation is not true, and we can provide you the facts. Our regulations have a lower cost than the comparable regulations under the Bush Administration; they have far higher benefits.

We have engaged in a unprecedented regulatory look-back, where we?re weeding out and clearing up a whole bunch of regulations that were outdated and outmoded, and we?re saving businesses billions of dollars and tons of paperwork and man-hours that they?re required to fill out a bunch of forms that aren?t needed. So our regulatory track record actually is very solid.

I just had a conference last week where we had a group of manufacturing companies ? some service companies as well ? that are engaging in insourcing. They?re bringing work back to the United States and plants back to the United States, because as the wages in China and other countries begin to increase, and U.S. worker productivity has gone way up, the cost differential for labor has significantly closed.

And what these companies say is, as long as the United States is still investing in the best infrastructure in the world, the best education system in the world, is training enough skilled workers and engineers and is creating a stable platform for businesses to succeed and providing us with certainty, there?s no reason why America can?t be the most competitive advanced economy in the world.

But that requires us to continue to up our game and do things better and do things smart. We?ve started that process over the last three years. We?ve still got a lot more work to do, because we?re reversing decade-long trends where our education system didn?t keep pace with the improvements that were taking place in other countries; where other countries started to invest more in research and development, and we didn?t up our game; where our infrastructure began to deteriorate at a time when other countries were investing in their infrastructure; and, frankly, where we have gotten bogged down politically in ways that don?t allow us to take strong, decisive action on issues in ways that we?ve been able to do in the past.

And so my whole goal in the last three years and my goal over the next five years is going to be to continue to chip away at these things that are holding us back. And I?m absolutely confident there?s no problem that America is facing right now that we can?t solve, as long we?re working together. That?s our job.

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Bodum Bistro Drip Coffee Maker: It?s Not Bitter

Danish kitchenware supremo Bodum has granted itself a do-over on the worst machine in your kitchen: the coffee-embittering drip machine. The new Bistro is a cross between old-school percolator and currently-fashionable pour-over coffee. And for convenience, it looks hard to beat. When you wake up, you head–like any rational human–to the kitchen to make coffee. [...]

Source: http://feedproxy.google.com/~r/GearFactor/~3/p1pxhS7emBw/

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Saturday, January 21, 2012

After protest, Congress puts off movie piracy bill

Megaupload.com employees Bram van der Kolk, also known as Bramos, left, Finn Batato,second from left, Mathias Ortmann and founder, former CEO and current chief innovation officer of Megaupload.com Kim Dotcom (also known as Kim Schmitz and Kim Tim Jim Vestor), right, appear in North Shore District Court in Auckland, New Zealand, Friday, Jan. 20, 2012. The four appeared in court in relation to arrests made to Megaupload.com, which is linked to a U.S. investigation into international copyright infringement and money laundering. (AP Photo/Greg Bowker, New Zealand Herald) NEW ZEALAND OUT, AUSTRALIA OUT

Megaupload.com employees Bram van der Kolk, also known as Bramos, left, Finn Batato,second from left, Mathias Ortmann and founder, former CEO and current chief innovation officer of Megaupload.com Kim Dotcom (also known as Kim Schmitz and Kim Tim Jim Vestor), right, appear in North Shore District Court in Auckland, New Zealand, Friday, Jan. 20, 2012. The four appeared in court in relation to arrests made to Megaupload.com, which is linked to a U.S. investigation into international copyright infringement and money laundering. (AP Photo/Greg Bowker, New Zealand Herald) NEW ZEALAND OUT, AUSTRALIA OUT

This undated image obtained by The Associated Press shows the homepage of the website Megaupload.com. Federal prosecutors in Virginia have shut down one of the world's largest file-sharing sites, Megaupload.com, and charged its founder and others with violating piracy laws. (AP Photo)

(AP) ? Caving to a massive campaign by Internet services and their millions of users, Congress indefinitely postponed legislation Friday to stop online piracy of movies and music costing U.S. companies billions of dollars every year. Critics said the bills would result in censorship and stifle Internet innovation.

The demise, at least for the time being, of the anti-piracy bills was a clear victory for Silicon Valley over Hollywood, which has campaigned for a tougher response to online piracy. The legislation also would cover the counterfeiting of drugs and car parts.

Congress' qualms underscored how Internet users can use their collective might to block those who want to change the system.

