Wall Street indexes slide, AT&T down

NEW YORK (Reuters) - Stocks dropped on Tuesday as investors pulled back from last week's rally on the "fiscal cliff" deal in Washington, and ahead of what is expected to be a weak earnings season.


AT&T Inc stock dropped 1.5 percent to $34.42, making it one of the biggest drags on the S&P 500, after the company said it sold more than 10 million smartphones in the quarter. This figure beat the same quarter in 2011, but also meant increased costs for the wireless service provider.


Providers like AT&T pay hefty subsidies to handset makers so that they can offer device discounts to customers who commit to two-year contracts.


After a 4.3 percent jump in the two sessions around the close of the fiscal cliff negotiations, the S&P has fallen and investors have found few catalysts to extend the rally that took the benchmark to five-year highs.


"We had a brief respite courtesy of what happened on the fiscal cliff deal and the flip of the calendar with new money coming into the market," said Bucky Hellwig, senior vice president at BB&T Wealth Management in Birmingham, Alabama.


"But now the stark reality of uncertainty with regard to earnings, plus the negotiations on the debt ceiling, are there and that doesn't give investors a lot of reason to take bets on the long side."


The Dow Jones industrial average <.dji> fell 73.68 points, or 0.55 percent, at 13,310.61. The Standard & Poor's 500 Index <.spx> dropped 7.31 points, or 0.50 percent, at 1,454.58. The Nasdaq Composite Index <.ixic> lost 12.53 points, or 0.40 percent, at 3,086.29.


Fourth quarter profits are expected to beat the previous quarter's lackluster results, but analyst estimates are down sharply from October. Quarterly earnings are expected to grow by 2.7 percent, according to Thomson Reuters data.


With AT&T's fall, the S&P telecom services index <.gspl> was the worst performer of the 10 major S&P sectors, down 2.6 percent.


Sears Holdings shares dropped nearly 5 percent to $40.79 a day after the company said Chairman Edward Lampert would take over as CEO from Louis D'Ambrosio, who is stepping down due to a family member's health issue. The U.S. retailer also reported a 1.8 percent decline in quarter-to-date sales at stores open at least a year.


Markets went lower as some of the first reported earnings were weak.


"It doesn't seem to be bouncing back, it might stay here or sell off a little further," said Stephen Carl, head of U.S. equity trading at The Williams Capital Group in New York.


Shares of restaurant-chain operator Yum Brands Inc fell 4.2 percent to $65.03 a day after the KFC parent warned sales in China, its largest market, shrank more than expected in the fourth quarter.


GameStop was one of the worst performers on the S&P 500 as shares slumped 5.4 percent to $23.41 after the video game retailer reported low customer traffic for the holiday season and cut its guidance.


Shares of Monsanto Co gained 2.5 percent to $98.40 after reaching a more than four-year high at $99.99. The world's largest seed company raised its earnings outlook for fiscal year 2013 and posted strong first-quarter results.


Education provider Apollo Group and Dow component Alcoa Inc , the largest U.S. aluminum producer, round out the start of earnings season after the closing bell.


(Reporting by Gabriel Debenedetti; Editing by Kenneth Barry and Nick Zieminski)



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Insight: Aleppo misery eats at Syrian rebel support


ALEPPO, Syria (Reuters) - At a crowded market stall in Syria, a middle-aged couple, well dressed, shuffle over to press a folded note, furtively, into the hand of a foreign reporter.


It is the kind of silent cry for help against a reign of fear that has been familiar to journalists visiting Syria over the past two years. Only this is not the Damascus of President Bashar al-Assad but rebel-held Aleppo; the note laments misrule under the revolution and hopes Assad can defeat its "terrorism".


"We used to live in peace and security until this malicious revolution reached us and the Free Syrian Army started taking bread by force," the unidentified couple wrote. "We ask God to help the regime fight the Free Syrian Army and terrorism - we are with the sovereignty of President Bashar al-Assad forever."


While they might not be all they seemed - agents of Assad's beleaguered security apparatus want to blacken the rebels' name - their sentiments are far from rare in Aleppo, Syria's biggest city and once vibrant hub of trade and industry, whose diverse urban communities now face hardship and chaos at the hands of motley bands of fighters recruited from surrounding rural areas.


