Costlier robotic surgery soars for hysterectomies

CHICAGO (AP) — Robotic surgery is increasingly being used for women's hysterectomies, adding at least $2,000 to the cost without offering much benefit over less high-tech methods, a study found.

The technique was used in just 0.5 percent of operations studied in 2007, but that soared to almost 10 percent by early 2010. Columbia University researchers analyzed data on more than 260,000 women who had their wombs removed at 441 U.S. hospitals for reasons other than cancer. The database covered surgeries performed through the first few months of 2010.

Women who had the robotic operations were slightly less likely to spend more than two days in the hospital, but hospital stays were shorter than that for most women. Also, complications were equally rare among robotic surgery patients and those who had more conventional surgeries. Average costs for robotic hysterectomies totaled nearly $9,000, versus about $3,000 for the least expensive method, a different type of minimally invasive technique using more conventional surgery methods.

Traditionally hysterectomies were done by removing the womb through a large abdominal incision. Newer methods include removing the uterus through the vagina and minimally invasive "keyhole" abdominal operations using more conventional surgery methods, or surgeon-controlled robotic devices.

Robotic operations involve computer-controlled long, thin robot-like "arms" equipped with tiny surgery instruments. Surgeons operate the computer and can see inside the body on the computer screen, through a tiny camera attached to the robotic arms. The initial idea was for surgeons to do these operations miles away from the operating room, but robotic operations now are mostly done with the surgeon in the same room as the patient.

Theoretically, robotic surgeries make it easier to maneuver inside the patient, and are increasingly used for many types of operations, not just hysterectomies.

The main explanation for the big increase "is that robotic surgery has been marketed extensively to not only hospitals and physicians, but also directly to patients. There is minimal data in gynecology that it is advantageous," said Dr. Jason Wright, an assistant professor of women's health and the study's lead author.

The study was published Tuesday in the Journal of the American Medical Association.

"Our findings highlight the importance of developing rational strategies to implement new surgical technologies," the researchers wrote.

They note that 1 in 9 U.S. women will undergo a hysterectomy, usually after the age of 40. Reasons include fibroids and other non-cancerous growths, abnormal bleeding, and cancer.

Traditional abdominal operations remain common and more than 40 percent of women studied had them, costing on average about $6,600.

A JAMA editorial says the study doesn't answer whether the robotic method might be better for certain women, and says more research comparing methods is needed. Still, it says doctors and hospitals have a duty to inform patients about costs of different surgery options.

Dr. Myriam Curet of manufacturer Intuitive Surgical of Sunnyvale, Calif., said surgical robots can help surgeons overcome the limitations of other minimally invasive methods for very overweight patients, those with scarring from other surgeries and other complexities.

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JAMA: http://www.jama.ama-assn.org

Robotic surgery: http://tinyurl.com/byuljds

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

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Oscar Pistorius Describes 'Sense of Terror'

Olympian Oscar Pistorius today denied that he willfully killed his girlfriend, telling a South African court that he shot the woman through his bathroom door because he believed she was an intruder.

Pistorius, 26 and a double-amputee Olympian, was charged today with premeditated murder, or a Schedule 6 offense, which under South African law limits his chances for parole if convicted.

"I fail to understand how I could be charged with murder, let alone premeditated murder because I had no intention to kill my girlfriend," Pistorius said in a statement, read by his lawyer.

"I deny the accusation," he said. "Nothing can be further from the truth that I planned the murder of my girlfriend."

The court adjourned today with no decision on his bail and the hearing is scheduled to resume Wednesday.

PHOTOS: Paralympic Champion Charged in Killing

Pistorius, who gained worldwide fame for running on carbon-fiber blades and competing against able-bodied runners at the Olympics, is accused of shooting his girlfriend, Reeva Steenkamp, at his gated home in Pretoria, South Africa, Feb. 14.

In a statement read by his lawyer today, the runner said he and Steenkamp went to bed together before he was awoken by a noise he thought was an intruder coming from the bathroom.

