Sex to burn calories? Authors expose obesity myths

Fact or fiction? Sex burns a lot of calories. Snacking or skipping breakfast is bad. School gym classes make a big difference in kids' weight.

All are myths or at least presumptions that may not be true, say researchers who reviewed the science behind some widely held obesity beliefs and found it lacking.

Their report in Thursday's New England Journal of Medicine says dogma and fallacies are detracting from real solutions to the nation's weight problems.

"The evidence is what matters," and many feel-good ideas repeated by well-meaning health experts just don't have it, said the lead author, David Allison, a biostatistician at the University of Alabama at Birmingham.

Independent researchers say the authors have some valid points. But many of the report's authors also have deep financial ties to food, beverage and weight-loss product makers — the disclosures take up half a page of fine print in the journal.

"It raises questions about what the purpose of this paper is" and whether it's aimed at promoting drugs, meal replacement products and bariatric surgery as solutions, said Marion Nestle, a New York University professor of nutrition and food studies.

"The big issues in weight loss are how you change the food environment in order for people to make healthy choices," such as limits on soda sizes and marketing junk food to children, she said. Some of the myths they cite are "straw men" issues, she said.

But some are pretty interesting.

Sex, for instance. Not that people do it to try to lose weight, but claims that it burns 100 to 300 calories are common, Allison said. Yet the only study that scientifically measured the energy output found that sex lasted six minutes on average — "disappointing, isn't it?" — and burned a mere 21 calories, about as much as walking, he said.

That's for a man. The study was done in 1984 and didn't measure the women's experience.

Among the other myths or assumptions the authors cite, based on their review of the most rigorous studies on each topic:

—Small changes in diet or exercise lead to large, long-term weight changes. Fact: The body adapts to changes, so small steps to cut calories don't have the same effect over time, studies suggest. At least one outside expert agrees with the authors that the "small changes" concept is based on an "oversimplified" 3,500-calorie rule, that adding or cutting that many calories alters weight by one pound.

—School gym classes have a big impact on kids' weight. Fact: Classes typically are not long, often or intense enough to make much difference.

—Losing a lot of weight quickly is worse than losing a little slowly over the long term. Fact: Although many dieters regain weight, those who lose a lot to start with often end up at a lower weight than people who drop more modest amounts.

—Snacking leads to weight gain. Fact: No high quality studies support that, the authors say.

—Regularly eating breakfast helps prevent obesity. Fact: Two studies found no effect on weight and one suggested that the effect depended on whether people were used to skipping breakfast or not.

—Setting overly ambitious goals leads to frustration and less weight loss. Fact: Some studies suggest people do better with high goals.

Some things may not have the strongest evidence for preventing obesity but are good for other reasons, such as breastfeeding and eating plenty of fruits and vegetables, the authors write. And exercise helps prevent a host of health problems regardless of whether it helps a person shed weight.

"I agree with most of the points" except the authors' conclusions that meal replacement products and diet drugs work for battling obesity, said Dr. David Ludwig, a prominent obesity research with Boston Children's Hospital who has no industry ties. Most weight-loss drugs sold over the last century had to be recalled because of serious side effects, so "there's much more evidence of failure than success," he said.

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Online:

Obesity info: http://www.cdc.gov/obesity/data/trends.html

New England Journal: http://www.nejm.org

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

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No Device Eliminates Concussion Risk, Experts Say

As the long-term consequences of concussions become clearer, a cottage industry has popped up to sell athletes and worried parents products designed to mitigate risks of concussions that even helmets cannot prevent.

Despite the bold claims of some companies, however, many experts say the Holy Grail in contact sports -- a device that prevents concussions -- simply does not exist. Indeed, experts say, there is no proof that any current device significantly reduces the risk of concussions beyond the protections already provided by helmets.

"Nightline" found several products for sale online that aim to reduce the risk of concussions or even alert parents and coaches when a kid has supposedly taken a concussion-level hit. The claims the manufacturers make are often breathtakingly reassuring.

Concern about the risk of concussion is mounting at every level of the gridiron from the NFL to colleges and even high schools. Concussions are the most common injury among high school football players.

