Asperger's dropped from revised diagnosis manual

CHICAGO (AP) — The now familiar term "Asperger's disorder" is being dropped. And abnormally bad and frequent temper tantrums will be given a scientific-sounding diagnosis called DMDD. But "dyslexia" and other learning disorders remain.

The revisions come in the first major rewrite in nearly 20 years of the diagnostic guide used by the nation's psychiatrists. Changes were approved Saturday.

Full details of all the revisions will come next May when the American Psychiatric Association's new diagnostic manual is published, but the impact will be huge, affecting millions of children and adults worldwide. The manual also is important for the insurance industry in deciding what treatment to pay for, and it helps schools decide how to allot special education.

This diagnostic guide "defines what constellations of symptoms" doctors recognize as mental disorders, said Dr. Mark Olfson, a Columbia University psychiatry professor. More important, he said, it "shapes who will receive what treatment. Even seemingly subtle changes to the criteria can have substantial effects on patterns of care."

Olfson was not involved in the revision process. The changes were approved Saturday in suburban Washington, D.C., by the psychiatric association's board of trustees.

The aim is not to expand the number of people diagnosed with mental illness, but to ensure that affected children and adults are more accurately diagnosed so they can get the most appropriate treatment, said Dr. David Kupfer. He chaired the task force in charge of revising the manual and is a psychiatry professor at the University of Pittsburgh.

One of the most hotly argued changes was how to define the various ranges of autism. Some advocates opposed the idea of dropping the specific diagnosis for Asperger's disorder. People with that disorder often have high intelligence and vast knowledge on narrow subjects but lack social skills. Some who have the condition embrace their quirkiness and vow to continue to use the label.

And some Asperger's families opposed any change, fearing their kids would lose a diagnosis and no longer be eligible for special services.

But the revision will not affect their education services, experts say.

The new manual adds the term "autism spectrum disorder," which already is used by many experts in the field. Asperger's disorder will be dropped and incorporated under that umbrella diagnosis. The new category will include kids with severe autism, who often don't talk or interact, as well as those with milder forms.

Kelli Gibson of Battle Creek, Mich., who has four sons with various forms of autism, said Saturday she welcomes the change. Her boys all had different labels in the old diagnostic manual, including a 14-year-old with Asperger's.

"To give it separate names never made sense to me," Gibson said. "To me, my children all had autism."

Three of her boys receive special education services in public school; the fourth is enrolled in a school for disabled children. The new autism diagnosis won't affect those services, Gibson said. She also has a 3-year-old daughter without autism.

People with dyslexia also were closely watching for the new updated doctors' guide. Many with the reading disorder did not want their diagnosis to be dropped. And it won't be. Instead, the new manual will have a broader learning disorder category to cover several conditions including dyslexia, which causes difficulty understanding letters and recognizing written words.

The trustees on Saturday made the final decision on what proposals made the cut; recommendations came from experts in several work groups assigned to evaluate different mental illnesses.

The revised guidebook "represents a significant step forward for the field. It will improve our ability to accurately diagnose psychiatric disorders," Dr. David Fassler, the group's treasurer and a University of Vermont psychiatry professor, said after the vote.

The shorthand name for the new edition, the organization's fifth revision of the Diagnostic and Statistical Manual, is DSM-5. Group leaders said specifics won't be disclosed until the manual is published but they confirmed some changes. A 2000 edition of the manual made minor changes but the last major edition was published in 1994.

Olfson said the manual "seeks to capture the current state of knowledge of psychiatric disorders. Since 2000 ... there have been important advances in our understanding of the nature of psychiatric disorders."

Catherine Lord, an autism expert at Weill Cornell Medical College in New York who was on the psychiatric group's autism task force, said anyone who met criteria for Asperger's in the old manual would be included in the new diagnosis.

One reason for the change is that some states and school systems don't provide services for children and adults with Asperger's, or provide fewer services than those given an autism diagnosis, she said.

Autism researcher Geraldine Dawson, chief science officer for the advocacy group Autism Speaks, said small studies have suggested the new criteria will be effective. But she said it will be crucial to monitor so that children don't lose services.

