Courting Asia, Obama finds that the world intrudes

WASHINGTON (AP) — For all the attention wrenched elsewhere in recent days — on new violence in the Middle East, the "fiscal cliff" back home — President Barack Obama's speedy trip to Southeast Asia achieved a major goal: It was clearly seen in the region as a validation of Asia's strategic importance as the U.S. refocuses its foreign policy to counter China's clout.

It wasn't easy. Even in a Buddhist monastery in Thailand, Obama could not escape the budget woes waiting for him back home. And his historic visit to Myanmar was all but drowned out by the rocket fire and missile strikes between Israel and Gaza. He went half a world away to promote U.S.-style democracy but couldn't leave his troubles behind.

Even as Obama traipsed in stocking feet through a temple in the heart of Bangkok, a monk wished him luck negotiating the deficit-reduction challenge awaiting him in Washington. And the bloodshed in the Middle East, exploding as he toured Southeast Asia for three days, illustrated the limits of U.S. foreign policy even as he tried to display its influence and reach.

But he came away from his trip to this corner of the world — a place once defined by a cloistered and shunned nation like Myanmar or by Khmer Rouge "killing fields" or by Chinese power —with at least the hope that the example of U.S. democracy can effect change and strengthen America's hand.

He made his case clearly during a Bangkok news conference:

"It's worked for us for over 200 years now, and I think it's going to work for Thailand and it's going to work for this entire region," he said. "And the alternative, I think, is a false hope that, over time, I think erodes and collapses under the weight of people whose aspirations are not being met."

Establishing a bigger, more influential presence in the Asia-Pacific region has long been an Obama objective, a goal driven by 21st century geopolitical considerations and by the Hawaiian-born president's own self-identity as the first Pacific president.

Just by making the trip — and by making it his first after his re-election — Obama made a point about the importance the U.S. attaches to the region.

He was greeted by large crowds chanting his name in Thailand and in Myanmar, a country less than two years removed from a repressive military dictatorship where such assemblies were long forbidden. The English-language Myanmar Times newspaper heralded the arrival of "O-Burma" on its front page, while Thai newspapers praised his apparent interest in the native brand of Buddhism following his monastery visit.

The reception was more muted in neighboring Cambodia, a staunch ally of China that pointedly displayed a sign at the presidential palace welcoming Chinese premier Wen Jiabao but nothing for Obama. Still, there was a message for Asia in Obama's mere presence. The president was attending an annual summit of Southeast Asian leaders in Phnom Penh, yet another indication of U.S. intentions to pay a bigger role in the region.

The trip marked the first time a U.S. president had visited Myanmar and Cambodia.

For decades, Myanmar, despite its alluring pagodas and verdant countryside, was an international outcast with a repressive military junta accused of gross human rights abuses. But last year it began to shift toward democracy, and Obama went there to welcome the change and encourage more.

His motorcade sped to the lakeside home of opposition leader Aung San Suu Kyi, the Nobel Peace Prize winner who spent the better part of 20 years under house arrest. He embraced her and praised her as an "icon of democracy."

Obama's aides hoped that image would dominate back in the United States, but news events and coverage didn't go quite as planned. Hostilities in Israel and Gaza overshadowed the president's trip. He spent every day monitoring developments. Monday night he was on the phone until 2:30 from Phnom Penh, calling Israeli Prime Minister Benjamin Netanyahu once and Egyptian President Mohammed Morsi twice.

By Tuesday morning he had dispatched Secretary of State Hillary Rodham Clinton, who had been traveling with him in Southeast Asia, to the Mideast to engage directly in Jerusalem and Cairo. And he called Morsi again from Air Force One on the way home.

Efforts to break a stalemate with Congress over a deficit-reduction package also dogged him, even as congressional and White House staffs worked to frame details that Obama and legislative leaders could begin negotiating next week.

After the monk surprised him by wishing him well on the fiscal cliff at the Wat Pho monastery, Obama still could not escape it, facing a question about it during his Thailand press conference. No problem, the Americans said.

"We believe the United States can walk and chew gum at the same time," Deputy National Security Adviser Ben Rhodes said Tuesday in Phnom Penh. The shift of resources and attention to Asia will occur with or without diversions, he said. "We'll continue to move forward with our pivot even as we manage the inevitable crises and challenges that will come up in other regions."

Indeed, after spending months mired in a biting presidential campaign, Obama appeared to revel in being back on the world stage.

