Do drunks have to go to the ER?

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NEW YORK (Reuters Health) – With the help of a checklist, ambulance workers may be able to safely reroute drunk patients to detoxification centers instead of emergency rooms, according to a new study.


Researchers in Colorado found no serious medical problems were reported after 138 people were sent to a detox center to sleep it off, instead of to an ER.













In 2004, according to the researchers, it’s estimated that 0.6 percent of all U.S. ER visits were made by people without any problems other than being drunk. Those visits ended up costing about $ 900 million.


“Part of the issue has been – as it is in many busy ER departments – there’s a lot of chronic alcoholics that are brought in by ambulance, police or just come in. Often they are brought in because they have not committed a crime or there is limited space in our detoxification center. So the majority were brought to the ER department,” said Dr. David Ross, the study’s lead author from Penrose-St. Francis Health Services in Colorado Springs.


Ross said the ambulance company where he serves as medical director created the checklist with the help of the local detox center, which provided limited medical care by a nurse, and the local hospitals to reduce the number of drunks without medical needs being sent to the local ERs.


They created a checklist with 29 yes-or-no questions, such as whether the patient is cooperating with the ambulance worker’s examination and if the patient is willing to go to the detox center.


The patient was sent to the ER if the ambulance worker checked “no” on any question.


The researchers then went back to look at the patients they transported between December 2003 and December 2005 to see whether or not any of them ended up having serious medical problems at the detox center.


During that two year period, the ambulance workers transported 718 drunks. The detox center received 138 and the local ERs got 580.


Overall, 11 of the patients who were taken to detox were turned away because there was no room, their blood alcohol level exceeded the limit, their family came to pick them up or they were combative.


Another four patients at the detox center were taken to the ER because of minor complications, including chest and knee pain. However, there were no serious complications reported.


“We really believe that we did not miss anybody with a serious illness and injury that didn’t go to the ER as they should have,” said Ross.


But the researchers write in the Annals of Emergency Medicine that their study did have some limitations.


Specifically, the researchers did not plan in advance to do a study when they were creating the checklist, which means their findings are limited to whatever information was collected at the detox center and ERs.


Also, the number of people who were sent to the detox center in their study is relatively small, so it’s hard to tell how many serious complications they’d see among a larger group of people.


“We tried to estimate how likely we would have been to encounter a serious event… We estimated at most we’d encounter three serious adverse events (in 748 patients),” Ross told Reuters Health.


SOURCE: http://bit.ly/QgPCT5 Annals of Emergency Medicine, online November 9, 2012.


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U.S. troops in Afghanistan celebrate Thanksgiving

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KABUL, Afghanistan (AP) — It was Army Sgt. Keith Wells' first Thanksgiving Day away from his family and despite a cornucopia of food provided for the troops, his taste buds were craving his wife's macaroni and cheese back home.

"My wife's a foodie — you know the Food Network, cooking shows. Everything she makes is golden," Wells of Charlotte, N.C., said Thursday at a large international military base in the Afghan capital, Kabul.

The dining hall served up mac-and-cheese along with traditional Thanksgiving Day fixings. Wells was thankful for the good food, but he still missed his wife's home-cooking.

Huge hunks of beef greeted the estimated 2,500 diners as soldiers lined up in the dining hall. Red-white-and-blue decorations filled the room. Brochures titled "Learn about combat stress" served as table centerpieces.

There was roast turkey, sliced turkey, ham and rib-eye steaks. The troops were served steaming side dishes of dressing, corn, collard greens, yams and mashed potatoes and gravy that some lapped up with spoons. For dessert, there was a massive cake with a turkey etched in icing, pumpkin spice cookies and scores of pies.

A short walk from the dining hall, service members were playing a modified version of American football.

Parts of the scene could have come from a snapshot of any U.S. city: American guys in sweats tossing the pigskin, a scoreboard, a coin toss to start the game.

But on this military base, concrete barriers surrounded the field. The referees wore camouflaged shirts and the spectators carried rifles. The artificial turf was frayed and so dusty that when one player spiked the football, a puff of dirt rose from the field.

The players used a regulation football, but the game was a mix of football, soccer and rugby to fit the short field.

Some soldiers commented about the 11-year-old war that has claimed the lives of 2,029 American service members.

