Peterson Sentenced to 38 Years for 3rd Wife's Murder

Former Illinois cop Drew Peterson yelled, "I did not kill Kathleen!" during the sentencing phase of his trial today -- and then a judge sentenced him to 38 years in jail for killing her.

The sentence came after Will County Judge Edward Burmila denied Peterson a re-trial in the killing of his third wife, Kathleen Savio, in 2004.

Peterson had faced as many as 60 years in prison.

At his sentencing, after Peterson shouted that he did not kill his wife, someone in the courtroom yelled in reply, "Yes you did!" according to ABC News Chicago station WLS. Burmila then ordered that person to leave the courtroom.

Peterson went on to claim that police "altered evidence" in his case and "intimidated witnesses and scared my children."

"I love Kathy," he said. "She was a good mom. ... She didn't deserve to die."

He added that he was planning to get a tattoo on his back that would say, "No good deed goes unpunished."

Peterson's defense team had requested a re-trial after he was found guilty in September of killing Savio and making it look like an accident.

READ MORE: Drew Peterson Found Guilty of Killing Wife, Making It Look Like Accident

M. Spencer Green/AP Photo

Drew Peterson Trial: Defense Rests, Son Shows Support Watch Video

The re-trial, Peterson's attorneys claimed, was warranted because his former lead trial counsel, Joel Brodsky, had "single-handedly" lost the trial last fall, according to attorney Steve Greenberg. Greenberg is a former colleague of Brodsky's, but the two have recently been embroiled in a bitter public feud.

Burmila today rejected all of the motions for a new trial and, as he said he would do, moved on to sentencing immediately.

It is the latest development in the bizarre story of Peterson, a former suburban Chicago police officer. In 2004, Peterson's third wife, Savio, was found dead in her bathtub, a death that was initially ruled an accident. But when his fourth wife, Stacy Peterson, disappeared in 2007, Savio's body was exhumed and her death ruled a homicide.

Drew Peterson has never been charged in connection with Stacy Peterson's case.

Drew Peterson's murder trial last fall was marred by legal battles between his attorneys and prosecutors over what evidence was allowed in court. On three separate occasions, Peterson's defense team asked for a mistrial, but it was rebuffed every time by Burmila.

A large part of the testimony in that trial was hearsay, based on comments that Savio and Stacy Peterson made to friends that portrayed Peterson as a violent and threatening husband.

Peterson said at his sentencing today that hearsay was "a scary thing" because people are not accountable for the truth, according to WLS. An emotional Peterson, his voice shaking at times, blamed the media for portraying him as a monster.

In September, a jury convicted Peterson, noting that it had reached a decision it believed was "just."

READ MORE: Drew Peterson Jury Says Hearsay Convinced Them to Convict

Savio's nephew Michael Lisak said afterwards that his aunt "can finally rest in peace."

"Today is a day for battered women, not just Kathleen Savio," Lisak said. "Your voice will be heard. My aunt's voice was heard through the grave. She would not stop. They will listen to you now."

Peterson's sister Cassandra Cales had a blunt message for the newly convicted murderer.

"Game over, Drew," she said. "He can wipe the smirk off his face. It's time to pay."

The Associated Press contributed to this report.

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Police offer confused testimony in Pistorius case

PRETORIA, South Africa (AP) — The detective leading the police investigation into Oscar Pistorius' fatal shooting of his girlfriend offered confusing testimony Wednesday, at one point agreeing with the athlete's defense that officers had no evidence challenging the runner's claim he accidentally killed her.

Testimony by Detective Warrant Officer Hilton Botha of the South African Police Service left prosecutors rubbing their temples, only able to look down at their notes as he misjudged distances and acknowledged a forensics team left in the toilet bowl one of the bullet slugs fired at Reeva Steenkamp. However, Botha still poked holes in Pistorius' own account that he feared for his life and opened fire on Valentine's Day after mistaking Steenkamp for an intruder.