The trip was poignant, too. It marked his last overseas tour alongside Clinton, his former rival turned partner. Clinton has long said she plans to leave the administration ahead of Obama's second term, or shortly after it is under way.

Obama and Clinton flew across Southeast Asia together on Air Force One and walked down the plane's front steps together in Myanmar and Cambodia.

He singled her out at Suu Kyi's home. "I could not be more grateful, not only for your service, Hillary, but also for the powerful message that you and Aung San Suu Kyi send about the importance of women — and men — everywhere embracing and promoting democratic values and human rights," Obama said.

Aides said the two reminisced aboard the presidential plane flying back from Myanmar to Cambodia.

Clinton herself said traveling with Obama one last time was "bittersweet, nostalgic, all the things you would expect."

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Follow Jim Kuhnhenn at http://twitter.com/jkuhnhenn

Follow Julie Pace at http://twitter.com/jpaceDC .

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Elmo left behind on 'Sesame Street' as actor exits

NEW YORK (AP) — Sesame Street's beloved Elmo character will continue despite the resignation of the puppeteer behind the character following sexual abuse allegations.

Fifty-two-year-old Kevin Clash resigned Tuesday after a young man sued him and accused him of engaging in sexual behavior with him when he was 15.

Clash did not address the allegations directly but said in a statement that he is "looking forward to resolving these personal matters privately."

Sesame Workshop says other puppeteers have been trained to serve as Clash's stand-in. The company said last week that "Elmo is bigger than any one person."

Toy company Hasbro says it is confident that "Elmo will remain an integral part of Sesame Street."

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OB/GYNs back over-the-counter birth control pills

WASHINGTON (AP) — No prescription or doctor's exam needed: The nation's largest group of obstetricians and gynecologists says birth control pills should be sold over the counter, like condoms.

Tuesday's surprise opinion from these gatekeepers of contraception could boost longtime efforts by women's advocates to make the pill more accessible.

But no one expects the pill to be sold without a prescription any time soon: A company would have to seek government permission first, and it's not clear if any are considering it. Plus there are big questions about what such a move would mean for many women's wallets if it were no longer covered by insurance.

Still, momentum may be building.

Already, anyone 17 or older doesn't need to see a doctor before buying the morning-after pill — a higher-dose version of regular birth control that can prevent pregnancy if taken shortly after unprotected sex. Earlier this year, the Food and Drug Administration held a meeting to gather ideas about how to sell regular oral contraceptives without a prescription, too.

Now the influential American College of Obstetricians and Gynecologists is declaring it's safe to sell the pill that way.

Wait, why would doctors who make money from women's yearly visits for a birth-control prescription advocate giving that up?

Half of the nation's pregnancies every year are unintended, a rate that hasn't changed in 20 years — and easier access to birth control pills could help, said Dr. Kavita Nanda, an OB/GYN who co-authored the opinion for the doctors group.

"It's unfortunate that in this country where we have all these contraceptive methods available, unintended pregnancy is still a major public health problem," said Nanda, a scientist with the North Carolina nonprofit FHI 360, formerly known as Family Health International.

Many women have trouble affording a doctor's visit, or getting an appointment in time when their pills are running low — which can lead to skipped doses, Nanda added.

If the pill didn't require a prescription, women could "pick it up in the middle of the night if they run out," she said. "It removes those types of barriers."

Tuesday, the FDA said it was willing to meet with any company interested in making the pill nonprescription, to discuss what if any studies would be needed.

Then there's the price question. The Obama administration's new health care law requires FDA-approved contraceptives to be available without copays for women enrolled in most workplace health plans.

If the pill were sold without a prescription, it wouldn't be covered under that provision, just as condoms aren't, said Health and Human Services spokesman Tait Sye.

ACOG's opinion, published in the journal Obstetrics & Gynecology, says any move toward making the pill nonprescription should address that cost issue. Not all women are eligible for the free birth control provision, it noted, citing a recent survey that found young women and the uninsured pay an average of $16 per month's supply.

The doctors group made clear that:

—Birth control pills are very safe. Blood clots, the main serious side effect, happen very rarely, and are a bigger threat during pregnancy and right after giving birth.

—Women can easily tell if they have risk factors, such as smoking or having a previous clot, and should avoid the pill.

—Other over-the-counter drugs are sold despite rare but serious side effects, such as stomach bleeding from aspirin and liver damage from acetaminophen.

—And there's no need for a Pap smear or pelvic exam before using birth control pills. But women should be told to continue getting check-ups as needed, or if they'd like to discuss other forms of birth control such as implantable contraceptives that do require a physician's involvement.