Jennifer Branin, whose son Tyler Branin is one of the stars of the Woodbridge Warriors high school football team in Irvine, Calif., said "it was scary" the first time he had a concussion.

"He had lost his balance on the field," she said. "He got up and tried to continue, but couldn't keep his balance."

Junior Seau Had Brain Disease, Researchers Say Watch Video

She said the effects of the concussion lingered, causing Tyler to miss a week of school and football practice. Even months later, he complained of difficulty concentrating in class.

Parents such as Jennifer Branin, who is president of the team's booster club, and her husband, Andy Branin, a former college football player himself, were looking for a way to support their son's desire to play football while also keeping him safe.

"He wants to play and, as a mom, you may want to put bubble-wrap around them and protect them forever, but that's not going to happen," she said.

So Jennifer Branin decided to do something. She raised money to buy the team helmet inserts by Unequal Technologies for added protection.

Unequal Technologies, one of the highest profile players in this new market, described its product explicitly on the box as "Concussion Reduction Technology," or "CRT." It is a strip of composite material including bullet-proof Kevlar that is designed to stick inside the helmet as a liner to the existing helmet pads.

Unequal Technologies uses its material in products ranging from padded sleeves to shin guards. The company counts NFL players and X-Games athletes among its fans.

On board as paid spokesmen are Philadelphia Eagles quarterback Michael Vick and James Harrison, a linebacker for the Pittsburgh Steelers. Harrison is one of the hardest-hitting guys in the NFL and said he uses Unequal Technology's liners in his helmet.

"I don't know what it's made of but it works," Harrison says in one of Unequal's promotional videos. "I really don't feel like I'm taking a risk."

Vick wasn't wearing the CRT product when he suffered a season-ending concussion in November, but he has since promised that he will be wearing it when he returns to the field next season.

Rob Vito, founder and CEO of the Kennett Square, Pa.-based company, said he worked with scientists to create a military-grade composite material that can help protect athletes from all kinds of injuries from head to toe.

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U.N.'s Ban decries "horrors" in Syria, urges end to war

DUBAI (Reuters) - Denouncing "unrelenting horrors" in Syria's war, U.N. Secretary-General Ban Ki-moon appealed on Wednesday for an end to the violence and urged more aid to address a situation he said was catastrophic and worsening by the day.

"How many more people will be killed if the current situation continues?," Ban said, speaking at a conference of donors in Kuwait called to drum up more pledges of financing for U.N. humanitarian efforts.

"I appeal to all sides and particularly the Syrian government, to stop the killing ... in the name of humanity, stop the killing, stop the violence," he said.

More than 60,000 people have been killed since the 22-month-old conflict began, the United Nations says.

The world body warned on Monday that without more money it would not be able to help millions of Syrians and appealed for donations at the aid conference to meet its $1.5 billion target.

Some four million Syrians inside the country need food, shelter and other aid and more than 700,000 more have escaped to neighboring countries since the conflict began, according to the United Nations. Half of the civilians affected by the crisis are children, it says.

SCALE OF CRISIS ESCALATES

Wednesday's conference will seek pledges of $1 billion of aid for Syria's neighbors sheltering refugees and another $500 million to bankroll humanitarian work for 4 million Syrians inside the country.

The aid would fund operations for the first half of this year, but the United Nations has so far received pledges covering just 18 percent of the target, unveiled last month as the scale of Syria's humanitarian crisis escalated sharply.

Even if pledges are made, aid groups have found in the past that converting promises into hard cash can take time.

Nevertheless, there was early positive news for the gathering when Kuwait's emir pledged to give $300 million to the aid effort.

Sheikh Sabah al-Ahmad al-Sabah told the meeting that "horrifying reports" of violence had raised questions over the future of Syria and aid efforts had to be redoubled.

But Ban said much more remained to be done.

"The situation in Syria is catastrophic and getting worse every day," he said. "Every day Syrians face unrelenting horrors," he said, adding this included sexual violence and detentions.

INFRASTRUCTURE BEING DESTROYED

About half of public hospitals and a quarter of schools are damaged, he said, and the country's infrastructure was being systematically destroyed.