The second day of the bail hearing in a case that has riveted South Africa and much of the world appeared at first to go against the double-amputee runner, with prosecutors saying a witness can testify to hearing "non-stop talking, like shouting" between 2 a.m. and 3 a.m. before the predawn shooting on Feb. 14. However, Botha later said under cross examination that the person who overheard the argument was in a house 600 meters (yards) away in Pistorius' gated community in the suburbs of South Africa's capital, Pretoria.

Later, prosecutor Gerrie Nel questioned Botha again and the detective acknowledged the distance was much closer. But confusion reigned for much of his testimony, when at one point Botha said officers found syringes and steroids in Pistorius' bedroom. Nel quickly cut the officer off and said the drugs were actually testosterone.

Pistorius' lead defense lawyer, Barry Roux, asserted when questioning the detective — who has 16 years' experience as a detective and 24 years with the police — that it was not a banned substance and that police were trying to give the discovery a "negative connotation."

"It is an herbal remedy," Roux said. "It is not a steroid and it is not a banned substance."

The name of the drug, offered later in court by Roux, could not be immediately found in reference materials by The Associated Press. A spokesman for prosecutors later said it's too early to know what the substance is, as they don't yet have results of forensic testing on the material.

Pistorius, 26, said in an affidavit read in court Tuesday that he and his 29-year-old girlfriend had gone to bed and that when he awoke during the night he detected what he thought was an intruder in the bathroom. He testified that he grabbed his 9 mm pistol and fired into the door of a toilet enclosed in the bathroom, only to discover later to his horror that Steenkamp was there, mortally wounded.

Pistorius, the first Paralympian runner to compete at the Olympics, is charged with premeditated murder in the case.

The prosecution attempted to cement its argument that the couple had a shouting match, that Steenkamp fled and locked herself into the toilet stall of the bathroom and that Pistorius fired four shots through the door, hitting her with three bullets.

Botha said: "I believe that he knew that Reeva was in the bathroom and he shot four shots through the door."

But asked if the police found anything inconsistent with the version of events presented by Pistorius, Botha responded that they had not. He later said nothing contradicted the police's version either.

Nel projected a plan of the bedroom and bathroom in the courtroom and argued that Pistorius had to walk past his bed to get to the bathroom and could not have done so without realizing that Steenkamp was not in the bed.

"There's no other way of getting there," Nel said.

Botha said the trajectory of the bullets showed the gun was fired pointed down and from a height. This seems to conflict with Pistorius' statement Tuesday, because the athlete said that he did not have on his prosthetics and on his stumps and feeling vulnerable because he was in a low position when he opened fired.

Officers also found .38-caliber pistol rounds in a safe, which Botha said Pistorius owned illegally and for which he said the athlete would be charged with a crime. However, Botha also acknowledged investigators didn't take photographs of the ammunition and let Pistorius' supporters at the crime scene take them away.

Botha said the holster for the 9 mm pistol was found under the left side of the bed, the side on which Steenkamp slept. He also implied it would have been impossible for Pistorius to get the gun without checking to see if Steenkamp was there. Roux later argued that Pistorius had suffered an injury to his right shoulder and wore a "medical patch" the night of the killing which forced him to sleep on the left side of the bed.

Steenkamp was shot in the head over her right ear and in her right elbow and hip, breaking her arm and hip, Botha said. However, Roux later asked Botha if Steenkamp's body showed "any pattern of defensive wounds." The detective said no.

Botha also said the shots were fired from 1.5 meters (five feet), and that police found three spent cartridges in the bathroom and one in the hallway connecting the bathroom to the bedroom. However, later on cross-examination by the defense, Botha said he wasn't a forensics expert and couldn't answer some questions.

Police also found two iPhones in the bathroom and two BlackBerrys in the bedroom, Botha said, adding that none had been used to phone for help. Roux later suggested that a fifth phone, not collected by the police, was used by Pistorius to make calls for a hospital and help. After the hearing, Roux told journalists that Pistorius' defense team had the phone, but did not elaborate.

Guards at the gated community where Pistorius lives did call the athlete, Botha said. The detective said that all the athlete said was: "I'm all right."

