Drug overdose deaths up for 11th consecutive year


CHICAGO (AP) — Drug overdose deaths rose for the 11th straight year, federal data show, and most of them were accidents involving addictive painkillers despite growing attention to risks from these medicines.


"The big picture is that this is a big problem that has gotten much worse quickly," said Dr. Thomas Frieden, head of the Centers for Disease Control and Prevention, which gathered and analyzed the data.


In 2010, the CDC reported, there were 38,329 drug overdose deaths nationwide. Medicines, mostly prescription drugs, were involved in nearly 60 percent of overdose deaths that year, overshadowing deaths from illicit narcotics.


The report appears in Tuesday's Journal of the American Medical Association.


It details which drugs were at play in most of the fatalities. As in previous recent years, opioid drugs — which include OxyContin and Vicodin — were the biggest problem, contributing to 3 out of 4 medication overdose deaths.


Frieden said many doctors and patients don't realize how addictive these drugs can be, and that they're too often prescribed for pain that can be managed with less risky drugs.


They're useful for cancer, "but if you've got terrible back pain or terrible migraines," using these addictive drugs can be dangerous, he said.


Medication-related deaths accounted for 22,134 of the drug overdose deaths in 2010.


Anti-anxiety drugs including Valium were among common causes of medication-related deaths, involved in almost 30 percent of them. Among the medication-related deaths, 17 percent were suicides.


The report's data came from death certificates, which aren't always clear on whether a death was a suicide or a tragic attempt at getting high. But it does seem like most serious painkiller overdoses were accidental, said Dr. Rich Zane, chair of emergency medicine at the University of Colorado School of Medicine.


The study's findings are no surprise, he added. "The results are consistent with what we experience" in ERs, he said, adding that the statistics no doubt have gotten worse since 2010.


Some experts believe these deaths will level off. "Right now, there's a general belief that because these are pharmaceutical drugs, they're safer than street drugs like heroin," said Don Des Jarlais, director of the chemical dependency institute at New York City's Beth Israel Medical Center.


"But at some point, people using these drugs are going to become more aware of the dangers," he said.


Frieden said the data show a need for more prescription drug monitoring programs at the state level, and more laws shutting down "pill mills" — doctor offices and pharmacies that over-prescribe addictive medicines.


Last month, a federal panel of drug safety specialists recommended that Vicodin and dozens of other medicines be subjected to the same restrictions as other narcotic drugs like oxycodone and morphine. Meanwhile, more and more hospitals have been establishing tougher restrictions on painkiller prescriptions and refills.


One example: The University of Colorado Hospital in Aurora is considering a rule that would ban emergency doctors from prescribing more medicine for patients who say they lost their pain meds, Zane said.


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Stobbe reported from Atlanta.


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Online:


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


CDC: http://www.cdc.gov


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


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Stock index futures signal more gains

LONDON (Reuters) - U.S. stock index futures pointed to a slightly firmer open on Wall Street on Wednesday, with futures for the S&P 500 and Dow Jones 0.1 percent higher at 0936 GMT, while those for the Nasdaq 100 added 0.2 percent.


U.S. producer prices, housing starts and building permits for January are all due at 1330 GMT, with the data expected to show a slight acceleration in factory price pressures alongside a continued recovery in the housing market.


The market focus, though, is likely to be on the minutes from the U.S. Federal Open Market Committee's January meeting, due at 1900 GMT, which will be scanned for clues on how long monetary policy is likely to remain ultra accommodative.


The earnings season continues, with Devon Energy Corp., Fluor Corp. and Newfield Exploration among those due to report.


With the season now three quarters of the way through, 28 percent of S&P 500 companies have missed full-year earnings forecasts, with 41 percent undershooting on revenues, according to Thomson Reuters StarMine data.


Dell Inc : The world's No.3 maker of personal computers reported a 31 percent drop in profit, hurt by a shrinking consumer business, as investors weighed founder Michael Dell's offer to buy out the firm.


Demand Media Inc : The company said it is exploring the separation of its media business from its domain name service, a disclosure that sent its shares up nearly 20 percent in after-hours trading.


