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 Washington Examiner (blog) | Washington Examiner (blog) Ron Paul is most associated with his economic and foreign policy views, but one of the secrets to his success is the appeal he's making to Iowa's socially conservative electorate, something that may come as a surprise to those who know him as a gadfly ? Bachmann Iowa chair: Ron Paul is most conservative top-tier candidate Is Ron Paul the new 'anti-Romney?' Ron Paul Doesn't Appeal To Evangelicals? Polls Say Otherwise |
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BEIJING ? China's manufacturing slowed in December for a second month due to weak global demand amid U.S. and European economic woes, a survey released Friday showed.
The latest HSBC Purchasing Managers Index added to growing signs of strain on China's manufacturers and exporters. They have been battered by a plunge in global demand and lending curbs that have driven thousands of entrepreneurs into bankruptcy, wiping out jobs and raising the specter of unrest.
The index for December stood at 48.7 on a 100-point scale on which numbers below 50 indicate a contraction in activity. It said companies reported a drop in foreign orders due to sluggish global demand.
"Weakening external demand is starting to bite," said HSBC economist Hongbin Qu in a statement with the survey.
The latest data will add to pressure on Beijing to ease spending and lending controls to stabilize growth and spur job creation, Qu said.
"Hard landings should be avoided so long as easing measures filter through in the coming months," he said.
China's export growth declined in November for a third month, falling to 13.8 percent from the 15.9 percent the previous month.
The slump in global demand has battered export-driven southern coastal regions, where thousands of small companies have been driven out of business and the survivors have laid off tens of thousands of workers.
Smaller private companies were hard hit by bank lending curbs imposed to cool inflation and a boom in housing prices. The government has promised to have state banks lend more to help struggling entrepreneurs but says most of its curbs will remain in place.
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NEW MARKET, Tenn.?? Tennessee on Wednesday, trapping three miners inside for about three hours before they were rescued, authorities said. Two other miners below ground were injured by smoke inhalation.
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The three miners were trapped by smoke and needed respirators before they could leave the mine. A rescue team helped the miners and they appeared unharmed, though they are being taken to a hospital, said Tim Wilder of the Jefferson County EMA.
The two injured miners were taken to a local hospital had minor smoke inhalation, New Market Fire Department Captain Sammy Solomon said
There were 54 miners underground when the fire started on a drill rig about 800 feet below the ground, officials said.
The three men were able to make it to a safe room about a mile underground. About an hour after the fire ignited around 1:10 p.m. EST, they were able to make contact with people on the surface of the mine, officials said.
It was not clear yet how the fire started at the Young Mine about 25 miles northeast of Knoxville. The mine is operated by the Switzerland based company Nyrstar.
A spokeswoman for Nyrstar said the miners were in "fine spirits" after they were rescued.
The Associated Press and Reuters contributed to this report.
Source: http://www.msnbc.msn.com/id/45808361/ns/us_news-life/
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ANCHORAGE, Alaska ? A federal judge on Tuesday dismissed prosecutors' argument that a BP subsidiary violated its probation after an oil spill because of another spill on Alaska's North Slope.
Judge Ralph Beistline also lifted BP Exploration (Alaska) Inc.'s probation altogether.
BP had been convicted of negligent discharge of oil in 2007 for a 200,000-gallon spill on the North Slope a year earlier. There was another spill of 13,500 gallons in 2009.
Last month, government lawyers sought to have BP's probation revoked for the latest spill, meaning the probation period could have been lengthened or the company could have faced additional penalties.
In his ruling, Beistline said the government failed to prove the company committed criminal negligence.
"We are pleased with the decision and appreciate the court's attention," BP spokesman Steve Rinehart said in an email to The Associated Press. "We know that the privilege of working in Alaska comes with a responsibility to maintain high standards. We will continue our commitment to running safe and compliant operations."
Emails seeking comment from the U.S. attorney's office in Anchorage were not immediately returned.