He didn't hang up, Botha said, and the guards heard him uncontrollably weep.

"Was it part of his premeditated plan, not to switch off the phone and cry?" Roux asked sarcastically.

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Gerald Imray reported from Johannesburg. Associated Press writer Michelle Faul in Johannesburg contributed to this report.

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Jon Gambrell can be reached at www.twitter.com/jongambrellAP. Gerald Imray can be reached at www.twitter.com/geraldimrayAP.

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US stocks dive after Fed minutes

NEW YORK: US stocks piled up losses Wednesday after Federal Reserve minutes showed divisions over asset purchases, with some officials suggesting to wind them down before the jobs market picks up.

The Dow Jones Industrial Average finished down 108.13 points (0.77 percent) at 13,927.54.

The S&P 500-stock index fell 18.99 points (1.24 percent) to 1,511.95 and the tech-rich Nasdaq Composite dropped 49.18 points (1.53 percent) to 3,164.41, dragged down by heavyweight Apple, off 2.4 percent.

After opening mostly lower amid mixed housing and wholesale inflation data, the indexes hit fresh session lows after the Fed released the minutes of the January 29-30 Federal Open Market Committee meeting.

A "number" of participants said that an ongoing evaluation of the $85 billion per month asset purchases "might well lead the committee to taper or end its purchases before it judged that a substantial improvement in the outlook for the labor market had occurred," the minutes said.

Paul Edelstein of IHS Global Insight said in a research note that "if markets do not expect the Fed to stay the course, then expectations for economic growth and inflation will stay depressed and demand for safe assets (cash and government securities) will remain high."

Office Depot and OfficeMax meanwhile confirmed their merger after a premature announcement of the news.

The all-stock merger would create an $18 billion office supplies retailer. Office Depot shares slumped 16.7 percent and OfficeMax shed 7.0 percent.

Hotel chain Marriott fell 2.7 percent after posting quarterly results that missed expectations.

Luxury home builder Toll Brothers also suffered from disappointing earnings, losing 9.1 percent.

Dell, which reported a 32 percent profit fall in 2012 that was nevertheless slightly better than expected, rose 0.2 percent.

Yahoo! fell 1.7 percent after unveiling a new homepage.

Sony slid 1.2 percent ahead of its PlayStation 4 news conference

The bond market was mixed. The yield on the 10-year Treasury bond fell to 2.02 percent from 2.03 percent late Tuesday, while the 30-year edged up to 3.21 percent from 3.20 percent. Bond prices and yields move inversely.

-AFP/ac

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Trade unions' strike: Stick backfires, Mamata Banerjee offers carrot to traders

KOLKATA: Chastened by the widespread outrage among traders—who kept their shutters down despite her brandishing a stick, making Day One of the strike called by central trade unions a partial success—chief minister Mamata Banerjee decided to hand out carrots to the few who answered her call and kept their shops open on Wednesday.

Sources said Mamata asked mayor Sovon Chatterjee to work out an incentive to reward shop-owners who stayed open so that it encourages others to follow suit the next time. The decision was taken on the spur of the moment during an inspection of the city the CM undertook with the mayor in the early afternoon.

Mamata was initially taken aback at the sight of downed shutters in the wholesale belt of Burrabazar and Posta, but was relieved to see the vegetable market in Sealdah open.

Sources said the incentive idea struck her when she realized that cancelling the trade licences of those who stayed shut is not an option: the state will have to punish about 85% shopkeepers in the city then.

"I thank everyone who has opened their shop," Mamata said. "More shops are expected to open in the next half of the day. As for those that stayed shut, the high court has issued an order and the law will take its course."

Chatterjee said: "We are making a list of shops that were open. We will reward them." But officials in the Kolkata Municipal Corporation's licence department said there is no such rule and implementing the reward scheme will be difficult.

Mamata's decision to discuss the matter only with Forum of Traders' Organization (West Bengal) general secretary Rabindranath Koley boomeranged as other federations were aggrieved and did all they could to foil the government's efforts to keep shops open.