Aid officials hope the fact that the conference is being held in Kuwait will encourage other wealthy Gulf Arab states, who have led regional opposition to President Bashar al-Assad, to support the international aid effort.

Many Gulf states have sent assistance, but aid workers say their efforts have been haphazard and rarely coordinated with other aid agencies, hampering their ability to plan a sustained relief program.

Syria's main opposition coalition has criticized the U.N. appeal and its arrangements for distributing aid inside Syria, saying the organization has effectively ceded control to the Syrian government and failed to deliver all but a bare minimum of aid to areas controlled by Assad's opponents.

(Reporting by Sylvia Westall, Writing by William Maclean; Editing by Jon Boyle)

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Greater community support helps ex-offenders

SINGAPORE: Greater community support for ex-offenders has paid off -- with overall fewer ex-inmates imprisoned for re-offending -- according to the Singapore Prison Service's annual report card.

However, drug offenders who were released from Drug Rehabilitation Centres recorded a higher percentage of re-offending.

For some inmates who have no family support, they might not have a job or a home to return to after they are released.

Chavez Ong, a specialist in correctional rehabilitation with the Singapore Prison Service, said: "We actually work together with our partners, like the HDB -- we've been liasing with them to look into the (housing) issue.

"We also look into halfway houses for placement. And we also try to reach out to their families again, because for us, family involvement during the rehabilitation process is one of the very crucial factors."

The greater community support for ex-prisoners has paid off. The Singapore Prison Service said that the overall recidivism rate -- which is the rate at which prisoners re-offend and return to jail within two years of release -- fell to 23.6 per cent for those released in 2010, down from 26.7 per cent for those who were released in 2009.

On average, about 9,000 local inmates are released from prison each year. In 1998, the recidivism rate was 44.4 per cent, but in recent years it has hovered around 26 to 27 per cent.

About 20 per cent more employers have joined the effort to hire ex-offenders, which means more inmates found jobs before they were released.

The number of employers who are part of the Singapore Corporation of Rehabilitative Enterprises now stands at 3,457, compared with 2,872 in 2011, and 2,459 in 2010. Most of the jobs are in manufacturing, logistics, and food & beverage.

For a third year running, more inmates found jobs before they were released.

More volunteers have also joined the community outreach programme to support the families of these inmates. The programme now has 390 registered and trained volunteers -- an increase of 69 per cent from 2011.

But for drug offenders, a higher number re-offended. The recidivism rate for those released from the drug rehabilitation centres in 2010 was 27.5 per cent -- slightly higher than the 27.1 per cent of 2009.

To tackle this, repeat drug offenders at higher risk of re-offending must now go through a more robust mandatory supervision programme upon their release.

Besides urine tests and electronic monitoring, there will also be compulsory case work and counselling.

Rubiana Shamsul, a reintegration officer with the Singapore Prison Service, said: "So basically these offenders will actually face challenges when they go back to their old neighbourhood and they would be facing their old circle of friends and that's where the temptation would come in. So from there, we're trying to curb this by having our regular counselling sessions.

"Another challenge they would be facing is finding gainful employment -- we'd like to motivate them to have pro-social activities in their leisure time, so they don't have the temptation to go back to doing what they were doing before."

About 1,000 drug offenders are expected to be supervised this way in 2013 and 2014.

-CNA/ac

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Partymen should exercise restraint in their speech, Rajnath Singh says

NEW DELHI: New BJP president Rajnath Singh today asked partymen to exercise restraint in their speech and conduct and fight for people's issues to gain the confidence of the masses.

Addressing party leaders and workers at the BJP headquarters here, Singh also asked them to maintain patience.

He exhorted BJP workers to work for strengthening the party and said there is a need to fight for the problems of the common man and gain their confidence as the ruling party at the Centre had failed on this front.

"Leaders should maintain good speech and conduct...They should have patience," Singh told partymen.

The BJP chief was at a party headquarters for about two hours. This is the second time after assuming charge that he met leaders and workers of the party here.

Singh later met party leader Sushma Swaraj over lunch at her residence where the two leaders discussed key party matters, including formation of a new team.

The party is likely to hold National Executive and National Council meetings in mid-February, after which Singh will announce his new team.