The battle over the future of the Internet also played out on a different front Thursday when a loose affiliation of hackers known as "Anonymous" shut down Justice Department websites for several hours and hacked the site of the Motion Picture Association of America after federal officials issued an indictment against Megaupload.com, one of the world's biggest file-sharing sites.

The site of the Hong Kong-based company was shut down, and the founder and three employees were arrested in New Zealand on U.S. accusations that they facilitated millions of illegal downloads of films, music and other content, costing copyright holders at least $500 million in lost revenue. New Zealand police raided homes and businesses linked to the founder, Kim Dotcom, on Friday and seized guns, millions of dollars and nearly $5 million in luxury cars, officials there said.

In the U.S., momentum against the Senate's Protect Intellectual Property Act and the House's Stop Online Piracy Act, known popularly as PIPA and SOPA, grew quickly on Wednesday when the online encyclopedia Wikipedia and other Web giants staged a one-day blackout and Google organized a petition drive that attracted more than 7 million participants.

That day alone, at least six senators who had co-sponsored the Senate legislation reversed their positions. House Speaker John Boehner, R-Ohio, in statements at the time and again on Friday, stressed that more consensus-building was needed before the legislation would be ready for a vote.

On Friday, Senate Majority Leader Harry Reid, D-Nev., said he was postponing a test vote set for Tuesday "in light of recent events." House Judiciary Committee Chairman Lamar Smith, R-Texas, followed suit, saying consideration of a similar House bill would be postponed "until there is wider agreement on a solution."

With opposition mounting, it was unlikely that Reid would have received the 60 votes needed to advance the legislation to the Senate floor.

The two bills would allow the Justice Department, and copyright holders, to seek court orders against foreign websites accused of copyright infringement. The legislation would bar online advertising networks and payment facilitators such as credit card companies from doing business with an alleged violator. They also would forbid search engines from linking to such sites.

The chief Senate sponsor, Judiciary Committee Chairman Patrick Leahy, D-Vt., cited estimates that copyright piracy costs the American economy more than $50 billion annually and that global sales of counterfeit goods via the Internet reached $135 billion in 2010. He and Smith insist that their bills target only foreign criminals and that there is nothing in them to require websites, Internet service providers, search engines or others to monitor their networks.

That didn't satisfy critics who said the legislation could force Internet companies to pre-screen user comments or videos, burden new and smaller websites with huge litigation costs and impede new investments.

The White House, while not taking a specific stand on the bills, last week said it would "not support any legislation that reduces freedom of expression ... or undermines the dynamic, innovative global Internet." On Friday, White House spokesman Jay Carney said online piracy is an issue that has to be addressed, "but everybody has to be in on it for it to work and get through Congress."

The scuttling, for now, of PIPA and SOPA frustrates what might have been one of the few opportunities to move significant legislation in an election year where the two parties have little motivation to cooperate.

Until recently "you would have thought this bill was teed up," with backing from key Senate leaders and support from powerful interest groups, said Sen. Jerry Moran, R-Kan., who cosponsored the original bill but quickly dropped his backing on the grounds the bill could undermine innovation and Internet freedom.

Moran said the "uprising" of so many people with similar concerns was a "major turnaround, and in my experience it is something that has happened very rarely."

Moran said PIPA and SOPA now have "such a black eye" that it will be difficult to amend them. Reid, however, said that there had been progress in recent talks among the various stakeholders and "there is no reason that the legitimate issues raised by many about this bill cannot be resolved."

Jeff Chester, executive director for the Center for Digital Democracy, a consumer protection and privacy advocacy group, said Google and Facebook and their supporters "have delivered a powerful blow to the Hollywood lobby." He predicted a compromise that doesn't include what many see as overreaching provisions in the current legislation.

"It's been framed as an Internet freedom issue, but at the end of the day it will be decided on the narrow interests of the old and new media companies," he said. The big questions involve who should or shouldn't pay ? or be paid ? for Internet content.

Leahy said he respected Reid's decision to postpone the vote but lamented the Senate's unwillingness to debate his bill.

"The day will come when the senators who forced this move will look back and realize they made a knee-jerk reaction to a monumental problem," Leahy said. Criminals in China, Russia and other countries "who do nothing but peddle in counterfeit products and stolen American content are smugly watching how the United States Senate decided" it was not worth taking up the bill, he said.

In the House, Smith said he had "heard from the critics" and resolved that it was "clear that we need to revisit the approach on how best to address the problem of foreign thieves that steal and sell American inventions and products." Smith had planned on holding further committee votes on his bill next month.

The bill's opponents were relieved it was put on hold.