Prosecutors said BP's history of environmental crimes in Alaska began in February 2001 when it pleaded guilty to releasing hazardous materials at its Endicott facility on the North Slope. The company was fined $500,000, placed on probation for five years and ordered to create a nationwide environmental management program, prosecutors said.
The March 2006 spill of 200,000 gallons of crude was caused by corrosion, and BP's leak detection system failed to notice it, they said.
The company's guilty plea to a misdemeanor violation of the Clean Water Act in 2007 resulted in three years' probation, a $12 million fine, and restitution and community service payments totaling $8 million to the state of Alaska and the National Fish and Wildlife Foundation.
Prosecutors contended BP violated the conditions of its probation by allowing the 2009 spill from an 18-inch pipe that moved oil, water and gas from drill pads to BP's Lisburne Processing Center. That spill, prosecutors said, leaked 13,500 gallons of oil onto tundra and wetlands.
The government said it was similar to the 2006 spill because BP ignored alarms that warned of the pipe's eventual rupture and leak. The 2009 spill also came after a similar pipe froze and ruptured in 2001, they said, and BP failed to put in place preventative measures that their own experts recommended.
But in his ruling, Beistline wrote: "The investigation concluded, based on the metallurgy report, that the pipeline rupture was not caused by corrosion or improper maintenance, but was caused by a sequence of circumstances, including cooling and warming of ambient temperature after the flow stopped, which led to the freezing of both water and hydrates. This ultimately resulted in increased gas pressure within the pipeline that caused the rupture. Why the flow slowed initially remains a mystery to all."
Beistline said BP followed "accepted industry practices at all relevant times and could not have reasonably expected a blowout similar to the one that occurred on November 29, 2009. Further, the court concludes that once the freeze up was discovered, BP acted reasonably in addressing the problem."
He also said BP's efforts to return the spill site to pre-spill conditions were "impressive."
"An untrained observer would likely be unable to find any indication that a spill had occurred," he wrote, adding there was no evidence that contaminants reached any nearby lakes or Prudhoe Bay.
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TOKYO (Reuters) ? Europe should boost the total firepower of its rescue fund and frontload its funding to send a positive signal to investors and international partners that it is determined to solve its debt crisis, Japanese officials said on Monday.
Japan has repeatedly expressed its willingness to help Europe contain its debt crisis, but has also stressed it wanted to see a convincing action plan before making any firm commitments.
"Japan like other non-euro countries is prepared to do something, but unless European countries take decisive action it is hard to make those steps effective," a senior Japanese government official said.
Lifting the combined size of the current bailout fund (EFSF) and the new permanent European Stability Mechanism (ESM) beyond the current 500 billion euros would be a major step and an encouraging signal.
"We expect European countries will review the combined ceiling of 500 billion euro of EFSF (European Financial Stability Fund) and ESM in a very positive manner," the official told Reuters.
European leaders agreed in Brussels earlier this month to accelerate the launch of the ESM by a year to mid-2012 with an effective lending capacity of 500 billion euros ($650 billion), but questions have arisen about the size and timing of contributions.
Japanese officials said that while bringing forward the launch of the fund was positive, a more ambitious ceiling might be needed given that Europe had little success in bringing in outside investors to boost the firepower of the EFSF fund.
"The leveraging of EFSF money by investors' money doesn't look like materializing very well. That's why they are frontloading the ESM and the review of the ceiling of 500 billion euro is very important," said the official, who declined to be named.
"European countries may think what they've already decided is a major step forward, but markets want Europe to act more decisively."
German Finance Minister Wolfgang Schaeuble signaled over the weekend that Europe's biggest economy and its main paymaster could boost its contribution to the fund and support its swift launch, although any decisions would have to be made in January.
Since the beginning of the crisis more than two years ago, European leaders have orchestrated bailouts of Greece, Ireland and Portugal, set up a euro zone rescue fund and earlier this month agreed to boost the International Monetary Fund's resources by 150 billion euros.
Still, throughout the crisis that has also shaken Italy and Spain, investors have repeatedly been left with the impression that whatever was agreed in Brussels was too little, too late.