Boeing : The aircraft maker has found a way to fix battery problems with its grounded 787 Dreamliner jets which involves increasing the space between cells, a source familiar with the U.S. company's plans told Reuters.


Life Technologies : An $11 billion-plus sale of Life Technologies Corp is looking less likely as a gap in price expectations with the company has left potential buyer Thermo Fisher Scientific Inc skeptical about a deal while buyout firms' offers came up short, people familiar with the matter said this week.


Herbalife : The diet supplements company raised its 2013 earnings forecast late on Tuesday.


Heinz : The FBI is looking into possible insider trading in the options of the ketchup maker before its blockbuster deal last week to be acquired by Warren Buffett and Brazil's 3G Capital.


Sina Corp : The operator of China's largest online portal posted better-than-expected fourth-quarter revenue and profit amid concerns about the slowing growth of Chinese online advertising.


Milennial Media : The mobile advertising firm's fourth-quarter sales missed Wall Street expectations, and the company forecast first-quarter revenue below analysts' estimates, sending its shares down as much as 33 percent after the bell.


Marriott International : The hotel operator reported better-than-expected quarterly results, aided by rising international travel and higher rates, and said it expects per-room revenue to rise further in 2013.


Nabors Industries : The owner of the world's largest onshore drilling rig fleet, reported a 44 percent jump in profit, but revenue fell as its major customers curtailed spending amid the worst slowdown in gas-directed drilling in more than a decade.


Total System Services Inc : The Payment processor said it will buy prepaid debit card provider NetSpend Holdings Inc for about $1.4 billion in cash to expand its presence in the prepaid card market and target new customers.


European shares traded flat on Wednesday, consolidating after the previous session's sharp gains, held back by weak earnings newsflow and as traders cited caution ahead of the minutes to the U.S. Federal Reserve's January policy meeting. <.eu/>


The Dow Jones industrial average <.dji> gained 53.91 points, or 0.39 percent on Tuesday to 14,035.67 points - just 0.9 percent away from its record high. The Standard & Poor's 500 Index <.spx> closed up 0.73 percent at 1,530.94, while the Nasdaq Composite Index <.ixic> added or 0.68 percent to 3,213.59.


(Reporting By Toni Vorobyova; Editing by Susan Fenton)



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Nestlé Pulls 2 Products in Horse Meat Scandal





LONDON — First centered on Britain and Ireland, the scandal over beef products adulterated with horse meat escalated across continental Europe on Tuesday after Nestlé, one of the world’s best-known food companies, said it was removing pasta meals from store shelves in Italy and Spain.




Before the announcement late Monday, the crisis had already spread, with perhaps a dozen countries caught up in product recalls, but the involvement of Nestlé marks another significant act in a fast-moving drama which is forcing Europeans to question the contents of their meals.


Nestlé, which is based in Switzerland, said it had increased testing after the discoveries of horse meat in British foods and found “traces” of horse DNA in two products made with beef supplied by a German company named as H.J. Schypke.


The levels were above the 1 percent threshold used by the British Food Standards Agency  as an indicator of adulteration in testing being conducted by Britain’s food industry and therefore the products would be withdrawn, Nestlé said in a statement.


“There is no food safety issue, but the mislabeling of products means they fail to meet the very high standards consumers expect from us,” Nestlé added.


Two chilled pasta products, Buitoni Beef Ravioli and Beef Tortellini are being taken off supermarket shelves in Italy and Spain immediately. Meanwhile, Lasagnes à la Bolognaise Gourmandes, a frozen meat product made for the catering trade in France, will also be withdrawn and replaced with product made from 100 percent beef.


Nestlé knows only too well the importance of its brand image, having once been the object of a boycott after being embroiled in a controversy over the marketing of baby milk in developing countries.


Although the current horse meat crisis has been seen mainly as an issue of fraud and mislabeling it emerged last week that a powerful equine painkiller, phenylbutazone – or bute – may have entered the food chain.


Eight horses slaughtered for food in Britain tested positive for the drug. Six of those carcasses had already been exported to France for use in human food.