The group didn't address teen use of contraception. Despite protests from reproductive health specialists, current U.S. policy requires girls younger than 17 to produce a prescription for the morning-after pill, meaning pharmacists must check customers' ages. Presumably regular birth control pills would be treated the same way.

Prescription-only oral contraceptives have long been the rule in the U.S., Canada, Western Europe, Australia and a few other places, but many countries don't require a prescription.

Switching isn't a new idea. In Washington state a few years ago, a pilot project concluded that pharmacists successfully supplied women with a variety of hormonal contraceptives, including birth control pills, without a doctor's involvement. The question was how to pay for it.

Some pharmacies in parts of London have a similar project under way, and a recent report from that country's health officials concluded the program is working well enough that it should be expanded.

And in El Paso, Texas, researchers studied 500 women who regularly crossed the border into Mexico to buy birth control pills, where some U.S. brands sell over the counter for a few dollars a pack. Over nine months, the women who bought in Mexico stuck with their contraception better than another 500 women who received the pill from public clinics in El Paso, possibly because the clinic users had to wait for appointments, said Dr. Dan Grossman of the University of California, San Francisco, and the nonprofit research group Ibis Reproductive Health.

"Being able to easily get the pill when you need it makes a difference," he said.

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Online:

OB/GYN group: http://www.acog.org

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Gaza shakes, Israelis killed as Clinton seeks truce

GAZA/JERUSALEM (Reuters) - Israeli air strikes shook the Gaza Strip and Palestinian rockets struck across the border as U.S. Secretary of State Hillary Clinton held talks in Jerusalem in the early hours of Wednesday, seeking a truce that can hold back Israel's ground troops.

Egypt's new Islamist government is mediating talks and had floated hopes for a ceasefire by late Tuesday between Israel and Hamas, the Islamist movement controlling Gaza. However, by the time Clinton met Israeli Prime Minister Benjamin Netanyahu, it was clear there would be more argument, and more violence, first.

Hamas leaders in Cairo accused the Jewish state of failing to respond to proposals and said an announcement on holding fire would not come before daylight on Wednesday. Israel Radio quoted an Israeli official saying a truce was held up due to "a last-minute delay in the understandings between Hamas and Israel."

An initial halt to attacks may, however, not see the sides stand their forces down from battle stations immediately. Clinton, who flies to Cairo to see Egyptian President Mohamed Mursi later on Wednesday, spoke of a deal "in the days ahead."

Like most Western powers, Washington shuns Hamas as an obstacle to peace and has blamed it for the Gaza conflagration. A U.N. Security Council statement condemning the conflict was blocked on Tuesday by the United States, which complained that it "failed to address the root cause," the Palestinian rockets.

As Clinton arrived in Israel after nightfall, Israel was stepping up its bombardment from air and sea. At one point munitions slammed into Gaza at a rate of one every 10 minutes.

Gazan rocket fire waned overnight but resumed before dawn on Wednesday with six launches, Israel said. No one was hurt.

After seven days of hostilities that have killed over 130 Palestinians and five Israelis, both sides are looking for more than a return to the sporadic calm that has prevailed across the blockaded enclave since Israel ended a much more devastating air and ground offensive four years ago.

ELECTION

Netanyahu, who faces an election in two months that he is, for now, favored to win, told Clinton he wanted a "long-term" solution. Failing that, Netanyahu made clear, he stood ready to step up the military campaign to silence Hamas' rockets.

Hamas for its part is exploring the opportunities that last year's Arab Spring has given it to enjoy favor from the new Islamist governments of states once ruled by U.S. proteges, and from Sunni Gulf powers keen to woo it away from Shi'ite Iran. It has used longer-range missiles, some sent by Tehran, and hopes to eclipse Western-backed Palestinian President Mahmoud Abbas.

Hamas has spoken of an easing of Israel's blockade on the 40-km (25-mile) slice of Mediterranean coast that is home to 1.7 million people. It may count on some sympathy from Mursi, though Egypt's first freely elected leader, whose Muslim Brotherhood inspired Hamas' founders, has been careful to stick by the 1979 peace deal with Israel struck by Cairo's former military rulers.

Clinton, who broke off from an Asian tour with President Barack Obama and assured Netanyahu of "rock-solid" U.S. support for Israel's security, spoke of seeking a "durable outcome" and of Egypt's "responsibility" for promoting peace.

She repeated international calls for the kind of lasting, negotiated, comprehensive Israeli-Palestinian settlement that has eluded the two peoples for decades - something neither of the two warring parties seems seriously to be anticipating.