Markham Erickson, executive director of NetCoalition, commended Congress for "recognizing the serious collateral damage this bill could inflict on the Internet."

The group represents Internet and technology companies including Google, Yahoo and Amazon.com. Erickson said they would work with Congress "to address the problem of piracy without compromising innovation and free expression."

Rep. Darrell Issa, R-Calif., who has joined Sens. Ron Wyden, D-Ore., and Moran in proposing an alternative anti-piracy bill, credited opponents with forcing lawmakers "to back away from an effort to ram through controversial legislation."

But the CEO of the Motion Picture Association of America, former Connecticut Democratic Sen. Chris Dodd, warned, "As a consequence of failing to act, there will continue to be a safe haven for foreign thieves." The MPAA, which represents such companies as Walt Disney Studios Motion Pictures, Twentieth Century Fox Film Corporation and Warner Bros. Entertainment Inc., is a leading advocate for the anti-piracy legislation.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/495d344a0d10421e9baa8ee77029cfbd/Article_2012-01-20-Internet%20Piracy/id-3a3f0e77f86848778d3563278ce4e9e2

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Woman with ship captain defends his actions

People view the cruise ship Costa Concordia as it lays on its side after running aground off the tiny Tuscan island of Giglio, Italy, Thursday, Jan. 19, 2012. Divers have resumed the search for 21 people still missing after a cruise ship capsized off the Tuscan coast. The $450 million Costa Concordia cruise ship was carrying more than 4,200 passengers and crew when it slammed into a reef Friday, Jan.16, after the captain made an unauthorized maneuver. (AP Photo/Gregorio Borgia)

People view the cruise ship Costa Concordia as it lays on its side after running aground off the tiny Tuscan island of Giglio, Italy, Thursday, Jan. 19, 2012. Divers have resumed the search for 21 people still missing after a cruise ship capsized off the Tuscan coast. The $450 million Costa Concordia cruise ship was carrying more than 4,200 passengers and crew when it slammed into a reef Friday, Jan.16, after the captain made an unauthorized maneuver. (AP Photo/Gregorio Borgia)

italian Firefighters prepare to approach the cruise ship Costa Concordia, in the background, as it leans on its side after running aground the tiny Tuscan island of Giglio, Italy, Thursday, Jan. 19, 2012. The $450 million Costa Concordia cruise ship was carrying more than 4,200 passengers and crew when it slammed into a reef Friday, Ja.16, after the captain made an unauthorized maneuver. The death toll stands at 11, with 22 people still missing.(AP Photo/Gregorio Borgia)

In this photo taken on Saturday, Jan. 14, 2012, and made available Wednesday, Jan. 18, 2012, Francesco Schettino, right, the captain of the luxury cruise ship Costa Concordia, which ran aground Friday off the tiny Tuscan island of Isola del Giglio, is taken into custody by Carabinieri in Porto Santo Stefano, Italy. Schettino, released on Tuesday, and currently under house arrest in his hometown of Meta di Sorrento, southern Italy, is being investigated for possible manslaughter charges and abandoning the ship. (AP Photo/Giacomo Aprili)

This undated photo provided Monday, Jan. 16, 2012 by the St. Piux X Catholic Church directory in White Bear Lake, Minn. shows Jerry and Barbara Heil. The Heils are among those still missing after a cruise ship hit a reef off the west coast of Italy late Friday, Jan. 13, 2012 following an unauthorized maneuver by the captain. (AP Photo/St. Pius X Church Directory Photo, Olan Mills Studios)

Map locates cruise ship path and previous path

(AP) ? A young Moldovan woman who translated evacuation instructions from the bridge after the Costa Concordia ran into a reef emerged as a potential new witness Thursday in the investigation into the captain's actions on that fateful night.

Italian media have said prosecutors want to interview 25-year-old Dominica Cermotan, who had worked for Costa as a hostess fluent in several languages but was not on duty when she boarded the ship Jan. 13 in the Italian port of Civitavecchia.

The $450 million Costa Concordia was carrying more than 4,200 passengers and crew when it slammed into well-marked rocks off the Tuscan island of Giglio on Jan. 13 after the captain made an unauthorized diversion from his programmed route. The ship then keeled over on its side and is still half-submerged nearly a week later.

In interviews with Moldovan media and on her own Facebook page, Cermotan said she was called up to the bridge of the Concordia after it struck the reef to translate evacuation instructions for Russian passengers. She defended Capt. Francesco Schettino, who has been vilified in the Italian media for leaving his ship before everyone was evacuated safely.

