Some children outgrow autism: study

WASHINGTON: Some children diagnosed as autistic at a young age see their symptoms completely disappear when they get older, new research shows.

The small-scale study -- published in the "Journal of Child Psychology and Psychiatry" -- included 34 subjects who were diagnosed very early on with the disorder but who, by ages 18 to 21, no longer exhibited any signs of it.

Unlike when they were little, the subjects no longer showed deficits in speech, communication, recognizing faces or social interactions -- all hallmarks of autism.

"Although the diagnosis of autism is not usually lost over time, the findings suggest that there is a very wide range of possible outcomes," said Thomas Insel, director of the National Institute of Mental Health.

Previous studies had already suggested it was possible for an autism diagnosis to disappear over time.

But this research looked deeper into the legitimacy of the phenomenon. The authors questioned whether the initial diagnosis had been accurate and whether the subjects had truly caught up to their peers.

In both cases, it turned out the answer was yes.

The researchers, led by Deborah Fein of the University of Connecticut, reviewed the original reports written when the children were diagnosed and had them examined by additional experts outside the research group.

The data was compared to groups of young adults whose diagnoses of autism and its milder sibling, high-functioning autism, persisted, and to a control group.

The analysis showed that, among the 34 subjects whose autism symptoms had abated, doctors had originally observed lower levels of social deficits than among the subjects with high-functioning autism.

But other symptoms, including language delays and repetitive behaviour, had been on par with the other group.

And the contemporary testing of the study subjects -- all of whom attended school in mainstream classrooms with no special services -- confirmed that the young adults no longer exhibited any deficits.

But the authors emphasised that the study offers no insight on what percentage of children with autism spectrum disorder, or ASD, will grow out of their diagnosis.

"All children with ASD are capable of making progress with intensive therapy, but with our current state of knowledge most do not achieve the kind of optimal outcome that we are studying," said lead author Fein.

"Our hope is that further research will help us better understand the mechanisms of change so that each child can have the best possible life."

-AFP/fl

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MHA inquiry finds PCR response could have swifter in Nirbhaya case

NEW DELHI: An inquiry by the home ministry into allegations made by Nirbhaya's friend about the "tardy" response of Delhi Police in reaching her to hospital has found that the response time could indeed have been better.

The inquiry report by Veena Kumari Meena, a joint secretary in the home ministry, also said Dinesh Yadav, operator of the bus on which the gang rape took place, had been blatantly flouting norms by plying not only the rogue bus despite repeated challans, but was also running several other buses in his fleet without valid permits.

Sources in the government told TOI that Meena noted that though the PCRs responded to the distress call made on Nirbhaya's behalf within "reasonable" time and, as per PCR logs, left the spot within 15 minutes, this time could have been cut further had the police "reacted better" to the emergency.

Though exact details of the report are still awaited, sources hinted that the inquiry faulted Delhi Police for failing to immediately rush the victims to hospital despite the first PCR having reached the spot at 10.27 pm, by the police's own account. According to the Delhi Police, the control room received a call about the incident at 10.21 pm on December 16. PCR van Z-54 was assigned the call but another PCR, E-74, reached the spot on its own at 10.27 pm. Z-54 was there at 10.29 pm.

Z-54 finally left the spot with Nirbhaya and her friend at 10.39 pm, after arranging bed-sheets from a nearby hotel to cover them.

Nirbhaya's friend had, in an interview to a news channel, alleged that the PCRs which reached the spot wasted crucial time in arguing over jurisdiction and that the police were reluctant to shift an injured Nirbhaya to the PCR.

However, joint commissioner of police Vivek Gogia denied this, saying, "There was no issue over jurisdiction as PCR vans do not operate under police stations."

The inquiry was set up on January 7 to assess the alacrity of Delhi Police as well as the response of Safdarjung Hospital staff to the December 16 rape. Meena was asked to identify lapses and fix responsibility.

The terms of reference also included examining how the rogue bus continued to ply on Delhi roads despite being challaned several times, and to study the responsiveness of Dial 100 helpline.

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Will Obama's order lead to surge in gun research?

MILWAUKEE (AP) — Nearly as many Americans die from guns as from car crashes each year. We know plenty about the second problem and far less about the first. A scarcity of research on how to prevent gun violence has left policymakers shooting in the dark as they craft gun control measures without much evidence of what works.

That could change with President Barack Obama's order Wednesday to ease research restrictions pushed through long ago by the gun lobby. The White House declared that a 1996 law banning use of money to "advocate or promote gun control" should not keep the Centers for Disease Control and Prevention and other federal agencies from doing any work on the topic.

Obama can only do so much, though. Several experts say Congress will have to be on board before anything much changes, especially when it comes to spending money.