In Britain, food manufacturers have embarked on a huge program of tests of food to try to stem a crisis of confidence in products originating in a long and bewilderingly complex supply  chain.


Last Friday, the British Food Standards Agency released the results of 2,501 tests conducted on beef products by the British food industry, of which 29 contained more than 1 percent horse meat.


But, just as that information was released, it emerged separately that food intended for school meals had also contained horse meat and a blame game has erupted between politicians and supermarket bosses over where responsibility ultimately lies.


The European Union has also announced an increase in food testing though there are growing calls for more regulation at a European level. Though tough traceability rules for fresh beef products were introduced after the crisis over mad cow disease more than a decade ago, a similar regime is not in place for processed food.


“What has been discovered in recent days is large-scale fraud,”  said Richard Seeber, the coordinator for the center-right group  in the Environment, Public Health and Food Safety Committee of the European Parliament. “This is a clear breach of current European food labeling rules. This is why the first thing we need is more controls and better enforcement of the existing rules.”


Glenis Willmott, the leader of the British Labour Party’s members of the European Parliament, said that the response of the E.U.’s executive, the European Commission, had been totally inadequate.


“The horse meat scandal should result in a Europe-wide comprehensive legislation on ‘origin labeling’ for all meat in processed foods, and a better E.U. enforcement procedure,” Ms. Willmott said.


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Mindy McCready: Under Police Scrutiny at Time of Suicide?















02/18/2013 at 06:00 PM EST







Mindy McCready and David Wilson


Courtesy Mindy McCready


When Mindy McCready talked to police in recent weeks, her account of how her boyfriend came to be found with a fatal gunshot wound to the head concerned police, a law enforcement source tells PEOPLE.

"At first, she said she hadn't heard the gunshot because the TV was too loud. Then she said she had heard the gunshot," the source says. "So obviously there were a lot of questions, and the Sheriff was asking for clarification."

But before investigators could re-interview her, the long-troubled country singer also would die under eerily similar circumstances, her body discovered at the same Heber Springs, Ark., house just feet away from where David Wilson died.

McCready's death was blamed on what "appears to be a single self-inflicted gunshot wound," the Cleburne County Sheriff's Office said in a statement.

This differed from how the sheriff characterized Wilson's case. His cause and manner of death still have not been established by the coroner. It was McCready's publicist, and not a law enforcement official, who announced that Wilson had died of a self-inflicted gunshot wound.

After Wilson's death, McCready, 37, spoke to investigators three times, but they didn't feel as if they were through with her.

"At no point did [police] tell her she was a suspect, and she wasn't officially one," says the source. "But she knew that some of her answers didn't stand up to questioning. She was very cooperative, but she just wasn't making a lot of sense."


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Hip implants a bit more likely to fail in women


CHICAGO (AP) — Hip replacements are slightly more likely to fail in women than in men, according to one of the largest studies of its kind in U.S. patients. The risk of the implants failing is low, but women were 29 percent more likely than men to need a repeat surgery within the first three years.


The message for women considering hip replacement surgery remains unclear. It's not known which models of hip implants perform best in women, even though women make up the majority of the more than 400,000 Americans who have full or partial hip replacements each year to ease the pain and loss of mobility caused by arthritis or injuries.


"This is the first step in what has to be a much longer-term research strategy to figure out why women have worse experiences," said Diana Zuckerman, president of the nonprofit National Research Center for Women & Families. "Research in this area could save billions of dollars" and prevent patients from experiencing the pain and inconvenience of surgeries to fix hip implants that go wrong.


Researchers looked at more than 35,000 surgeries at 46 hospitals in the Kaiser Permanente health system. The research, published Monday in JAMA Internal Medicine, was funded by the U.S. Food and Drug Administration.


After an average of three years, 2.3 percent of the women and 1.9 percent of the men had undergone revision surgery to fix a problem with the original hip replacement. Problems included instability, infection, broken bones and loosening.


"There is an increased risk of failure in women compared to men," said lead author Maria Inacio, an epidemiologist at Southern California Permanente Medical Group in San Diego. "This is still a very small number of failures."