Army Chief Warrant Officer 4 Chuck Minton of Monroe, Ga., who has traveled extensively across Afghanistan, was optimistic. "It's been progressing here, getting better. The Afghans have taken over more missions," Minton said.

President Barack Obama pulled 10,000 troops out of Afghanistan in 2011 and 23,000 more this year, leaving about 66,000 American service members still deployed in the country. Nearly all international combat troops are to withdraw by the end of 2014 when Afghan forces will be fully in charge of securing the nation.

Army Maj. Rodney Gehrett of Colorado Springs, Colo., said he was surprised that the war was barely mentioned during the last U.S. presidential election — evidence that some Americans had tuned out the news from the front line a half a world away.

"The war in Afghanistan wasn't even brought up as a topic of conversation" during the election, Gehrett said. "It was a little surprising to me. Hopefully, that will change and people will realize that we still have troops here and they are fighting every day."

Army Sgt. Adam Draughn of Denver, Colo., said some people back home have the impression that the Afghan people don't want American troops in their country.

"Honestly, I think the biggest misconception in my opinion is that, you know, we actually are loved here," Draughn said. "The nationals do care about us. They do want us here to help them. We're not here uninvited."

Most of the holiday chatter, however, was focused on family.

Taking a break from the game, Army Capt. Robert Mikyska of North Aurora, Ill., pulled out a photocopied photo that was taken of he and his wife just before he deployed to Afghanistan nine months ago.

"Hi, honey!" Mikyska said, looking at the picture. "In a couple weeks, I'll be home. I can't wait to be back."

"My family's here," Army Spc. Ricky Clay, also of Monroe, Ga., said as he smiled and embraced his teammates on the sidelines of the football field.

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Greek PM presses for deal on loan

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ATHENS, Greece (AP) — Greece has reacted with dismay to the European Union‘s failure to agree to release vital rescue loan funds for the debt-ridden country, with the prime minister warning it was not just Greece’s future that hangs in the balance.


The delay prolongs uncertainty over the future of Greece, which faces a messy default that would threaten the entire euro currency used by 17 EU nations.













Prime Minister Antonis Samaras stressed that Greece has done what its creditors from the EU and International Monetary Fund required. “Our partners, along with the IMF, also must do what they have committed to doing,” he said.


He said that “it is not just the future of our country, but the stability of the entire eurozone” that depend on the success of negotiations in coming days.


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Academy Sues Over “Deer Hunter” Oscar Statuette

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LOS ANGELES (TheWrap.com) – A possibly counterfeit Oscars trophy for the 1978 film has sparked a very real lawsuit.


The Academy of Motion Picture Arts and Sciences has filed suit in U.S. District Court in Washington state over an Oscar statuette that “was either a genuine statuette or a very convincing counterfeit.”













If it’s real, the trophy was the one awarded to Aaron Rochin for his sound work on the 1978 film “The Deer Hunter.”


The Academy is suing Washington resident James Dunne, who sold the statue, and Edgard G. Francisco, who purchased it.


Dunne initially offered the statuette for sale on eBay in September but deleted the listing for fear that the Academy might discover it, according to the suit, which was filed last week. He later privately sold the statue of Florida resident Francisco for $ 25,000, the suit says.


The suit goes on to allege that after an appraisal, Francisco decided the statuette was fake and demanded a $ 15,000 refund. Dunne claims he provided a full refund. He also claims that he told Francisco that the trophy might not be authentic before he bought it.


Dunne told the Academy that he had either picked up the statuette at a moving sale or obtained it from a third party who got it at an estate sale.


After getting the refund, the suit says, Francisco threw the statuette away.


The Academy’s suit is two-fold: If the trophy was real, the Academy is seeking restitution for the loss of its property; if it was fake, the Academy claims that the pair infringed on the organization’s Oscars copyright.


The latter would seem to be the more probable scenario in this case. For one thing, the Academy says that the identification number for the statuette would place its manufacture in 1979, while the eBay auction billed it as a “Rare Pre-1950 Academy of Motion Picture Arts and Sciences OSCAR Statue Award!”


The Academy is asking for unspecified damages, plus suit costs and attorneys’ fees.