Other changes include:

—A new diagnosis for severe recurrent temper tantrums — disruptive mood dysregulation disorder. Critics say it will medicalize kids' who have normal tantrums. Supporters say it will address concerns about too many kids being misdiagnosed with bipolar disorder and treated with powerful psychiatric drugs. Bipolar disorder involves sharp mood swings and affected children are sometimes very irritable or have explosive tantrums.

—Eliminating the term "gender identity disorder." It has been used for children or adults who strongly believe that they were born the wrong gender. But many activists believe the condition isn't a disorder and say calling it one is stigmatizing. The term would be replaced with "gender dysphoria," which means emotional distress over one's gender. Supporters equated the change with removing homosexuality as a mental illness in the diagnostic manual, which happened decades ago.

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

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Pete's Harbor live-aboards fight for their way of life

REDWOOD CITY, Calif. — Pete Uccelli took 20 acres of swampland and transformed it into a boatyard and marina, welcoming visitors and residents of his beloved town to stroll the docks and feed the ducks.

His restaurant on the southern edge of San Francisco Bay became a gathering spot — hosting Rotary Club meetings, business lunches and quinceañeras.

"Pete's Harbor" also was a haven for "live-aboards," who rejoiced in the riches of the wildlife refuge a stone's throw away and often shared their unique lifestyle over barbecue and beers.

But after nearly six decades, it looks like it's all coming to an end.

Boaters and motor home owners — well over 100 of them full-time residents — were told by Uccelli's widow, Paula, that they'd have to clear out by Jan. 15.

Her husband had started talking about selling the land for development more than a decade ago. After several starts and stops, planning commissioners late last month approved a Colorado builder's plan to raze the restaurant, construct more than 400 condos and apartments and restrict the marina's slips to use by the new residents.

Although many boaters gave up and pulled out — their slips have been cordoned off with yellow tape to ensure that they stay vacant — a dedicated group of residents is calling for compromise.

"It's not really about us," said Roger Smith, 68, who used to dine at Pete's restaurant when it was a thatch-roofed hamburger shack. He parked his motor home here for good seven years ago. "It's about Redwood City and the rest of the region — and what it's going to lose."

Just up Redwood Creek from Pete's, the same developer demolished hundreds of live-aboard boat slips a few years back. At marinas with slips directly on San Francisco Bay waters — as some of Pete's are — a state conservation commission limits live-aboards to 10% of the total, and waiting lists for larger vessels tend to be long. Marinas without adequate parking, bathrooms or pump-out facilities don't allow live-aboards at all.

The current residents of Pete's Harbor have appealed the city Planning Commission's decision and suggested that an alternative plan could allow for some development while still preserving a commercial marina that would let them stay. After all, they noted, the city's General Plan pays plenty of lip service to the value of "floating communities" here — both culturally and as affordable housing.

Behind the grass-roots offensive is a history of opposition to bayfront development in Redwood City — a community of 80,000 on the outskirts of Silicon Valley. In fact, voters eight years ago rejected a zoning change that would have allowed a much larger project to be built on the same land.

This time, opponents asserted, the plan was jammed through without adequate public scrutiny at a time when the city is reassessing its vision for its inner harbor area.

"It was a done deal," said Buckley Stone, 54, a boisterous veteran who has lived here for 20 years with his wife, Wendy.

But the city planning manager, Blake Lyon, said the project fit the area's zoning designation and did not warrant greater input because the environmental impact report conducted years ago for the larger project needed only to be amended, not redone.

Still, the appeal will give live-aboard tenants a chance to air their concerns before the City Council in late January.

According to Ted Hannig, a longtime friend and attorney of the Uccellis, the current residents have had month-to-month leases since 2002 and knew the harbor would one day change hands. Ninety percent of them, he added, even signed a lease addendum that noted the marina was up for sale and agreed to leave their slips when asked.

"Pete's Harbor has no obligation to have live-aboards there," said Hannig, who has considered himself a boater since he built his first raft out of bamboo and bedsheets at age 11. "What they don't want to say is that they're not keeping their word to a dead man or to Paula, his widow."

Even some who sympathize with the Pete's Harbor residents said they should have known their paradise wouldn't last forever.

"It's like a hurricane in the Gulf," said Mark Sanders, who recently opened the nearby Westpoint Harbor Marina — the Bay Area's first new facility in decades. "If you're living in Jacksonville, Fla., you know you're going to get whacked with a hurricane. You just don't know when."

