CERN becomes first pure physics voice in UN chorus

Lisa Grossman, physical sciences reporter

(Image: UN Photo/Paulo Filgueiras)

If CERN observes the proceedings of the United Nations, will it change the outcome?

The international particle physics laboratory, based near Geneva, Switzerland, has been granted observer status in the General Assembly of the United Nations, CERN officials announced today. 

The lab joins environmental groups and public health agencies as the first physical sciences research organization in the ranks of UN observers. Observer status grants the right to speak at meetings, participate in procedural votes, and sign and sponsor resolutions, but not to vote on resolutions.

In some ways, CERN's addition seems a natural move - and a long time coming.

The facility was founded in 1954 under the auspices of the United Nations Educational, Scientific and Cultural Organisation (UNESCO). Its initial mission was to provide collaborative projects for researchers from Allied countries and former Axis countries after the second World War.

Arguably the lab's most high-profile project, the Large Hadron Collider, made headlines worldwide this year when it revealed detection of a new particle that appears to be the elusive Higgs boson.

"Through its projects, which bring together scientists from all over the world, CERN also promotes dialogue between nations and has become a model for international cooperation," CERN states in a press release. The lab says it may use its new status with the UN to help shore up scientific education and technological capabilities in developing countries, particularly in Africa.

But just as observing a quantum particle can change its state, can CERN's involvement truly collapse the UN's wavefunction and trigger better global science and technology policies? Only time will tell.

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Hundreds hold vigil after US school massacre

NEWTOWN, Connecticut: Hundreds of people attended a mass Friday night at a church in Newtown, Connecticut, paying tribute to the victims of the elementary school massacre that left at least 27 dead.

The church was so packed that dozens of people crowded outside the St. Rose of Lima Catholic church -- just a mile from the Sandy Hook elementary school where the tragedy took place.

"This is a kind of community, when things like that happen, they really pull together," Monsignor Robert Weiss said as he closed the special service he convened after hearing news of the slaughter.

"As so many people don't have extended family, friends become very important. And you see evidence of that tonight," he added.

As Weiss spoke, many outside the church stood in silence, still in shock over the attack by the heavily armed young gunman who killed 26 people, including 20 small children, before dying.

Some lit candles and others joined hands in a large circle and sang Christmas songs.

David Connors, father of triplets, all of whom were at the school during the shooting, brought his children to the Mass.

"It's hard. I've never imagined a thing like that could happen here," he told AFP, though he said the children, two boys and a girl, were doing well.

When the gunshots began, they "heard noises. But they were in a separate part of the building" and were evacuated to a fire station near the school, he explained.

For Ray Horvath, a retiree who volunteers at the Connecticut Department of Education in Newtown, the mass was comforting, even though he is not religious.

"It's nice to see the concern of all these people," he said, fighting tears.

"I wish I was a person of faith because it would sustain me, but I don't have it."

- AFP/lp

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Pearlman: I think Bobby Petrino is slime

Bobby Petrino was named head coach at Western Kentucky, months after being embroiled in scandal at University of Arkansas

STORY HIGHLIGHTS

• Bobby Petrino was named the new football coach at Western Kentucky this week


• Hiring came just months after he was fired from Arkansas amid scandal


• Jeff Pearlman says, sadly, this is no surprise in big-time college sports


• He says the vast majority of players are ultimately hurt by the behavior of coaches and administrators

Editor's note: Jeff Pearlman is the author of 'Sweetness: The Enigmatic Life of Walter Payton.' He blogs at jeffpearlman.com. Follow him on Twitter.

(CNN) -- I have a dog named Norma.

She is a small beige cockapoo who barks at the mailman.

I would not trust Bobby Petrino to watch her.

Jeff Pearlman

I also would not trust Bobby Petrino to take my car in for a tire change. I would not trust Bobby Petrino to deposit my Aunt Ruth's Social Security check. I wouldn't trust him to clean my bowling ball, shop for a Christmas ham, change a twenty for two tens, tell me the time or recite the proper lyrics to Blind Melon's "No Rain."

This is not because I am a particularly untrusting person.

No, it's because I think Bobby Petrino is slime.

In case you missed the news, two days ago Western Kentucky University held a press conference to announce that Petrino, undeniably one of the nation's elite football minds, had agreed to a four-year, $850,000 per year deal to take over the Hilltoppers.

With nearly 400 giddy sports fanatics in attendance, Petrino, standing alongside Todd Stewart, the school's athletic director, spoke of honor and loyalty and love and redemption. The ensuing press release, issued by Western Kentucky's sports information department, was straight out of Disney: 101. It made Petrino sound like a cross between Vince Lombardi, Martin Luther King and Gandhi; God's gift to young men seeking to better themselves.

Petrino fired as Arkansas head football coach

What it failed to mention—and what the school desperately wants everyone to fail to mention—is that Petrino may well be the least ethically whole man in the, ahem, ethically whole-deprived world of Division I collegiate sports.

Why, it was only seven months ago that Petrino, at the time the University of Arkansas' head coach, was riding his motorcycle when he crashed along Highway 16 near Crosses, Arkansas.

When asked by school officials to explain what had happened, he failed to mention that, eh, also on the bike was Jessica Dorrell, a 26-year-old former Razorbacks volleyball player who worked as the student-athlete development coordinator for the football program. It turned out that Petrino, a married father of four, was not only having an affair with Dorrell (who was engaged at the time), but was a key voice on the board that hired her for the position when she wasn't even remotely qualified.