How severely have the restrictions affected the CDC?

Its website's A-to-Z list of health topics, which includes such obscure ones as Rift Valley fever, does not include guns or firearms. Searching the site for "guns" brings up dozens of reports on nail gun and BB gun injuries.

The restrictions have done damage "without a doubt" and the CDC has been "overly cautious" about interpreting them, said Daniel Webster, director of the Center for Gun Policy and Research at the Johns Hopkins Bloomberg School of Public Health.

"The law is so vague it puts a virtual freeze on gun violence research," said a statement from Michael Halpern of the Union of Concerned Scientists. "It's like censorship: When people don't know what's prohibited, they assume everything is prohibited."

Many have called for a public health approach to gun violence like the highway safety measures, product changes and driving laws that slashed deaths from car crashes decades ago even as the number of vehicles on the road rose.

"The answer wasn't taking away cars," said Dr. Georges Benjamin, executive director of the American Public Health Association.

However, while much is known about vehicles and victims in crashes, similar details are lacking about gun violence.

Some unknowns:

—How many people own firearms in various cities and what types.

—What states have the highest proportion of gun ownership.

—Whether gun ownership correlates with homicide rates in a city.

—How many guns used in homicides were bought legally.

—Where juveniles involved in gun fatalities got their weapons.

—What factors contribute to mass shootings like the Newtown, Conn., one that killed 26 people at a school.

"If an airplane crashed today with 20 children and 6 adults there would be a full-scale investigation of the causes and it would be linked to previous research," said Dr. Stephen Hargarten, director of the Injury Research Center at the Medical College of Wisconsin.

"There's no such system that's comparable to that" for gun violence, he said.

One reason is changes pushed by the National Rifle Association and its allies in 1996, a few years after a major study showed that people who lived in homes with firearms were more likely to be homicide or suicide victims. A rule tacked onto appropriations for the Department of Health and Human Services barred use of funds for "the advocacy or promotion of gun control."

Also, at the gun group's urging, U.S. Rep. Jay Dickey, a Republican from Arkansas, led an effort to remove $2.6 million from the CDC's injury prevention center, which had led most of the research on guns. The money was later restored but earmarked for brain injury research.

"What the NRA did was basically terrorize the research community and terrorize the CDC," said Dr. Mark Rosenberg, who headed the CDC's injury center at the time. "They went after the researchers, they went after institutions, they went after CDC in a very big way, and they went after me," he said. "They didn't want the data to be collected because they were threatened by what the data were showing."

Dickey, who is now retired, said Wednesday that his real concern was the researcher who led that gun ownership study, who Dickey described as being "in his own kingdom or fiefdom" and believing guns are bad.

He and Rosenberg said they have modified their views over time and now both agree that research is needed. They put out a joint statement Wednesday urging research that prevents firearm injuries while also protecting the rights "of legitimate gun owners."

"We ought to research the whole environment, both sides — what the benefits of having guns are and what are the benefits of not having guns," Dickey said. "We should study any part of this problem," including whether armed guards at schools would help, as the National Rifle Association has suggested.

Association officials did not respond to requests for comment. A statement Wednesday said the group "has led efforts to promote safety and responsible gun ownership" and that "attacking firearms" is not the answer. It said nothing about research.

The 1996 law "had a chilling effect. It basically brought the field of firearm-related research to a screeching halt," said Benjamin of the Public Health Association.

Webster said researchers like him had to "partition" themselves so whatever small money they received from the CDC was not used for anything that could be construed as gun policy. One example was a grant he received to evaluate a community-based program to reduce street gun violence in Baltimore, modeled after a successful program in Chicago called CeaseFire. He had to make sure the work included nothing that could be interpreted as gun control research, even though other privately funded research might.

Private funds from foundations have come nowhere near to filling the gap from lack of federal funding, Hargarten said. He and more than 100 other doctors and scientists recently sent Vice President Joe Biden a letter urging more research, saying the lack of it was compounding "the tragedy of gun violence."

Since 1973, the government has awarded 89 grants to study rabies, of which there were 65 cases; 212 grants for cholera, with 400 cases, yet only three grants for firearm injuries that topped 3 million, they wrote. The CDC spends just about $100,000 a year out of its multibillion-dollar budget on firearm-related research, New York Mayor Michael Bloomberg has said.

"It's so out of proportion to the burden, however you measure it," said Dr. Matthew Miller, associate professor of health policy at the Harvard School of Public Health. As a result, "we don't know really simple things," such as whether tighter gun rules in New York will curb gun trafficking "or is some other pipeline going to open up" in another state, he said.

What now?

CDC officials refused to discuss the topic on the record — a possible sign of how gun shy of the issue the agency has been even after the president's order.