When Paula Uccelli told her boating and RV tenants in September that they'd have to be out after the New Year's holidays, they started mobilizing.

Alison Madden — a technology attorney who moved here in an Airstream trailer in May with her two kids while she searched for a boat — kicked into research mode. Leslie Webster, a freelance writer and communications consultant, helped start a blog. Brenda Hattery — who with her husband has cruised the West Coast and parts of Mexico in a pre-World War II schooner and settled here a year ago — put together a video to set the record straight on the kind of people live-aboards are — and aren't.

They gathered 1,600 signatures in one frenzied week and showed up in force at the Planning Commission hearing Oct. 30. But commissioners were unanimous: The project complied with the area's zoning, and the owner had a right to sell.

Still, the live-aboards are not giving up.

They are lobbying the California State Lands Commission and the San Francisco Bay Conservation and Development Commission, both of which have jurisdiction over some of the land and still must sign off on the development as in the public interest.

"I think what they fail to understand," said Webster, "is that even if we move, we're still going to be pursuing this."

But every day now, said resident Wendy Stone, someone else floats off, making the marina "a little less beautiful."

lee.romney@latimes.com

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Israel Moves to Expand Settlements in East Jerusalem

Rina Castelnuovo for The New York Times

From his home in East Jerusalem last year, Haj Ibrahim Ahmad Hawa looked at the separation barrier surrounding Jerusalem with the Israeli settlement of Maale Adumim in the background. More Photos »

JERUSALEM — Israel is moving forward with development of Jewish settlements in a contentious area east of Jerusalem, defying the United States by advancing a project that has long been condemned by international leaders as effectively dooming any prospect of a two-state solution to the Israeli-Palestinian conflict.

One day after the United Nations General Assembly voted overwhelmingly to upgrade the Palestinians’ status, a senior Israeli official, speaking on the condition of anonymity, said the government would pursue “preliminary zoning and planning preparations” for a development that would separate the West Bank cities of Ramallah and Bethlehem from Jerusalem — preventing the possibility of a viable, contiguous Palestinian state.

The development, in an open area known as E1, would connect the large settlement town of Maale Adumim to Jerusalem. Israel also authorized the construction of 3,000 new housing units in parts of East Jerusalem and the West Bank.

The timing of the twin actions seemed aimed at punishing the Palestinians for their United Nations bid, and appeared to demonstrate that hard-liners in the government had prevailed after days of debate over how to respond. They marked a surprising turnaround after a growing sense in recent days that Israeli leaders had acceded to pressure from Washington not to react quickly or harshly.

“This is a new act of defiance from the Israeli government,” Saab Erekat, the Palestinians’ chief negotiator, said in a statement. “At a moment where the Palestinian leadership is doing every single effort to save the two-state solution, the Israeli government does everything possible to destroy it.”

Much of the world considers settlements in East Jerusalem and the West Bank to be illegal under international law, and the United States has vigorously opposed development of E1 for nearly two decades. On Friday, Tommy Vietor, a White House spokesman, condemned the move, citing Washington’s “longstanding opposition to settlements and East Jerusalem construction and announcements.”

“We believe these actions are counterproductive and make it harder to resume direct negotiations or achieve a two-state solution,” Mr. Vietor said. “Direct negotiations remain our goal, and we encourage all parties to take steps to make that easier to achieve.”

The office of Prime Minister Benjamin Netanyahu refused to comment on the zoning and construction decisions, which were made Thursday night around the time of the General Assembly vote. But Israel has long maintained its right to develop neighborhoods throughout East Jerusalem and the West Bank — more than 500,000 Jews already live there — and Mr. Netanyahu, responding to the United Nations speech by President Mahmoud Abbas of the Palestinian Authority, said, “Someone who wants peace does not talk in such a manner.”

While Israel has frequently announced settlement expansions at delicate political moments, often to its detriment, the E1 move came as a shock, after a week in which both Israelis and Palestinians toned down their rhetoric about day-after responses to the United Nations bid. Avigdor Lieberman, the ultranationalist foreign minister who for months denounced the Palestinian initiative as “diplomatic terrorism” and said Israel should consider severe sanctions against the Palestinian Authority, told reporters in recent days that there would be “no automatic response.”