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Soldier with new arms determined to be independent

BALTIMORE (AP) — After weeks of round-the-clock medical care, Brendan Marrocco insisted on rolling his own wheelchair into a news conference using his new transplanted arms. Then he brushed his hair to one side.

Such simple tasks would go unnoticed in most patients. But for Marrocco, who lost all four limbs while serving in Iraq, these little actions demonstrate how far he's come only six weeks after getting a double-arm transplant.

Wounded by a roadside bomb in 2009, the former soldier said he could get by without legs, but he hated living without arms.

"Not having arms takes so much away from you. Even your personality, you know. You talk with your hands. You do everything with your hands, and when you don't have that, you're kind of lost for a while," the 26-year-old New Yorker told reporters Tuesday at Johns Hopkins Hospital.

Doctors don't want him using his new arms too much yet, but his gritty determination to regain independence was one of the chief reasons he was chosen to receive the surgery, which has been performed in the U.S. only seven times.

That's the message Marrocco said he has for other wounded soldiers.

"Just not to give up hope. You know, life always gets better, and you're still alive," he said. "And to be stubborn. There's a lot of people who will say you can't do something. Just be stubborn and do it anyway. Work your ass off and do it."

Dr. W.P. Andrew Lee, head of the team that conducted the surgery, said the new arms could eventually provide much of the same function as his original arms and hands. Another double-arm transplant patient can now use chopsticks and tie his shoes.

Lee said Marrocco's recovery has been remarkable, and the transplant is helping to "restore physical and psychological well-being."

Tuesday's news conference was held to mark a milestone in his recovery — the day he was to be discharged from the hospital.

Next comes several years of rehabilitation, including physical therapy that is going to become more difficult as feeling returns to the arms.

Before the surgery, he had been living with his older brother in a specially equipped home on New York's Staten Island that had been built with the help of several charities. Shortly after moving in, he said it was "a relief to not have to rely on other people so much."

The home was heavily damaged by Superstorm Sandy last fall.

"We'll get it back together. We've been through a lot worse than that," his father, Alex Marrocco, said.

For the next few months, Marrocco plans to live with his brother in an apartment near the hospital.

The former infantryman said he can already move the elbow on his left arm and rotate it a little bit, but there hasn't been much movement yet for his right arm, which was transplanted higher up.

Marrocco's mother, Michelle Marrocco, said he can't hug her yet, so he brushes his left arm against her face.

The first time he moved his left arm was a complete surprise, an involuntary motion while friends were visiting him in the hospital, he said.

"I had no idea what was going through my mind. I was with my friends, and it happened by accident," he recalled. "One of my friends said 'Did you do that on purpose?' And I didn't know I did it."

Marrocco's operation also involved a technical feat not tried in previous cases, Lee said in an interview after the news conference.

A small part of Marrocco's left forearm remained just below his elbow, and doctors transplanted a whole new forearm around and on top of it, then rewired nerves to serve the old and new muscles in that arm.

"We wanted to save his joint. In the unlucky event we would lose the transplant, we still wanted him to have the elbow joint," Lee said.

He also explained why leg transplants are not done for people missing those limbs — "it's not very practical." That's because nerves regrow at best about an inch a month, so it would be many years before a transplanted leg was useful.

Even if movement returned, a patient might lack sensation on the soles of the feet, which would be unsafe if the person stepped on sharp objects and couldn't feel the pain.

And unlike prosthetic arms and hands, which many patients find frustrating, the ones for legs are good. That makes the risks of a transplant not worth taking.

"It's premature" until there are better ways to help nerves regrow, Lee said.

Now Marrocco, who was the first soldier to survive losing all four limbs in the Iraq War, is looking forward to getting behind the wheel of his black 2006 Dodge Charger and hand-cycling a marathon.

Asked if he could one day throw a football, Dr. Jaimie Shores said sure, but maybe not like Baltimore Ravens quarterback Joe Flacco.

"Thanks for having faith in me," Marrocco interjected, drawing laughter from the crowd.

His mother said Marrocco has always been "a tough cookie."