Health and Human Services Secretary Kathleen Sebelius said in a statement that her agency is "committed to re-engaging gun violence research."

Others are more cautious. The Union of Concerned Scientists said the White House's view that the law does not ban gun research is helpful, but not enough to clarify the situation for scientists, and that congressional action is needed.

Dickey, the former congressman, agreed.

"Congress is supposed to do that. He's not supposed to do that," Dickey said of Obama's order. "The restrictions were placed there by Congress.

"What I was hoping for ... is 'let's do this together,'" Dickey said.

___

Follow Marilynn Marchione's coverage at http://twitter.com/MMarchioneAP

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Lance Armstrong Admits to Doping

Lance Armstrong, formerly cycling's most decorated champion and considered one of America's greatest athletes, confessed to cheating for at least a decade, admitting on Thursday that he owed all seven of his Tour de France titles and the millions of dollars in endorsements that followed to his use of illicit performance-enhancing drugs.

After years of denying that he had taken banned drugs and received oxygen-boosting blood transfusions, and attacking his teammates and competitors who attempted to expose him, Armstrong came clean with Oprah Winfrey in an exclusive interview, admitting to using banned substances for years.

"I view this situation as one big lie that I repeated a lot of times," he said. "I know the truth. The truth isn't what was out there. The truth isn't what I said.

"I'm a flawed character, as I well know," Armstrong added. "All the fault and all the blame here falls on me."

In October, the U.S. Anti-Doping Agency issued a report in which 11 former Armstrong teammates exposed the system with which they and Armstrong received drugs with the knowledge of their coaches and help of team physicians.

George Burns/Courtesy of Harpo Studios, Inc./AP Photo

Lance Armstrong Admits Using Performance-Enhancing Drugs Watch Video

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The U.S. Postal Service Cycling Team "ran the most sophisticated, professionalized and successful doping program that sport has ever seen," USADA said in its report.

As a result of USADA's findings, Armstrong was stripped of his Tour de France titles. Soon, longtime sponsors including Nike began to abandon him, too.

READ MORE: Did Doping Cause Armstrong's Cancer?

Armstrong said he was driven to cheat by a "ruthless desire to win."

He told Winfrey that his competition "cocktail" consisted of EPO, blood transfusions and testosterone, and that he had previously used cortisone. He would not, however, give Winfrey the details of when, where and with whom he doped during seven winning Tours de France between 1999 and 2005.

He said he stopped doping following his 2005 Tour de France victory and did not use banned substances when he placed third in 2009 and entered the tour again in 2010.

"It was a mythic perfect story and it wasn't true," Armstrong said of his fairytale story of overcoming testicular cancer to become the most celebrated cyclist in history.

READ MORE: 10 Scandalous Public Confessions

PHOTOS: Olympic Doping Scandals: Past and Present

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Armstrong would not name other members of his team who doped, but admitted that as the team's captain he set an example. He admitted he was "a bully" but said there "there was a never a directive" from him that his teammates had to use banned substances.

"At the time it did not feel wrong?" Winfrey asked.

"No," Armstrong said. "Scary."

"Did you feel bad about it?" she asked again.

"No," he said.

Armstrong said he thought taking the drugs was similar to filling his tires with air and bottle with water. He never thought of his actions as cheating, but "leveling the playing field" in a sport rife with doping.

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Sahara hostage siege turns Mali war global

ALGIERS/BAMAKO (Reuters) - Islamist fighters have opened an international front in Mali's civil war by taking dozens of Western hostages at a gas plant in the Algerian desert just as French troops launched an offensive against rebels in neighboring Mali.

Nearly 24 hours after gunmen stormed the natural gas pumping site and workers' housing before dawn on Wednesday, little was certain beyond a claim by a group calling itself the "Battalion of Blood" that it was holding 41 foreign nationals, including Americans, Japanese and Europeans, at Tigantourine, deep in the Sahara.

British Foreign Secretary William Hague confirmed one Briton had been killed and "a number" of others were being held hostage. Algerian media said an Algerian was killed in the assault. Another local report said a Frenchman had died.

"This is a dangerous and rapidly developing situation," Hague told reporters in Sydney on Thursday, adding Britain's Prime Minister David Cameron had spoken with the Algerian President Abdelaziz Bouteflika.

"We have sent a rapid deployment team from our foreign office in order to reinforce our embassy and consulate staff there. The safety of those involved and their co-workers is our absolutely priority and we will work around the clock to resolve this crisis."

One thing is clear: as a headline-grabbing counterpunch to this week's French buildup in Mali, it presents French President Francois Hollande with a daunting dilemma and spreads fallout from Mali's war against loosely allied bands of al Qaeda-inspired rebels far beyond Africa, challenging Washington and Europe.