Women tend to have smaller joints and bones than men, and so they tend to need smaller artificial hips. Devices with smaller femoral heads — the ball-shaped part of the ball-and-socket joint in an artificial hip — are more likely to dislocate and require a surgical repair.


That explained some, but not all, of the difference between women and men in the study. It's not clear what else may have contributed to the gap. Co-author Dr. Monti Khatod, an orthopedic surgeon in Los Angeles, speculated that one factor may be a greater loss of bone density in women.


The failure of metal-on-metal hips was almost twice as high for women than in men. The once-popular models were promoted by manufacturers as being more durable than standard plastic or ceramic joints, but several high-profile recalls have led to a decrease in their use in recent years.


"Don't be fooled by hype about a new hip product," said Zuckerman, who wrote an accompanying commentary in the medical journal. "I would not choose the latest, greatest hip implant if I were a woman patient. ... At least if it's been for sale for a few years, there's more evidence for how well it's working."


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Online:


Journal: http://www.jamainternalmed.com


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European shares edge higher, euro flat ahead German data

LONDON (Reuters) - European shares edged higher and the euro was steady on Tuesday ahead of German economic sentiment data, while the yen rose after Japanese ministers played down talk the Bank of Japan might buy foreign bonds to loosen credit.


Following last week's GDP figures showing that the euro zone saw a weaker end to 2012 than expected, forecasters see a pick-up in Germany's ZEW survey of investors and analysts at 1000 GMT, which may point to rebound in the bloc's biggest economy.


European stock markets, which have lost around 1.5 percent since the end of January, bounced backed from Monday's weak session in early trading, with the FTSEurofirst 300 <.fteu3> up 0.4 percent led by 0.7 and 0.5 percent gains on Paris's CAC-40 <.fchi> and Frankfurt's DAX <.gdaxi>.


Underscoring the drag Europe's economic sluggishness is creating, new figures showed car firms had their weakest January since the records of the Association of European Carmakers began in 1990, with sales dropping 8.5 percent.


Berkeley Futures associate director Richard Griffiths said the Euro STOXX 50 and German DAX <.gdaxi> equity index could fall by between 3 and 4 percent over the coming month as economic weakness acts to cap investor sentiment.


"Any inroads to the upside will be hard to come by," he said. "We're in for a period of consolidation, with the risk more to the downside."


In the bond market, benchmark German Bunds edged up as demand for low-risk debt was also supported by concerns over the possibility of an inconclusive outcome to the Italian parliamentary election on Sunday and Monday, though gains were capped ahead of the German sentiment data.


The euro was little changed against the dollar at $1.3345 by 0900 GMT after European Central Bank President Mario Draghi reiterated on Monday that the bank would continue to monitor whether the currency's recent strength was likely to push inflation below its comfort zone.


The yen rose after Japanese ministers played down talk of foreign-bond buying by the country's central bank, a day after Prime Minister Shinzo Abe said such a policy could be one option for monetary easing.


Finance Minister Taro Aso told a news conference that he was not considering foreign-bond purchases as a part of monetary easing, while Economy Minister Akira Amari said Abe's comments on Monday simply referred to policy options countries have in general.


Their comments sent the dollar down to 93.39 yen. The euro eased 0.6 percent to 124.70 yen, well below its peak since April 2010 of 127.71 yen touched on February 6.


(Reporting by Marc Jones; Editing by Alastair Macdonald)



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India Ink: Thomas Friedman Answers Your Questions

New York Times op-ed columnist and author Thomas L. Friedman recently wrapped up a week-long trip to India, where he met with business executives, government ministers and other officials, entrepreneurs and development groups. Even as India’s economy has slowed considerably, Mr. Friedman remains a big believer in what he calls the “miracle of India.’’

Earlier we asked India Ink readers for their questions for Mr. Friedman about India’s changing role in the world economy. Here are his answers to a select few:

By far the most popular reader question was: Is the world still flat?

I wrote the “World Is Flat” in 2004.

I have to confess, I now realize the book was wrong. The world is so much flatter than I thought.