Filled with a "sense of terror," he removed the 9-mm pistol he kept hidden under his bed and, without putting on his prosthetic legs, began shooting through the bathroom door, according to his statement.

"I was scared and didn't switch on the light," he said. "I got my gun and moved towards the bathroom. I screamed at the intruder because I did not have my legs on. I felt vulnerable. I fired shots through the bathroom door and told Reeva to call police.

Oscar Pistorius: Was Shooting Premeditated? Watch Video

Conflicting Theories Muddle Oscar Pistorius Murder Case Watch Video

Oscar Pistorius Allegedly Fought the Night of Shooting Watch Video

"I walked back to the bed and realized Reeva was not in bed. It's then it dawned on me it could be her in there," he said.

That's when he realized Steenkamp was not in bed, he said in the statement. Fearing she was inside the bathroom, he says, he broke down the door using a cricket bat and carried the woman outside, where he called for help, and she soon died.

Excerpts of Prosecutor's Case Against Pistorius

Pistorius appeared in court today for the first time since his Valentine's Day arrest, as prosecutors laid out their case, insisting that the runner could not have mistaken his girlfriend for an intruder.

"[Pistorius] shot and killed an innocent woman," Gerrie Nel, the senior state prosecutor, said in court, adding that there is "no possible explanation to support" the notion that Pistorius thought Steenkamp was an intruder.

Prosecutors said, "There is no possible explanation to support his report that he thought that it was a burglar. Even [in] his own version, he readied himself, walked to the bathroom with the clear intention and plan to kill the 'burglar' and did so whilst the burglar was harmless and contained in a toilet. This in itself also constitutes premeditated murder of a 'defenseless burglar.''

Pistorius said he and Steenkamp were in his bedroom the night before Valentine's Day, when she
was doing yoga exercises and he was in bed watching television. "My prosthetic legs were off," according to his statement. "We were deeply in love and I could not be happier. I
know she felt the same way. She had given me a present for Valentine's Day
but asked me only to open it the next day.

"After Reeva finished her yoga exercises she got into bed and we both fell
asleep."

Later, police responding to neighbors' calls about shouting and gunshots at Pistorius' home in the guarded and gated complex in the South African capital discovered Steenkamp's body. A 9-mm pistol was recovered at the home.

Prosecutors said Steenkamp had arrived at the house with the expectation of spending the night with Pistorius. They said that Steenkamp was shot while in the bathroom, which is about 21 feet from the main bedroom, and that the two rooms are linked by a passage. The door to the toilet was broken down from the outside, prosecutors said, implying that the bathroom door had been locked.

Prosecutors believe it's a case of premeditated murder because, they say, Pistorius had to stop, put on his prosthetic legs, grab a gun and then walk 21 feet to a bathroom.

The premeditated murder charge means that he would likely be sentenced to life in prison if convicted, and that he is likely to be denied bail.

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Time to refer Syrian war crimes to ICC: U.N. inquiry

GENEVA (Reuters) - United Nations investigators said on Monday that Syrian leaders they had identified as suspected war criminals should face the International Criminal Court (ICC).

The investigators urged the U.N. Security Council to "act urgently to ensure accountability" for violations, including murder and torture, committed by both sides in an uprising and civil war that has killed about 70,000 people since March 2011.

"Now really it's time ... We have a permanent court, the International Criminal Court, who would be ready to take this case," Carla del Ponte, a former ICC chief prosecutor who joined the U.N. team in September, told a news briefing in Geneva.

But because Syria is not party to the Rome Statute that established the ICC, the only way the court can investigate the situation is if it receives a referral from the Security Council. Russia, Assad's long-standing ally and a permanent veto-wielding member of the council, has opposed such a move.

"We cannot decide. But we pressure the international community to decide because it's time to act," del Ponte said.

Brazilian expert Paulo Pinheiro, who leads the U.N. inquiry set up in 2011, said: "We are in very close dialogue with all the five permanent members and with all the members of the Security Council, but we don't have the key that will open the path to cooperation inside the Security Council."

His team of some two dozen experts is tracing the chain of command in Syria to establish criminal responsibility and build a case for eventual prosecution.