A French businessman with employees at the site said the foreigners were bound and under tight guard, while local staff, numbering 150 or more, were held apart and had more freedom.

Led by an Algerian veteran of guerrilla wars in Afghanistan, the group demanded France halt its week-old intervention in Mali, an operation endorsed by Western and African allies who fear that al Qaeda, flush with men and arms from the defeated forces of Libya's Muammar Gaddafi, is building a haven in the desert.

Hollande, who won wide praise for ordering air strikes and sending troops to the former French colony, said little in response. In office for only eight months, he has warned of a long, hard struggle in Mali and now faces a risk of attacks on more French and other Western targets in Africa and beyond.

The Algerian government ruled out negotiating and the United States and other Western governments condemned what they called a terrorist attack on a facility, now shut down, that produces 10 percent of Algeria's gas, much of which is pumped to Europe.

The militants, communicating through established contacts with media in neighboring Mauritania, said they had dozens of men at the base, near the town of In Amenas close to the Libyan border, and that they were armed with mortars and anti-aircraft missiles.

They said they had repelled a raid by Algerian forces after dark on Wednesday. There was no government comment on that. Algerian officials said earlier about 20 gunmen were involved.

LIVES AT RISK

The militants issued no explicit threat but made clear the hostages' lives were at risk: "We hold the Algerian government and the French government and the countries of the hostages fully responsible if our demands are not met and it is up to them to stop the brutal aggression against our people in Mali," read one statement carried by Mauritanian media.

The group also said its fighters had rigged explosives around the site and any attempt to free the hostages would lead to a "tragic end." The large numbers of gunmen and hostages involved pose serious problems for any rescue operation.

Smaller hostage-taking incidents have been common in the Sahara and financial gain plays a part in the actions of groups whose members mingle extremist religious aims with traditional smuggling and other pursuits in the lawless, borderless region.

Algerian Interior Minister Daho Ould Kablia said the raid was led by Mokhtar Belmokhtar, who fought Soviet forces in Afghanistan in the 1980s and recently set up his own group in the Sahara after falling out with other local al Qaeda leaders.

A holy warrior-cum-smuggler dubbed "The Uncatchable" by French intelligence and "Mister Marlboro" by some locals for his illicit cigarette-running business, Belmokhtar's links to those who seized towns across northern Mali last year are unclear.

French media said the militants were also demanding that Algeria, whose government fought a bloody war against Islamists in the 1990s, release dozens of prisoners from its jails.

AMERICANS

The militants said seven Americans were among the 41 foreign hostages - a figure U.S. officials said they could not confirm.

Norwegian energy company Statoil, which operates the gas field in a joint venture with Britain's BP and the Algerian state company Sonatrach, said nine of its Norwegian employees and three of its Algerian staff were being held.

Also reported kidnapped, according to various sources, were five Japanese working for the engineering firm JGC Corp, a French national, an Austrian, an Irishman and the Britons.

U.S. Defense Secretary Leon Panetta said: "I want to assure the American people that the United States will take all necessary and proper steps that are required to deal with this situation."

He said he lacked firm information on whether there were links to the situation in Mali. Analysts pointed to shifting alliances and rivalries among Islamists in the region to suggest the hostage-takers may have a range of motives.

In their own statements, they condemned Algeria's secularist government for "betraying" its predecessors in the bloody anti-colonial war against French rule half a century ago by letting French warplanes fly over its territory to Mali. They also accused Algeria of shutting its border to Malian refugees.

Panetta said Washington was still studying legal and other issues before providing more help to France in the war in Mali.

Hollande has called for international support against rebels who France says pose a threat to Africa and the West, and admits it faces a long struggle against well-equipped fighters who seized Timbuktu and other oasis towns in northern Mali and have imposed Islamic law, including public amputations and beheading.

Islamists have warned Hollande that he has "opened the gates of hell" for all French citizens.

Some of those held at the facility, about 1,300 km (800 miles) inland, had sporadic contact with the outside world.

The head of a French catering company said he had information from a manager who supervises some 150 Algerian employees at the site. Regis Arnoux of CIS Catering told BFM television the local staff was being prevented from leaving but was otherwise free to move around inside and keep on working.

"The Westerners are kept in a separate wing of the base," Arnoux said. "They are tied up and are being filmed. Electricity is cut off, and mobile phones have no charge.

"Direct action seems very difficult. ... Algerian officials have told the French authorities as well as BP that they have the situation under control and do not need their assistance."

MALI OFFENSIVE

French army chief Edouard Guillaud said ground forces were stepping up their operation to engage directly "within hours" the alliance of Islamist fighters, grouping al Qaeda's North African wing AQIM and Mali's home-grown Ansar Dine and MUJWA.