Mr. Erekat’s spokesman declined to discuss whether the Palestinians would use their upgraded status, as a nonmember observer state with access to United Nations institutions, to pursue a case in International Criminal Court regarding E1 or the other settlement expansion. Less contentious moves were already in progress: the Palestinian Authority has begun changing its name to “Palestine” on official documents, contracts and Web sites, and several nations are considering raising the level of diplomatic relations, giving Palestinian envoys the title of ambassador.

All but one European country voted with the Palestinians or abstained in Thursday’s United Nations vote, many of them citing concerns about settlements in West Bank and East Jerusalem territories Israel captured in the 1967 war. The settlement of E1, a 4.6-square-mile expanse of hilly parkland where some Bedouins have camps and a police station was opened in 2008, could further increase Israel’s international isolation.

Peter Baker contributed reporting from Hatfield, Pa.

This article has been revised to reflect the following correction:

Correction: November 30, 2012

An earlier version of this article misspelled the given name and surname of the leader of the Israeli Labor Party. She is Shelly Yacimovich, not Shelley Yachnimovich.

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Act of kindness turns New York cop into media darling

NEW YORK (Reuters) – The U.S. national media just got the perfect holiday gift: a feel-good tale about a young police officer who dug into his own pocket to put boots on a barefoot panhandler on a freezing city sidewalk.

Even better was the way the story of New York City Police Officer Larry DePrimo‘s kindness unfolded.

Thanks to a blurry Facebook photo snapped on a cell phone by a tourist who happened the incident in Times Square, DePrimo, 25, went from anonymous Good Samaritan to national media celebrity in less than 72 hours.

The photo of the officer crouching with the new pair of boots next to the bedraggled man was featured on the front pages of New York‘s two popular tabloids, the New York Post and the New York Daily News, on Friday. An article describing the good deed was the most viewed story of The New York Times’s website on Friday morning.

DePrimo told and retold the story of his labor of love in interviews Friday on a half dozen national TV morning shows, including NBC’s “Today” show, ABC’s “Good Morning America,” CBS’s “Morning Show,” CNN’s “Starting Point” and Fox News’s “Fox & Friends.”

“We’ve been speaking a lot the last couple of days about who should be the ‘Time’ person of the year — Time magazine. I’d like to nominate you,” “Fox & Friends” host Gretchen Carlson told DePrimo.

Little was known about the man to whom DePrimo gave the boots. He is said to be a veteran who was at one time homeless and was placed in veterans’ housing sometime in the past year, according to NBC 4 New York.

DePrimo’s story has been particularly appealing because most pictures and video civilians take of police officers expose cruelty, not generosity, said Roy Peter Clark, a senior scholar at the Poynter Institute in St. Petersburg, Florida.

In contrast, “everything about this feels good and right and worthy,” Clark said, adding that the way the story came to the media’s attention contributed to its poignancy.

Squeezed into the spotlight was Jennifer Foster, the tourist who quietly snapped the photo of DePrimo that was posted to the New York Police Department’s Facebook page on Tuesday afternoon. She was flown to New York from Arizona for a Friday morning appearance on “Today” with DePrimo – meeting him for the first time.

“We decided that we were best friends now,” Foster said on the program.

Back in Times Square, television trucks and their crews swarmed the Skechers store where DePrimo bought the boots with the help of a worker who rang up the purchase with his employee discount. Even the small kindness of the discount triggered a wave of thank you calls and emails to the store, including from a retired detective from Arizona, said assistant manager Holli Barton.

(Reporting by Peter Rudegeair; Editing by Barbara Goldberg and Leslie Adler)

Internet News Headlines – Yahoo! News

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Jessica Biel: Married Life with Justin Timberlake 'Feels Incredible'

By Dahvi Shira

11/30/2012 at 06:30 PM EST

Jessica Biel and Ellen DeGeneres

Michael Rozman/Warner Bros

It's all about the little things for newlywed Jessica Biel.

The Hitchcock star, 30, who tied the knot last month, says a huge perk of being married to Justin Timberlake is getting to use a certain seven-letter word.

"It's weird because it feels like almost nothing has changed, yet something that you can't really describe, or something that isn't tangible has changed," Biel says on The Ellen DeGeneres Show airing on Monday. "The weirdest and kind of most wonderful thing is that word. That's my husband."