"Of course we were able to identify high-level perpetrators," del Ponte said, adding that these were people "in command responsibility...deciding, organizing, planning and aiding and abetting the commission of crimes".

She said it was urgent for the Hague-based war crimes tribunal to take up cases of "very high officials", but did not identify them, in line with the inquiry's practice.

"We have crimes committed against children, rape and sexual violence. We have grave concerns. That is also one reason why an international body of justice must act because it is terrible."

Del Ponte, who tried former Yugoslav President Slobodan Milosevic at the International Criminal Tribunal for the Former Yugoslavia on war crimes charges, said the ICC prosecutor would need to deepen the investigation on Syria before an indictment could be prepared.

Karen Koning AbuZayd, an American member of the U.N. team, told Reuters it had information pointing to "people who have given instructions and are responsible for government policy, people who are in the leadership of the military, for example".

The inquiry's third roster of suspects, building on lists drawn up in the past year, remains secret. It will be entrusted to U.N. High Commissioner for Human Rights Navi Pillay upon expiry of its mandate at the end of March, the report said.

Pillay, a former ICC judge, said on Saturday Assad should be investigated for war crimes, and called for outside action on Syria, including possible military intervention.

Pinheiro said the investigators would not speak publicly about "numbers, names or levels" of suspects.

SEVEN MASSACRES IDENTIFIED

The investigators' latest report, covering the six months to mid-January, was based on 445 interviews conducted abroad with victims and witnesses, as they have not been allowed into Syria.

"We identified seven massacres during the period, five on the government side, two on the armed opponents' side. We need to enter the sites to be able to confirm elements of proof that we have," del Ponte said.

The U.N. report said the ICC was the appropriate institution for the fight against impunity in Syria. "As an established, broadly supported structure, it could immediately initiate investigations against authors of serious crimes in Syria."

Government forces have carried out shelling and air strikes across Syria including Aleppo, Damascus, Deraa, Homs and Idlib, the 131-page report said, citing corroborating satellite images.

"Government forces and affiliated militias have committed extra-judicial executions, breaching international human rights law. This conduct also constitutes the war crime of murder. Where murder was committed as part of a widespread or systematic attack against a civilian population, with knowledge of that attack, it is a crime against humanity," the report said.

Those forces have targeted bakery queues and funeral processions to spread "terror among the civilian population".

Rebels fighting to topple Assad have also committed war crimes including murder, torture, hostage-taking and using children under age 15 in hostilities, the U.N. report said.

"They continue to endanger the civilian population by positioning military objectives inside civilian areas" and rebel snipers had caused "considerable civilian casualties", it said.

George Sabra, a vice president of the opposition Syrian National Coalition, asked about the U.N. report, told Reuters at a conference in Stockholm: "We condemn all kind of crimes, regardless who did it.

"We can't ignore that some mistakes have been made and maybe still happen right now. But nobody also can ignore that the most criminal file is that of the regime."

(This story has been corrected to fix name of Milosevic tribunal in 11th paragraph)

(Reporting by Stephanie Nebehay; additional reporting by Anna Ringstrom in Stockholm; Editing by Mark Heinrich)

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Football: Nani propels United into FA Cup quarter-finals

MANCHESTER, United Kingdom: Nani scored one and made the other as Manchester United beat Reading 2-1 to book their place in the FA Cup quarter-finals here on Monday.

The Portuguese winger was only brought on as a substitute because of a first-half injury to Phil Jones but he certainly made his mark with a powerful second-half strike before setting up Javier Hernandez with a pinpoint cross.

United will now face the winner of Chelsea and Middlesbrough in the quarter-finals as Alex Ferguson's side continue to challenge for trophies on three fronts despite a late scare when Jobi McAnuff pulled one back for Reading.

"I'm satisfied with the quality of our play," said Ferguson, who made eight changes to the side that drew 1-1 with Real Madrid in last week's Champions League clash.

"We should have punished them better though.

"At 2-0 you are never comfortable. Nani deserved to be man of the match, his contribution was terrific. I had a feeling he would win the match for us. We are at home in the next round and we would take that against anyone."