West African military chiefs said the French would soon be supported by about 2,000 troops from Nigeria, Chad, Niger and other states - part of a U.N.-mandated deployment that had been expected to start in September before Hollande intervened.

Chad's foreign minister, Moussa Faki Mahamat, told Radio France International his country alone would send 2,000 troops, suggesting plans for the regional force were already growing.

In Mali, residents said a column of some 30 French Sagaie armored vehicles had set off toward rebel positions from the town of Niono, 300 km (190 miles) from the capital, Bamako.

A Malian military source said French special forces units were taking part in the operation. Guillaud said France's strikes, involving Rafale and Mirage jet fighters, were being hampered because militants were sheltering among civilians.

Many inhabitants of northern Mali have welcomed the French attacks, although some also fear being caught in the cross-fire.

Hollande said on Tuesday that French forces would remain in Mali until stability returned to the West African nation.

The conflict, in a landlocked state of 15 million twice the size of France, has displaced an estimated 30,000 people and raised concerns across mostly Muslim West Africa of a radicalization of Islam in the region.

But many who have lived for many months under harsh and violent Islamist rule said they welcomed the French.

"There is a great hope," one man said from Timbuktu, where he said Islamist fighters were trying to blend into civilian neighborhoods. "We hope that the city will be freed soon."

(Additional reporting by Pascal Fletcher and Andrew Callus in London, Balazs Koranyi in Oslo, Laurent Prieur in Nouakchott, Daniel Flynn in Dakar, John Irish, Catherine Bremer and Nick Vinocur in Paris, David Alexander in Rome, Andrew Quinn in Washington and Jane Wardell in Sydney; Writing by Alastair Macdonald; Editing by Peter Cooney and Michael Perry)

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Japan Dreamliners must remain grounded: govt

TOKYO: All Boeing Dreamliners operating in Japan must remain grounded until their batteries are confirmed to be safe, the government said Thursday, following a similar order in the US.

"Following the FAA (US Federal Aviation Administration) decision, Boeing 787s will not be allowed to fly until their battery safety is assured," said Hiroshi Kajiyama, Japan's vice transport minister, adding that a formal order would be issued later Thursday.

The comments come after a probable battery leak emerged as the focus of the investigation into the forced emergency landing of an All Nippon Airways (ANA) Dreamliner in Japan on Wednesday.

They also come after the FAA ordered that 787 Dreamliners in the United States stop flying until a fire risk linked to their lithium-ion batteries was resolved, dealing a huge blow to Boeing and its next-generation aircraft.

Lithium-ion batteries of different specifications are widely used in consumer electronics such as laptops and mobile phones.

Japan Airlines (JAL) and rival ANA -- which together operate half the world's Dreamliners -- voluntarily grounded their fleets after the ANA flight made an emergency landing in southwestern Japan.

India's transport safety agency said on Wednesday it was also launching a probe of the fuel-efficient Dreamliner.

Kajiyama on Thursday said officials investigating the safety scare "reported that there are problems in the battery" and other parts of the plane.

"Just by observing with the naked eye, the battery showed abnormalities, but electricity-linked equipment is complex so we need more investigation," he said.

Electrolyte leaks and burn marks have been found on the battery's metal casing, ANA said, with officials from the Japan Transport Safety Board working on the principle that it overheated, Kyodo News reported.

"Liquid leaked through the room floor to the inside of the outer wall of the aircraft," the agency quoted investigator Hideyo Kosugi as saying.

Japan's Transport Minister Akihiro Ota earlier described the emergency landing as a "serious incident that could have led to a serious accident".

Embattled Boeing on Wednesday backed its Dreamliner, considered an aviation milestone for its use of lightweight carbon fibre materials and advanced electronics systems.

"We are confident the 787 is safe and we stand behind its overall integrity," Boeing CEO Jim McNerney said in a statement.

"We will be taking every necessary step in the coming days to assure our customers and the travelling public of the 787's safety and to return the airplanes to service."

Boeing, whose shares make up part of the blue-chip Dow Jones Industrial Average, tumbled 3.4 percent on Wednesday.

The FAA order means 30 of the world's 50 Dreamliners have been grounded, with the two Japanese carriers operating almost half the world's fleet.

United Airlines, the world's biggest airline, is currently the only US airline operating the 787, with six aircraft in service.

Speaking after the FAA announcement, an ANA spokeswoman told Dow Jones Newswires: "We'll examine the information we've gotten so far and exchange information further as necessary and will attempt to take appropriate steps as soon as possible."

The carrier, which together with JAL has invested billions of dollars in the Dreamliner with a combined order totalling 111 aircraft, "has not made any" decisions over future use of the aircraft, she added.

A spokesman for JAL said it was too early to comment on the FAA decision but added that "we will continue to collect information".