(Pamela Chelin contributed to this report)


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Watch: Baby With Outside Heart Saved by Surgeons

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Home > Video > Health > Health News



Baby With Outside Heart Saved by Surgeons













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Tel Aviv bus blast shakes Gaza diplomacy

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TEL AVIV, Israel (AP) — A bomb struck an Israeli bus near the nation's military headquarters in Tel Aviv on Wednesday, wounding 10 people and complicating major diplomatic efforts to forge a truce between Israel and Gaza's militant Hamas rulers.


The attack came as U.S. Secretary of State Hillary Rodham Clinton shuttled between Jerusalem and the West Bank to help piece together a deal to end Israel's weeklong offensive against Palestinian militants in the Gaza Strip that has killed more than 130 Palestinians. Militant rocket fire into Israel has killed five Israelis. Clinton was due to travel later to Egypt, which is mediating in the crisis.


"What does it say about the future of the (truce) talks? I leave it to (the senior officials), but this doesn't add anything," Yitzhak Aharonovich, Israel's minister of internal security, told Army Radio.


The bus exploded around noon on one of the coastal city's busiest arteries, near the Tel Aviv museum, the district courthouse and across from an entrance to Israel's national defense headquarters.


The bus was completely charred, its side windows blown out and glass scattered on the asphalt. The wounded were evacuated and blood was splattered on the sidewalk.


"We suddenly heard a huge explosion and immediately knew it was a terror attack," said Nir Zano, 35. "I saw someone running in to carry out a woman who was injured."


Aharonovitch said the device was placed inside the bus by a man who then disembarked. The explosion took place while the bus was in movement, he said.


Police set up roadblocks across the city trying to apprehend the attacker.


"We strongly believe that this was a terror attack," said police spokesman Micky Rosenfeld. He said three of the 10 wounded were moderately to seriously hurt.


In Gaza, the Tel Aviv bombing was praised from mosque loudspeakers, while Hamas' television interviewed people praising the attack as a return of militants' trademark tactics.


No group claimed responsibility for the attack, but Hamas spokesman Fawzi Barhoum welcomed it.


"We consider it a natural response to the occupation crimes and the ongoing massacres against civilians in the Gaza Strip," he told The Associated Press.


Israeli Deputy Prime Minister Silvan Shalom, who heard the explosion from his Tel Aviv office, called it "an escalation."


The cease-fire efforts come with thousands of Israeli ground troops massed on the Gaza border, awaiting a possible order to invade.


After meeting with Israeli Prime Minister Benjamin Netanyahu in Jerusalem Tuesday night, Clinton conferred with Palestinian President Mahmoud Abbas in the West Bank on Wednesday morning and was due to travel later to Cairo, which is mediating in the crisis.


The two sides had seemed on the brink of a deal Tuesday following a swirl of diplomatic activity also involving U.N. chief Ban Ki-moon and Egypt's President Mohammed Morsi. But sticking points could not be resolved as talks — and violence — stretched into the night.


Israeli aircraft pounded Gaza with at least 30 strikes overnight, hitting government ministries, smuggling tunnels, a banker's empty villa and a Hamas-linked media office.


Dozens of civilians are among the more than 130 Palestinians killed in a week of fighting. Four Israeli civilians and a soldier have been killed by rocket fire — a toll possibly kept down by a U.S.-funded rocket defense system that has shot down hundreds of Gaza projectiles.


The Tel Aviv bus bombed Wednesday was relatively empty during the explosion, which explains the relatively low number of casualties. The bombing was the first in the coastal city since April 2006, when a Palestinian suicide bomber killed 11 people at a sandwich stand near the city's old central bus station. A bomb left at a bus stand in Jerusalem last year killed one person.


More than 1,000 Israelis were killed during the violent Palestinian uprising in the last decade in bombings and shooting attacks. More than 5,000 Palestinians were killed as well.


___


Associated Press writer Ibrahim Barzak contributed to this report from Gaza City.

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U.S. fiscal impact of great concern to Canada: Canada’s Harper

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TORONTO (Reuters) – Any fiscal problems that would significantly slow the U.S. economy would be of great concern to Canada, Canadian Prime Minister Stephen Harper said on Monday.


The United States needed a credible medium-term fiscal plan, Harper said at a business forum in Ottawa, adding that he was following the U.S. fiscal debate with “great interest.”













