Manhunt Heats Up for Two Escaped Bank Robbers













The manhunt for two bank robbers who escaped from a downtown Chicago prison this week intensified overnight, with police chasing multiple leads as new footage shows the men getting into a taxi minutes after their brazen escape.


Investigators say surveillance cameras captured Joseph "Jose" Banks, 37, and Kenneth Conley, 38,
getting into a taxi minutes after their early Tuesday escape. They entered the taxi at the intersection of Michigan Avenue and Congress Street, just blocks away from the jail.


The FBI considers them "armed and dangerous."


The men then showed up five hours later at the home of Sandy Conley, Kenneth Conley's mother, in the Chicago suburb of Tinley Park, Ill.


"He was in the house for two minutes," Sandy Conley said. "I can't tell you if he was armed. I made him get out."


Thomas Trautmann of the Chicago FBI said the clock is ticking on finding the men.


"[As] each hour goes by, our chances get longer and longer," he said. "However, we do have several viable leads that we are running down."


He did not specify the information.


PHOTOS: Mug shots of Famed Criminals and Celebrities








Prison Break: Convicts Escape from Jail on Bed Sheets Watch Video









Banks and Conley were last seen Monday at 10 p.m. during a prison head count at the Metropolitan Correctional Center in downtown Chicago's Loop district. The two borrowed a move from the film "Escape From Alcatraz" by stuffing their beds with clothes in the shape of bodies.


They men then broke the window of their cell at the federal prison, shimmying out a hole only inches wide, and scaled down the side of the building 17 stories, all the while holding onto a rope of sheets and towels taken from the prison. The rope was strong enough to support the two, one weighing 165 pounds the other 185 pounds.


At 7 a.m. the next morning, as employees arrived at work, they noticed the sheets left dangling from the building and at jailers discovered that Conley and Banks were missing.


While the men have had plenty of time to leave the area, there's no indication that they have, ABC 7 TV's public-safety expert Jody Weis said.


"There's a likelihood that they're going to stay here," Weis, a former Chicago police superintendent, said. "They'll have people they can trust. They can have people they can work with. There are going to be people that might be able to hide them out."


Banks, nicknamed "the second-hand bandit" because of the used clothing disguises he wore in several robberies, was convicted of armed robbery last week. His parting words to his judge, Rebecca Pallmeyer, were, "I'll be seeking retribution as well as damages ... you'll hear from me."


Conley had been in jail for several years.


Pallmeyer and others who presided over the men's cases have reportedly been offered protection.


"If they're willing to go down a sheet 17 floors, they're willing to take a chance," Weis said. "And I think you can draw your own conclusion as to what that might mean."


The FBI and U.S. Marshals are offering a combined reward of $60,000 to find the inmates and bring them back into custody.

Escape Has Similarities to 1985 Prison Break



Banks and Conley's disappearance has some striking similarities to the daring escape made by two convicted murders who also broke out of the downtown jail 27 years ago.





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Clinton not responsible for Benghazi shortcomings: inquiry


WASHINGTON (Reuters) - The leaders of an official inquiry into the fatal attack on a U.S. mission in Benghazi, Libya, did not find Secretary of State Hillary Clinton responsible for security lapses even as they outlined widespread failings within her department.


The unclassified version of the report, released late Tuesday by the State Department, concluded that the mission was completely unprepared to deal with a September 11 attack that killed U.S. Ambassador Chris Stevens and three other Americans.


Responsibility for security shortcomings in Benghazi lay farther down the State Department command chain, said Retired Ambassador Thomas Pickering, who lead the inquiry.


"We fixed (responsibility) at the assistant secretary level, which is, in our view, the appropriate place to look for where the decision-making in fact takes place, where - if you like - the rubber hits the road," Pickering said after closed-door meetings with congressional committees.


A deputy assistant secretary in the Bureau of Near Eastern affairs resigned after the report, a Capitol Hill source said. Media outlets reported other resignations, including Eric Boswell, the assistant secretary of state for diplomatic security, one of his deputies and another official.


State Department officials declined to comment.


The report by the Accountability Review Board probing the attack and comments by its two lead authors suggested that Clinton, who accepted responsibility for the incident, would not be held personally culpable.