Changing up her voice, the actress adds, "That's the word, and every time I say it, I go really Southern with it. 'Oh, that's my husband. That's him over there.' I touch my hair and I completely go like I'm from the South or something. It's weird."

As for life as Timberlake's wife, Biel says with a smile, "It just feels incredible. It feels like you have this partner who is going to be with you and also change light bulbs and do dishes with you."

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Kenya village pairs AIDS orphans with grandparents

NYUMBANI, Kenya (AP) — There are no middle-aged people in Nyumbani. They all died years ago, before this village of hope in Kenya began. Only the young and old live here.

Nyumbani was born of the AIDS crisis. The 938 children here all saw their parents die. The 97 grandparents — eight grandfathers among them — saw their middle-aged children die. But put together, the bookend generations take care of one another.

Saturday is World AIDS Day, but the executive director of the aid group Nyumbani, which oversees the village of the same name, hates the name which is given to the day because for her the word AIDS is so freighted with doom and death. These days, it doesn't necessarily mean a death sentence. Millions live with the virus with the help of anti-retroviral drugs, or ARVs. And the village she runs is an example of that.

"AIDS is not a word that we should be using. At the beginning when we came up against HIV, it was a terminal disease and people were presenting at the last phase, which we call AIDS," said Sister Mary Owens. "There is no known limit to the lifespan now so that word AIDS should not be used. So I hate World AIDS Day, follow? Because we have moved beyond talking about AIDS, the terminal stage. None of our children are in the terminal stage."

In the village, each grandparent is charged with caring for about a dozen "grandchildren," one or two of whom will be biological family. That responsibility has been a life-changer for Janet Kitheka, who lost one daughter to AIDS in 2003. Another daughter died from cancer in 2004. A son died in a tree-cutting accident in 2006 and the 63-year-old lost two grandchildren in 2007, including one from AIDS.

"When I came here I was released from the grief because I am always busy instead of thinking about the dead," said Kitheka. "Now I am thinking about building a new house with 12 children. They are orphans. I said to myself, 'Think about the living ones now.' I'm very happy because of the children."

As she walks around Nyumbani, which is three hours' drive east of Nairobi, 73-year-old Sister Mary is greeted like a rock star by little girls in matching colorful school uniforms. Children run and play, and sleep in bunk beds inside mud-brick homes. High schoolers study carpentry or tailoring. But before 2006, this village did not exist, not until a Catholic charity petitioned the Kenyan government for land on which to house orphans.

Everyone here has been touched by HIV or AIDS. But only 80 children have HIV and thanks to anti-retroviral drugs, none of them has AIDS.

"They can dream their dreams and live a long life," Owens said.

Nyumbani relies heavily on U.S. funds but it is aiming to be self-sustaining.

The kids' bunk beds are made in the technical school's shop. A small aquaponics project is trying to grow edible fish. The mud bricks are made on site. Each grandparent has a plot of land for farming.

The biggest chunk of aid comes from the United States President's Emergency Plan for AIDS Relief (PEPFAR), which has given the village $2.5 million since 2006. A British couple gives $50,000 a year. A tree-growing project in the village begun by an American, John Noel, now stands six years from its first harvest. Some 120,000 trees have already been planted and thousands more were being planted last week.

"My wife and I got married as teenagers and started out being very poor. Lived in a trailer. And we found out what it was like to be in a situation where you can't support yourself," he said. "As an entrepreneur I looked to my enterprise skills to see what we could do to sustain the village forever, because we are in our 60s and we wanted to make sure that the thousand babies and children, all the little ones, were taken care of."

He hopes that after a decade the timber profits from the trees will make the village totally self-sustaining.

But while the future is looking brighter, the losses the orphans' suffered can resurface, particularly when class lessons are about family or medicine, said Winnie Joseph, the deputy headmaster at the village's elementary school. Kitheka says she tries to teach the kids how to love one another and how to cook and clean. But older kids sometimes will threaten to hit her after accusing her of favoring her biological grandchildren, she said.

For the most part, though, the children in Nyumbani appear to know how lucky they are, having landed in a village where they are cared for. An estimated 23.5 million people in sub-Saharan Africa have HIV as of 2011, representing 69 percent of the global HIV population, according to UNAIDS. Eastern and southern Africa are the hardest-hit regions. Millions of people — many of them parents — have died.