Japan, the United States, Canada and others have voiced their frustration with Europe's piecemeal progress and repeatedly called for bold steps that would create effective "firewalls" around the euro zone's weaker, heavily indebted economies.
Another Japanese government official reiterated on Monday that Tokyo, which led an international effort to boost the IMF's coffers after the Lehman crisis, was open to contributing more but that its decision depended on Europe's actions.
Officials in Tokyo said markets needed to see both effective defenses in the form of funds sufficient enough to cover the crisis-hit nations' financing needs and commitments to fiscal discipline.
"Fiscal discipline is very important. Even if we provide firewalls we need fiscal discipline," the official said.
While Tokyo has repeatedly voiced concern about developments in Europe, its plans to buy Chinese government debt did not reflect lack of confidence in the euro or U.S. dollar assets, another official said.
He said the plans, discussed during Prime Minister Yoshihiko Noda's visit to Beijing, aimed at strengthening economic ties between the two nations rather than diversifying Japan's exchange reserves, mostly made up of dollar and euro assets.
"The idea is not to depart from the dollar or U.S. government bonds or the euro, so it should not be interpreted as diversification of our portfolio," the official said.
"I don't have any doubts about creditworthiness of the dollar or U.S. government bonds. The dollar will remain the most important currency for the foreseeable future."
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Hey everyone!
2011 has been fantastic year for GetGlue. We are now a community of over 2,000,000 entertainment fans, that checked-in more than 100,000,000 times in 2011. Yesterday we learned that GetGlue won the Mashable 2011 Breakout Startup of the Year Award and we were thrilled and humbled. Thank you so much for voting for us and thank you for checking-in on GetGlue!
Today we?ve got a great update for you just in time for the holidays and the return of your favorite shows in January. This update has been in the works for several months and includes a major overhaul of our iPhone app and GetGlue.com.
New GetGlue for iPhone
The major new features of the GetGlue for iPhone are:
New Stream: A more visual look and feel for the Stream that turns your friend?s entertainment into user generated art. The comments overlaid on top of the images inspire the discovery of new shows, movies and music through friends. You can vote and reply on any check-in right from the stream or tap the entry to get more details. You can quickly preview the show, movie, or an artist and save what you like.
Real-time Conversation: Each check-in is a gateway to an interesting conversation. The new Conversation screen displays friends and interesting comments from other fans who are checked-in to the same show right now. You can use the swipe gesture to easily switch between several recent conversations. This interface is particularly handy for staying on top of conversations that happen in the evening around all the shows and sports you watch.
Guides: The new Guides help you quickly find things to watch, read, or listen to. Each guide is dynamic and created based on personal tastes, friends activity, trends across the GetGlue community, and popular genres. The guides are constantly updated with fresh recommendations for shows, movies, and music and make it easy for users to discover their next favorite.
Download this update right now from the app store.
New GetGlue.com
Our web site has also received a major redesign to match the features, look and feel of the app. Every major screen and flow has been updated with a slick and streamlined look.
New way to Check-in The Check-in button is now integrated into the top navigation so you can check-in from any page. The Check-in overlay also features your recent and trending, making the whole check-in flow streamlined. Once you are done checking-in you can close the overlay and go right back to the page you were on.
Conversation Tabs The home screen now keeps track of the few last conversations for you. After you check-in the Conversation tab is automatically added to your home screen while the older conversation tab slides off. These tabs make it really easy to discuss what you are watching with friends and other fans in real-time. You can switch to a Conversation at any time to get the most recent chatter and add your comments.
Guides The navigation menu now features Guides for TV, Movies, Music and more. The guides feature fresh recommendations based on your ratings, and also help you discover new favorites through friends and entire GetGlue community. The guides feature an easy way to preview and save interesting shows, movies and music.
Click the play button to see a preview and then Save what you like. Everything that you save is stored in a list on the bottom of the guide. So when you are looking for something to watch, head over to the guide to pick from your list. Once you like or check-in into a saved item it will be automatically removed from the list.