As government forces fight on in parts of Aleppo, in large areas that have been under rebel control for six months or more complaints are getting louder about indiscipline among the fighters, looting and a general lack of security and necessities like running water, bread and electricity in districts that have been pounded by tanks and hit by Assad's air force.


Recognizing that mistrust, rebel units have set up command and policing structures they see forming a basis of institutions which might one day run the whole country and which, meanwhile, they hope can show Arab and Western supporters that they have the organization to handle aid in the form of money and weapons.


For those who fear the worst for Syria now that the revolt has unleashed long suppressed ethnic and sectarian rivalries, however, evidence in Aleppo that these new institutions have had little practical impact on often rival rebel groups is ominous.


And all the while relations grow testier between the rebels and Aleppines, for whom many fighters harbor some disdain after the urbanites' failed to rise up on their own against Assad.


"PARASITES"


Rebel commanders interviewed in and around Aleppo in the past two weeks acknowledged problems within the FSA - an army in name only, made up of brigades competing for recognition and resources. But they laid much of the blame on "bad apples" and opportunists and said steps are being taken to put things right.


"There has been a lot of corruption in the Free Syrian Army's battalions - stealing, oppressing the people - because there are parasites that have entered the Free Syrian Army," said Abu Ahmed, an engineer who heads a 35-man unit of the Tawheed Brigade, reckoned to be the largest in Aleppo province.


Abu Ahmed, who comes from a small town on the Turkish border and like many in Syria would be identified only by the familiar form of his name, estimated that most people in Aleppo, a city of over two million, were lukewarm at best to a 21-month-old uprising that is dominated by the Sunni Muslim rural poor.


"They don't have a revolutionary mindset," he said, putting support for Assad at 70 percent among an urban population that includes many ethnic Kurds, Christians and members of Assad's Alawite minority. But he also acknowledged that looting and other abuses had cost the incoming rebels much initial goodwill.


"The Free Syrian Army has lost its popular support," said Abu Ahmed, who said the Tawheed Brigade was now diversifying from fighting to talking on civic roles, including efforts to restore electricity supplies and deal with bread shortages. His own wife was setting up a school after months without classes.


Hunger and insecurity are key themes wherever Aleppines gather this winter. Outside a busy bakery in one rebel-held neighborhood men complained of having to stand in line for hours in the hope of bread, and of feeling the need to arm themselves for their own protection on the streets of the city.


Schools are being stripped of desks and chairs for firewood.


LOOTING


Lieutenant Mohammed Tlas, like many FSA officers, defected from Assad's army. He now commands the 500 men of the Suqoor al-Shahbaa Brigade and put civilian complaints down to "bad seeds" who can label themselves as FSA fighters without any vetting.


"There are some brigades that loot from the people, and they are fundamentally bad seeds," he said, chain-smoking in a green army sweater as he sat at his desk in a spartan office. "Anyone can carry a rifle and do whatever he wants."


But concern about fighting other anti-Assad units holds Abu Golan back from trying to contain abuses, for now: "Are we going to be fighting Bashar and them?" Tlas asked of untrustworthy new fighters. "There's a lot of that in Aleppo ... We cannot reject them. It's not the time for that. Those are the bad seeds."


Many rebel commanders have a low opinion of their fellows. Abu Marwan, a uniformed young air force pilot leading a long siege of a government air base, described another rebel leader as running his brigade as a personal fiefdom, ignoring any semblance of military hierarchy by promoting his favorites.


"It was like the regime all over again, wanting only their own family or sect to rule," he told Reuters as a walkie-talkie cackled nearby. "After the regime falls, we still have a long battle just to clean up the revolutionaries.


"There are a lot of parasites."


REBEL POLICE


Some rebels in Aleppo have formed what they call a military police force to try to stop abuses. Headed by another defector, Brigadier-General Zaki Ali Louli, it is funded by the Tawheed and Mohamed Sultan Fateh brigades, Louli said, and aims to coordinate with others. He declined to say how many men he had.