"Traders have shown politicians that they will not be scared into submission," said Tarak Trivedi of the Federation of Trade Organization that claims 50 lakh businessmen as members. "Treat us with respect and we will extend a helping hand."

On Tuesday, it was Koley who had announced the decision to take "uncooperative" traders to task. On Wednesday, he did the task of mollifying.

He said the CM is trying out various measures to lure traders away from the culture of staying at home during strikes. "In Kankurgachi, VIP, New Market, Gariahat, Lake Market and elsewhere, 50% shops were open," Koley said. "That is a long way from the scenes in the past when everything would be shut. The trading community is timid and needs to be encouraged to defy political strikes."

Timidity was, however, not the trait traders displayed when they defied the CM's threat of licence cancellation. "Had she called all the trade organizations and appealed to us to stay open, an overwhelming majority of shop-owners would have complied," said Atmaram Kajaria, president of the Federation of West Bengal Trade Association that claims to represent two crore traders in the state. "But by issuing a threat that is impractical and impossible to carry out, the CM suffered a loss of face that she could have easily avoided."

Though all trade unions, barring Citu, have decided to continue with the strike on Thursday, trade bodies said the scene will be different in Kolkata and most shops will open for business.

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Florida governor backs limited Medicaid expansion

MIAMI (Reuters) - Florida Governor Rick Scott backed a limited expansion of healthcare coverage for the poor on Wednesday, joining six other Republican governors who have agreed to the move under President Barack Obama's landmark reform law.

Scott, a vocal critic of the law known as Obamacare who had balked at expanding Medicaid, only agreed to the expansion after the federal government granted Florida a conditional waiver to privatize Medicaid statewide.

Scott said in a statement that he would only agree to the expansion for three years, however, while the federal government picks up all the costs.

"We will support a three year expansion of our Medicaid program under the new healthcare law, as long as the federal government meets their commitment to pay 100 percent of the cost during this time. This legislation would sunset after three years and need to be reauthorized," the statement said.

Scott's conditional endorsement of an expanded Medicaid program in Florida, a move that officials have said could add at least 1 million people to the state's Medicaid rolls, must still be approved by the Florida Legislature.

(Reporting by Tom Brown; editing by Andrew Hay)

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Armstrong Snubs Offer From Anti-Doping Officials

Lance Armstrong has turned down what may be his last chance at reducing his lifetime sporting ban.

Armstrong has already admitted in an interview with Oprah Winfrey to a career fueled by doping and deceit. But to get a break from the U.S. Anti-Doping Agency, all he had to do was tell his story to those who police sports doping. The deadline was today, and Armstrong now says he won't do it.

"For several reasons, Lance will not participate in USADA's efforts to selectively conduct American prosecutions that only demonize selected individuals while failing to address the 95 percent of the sport over which USADA has no jurisdiction," said Tim Herman, Armstrong's longtime lawyer. "Lance is willing to cooperate fully and has been very clear: He will be the first man through the door, and once inside will answer every question, at an international tribunal formed to comprehensively address pro cycling."

But the "international tribunal" Armstrong is anxious to cooperate with has one major problem: It doesn't exist.

The UCI, cycling's governing body, has talked about forming a "truth and reconciliation" commission, but the World Anti-Doping Agency has resisted, citing serious concerns about the UCI and its leadership.

READ MORE: Armstrong Admits to Doping

Livestrong, Elizabeth Kreutz/AP Photo

READ MORE: Lance Armstrong May Have Lied to Winfrey: Investigators

WATCH: Armstrong's Many Denials Caught on Tape

U.S. Anti-Doping Agency officials seemed stunned by Armstrong's decision simply to walk away.

"Over the last few weeks, he [Armstrong] has led us to believe that he wanted to come in and assist USADA, but was worried of potential criminal and civil liability if he did so," said Travis Tygart, CEO of the U.S. Anti-Doping Agency. "Today, we learned from the media that Mr. Armstrong is choosing not to come in and be truthful and that he will not take the opportunity to work toward righting his wrongs in sport."