Kitheka noted that children just outside the village frequently go to bed hungry. And ARVs are harder to come by outside the village. The World Health Organization says about 61 percent of Kenyans with HIV are covered by ARVs across the country.

Paul Lgina, 14, contrasted the difference between life in Nyumbani, which in Swahili means simply "home," and his earlier life.

"In the village I get support. At my mother's home I did not have enough food, and I had to go to the river to fetch water," said Lina, who, like all the children in the village, has neither a mother or a father.

When Sister Mary first began caring for AIDS orphans in the early 1990s, she said her group was often told not to bother.

"At the beginning nobody knew what to do with them. In 1992 we were told these children are going to die anyway," she said. "But that wasn't our spirit. Today, kids we were told would die have graduated from high school."

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On the Internet:

http://www.trees4children.org/

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The stereotype and the single mother

I've been thinking a lot lately about single mothers — the concept and the people.

Maybe it's because I'm still receiving emails from agitated readers about my column crediting single mothers, among others, with helping reelect President Obama. That sounded to some, as one reader put it, like "tacit encouragement of single-parent over two-parent homes."

Or maybe it's because we're getting close to the date on the calendar when my husband died 19 years ago — leaving me with three little girls to raise, and shoving me into a demographic I never imagined I would join.

Or maybe it's because this Thanksgiving was, finally, a wake-up call. As I watched my daughters at the dinner table — so smart and charming and thoughtful — I couldn't help but marvel: Who are these delightful young women, and how did they turn out so well?

And that forced on me a broader question:

Why did I spend so many years obsessing over distressing statistics and mourning our family's fracture?

::

I could never have imagined this bright tableau during those scary early days. I was worried, uncertain, even ashamed at points along the way.

It wasn't just the practical burden of going from two parents to one, or the emotional weariness of years of birthdays, track meets and parent-teacher nights alone.

It was the shadow of statistics and stereotypes that helped to weigh me down. Single mother, I realized, was not just a descriptor, but a license for strangers to criticize my children, my prospects, my morals.

There's no question that single-mother families struggle in ways that two-parent families don't. Unmarried women juggling jobs and children are apt to have less money, less time and fewer emotional resources to devote to their kids.

Those kids, statistics tell us, do worse in school and in life than their two-parented peers. They are less likely to graduate and more likely to be unemployed. The girls are at higher risk for teen pregnancies; the boys challenge their mothers with discipline problems.

But that big picture is layered in ways that make generalizing faulty: The middle-class divorcee with good child care and a steady job has different prospects than the teenage dropout raising children on welfare in the projects.

The label "single mother" doesn't recognize that. Its fallout swirls around all of us raising children without fathers, like the dust cloud that followed Pig Pen around in those old "Peanuts" comics.

The term seems straightforward enough. Single: unmarried, solitary. Mother: a female parent.

Yet we've larded it with so much cultural baggage, we can't agree on who qualifies or what the title signifies.

I used the term only once in my column, and was surprised by the tempest it unleashed.

"I personally think it's a good idea to be married before you have a baby," one man wrote, in an email dripping with sarcasm. "Are you advising your girls to give birth out of wedlock?"

His stereotype is clear as a bell: A single mother is a woman who's careless, selfish, irresponsible, comfortable with a welfare check and dismissive of a dad.

Other readers gave me a pass because I didn't choose my status.

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General Assembly Grants Palestine Upgraded Status in U.N.

Chang W. Lee/The New York Times

President Mahmoud Abbas of the Palestinian Authority spoke at the United Nations before the General Assembly voted on Palestine's status as a “nonmember observer state” on Thursday.

UNITED NATIONS — More than 130 countries voted on Thursday to grant Palestine the upgraded status of nonmember observer state in the United Nations, a stinging defeat for Israel and the United States and a boost for President Mahmoud Abbas of the Palestinian Authority, who was weakened by the recent eight days of fighting in Gaza.

The new ranking could make it easier for the Palestinians to pursue Israel in international legal forums, but it remained unclear what effect it would have on attaining what both sides say they want — a two-state solution.