(Reporting by Solarina Ho)


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Patrick Wilson, Rose Byrne to reprise roles for “Insidious” sequel

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LOS ANGELES (TheWrap.com) – FilmDistrict, Alliance Films and Sony Pictures Worldwide Acquisitions will bring “Insidious Chapter 2,” the sequel to last year’s hit film “Insidious,” to U.S. theaters on August 30, 2013, the companies announced Monday.


Patrick Wilson, Rose Byrne, Lin Shaye and Ty Simpkins will reprise their roles in the film, which “Insidious” director James Wan will direct from a script written by Leigh Whannell who also wrote the first film.













Jason Blum, who produced “Insidious,” is producing the low-budget sequel through his Blumhouse Productions. Brian Kavanaugh Jones, Oren Peli, Steven Schneider, and Charles Layton are executive producing. Production on the sequel is set to begin on January 15 in Los Angeles.


Sony Pictures Worldwide Acquisitions acquired the U.S. rights to the film in conjunction with FilmDistrict. The film is being financed by Alliance Films. FilmDistrict will distribute the film theatrically in the United States, with Sony handling the majority of ancillary rights in the U.S.


Alliance Films will distribute in Canada, the U.K. (via its Momentum Pictures subsidiary) and Spain (via Aurum), and Sony Pictures Worldwide Acquisitions will distribute in all other international territories.


Peter Schlessel, FilmDistrict’s CEO, said: “We are all very excited to see the next chapter of James and Leigh’s vision of the Further. It’s great to be in business again with Blumhouse, Alliance and Sony.”


Movies News Headlines – Yahoo! News



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Rockets hold up aid for Gaza from Israel

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TEL AVIV (Reuters) – Hamas rockets forced the closure of the main crossing point for humanitarian aid from Israel to Gaza on Tuesday, holding up the transfer of more than 100 truckloads of food and medical supplies including anesthetics, Israeli officials said.


Despite the fact its air force is bombarding the coastal enclave, Israel is trying to maintain the essential daily flow of basic foodstuffs into the Gaza Strip where most of 1.7 million Palestinians are dependent on aid.













A Twitter message from the Israel Defence Forces (IDF) said that “120+ trucks of supplies from Israel are waiting at Gaza border crossing. Hamas is firing rockets at the crossing. Trucks can’t enter now”.


Israel says it launched its military offensive a week ago to halt increasing Islamist militant rocket fire on southern Israeli communities close to the Gaza Strip.


The Kerem Shalom crossing at the extreme south of the Israel-Gaza border, next to Egyptian territory, is the only freight passage into the blockaded territory.


No comment was available from Hamas. But a Palestinian liaison official said the crossing was closed after some mortar bombs landed at Kerem Shalom and work was suspended after just one hour of operations. The western-backed Palestinian Authority liaises with Israel on Kerem Shalom transfers.


For security reasons, it operates on a back-to-back system: trucks go in from Israel and offload within the protective concrete walls of the terminal, then trucks come in from the Gaza end and load up.


Since the start of the latest round of violence, now in its seventh day, Israel’s Coordinator of Government Activities in the Territories (COGAT), says it has let in 123 trucks loaded with food, medicine and fuel, including 43 that passed on Tuesday before rockets started to fall.


The rest of the transfer included 16 truckloads of medical equipment “specifically vital equipment, such as medicines, anesthetics and disposable medical equipment”, COGAT said.


The main Israeli fortified crossing-point at Erez was opened to permit the exit of 26 patients and their escorts into Israel in order to receive medical treatment, the authority added.


“While Israel is committed to providing continued assistance, it is subject to the limitations created by continuous rocket fire and attacks on the part of Hamas and other extremists groups in Gaza,” COGAT said.


“Rocket attacks endanger the staff manning the crossing and often hinder or prevent the transfer of goods,” it added.


The United Nations Relief and Works Agency for Palestinian Refugees (UNRWA) says 1.2 million Gazans rely on UNRWA assistance, which enters the territory via Israel.


“UNRWA will continue to provide food aid to more than 800,000 refugees in the Strip. Our schools are providing a place of safe shelter. Our health clinics remain open and ready to bring medical care to the children, the sick, and the elderly,” the agency said in its latest update on the crisis.


In relatively normal times about 130 truckloads of aid — mainly bulk staples — go through the Kerem Shalom crossing daily.


