IHT Rendezvous: IHT Quick Read: Feb. 15

NEWS The scandal over horse meat in the European food chain widened Thursday from a case of mislabeling to one of food safety as public health authorities in Britain said that a powerful equine painkiller, potentially harmful to human health, “may have entered the food chain” in France. Dan Bilefsky reports from Paris, and Stephen Castle from London.

Behind closed doors, Xi Jinping, China’s new leader, recently held up the Soviet Union’s collapse as the risk of wavering from traditional ideology. Chris Buckley reports from Hong Kong.

A senior official of the United Nations nuclear supervisory body said Thursday that talks a day earlier in Iran had ended inconclusively and that international inspectors had not been given access to a site that they suspect may have been used for testing bomb triggers. Alan Cowell reports from Paris.

Oscar Pistorius, a Paralympic gold medal winner from South Africa, was charged with murder after his girlfriend was fatally shot at his home. Lydia Polgreen reports from Johannesburg.

Berkshire Hathaway, the giant conglomerate run by Warren E. Buffett, said on Thursday that it would buy Heinz for about $23 billion. Berkshire is teaming up with 3G, a Brazilian investment firm that already owns most of Burger King. Michael J. de la Merced and Andrew Ross Sorkin report.

The U.S. Justice Department has cleared the proposed merger of Random House and Penguin, which would create the biggest book publisher in the world, their parent companies said. Eric Pfanner reports from Paris.

European economies shrank in the fourth quarter at their fastest rate since the depth of the financial crisis in 2009, new data showed on Thursday, with both strong and weak countries falling short of expectations and raising anxieties of a longer, deeper recession. Jack Ewing reports.

European regulators on Thursday defended plans to create the first international tax on financial transactions after business groups in the United States warned that the levy could break international agreements. James Kanter reports from Brussels.

ARTS Advocates of an effort to create a parade ground for Afro-Brazilian drum groups in Salvador, Brazil, say it would help the city’s carnaval reclaim its soul. Jon Pareles reports from Salvador, Brazil.

SPORTS Cristiano Ronaldo’s soaring header against Manchester City saved a 1-1 tie for Real Madrid in the Champions League soccer tournament and left his old manager, Alex Ferguson, astonished. Rob Hughes reports from London.

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American Idol's Top 40 Revealed






American Idol










02/14/2013 at 10:00 PM EST







From left: Randy Jackson, Mariah Carey, Ryan Seacrest, Nicki Minaj and Keith Urban


Michael Becker/FOX.


American Idol really, really wants a woman to win this season. At the beginning of Thursday's episode, they reminded us that a female singer hasn't won the show since 2007, when Jordin Sparks bested Blake Lewis for the top prize. Let's put this into perspective: The last time a woman won, George W. Bush was still president, J.K. Rowling was still writing the Harry Potter series, and no one had any idea who Snooki was. Well, maybe a few people knew her.

After Ryan Seacrest all but begged us to vote for a female, we finally got to see the level of the women's talent. Angela Miller sat at the piano and sang her own song, "You Set Me Free." It was a show-stopping performance, prompting judge Keith Urban to rave.

"If that was recorded right there, I would play it in my car," he said. "That was just a beautiful song."

Miller was followed by Candice Glover, who gave an strong version of Alicia Keys's "Girl on Fire." Janelle Arthur also impressed with a pleasant version of Carrie Underwood's "I told You So."

Shubha Vedula had the nerve to sing a Mariah Carey song in front of Mariah Carey and did a great job.

And then there was Zoanette Johnson. (At some point, she needs to drop her last name and just be known as Zoanette.) She played the drums as she sang a song she had improvised onstage the previous night. It was a rambling tune about her Idol experience. It was manic and baffling. And then she came to an abrupt stop and yelled at the background singers.

"Slow it down! C'mon guys," she pleaded. "I need this to be right." At some point, she lost a drumstick.

It's fun to imagine what Simon Cowell's reaction would be to her performances.

Kez Ban, the season's other memorable contestant, was quickly cut from the competition after singing her original song. There is clearly only room for one unpredictable contestant this season – and her name is Zoanette.

As the show wound down, the judges cut the field down to 20 women, and then brought in the remaining 28 male singers to cut them down to 20. That's when the judges had Josh Holiday sing "Georgia on My Mind." He split his pants from crotch to knee.