"He's not changed that, and he's just taken it and made it an art form," Michelle Marrocco said. "He's never going to stop. He's going to be that boy I knew was going to be a pain in my butt forever. And he's going to show people how to live their lives."

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Associated Press Chief Medical Writer Marilynn Marchione in Milwaukee and AP writer David Dishneau in Hagerstown, Md., contributed to this report.

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Clinton Talks 2016, Stands by Benghazi Testimony

In her final television interview as Secretary of State, Hillary Clinton told ABC's Cynthia McFadden that she is "flattered and honored" at the intense interest in whether she might run for president in 2016.

But Clinton maintained that right now she's "not focused" on a presidential campaign; instead she said she wants to return to a "normal" life when she steps down from office on Friday.

Watch Cynthia McFadden's full interview with Secretary of State Hillary Clinton on "Nightline" tonight at 12:35 a.m. ET

Clinton's first order of business, she said, will be sleep.

"I hope I get to sleep in," she told McFadden with a laugh. "It will be the first time in many years. I have no office to go to, no schedule to keep, no work to do. That will probably last a few days then I will be up and going with my new projects," she said.

"I have been working or attending school full-time since I was 13. This is going to be new for me. I don't know how I'm going to react to it, to be honest."

PHOTOS: Hillary Clinton Through the Years: From Wellesley to the White House, and Beyond

Clinton has had no trouble articulating her reaction to what has arguably been the darkest chapter of her tenure as Secretary of State: the Sept. 11 attack on the U.S. consulate in Benghazi, Libya, in which four Americans, including Ambassador Chris Stevens, were killed.

Hillary's Next Chapter: On Family and Future Watch Video

Secretary Clinton had a heated exchange with Republican Senator Ron Johnson during her five hours of testimony before Congress about the attack last week. Johnson accused the administration of misleading the American people about the cause of the attack, when UN Ambassador Susan Rice, on Sunday political talk shows, blamed it on protesters.

Clinton snapped back at Johnson, "Four Americans are dead. What difference does it make?" For that, she has been sharply criticized by some conservatives.

Clinton said she "absolutely" stands by her response to Johnson, maintaining that the administration has been transparent with the information it knew, when it was available. Clinton said partisan politics have no place in a response to a terrorist attack against Americans.

"I believe that we should in public life, whether you're in the administration or the Congress, de-politicize crisis and work together to figure out what happened, what we can do to prevent it and then put into place both the institutional changes and the budgetary changes that are necessary, " she said.

"When someone tries to put into a partisan lens, when they focus not on the fact that we have such a terrible event happening with four dead Americans but instead what did somebody say on a Sunday morning talk show? That to me is not in keeping with the seriousness of the issue and the obligation we all have as public servants"

FULL TRANSCRIPT: Sec. of State Hillary Clinton's "Nightline" Interview

Asked about her health, Clinton said her recent illness, concussion and blood clot were all a surprise.

"When I got sick and fainted and hit my head I was so surprised, and I thought I would just get up and go to work. And thankfully I had very good medical care and doctors who said, 'No we'd better do an MRI, we'd better do this, we'd better do that,'" she said, calling herself "lucky."

"I know now how split second beset by a virus and dehydrated, what it can do to you."

Though she confirmed she is wearing special glasses to help with double vision, a lingering issue following her illness, Clinton said that she expects to be fully recovered and operating at "full speed" soon.

The Secretary told McFadden that if she does decide to run, she would have "no problem" making her health records public.

"Of course, that goes with the territory," she said.

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French seal off Mali's Timbuktu, rebels torch library

GAO, Mali (Reuters) - French and Malian troops retook control of Timbuktu, a UNESCO World Heritage site, on Monday after Islamist rebel occupiers fled the ancient Sahara trading town and torched several buildings, including a library holding priceless manuscripts.

The United States and the European Union are backing a French-led intervention in Mali against al Qaeda-allied militants they fear could use the West African state's desert north as a springboard for international attacks.

The recovery of Timbuktu followed the swift capture by French and Malian forces at the weekend of Gao, another major town in Mali's north that had been occupied by the alliance of jihadist groups since last year.