Armstrong's ongoing saga plays out amid a backdrop of serious legal problems.

Sources believe one reason Armstrong wants to testify to an international tribunal, rather than USADA, is because perjury charges don't apply if Armstrong lies to a foreign agency, they told ABC News.

While Armstrong has admitted doping, he has not given up any details, including the people and methods required to pull off one of the greatest scandals in all of sport.

Armstrong is facing several multimillion-dollar lawsuits right now, but his biggest problems may be on the horizon. As ABC News first reported, a high-level source said a criminal investigation is ongoing. And the Department of Justice also reportedly is considering joining a whistleblower lawsuit claiming the U.S. Postal Service was defrauded out of millions of dollars paid to sponsor Armstrong's cycling team.

READ MORE: 10 Scandalous Public Confessions

PHOTOS: Olympic Doping Scandals: Past and Present

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Syria "Scud-type" missile said to kill 20 in Aleppo

AMMAN (Reuters) - A Syrian missile killed at least 20 people in a rebel-held district of Aleppo on Tuesday, opposition activists said, as the army turns to longer-range weapons after losing bases in the country's second-largest city.

The use of what opposition activists said was a large missile of the same type as Russian-made Scuds against an Aleppo residential district came after rebels overran army bases over the past two months from which troops had fired artillery.

As the uprising against President Bashar al-Assad, now a civil war, nears its two-year mark, rebels also landed three mortar bombs in the rarely-used presidential palace compound in the capital Damascus, opposition activists said on Tuesday.

The United Nations estimates 70,000 people have been killed in the conflict between largely Sunni Muslim rebels and Assad's supporters among his minority Alawite sect. An international diplomatic deadlock has prevented intervention, as the war worsens sectarian tensions throughout the Middle East.

A Russian official said on Tuesday that Moscow, which is a long-time ally of Damascus, would not immediately back U.N. investigators' calls for some Syrian leaders to face the International Criminal Court for war crimes.

Moscow has blocked three U.N. Security Council resolutions that would have increased pressure on Assad.

Casualties are not only being caused directly by fighting, but also by disruption to infrastructure and Syria's economy.

An estimated 2,500 people in a rebel-held area of northeastern Deir al-Zor province have been infected with typhoid, which causes diarrhea and can be fatal, due to drinking contaminated water from the Euphrates River, the World Health Organization (WHO) said on Tuesday.

"There is not enough fuel or electricity to run the pumps so people drink water from the Euphrates which is contaminated, probably with sewage," the WHO representative in Syria, Elisabeth Hoff, told Reuters by telephone.

The WHO had no confirmed reports of deaths so far.

BURIED UNDER RUBBLE

In northern Aleppo, opposition activists said 25 people were missing under rubble of three buildings hit by a several-meter-long missile. They said remains of the weapon showed it to be a Scud-type missile of the type government forces increasingly use in Aleppo and in Deir a-Zor.

NATO said in December Assad's forces fired Scud-type missiles. It did not specify where they landed but said their deployment was an act of desperation.

Bodies were being gradually dug up, Mohammad Nour, an activist, said by phone from Aleppo.

"Some, including children, have died in hospitals," he said.

Video footage showed dozens of people scouring for victims and inspecting damage. A body was pulled from under collapsed concrete. At a nearby hospital, a baby said to have been dug out from wreckage was shown dying in the hands of doctors.

Reuters could not independently verify the reports.

Opposition activists also reported fighting near the town of Nabak on the Damascus-Homs highway, another route vital for supplying forces in the capital loyal to Assad, whose family has ruled Syria since the 1960s.

Rebels moved anti-aircraft guns into the eastern Damascus district of Jobar, adjacent to the city centre, as they seek to secure recent gains, an activist said.

"The rebels moved truck-mounted anti-aircraft guns to Jobar and are now firing at warplanes rocketing the district," said Damascus activist Moaz al-Shami.