"In the days ahead, the United States will work with our partners here in Israel and across the region toward an outcome that bolsters security for the people of Israel, improves conditions for the people of Gaza and moves toward a comprehensive peace for all people of the region," Clinton said.

"It is essential to de-escalate the situation in Gaza. The rocket attacks from terrorist organizations inside Gaza on Israeli cities and towns must end and a broader calm restored," she said.

"SELF-DEFENCE"

Netanyahu, who has appeared in no immediate rush to repeat the invasion of winter 2008-09 in which over 1,400 Palestinians died, said: "If there is a possibility of achieving a long-term solution to this problem with diplomatic means, we prefer that.

"But if not, I'm sure you understand that Israel will have to take whatever action is necessary to defend its people."

As Israeli aircraft have carried out hundreds of strikes on rocket stores, launchpads and suspected Hamas command posts since assassinating the head of its military wing a week ago. Tens of thousands of Israeli soldiers have been preparing tanks and infantry units for a possible invasion.

During the night, explosions again rocked the city of Gaza and other parts of the Strip, while rockets from the enclave, some essentially home-made, others Iranian-designed and smuggled through tunnels from Egypt, landed in southern Israel.

One reached as far as Rishon Lezion, near Tel Aviv, on Tuesday, the latest to jar Israel's metropolis, long untroubled by Palestinian attacks. Another rocket fell close to Jerusalem, the holy city claimed by both sides in the conflict.

Medical officials in Gaza said 31 Palestinians were killed on Tuesday. An Israeli soldier and a civilian died when rockets exploded near the Gaza frontier, police and the army said.

Gaza medical officials say 138 people have died in Israeli strikes, mostly civilians, including 34 children. In all, five Israelis have died, including three civilians killed last week.

AMMUNITION STORES

Obama, whose relations with the hawkish Netanyahu have long been strained, has said he wants a diplomatic solution, rather than a possible Israeli ground operation in the densely populated territory, home to 1.7 million Palestinians.

Israel's military said it targeted overnight more than 100 sites in Gaza, including rocket launchers, tunnels and the Ministry of Internal Security, used by Hamas as a command center. Israeli police said more than 150 rockets had been fired from Gaza by Tuesday evening.

"No country would tolerate rocket attacks against its cities and against its civilians," Netanyahu said with U.N. Secretary-General Ban Ki-moon, who arrived in Jerusalem from talks in Cairo, at his side. "Israel cannot tolerate such attacks."

Critics have accused Israel of using disproportionate force that has killed civilians. Israel accuses Hamas of putting Gaza's people in harm's way by siting rockets among them.

Media groups have criticized attacks on Gaza media facilities. On Tuesday, three local journalists died in air strikes on their vehicles.

A building housing AFP's bureau was bombed. The French news agency said its staff were unhurt. Israel's military said it had been targeting a Hamas intelligence centre in the tower.

Hamas executed six Palestinians accused of spying for Israel, who a security source quoted by Hamas Aqsa radio said had been "caught red-handed" with "filming equipment to take footage of positions." The radio said they had been shot.

Militants on a motorcycle dragged the body of one of the men through the streets.

A delegation of nine Arab ministers, led by the Egyptian foreign minister, visited Gaza in a further signal of heightened Arab solidarity with the Palestinians.

(Additional reporting by Cairo bureau; Writing by Alastair Macdonald; Editing by Lisa Shumaker)

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Obama sends Clinton to Mideast amid Gaza crisis

PHNOM PENH, Cambodia (AP) — President Barack Obama is sending Secretary of State Hillary Rodham Clinton to the Middle East in hopes that she can help mediate an end to bloody conflict in the region.

A deputy White House national security adviser says Clinton will depart Tuesday from Cambodia, where she had accompanied Obama on a visit to Southeast Asia.

Clinton will begin her Mideast diplomacy by meeting with Israeli Prime Minister Benjamin Netanyahu in Jerusalem. She also will meet with Palestinian officials in Ramallah before heading to Cairo to meet with leaders in Egypt.

Israel has been firing rockets into the Gaza Strip in an attempt to end months of rocket fire out of the Hamas-ruled territory.

The U.S. says Israel has a right to defend itself.

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Fight over 'Modern Family' star returns to court

LOS ANGELES (AP) — A judge is scheduled to wade into the messy family dynamics of teen actress Ariel Winter and determine whether the "Modern Family" star should stay away from her mother, who has been described in court filings as physically and emotionally abusive.