"The secretary of state has been very clear about taking responsibility here, it was from my perspective not reasonable in terms of her having a specific level of knowledge," said retired Admiral Michael Mullen, the former chairman of the U.S. Joint Chiefs of Staff and the other inquiry leader.


Pickering and Mullen spoke to the media after briefing members of the House Foreign Affairs Committee and Senate Foreign Relations Committee behind closed doors on classified elements of their report.


Clinton had been expected to appear at an open hearing on Benghazi on Thursday, but is recuperating after suffering a concussion, dehydration and a stomach bug last week and will instead be represented by her top two deputies.


"GROSSLY INADEQUATE"


The unclassified version of the report cited "leadership and management" deficiencies, poor coordination among officials and "real confusion" in Washington and in the field over who had the authority to make decisions on policy and security concerns.


The scathing report could tarnish Clinton's four-year tenure as secretary of state, which has seen her consistently rated as the most popular member of President Barack Obama's Cabinet.


Clinton, who intends to step down in January, said in a letter accompanying the review that she would adopt all of its recommendations, which include stepping up security staffing and requesting more money to fortify U.S. facilities.


The National Defense Authorization Act for 2013, which is expected to go to Congress for final approval this week, includes directing the Pentagon increase the Marine Corps presence at diplomatic facilities by up to 1,000 Marines.


Some Capitol Hill Republicans who had criticized the Obama administration's handling of the Benghazi attacks said they were impressed by the report.


"It was very thorough," said Senator Johnny Isakson. Another Republican, Senator John Barrasso said: "It was very, very critical of major failures at the State Department at very high levels." Both spoke after the closed-door briefing.


But Republicans continued to call for Clinton to testify as soon as she is able.


Senator Bob Corker, who will be the top Republican on the Senate Foreign Relations Committee when the new Congress is seated early next year, said Clinton should testify about Benghazi before her replacement is confirmed by the Senate.


"I do think it's imperative for all concerned that she testify in an open session prior to any changing of the regime," Corker said.


Republicans have focused much of their firepower on U.S. Ambassador to the United Nations Susan Rice, who appeared on television talk shows after the attack and suggested it was the result of a spontaneous protest rather than a premeditated attack.


The report concluded that there was no such protest.


Rice, widely seen as President Barack Obama's top pick for the State job, withdrew her name from consideration last week.


(Additional reporting by Toby Zakaria; Editing by Doina Chiacu)



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Qantas-Emirates alliance gets conditional approval






SYDNEY: Australia's competition watchdog on Thursday gave its draft approval to a global alliance between struggling carrier Qantas and Dubai-based Emirates, but only for five years initially.

The Australian Competition and Consumer Commission (ACCC) said the benefits, which will see the carriers coordinating ticket prices and flight schedules, would likely outweigh reduced competition on certain routes.

A final decision will be made by March.

"The ACCC considers that the alliance is likely to result in material, although not substantial, benefits to Australian consumers," ACCC chairman Rod Sims said in a statement to the Australian Stock Exchange.

"The main benefit arising from the alliance is an improved product and service offering by the two airlines to their customers.

"This includes increased customer access to each others' flights, destinations and frequent flyer programmes."

Sims added that the alliance would lessen competition on some international routes, but competition from other airlines should mitigate that impact.

However, he said Qantas and Emirates could reduce or limit capacity on routes between Australia and New Zealand under the partnership, which could result in higher airfares.

It was for this reason that the ACCC only gave an initial five-year approval, half the 10 years requested by the airlines. The decision would then be reviewed.

Under the alliance, Qantas will shift its hub for European flights to Dubai from Singapore in a bid to stem losses after this year posting its first annual loss since privatisation in 1995.

The deal goes beyond code sharing to include coordinated pricing, sales and scheduling and a benefit-sharing model, although neither airline will take equity in the other.

For Emirates customers, the alliance will open up Qantas' Australian domestic network of more than 50 destinations and nearly 5,000 flights per week.