But Holiday and 39 others are season 12's top 40. One of them will be the next American Idol. Will it be a girl?

Top 20 Women

Adriana Latonio
Amber Holcomb
Angela Miller
Aubrey Cleland
Brandy Hotard
Breanna Steer
Candice Glover
Cristabel Clack
Isabelle Pasqualone
Janelle Arthur
Jenny Beth Willis
Jett Hermano
Juliana Chahayed
Kamaria Ousley
Kree Harrison
Melinlda Ademi
Rachel Hale
Shubha Vedula
Tenna Torres
Zoanette Johnson

Top 20 Men

Bryant Tadeo
Burnell Taylor
Charlie Askew
Chris Watson
Cortez Shaw
Curtis Finch, Jr.
David Willis
Devin Velez
Elijah Liu
Gurpreet Singh Sarin
Jimmy Smith
Johnny Keyser
Josh Holiday
Kevin Harris
Lazaro Arbos
Mathenee Treco
Nick Boddington
Paul Jolley
Vincent Powell
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Yen jittery as G20 eyed, weak Europe dampens mood

TOKYO (Reuters) - Weak euro zone growth data dampened sentiment in markets from Asian shares to copper to gold, while the yen was jittery as the G20's Moscow meeting gets underway and speculation builds over candidates to be the next Bank of Japan governor.


Japanese shares extended losses and by far underperformed Asian equities on news that a conservative, former finance ministry bureaucrat is the leading candidate to head the Bank of Japan, which faces heightening market expectations of and political pressure to take dramatic steps to reflate Japan's economy.


The absence of Chinese investors, major buyers of commodities such as copper and gold, sapped trading incentives and capped prices as markets in China and Taiwan remained shut for the Lunar New Year holiday.


"The recent rally in global stocks shows investors are chasing after risk assets and the risk-on sentiment has been turned on, capping assets which are not favored under these circumstances, such as gold," said Yuichi Ikemizu, branch manager for Standard Bank in Tokyo .


"The G20's impact on markets, if any, will come through reactions in currency markets. There will be more incentive next week when Chinese investors, big buyers, return," Ikemizu said.


The MSCI's broadest index of Asia-Pacific shares outside Japan <.miapj0000pus> traded in a wafer-thin range, rising 0.1 percent and falling 0.1 percent. It briefly hit a fresh 18-1/2-month high earlier in the session.


The index, however, was set for a weekly gain of 1.3 percent for its best such performance since the week to January 6. Receding risks from the euro zone debt crisis and evidence that global growth remains on a recovery trend, even if fragile, have generally underpinned risk assets broadly despite day-to-day gyrations.


Stocks in the Philippines <.psi> and Indonesia <.jkse> hovered near records hit the day before while Australian and South Korea shares consolidated from their recent strong gains.


Australian shares ended flat after touching a 4-1/2 year high on Thursday, compounded by weak euro zone data and a $3 billion annual loss from miner Rio Tinto Ltd . South Korean shares <.ks11> also ended nearly flat after Thursday's three-week closing high on the back of a firmer yen.


The Nikkei stock average <.n225> closed down 1.2 percent. <.t/>


European markets will likely pause, with financial spreadbetters predicting London's FTSE 100 <.ftse>, Paris's CAC-40 <.fchi> and Frankfurt's DAX <.gdaxi> would open little changed. U.S. stock futures were down 0.2 percent to suggest a softer Wall Street start. <.l><.eu><.n/>


BOJ CHOICE EYED


The yen firmed against other major currencies as investors cut back yen short positions amid speculation that Japan might be singled out because of the yen's steady drop over the past three months.


Many traders and analysts say currencies will be discussed, but yen weakness is unlikely to top the agenda so long as Japan convinces delegates it is pursuing strong monetary easing to reflate the economy, and yen devaluation is a side-effect.


Discussions on drafting a Group of 20 communique are proving "difficult" but the passage on currencies will not single out Japan's expansionist policies, a Russian official said on Friday.


"The prevailing sense from all of the official commentary on currencies this week is that the international community is willing to tolerate a weaker yen so long as Japan continues to focus on domestic policies and probably moderates its rhetoric on the currency," JPMorgan said in a note.