At a hearing Tuesday, Superior Court Judge Michael Levanas will consider whether the 14-year-old should continue living with her sister, who has temporary guardianship of the actress.

The judge will have more information to consider than he did on Oct. 3, when he temporarily stripped Chrisoula Workman of custody of her daughter. Workman has denied all accusations of abuse and filed more than two dozen declarations from friends, acquaintances, stylists and others who say they've never witnessed any abuse.

Winter's father, Glenn Workman, also filed an objection to the guardianship late Monday, stating he wants a better relationship with his daughter and would be willing to care for her.

Winter has been in the care of her adult sister, Shanelle Gray, who was removed from Chrisoula Workman's care in the 1990s amid accusations of abuse. Chrisoula Workman contends Gray was a rebellious teen who left home and that she is contending with a similar situation with Winter, who has been acting since age 7 and currently stars as Alex Dunphy on the hit ABC series "Modern Family."

People on the show's set are concerned about Winter's wellbeing and have been sneaking her food, according to in-court statements by Gray's attorney, Michael Kretzmer.

Gray's filing states Chrisoula Workman has repeatedly slapped Winter and engaged in emotional abuse, including name-calling.

"The allegations made by Ariel are false," said Chrisoula Workman's attorney Anita Gumm. "We really feel she's just a rebellious teen and wants her independence. It's our hope that the court terminates the guardianship. Both parents want Ariel home. Shanelle is not suitable to be a guardian."

Glenn Workman's filing Monday does not address the abuse allegations, but states he believes his daughter should be returned to live with Chrisoula Workman, or that he be allowed to raise her.

"I want to provide for her a calm loving home environment that is a retreat from the glitz and glamour of Hollywood; a place where she can think and relax without any distractions," Glenn Workman wrote. "This whole situation has turned into a circus and places Ariel in a position she should not have to be in."

Kretzmer declined to comment on Glenn Workman's filing.

He has previously told The Associated Press that it is unfortunate that the case became public, but that Winter was removed from her mother's custody for good reasons. "The court granted a temporary guardianship, and I think any rational person will realize that the court simply doesn't see the sky falling but has some basis for granting a temporary guardianship," he said last week.

During a contentious court hearing Workman lashed out at Gray, called Kretzmer a moron and accused Winter of screaming her and hitting her.

"I think what we've got is a situation that's not healthy, at least for a temporary ... basis," Levanas said in early October. He ordered child welfare workers to conduct an investigation and appointed an attorney to represent Winter's interests.

Workman's attorney has also scheduled a deposition of Gray for early December, and a review of Winter's finances will be conducted. Currently, Gray has no access to Winter's money, some of which should be in a special account meant to protect the earnings of child actors.

Gumm and Workman have cited Gray's finances as a reason why she should not be granted guardianship of her sister. But Kretzmer denied last week that money was an issue in the case.

"There's no truth whatsoever to Shanelle obtaining this guardianship for purposes of advancing her career or for some other personal gain," Kretzmer said. "Shanelle is successful and has done very well in her own rights. This is a tragedy for her, too."

Winter has been acting since age 7, appearing in several TV series, including "ER" and "Phineas and Ferb," and movies such as "Kiss Kiss Bang Bang," ''Ice Age: The Meltdown" and "ParaNorman."

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Anthony McCartney can be reached at http://twitter.com/mccartneyAP

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New push for most in US to get at least 1 HIV test

WASHINGTON (AP) — There's a new push to make testing for the AIDS virus as common as cholesterol checks.

Americans ages 15 to 64 should get an HIV test at least once — not just people considered at high risk for the virus, an independent panel that sets screening guidelines proposed Monday.

The draft guidelines from the U.S. Preventive Services Task Force are the latest recommendations that aim to make HIV screening simply a routine part of a check-up, something a doctor can order with as little fuss as a cholesterol test or a mammogram. Since 2006, the Centers for Disease Control and Prevention also has pushed for widespread, routine HIV screening.

Yet not nearly enough people have heeded that call: Of the more than 1.1 million Americans living with HIV, nearly 1 in 5 — almost 240,000 people — don't know it. Not only is their own health at risk without treatment, they could unwittingly be spreading the virus to others.

The updated guidelines will bring this long-simmering issue before doctors and their patients again — emphasizing that public health experts agree on how important it is to test even people who don't think they're at risk, because they could be.

"It allows you to say, 'This is a recommended test that we believe everybody should have. We're not singling you out in any way,'" said task force member Dr. Douglas Owens, of Stanford University and the Veterans Affairs Palo Alto Health Care System.