His Reading counterpart Brian McDermott took solace from the overall performance.

"We came to Manchester United and put on a good performance as well, and we're disappointed not to be coming away with a result," said McDermott, whose side face a crucial Premier League relegation clash with fellow strugglers Wigan next Saturday.

United had come flying out of the blocks and Danny Welbeck gave Reading keeper Adam Federici his first work of the night a minute later with a low strike that was pushed away.

The Reading keeper pulled off a good save in the 22nd minute to deny Tom Cleverley's low shot before getting back on his feet to turn away Ashley Young's timid strike from close range.

Jones, after his impressive man-marking job against Cristiano Ronaldo last week, could be a doubt for the return leg in March after injuring his ankle in a clash with McAnuff and Nani replaced him.

Adam Le Fondre gave United keeper David De Gea his first work of the night with a quick turn and shot that the United keeper saved.

Nani then got straight into the action with a rasping shot that beat Federici before cracking off the post and flying away from danger.

The winger then forced the Royals stopper into a decent save in first-half stoppage time with a long-range effort.

United started the second half like the first with Cleverley trying to drill a low effort through a crowd of players before Reading cleared.

A deflected header from Vidic off Sean Morrison had to be cleared off the line by Reading striker Noel Hunt who was playing with staples in a head wound after a clash with the Serbian defender in the first half.

Reading were being pinned back as van Persie replaced Young before Nani whizzed one by the post in the 65th minute.

The Portuguese winger was certainly out to prove a point after not making the starting line-up and when Antonio Valencia laid the ball to him in the area in the 69th minute, he took a touch before rifling the ball home for just his third of the season.

Le Fondre fired at De Gea within moments but the tie was all but put beyond the visitors in the 72nd minute when Nani crossed for Hernandez who headed in at the front post.

With nine minutes remaining, Chris Smalling failed to clear a cross and McAnuff pounced to pull one back for Reading but they could not get a second to force the replay as Le Fondre headed a corner just over in stoppage time.

-AFP/ac

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Afzal Guru's hanging: Bring-back-body clamour set to rise in Valley

SRINAGAR: The immediate response to Parliament attack convict Afzal Guru's hanging may have been relatively lukewarm in the state, but the demand for the return of his mortal remains seems to be galvanizing politicians and separatist groups again.

Engineer Sheikh Abdul Rashid, the independent MLA from Langate in north Kashmir, has already filed a resolution in the state assembly asking for a discussion the matter.

"I had invited mainstream parties, including the ruling National Conference (NC), for an all-party meeting on Monday to chalk out a joint strategy to a send a team of legislators and political leaders to the Centre to convey the sentiments of the people of Kashmir for the return of Afzal's body to his family," Rashid told TOI.

He urged the NC and the People's Democratic Party to bury their differences for some time and work together to ensure Afzal's body is handed over to his family members. "We should go to Delhi as a united front and ask for Afzal's mortal remains," Rashid said.

Rashid, who was detained soon after Afzal's execution in Delhi's Tihar Jail on February 9, was released last Friday.

Most observers feel Afzal's hanging evoked a tepid response because he had been a "police informer" in the early 1990s. Three people died in the anti-execution protests in the Valley over the past 10 days.

On Monday, some separatist groups—including the JKLF and the Hurriyat Conference faction led by Syed Ali Shah Geelani —issued a fresh protest calendar for Wednesday, Thursday (after evening prayers) and Friday (after noon). "The protest is meant to press for the mortal remains of Afzal Guru," a Hurriyat press release said. "The protest will continue till the Centre returns the mortals remains of Guru to the family and allow [them] to bury him in the Srinagar graveyard."

The state home ministry, headed by chief minister Omar Abdullah himself, has already forwarded the plea of Afzal's family for the return of his body to central home secretary R K Singh. Sources said the UPA government may consider their demand. Omar, too, has asked for Afzal's body to be returned to the Sopore-based family.

Sources said Union home ministry officials are likely to invite Omar to New Delhi next week for discussions on the matter. They said Omar is also likely to hold discussions with home minister Sushilkumar Shinde.