The yen's depreciation has been largely based on expectations for much bolder easing steps to be taken by the new BOJ regime starting next month, and news that Japanese Prime Minister Shinzo Abe is close to selecting his nominee for BOJ governor. News that Toshiro Muto was seen as the leading candidate was taken negatively by Japanese stock market.


"Muto is considered to only follow traditional ways such as expanding asset purchase programs. It would merely be an 'enhanced version of the conventional way'," said Norihiro Fujito, senior investment strategist at Mitsubishi UFJ Morgan Stanley Securities.


The dollar fell 0.3 percent to 92.54 yen. It marked its highest since May 2010 of 94.465 on Monday. The euro also eased 0.3 percent to 123.59 yen, after scaling its peak since April 2010 of 127.71 yen last week.


London copper was flat but set to log its largest weekly loss this year.


Spot gold fell to a six-week low below $1,630 an ounce.


The euro steadied around $1.3356 after falling to a three-week low of $1.3315 on Thursday as a report showed the 17-nation euro zone economy shrank by 0.6 percent in the last three months of 2012. The bloc's two largest economies, Germany and France, also contracted by more than expected.


With Japanese stocks rising on the yen's weakness, Japanese mutual funds saw the biggest monthly net inflow in 21 months in January as retail investors poured into money reserve funds after locking in profits from rising domestic stocks and equity funds, the Investment Trusts Association said on Thursday.


U.S. crude steadied around $97.27 a barrel and Brent edged down 0.1 percent to $117.86.


(Additional reporting by Ian Chua in Sydney and Ayai Tomisawa in Tokyo; Editing by Eric Meijer)



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Woman Found Fatally Shot at Home of Pistorius


Emilio Morenatti/Associated Press


Oscar Pistorius, the South African Olympic and Paralympic track star, was involved in the fatal shooting of a 30-year-old woman, the police said.







JOHANNESBURG — South African police and media reports said on Thursday that Oscar Pistorius, a Paralympic gold medal sprinter nicknamed Blade Runner, was being questioned after his girlfriend was fatally shot at his home in Pretoria, possibly mistaken for an intruder. Police said a man had been arrested, but did not identify him by name.


Mr. Pistorius, 26, who races using carbon fiber prosthetic blades, won two gold medals and a silver at last year’s Paralympic Games in London. He was the first double amputee to also run in the Olympics and reached the 400-meter semifinal the London games.


“We found a 9-millimeter pistol at the scene. A 26-year-old man was taken into custody,” a police spokeswoman, Katlego Mogale, told Reuters without giving further detail.


Capt. Sarah Mcira, another police spokeswoman, said: “There is a woman who was shot by Oscar Pretorius.”


Johannesburg’s Talk Radio 702 said the victim was thought to have been struck in the head and arm in circumstances that have not been fully explained. But the radio said she may have been mistaken for a burglar.


In the Paralympics last September, Mr. Pistorius won individual gold, when he successfully defended his Paralympic 400 meter title. He had lost his 100- and 200-meter titles, but was part of the gold medal-winning 4x100 meter relay team. He same second in the 200 meter race.


After that race, Mr. Pistorius damaged his reputation among his followers by criticizing the winner, Alan Oliveira of Brazil, raising questions about the length of the winner’s blades. Mr. Pistorius later apologized and praised the gold medalist in the 100 meter race, Jonnie Peacock of Britain. Mr. Pistorius, who was born without fibulas, had both legs amputated below the knee before his first birthday and he battled for many years to compete against able-bodied athletes. In 2008, he qualified for the Beijing Games but was ruled ineligible by track’s world governing body because his blades were deemed to give him a competitive advantage.


South African journalists said Mr. Pretorius lived in an upscale, walled complex near the South Africa capital of Pretoria and said his girlfriend was a well-known fashion model. South Africa has a high crime rate. and elaborate security precautions, as well as personal weapons, are not uncommon.


A reporter outside the complex on Thursday said it was protected by high walls and razor wire.


Lydia Polgreen reported from Johannesburg, and Alan Cowell from Paris.



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Lady Gaga Cancels Born This Way Ball Tour Due to Severe Injury















02/13/2013 at 08:50 PM EST



It's a somber week for Lady Gaga – and her Little Monsters.