Russian Deputy Foreign Minister Gennady Gatilov told a news conference a U.N. war crimes report, which accuses military leaders and rebels of terrorizing civilians, was "not the path we should follow ... at this stage it would be untimely and unconstructive."

Syria is not party to the Rome Statute that established the ICC and the only way the court can investigate the situation is if it receives a referral from the Security Council, where Moscow is a permanent member.

(Writing by Oliver Holmes; Editing by Jason Webb)

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BP vows to "vigorously defend" itself at US oil spill trial

CHICAGO: British energy giant BP vowed Tuesday to "vigorously defend" itself in court next week against US government claims for "excessive" fines in the 2010 Gulf of Mexico oil spill disaster.

Prosecutors shot back with a warning that they will be fighting for the stiffest penalties possible at a blockbuster trial which opens Monday with tens of billions of dollars at stake.

"The United States is fully prepared for trial," Wyn Hornbuckle, a spokesman for the US Department of Justice, told AFP.

"We intend to prove that BP was grossly negligent and engaged in willful misconduct in causing the oil spill."

The mammoth trial in a New Orleans, Louisiana federal courthouse consolidates scores of remaining lawsuits stemming from the worst environmental disaster to strike the United States.

The first phase of the trial will focus on liability for the April 20, 2010 explosion that sank the BP-leased Deepwater Horizon drilling rig off the coast of Louisiana.

The blast killed 11 people and unleashed millions of barrels of oil into the Gulf, blackening beaches in five states and crippling tourism and fishing industries.

It took 87 days to cap BP's runaway well in a tragedy that riveted the nation.

BP is fighting civil penalties which could amount to as much as $21 billion if gross negligence is found.

"Gross negligence is a very high bar that BP believes cannot be met in this case," Rupert Bondy, group general counsel at BP, said in a statement.

"This was a tragic accident, resulting from multiple causes and involving multiple parties."

In addition to fighting the federal government over environmental fines, BP is also seeking to shift some of the liability to its subcontractors, drilling rig operator Transocean and Halliburton, which was responsible for the well's faulty cement job.

BP pleaded guilty in November to criminal charges -- including felony manslaughter -- and agreed to pay a record $4.5 billion in criminal fines.

It reached a $7.8 billion settlement early last year that will cover the bulk of the outstanding private claims for economic loss, property damage and medical problems.

It has paid out $10 billion to businesses, individuals and local governments impacted by the spill and spent more than $14 billion on the response and cleanup.

BP also remains on the hook for billions in additional damages, including the cost of environmental rehabilitation.

But while it was willing to settle the civil charges on "reasonable terms" BP said it will not accept the US government's assertion of gross negligence, or its estimation of how much oil was spilled.

"Faced with demands that are excessive and not based on reality or the merits of the case, we are going to trial," Bondy said in the statement.

"We have confidence in our case and in the legal team representing the company and defending our interests."

In a preview of an argument that will not reach trial until the second phase begins later this year, BP said the official US government estimate that 4.9 million barrels of oil was unleashed from the runaway well was "overstated" by at least 20 percent.

"BP believes that a figure of 3.1 million barrels should be the uppermost limit of the number of barrels spilled that should be used in calculating a Clean Water Act penalty," it said.

Meanwhile, the judge overseeing the consolidated trial on Tuesday approved a $1 billion settlement for civil penalties against rig operator Transocean.

The decision came after a $400 million settlement of criminal penalties against the Swiss drilling giant was approved last week.

Transocean pleaded guilty to one criminal count of violating the Clean Water Act and agreed to pay the $400 million fine for negligence that led to the explosion of the Deepwater Horizon rig.

The $1 billion civil penalty is for fines related to the oil spilled into the Gulf.

It is also responsible for implementing measures to improve operational safety and emergency response capabilities at all their drilling rigs working in waters of the United States.

-AFP/ac

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Sukhoi crashes in Rajasthan, pilots eject safely

NEW DELHI: A frontline Sukhoi-30MKI fighter crashed at the Pokhran range in Rajasthan on Tuesday evening. The two experienced pilots, Squadron Leaders G B S Chauhan and A R Tanta, managed to eject safely.