"We're in the final stage of the revolution and the tyrant Assad regime is fading," he said in a sprawling police building where rebels in army fatigues worked in offices. "We have set up institutions that in the future will become the administration," he added of his hopes for a post-Assad role for his unit.


"In each regiment, there's a police officer whose responsibility is to observe the revolutionaries and tell us about all their observations within that regiment," he said, as he stamped paperwork. They pay particularly close attention to those who join up "on the pretence that they are fighters".


Sometimes, Louli said, "through observing them it becomes obvious to us that they are anomalous". On the alert for agents of Assad, the rebels' military police is quick to remove those it does not trust, and also vets new defectors from the army.


A sister institution deals with complaints from Aleppo civilians, said Louli, adding that he was in talks to spread that organizational model nationwide.


Such hopes for national structures reflect similar moves in the overall command of the opposition movement. After a National Coalition was formed abroad in November with Arab and Western backing, an Islamist-dominated military command was set up last month to oversee operations against Assad's forces inside Syria.


Accounts differ on how effective the new structure is but rebel leaders say there is a clearer chain of command than before, and rebel groups are more aware of who is in charge of which sectors within Aleppo and the surrounding countryside.


Lieutenant Tlas, whose Suqoor, or Falcons, brigade has been in the thick of fighting in the city, says the rebel forces now have a combined operations room and hold weekly meetings for all brigades, as well as daily gatherings of frontline commanders.


"STONE AGE"


"Basically a ministry of defense has been created. A force for Syria," he said. "But this force needs weapons and money."


That is a common refrain among those fighting Assad, and reflects frustration at hesitation among Western powers in particular to aid rebel groups whose wider goals are unclear.


The United States has branded one rebel force a "terrorist" organization, accusing it of links to al Qaeda. Most Islamist fighters - including Tlas, who sits beside a black flag bearing a religious slogan - have declared loyalty to the Western-backed National Coalition. But allies in the West remain suspicious.


While there are arms coming in from abroad, most rebels complain of a lack of weapons and a chronic shortage of ammunition, which has hampered their advance on several fronts.


Tlas said he been told that only a few thousand bullets had reached rebel forces in Aleppo province in one month and sources of revenue were drying up. In desperation, some leaders have sought out wealthy Gulf Arabs to fund their revolt.


One Kuwaiti businessman met Tlas: "He came on a tour, we showed him the different fronts, immersed him in the atmosphere of a war zone and even let him fire a rifle," he said. "He left here really happy. I thought ... he would solve everything.


"And we never heard back from him. Maybe he got scared of the rifle. That was about a month and a half ago."


As the war grinds on, and despite efforts by some commanders to create a semblance of order, some Aleppines are growing impatient with the Free Syrian Army: "We don't care about the regime," said 48-year-old Abu Majid, who worked in one of Aleppo's many textile factories. "We need peace and security."


Sitting on a plastic chair in the middle of a busy market on Thirtieth Street, Abu Majid held the rebels responsible for desperate conditions in the city: "We've gone back to the Stone Age. The Free Syrian Army must get an organized leadership.


"At the beginning people rallied behind them; now they're alienated from the rebels."


Tlas, who comes from central Syria, and other rebel commanders in the northern city bristle at such complaints, saying their men, too, are short of bread and power.


Of Aleppo's civilians, Tlas said: "They think the Free Syrian Army owns everything or that it can substitute a state."


While many people in Aleppo still say they, too, want rid of Assad, the rebels' inability to bring order or to improve the miserable conditions of the city, an ancient jewel of the Arab world now ravaged by 21st-century war, is losing them support.


"The Free Syrian Army's brand has mostly been tarnished," said Abu Marwan, the pilot.


"After it gained an international reputation for being an army that is fighting for the Syrian people, for Syria, all this stuff, these people, has diminished the value of the Free Army."


(Editing by Dominic Evans and Alastair Macdonald)



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Sony unveils Xperia Z Android phone with full HD display









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Carrie Underwood Tweets Support for Husband Mike Fisher After NHL Lockout Ends















01/07/2013 at 03:00 PM EST







Mike Fisher and Carrie Underwood


Steve Marcus/Landov


Most hockey fans are thrilled the 113-day NHL lockout is over.