Following Tuesday's Facebook announcement that she was "devastated and sad" because she couldn't walk and had to postpone several Born This Way Ball concerts, the pop star, 26, has officially canceled the remaining dates of her world tour.

"After additional tests this morning to review the severity of the issue, it has been determined that Lady Gaga has a labral tear of the right hip," the singer's rep told PEOPLE Wednesday in a statement. "She will need surgery to repair the problem, followed by strict down time to recover. This unfortunately, will force her to cancel the tour, so she can heal."

Refunds for the cancelled performances will be available at point of purchase starting on Thursday.

"I hope you can forgive me, as it is nearly impossible for me to forgive myself," she wrote the previous day of postponing the dates. "I hate this. I hate this so much. I love you and I'm sorry."

Get well, Gaga!

Reporting by CHUCK ARNOLD

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Morning-after pill use up to 1 in 9 younger women


NEW YORK (AP) — About 1 in 9 younger women have used the morning-after pill after sex, according to the first government report to focus on emergency contraception since its approval 15 years ago.


The results come from a survey of females ages 15 to 44. Eleven percent of those who'd had sex reported using a morning-after pill. That's up from 4 percent in 2002, only a few years after the pills went on the market and adults still needed a prescription.


The increased popularity is probably because it is easier to get now and because of media coverage of controversial efforts to lift the age limit for over-the-counter sales, experts said. A prescription is still required for those younger than 17 so it is still sold from behind pharmacy counters.


In the study, half the women who used the pills said they did it because they'd had unprotected sex. Most of the rest cited a broken condom or worries that the birth control method they used had failed.


White women and more educated women use it the most, the research showed. That's not surprising, said James Trussell, a Princeton University researcher who's studied the subject.


"I don't think you can go to college in the United States and not know about emergency contraception," said Trussell, who has promoted its use and started a hot line.


One Pennsylvania college even has a vending machine dispensing the pills.


The morning-after pill is basically a high-dose version of birth control pills. It prevents ovulation and needs to be taken within a few days after sex. The morning-after pill is different from the so-called abortion pill, which is designed to terminate a pregnancy.


At least five versions of the morning-after pills are sold in the United States. They cost around $35 to $60 a dose at a pharmacy, depending on the brand.


Since it is sold over-the-counter, insurers generally only pay for it with a doctor's prescription. The new Affordable Care Act promises to cover morning-after pills, meaning no co-pays, but again only with a prescription.


The results of the study were released Thursday by the Centers for Disease Control and Prevention. It's based on in-person interviews of more than 12,000 women in 2006 through 2010. It was the agency's first in-depth report on that issue, said Kimberly Daniels, the study's lead author.


The study also found:


—Among different age groups, women in their early 20s were more likely to have taken a morning-after pill. About 1 in 4 did.


—About 1 in 5 never-married women had taken a morning-after pill, compared to just 1 in 20 married women.


—Of the women who used the pill, 59 percent said they had done it only once, 24 percent said twice, and 17 percent said three or more times.


A woman who uses emergency contraception multiple times "needs to be thinking about a more regular form" of birth control, noted Lawrence Finer, director of domestic research for the Guttmacher Institute, a nonprofit group that does research on reproductive health.


Also on Thursday, the CDC released a report on overall contraception use. Among its many findings, 99 percent of women who've had sex used some sort of birth control. That includes 82 percent who used birth control pills and 93 percent whose partner had used a condom.


___


Online:


CDC report: http://www.cdc.gov/nchs/


Emergency contraception info: http://ec.princeton.edu/index.html


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Asian shares gain on improving sentiment, G20 eyed

TOKYO (Reuters) - Asian shares rose on improving risk sentiment while the yen steadied ahead of the weekend meeting of G20 finance and central bank officials, whose views on global growth and differences over currencies will be scrutinized by investors.


"Asian markets have extended gains with risk sentiment remaining resilient as markets continue to push to new highs. Ahead of the European open, we are calling the major bourses relatively flat with GDP numbers in focus," Stan Shamu, market strategist at IG Markets, said in a note.