The Guides also make it easy to build up your tastes using the Quick Rate feature. Take up the challenge and rate your favorites. Once you rate things, your friends will be able to discover your tastes and you will be able to discover new favorites through GetGlue suggestions.
And a whole lot more
GetGlue profiles have also been redesigned in this update. We made them bigger, bolder, and louder to help you share your favorite entertainment with friends. Your recent Activity is now the first tab that friends see. We?ve also updated the Likes tab to show your tastes. The thing you are?Obsessed with is featured on top, followed by your Favorites and the rest of your Likes.
The Stickers also got a long overdue facelift - the new screen looks like a Sticker book. You can mouse over each sticker to get a brief description and click through for more details. You can also discover new stickers using the Sticker Guide located under the?more menu in the top navigation.
GetGlue show, movie, and artist pages are now updated to feature conversations, reviews and suggestions. We also made it really easy for you to preview things by clicking the?Play button right on the cover.
We hope you enjoy these updates as much as we?ve enjoyed working on them.
From the entire GetGlue crew - Happy Holidays and we look forward to checking-in together in 2012!
Source: http://blog.getglue.com/?p=10079
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A couple weeks ago, MG wrote: Android development itself remains a huge pain in the ass. I hear this again, and again, and again. Which took me a bit aback: I've been writing both iOS and Android apps for more'n two years now, and while both platforms' developer tools have their highlights and really irritating lowlights, overall it's pretty much a wash. But then I realized: if you're an iOS developer moving to Android, then yes, it would seem a million times worse. Just as the converse would; it's just that the converse is far less common. The platform you don't know always seems a million times worse than the one you know. You've already gone through the setup nightmares, figured out its quirks and idiosyncracies, and learned what not to do or try. This, I think, is a big factor in the reign of apps. Ever since the App Store came out, people have been prophesying that apps are a passing fad, soon to be replaced by HTML5. For years now, PhoneGap and Sencha have offered cross-platform app development, ie the ability to write a single app that works on both iOS and Android. If the transition between the two is such a giant pain, as mentioned above, why wouldn't everyone do that?Source: http://feedproxy.google.com/~r/Techcrunch/~3/RoLtQSUeT1k/
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JERUSALEM (Reuters) ? Prime Minister Benjamin Netanyahu stepped up pledges to curb Jewish zealotry in Israel on Sunday after an 8-year-old girl complained of being menaced by ultra-Orthodox men who deemed her dress immodest.
While his conservative government insists such incidents are fringe phenomena in the mostly secular country, Netanyahu's repeated announcements on the matter reflected concern about widening religious and political schisms.
"In a Western, liberal democracy, the public realm is open and safe for all, men and women both, and neither harassment nor discrimination have any place there," he told his cabinet in broadcast remarks.
Netanyahu said he had ordered law enforcement authorities to crack down on "whoever spits, whoever lifts a hand (in violence), whoever harasses" and to remove street signs segregating men from women in some ultra-Orthodox districts.
The statement appeared to have been prompted by an expose on Israel's top-rated weekend news about intra-Jewish friction in Beit Shemesh, a town of about 87,000 people near Jerusalem.
Naama Margolese, 8, told Channel Two television she was terrified of walking to her moderate Orthodox school because of passersby who want her "to dress like a Haredi" - the Hebrew term for the ascetic, black-coated Jews who are in "awe" of God.
"I'm afraid I might get hurt or something," the girl said.
Margolese's mother Hadassa, an American immigrant who wore a headscarf and skirt in deference to religious Jewish tradition, said the sidewalk abuse could include spitting, curses like "whores" and "bastards" and calls to "clear out of here."
"If that's what happens now, and they (authorities) don't do anything, what will happen in another few years?" she told Israel's Army Radio on Sunday. "This is a terrorist group."
Returning to Beit Shemesh on Sunday, a Channel Two crew was mobbed by ultra-Orthodox Jews who stoned their car, wounded a reporter and stole equipment, police said. The crew was rescued by police, who said they were questioning suspected assailants.