And if finalized, the task force guidelines could extend the number of people eligible for an HIV screening without a copay in their doctor's office, as part of free preventive care under the Obama administration's health care law. Under the task force's previous guidelines, only people at increased risk for HIV — which includes gay and bisexual men and injecting drug users — were eligible for that no-copay screening.

There are a number of ways to get tested. If you're having blood drawn for other exams, the doctor can merely add HIV to the list, no extra pokes or swabs needed. Today's rapid tests can cost less than $20 and require just rubbing a swab over the gums, with results ready in as little as 20 minutes. Last summer, the government approved a do-it-yourself at-home version that's selling for about $40.

Free testing is available through various community programs around the country, including a CDC pilot program in drugstores in 24 cities and rural sites.

Monday's proposal also recommends:

—Testing people older and younger than 15-64 if they are at increased risk of HIV infection,

—People at very high risk for HIV infection should be tested at least annually.

—It's not clear how often to retest people at somewhat increased risk, but perhaps every three to five years.

—Women should be tested during each pregnancy, something the task force has long recommended.

The draft guidelines are open for public comment through Dec. 17.

Most of the 50,000 new HIV infections in the U.S. every year are among gay and bisexual men, followed by heterosexual black women.

"We are not doing as well in America with HIV testing as we would like," Dr. Jonathan Mermin, CDC's HIV prevention chief, said Monday.

The CDC recommends at least one routine test for everyone ages 13 to 64, starting two years younger than the task force recommended. That small difference aside, CDC data suggests fewer than half of adults under 65 have been tested.

"It can sometimes be awkward to ask your doctor for an HIV test," Mermin said — the reason making it routine during any health care encounter could help.

But even though nearly three-fourths of gay and bisexual men with undiagnosed HIV had visited some sort of health provider in the previous year, 48 percent weren't tested for HIV, a recent CDC survey found. Emergency rooms are considered a good spot to catch the undiagnosed, after their illnesses and injuries have been treated, but Mermin said only about 2 percent of ER patients known to be at increased risk were tested while there.

Mermin calls that "a tragedy. It's a missed opportunity."

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Online:

Task force recommendation: http://www.uspreventiveservicestaskforce.org

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Israeli aircraft hit Hamas bank HQ in Gaza

GAZA CITY, Gaza Strip (AP) — Israeli aircraft have battered the headquarters of the Gaza Strip bank the territory's Hamas rulers set up to sidestep international sanctions.

Tuesday's strike on the Islamic National Bank in Gaza City is part of a widening Israeli onslaught against the militants and their rocket squads targeting Israel. The offensive is now in its seventh day.

The inside of the bank was destroyed, and a building supply business in the basement was damaged.

The bank's 31-year-old owner, Suleiman Tawil, denounced the strike, saying he is not "involved in politics."

Hamas set up the bank after foreign lenders, afraid of running afoul of international terror financing laws, stopped doing business with the militant-led Gaza government.

The U.S., Israel and others in the West consider Hamas a terror group.

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Obama: Myanmar visit about sustaining momentum

YANGON, Myanmar (AP) — In a historic trip to a long shunned land, President Barack Obama on Monday showered praise and promises of more U.S. help to Myanmar if the Asian nation keeps building its new democracy. "Our goal is to sustain the momentum," he declared with pride as the first U.S. president to visit here.

Tens of thousands of people lined the streets as Obama packed in diplomacy and soaked in his steamy surroundings. He shared words and an affectionate hug with the Aung San Suu Kyi, the democracy activist who endured years of house arrest to gain freedom and become a lawmaker.

"We are confident that this support will continue through the difficult years that lie ahead," she said of the help from America, Obama at her side. "The most difficult time in any transition is when you think that success is in sight. We have to be very careful that we're not lured by a mirage of success."

Obama told her that if the nation's leaders keep making true reforms, "we will do everything we can to ensure success."

The president was then on his way to give a televised speech at the University of Yangon, in which he would deliver the same message. Obama planned to tell his audience that the United States is ready to "extend the hand of friendship" now that Myanmar has unclenched its fist of iron rule.

"Instead of being repressed, the right of people to assemble together must now be fully respected," the president said in speech excerpts released by the White House. "Instead of being stifled, the veil of media censorship must continue to be lifted. As you take these steps, you can draw on your progress."

Long isolated because of a repressive military rule, Myanmar began a transition to democracy began last year.