- AFP/de



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Delhi HC dismisses PIL challenging Tendulkar's nomination to Rajya Sabha

NEW DELHI: The Delhi high court on Wednesday approved the decision of the Centre to nominate cricketer Sachin Tendulkar to the Rajya Sabha.

Dismissing a PIL challenging Tendulkar's nomination to the Upper House, a division bench of Chief Justice D Murugesan and Justice Rajiv Sahai Endlaw agreed with the Centre's argument that his craft is an art for which he deserves to be considered an artist.

Additional solicitor general Rajeev Mehra and standing counsel Neeraj Chaudhari had maintained on behalf of the Centre that Tendulkar's nomination is as per constitutional provision that also allows induction of experts from the field of sports.

They had said the provision under Article 80 of the Constitution is not confined to inducting experts only from the fields of science, arts, literature and social services, but also from sports, education and other disciplines.

The court had on November 21 reserved its order on the PIL filed by Ram Gopal Singh Sisodia, a former Delhi MLA, challenging Tendulkar's nomination alleging that he does not possess any of the qualifications prescribed under Article 80 of the Constitution for being nominated to the Rajya Sabha.

"A bare reading of the article makes it clear that the person to be nominated should have special knowledge or practical experience in matters like literature, science, arts and social service, but the expertise so required for nomination is not confined to the specific illustrations given in the article," he had said in his petition.

In an affidavit to the HC, the Centre had earlier said, "The special knowledge and practical experience required for the purpose is not confined to the said four categories only but would also include categories like sports, education, law, history, academics attainments, Indology, economics, journalism ... or other similar fields of human endeavour."

Appearing for Sisodia, his counsel R K Kapoor had told the bench that the Constitution allowed the government to nominate to the Rajya Sabha persons only from four disciplines — arts, science, literature and social science — and argued that the nomination of a sportsperson to the Upper House was unconstitutional.

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Experts: Kids are resilient in coping with trauma


WASHINGTON (AP) — They might not want to talk about the gunshots or the screams. But their toys might start getting into imaginary shootouts.


Last week's school shooting in Connecticut raises the question: What will be the psychological fallout for the children who survived?


For people of any age, regaining a sense of security after surviving violence can take a long time. They're at risk for lingering anxiety, depression, post-traumatic stress disorder.


But after the grief and fear fades, psychiatrists say most of Newtown's young survivors probably will cope without long-term emotional problems.


"Kids do tend to be highly resilient," said Dr. Matthew Biel, chief of child and adolescent psychiatry at MedStar Georgetown University Hospital.


And one way that younger children try to make sense of trauma is through play. Youngsters may pull out action figures or stuffed animals and re-enact what they witnessed, perhaps multiple times.


"That's the way they gain mastery over a situation that's overwhelming," Biel explained, saying it becomes a concern only if the child is clearly distressed while playing.


Nor is it unusual for children to chase each other playing cops-and-robbers, but now parents might see some also pretending they're dead, added Dr. Melissa Brymer of the UCLA-Duke National Center for Child Traumatic Stress.


Among the challenges will be spotting which children are struggling enough that they may need professional help.


Newtown's tragedy is particularly heart-wrenching because of what such young children grappled with — like the six first-graders who apparently had to run past their teacher's body to escape to safety.


There's little scientific research specifically on PTSD, post-traumatic stress disorder, in children exposed to a burst of violence, and even less to tell if a younger child will have a harder time healing than an older one.


Overall, scientists say studies of natural disasters and wars suggest most children eventually recover from traumatic experiences while a smaller proportion develop long-term disorders such as PTSD. Brymer says in her studies of school shootings, that fraction can range from 10 percent to a quarter of survivors, depending on what they actually experienced. A broader 2007 study found 13 percent of U.S. children exposed to different types of trauma reported some symptoms of PTSD, although less than 1 percent had enough for an official diagnosis.


Violence isn't all that rare in childhood. In many parts of the world — and in inner-city neighborhoods in the U.S., too — children witness it repeatedly. They don't become inured to it, Biel said, and more exposure means a greater chance of lasting psychological harm.


In Newtown, most at risk for longer-term problems are those who saw someone killed, said Dr. Carol North of the University of Texas Southwestern Medical Center, who has researched survivors of mass shootings.