Financial spreadbetters were predicting London's FTSE 100 <.ftse>, Paris's CAC-40 <.fchi> and Frankfurt's DAX <.gdaxi> would open little changed ahead of European gross domestic data. U.S. stock futures were also steady, suggesting a similarly quiet Wall Street open. <.l><.eu><.n/>


The MSCI's broadest index of Asia-Pacific shares outside Japan <.miapj0000pus> extended gains, rising 0.6 percent as its materials sector <.mispjmt00pous> outperformed with a 1.6 percent increase partly on a jump in shares of top miners ahead of earnings news from Rio Tinto .


Australian shares rose 0.7 percent to their highest since September 2008, as a strong earnings season and receding fears about European and U.S. debt woes bolstered investor sentiment.


South Korean shares <.ks11> were flat after Wednesday's three-week closing high and biggest daily percentage gain since January 2 when investors cheered a pause in the yen's decline.


Market reaction was muted after monetary policy decisions from South Korea and Japan during Thursday's sessions.


The Bank of Korea held interest rates steady for a fourth straight month as expected, as global economies show signs of improvement and domestic inflation remains low. But the decision was not unanimous, its governor told a news conference.


The Bank of Japan also kept monetary policy steady and upgraded its economic assessment, as recent falls in the yen and signs of a pick-up in global growth give it some breathing space after expanding stimulus just a month ago.


A pause in the yen's rebound positively affected Japanese equities on Thursday, with the Nikkei average <.n225> advancing 0.7 percent after Wednesday's 1 percent slump when the firming yen prompted investors to take profits on exporters. <.t/>


"Usually the BOJ doing nothing causes a bit of disappointment, but since there are concerns about the flak Japan might get at the G20 this weekend for the weakening yen, standing pat will actually be a relief to the market," said Masayuki Doshida, senior market analyst at Rakuten Securities.


Markets in China and Taiwan remain shut for the Lunar New Year holiday but Hong Kong resumed trading on Thursday.


YEN IN SPOTLIGHT


The dollar recouped earlier losses to inch up 0.1 percent to 93.49 yen after marking its highest level since May 2010 of 94.465 on Monday. The euro steadied at 125.60 yen, below its peak since April 2010 of 127.71 yen touched last week.


The yen lost nearly 20 percent against the dollar between November and early February, and more than 20 percent against the euro.


The yen began its steady fall in mid-November as expectations built for a new government to take aggressive steps to bring Japan out of years of slump. Prime Minister Shinzo Abe is pushing for strong reflationary steps, pressuring the BOJ to take unprecedented expansionary measures.


The yen's rapid depreciation, after years of sharp appreciation, has drawn some criticism from overseas, with rhetoric heating up ahead of the Group of 20 nations meeting on Friday and Saturday in Moscow.


Russian Deputy Finance Minister Sergei Storchak told reporters on Wednesday in Moscow that the yen was "definitely overvalued" and that "there are no signs" that Japan's monetary authorities were intervening on the foreign exchanges.


Yuji Saito, director of foreign exchange at Credit Agricole in Tokyo, said various interpretations this week over what the G20 may say about Japan's policy and a weak yen trend "have been used as an excuse to adjust positions ahead of the meeting, and I expect forex to be in ranges."


"Currency will be discussed but I think Russia wants the meeting to focus on broader economic issues involving emerging markets as it is the G20 gathering," he said.


Traders and analysts say 90-95 yen to the dollar appeared to be a comfortable range for now, unless upside surprises emerge in the U.S. economy or Japan quickly implements unexpectedly drastic reflationary policies, both of which will swing the dollar higher above the range.


They said the yen's upside was also capped around 87 yen, halfway between its slump from mid-November to early February.


Market reaction was muted to comments from Jack Lew, President Barack Obama's pick to run the Treasury Department, who on Wednesday said he would support a strong U.S. dollar, in line with longstanding U.S. policy.


Data published on Thursday showed Japan's economy shrank 0.1 percent in October-December from the previous quarter, falling for a third straight quarter.


U.S. crude was up 0.1 percent to $97.13 a barrel and Brent added 0.1 percent to $117.98.


London copper rose 0.2 percent to $8,240.50 a metric ton (1.1023 tons).


Gold regained some strength as recent losses attracted buying interest from Asian jewellers after the Lunar New Year break, but firmer equities could limit gains.