When I wrote “The World Is Flat,” Facebook didn’t exist, Twitter was still a sound, the cloud was still in the sky, 4G was a parking place, LinkedIn was a prison, applications were what you sent to college, Big Data was a rap star and Skype was a typo. All of that came after I wrote “The World Is Flat.”

And so what it tells you is all those trends have actually taken us from a connected world to what we’re now in, which is a hyper-connected world. It’s a difference of degree. It’s a difference in kind.

I believe it is changing every job, every industry and every market.

The trends I identified have only intensified in every direction, enabling individuals to complete, connect and collaborate so much faster, farther cheaper and deeper.

Venkat from N. J. said: The globalization of business is basically finding a way to justify exploitation of labor, resulting in an enormous concentration of wealth in fewer hands. The majority of labor working for low-end manufacturing work in pathetic conditions, while workers in the U.S. face layoffs, particularly the elderly. Who is paying for this social cost, and should globalization be regulated, somehow?

The first thing you need to understand about globalization is that it is everything and its opposite. So it is take it with one hand and give it with another hand.

On the one hand it is automating more things faster. On the other hand I met with young Indian entrepreneurs who are leveraging the cloud, open-source tools and very small amounts of capital, and are able to invent companies that can complete globally like never before.

So, who is the exploiter and who is the exploitee in this system? If horses could vote, there never would have been cars.

What we’re getting here is rapid change. The question the reader raises, though, is a very important one, because something has changed which we have not figured out how to adjust to. This is a point that Erik Brynjolfsson and Andrew McAfee make in their book “The Race Against the Machine,” which I wrote my last column about.

The point they make is that over the last 200 hundred years, three things grew together: productivity, median income and employment. Whether you were an Indian or an American, productivity grew, median income grew and employment grew, and inequality tended to shrink.

That’s a good thing.

Once we hit the flattening of the world, and now the hyper-flattening of the world, those three things are splitting apart. And that’s what the reader is, rightly, concerned about.

I’m concerned about it too.

So what happens when the world gets this hyper-connected? Well, first of all, the returns to education grow enormously. To be able to use these new technologies properly, you need to be educated.

In America today, unemployment for people with four-year college degrees is 3.6 percent, basically nothing. Unemployment for someone who dropped out of high school is now infinity. I exaggerate but you get the point.
It’s called skills-bias polarization.

If you want to have a factory job in America today, doing high-end manufacturing, you need to know algebra and calculus. It’s not just a repetitive motion any more, you need to program the robot.

Second thing is the returns to capital are so much more than the returns to labor. If I have a lot of capital and I can buy a lot of machines, the returns are so much more than if I hire a lot of people.

The third thing causing this phenomenon is in a hyper-connected world, the returns to superstar talent are just staggering. If you are, say, Madonna, well, every Indian kid who has an iPad can now download your songs. That wasn’t the case 10 years ago. You couldn’t reach this market.

So all three of these things are creating much bigger income gaps, much lower employment for people with lower skills, yet much higher productivity and great wealth for owners of capital.

That’s the big change.

The challenge for every developed and developing society is how do you maintain a middle class in such a world. That’s what I’m thinking about for the topic of my next book.

D.C. Agrawal from Princeton, New Jersey, asks: “How would you rate India on governance and public institutional structures compared to other democratic countries?’’

Let’s look at the countries I visited in the last six months: India, China and Egypt. India in my mind has relatively weak governance in terms of delivering services, but a very strong civil society — very vibrant active, social movements, whether it’s Anna Hazare or reaction to the rape case.

China has a very muscular government, in terms of delivering infrastructure and education, but a very weak civil society, although it is getting stronger. And Egypt has a very flabby, overweight government and a very weak civil society. That’s why when the government collapsed — you got the Muslim Brotherhood taking advantage of the revolution, not strong-rooted democratic movements.

I think India’s governance will improve. The government here is not utterly ineffective. It does do some things very well, but clearly it has weaknesses around policing, infrastructure building and providing consistent education. It holds elections very well, it does the census very well.

Let’s remember it is still a billion people. I don’t want to be too hard on it, but people want more, they want better.