While the court of inquiry will establish the exact reason behind the crash, preliminary reports blamed a "technical snag" for the mishap. The aircraft was undertaking night-flying drills as part of rehearsals for the massive IAF fire power display at the Pokhran range slated for February 22 when the technical problem took place around 7.20 pm.

The over 160 Sukhois inducted by IAF till now — 272 of them have been contracted from Russia in deals worth Rs 55,717 crore - were "temporarily grounded" at Pune, Bareilly, Tezpur, Chabua and other airbases after one had crashed in December 2011. The probe then had blamed the failure of the fly-by-wire (FBW) system for the crash.

IAF chief Air Chief Marshal N A K Browne had himself taken to the skies in a Sukhoi within a week to show "all was well" with India's latest and most potent fighters, which are progressively being based on both the western and eastern fronts against Pakistan and China.

The Sukhois, with just four crashes in around 90,000 hours of flying over the last 13 years, have had a good track-record with IAF. But with the bulk of the 272 Sukhois ordered being manufactured by HAL under transfer of technology from Russia, a hard-nosed look at quality, maintenance and servicing issues at the defence PSU is certainly needed.

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Costlier robotic surgery soars for hysterectomies

CHICAGO (AP) — Robotic surgery is increasingly being used for women's hysterectomies, adding at least $2,000 to the cost without offering much benefit over less high-tech methods, a study found.

The technique was used in just 0.5 percent of operations studied in 2007, but that soared to almost 10 percent by early 2010. Columbia University researchers analyzed data on more than 260,000 women who had their wombs removed at 441 U.S. hospitals for reasons other than cancer. The database covered surgeries performed through the first few months of 2010.

Women who had the robotic operations were slightly less likely to spend more than two days in the hospital, but hospital stays were shorter than that for most women. Also, complications were equally rare among robotic surgery patients and those who had more conventional surgeries. Average costs for robotic hysterectomies totaled nearly $9,000, versus about $3,000 for the least expensive method, a different type of minimally invasive technique using more conventional surgery methods.

Traditionally hysterectomies were done by removing the womb through a large abdominal incision. Newer methods include removing the uterus through the vagina and minimally invasive "keyhole" abdominal operations using more conventional surgery methods, or surgeon-controlled robotic devices.

Robotic operations involve computer-controlled long, thin robot-like "arms" equipped with tiny surgery instruments. Surgeons operate the computer and can see inside the body on the computer screen, through a tiny camera attached to the robotic arms. The initial idea was for surgeons to do these operations miles away from the operating room, but robotic operations now are mostly done with the surgeon in the same room as the patient.

Theoretically, robotic surgeries make it easier to maneuver inside the patient, and are increasingly used for many types of operations, not just hysterectomies.

The main explanation for the big increase "is that robotic surgery has been marketed extensively to not only hospitals and physicians, but also directly to patients. There is minimal data in gynecology that it is advantageous," said Dr. Jason Wright, an assistant professor of women's health and the study's lead author.

The study was published Tuesday in the Journal of the American Medical Association.

"Our findings highlight the importance of developing rational strategies to implement new surgical technologies," the researchers wrote.

They note that 1 in 9 U.S. women will undergo a hysterectomy, usually after the age of 40. Reasons include fibroids and other non-cancerous growths, abnormal bleeding, and cancer.

Traditional abdominal operations remain common and more than 40 percent of women studied had them, costing on average about $6,600.

A JAMA editorial says the study doesn't answer whether the robotic method might be better for certain women, and says more research comparing methods is needed. Still, it says doctors and hospitals have a duty to inform patients about costs of different surgery options.

Dr. Myriam Curet of manufacturer Intuitive Surgical of Sunnyvale, Calif., said surgical robots can help surgeons overcome the limitations of other minimally invasive methods for very overweight patients, those with scarring from other surgeries and other complexities.

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

Robotic surgery: http://tinyurl.com/byuljds

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

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