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Study: Better TV might improve kids' behavior

SEATTLE (AP) — Teaching parents to switch channels from violent shows to educational TV can improve preschoolers' behavior, even without getting them to watch less, a study found.

The results were modest and faded over time, but may hold promise for finding ways to help young children avoid aggressive, violent behavior, the study authors and other doctors said.

"It's not just about turning off the television. It's about changing the channel. What children watch is as important as how much they watch," said lead author Dr. Dimitri Christakis, a pediatrician and researcher at Seattle Children's Research Institute.

The research was to be published online Monday by the journal Pediatrics.

The study involved 565 Seattle parents, who periodically filled out TV-watching diaries and questionnaires measuring their child's behavior.

Half were coached for six months on getting their 3-to-5-year-old kids to watch shows like "Sesame Street" and "Dora the Explorer" rather than more violent programs like "Power Rangers." The results were compared with kids whose parents who got advice on healthy eating instead.

At six months, children in both groups showed improved behavior, but there was a little bit more improvement in the group that was coached on their TV watching.

By one year, there was no meaningful difference between the two groups overall. Low-income boys appeared to get the most short-term benefit.

"That's important because they are at the greatest risk, both for being perpetrators of aggression in real life, but also being victims of aggression," Christakis said.

The study has some flaws. The parents weren't told the purpose of the study, but the authors concede they probably figured it out and that might have affected the results.

Before the study, the children averaged about 1½ hours of TV, video and computer game watching a day, with violent content making up about a quarter of that time. By the end of the study, that increased by up to 10 minutes. Those in the TV coaching group increased their time with positive shows; the healthy eating group watched more violent TV.

Nancy Jensen, who took part with her now 6-year-old daughter, said the study was a wake-up call.

"I didn't realize how much Elizabeth was watching and how much she was watching on her own," she said.

Jensen said her daughter's behavior improved after making changes, and she continues to control what Elizabeth and her 2-year-old brother, Joe, watch. She also decided to replace most of Elizabeth's TV time with games, art and outdoor fun.

During a recent visit to their Seattle home, the children seemed more interested in playing with blocks and running around outside than watching TV.

Another researcher who was not involved in this study but also focuses his work on kids and television commended Christakis for taking a look at the influence of positive TV programs, instead of focusing on the impact of violent TV.

"I think it's fabulous that people are looking on the positive side. Because no one's going to stop watching TV, we have to have viable alternatives for kids," said Dr. Michael Rich, director of the Center on Media and Child Health at Children's Hospital Boston.

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Online:

Pediatrics: http://www.pediatrics.org

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Contact AP Writer Donna Blankinship through Twitter (at)dgblankinship

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Dr. Drew: McCready Was 'Fearful of Stigma'

Troubled country singer Mindy McCready was "devastated" after the January death of her boyfriend and "fearful of stigma and ridicule," according to Dr. Drew Pinsky, who treated her in 2009 on "Celebrity Rehab with Dr. Drew."

McCready died Sunday of an apparent self-inflicted gunshot wound at her Arkansas home, police said. She was 37.

The country singer who soared to the top of the charts with her debut album, "Ten Thousand Angels," struggled with substance abuse, served time in jail and fought a lengthy battle with her mother over custody of her son.

The singer appeared on the third season of Dr. Drew's VH1 show. She is the fifth person who has appeared on the show to die.

"I am deeply saddened by this awful news," Dr. Drew said in a statement posted in a VH1 blog. "My heart goes out to Mindy's family and children. She is a lovely woman who will be missed by many."

Dr. Drew said that he had not treated McCready for a few years, but "reached out to her recently" after her boyfriend and father of one of her two children David Wilson, died in January of a self-inflicted gunshot wound.

"She was devastated. Although she was fearful of stigma and ridicule she agreed with me that she needed to make her health and safety a priority," Dr. Drew said. "Unfortunately it seems that Mindy did not sustain her treatment."