WIDE MARGIN
Separately, police said they had arrested a Beit Shemesh man for spitting at a woman, and that he could face assault charges.
In the report broadcast on Friday, Channel Two showed a Beit Shemesh street sign instructing women to keep to one side, away from a synagogue. A few ultra-Orthodox men who agreed to be interviewed sought to justify their forcible occlusion of women.
Israeli media have debated the impact of religious gender segregation on public transport and the conscript army, where some pious troops prefer to shun female instructors and singers.
The ultra-Orthodox make up only about 10 percent of Israel's population of 7.7 million. But their high birthrates and bloc voting patterns have helped them secure welfare benefits and wider influence. One of Netanyahu's biggest partners in the coalition government, Shas, is a party run by rabbis.
According to Channel Two, its Beit Shemesh story has generated momentum for a demonstration against ultra-Orthodox coercion in the town, scheduled for Tuesday.
Moshe Abutbol, the Shas mayor of Beit Shemesh put the number of townspeople involved in the abuse at between 20 and 50.
Emulating Israeli commandos who disguise themselves as Arabs for missions in Palestinian areas, the police have officers who work undercover among the ultra-Orthodox. Israeli television showed them raiding a religious protest in Jerusalem on December 17.
Netanyahu has also condemned radical Jews behind a spree of vandalism against Palestinian property and Israeli garrisons in the occupied West Bank, attacks designed to bog down government moves to raze settlements built without a permit.
"Beit Shemesh shocked Netanyahu not because of new facts but because of old facts that were recounted by a lovely little blond-haired girl with blue eyes," said Nahum Barnea, senior commentator for the biggest-selling newspaper Yedioth Ahronoth.
(Writing by Dan Williams; Editing by Alistair Lyon)
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SAN FRANCISCO ? Dugald Stermer, who served as art director of the left-leaning magazine Ramparts and redesigned the Olympic medals for the 1984 Los Angeles games, has died. He was 74.
Megan Stermer, the artist's daughter, told The Associated Press on Saturday that her father died from respiratory and cardiac failure on Dec. 2 at California Pacific Medical Center in San Francisco.
Stermer worked at Ramparts in the 1960s. The San Francisco-based political and cultural magazine was critical of the war in Vietnam and included pieces by Noam Chomsky and other left-leaning writers.
A 1967 cover reflective of the magazine's political temperament showed the hands of Stermer and three of the magazine's editors burning their draft cards. Ramparts's typographical style under Stermer is credited with influencing the early design of Rolling Stone.
Stermer's career also included work as an illustrator for such publications as the The New Yorker and for companies including BMW and Jaguar. He served as chairman of the illustration department at California College of the Arts from 1994 until his death.
Stermer's redesign of the Olympic medals added depth and definition to the figure of Lady Liberty on the front of the medals, according to The Los Angeles Times (http://lat.ms/vxWsXy). It also restored the original design on the back of the medal although Stermer modified the faces of the male athletes carrying the victor to reflect the ethnic diversity of Olympic competitors.
Megan Stermer, 49, of San Francisco, recalled her father calling her in London, where she was studying at the time, to share the news that he had been asked to redesign the medals.
"He was very proud to have been asked to do that because it is something that is lasting and significant," she said.
In addition to Megan, Stermer is survived by four other children: Dugald of Sherman Oaks, Christopher of Sacramento, Colin of Alameda, and Crystal of San Francisco.
_________
http://www.dugaldstermer.com/home.html
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It's property tax time in the city of Madison, and a letter from Mayor Paul Soglin blames the state for a local tax increase.
It all has to do with how much money local governments get from the state each year through what's called "shared revenue," which is a portion of state income taxes shared to help cover government costs.
This year, Madison took a 25 percent cut, and the mayor said that's part of why homeowners' tax bills may have gone up this year.
As resident Charles Quackenboss made his way to city hall to pay his property tax bill, he said it wasn't as bad as he expected.
"It was up about $150 over last year, and I think that is outstanding," said Quackenboss after paying his bill. "I think the mayor and county executive did a good job of keeping the tax levy reasonable. It could have gone up a lot more."