The two-week-old mission by France in its former Sahel colony, at the request of Mali's government, has driven the Islamist rebels northwards out of towns into the desert and mountains.

Without a shot being fired, 1,000 French soldiers and paratroopers and 200 Malian troops seized Timbuktu airport and surrounded the town on the banks of the Niger River, looking to block the escape of insurgents.

In both Timbuktu and Gao, cheering crowds turned out to welcome the French and Malian troops.

A third town in Mali's vast desert north, Kidal, had remained in Islamist militant hands. But Malian Tuareg MNLA rebels, who are seeking autonomy for their northern region, said on Monday they had taken charge in Kidal after Islamist fighters abandoned it.

A diplomat in Bamako confirmed the MNLA takeover of Kidal.

A French military spokesman said the assault forces at Timbuktu were avoiding any fighting inside the city to protect the cultural treasures, mosques and religious shrines in what is considered a seat of Islamic learning.

But Timbuktu Mayor Ousmane Halle told Reuters departing Islamist gunmen had four days earlier set fire to the town's new Ahmed Baba Institute, which contained thousands of manuscripts.

UNESCO spokesman Roni Amelan said the Paris-based U.N. cultural agency was "horrified" by the news of the fire, but was awaiting a full assessment of the damage.

Ali Baba, a worker at the Ahmed Baba Institute, told Sky News in Timbuktu more than 3,000 manuscripts had been destroyed. "They are bandits. They have burned some manuscripts and also stole a lot of manuscripts which they took with them," he said.

Marie Rodet, an African history lecturer at Britain's School of Oriental and African Studies, said Timbuktu held one of the greatest libraries of Islamic manuscripts in the world.

"It's pure retaliation. They (the Islamist militant rebels) knew they were losing the battle and they hit where it really hurts," Rodet told Reuters. "These people are not interested in any intellectual debate. They are anti-intellectual."

ISLAMISTS "ALL FLED"

The Ahmed Baba Institute, one of several libraries and collections in Timbuktu containing fragile documents dating back to the 13th century, is named after a Timbuktu-born contemporary of William Shakespeare and houses more than 20,000 scholarly manuscripts. Some were stored in underground vaults.

The French and Malians have encountered no resistance so far in Timbuktu. But they will now have to comb through a labyrinth of ancient mosques, monuments, mud-brick homes and narrow alleyways to flush out any hiding fighters.

The Islamist forces comprise a loose alliance that groups Al Qaeda in the Islamic Maghreb (AQIM) with Malian Islamist group Ansar Dine and AQIM splinter MUJWA.

They have retreated in the face of relentless French air strikes and superior firepower and are believed to be sheltering in the rugged Adrar des Ifoghas mountain range, north of Kidal.

The MNLA Tuareg rebels who say they now hold Kidal have offered to help the French-led offensive against the al Qaeda-affiliated Islamists. It was not clear, however, whether the French and Malians would steer their offensive further towards Kidal, or hold negotiations with the MNLA.

FRANCE: MALI "BEING LIBERATED"

The world was shocked by Timbuktu's capture in April by Tuareg fighters, whose separatist rebellion was later hijacked by Islamist radicals who imposed severe sharia (Islamic law).

Provoking international outrage, the Muslim militants - who follow a more radical Salafist brand of Islam - destroyed dozens of ancient shrines in Timbuktu sacred to Sufi Muslims, condemning them as idolatrous and un-Islamic.

They also imposed a strict form of Islamic law, or sharia, authorizing the stoning of adulterers and amputations for thieves, while forcing women to go veiled.

On Sunday, many women among the thousands of Gao residents who came out to celebrate the rebels' expulsion made a point of going unveiled. Other residents smoked cigarettes and played music to flout the bans previously imposed by the rebels.

Hundreds of troops from Niger and Chad have been brought to Gao to help secure the town.

"Little by little, Mali is being liberated," French Foreign Minister Laurent Fabius told France 2 television.

Speaking at a news conference in Paris, French President Francois Hollande said French troops would take a step back once the job of retaking key towns was complete, and Malian and other African troops would take over the task of hunting the rebels.

"They are the ones who will go into the northern part, which we know is the most difficult because that's where the terrorists are hiding," Hollande said.