(Additional reporting by Nidal al-Mughrabi; Editing by Giles Elgood)


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Egypt: Israel's Gaza offensive to end

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JERUSALEM (AP) — Egypt's president predicted Tuesday that Israel's nearly weeklong offensive in the Gaza Strip would end within hours, as diplomats from across the world raced across the region to negotiate a cease-fire to end relentless Israeli airstrikes and Palestinian rocket attacks.


Mohammed Morsi, perhaps the most important interlocutor between the militant Hamas group that rules the Palestinian territory and the Israelis, gave no explanation for his statement, saying only that the negotiations between the two sides will yield "positive results" during the coming hours.


President Barack Obama also dispatched Secretary of State Hillary Rodham Clinton to the Mideast from Cambodia, where she had accompanied Obama on a visit.


Hours before Morsi spoke, a man identified as Hamas' militant commander urged his fighters to keep up attacks on Israel, and Palestinian militants fired a rocket toward Jerusalem, just minutes before U.N. chief Ban Ki-moon arrived in the holy city. Israeli airstrikes killed a senior militant and five others in a separate attack on a car, according to Gaza health officials.


"This must stop, immediate steps are needed to avoid further escalation, including a ground operation," Ban said from Egypt. "Both sides must hold fire immediately ... Further escalation of the situation could put the entire region at risk."


Clinton is scheduled to meet with Israeli Prime Minister Benjamin Netanyahu in Jerusalem, Palestinian President Mahmoud Abbas in the West Bank and Egyptian leaders in Cairo. Turkey's foreign minister and a delegation of Arab League foreign ministers traveled to Gaza on a separate truce mission. Airstrikes continued to hit Gaza even as they entered the territory.


It was unclear how diplomatic efforts to achieve a cease-fire and stave off a threatened Israeli ground invasion into Gaza were hampered by the hard-to-bridge positions staked out by both sides — and by the persistent attacks. Tens of thousands of Israeli soldiers have been dispatched to the Gaza border in case of a decision to invade.


Residents of Jerusalem ran for cover Tuesday when Palestinians fired a rocket toward the holy city for the second time since the fighting started last Wednesday. The rocket, which set off sirens in the city, landed harmlessly in an open area on the outskirts in one of the longest rocket strikes fired from the Gaza.


Police spokesman Micky Rosenfeld said the rocket landed in Gush Etzion, a collection of Jewish West Bank settlements southeast of the city. Last Friday's attempt to hit Jerusalem, nearly 80 kilometers (50 miles) from Gaza, landed in the same area. No one was wounded in either attack.


Jerusalem had previously been considered beyond the range of Gaza rockets — and an unlikely target because it is home to the Al-Aqsa Mosque compound, Islam's third-holiest shrine. Israeli officials feared Gaza's Hamas rulers will try to stage similar attacks deep into Israel's heartland ahead of any possible truce.


Shortly afterward, an Israeli airstrike destroyed a car in Gaza City killing five people and seriously wounding four others. Their identities were not immediately known.


In a sign of the difficulty diplomats will have in forging such a cease-fire, a man identified as Mohammed Deif, Hamas' elusive military commander, urged his fighters to keep up attacks on Israel.


Speaking from hiding on Hamas-run TV and radio, Deif said Hamas "must invest all resources to uproot this aggressor from our land," a reference to Israel.


Deif is one of the founders of Hamas' military wing and was its top commander until he was seriously wounded in an Israeli airstrike in 2003. He was replaced as the de facto leader by Ahmed Jabari, who was assassinated by Israel last week in the opening salvo of its latest Gaza offensive.


The U.S. considers Hamas, which has killed hundreds of Israelis in suicide and other attacks, to be a terror group and does not meet with its officials. The Obama administration blames Hamas for the latest eruption of violence and says Israel has the right to defend itself. At the same time, it has warned against a ground invasion, saying it could send casualties spiraling.


An airstrike Tuesday killed a senior Hamas militant identified as Amin Al Dada and wounded two others, Gaza heath official Ashraf al-Kidra said.


By Tuesday, 115 Palestinians, including 54 civilians, were killed since Israel began an air onslaught that has so far included nearly 1,500 strikes. Some 840 people have been wounded, including 225 children, Gaza health officials said.