After meeting with President Thein Sein, who has orchestrated much of his country's transition to democracy, Obama said the reforms "in Myanmar" could unleash "the incredible potential of this beautiful country."

Obama's language alone was significant. The United States still officially refers to the country as Burma, after the former ruling junta summarily changed the name years ago to Myanmar. But U.S. officials — and now Obama — have been less rigid about using the old name as relations change.

Obama met with Suu Kyi in the very home where she spent years under house arrest, a gated compound with a lawn ringed by roses.

On an overcast and steamy day, Obama touched down Monday morning. The city basically stopped for his visit, with many people waving American flags and taking photos with their smartphones.

Obama's visit to Myanmar was to last just six hours, but it carries significant symbolism, reflecting a remarkable turnaround in the countries' relationship.

Obama has rewarded Myanmar's rapid adoption of democratic reforms by lifting some economic penalties. The president has appointed a permanent ambassador to the country, and pledged greater investment if Myanmar continues to progress following a half-century of military rule.

Some human rights groups say Myanmar's government, which continues to hold hundreds of political prisoners and is struggling to contain ethnic violence, hasn't done enough to earn a personal visit from Obama. The president says his visit is not an endorsement of the government in Myanmar, but an acknowledgment that dramatic progress is underway.

Obama came down the steps of Air Force One next to Secretary of State Hillary Rodham Clinton, in recognition of their final foreign trip together. Clinton is leaving the job soon.

The president's stop came between visits to Thailand and Cambodia. His Asia tour also marks his formal return to the world stage after months mired in a bruising re-election campaign. For his first postelection trip, he tellingly settled on Asia, a region he has deemed the region as crucial to U.S. prosperity and security.

Aides say Asia will factor heavily in Obama's second term as the U.S. seeks to expand its influence in an attempt to counter China.

China's rise is also at play in Myanmar, which long has aligned itself with Beijing. But some in Myanmar fear that China is taking advantage of its wealth of natural resources, so the country is looking for other partners to help build its nascent economy.

Even as Obama turned his sights on Asia, widening violence in the Middle East competed for his attention.

Obama told reporters Sunday that Israel had the right to defend itself against missile attacks from Gaza. But he urged Israel not to launch a ground assault in Gaza, saying it would put Israeli soldiers, as well as Palestinian citizens, at greater risk and hamper an already vexing peace process.

As for Myanmar, as he seeks to assuage critics, Obama has trumpeted Suu Kyi's support of his outreach efforts, saying Sunday that she was "very encouraging" of his trip.

The White House says Obama will express his concern for the ongoing ethnic tensions in Myanmar's western Rakhine state, where more than 110,000 people — the vast majority of them Muslims known as Rohingya — have been displaced.

The U.N. has called the Rohingya — who are widely reviled by the Buddhist majority in Myanmar — among the world's most persecuted people.

The president will deliver his speech at a university that was the center of the country's struggle for independence against Britain and the launching point for many pro-democracy protests. The former military junta shut the dormitories in the 1990s fearing further unrest and forced most students to attend classes on satellite campuses on the outskirts of town.

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Associated Press writer Jim Kuhnhenn contributed to this report.

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Justin Bieber dominates at American Music Awards

America proved its Bieber Fever was strong: The teen singer dominated the American Music Awards on Sunday night.

Bieber's wins included the show's top award, artist of the year. His mom joined him onstage as he collected the trophy, beating out Rihanna, Maroon 5, Katy Perry and Drake.

"I wanted to thank you for always believing in me," Bieber said, looking to his mom.

The 18-year-old also won the honor in 2010. He said it's "hard growing up with everyone watching me" and asked that people continue to believe in him.

Bieber and Nicki Minaj performed together — and separately — at the AMAs, and were both multiple winners.

But another collaboration was the night's most colorful performance: Korean rapper PSY and MC Hammer. Hammer joined the buzzed-about pop star for his viral hit "Gangnam Style." PSY rocked traditional "Hammer" pants as they danced to his jam and to Hammer's "Too Legit to Quit."

Bieber won favorite pop/rock male artist in the first award handed out at Sunday's show and gave a shout-out to those who didn't think he would last on the music scene.

"I want to say this is for all the haters who thought I was just here for one or two years. I feel like I'm going to be here for a very long time," he said.

He also won favorite pop/rock album for his platinum-selling third album, "Believe." He gave a stripped down, acoustic performance of "As Long As You Love Me," then transitioned to the dance-heavy "Beauty and a Beat," where Minaj joined him onstage, grinding with the teen for a few seconds.