Still, the vote offered a showcase for an extraordinary international lineup of support for the Palestinians and constituted a deeply symbolic achievement for their cause, made even weightier by arriving on the 65th anniversary of the General Assembly vote that divided the former British Mandate of Palestine into two states, one Jewish and the other Arab — a vote that Israel considers the international seal of approval for its birth.

In the West Bank city of Ramallah, about 2,000 Palestinians gathered to celebrate in a central square named after the late Palestinian leader Yasser Arafat. Security forces fired into the air and people applauded, danced in the streets and honked car horns when the results were broadcast to the crowd.

“We are witnessing exceptional moments after 65 years of injustice, suffering and pain,” said Jibril Rajoub, the member of Fatah Central Committee. “We are going to witness an Israeli American efforts to keep this resolution ink on paper.”

The tally, in which 138 members voted yes, 9 voted no and 41 abstained, took place after a speech by Mr. Abbas to the General Assembly, in which he called the moment a “last chance” to save the two-state solution amid a narrowing window of opportunity.

“The General Assembly is called upon today to issue a birth certificate of the reality of the state of Palestine,” he said before the vote.

But in the run-up to the vote, he and Ron Prosor, the Israeli ambassador to the United Nations, blamed the other side for not doing enough to pursue peace.

”We have not heard one word from any Israeli official expressing any sincere concern to save the peace process,” Mr. Abbas said.

“On the contrary, our people have witnessed, and continue to witness, an unprecedented intensification of military assaults, the blockade, settlement activities and ethnic cleansing, particularly in occupied East Jerusalem, and mass arrests, attacks by settlers and other practices by which this Israeli occupation is becoming synonymous with an apartheid system of colonial occupation, which institutionalizes the plague of racism and entrenches hatred and incitement.”

“The moment has arrived for the world to say clearly: enough of aggression, settlements and occupation,” he said.

Mr. Prosor, speaking after Mr. Abbas but before the vote was taken, said the United Nations resolution would do nothing to advance the process.

“Today the Palestinians are turning their back on peace,” he said. “Don’t let history record that today the U.N. helped them along on their march of folly.”

As expected, the vote won backing from a number of European countries, and was a rebuff to intense American and Israeli diplomacy. In an indication of the bitterness of the blow to the Israelis, the office of Prime Minister Benjamin Netanyahu released a statement calling Mr. Abbas’s speech “defamatory and venomous” that was “full of mendacious propaganda against the IDF and the citizens of Israel.”

“Someone who wants peace does not talk in such a manner," the statement continued.

Among the countries that had forecast their yes votes were France, Spain and Switzerland. Germany and the United Kingdom were among the countries that abstained, and a few countries joined Israel and the United States in voting no.

After the vote, Susan E. Rice, the American ambassador to the United Nations, explained the American vote as a reaction to an “unfortunate and counterproductive” resolution that placed “further obstacles in the path to peace.”

Reporting was contributed by Michael R. Gordon and Mark Landler from Washington, Isabel Kershner from Jerusalem, Khaled Abu Aker from Ramallah, and Nicholas Kulish from Berlin.

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Vito Schnabel: 5 Things to Know About Demi Moore's New Love Interest

By Oliver Jones

11/29/2012 at 06:45 PM EST

Demi Moore and Vito Schnabel

Craig Barritt/WireImage; Sipa

He's no stranger to living the high life around larger-than-life personalities as the son of outsized artist and director Julian Schnabel (The Diving Bell and Butterfly). But now that he's been linked to Demi Moore, 26-year-old Vito Schnabel may just get a taste of fame on his own terms.

The eldest son of Julian, Vito grew up around art world and Hollywood royalty before eventually making his own name as a curator and art dealer as a teenager.

"They are just constantly around beautiful and fabulous women and run with a very cool crowd," a source tells PEOPLE of the Schnabel family. "They're fun people."

Who is Vito Schnabel? Here are five things to know about Demi's new love interest:

1. He knows how to throw a party:
Vito's late-night bashes at the W Hotel during Art Basel Miami have been well documented and, apparently, very well attended by celebrities and art aficionados who attend the annual festival, which kicks off again in December. If past guest lists are any indication, look for high-profile revelers such as Naomi Campbell and Stephen Dorff to mingle (and dance) among the artists and buyers Schnabel represents.