(Additional reporting by Joyce Lee in Seoul and Tomo Uetake in Tokyo; Editing by Eric Meijer and Richard Borsuk)



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Iran to Resume Nuclear Talks





PARIS — As it prepares for two sets of negotiations with outsiders on its disputed nuclear program starting on Wednesday, Iran said on that it was converting some of its enriched uranium into reactor fuel, the state news agency IRNA reported, potentially limiting the expansion of stockpiles that the West fears could be used for weapons.




Iranian officials are to meet on Wednesday in Tehran with Herman Nackaerts, the deputy director of the International Atomic Energy Agency, the United Nations nuclear watchdog, who has been pressing for months for access to a restricted military area at Parchin, 20 miles south of Tehran. International inspectors suspect that the site may have been used for testing bomb triggers.


“Differences remain but we will work hard to try to resolve these differences,” Mr. Nackaerts told reporters before leaving Vienna for Tehran, IRNA said.


On a separate negotiating track later this month, Iranian negotiators are to meet in Kazakhstan with representatives of six powers — the United States, China, Russia, Britain, France and Germany — for a further round in a series of long-running and inconclusive talks about curbing Tehran’s uranium enrichment program.


Faced with economic sanctions, suspected cyber attacks and threats of military action against its nuclear facilities, Iran came under fresh pressure from President Obama in his State of the Union address to settle its differences with the West.


"The leaders of Iran must recognize that now is the time for a diplomatic solution, because a coalition stands united in demanding that they meet their obligations and we will do what is necessary to prevent them from getting a nuclear weapon,” Mr. Obama said.


Western countries suspect that the Iranian government is seeking to acquire the technology to make nuclear weapons despite its assertion that the program is for peaceful purposes like the creation of reactor fuel for civilian use.


At a news conference on Tuesday in Tehran, Ramin Mehmanparast, the Foreign Ministry spokesman, was asked to comment on a news report that Iranian scientists had converted some uranium enriched to 20 percent purity into fuel for a research reactor in Tehran. The spokesman said that the “work is being done” and that details had been sent to the I.A.E.A., which is based in Vienna.


Iran’s nuclear program came under added scrutiny on Tuesday after North Korea conducted its third nuclear test, since many intelligence officials believe that the two countries share nuclear knowledge, though so far there is no hard evidence to substantiate that belief.


Reuters quoted Mr. Mehmanparast as saying, “We think we need to come to a point where no country will have any nuclear weapons.” While all countries should be allowed to use nuclear technology for peaceful purposes, he said, “all weapons of mass destruction and nuclear arms need to be destroyed.”


Iran’s stockpile of enriched uranium is believed by Western negotiators and international inspectors to be of far lower purity than is required to make nuclear weapons. Diplomats in Vienna said on Tuesday that enriched uranium converted into reactor fuel is hard to convert into fuel for weapons.


Some analysts argue that, by slowing the growth of its stockpile, Tehran could delay the moment when it acquires enough 20 percent enriched uranium to set off a response by Israel, which has signaled readiness to attack Iran’s nuclear sites.


The likely outcomes of the forthcoming sets of negotiations remain unclear.


Mr. Mehmanparast, the Iranian spokesman, said the talks with the I.A.E.A. team in Tehran on Wednesday had “bright” prospects if the I.A.E.A. negotiators recognized Iran’s rights, IRNA said.


But Yukiya Amano, the director general of the I.A.E.A., said Monday that “the outlook is not bright” for obtaining permission to visit the Parchin site. Mr. Amano’s remarks contrasted with a more optimistic tone from the agency less than a month ago, when his deputy, Mr. Nackaerts, expressed hope that the negotiations would lead to an agreement on an inspection plan.


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Westminster Names Affenpinscher Banana Joe Best in Show















02/12/2013 at 11:55 PM EST



Westminster has its top dog!

After two days of meticulous primping, prizes and the less-pretty realities of any spirited championship, the 137th Annual Westminster Kennel Club Dog Show came to its finale Tuesday night, declaring Affenpinscher Banana Joe the best in show.

The competition proved fur-rocious as the pint-sized, black-haired furball bested six other finalists (and 2,721 entries total) for the honor, including Old English Sheepdog Swagger, who was named the reserve best in show. It’s the first time the breed has ever taken home the top prize in Westminster history.