Three Israeli civilians have also been killed and dozens wounded since the fighting began last week, the numbers possibly kept down by a rocket-defense system that Israel developed with U.S. funding. More than 1,000 rockets have been fired at Israel this week, the military said.


Israeli Prime Minister Benjamin Netanyahu said Tuesday that Israel was exploring a diplomatic solution, but wouldn't balk at a broader military operation.


"I prefer a diplomatic solution," Netanyahu said in a statement after meeting with Germany's Foreign Minister Guido Westerwelle, who is also in the region trying to advance peace efforts. "But if the fire continues, we will be forced to take broader measures and will not hesitate to do so."


Westerwelle said a truce must be urgently pursued, "but of course, there is one precondition for everything else, and this is a stop of the missile attacks against Israel."


The conflict erupted last week, when a resurgence in rocket fire from Gaza set off the Israeli offensive, which included hundreds of airstrikes on militants' underground rocket launchers and weapons' stores.


The onslaught turned deadlier over the weekend, as airstrikes began targeting the homes of suspected Hamas activists, leading to a spike in civilian casualties. Israel sent warnings in some cases, witnesses said, but in other instances missiles hit suddenly, burying residents under the rubble of their homes.


Hamas is deeply rooted in densely populated Gaza, and the movement's activists live in the midst of ordinary Gazans. Israel says militants are using civilians as human shields, both for their own safety and to launch rocket strikes from residential neighborhoods.


Early Tuesday, Israeli aircraft targeted another Hamas symbol of power, battering the headquarters of the bank senior Hamas officials set up to sidestep international sanctions on the militant group's rule. After Hamas violently overran Gaza in June 2007, foreign lenders stopped doing business with the militant-led Gaza government, afraid of running afoul of international terror financing laws.


The inside of the bank, which was set up by leading Hamas members and describes itself as a private enterprise, was destroyed. A building supply business in the basement was damaged.


Owner Suleiman Tawil, 31, grimly surveyed the damage to his store and six company cars. "I'm not involved in politics," he said. "I'm a businessman. But the more the Israelis pressure us, the more we will support Hamas."


Fuad Hijazi and two of his toddler sons were killed Monday evening when missiles struck their one-story shack in northern Gaza, leaving a crater about two to three meters (seven to 10 feet) deep in the densely populated neighborhood. Residents said the father was not a militant.


The conflict showed signs of spilling into the West Bank, as hundreds of Palestinian protesters in the town of Jenin clashed with Israeli forces during a demonstration against Israel's Gaza offensive.


Two Palestinian protesters were killed in anti-Israel demonstrations in the West Bank on Monday, according to Palestinian officials. Separate clashes occurred Tuesday in Ramallah, the seat of the Palestinian government, during the funeral for one of the dead.


Palestinian President Mahmoud Abbas, who lost control of Gaza to Hamas in 2007, now governs from the West Bank. Abbas claims to represent both areas, and there is widespread sympathy among West Bank Palestinians for their brethren in Gaza.


As part of truce efforts, Ban was to meet with Israeli President Shimon Peres in Jerusalem on Tuesday. In Cairo, Ban said he would also travel to the West Bank to meet with Palestinian President Mahmoud Abbas.


Egypt, the traditional mediator between Israel and the Arab world, has been at the center of recent diplomatic efforts involving the U.S., Turkey, Qatar and other nations.


Israel demands an end to rocket fire from Gaza and a halt to weapons smuggling into Gaza through tunnels under the border with Egypt. It also wants international guarantees that Hamas will not rearm or use Egypt's Sinai region, which abuts both Gaza and southern Israel, to attack Israelis.


Hamas wants Israel to halt all attacks on Gaza and lift tight restrictions on trade and movement in and out of the territory that have been in place since Hamas seized Gaza by force in 2007. Israel has rejected such demands in the past.


Hamas leader Khaled Mashaal told reporters in Cairo on Monday that Hamas would only agree to a cease-fire if its demands are met. "We don't accept Israeli conditions because it is the aggressor," he said. "We want a cease-fire along with meeting our demands."


___


Associated Press writers Hamza Hendawi in Cairo, and Karin Laub and Ibrahim Barzak in Gaza City, Gaza Strip, contributed to this report.

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