India today has, because of hyper-connection of the world, and diffusion of technology, experienced the pushing down to lower and lower income levels more technology empowerment and education. That’s why India today seems like it has a 300 million-person middle class and a 300 million-person virtual middle class.

These are people who now have available to them, whether it’s a cell phone or other technologies, things that you would normally have to have a middle-class income to have. And they have access to certain learning opportunities.

So they’re actually in their minds middle class, thinking like middle class and putting middle-class demands on the government. I think the young woman who was raped in this terrible tragedy was a member of that virtual middle class – the tools she had, what she was doing, expectations of the government.

That’s a big change. It’s putting more pressure on the government. And the government will eventually respond because it has to.

Jason Richardson-White from Bethlehem, Georgia, said: Studies indicate that equal treatment between the sexes is important to slowing the birth rate. I don’t see that globalization is contributing significantly to that end in India. An argument can be made that globalization has made it possible for the people who are most likely to start egalitarian families to leave India for the West?

First let me make a general response:

I did not invent globalization. I promise you. I just wrote about it.

I wrote about the upsides and the downsides. I didn’t start it and I can’t stop it. I have my own problems with it.

Having said that, I profile in my column an N.G.O. that is providing cell phone-based SMS messaging to alert women about their menstrual cycle, on when exactly they are fertile and when they should not be having unprotected sex, if they want to do family planning.

This is totally based on cloud computing. Without globalization it doesn’t exist. It allows a woman in a remote place to do this. There’s privacy to it. You do one interview on the phone to set it up.

People need to keep in mind, globalization giveth and globalization taketh. The biggest revolution about to hit India, in the next two years, is distance learning. Any woman from any village who knows English will be able to take courses from Harvard, Stanford and M.I.T.

Do you know what this means for women in conservative families, who don’t want them to go to school? It’s going to be a revolution. I’m very excited about the kind of educational empowerment that is going to be coming the way of Indian women that will give them greater earning power, greater control over their own bodies and greater ability to negotiate with their sexual partners.

Anand Kumar from Chicago, Illinois, asks: Tom, China may not be loved in the West, but is respected and admired for its accomplishments. How do you think India ranks on the loved vs. respected and admired spectrum?

What an interesting question.

I think India’s brand remains very strong around the world. I appreciate India’s democracy.

What if 1 billion 50 million Indians were living like Syria today? The whole world would be different. Literally, the whole world would feel different today.

So to me India is a miracle. One billion fifty million people holding free and fair elections, just about every day, in the country. We now take it for granted because it has gone on for so long. I think it’s amazing.

I can’t generalize about the whole world, but I’m still enormously optimistic about what I see here.

Zaigum Kashmiri from Clarence, New York, asks: Tom, I know you are an Indophile and write great things about India. But, honestly, how can anybody be hopeful about India’s economic and social progress, keeping in view the lawlessness, dysfunctional government, corrupt police, a huge incompetent and corrupt bureaucracy and poverty?

I think the important thing to always remember when you look at India is not the snapshot, but the slope of the change.

If you take a snapshot, those will be some of the things you see.

But if you came with me to my meeting with NASSCOM [National Association of Software and Services Companies, India's technology industry association] this week, you’d see eight young entrepreneurs leveraging the flat world to start global businesses that not only contribute to the world but that make Indians unpoor.

They’re amazing.

So you always have to keep these things in balance. What excites me most about India today is the trend line. Every time I come here, I see more and more Indians starting things, collaborating on things and inventing things to make Indians unpoor. And to me that’s the most important thing you have to keep in mind.

By the way, everything the reader cited there, you could say that about America. We have all that, plus guns.

No country is a paradise. Everyone is a work in progress. You have to think about where the thrust is.

I’d like to think that with all our problems in America, we’re still tilted in a positive direction. I’d like to say the same about India.

(Interview has been lightly edited and condensed.)