2. He's not afraid of a little pink:
Vito lives in the colorful Palazzo Chupi, a controversial pink condominium designed by his father (who also lives there), which towers above New York City's West Village. Neighbors have described the place as "an exploded Malibu Barbie house."

3. He was an early bloomer:
Schnabel curated his first group show at age 16, and by 23 he was showing artworks around the world. According to his official website, he represents some of the top names in contemporary art, including Terence Koh, Rene Ricard and Dustin Yellin.

4. He's impressive on the basketball court:
Before discovering his love of art, his primary interest was athletics, according to a profile on GalleristNY. Even today, he's still known to dominate during his rooftop basketball games at Art Basel Miami.

5. Dating celebrities runs in the family:
Before Moore, Vito was linked to Elle Macpherson and Liv Tyler. Meanwhile, his sister Lola once dated The Lord of the Rings star Viggo Mortensen.

As Vito told the New York Observer in 2006, "There is no downside to being a Schnabel."

• With reporting by CHARLOTTE TRIGGS

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Clinton releases road map for AIDS-free generation

WASHINGTON (AP) — In an ambitious road map for slashing the global spread of AIDS, the Obama administration says treating people sooner and more rapid expansion of other proven tools could help even the hardest-hit countries begin turning the tide of the epidemic over the next three to five years.

"An AIDS-free generation is not just a rallying cry — it is a goal that is within our reach," Secretary of State Hillary Rodham Clinton, who ordered the blueprint, said in the report.

"Make no mistake about it, HIV may well be with us into the future but the disease that it causes need not be," she said at the State Department Thursday.

President Barack Obama echoed that promise.

"We stand at a tipping point in the fight against HIV/AIDS, and working together, we can realize our historic opportunity to bring that fight to an end," Obama said in a proclamation to mark World AIDS Day on Saturday.

Some 34 million people worldwide are living with HIV, and despite a decline in new infections over the last decade, 2.5 million people were infected last year.

Given those staggering figures, what does an AIDS-free generation mean? That virtually no babies are born infected, young people have a much lower risk than today of becoming infected, and that people who already have HIV would receive life-saving treatment.

That last step is key: Treating people early in their infection, before they get sick, not only helps them survive but also dramatically cuts the chances that they'll infect others. Yet only about 8 million HIV patients in developing countries are getting treatment. The United Nations aims to have 15 million treated by 2015.

Other important steps include: Treating more pregnant women, and keeping them on treatment after their babies are born; increasing male circumcision to lower men's risk of heterosexual infection; increasing access to both male and female condoms; and more HIV testing.

The world spent $16.8 billion fighting AIDS in poor countries last year. The U.S. government is the leading donor, spending about $5.6 billion.

Thursday's report from PEPFAR, the President's Emergency Plan for AIDS Relief, outlines how progress could continue at current spending levels — something far from certain as Congress and Obama struggle to avert looming budget cuts at year's end — or how faster progress is possible with stepped-up commitments from hard-hit countries themselves.

Clinton warned Thursday that the U.S. must continue doing its share: "In the fight against HIV/AIDS, failure to live up to our commitments isn't just disappointing, it's deadly."

The report highlighted Zambia, which already is seeing some declines in new cases of HIV. It will have to treat only about 145,000 more patients over the next four years to meet its share of the U.N. goal, a move that could prevent more than 126,000 new infections in that same time period. But if Zambia could go further and treat nearly 198,000 more people, the benefit would be even greater — 179,000 new infections prevented, the report estimates.

In contrast, if Zambia had to stick with 2011 levels of HIV prevention, new infections could level off or even rise again over the next four years, the report found.

Advocacy groups said the blueprint offers a much-needed set of practical steps to achieve an AIDS-free generation — and makes clear that maintaining momentum is crucial despite economic difficulties here and abroad.

"The blueprint lays out the stark choices we have: To stick with the baseline and see an epidemic flatline or grow, or ramp up" to continue progress, said Chris Collins of amFAR, the Foundation for AIDS Research.

His group has estimated that more than 276,000 people would miss out on HIV treatment if U.S. dollars for the global AIDS fight are part of across-the-board spending cuts set to begin in January.

Thursday's report also urges targeting the populations at highest risk, including gay men, injecting drug users and sex workers, especially in countries where stigma and discrimination has denied them access to HIV prevention services.

"We have to go where the virus is," Clinton said.

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