Friday's shootings were mostly in two classrooms of Sandy Hook Elementary School, which has about 450 students through fourth-grade.


But those who weren't as close to the danger may be at extra risk, too, if this wasn't their first trauma or they already had problems such as anxiety disorders that increase their vulnerability, she said.


Right after a traumatic event, it's normal to have nightmares or trouble sleeping, to stick close to loved ones, and to be nervous or moody, Biel said.


To help, parents will have to follow their child's lead. Grilling a child about a traumatic experience isn't good, he stressed. Some children will ask a lot of questions, seeking reassurance, he said. Others will be quiet, thinking about the experience and maybe drawing or writing about it, or acting it out at playtime. Younger children may regress, becoming clingy or having tantrums.


Before second grade, their brains also are at a developmental stage some refer to as magical thinking, when it's difficult to distinguish reality and fantasy. Parents may have to help them understand that a friend who died isn't in pain or lonely but also isn't coming back, Brymer said.


When problem behaviors or signs of distress continue for several weeks, Brymer says it's time for an evaluation by a counselor or pediatrician.


Besides a supportive family, what helps? North advises getting children back into routines, together with their friends, and easing them back into a school setting. Studies of survivors of the Sept. 11 terrorist attacks found "the power of the support of the people who went through it with you is huge," she said.


Children as young as first-graders can benefit from cognitive-behavioral therapy, Georgetown's Biel said. They can calm themselves with breathing techniques. They also can learn to identify and label their feelings — anger, frustration, worry — and how to balance, say, a worried thought with a brave one.


Finally, avoid watching TV coverage of the shooting, as children may think it's happening all over again, Biel added. He found that children who watched the 9/11 clips of planes hitting the World Trade Center thought they were seeing dozens of separate attacks.


___


EDITOR'S NOTE — Lauran Neergaard covers health and medical issues for The Associated Press in Washington.


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Obama Launches Gun-Violence Task Force













Five days after deadliest elementary school shooting in U.S. history, President Obama said his administration plans immediate action early next year on proposals to curb an "epidemic of gun violence."


At a morning news conference, Obama announced the formation of a task force to be headed by Vice President Joe Biden that will formulate a package of policy recommendations by January.


"The fact that this problem is complex can no longer be an excuse for doing nothing," Obama said. "The fact that we can't prevent every act of violence doesn't mean that we can't steadily reduce the violence and prevent the very worst violence."


The president said he intends to push for implementation of the proposals "without delay."


"This is not some Washington commission. This is not something where folks are going to be studying the issue for six months and publishing a report that gets read and then pushed aside.


"This is a team that has a very specific task to pull together real reforms right now," he said.


While Obama did not offer specifics, he suggested the task force would examine an array of steps to curb gun violence and prevent mass shootings, including legislative measures, mental health resources and a "look more closely at a culture that all-too-often glorifies guns and violence."








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He urged Congress to confirm a director for the Bureau of Alcohol, Tobacco and Firearms, which has been without an official leader for six years. Obama also expressed his longstanding desire to see the national background check system strengthened and a ban on the sale of some assault-style weapons reinstated.


"I will use all the powers of this office to help advance efforts aimed at preventing more tragedies like this," Obama said.


Obama made similar pronouncements following at least four other mass shootings that marked his first term. But few policy changes were made.


"This is not the first incident of horrific gun violence of your four years. Where have you been?," asked ABC News' Jake Tapper.


"I've been president of the United States, dealing with the worst economic crisis since the Great Depression, an auto industry on the verge of collapse, two wars. I don't think I've been on vacation," Obama responded.


In the coming weeks, Biden will lead a working group that includes top officials from the departments of Justice, Homeland Security, Education and Health and Human Services to draft an action plan.


Obama met privately Monday with Biden and three members of his Cabinet — Education Secretary Arne Duncan, Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius — to discuss steps forward in the aftermath of Newtown.


The vice president's new role is rooted in his experience as a U.S. Senator with writing and shepherding into law the 1994 Crime Bill and chairing the Senate Judiciary Committee, which oversees criminal justice issues.