Carrie Underwood? Not so much.

Although Underwood – who has been married to professional hockey player Mike Fisher since 2010 – was quick to celebrate her husband's return to the ice, she couldn't help but joke about it.

"Well, folks, hockey is back!" she Tweeted on Sunday. "I just lost my purse holder but gained cheering on my hot husband as he kicks butt! #GoPreds."

While supportive of Fisher's career, the lighthearted Underwood, 29, is anything but quiet when it comes to voicing her opinion on what comes with being married to a hockey player.

Last April, when Fisher, 32, and his Nashville Predators – he was traded from the Ottawa Senators in February of 2011 – made it to the NHL playoffs, Underwood was thrilled for her husband's success, but not for his impending playoff beard.

"[The players] all grow out their facial hair during the playoffs," she told PEOPLE last year. "So before they started, I told Mike, 'You need to shave close.' He always looks good with a little stubble, but it's probably going to get out of hand soon."

It will come even sooner this season as Fisher points out on his site: "It's nice to finally be able to put this behind us and we can finally start thinking about hockey again ... It's going to go by really quickly, and before you know it the playoffs will be starting."

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Organ donations fall in Germany after scandal


BERLIN (AP) — Organ donations have dropped sharply in Germany following a scandal over alleged corruption at several transplant clinics.


The German Foundation for Organ Transplantation says the number of organs donated fell almost 13 percent to 3,917 last year, the lowest figure in a decade.


Several German clinics are being investigated over allegations that doctors manipulated waiting lists to help some patients appear sicker than they were and so receive transplants sooner.


The foundation said Monday that the scandal had "massively shaken" the public's faith in the transplant system.


Some 12,000 people in Germany require organ transplants each year.


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Wall Street retreats from five-year high as focus shifts to earnings

NEW YORK (Reuters) - Stocks fell on Monday as investors cashed in recent gains that lifted the S&P 500 to a five-year high and awaited the start of the fourth-quarter earnings season.


The day's decline was broad across all sectors, but energy and utilities were the top decliners. The S&P 500 energy sector index <.gspe> fell 1 percent and the utilities sector <.gspu> was off 1.2 percent.


Another sector in focus was the financials. Financial stocks fell after a group of major U.S. banks agreed to pay billions in settlement with U.S. regulators.


The KBW bank index <.bkx>, a gauge of U.S. bank stocks, was down 0.7 percent.


Earnings are expected to be only slightly better than the third-quarter's lackluster results, and analysts' current estimates are down sharply from where they were in October.


"There is little doubt that concerns about the fiscal cliff created spending hesitancy in both consumers and businesses in the fourth quarter, and it is likely that will adversely impact earnings season," margins are choppy and cost cuts have run their course, said Randy Frederick, managing director of active trading and derivatives at Charles Schwab.


Aluminum company Alcoa Inc will unofficially launch the reporting season by announcing its results after Tuesday's market close. Alcoa shares were down 1 percent at $9.17.


The Dow Jones industrial average <.dji> was down 76.03 points, or 0.57 percent, at 13,359.18. The Standard & Poor's 500 Index <.spx> was down 8.40 points, or 0.57 percent, at 1,458.07. The Nasdaq Composite Index <.ixic> was down 11.89 points, or 0.38 percent, at 3,089.77.


The day's decline came a session after the S&P 500 finished at a five-year high and investors booked profits on stocks' best weekly gain in more than a year, boosted by a budget deal and economic data. The S&P 500 rose 4.6 percent last week.


Ten mortgage servicers - including Bank of America , Citigroup , JPMorgan , and Wells Fargo - agreed on Monday to pay $8.5 billion to end a case-by-case review of foreclosures required by U.S. regulators.


Bank of America also announced roughly $11.6 billion of settlements with mortgage finance company Fannie Mae and a $1.8 billion sale of collection rights on home loans.


The bank also entered into agreements with Nationstar Mortgage Holdings and Walter Investment Management to sell about $306 billion of residential mortgage servicing rights.