"He did a great thing, he saved over 3,000 lives," she told Moldova's Jurnal TV.

Schettino, who was jailed after he left the ship, is under house arrest, facing possible charges of manslaughter, causing a shipwreck and abandoning his ship.

Eleven people have been confirmed dead in the disaster and 21 others are still missing.

Divers searched for the missing Thursday after a day-long break and a new audiotape emerged of the Concordia's first communication with port officials who inquired about what was wrong. In the tape, an officer insists the ship had only experienced an electrical blackout ? comments that came a full 30 minutes after the ship had rammed violently into the reef.

Italian media reported the officer on the call was Schettino, but that could not be independently confirmed.

Cermotan said on her Facebook page that she wasn't on duty the night of the grounding but was with Schettino, other officers and the cruise director on the bridge. She said she was called up from dinner to help with translations of instructions for how the small number of Russian passengers should evacuate.

"We were looking for them, searching for them (the Russians)," she told Jurnal. "We heard them all crying, shouting in all languages."

She said Schettino had stayed on deck until 11:50 p.m., when he ordered her into a lifeboat; the ship had hit the reef at 9:45 p.m.

Prosecutor Francesco Verusio declined to comment on whether he was seeking Cermotan as a witness, citing the ongoing investigation.

Without providing her name, Costa said the woman was registered with the ship and that it was prepared to give authorities both her identity and the paperwork for her ticket.

Divers, meanwhile, were focusing on an evacuation route on ship's fourth level, now about 18 meters (60 feet) below the water's surface, where five bodies were found earlier this week, Navy spokesman Alessandro Busonero told Sky TG 24. Crews set off small explosions Thursday to blow holes into hard-to-reach areas for easier access by divers.

Seven of the dead were identified Thursday by authorities ? four French passengers, one Spanish and one Italian passenger and one Peruvian crew member. Italian passenger Giovanni Masia, who news reports said would have turned 86 next week, was buried in Sardinia.

Italian authorities have identified 32 people who have either died or are missing: 12 Germans, seven Italians, six French, two Peruvians, two Americans and one person each from Hungary, India and Spain.

The ship's sudden movement on the reef Wednesday had postponed the start of a weekslong operation to extract the half-million gallons of fuel on board the vessel. Italy's environment minister issued a fresh warning Thursday about the implications if the ship shifts and breaks any of its now-intact oil tanks.

"We are very concerned" about the weather, minister Corrado Clini told Mediaset television. "If the tanks were to break, the fuel would block the sunlight from getting to the bottom of the sea, making a kind of film, and that would cause the death of the marine system."

The area is very close to a marine sanctuary for dolphins, porposies and whales.

Crew members returning home have begun speaking out about the chaotic evacuation, saying the captain sounded the alarm too late and didn't give orders or instructions about how to evacuate passengers. Eventually, crew members started lowering lifeboats on their own.

"They asked us to make announcements to say that it was electrical problems and that our technicians were working on it and to not panic," French steward Thibault Francois told France-2 television Thursday. "I told myself this doesn't sound good."

He said the captain took too long to react and that eventually his boss told him to start escorting passengers to lifeboats. "No, there were no orders from the management," he said.

Indian ship waiter Mukesh Kumar said "the emergency alarm was sounded very late," only after the ship "started tilting and water started seeping" in.

He was one of four Indians flown to New Delhi on Thursday, the first to return out of 203 Indians aboard the Concordia.

"The ship shook for a while, and then the crockery stated falling all over," said Indian Kandari Surjan Singh, who worked in the ship's galley. "People started panicking. Then the captain ordered that everything is under control and said it was a normal electric fault ... so people calmed down after that."

The ship's operator, Crociere Costa SpA, has accused Schettino of causing the wreck by making the unapproved detour and the captain has acknowledged carrying out what he called a "tourist navigation" that brought the ship closer to Giglio. The company had approved a similar maneuver in August.

However, Lloyd's List Intelligence, a leading maritime publication, says its tracking showed that the ship's August route actually took the Concordia slightly closer to Giglio than the course that caused the grounding last week.

Costa is owned by Miami-based Carnival Corp.

___

Alison Mutler reported from Bucharest. Fanuel Morelli contributed from Giglio, Italy and Angela Charlton from Paris.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/3d281c11a96b4ad082fe88aa0db04305/Article_2012-01-19-EU-Italy-Cruise-Aground/id-f77e22e186594620ab6881e90549ab18

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