City of Madison taxes went up 3.7 percent this year, and in a letter with tax bills the mayor said that's primarily because of a cut in state aid.
"There is no question that the state's shared revenue decisions have driven up the property tax in Madison," said Soglin.
Soglin argued that the formula to figure out local aids needs to change. Although Madison is the second largest city in the state, it gets the 15th most shared revenue.
"The formula was well-intended to deal with issues of population and poverty, but it was always assumed that the state would be fair in terms of the funding," said Soglin.
Todd Berry, of the Wisconsin Taxpayers Alliance, said that's exactly why Madison gets less -- because it is considered a property-wealthy city.
"Either the appropriation has to be made larger so Madison will compete for some money, or they've got to take it away from poorer communities like Milwaukee, Beloit or Racine to give it to Madison," said Berry. "So it is a little unfair to suggest that the state is entirely to blame here."
But as Quackenboss looks at his bill, he said he thinks the city should get more money, too.
"When you're considering Madison, you must consider city services to all state buildings," said Quackenboss. "I don't think we get all the state money that we should for that."
Soglin and Berry said the other problem is that the funding formula hasn't really been used since the early 2000s. The Legislative Fiscal Bureau confirmed that local aids have been flat or cut since the early 2000s under Gov. Jim Doyle and Gov. Scott Walker.
Source: http://madisonneareast.channel3000.com/news/news/63584-madison-mayor-blames-state-tax-increase
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Online audience measurement and Web analytics companies Nielsen and comScore have settled their patent disputes, according to a joint statement released this morning. Nielsen filed suit against its rival in March 2011, accusing comScore of infringing five patents it owns that relate to measuring and displaying online content. Sure enough, comScore countersued Nielsen just a few days later. Now, the companies have seemingly buried the hatchet and come to this elaborate agreement: (After the jump)Source: http://feedproxy.google.com/~r/Techcrunch/~3/nmiNkV67928/
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KANSAS CITY, Mo. ? Anthony Grant doesn't care whether Alabama scores 50 points or 100, so long as it's one more than the Crimson Tide's opponent.
The problem lately is that hasn't been the case.
JaMychal Green had 20 points and Trevor Releford added 14 points and six assists, but they got little help in a 71-58 loss to Kansas State on Saturday night. It was the third loss in four games for No. 23 Alabama, and the fourth straight in which it has failed to eclipse 62 points.
"We come into games trying to win. It's never about how many points we score," Grant said. "When I look at the numbers, 18 turnovers, (Kansas State shoots) 63 percent from the field in the second half, that makes it very difficult to win."
Jordan Henriquez scored a career-high 17 points, Jamar Samuels had 14 and Angel Rodriguez added a career-best 13 for the Wildcats (7-1), who used a 19-6 run midway through the second half to avoid going to overtime for the third consecutive game.
Kansas State lost to West Virginia in two extra sessions last week and needed overtime to beat North Florida last Sunday.
"It takes a little time. It's not a perfect science," Kansas State coach Frank Martin said. "You've got young guys trying to learn how to play in college basketball. You've got guys trying to figure out their roles. It takes time. It's not as easy as it sounds."
Grant is certainly finding that out.
Alabama (8-3) is one of the nation's best defensive teams, and that was on display early against Kansas State. The Wildcats were 2 of 18 from the field and fell behind by seven points before finally hitting their stride. Once they did, the Crimson Tide simply couldn't keep up.
Releford grew up in suburban Kansas City and attended Bishop Miege High School. His homecoming would have been much more memorable had Alabama been as stingy over the final 30 minutes as it was over the first 10.
Or had the offense been able to score enough.
"Kansas State played a good game," Releford said. "They got the hustle plays in the second half, shot the ball a little bit better and that's what it took to win."