As the French and Malian troops thrust into northern Mali, African troops for a U.N.-backed continental intervention force for Mali, expected to number 7,700, are being flown into the country, despite severe delays and logistical problems.

Outgoing African Union Chairman President Thomas Boni Yayi of Benin scolded AU states at a weekend summit in Addis Ababa for their slow response to assist Mali while former colonial power France took the lead in the military operation.

Burkina Faso, Benin, Nigeria, Senegal, Togo, Niger and Chad are providing soldiers for the AFISMA force. Burundi and other nations have pledged to contribute.

AU Peace and Security Commissioner Ramtane Lamamra said these regional troops could play a useful "clean-up" role once the main military operations against the Islamist rebels end.

Speaking in Addis Ababa on Monday, U.N. Secretary-General Ban Ki-moon said the U.N. was "actively considering" helping the troop-contributing African countries with logistical support.

(Additional reporting by Richard Valdmanis in Sevare, Mali, Bate Felix and David Lewis in Dakar, Maria Golovina in London, Alexandria Sage, Vicky Buffery and Emmanuel Jarry in Paris, Tiemoko Diallo in Bamako, Abdoulaye Massalatchi in Niamey, Richard Lough and Aaron Masho in Addis Ababa; Writing by Pascal Fletcher; Editing by Andrew Heavens)

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North Korea threatens "merciless" retaliation on South

SEOUL: North Korea on Tuesday vowed "merciless" retaliation against the South for its support of UN sanctions, as Seoul urged Pyongyang to step back from a widely expected nuclear test.

The perennially tense situation on the Korean peninsula has been stretched to its limit in the past week, with almost daily threats from the North that it is preparing to conduct a nuclear test as a riposte to the expanded sanctions.

A lengthy commentary published on Tuesday by the official Korean Central News Agency (KCNA) reiterated that the sanctions resolution passed by the UN Security Council was tantamount to a "declaration of war".

Noting what it called the South's "despicable" support for the resolution, KCNA said it was an act of gross provocation that would not go unanswered.

"The provokers will meet only merciless retaliatory blows," it said.

The commentary made no specific mention of the nuclear test that the North's top military body had explicitly signalled in a statement carried by KCNA last week.

The National Defence Commission had said the test was aimed at "arch-enemy" the United States, which had proposed the UN resolution penalising Pyongyang for a banned rocket launch in December.

In Seoul, the foreign ministry on Tuesday noted that the UN resolution had warned of further "significant action" against the North it it proceeds with another test.

"The government once again strongly urges North Korea to pay heed to the continued warnings from the international community and not push ahead with any further provocations, including a nuclear test," spokesman Cho Tai-Young said.

"I don't really understand why North Korea is sticking to an act that threatens security in the region at a time when its people are struggling from a lack of food," Cho said.

South Korean defence officials have said they believe the North is capable of conducting a nuclear test "any time" and announced on Tuesday the creation of a special task force to monitor the site of its two previous tests in 2006 and 2009.

The task force was set up by the South's Joint Chiefs of Staff and is studying data and intelligence being collected by state institutions and independent experts, defence ministry spokesman Kim Min-Seok told reporters.

The state-run Korea Institute of Geoscience and Mineral Resources has set up a situation room to receive and process seismic information that might indicate when a test is conducted, he added.

The institute detected an "artificial earthquake" about 40 seconds after the North's second nuclear test in 2009.

- AFP/al

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Soldier talks about his new arms after transplant

BALTIMORE (AP) — A soldier who lost all four limbs in an Iraq roadside bombing has two new arms following a double transplant at Johns Hopkins Hospital.

Twenty-six-year-old Brendan Marrocco along with the surgeons who treated him will be at the Baltimore hospital on Tuesday to discuss the new limbs.

The transplants are only the seventh double-hand or double-arm transplant ever conducted in the United States.

The infantryman was injured by a roadside bomb in 2009. The New York City man also received bone marrow from the same dead donor. The approach is aimed at helping his body accept the new arms with minimal medication to prevent rejection.

The military is sponsoring operations like these to help wounded troops. About 300 have lost arms or hands in the wars.

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