"The settlements may remove any overhang for the stock in the near term, but it only partially satisfies the issue," said Tim Ghriskey, chief investment officer of Solaris Asset Management.


Bank of America shares were down 0.7 percent at $12.02 while Nationstar Mortgage Holdings jumped 12.7 percent to $37.44.


Citigroup shares were down 0.5 percent to $42.20. Wells Fargo shares fell 1.1 percent to $34.55.


Walt Disney Co started an internal cost-cutting review several weeks ago that may include layoffs at its studio and other units, three people with knowledge of the effort told Reuters. Disney shares fell 2.4 percent to $50.95.


Video-streaming service Netflix Inc shares gained 2.3 percent to $98.20 after it said it will carry previous seasons of some popular shows produced by Time Warner's Warner Bros Television.


Amazon.com shares hit their highest price ever at $269.22 after Morgan Stanley raised is rating on the stock. Shares were up 2.8 percent at $266.63.


Major U.S. technology companies could miss estimates for fourth-quarter earnings as budget worries likely led some corporate clients to tighten their belts last month.


(Reporting By Angela Moon; Editing by Kenneth Barry and Nick Zieminski)



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Five accused in India rape case charged in court


NEW DELHI (Reuters) - Five men accused of raping and murdering an Indian student were read the charges in a near-empty courtroom on Monday after the judge cleared out lawyers for bickering over whether the men deserved a defense.


The 23-year-old physiotherapy student died two weeks after being gang-raped and beaten on a moving bus in New Delhi, then thrown bleeding onto the street. Protests followed, along with a fierce public debate over police failure to stem rampant violence against women.


With popular anger simmering against the five men and a teenager accused in the case, most lawyers in the district where the trial will be held refuse to represent them.


Before the men arrived for a pre-trial hearing on Monday, heckling broke out in a chamber packed with jostling lawyers, journalists and members of the public after two of the lawyers, Manohar Lal Sharma and V. K. Anand, offered to defend the men.


"We are living in a modern society," declared Lal Sharma, defending his decision. "We all are educated. Every accused, including those in brutal offences like this, has the legal right ... to defend themselves."


One woman lawyer prodded V. K. Anand in the chest, saying: "I'll see how you can represent the accused."


Unable to restore order, presiding magistrate Namrita Aggarwal ordered everyone to leave except the prosecution, and set police to guard the entrance.


She said the trial would now be held behind closed doors because of the sensitivity of the case.


FACES COVERED


Reuters video images showed the men stepping out of a blue police van that brought them from Tihar jail and walking, their faces covered, through a metal detector into the South Delhi court building.


The court was across the street from the cinema where the victim watched a film before she was attacked on her way home.


Aggarwal gave the men copies of the charges, which include murder, rape and abduction, a prosecutor in the case told Reuters.


Police have conducted extensive interrogations and say they have recorded confessions, even though the men have no lawyers.


If the men, most of them from a slum neighborhood, cannot arrange a defense, the court will offer them legal aid before the trial begins.


Two of them, Vinay Sharma and Pawan Gupta, have offered to give evidence against the others - Mukesh Kumar, Ram Singh and Akshay Thakura - possibly in return for a lighter sentence.


Mohan, describing what he called a heinous crime, said: "The five accused persons deserve not less than the death penalty."


The case has sharpened long-standing anger against the government and police for a perceived failure to protect women.


A male friend who was assaulted with the woman on December 16 said on Friday that passers-by left her unclothed and bleeding in the street for almost an hour and that, when police arrived, they spent a long time arguing about where to take them.


The woman lived for two weeks after her attack, dying in a Singapore hospital where she had been taken for treatment.


FAST-TRACK COURT


Aggarwal said the next hearing would be on January 10. The case is due to move later to another, fast-track court set up since the woman was attacked to help reduce a backlog of sex crime cases in Delhi.


Legal experts say the lack of representation for the five men may give grounds for appeal if they are found guilty. Convictions in similar cases have often been overturned years later.


Some legal experts have also warned that previous attempts to fast-track justice in India in some cases led to imperfect convictions that were later challenged.