In Tokyo trading on Thursday, ANA shares were down 0.54 percent to 181 yen by the midday break while Japan Airlines was off 0.27 percent at 3,665 yen.

- AFP/al

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Hina Rabbani Khar proposes foreign minister-level talk to defuse tension along LoC

NEW DELHI: Stating that continued tension along the LoC is not in the interest of peace and stability in the region, Pakistan foreign minister Hina Rabbani Khar has offered to discuss the issue at the lever of the foreign ministers. In what appeared to be a climb-down after her "warm-mongering" remark against Indian leaders, Khar also said that Pakistan and India are both important countries of South Asia and that it is imperative that they demonstrate "requisite responsibility for ensuring peace by addressing all concerns through dialogue".

"Instead of issuing belligerent statements by the military and political leaders from across the border and ratcheting up tension, it is advisable for the two countries to discuss all concerns related to Line of Control (LoC) with a view to reinforcing respect for the ceasefire, may be at the level of the Foreign Ministers to sort out things," said Khar in a late night statement.

Khar said Pakistan has invested hugely in the dialogue process and has worked energetically to keep the dialogue process moving forward in a sustained and constructive manner. "Pakistan has gone out of the way to build constructive relationship with India," she said.

"Rhetoric and ratcheting up of tensions is certainly counter-productive. We are saddened and disappointed at the continued negative statements emanating from India both from the media as well as certain Indian leaders. For its part, Pakistan has observed a measured and deliberate self-restraint in our public statements on India. This has been done keeping in view the interest of peace in the region," she added.

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Large study confirms flu vaccine safe in pregnancy

NEW YORK (AP) — A large study offers reassuring news for pregnant women: It's safe to get a flu shot.

The research found no evidence that the vaccine increases the risk of losing a fetus, and may prevent some deaths. Getting the flu while pregnant makes fetal death more likely, the Norwegian research showed.

The flu vaccine has long been considered safe for pregnant women and their fetus. U.S. health officials began recommending flu shots for them more than five decades ago, following a higher death rate in pregnant women during a flu pandemic in the late 1950s.

But the study is perhaps the largest look at the safety and value of flu vaccination during pregnancy, experts say.

"This is the kind of information we need to provide our patients when discussing that flu vaccine is important for everyone, particularly for pregnant women," said Dr. Geeta Swamy, a researcher who studies vaccines and pregnant women at Duke University Medical Center.

The study was released by the New England Journal of Medicine on Wednesday as the United States and Europe suffer through an early and intense flu season. A U.S. obstetricians group this week reminded members that it's not too late for their pregnant patients to get vaccinated.

The new study was led by the Norwegian Institute of Public Health. It tracked pregnancies in Norway in 2009 and 2010 during an international epidemic of a new swine flu strain.

Before 2009, pregnant women in Norway were not routinely advised to get flu shots. But during the pandemic, vaccinations against the new strain were recommended for those in their second or third trimester.

The study focused on more than 113,000 pregnancies. Of those, 492 ended in the death of the fetus. The researchers calculated that the risk of fetal death was nearly twice as high for women who weren't vaccinated as it was in vaccinated mothers.

U.S. flu vaccination rates for pregnant women grew in the wake of the 2009 swine flu pandemic, from less than 15 percent to about 50 percent. But health officials say those rates need to be higher to protect newborns as well. Infants can't be vaccinated until 6 months, but studies have shown they pick up some protection if their mothers got the annual shot, experts say.

Because some drugs and vaccines can be harmful to a fetus, there is a long-standing concern about giving any medicine to a pregnant woman, experts acknowledged. But this study should ease any worries about the flu shot, said Dr. Denise Jamieson of the Centers for Disease Control and Prevention.

"The vaccine is safe," she said.

___

Online:

Medical journal: http://www.nejm.org

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FAA Grounds Boeing 787 Dreamliners

The Federal Aviation Administration has ordered the grounding of Boeing 787 Dreamliner jets until their U.S. operator proves that batteries on the planes are safe.

United is the only U.S. carrier flying the Boeing 787s, which have been touted as the planes of the future. However, several operated by overseas airlines have run into recent trouble, the latest because of a feared battery fire on a 787 today in Japan.

The FAA's so-called emergency airworthiness directive is a blow to Boeing, from the same government agency that only days ago at a news conference touted the Dreamliner as "safe." Even Secretary of Transportation Ray LaHood went so far as to say he would have no issue flying on the plane.

Now, United will need to prove to the FAA that there is no battery fire risk on its six Dreamliners. An emergency airworthiness directive is one that requires an operator to fix or address any problem before flying again.