Minaj, who wore three different wigs and four outfits throughout the night, repeated her AMAs wins from last year, picking up trophies for favorite rap/hip-hop artist and album for "Pink Friday: Roman Reloaded." She was in an all-white get-up, including fur coat and pink hair when she performed her new song "Freedom." The scene was ghostly and snowy, as a choir — also in white — joined her onstage. One background singer stole the performance, belting semi-high notes as Minaj looked on.

As Bieber won his second award, he was kissed on the neck by Jenny McCarthy, who presented the award.

"Wow. I feel violated right now," he said, laughing.

"I did grab his butt," McCarthy said backstage. "I couldn't help it. He was just so delicious. So little. I wanted to tear his head off and eat it."

Bieber's red and black outfit seemed to be the night's theme, as Taylor Swift and Usher wore similar ensembles.

Usher kicked off the three-hour show with green laser lights beaming onstage as he performed a medley of songs, including "Numb," ''Climax" and "Can't Stop, Won't Stop," which featured a smoky floor and a number of backup dancers, as Usher jammed in all black, with the exception of his red shoes. He won favorite soul/R&B male artist.

Swift won her fifth consecutive award for favorite country female artist.

"This is unreal. I want to thank the fans. You guys are the ones who voted on this," she said.

Swift gave a masquerade-themed performance of the pop song "I Knew You Were Trouble." She sang onstage in a light dress while dancers wore mostly black. But then she changed into a red corset and black skirt, matching their dark mood. She even danced and sang on the floor as lights flickered throughout the performance.

Dick Clark, who created the AMAs, was remembered by Ryan Seacrest and an upbeat performance by Stevie Wonder.

"What a producer he was," said Seacrest, as Wonder sang his hits, including "My Cherie Amour."

Carly Rae Jepsen, who performed early in the night, won favorite new artist.

"I am floored. Wow," she said, thanking Bieber and his manager, Scooter Braun.

Party girl Ke$ha was glammed up on the red carpet, rocking long, flowy blonde hair and a light pink dress. She switched to her normal attire when she performed her hit single "Die Young." It was tribal, with shirtless dancers in skin-tight pants, silver hair and skeleton-painted faces, who also played the drums. Ke$ha was pants-less, rocking knee-high boots and rolling on the floor as she finished up the song.

Minaj and Christina Aguilera were blonde bombshells, too: Minaj's hair was busy and full of volume and she sported a neon strapless gown to accept her first award. Aguilera wore a blonde bob in a purple dress that matched her eyeshadow.

Aguilera performed a medley of material from her new album and joined Pitbull onstage.

Kelly Clarkson also hit the stage, making a nod to her "American Idol" roots with a number on her dress and three judges looking on as she sang "Miss Independent." Then she went into "Since U Been Gone," ''Stronger" and "Catch My Breath." It's worth noting that "Idol" judge Randy Jackson introduced Clarkson, the first-ever winner of the show. He also advised people to donate through Red Cross for Superstorm Sandy victims.

Fellow "Idol" winner Carrie Underwood won best favorite country album and performed, hitting the right notes while singing "Two Black Cadillacs." She talked about singing competition shows backstage.

"These people that go on these shows are so talented, you know? And I would love to see if so many of the other artists that are out there today would go back and try out for these shows, because they might get their behinds kicked by some of the contestants," she said.

Luke Bryan won favorite country male artist and Lady Antebellum favorite country group.

American Music Awards nominees were selected based on sales and airplay, and fans chose the winners by voting online. At this award show, even the stars were fans: Pink said on the red carpet that she'd like to collaborate with Lauryn Hill. Cyndi Lauper said her musical playlist includes Pink and Minaj. Boy band The Wanted said they were excited to see PSY and Colbie Caillat wanted to watch No Doubt.

"What makes the American Music Awards special is the fans choose the winning artists," said Chester Bennington of Linkin Park, who won favorite alternative rock artist and performed "Burn It Down," as Brandy sang along and Gwen Stefani, Usher and Phillip Phillips bobbed their heads.

David Guetta won the show's first-ever electronic dance music award. Non-televised awards went to Katy Perry for pop/rock female artist, Beyonce for soul/R&B female artist, Adele for adult contemporary artist and Shakira for Latin artist.

Along with Rihanna, Minaj was the top nominee with four nominations.

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AP Entertainment Writer Sandy Cohen contributed to this report from Los Angeles.

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Follow Mesfin Fekadu on Twitter at http://twitter.com/MusicMesfin

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