SEE PHOTOS: Notable Deaths in 2013

Ron Galella/WireImage/Getty Images

Country Singer Mindy McCready Dead at Age 37 Watch Video

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"Mental health issues can be life threatening and need to be treated with the same intensity and resources as any other dangerous potentially life threatening medical condition," the doctor's statement said. "Treatment is effective. If someone you know is suffering please be sure he or she gets help and maintains treatment."

Deputies from the Cleburne County Sheriff's Office were dispatched to a report of gun shots fired at McCready's Heber Springs, Ark., home at around 3:30 p.m. on Sunday.

There they found McCready on the front porch. She was pronounced dead at the scene from what appeared to be a single self-inflicted gunshot wound, according to a statement from the sheriff's office.

When reached by phone today, the Cleburne County Sheriff's Office said the sheriff would be responding to questions later in the day.

RELATED: Mindy McCready: Police Take Son

McCready was ordered to enter rehab shortly after Wilson's death, and her two children, Zander, 6, and 9-month-old Zayne were taken from her. She was released after one day to undergo outpatient care.

McCready scored a number-one Billboard country hit in 1996 with "Guys Do It All the Time," but in recent years, the country crooner has received more media attention for her troubled personal life than her music.

McCready reportedly had a decade-long affair with baseball star Roger Clemens that began when she was a teen, the New York Daily News reported in 2008. Clemens' attorney at the time denied any improper relationship, but McCready discussed details of the relationship on television.

"This is sad news," Clemens said in a statement today, posted on the Houston Astros website. "I had heard over time that she was trying to get peace and direction in her life. The few times that I had met her and her manager/agent they were extremely nice."

She has been arrested multiple times on drug charges and probation violations and has been hospitalized for overdoses several times, including in 2010, when she was found unconscious at her mother's home after taking a painkiller and muscle relaxant.

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Pope, near abdication, says pray "for me and next pope"

VATICAN CITY (Reuters) - Pope Benedict asked the faithful to pray for him and for the next pope, in his penultimate Sunday address to a crowded St. Peter's Square before becoming the first pontiff in centuries to resign.

The crowd chanted "Long live the pope!," waved banners and broke into sustained applause as he spoke from his window. The 85-year-old Benedict, who will abdicate on February 28, thanked them in several languages.

Speaking in Spanish, he told the crowd which the Vatican said numbered more than 50,000: "I beg you to continue praying for me and for the next pope".

It was not clear why the pope chose Spanish to make the only specific reference to his upcoming resignation in his Sunday address.

A number of cardinals have said they would be open to the possibility of a pope from the developing world, be it Latin America, Africa or Asia, as opposed to another from Europe, where the Church is crisis and polarized.

"I can imagine taking a step towards a black pope, an African pope or a Latin American pope," Cardinal Kurt Koch, a Swiss Vatican official who will enter the conclave to choose the next pope, told Reuters in an interview.

After his address, the pope retired into the Vatican's Apostolic Palace for a scheduled, week-long spiritual retreat and will not make any more public appearances until next Sunday.

Speaking in Italian in part of his address about Lent, the period when Christians reflect on their failings and seek guidance in prayer, the pope spoke of the difficulty of making important decisions.

"In decisive moments of life, or, on closer inspection, at every moment in life, we are at a crossroads: do we want to follow the ‘I', or God? The individual interest, or the real good, that which is really good?" he said.

FOR THE GOOD OF THE CHURCH

The pope has said his physical and spiritual forces are no longer strong enough to sustain him in the job of leading the world's 1.2 billion Roman Catholics at a time of crisis for the Church in a fast-changing world.

Benedict's papacy was rocked by crises over the sex abuse of children by priests in Europe and the United States, most of which preceded his time in office but came to light during it.

His reign also saw Muslim anger after he compared Islam to violence. Jews were upset over his rehabilitation of a Holocaust denier. During a scandal over the Church's business dealings, his butler was convicted of leaking his private papers.

Since his shock announcement last Monday, the pope has said several times that he made the difficult decision to become the first pope in more than six centuries to resign for the good of the Church. Aides said he was at peace with himself.