"Before further flight, operators of U.S.-registered Boeing 787 aircraft must demonstrate to the Federal Aviation Administration (FAA) that the batteries are safe and in compliance," the FAA said in a statement today. "The FAA will work with the manufacturer and carriers to develop a corrective action plan to allow the U.S. 787 fleet to resume operations as quickly and safely as possible."

United Airlines responded tonight with a statement: "United will immediately comply with the airworthiness directive and will work closely with the FAA and Boeing on the technical review as we work toward restoring 787 service. We will begin reaccommodating customers on alternate aircraft."

787 Dreamliner Grounded, Passengers Forced to Evacuate Watch Video

Boeing 787 Dreamliner Deemed Safe Despite Mishaps Watch Video

Jim McNerney, Boeing's chairman, president and CEO, expressed regret about any scheduling disruptions in a written statement, adding that Boeing was "confident the 787 is safe and we stand behind its overall integrity."

"The safety of passengers and crew members who fly aboard Boeing airplanes is our highest priority," McNerney said. "Boeing is committed to supporting the FAA and finding answers as quickly as possible. The company is working around the clock with its customers and the various regulatory and investigative authorities. We will make available the entire resources of The Boeing Company to assist."

There are some 50 Dreamliners flying in the world, mostly for Japanese airlines, but also for Polish and Chilean carriers.

Overseas operators are not directly affected by the FAA's emergency airworthiness directive -- but Japanese authorities grounded all of their 787s overnight after All Nippon Airways (ANA) said a battery warning light and a burning smell were detected in the cockpit and the cabin, forcing a Dreamliner, on a domestic flight, to land at Takamatsu Airport in Japan.

The plane landed safely about 45 minutes after it took off and all 128 passengers and eight crew members had to evacuate using the emergency chutes. Two people sustained minor injuries on their way down the chute, Osamu Shinobe, ANA senior executive vice president, told a news conference in Tokyo.

ANA and its rival, Japan Airlines (JAL), subsequently grounded their Dreamliner fleets. ANA operates 17 Dreamliner planes, while JAL has seven in service.

Both airlines said the Dreamliner fleet would remain grounded at least through Thursday.

ANA said the battery in question during today's incident was the same lithium-ion type battery that caught fire on board a JAL Dreamliner in Boston last week. Inspectors found liquid leaking from the battery today, and said it was "discolored."

Japan's transport ministry categorized the problem as a "serious incident" that could have led to an accident.

Even more shaken up than the passengers on the Japanese flight may be the reputation of America's largest plane manufacturer, Boeing.

Since the 787 -- with a body mostly made of carbon fiber -- was introduced, it's had one small problem after another. But the nagging battery issue, which caused an onboard fire at Boston's Logan Airport last week, was serious enough for the FAA to ground the plane.

"It's a rough couple weeks for Boeing and ANA," said John Hansman, an MIT professor of aeronautics and astronautics. "I think clearly in the short term this type of bad press has been tough for Boeing. I think in the long haul, this is a good airplane. It's in a good market."

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France to stay in Mali until stability restored

BAMAKO/DUBAI (Reuters) - France pledged on Tuesday to keep troops in Mali until stability returned to the West African country, raising the specter of a long campaign against al Qaeda-linked rebels who held their ground despite a fifth day of air strikes.

Paris has poured hundreds of soldiers into Mali and carried out 50 bombing raids since Friday in the Islamist-controlled northern half of the country, which Western and regional states fear could become a base for terrorist attacks in Africa and Europe.

Defense Minister Jean-Yves Le Drian said that, despite French air support, Malian forces had not been able to dislodge Islamist fighters from the central Malian towns of Konna or Diabaly, just 350 km (220 miles) northeast of Bamako.

A column of French armored vehicles rolled northward from the dusty riverside capital of Bamako towards rebel lines on Tuesday, the first major northward deployment of ground troops. A military official declined to comment on their objective.

Thousands of African soldiers are due to take over the offensive. Regional armies are scrambling to accelerate an operation which was initially not expected until September and has been brought forward by France's surprise bombing campaign aimed at stopping a rebel advance on a strategic town last week.

President Francois Hollande, on a visit to the United Arab Emirates during which he sought Gulf states' financial backing for the African-led mission, suggested France would retain a major role in its former colony for months to come.

"We have one goal. To ensure that when we leave, when we end our intervention, Mali is safe, has legitimate authorities, an electoral process and there are no more terrorists threatening its territory," Hollande told a news conference.

Paris has said it plans to deploy 2,500 soldiers to bolster the Malian army and work with the intervention force provided by West African states.

AFRICAN TROOPS

West African Defense chiefs met in Bamako on Tuesday to approve plans for the swift deployment of 3,300 regional troops, foreseen in a United Nations-backed intervention plan. After failing to reach a final agreement, they adjourned their talks until Wednesday.