The 1994 Crime Bill included the ban on certain types of semi-automatic rifles (better known as the "assault weapons ban") and new classes of people banned from owning or possessing firearms, in addition to expanding the federal death penalty and the Violence Against Women Act.



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Egypt opposition protests against constitution


CAIRO (Reuters) - Opponents of Egyptian President Mohamed Mursi staged protests in Cairo on Tuesday against an Islamist-backed draft constitution that has divided Egypt but looks set to be approved in the second half of a referendum this weekend.


Several hundred protesters outside the presidential palace chanted "Revolution, revolution, for the sake of the constitution" and called on Mursi to "Leave, leave, you coward!". While the protest was noisy, numbers were down on previous demonstrations.


Mursi obtained a 57 percent "yes" vote for the constitution in the first part of the referendum last weekend, state media said, less than he had hoped for.


The opposition, which says the law is too Islamist, will be encouraged by the result but is unlikely to win the second part this Saturday, which is to be held in districts seen as even more sympathetic towards Mursi's Muslim Brotherhood.


The National Salvation Front opposition coalition said there were widespread voting violations last Saturday and called for protests to "bring down the invalid draft constitution".


The Ministry of Justice said it was appointing judges to investigate complaints of voting irregularities.


Opposition marchers converged on Tahrir Square, cradle of the revolution that toppled Hosni Mubarak almost two years ago, and Mursi's presidential palace, still ringed with tanks after earlier protests.


A protester at the presidential palace, Mohamed Adel, 30, said: "I have been camping here for weeks and will continue to do so until the constitution that divided the nation, and for which people died, gets scrapped."


The build up to the first day of voting saw clashes between supporters and opponents of Mursi in which eight people died. Recent demonstrations in Cairo have been more peaceful, although rival factions clashed on Friday in Alexandria, Egypt's second biggest city.


RESIGNATION


Egypt's public prosecutor resigned under pressure from his opponents in the judiciary, dealing a blow to Mursi and drawing an angry response from his supporters in the Muslim Brotherhood.


In a statement on its Facebook page, the Islamist group that propelled Mursi to power in an election in June, said the enforced departure of public prosecutor Talaat Ibrahim was a "crime" and authorities should not accept the resignation.


Further signs of opposition to Mursi emerged when a judges' club urged its members not to supervise Saturday's vote. But the call is not binding and balloting is expected to go ahead.


If the constitution is passed, national elections can take place early next year, something many hope will help end the turmoil that has gripped Egypt since the fall of Mubarak.


The closeness of the first referendum vote and low turnout give Mursi scant comfort as he seeks to assemble support for difficult economic reforms.


"This percentage ... will strengthen the hand of the National Salvation Front and the leaders of this Front have declared they are going to continue this fight to discredit the constitution," said Mustapha Kamal Al-Sayyid, a professor of political science at Cairo University.


Mursi is likely to become more unpopular with the introduction of planned austerity measures, Sayyid told Reuters.


To tackle the budget deficit, the government needs to raise taxes and cut fuel subsidies. Uncertainty surrounding economic reform plans has already forced the postponement of a $4.8 billion loan from the International Monetary Fund. The Egyptian pound has fallen to eight-year lows against the dollar.


Mursi and his backers say the constitution is needed to move Egypt's democratic transition forward. Opponents say the document is too Islamist and ignores the rights of women and of minorities, including Christians who make up 10 percent of the population.


Demonstrations erupted when Mursi awarded himself extra powers on November 22 and then fast-tracked the constitution through an assembly dominated by his Islamist allies and boycotted by many liberals.


The referendum has had to be held over two days because many of the judges needed to oversee polling staged a boycott in protest. In order to pass, the constitution must be approved by more than 50 percent of those voting.


(Additional reporting by Tamim Elyan and Edmund Blair; Writing by Giles Elgood; Editing by Alison Williams)



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Samsung is top 2012 phone brand






WASHINGTON: Samsung has overtaken Nokia as the top mobile phone brand for 2012 and has opened up a decisive lead over Apple in the smartphone market, a research firm said Tuesday.

This will mark the first time in 14 years that Finnish-based Nokia will not sit atop the global mobile phone business on an annual basis, according to IHS iSuppli.