The sixth member of the group alleged to have lured the student and a male friend into the private bus is under 18 and will be tried in a separate juvenile court.


The government is aiming to lower the age at which teenagers can be tried as adults, acknowledging public anger that the boy will face a maximum three-year sentence.


The victim was identified by a British newspaper at the weekend but Reuters has opted not to name her.


Indian law generally prohibits the identification of victims of sex crimes. The law is intended to protect victims' privacy and keep them out of the glare of media in a country where the social stigma associated with rape can be devastating.


The dead woman's father repeated on Monday that he wanted her identified and said he would be happy to release a photograph of her.


"We don't want to hide her identity. There is no reason for that. The only condition is it should not be misused," he told Reuters.


He said he was confident the trial would be quick and reiterated a call that the perpetrators be hanged.


(Writing by Frank Jack Daniel; Editing by Robert Birsel and Tom Pfeiffer)



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LG kicks off CES with 55-inch ‘ultra-HD’ TV






LAS VEGAS (AP) — LG unveiled a 55-inch TV that sports “ultrahigh-definition” resolution with four times the sharpness of regular HD television sets, kicking off what is likely to be a mini-obsession with the latest super-clear format at the annual International CES gadget show.


The model announced Monday is the smallest in a 2013 lineup that includes 65-inch and 84-inch versions. But the smaller size — and smaller price tag — begins the parade of TV makers that are seeking to bring ultrahigh definition to the masses.






Also known as “4K,” ultrahigh-definition screens are 3,840 pixels wide and 2,160 pixels tall, or more than 8 million in all. The higher resolution will let TV screens get larger without degrading picture quality, though initially the price tag will limit those sets to technology’s early adopters.


LG said the 55-inch and 65-inch versions will be available later this year in the U.S. No price was announced, but it will be less than $ 10,000. The 84-inch version that went on sale late last year cost $ 20,000.


For a few years, though, there won’t likely be a mainstream standard for getting native ultra-HD movies and TV shows to the screen either by disc or broadcast.


LG Electronics Inc. said these new TVs will have upscaling technology that takes images of lesser quality and renders them in high detail. The Korean electronics maker also said it has formed an ultra-HD content agreement with Korea’s top broadcaster, KBS, and is seeking out deals with other global content providers. The company offered no specifics.


LG said that with an ultra-HD TV, it will be possible to play phone games with very sharp resolution and in 3-D. The company said it has been possible to hook up smartphones to the TV to play games with current sets, but the resolution isn’t good.


Along with the lineup of higher-resolution TVs, LG unveiled a new Magic Remote, which acts like a wand that is sensitive to motion and is used to navigate on-screen menus. LG said the new model responds better to natural speech and can be controlled with a single finger rather than “very tiring arm gestures.” It also lets you change the channels by writing numbers in the air.


The company also touted the ability to tap different devices so they can share data. With that capability, you’d be able to see what’s inside your refrigerator while shopping, and you’d be able to monitor how clean your house is getting with cameras on a robotic vacuum. Washing machines will also have such capabilities.


Gadgets News Headlines – Yahoo! News





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Bradley Cooper's Fans Sing 'Happy Birthday' in Palm Springs















01/06/2013 at 03:00 PM EST



Bradley Cooper didn't necessarily have the wildest of birthday celebrations, but his special day certainly didn't go unnoticed.

The Silver Linings Playbook star, who turned 38 on Saturday, was greeted by a slew of screaming fans when he arrived on the red carpet at the 24th Annual Palm Springs International Film Festival Awards Gala in Palm Springs, Calif.

"Bradley started interacting with his fans and then they broke out into song, chanting 'Happy birthday to you,'" an onlooker tells PEOPLE.

Running late into the event because of the fan holdup, Cooper whisked by many of the reporters, and when asked about his birthday plans, answered with a smile, "I'm here!"

But the birthday surprises didn't end there.

After being honored with a Desert Palm Achievement Award presented by Playbook director David O. Russell, PEOPLE's former Sexiest Man Alive was given a shoutout by event host Mary Hart, who insisted the entire room sing "Happy Birthday" to the actor.