"In a funny way he is even more peaceful now with this decision, unlike the rest of us, he is not somebody who gets choked up really easily," said Greg Burke, a senior media advisor to the Vatican.

"I think that has a lot to do with his spiritual life and who he is and the fact he is such a prayerful man," Burke told Reuters Television.

People in the crowd said the pope was a shadow of the man he was when elected on April 19, 2005.

"Like always, recently, he seemed tired, moved, perplexed, uncertain and insecure," said Stefan Malabar, an Italian in St. Peter's Square.

"It's something that really has an effect on you because the pope should be a strong and authoritative figure but instead he seems very weak, and that really struck me," he said.

The Vatican has said the conclave to choose his successor could start earlier than originally expected, giving the Roman Catholic Church a new leader by mid-March.

Some 117 cardinals under the age of 80 will be eligible to enter the secretive conclave which, according to Church rules, has to start between 15 and 20 days after the papacy becomes vacant, which it will on February 28.

But since the Church is now dealing with an announced resignation and not a sudden death, Vatican spokesman Federico Lombardi said the Vatican would be "interpreting" the law to see if it could start earlier.

CONSULTATIONS BEGUN

Cardinals around the world have already begun informal consultations by phone and email to construct a profile of the man they think would be best suited to lead the Church in a period of continuing crisis.

The Vatican appears to be aiming to have a new pope elected and then formally installed before Palm Sunday on March 24 so he can preside at Holy Week services leading to Easter.

New details emerged at the weekend about Benedict's health.

Peter Seewald, a German journalist who wrote a book with the pope in 2010 in which Benedict first floated the possibility of resigning, visited him again about 10 weeks ago.

"His hearing had deteriorated. He couldn't see with his left eye. His body had become so thin that the tailors had difficulty in keeping up with newly fitted clothes ... I'd never seen him so exhausted-looking, so worn down," Seewald said.

The pope will say one more Sunday noon prayer on February 24 and hold a final general audience on February 27.

The next day he will take a helicopter to the papal summer retreat at Castel Gandolfo, south of Rome, where he will stay for around two months before moving to a convent inside the Vatican where he will live out his remaining years.

(Additional reporting by Hanna Rantala; Editing by Robin Pomeroy)

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Football: 10-man Real clinch fourth home win in row

MADRID: Real Madrid recorded their fourth consecutive home league victory with a 2-0 win over Rayo Vallecano on Sunday despite playing for 72 minutes with 10 men.

Alvaro Morata and Sergio Ramos got the goals in the opening 12 minutes but Ramos' night took a turn for the worse just six minutes later when he saw two harsh yellow cards in quick succession.

Despite their numerical advantage though Rayo failed to create too many clear-cut chances and their best effort was comically blocked by their own player as Leo Baptistao failed to evade Piti's driven shot towards goal.

Before the game much had been made of the fact that Rayo's Piti and Leo had scored more league goals than Madrid's two leading strikers Gonzalo Higuain and Karim Benzema.

With Higuain suspended, Jose Mourinho choose to start Morata and leave Benzema on the bench.

Three minutes in and the Portuguese was vindicated as Mesut Ozil's cut-back was turned in by the 20-year-old from close range.

Kaka then fired wide with a good opening but Rayo should also have been level inside seven minutes as Chori Dominguez was played in by Roberto Trashorras after Pepe had given the ball away and the Argentine's shot whistled just past Diego Lopez's far post.

Everything seemed to be going to plan for the hosts five minutes later though as Ramos outmuscled his marker to head home Ozil's free-kick.

However, Ramos then saw two yellow cards in barely 30 seconds as he first brought down Trashorras and then was harshly dismissed when a cross from the left struck his trailing arm.

Rayo almost took advantage straight away as Alejandro Galvez headed just over from the resulting free-kick.

Madrid were soon back on the attack and Cristiano Ronaldo uncharacteristically missed a great chance to make it three as he latched onto another fine Ozil through ball but just left himself too tight an angle after rounding Ruben in the Rayo goal and could only find the side-netting.