Samsung is expected to account for 29 per cent of worldwide cellphone shipments, up from 24 per cent in 2011, according to the IHS, which said Nokia's share dropped to 24 per cent from 30 per cent.

This will mark the first time the South Korean electronics giant will occupy the top on a yearly basis, IHS said.

Samsung has also extended its lead over Apple as the top maker of smartphones worldwide, the survey said. Samsung will have 28 per cent of the market, up from 20 per cent in 2011, while Apple's share will rise in 2012 to to 20 per cent from 19 per cent.

"The competitive reality of the cellphone market in 2012 was 'live by the smartphone; die by the smartphone,'" said Wayne Lam, senior analyst at IHS.

"Smartphones represent the fastest-growing segment of the cellphone market and will account for nearly half of all wireless handset shipments for all of 2012. Samsung's successes and Nokia's struggles in the cellphone market this year were determined entirely by the two companies' divergent fortunes in the smartphone sector."

IHS said global smartphone shipments are set to rise by 35.5 per cent this year, while overall cellphone shipments will increase by just one per cent. This will propel 2012 smartphone penetration to 47 per cent, up from 35 per cent in 2011.

IHS noted that Samsung produces dozens of smartphone models every year that address all segments of the market, from the high-end to the low-end. Nokia is transitioning its smartphone line to the Windows operating system, resulting in declining shipments for the company.

Sales of Nokia's older Symbian-based phones have plunged, while its new Microsoft Windows-based handsets have been modest so far.

IHS said Samsung, which was in a tight battle in 2011 with Apple, has moved ahead decisively ahead of the California giant with a wide range of Android smartphone offerings, while Apple limited its smartphones to the premium iPhone line.

The report said BlackBerry maker Research in Motion will see its market share fall to five per cent in 2012, from 11 per cent in 2011.

IHS said it expects smartphones gains to accelerate in 2013, and to account for 56 per cent of the mobile phone market.

- AFP/fa



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Economists cast doubt on cash transfer, say violence limits freedom of choice for women

NEW DELHI: Increasing violence against women limits their freedom of choice. That casts doubt on the efficacy of policy decisions like cash transfer through which the UPA government aims to give women freedom of choice and empower the poor.

Calling cash transfer the "big elephant in the room", IIM-Bangalore professor Gita Sen said, "Given the rising violence against women and denial of rights to them, what would be the actual participation of the women and the community (in cash transfer)?"

She was speaking at a programme where UN Women, Planning Commission and the women and child development ministry highlighted the need to prioritize women in national schemes. Sen wondered who would work out the details of the scheme that aims to reach places which are untouched by technology.

Leading economists and UN Women examined eight national flagship schemes for their impact on women. "From our comprehensive review of these schemes, it is clear that much more needs to be done to put the right approaches in place on issues such as economic participation of women," said Anne F Stenhammer, regional programme director of UN Women South Asia.

The economists found that women were adversely affected by schemes for infrastructure and manufacturing. Analyzing the Jawaharlal Nehru National Urban Renewal Mission (JNNURM), they found the programme has, in many instances, led to displacement of traditional livelihoods of poor women. "We recommend a thorough review of the policy for its impact on the livelihoods of urban poor at the inception stage itself," Yamini Mishra of UN Women said.

WCD minister Krishna Tirath launched a set of eight policy briefs — 'Policies are not Gender Neutral'. "With the inputs from these economists, we will now work with the concerned line ministries to convince them to take action that the gender gaps identified in key policies and sectors are implemented," Tirath said.

Talking about cash transfer, Sen of IIM-Bangalore said it was a demand side intervention. "It's as if the government is throwing up its hands and expressing its inability to improve the supply side intervention or improve the access to quality of services," she added.

Demand side financing directs attention away from supply side financing, she said. Drawing upon past experience of similar schemes, Sen said, "Since institutional delivery is not safe, give them the money and the job is done... What is the voice of the community, of the women in this? Have they told you what kind of improvement they need?"

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Experts: Kids are resilient in coping with trauma


WASHINGTON (AP) — They might not want to talk about the gunshots or the screams. But their toys might start getting into imaginary shootouts.