"It seemed very unexpected," the onlooker adds. "He seemed a little shy and embarrassed by it, but while managing to smile still."

– Dahvi Shira


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Your medical chart could include exercise minutes


CHICAGO (AP) — Roll up a sleeve for the blood pressure cuff. Stick out a wrist for the pulse-taking. Lift your tongue for the thermometer. Report how many minutes you are active or getting exercise.


Wait, what?


If the last item isn't part of the usual drill at your doctor's office, a movement is afoot to change that. One recent national survey indicated only a third of Americans said their doctors asked about or prescribed physical activity.


Kaiser Permanente, one of the nation's largest nonprofit health insurance plans, made a big push a few years ago to get its southern California doctors to ask patients about exercise. Since then, Kaiser has expanded the program across California and to several other states. Now almost 9 million patients are asked at every visit, and some other medical systems are doing it, too.


Here's how it works: During any routine check of vital signs, a nurse or medical assistant asks how many days a week the patient exercises and for how long. The number of minutes per week is posted along with other vitals at the top the medical chart. So it's among the first things the doctor sees.


"All we ask our physicians to do is to make a comment on it, like, 'Hey, good job,' or 'I noticed today that your blood pressure is too high and you're not doing any exercise. There's a connection there. We really need to start you walking 30 minutes a day,'" said Dr. Robert Sallis, a Kaiser family doctor. He hatched the vital sign idea as part of a larger initiative by doctors groups.


He said Kaiser doctors generally prescribe exercise first, instead of medication, and for many patients who follow through that's often all it takes.


It's a challenge to make progress. A study looking at the first year of Kaiser's effort showed more than a third of patients said they never exercise.


Sallis said some patients may not be aware that research shows physical inactivity is riskier than high blood pressure, obesity and other health risks people know they should avoid. As recently as November a government-led study concluded that people who routinely exercise live longer than others, even if they're overweight.


Zendi Solano, who works for Kaiser as a research assistant in Pasadena, Calif., says she always knew exercise was a good thing. But until about a year ago, when her Kaiser doctor started routinely measuring it, she "really didn't take it seriously."


She was obese, and in a family of diabetics, had elevated blood sugar. She sometimes did push-ups and other strength training but not anything very sustained or strenuous.


Solano, 34, decided to take up running and after a couple of months she was doing three miles. Then she began training for a half marathon — and ran that 13-mile race in May in less than three hours. She formed a running club with co-workers and now runs several miles a week. She also started eating smaller portions and buying more fruits and vegetables.


She is still overweight but has lost 30 pounds and her blood sugar is normal.


Her doctor praised the improvement at her last physical in June and Solano says the routine exercise checks are "a great reminder."


Kaiser began the program about three years ago after 2008 government guidelines recommended at least 2 1/2 hours of moderately vigorous exercise each week. That includes brisk walking, cycling, lawn-mowing — anything that gets you breathing a little harder than normal for at least 10 minutes at a time.


A recently published study of nearly 2 million people in Kaiser's southern California network found that less than a third met physical activity guidelines during the program's first year ending in March 2011. That's worse than results from national studies. But promoters of the vital signs effort think Kaiser's numbers are more realistic because people are more likely to tell their own doctors the truth.


Dr. Elizabeth Joy of Salt Lake City has created a nearly identical program and she expects 300 physicians in her Intermountain Healthcare network to be involved early this year.


"There are some real opportunities there to kind of shift patients' expectations about the value of physical activity on health," Joy said.


NorthShore University HealthSystem in Chicago's northern suburbs plans to start an exercise vital sign program this month, eventually involving about 200 primary care doctors.


Dr. Carrie Jaworski, a NorthShore family and sports medicine specialist, already asks patients about exercise. She said some of her diabetic patients have been able to cut back on their medicines after getting active.


Dr. William Dietz, an obesity expert who retired last year from the Centers for Disease Control and Prevention, said measuring a patient's exercise regardless of method is essential, but that "naming it as a vital sign kind of elevates it."


Figuring out how to get people to be more active is the important next step, he said, and could have a big effect in reducing medical costs.


___


Online:


Exercise: http://1.usa.gov/b6AkMa


___


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


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