The Wildcats were still clinging to a 38-37 lead with just more than 13 minutes left when Samuels hit a 3-pointer off a feed from Rodriguez, one of his career-best seven assists. Shane Southwell scored moments later, Samuels added a pair of free throws and Rodriguez scored after a nifty behind-the-back move that got him open in the lane to make it 49-39 with less than 10 minutes to play.
The lead swelled to 61-45 when Henriquez scored back-to-back baskets and Thomas Gipson added a tough bucket in the paint. The Crimson Tide never got close the rest of the way.
Kansas State sealed the game with free throws down the stretch.
The game matched a pair of head coaches in Grant and Martin who were teammates at Miami (Fla.) Senior High School, where they met as sophomores. In fact, Grant is the godfather of Martin's eldest child, Brandon, and they remain good friends.
That doesn't mean they wanted to win any less than usual.
Both coaches spent the majority of the game riding the officials, riding their own players ? more or less yelling at anyone within earshot ? and coaching with the passion of March in mid-December.
Alabama, one of the nation's best defensive teams, held the Wildcats to two field goals over the first 10 minutes, slowly building a meager lead. Tony Mitchell's first basket with 9:08 left in the half made it 15-8, the Crimson Tide's biggest lead of the game.
The Wildcats still trailed 17-12 with less than 5 minutes left when Martavious Irving scored and Rodriguez fed Henriquez for an easy dunk, starting a 14-7 run to end the half. Henriquez's bucket with 18 seconds remaining allowed Kansas State to take a 26-24 lead into the break.
The game was being played at a pace that favored Grant's Crimson Tide, who came in allowing just more than 55 points per game ? 11th-best in the nation. But the Wildcats heated up in the second half, blowing past that number with 7 1/2 minutes left.
"We might not be perfect," Martin said, "but we're not taking a backseat to anybody either."
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Two giant pandas went on public display for the first time at Edinburgh Zoo today. ITN's Debi Edward was at the zoo along with hundreds of other eagerly waiting visitors to catch a glimpse of the pair.
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FRIDAY, Dec. 16 (HealthDay News) -- HIV-infected drug users are 74 percent more likely to have an overdose than those without HIV, a new evidence review finds.
Behavioral and biological factors may be among the reasons for this increased risk, according to the Rhode Island Hospital researchers. Drug overdose is a frequent cause of non-AIDS death among people with HIV.
The link between HIV infection and drug use is well documented, but the association between HIV and overdose has received less attention and was the focus of this study, which involved a review of 24 previous studies.
"Over the past 30 years, we have made impressive strides in caring for and prolonging the lives of people with HIV. Our study found that premature death by overdose is an issue that affects people with HIV disproportionately," study leader Traci Green, a researcher with Rhode Island Hospital and the Lifespan/Tufts/Brown Center for AIDS Research, said in a hospital news release.
"It is not entirely clear why the risk is greater, and few studies have endeavored to figure out why this might be happening," she added.
Biological factors may include clinical status, weakened immune systems, opportunistic infections and poorer physical health among HIV-infected drug users. Some research has suggested that hepatitis C infection and other conditions that affect metabolic ability may also increase the risk of overdose, according to the release.
Behavioral factors -- such as high-risk lifestyles and an increased rate of psychiatric conditions -- may also contribute to the higher risk of overdose among HIV-infected drug users, Green said.
Other possible factors could include homelessness and poverty, and poor access to medications and therapy used to treat opioid dependence, she suggested. Many HIV patients take opioid painkiller drugs as part of their treatment, while others use illegal opioids.
The study appears online in advance of print in the journal AIDS.
"Bringing overdose awareness and prevention into the HIV care setting is critical to reducing overdose deaths," Green said.
"Health care providers who treat HIV-infected patients with a history of substance abuse or who are taking opioid medications should consider counseling patients on how to reduce their risk of overdose. They may also consider prescribing naloxone (Narcan) to patients, or offering a referral to MAT (medication-assisted therapy) to reduce the risk of overdose," she advised.
Naloxone is a prescription medication that reverses an opioid overdose and has no abuse potential.
More information
The New Mexico AIDS Education and Training Center has more about recreational drugs and HIV.
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