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Downton Abbey's Season 3 Finale: Shocking, Says PEOPLE's TV Critic






Downton Abbey










02/17/2013 at 10:00 PM EST







Downton Abbey season 3 cast


Carnival Film & Television/PBS


Downton Abbey's third season finale on PBS's Masterpiece was, to say the least, a spoiler's paradise. The episode, which saw the Granthams and servants going on holiday in the Scottish Highlands, started on a joyful note – Lady Mary was pregnant! – and ended with a shock that would have knocked the hat off Lady Violet wobbling head.

SPOLIER ALERT: Major plot points to be revealed immediately.

Cousin Matthew (Dan Stevens) died in a car accident. He was driving back to Downton, so happy he was practically whistling, just after Lady Mary (Michelle Dockery) had given birth to their son – the male Downton heir everyone has been so obsessed with since Season 1.

Many viewers probably saw this coming: For one thing, Stevens had said he was thinking of decamping before season 4 started shooting. And after the finale had its premiere broadcast in Britain in December, he blabbed all about it, including for an interview posted online by The New York Times.

Even so, the death was almost sadistically abrupt and arbitrary, especially after the soft tenderness and growing love between Mary and Matthew in recent episodes. Now we saw dead poor Matthew dumped on the cold mossy ground, eyes wide open.

You can never be sure Downton writer-creator Julian Fellowes won't pull some shameless stunt to kick-start a story – in season 2 Matthew, paralyzed during the war, suddenly leaped out of his wheelchair – but he seemed to want us to be sure that Matthew was 100% gone. I wouldn't have been surprised if the car backed over the corpse.

So ended a terribly sad season of Downton.

We already suffered the loss in childbirth of Lady Sybil (Jessica Brown Findlay). Her deathbed scene was unflinching and deeply moving as she gasped for breath and called for help. Her poor mother (Elizabeth McGovern) sobbed in despair, and the doctors couldn't agree on what to do.

Millions of viewers cried, too, and sighed for a long time afterward. Those who didn't are probably evil.

That scene was the heart of the season: Sybil was so beautiful and kind and gracious and spirited, and so different from her fractious sisters. It was if one were to discover a rare, transcendent soul among the Kardashians. Her death robbed the show of a lovely presence, and also brought out the best moments yet from McGovern and Maggie Smith, as Lady Violet.

It never ceases to annoy me, to be honest, that Lady Violet's feeble witticisms are treated as if they were Oscar Wilde one-liners on loan, like Harry Winston jewels. If you want real witticisms, try any contemporary American sitcom, including FX's Archer.

But this season, as Violet grieved, we saw how much depth Smith can invest in a single moment. At one point in the finale, she looked up as dinner was announced, and in her enormous eyes you saw a woman who wished she could just chuck the whole damn thing and dwell on her memories.

I wish I could say I will miss Matthew, but all in all an unattached Lady Mary is better than a married one. She was never sexier than in the first season, when she sneaked off to bed with velvety, sensual Mr. Pamuk, who unfortunately kicked the bucket while they made love.

Mary is a wonderful creation – the show's most original, complex character – capable of bouncing from romance to sorrow to sarcasm. You could say her love for Matthew transformed her, but it also had the potential to dull her.

Matthew was blandly handsome and good and patient and full of improving notions, but not terribly exciting. He was like a Bachelor from a much earlier period.

There isn't much else to say about the finale. Fellowes worked through a number of plots with his usual tangy glibness. The performances were all delightful, tart, full of emotion, humor and regret.

For now, we can look forward to Lady Mary at her most beautiful, because most woeful, in season 4.

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Study: Better TV might improve kids' behavior


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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Online:


Pediatrics: http://www.pediatrics.org


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Contact AP Writer Donna Blankinship through Twitter (at)dgblankinship


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Euro, dollar up after G20, stocks ease on growth concern

LONDON (Reuters) - The euro and the dollar rose against the yen on Monday after the G20 decided not to criticize Japan for its expansionist policies, but shares eased as Europe's weak growth outlook weighed on sentiment.


Financial leaders from the world's 20 biggest economies promised on Saturday not to devalue their currencies to boost exports, aiming to defuse talk of currency wars that had been roiling the markets.