Earning top marks at Westminster is the latest accolade in Banana Joe's storied run. The paw-dorable pooch, who is 5 years old, has been named best in show 86 times in his career, and his Westminster win will go down as his last.

"It's all so indescribable. It's just a wonderful thing as a tribute for a small breed with such a big heart," handler Ernesto Lara said post-victory. "The plans for him now is for him to retire back home where he was born, and that's in the Netherlands."

Describing his little buddy, Lara praised the breed for its commendable qualities as a canine companion.

"An Affenpinscher is a very human-like dog," he said. "It's definitely a breed you don’t want to tame or train, in the proper sense."

"You want to befriend it," Lara continued. "Once you gain the friendship, they're loyal just like a human friend."

As for Banana Joe's big victory, "Nobody told him he's small," said Lara, "and I don't think he'll believe that."

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Study questions kidney cancer treatment in elderly


In a stunning example of when treatment might be worse than the disease, a large review of Medicare records finds that older people with small kidney tumors were much less likely to die over the next five years if doctors monitored them instead of operating right away.


Even though nearly all of these tumors turned out to be cancer, they rarely proved fatal. And surgery roughly doubled patients' risk of developing heart problems or dying of other causes, doctors found.


After five years, 24 percent of those who had surgery had died, compared to only 13 percent of those who chose monitoring. Just 3 percent of people in each group died of kidney cancer.


The study only involved people 66 and older, but half of all kidney cancers occur in this age group. Younger people with longer life expectancies should still be offered surgery, doctors stressed.


The study also was observational — not an experiment where some people were given surgery and others were monitored, so it cannot prove which approach is best. Yet it offers a real-world look at how more than 7,000 Medicare patients with kidney tumors fared. Surgery is the standard treatment now.


"I think it should change care" and that older patients should be told "that they don't necessarily need to have the kidney tumor removed," said Dr. William Huang of New York University Langone Medical Center. "If the treatment doesn't improve cancer outcomes, then we should consider leaving them alone."


He led the study and will give results at a medical meeting in Orlando, Fla., later this week. The research was discussed Tuesday in a telephone news conference sponsored by the American Society of Clinical Oncology and two other cancer groups.


In the United States, about 65,000 new cases of kidney cancer and 13,700 deaths from the disease are expected this year. Two-thirds of cases are diagnosed at the local stage, when five-year survival is more than 90 percent.


However, most kidney tumors these days are found not because they cause symptoms, but are spotted by accident when people are having an X-ray or other imaging test for something else, like back trouble or chest pain.


Cancer experts increasingly question the need to treat certain slow-growing cancers that are not causing symptoms — prostate cancer in particular. Researchers wanted to know how life-threatening small kidney tumors were, especially in older people most likely to suffer complications from surgery.


They used federal cancer registries and Medicare records from 2000 to 2007 to find 8,317 people 66 and older with kidney tumors less than 1.5 inches wide.


Cancer was confirmed in 7,148 of them. About three-quarters of them had surgery and the rest chose to be monitored with periodic imaging tests.


After five years, 1,536 had died, including 191 of kidney cancer. For every 100 patients who chose monitoring, 11 more were alive at the five-year mark compared to the surgery group. Only 6 percent of those who chose monitoring eventually had surgery.


Furthermore, 27 percent of the surgery group but only 13 percent of the monitoring group developed a cardiovascular problem such as a heart attack, heart disease or stroke. These problems were more likely if doctors removed the entire kidney instead of just a part of it.


The results may help doctors persuade more patients to give monitoring a chance, said a cancer specialist with no role in the research, Dr. Bruce Roth of Washington University in St. Louis.


Some patients with any abnormality "can't sleep at night until something's done about it," he said. Doctors need to say, "We're not sticking our head in the sand, we're going to follow this" and can operate if it gets worse.


One of Huang's patients — 81-year-old Rhona Landorf, who lives in New York City — needed little persuasion.


"I was very happy not to have to be operated on," she said. "He said it's very slow growing and that having an operation would be worse for me than the cancer."


Landorf said her father had been a doctor, and she trusts her doctors' advice. Does she think about her tumor? "Not at all," she said.


___


Online:


Kidney cancer info: http://www.cancer.net/cancer-types/kidney-cancer


and http://www.cancer.gov/cancertopics/types/kidney


Study: http://gucasym.org


___


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


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