Rayo had plenty of possession as they tried to make their man advantage count but the best chance they carved out before the break fell to Trashorras and he blasted over from the edge of the area.

Jordi Figueras also fired over from a corner at the start of the second period but the visitors were still struggling to make their possession count and it was Madrid who were next to threaten as Kaka pulled a shot wide and Sami Khedira also saw an effort comfortably held by Ruben.

Lass Bangoura fired into the side-netting as Rayo continued to probe, but their evening in front of goal was summed up when Piti's goal-bound effort was blocked by his own man Leo.

The home fans were then incensed when Lass wasn't shown a second yellow card for handling in a similar manner to Ramos and referee Jose Luis Paradas Romero's decision not to sent the Guinean off nearly became even more controversial as his cross was almost converted by Leo at the back post with 12 minutes remaining.

Try as they might though Rayo couldn't find a way through as Real held on to cut the gap on Atletico Madrid in second to four points with Barcelona a further 12 clear at the top of the table.

Atletico Madrid moved back to within 12 points of Barcelona a comfortable 3-0 win over Valladolid.

Radamel Falcao got the visitors off to the perfect start with his 20th league goal of the season as he pounced from a yard after Dani Hernandez had made a fine save to deny Diego Godin.

Diego Costa then made it 2-0 seven minutes into the second-half as he smashed home Koke's knockdown and Cristian Rodriguez rounded off a first away win in six league games for Diego Simeone's men in stoppage time.

-AFP/ac

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Shinde's daughter traces brother-in-law's SUV

MUMBAI: Union home minister Sushilkumar Shinde's daughter tracked down her brother-in-law's vehicle on Saturday night, within 48 hours of it being stolen from Lower Parel on Thursday.

A large posse of cops, including those from the crime branch, had been assigned to find the missing SUV, but before they could make a headway, Shinde's daughter, Praniti, suddenly spotted the vehicle in Bandra; following a chase and high drama, the thieves abandoned the SUV near a slum in Bandra (W) from where it has been recovered.

Praniti, however, denied her presence during the chase. "Only my driver was there," she said. But the police claimed otherwise.

The Pajero belongs to Raj Shroff, a businessman and general secretary of the Mumbai Regional Congress Committee, who is married to Preeti, one of the daughters of Shinde. On Thursday night, the family's driver, Vijay Kharat, parked the vehicle near his home at Bawala Compound, Lower Parel. He had intended to drive it back to his employer's residence, but the next morning, he found it missing. Kharat lodged a theft complaint with the N M Joshi Marg police on Friday, following which all control rooms in the city were alerted with the missing vehicle's registration number.

While the cops hunted high and low for the SUV, Praniti, who is an MLA from Solapur, spotted it at the Lilavati Hospital signal on Saturday night. "Around 11pm, Praniti left the Shinde residence at Pali Hill in Bandra in her CRV. She was headed to Worli for some work and was accompanied by her police security officer, Abhang; the vehicle was driven by Kharat. As they reached the Lilavati Hospital signal, Praniti suddenly spotted the stolen Pajero a little ahead. Confirmed by Kharat that it was indeed their missing vehicle, Praniti decided that she and her security officer would confront the person driving it," a police officer said.

Praniti's SUV chased the Pajero, overtook it and blocked its path; Abhang knocked on the rolled-up windowpane. "The two men inside the SUV panicked and put the vehcile in reverse gear, heading back towards north. Praniti's vehicle also turned around and started chasing it," the officer said. Meanwhile, Abhang called up the police control room and informed them about the incident. Shortly, Praniti reportedly noticed a patrol van in the Bandra locality and alerted the policemen who also joined in the search.

A few minutes later, they found the Pajero abandoned near Lal Maati slums, but its occupants had vanished, said the police, adding that slippers, likely to belong to the accused, were found inside.

No CCTV camera covers the stretch but Abhang had had a look at the suspects. The NM Joshi Marg police, to whom the recovered vehicle has been handed over, will prepare identity sketches of the accused. Experts have found some fingerprints in the vehicle.

Police said the car could be traced easily as the accused hadn't changed its numberplate.

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