The euro gained 0.2 percent to 125.32 yen, edging up toward a 34-month high of 127.71 yen hit earlier this month, while the dollar rose 0.6 percent to 94 yen, closer to its highest level since May 2010 of 94.46 hit on February 11.


"Future yen direction will continue to be driven by domestic monetary policy from the Bank of Japan and improving international investor confidence, which are both driving the yen weaker," said Lee Hardman, currency analyst at Bank of Tokyo-Mitsubishi UFJ.


Japanese Prime Minister Shinzo Abe is poised to nominate a new BOJ governor. Sources told Reuters that former financial bureaucrat Toshiro Muto, considered likely to be less radical than other candidates, was leading the field.


Abe said on Monday that buying foreign bonds was a future option for the Bank of Japan, which would entail selling of the yen by the central bank.


The euro was also rising against the dollar, gaining 0.1 percent to $1.3375 ahead of address by European Central Bank president Mario Draghi to the region's parliament which may touch on the outlook for the single currency after the G20 meeting.


In European markets, attention was also switching to the release of euro area Purchasing Managers' Indexes for February and German sentiment indices due later in the week, and the upcoming general elections in Italy.


Analysts expect Thursday's euro area flash PMI indices, which point to economic activity around six months out, to show growth stabilizing across the recession-hit region, leaving hopes for a recovery in the second half of the year intact.


Concerns over an inconclusive outcome in Italian elections at the end of the week added to the weaker sentiment as a fragmented parliament could hamper a future government's reform efforts.


The worries about the outlook for Italy were encouraging investors back into safe have German government bonds on Monday, with 10-year Bund yields easing 3.6 basis points to be around 1.63 percent.


"Political uncertainty will keep Bunds well bid this week," ING rate strategist Alessandro Giansanti said, adding that only better than expected economic data could create selling pressure on German debt near term.


EARNINGS HIT


European equity markets were taking their lead from corporate earnings reports which have been reflecting the sluggish economic conditions across the region.


Danish brewer Carlsberg , which generates just over 60 percent of its sales in western Europe, became the latest company to report a weaker-than-expected quarterly profit, sending its shares to lowest level in nearly a month.


The 5 percent drop in price for shares in the world's fourth biggest brewery helped send the FTSEurofirst 300 index <.fteu3> of top European shares down 0.4 percent in morning trade. Germany's DAX <.gdaxi>, the UK FTSE <.ftse> and France's CAC-40 <.fchi> were all also slightly weaker. <.l><.eu/>


Earlier, the effect of the G20 statement and the comments from Abe indicating a renewed drive to stimulate the economy lifted the Nikkei stock index <.n225> by 2.1 percent, near to its highest level since September 2008.


U.S. stock futures were barely changed and are expected to stay little changed as Wall Street will be closed on Monday for the Presidents' Day holiday. <.n/>


MSCI's world equity index <.miwd00000pus> was flat as markets extended two-week period of consolidation that has followed the big run up in January when demand was buoyed by the efforts of global central banks to stimulate the world economy.


Data from EPFR Global, a US-based firm that tracks the flows and allocations of funds globally, shows investors pulled $3.62 billion from U.S. stock funds in the latest week, the most in 10 weeks after taking a neutral stance the prior week.


But demand for emerging market equities remained strong, with investors putting $1.81 billion in new cash into stock funds, the fund-tracking firm said.


CHINA RETURN


In the commodity markets traders played catch up after a week-long holiday last week in China, the world's second biggest consumer of many raw materials, had kept activity subdued, with worries about the euro zone economy weighing on sentiment.


Copper, for which China is the world's largest consumer, fell 0.8 percent to $8,135 a metric ton (1.1023 tons) on the London futures market.


Gold rebounded by 0.3 percent from a six-month low to be $1,614 an ounce as jewelers in China returned to the physical market after the Lunar New Year holiday.


Crude oil markets were mostly steady after some weak U.S. industrial production data on Friday [ID:nL1N0BF44A] was seen dampening demand, while tensions in the Middle East lent some support.


U.S. crude fell 20 cents to $95.66 a barrel but Brent inched up two cents $117.86.


(Reporting by Richard Hubbard; editing by Philippa Fletcher)



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