Last week's school shooting in Connecticut raises the question: What will be the psychological fallout for the children who survived?


For people of any age, regaining a sense of security after surviving violence can take a long time. They're at risk for lingering anxiety, depression, post-traumatic stress disorder.


But after the grief and fear fades, psychiatrists say most of Newtown's young survivors probably will cope without long-term emotional problems.


"Kids do tend to be highly resilient," said Dr. Matthew Biel, chief of child and adolescent psychiatry at MedStar Georgetown University Hospital.


And one way that younger children try to make sense of trauma is through play. Youngsters may pull out action figures or stuffed animals and re-enact what they witnessed, perhaps multiple times.


"That's the way they gain mastery over a situation that's overwhelming," Biel explained, saying it becomes a concern only if the child is clearly distressed while playing.


Nor is it unusual for children to chase each other playing cops-and-robbers, but now parents might see some also pretending they're dead, added Dr. Melissa Brymer of the UCLA-Duke National Center for Child Traumatic Stress.


Among the challenges will be spotting which children are struggling enough that they may need professional help.


Newtown's tragedy is particularly heart-wrenching because of what such young children grappled with — like the six first-graders who apparently had to run past their teacher's body to escape to safety.


There's little scientific research specifically on PTSD, post-traumatic stress disorder, in children exposed to a burst of violence, and even less to tell if a younger child will have a harder time healing than an older one.


Overall, scientists say studies of natural disasters and wars suggest most children eventually recover from traumatic experiences while a smaller proportion develop long-term disorders such as PTSD. Brymer says in her studies of school shootings, that fraction can range from 10 percent to a quarter of survivors, depending on what they actually experienced. A broader 2007 study found 13 percent of U.S. children exposed to different types of trauma reported some symptoms of PTSD, although less than 1 percent had enough for an official diagnosis.


Violence isn't all that rare in childhood. In many parts of the world — and in inner-city neighborhoods in the U.S., too — children witness it repeatedly. They don't become inured to it, Biel said, and more exposure means a greater chance of lasting psychological harm.


In Newtown, most at risk for longer-term problems are those who saw someone killed, said Dr. Carol North of the University of Texas Southwestern Medical Center, who has researched survivors of mass shootings.


Friday's shootings were mostly in two classrooms of Sandy Hook Elementary School, which has about 450 students through fourth-grade.


But those who weren't as close to the danger may be at extra risk, too, if this wasn't their first trauma or they already had problems such as anxiety disorders that increase their vulnerability, she said.


Right after a traumatic event, it's normal to have nightmares or trouble sleeping, to stick close to loved ones, and to be nervous or moody, Biel said.


To help, parents will have to follow their child's lead. Grilling a child about a traumatic experience isn't good, he stressed. Some children will ask a lot of questions, seeking reassurance, he said. Others will be quiet, thinking about the experience and maybe drawing or writing about it, or acting it out at playtime. Younger children may regress, becoming clingy or having tantrums.


Before second grade, their brains also are at a developmental stage some refer to as magical thinking, when it's difficult to distinguish reality and fantasy. Parents may have to help them understand that a friend who died isn't in pain or lonely but also isn't coming back, Brymer said.


When problem behaviors or signs of distress continue for several weeks, Brymer says it's time for an evaluation by a counselor or pediatrician.


Besides a supportive family, what helps? North advises getting children back into routines, together with their friends, and easing them back into a school setting. Studies of survivors of the Sept. 11 terrorist attacks found "the power of the support of the people who went through it with you is huge," she said.


Children as young as first-graders can benefit from cognitive-behavioral therapy, Georgetown's Biel said. They can calm themselves with breathing techniques. They also can learn to identify and label their feelings — anger, frustration, worry — and how to balance, say, a worried thought with a brave one.


Finally, avoid watching TV coverage of the shooting, as children may think it's happening all over again, Biel added. He found that children who watched the 9/11 clips of planes hitting the World Trade Center thought they were seeing dozens of separate attacks.


___


EDITOR'S NOTE — Lauran Neergaard covers health and medical issues for The Associated Press in Washington.


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