Nigeria pledged to deploy soldiers within 24 hours, and Belgium said it was sending transport planes and helicopters to help, but West Africa's armies need time to become operational.

Mali's north, a vast and inhospitable area of desert and rugged mountains the size of Texas, was seized last year by an Islamist alliance combining al Qaeda's north African wing AQIM with splinter group MUJWA and the home-grown Ansar Dine rebels.

Any delay in following up on the French air bombardments of Islamist bases and fuel depots with a ground offensive could allow the insurgents to slip away into the desert and mountains, regroup and counter-attack.

The rebels, who French officials say are mobile and well armed, have shown they can hit back, dislodging government forces from Diabaly on Monday.

Residents said the town was still under Islamist control on Tuesday despite a number of air strikes that shook houses.

An eye witness near Segou, to the south, told Reuters he had seen 20 French Special Forces soldiers driving toward Diabaly.

In Konna, whose seizure on Thursday sparked French involvement, residents said Islamist fighters were camped just outside town. Army troops had also withdrawn after entering the town on Saturday.

Malians have largely welcomed the French intervention, having seen their army suffer a series of defeats by the rebels.

"With the arrival of the French, we have started to see the situation on the front evolve in our favor," said Aba Sanare, a resident of Bamako.

QUESTIONS OVER READINESS

Aboudou Toure Cheaka, a senior regional official in Bamako, said the West African troops would be on the ground in a week.

The original timetable for the 3,300-strong U.N.-sanctioned African force - to be backed by western logistics, money and intelligence services - did not initially foresee full deployment before September due to logistical constraints.

Senegal, Burkina Faso, Niger, Nigeria and Guinea have all offered troops. Col. Mohammed Yerima, spokesman for Nigeria's Defense ministry, said the first 190 soldiers would be dispatched within 24 hours.

But Nigeria, which is due to lead the mission, has already cautioned that even if some troops arrive in Mali soon, their training and equipping will take more time.

Sub-Saharan Africa's top oil producer, which already has peacekeepers in Sudan's Darfur and is fighting a bloody and difficult insurgency at home against Islamist sect Boko Haram, could struggle to deliver on its troop commitment of 900 men.

One senior government adviser in Nigeria said the Mali deployment was stretching the country's military.

"The whole thing's a mess. We don't have any troops with experience of those extreme conditions, even of how to keep all that sand from ruining your equipment. And we're facing battle-hardened guys who live in those dunes," said the adviser, who asked not to be named.

FRENCH LINING UP SUPPORT

France, which has repeatedly said it has abandoned its role as policeman of its former African colonies, said on Monday that the U.S., Canada, Denmark and Germany had also offered logistical support.

Fabius has said Gulf Arab states would help the Mali campaign, while Belgium said on Tuesday it would send two C130 transport planes and two medical helicopters following a request from Paris.

A meeting of donors for the operation was expected to be held in Addis Ababa at the end of January.

Security experts have warned that the multinational intervention in Mali, couched in terms of a campaign by governments against "terrorism", could provoke a jihadist backlash against France and the West, and African allies.

U.S. officials have warned of links between AQIM, Boko Haram in Nigeria and al Shabaab Islamic militants fighting in Somalia.

Al Shabaab, which foiled a French effort at the weekend to rescue a French secret agent it was holding hostage, urged Muslims around the world to rise up against what it called "Christian" attacks against Islam.

"Our brothers in Mali, show patience and tolerance and you will win. War planes never liberate a land," Sheikh Ali Mohamud Rage, al Shabaab's spokesman, said on a rebel-run website.

U.S. officials said Washington was sharing information with French forces in Mali and considering providing logistics, surveillance and airlift capability.

"We have made a commitment that al Qaeda is not going to find any place to hide," U.S. Defense Secretary Leon Panetta told reporters as he began a visit to Europe. Panetta later said the U.S. had no plans to send troops to Mali.

One U.S. military source said the haphazard nature of French involvement reminded him of the U.S. entry into Afghanistan.

"I don't know what the French endgame is for this," the source said. "Air strikes are fine, but pretty soon you run out of easy targets. Then what do you do? What do you do when they head up into the mountains?"

(Additional reporting by Elizabeth Pineau and Raissa Kasolowsky in Abu Dhabi, Felix Onuah in Abuja and Tim Cocks in Lagos, Abdi Sheikh in Mogadishu, Michelle Nichols and Louis Charbonneau at the United Nations,; Richard Valdmanis in Dakar, Joe Bavier in Abidjan, Jan Vermeylen in Brussels; Writing by Pascal Fletcher, Daniel Flynn and David Lewis; editing by Richard Valdmanis, Giles Elgood and Will Waterman)

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