During an ensuing university investigation, it was determined that Petrino made a previously undisclosed $20,000 cash gift to Dorrell as a Christmas present.

Ho, ho, ho.

To his credit, Jeff Long, the school's athletic director, defied the wishes of every pigskin-blinded Razorback fan and fired Petrino. In a statement, he rightly wrote that, "all of these facts, individually and collectively, are clearly contrary to character and responsibilities of the person occupying the position of the Head Football Coach—an individual who should serve as a role model and a leader for our student-athlete."

Now, ethics and morals and character be damned, Bobby Petrino has returned, spewing off nonsense about second chances (Ever notice how garbage men and bus drivers rarely get the second chances we are all—according to fallen athletic figures—rightly afforded as Americans?) and learning from mistakes and making things right.

Western Kentucky, a school with mediocre athletics and apparently, sub-mediocre standards, has turned to a person who lied to his last employer about the nature of an accident involving the mistress he allegedly hired to a university position she was unqualified to hold. Please, if you must, take a second to read that again. And again. And again.

Bobby Petrino, holder of a Ph.D. in the Deceptive Arts (he also ditched the University of Louisville shortly after signing a long-term extension in 2007, and quit as coach of the Atlanta Falcons 13 game into his first season later that year. He informed his players via a note atop their lockers), will be the one charged with teaching the 17- and 18-year-old boys who decide to come to Bowling Green about not merely football, but life. He will be their guide. Their compass. Their role model.

Bobby Petrino and social media prove a bad mix

Sadly, in the world of Division I sports, such is far from surprising. This has been a year unlike any other; one where the virtues of greed and the color of green don't merely cloak big-time college athletics, but control them. In case you haven't noticed, we are in the midst of a dizzying, nauseating game of Conference Jump, where colleges and universities—once determined to maintain geographic rivals in order to limit student travel—have lost their collective minds.

The University of Maryland, a charter member of the ACC, is headed for the Big Ten. The Big East—formerly a power conference featuring the likes of Syracuse, Georgetown, St. John's and Connecticut—has added Boise State, San Diego State, Memphis, Houston, Southern Methodist and Navy. Idaho moved from the WAC to the Big Sky, Middle Tennessee State and Florida Atlantic went to Conference USA, the University of Denver—a member of the WAC for approximately 27 minutes—joined the Summit League. Which, to be honest, I didn't even know existed.

Rest assured, none of these moves (literally, nary a one) were conducted with the best interests of so-called student-athletes in mind. New conferences tend to offer increased payouts, increased merchandising opportunities, increased exposure and increased opportunities to build a new stadium—one with 80,000 seats, 100 luxury boxes, $20 million naming rights, $9 hot dogs and the perfect spot for ESPN to broadcast its Home Depot pregame show.

Why, within 24 hours of quarterback Johnny Manziel winning the Heisman Trophy, Texas A&M was hawking Heisman T-shirts for $24 on its website (Or, for a mere $54.98, one can purchase his No. 2 jersey).

Percentage of the dough that winds up in Manziel's pocket? Zero.

After another spectacular exit, Petrino eyes football return

That, really, is the rub of it all; of Petrino's crabgrass-like revival; of coaches bounding from one job for another (even as players can only do so after sitting out a year); of Rutgers moving west and San Diego State moving east and athletic department officials moving on up (to a penthouse apartment in the sky); of $54.98 jerseys.

It's the athletes ultimately getting screwed.

Sure, for the 0.5% of Division I football players who wind up in the NFL, the deal is a sweet one. The other 99.5%, however, are mere pawns, sold a dizzying narrative of glory and fame and lifelong achievement, but, more often than not, left uneducated, unfulfilled and physically battered.

They are told a coach will be with them for four years—then watch as said figure takes a $2 million gig elsewhere but, hey, only because it was right for him and his family.

They are told they will receive a great education, then find themselves stuck on a six-hour flight from California to Newark, New Jersey. They are told that these will be the greatest years of their life, that the college experience is a special one, that only the highest of standards exist.

Then they meet their new coach: Bobby Petrino.

Follow @CNNOpinion on Twitter

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The opinions expressed in this commentary are solely those of Jeff Pearlman.

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Hundreds pack Conn. church for vigil after rampage

Updated 11:39 PM ET

NEWTOWN, Conn. Twenty-six candles — one for each of the victims — flickered on the altar Friday as hundreds of grief-stricken residents gathered for a vigil in memory of the children and staff killed in a shooting rampage at a school in this Connecticut town.

With the church filled to capacity, hundreds spilled outside, holding hands in circles in the cold night air and saying prayers. Others sang "Silent Night" or huddled near the windows of St. Rose of Lima Roman Catholic church.

"Many of us today and in the coming days will rely on what we have been taught and what we believe, that there is faith for a reason," Gov. Dannel P. Malloy said at the vigil Mass.

The residents were gathered to mourn those whose lives were lost when a 20-year-old man killed his mother at their home, then descended on Sandy Hook Elementary School, opening fire as youngsters cowered in fear amid the sounds of gunshots and screams. Twenty children were among the 26 dead at the school.

The shooter, Adam Lanza, armed with at least two handguns, committed suicide, authorities said.

Even though there were 26 candles on the altar, Monsignor Robert Weiss said it was important to remember everyone who died, including Lanza and his mother.

"Ours is not to judge or to question," he told reporters after the service. "But we are really holding in our hearts especially the children and the staff of the school."

"These 20 children were just beautiful, beautiful children," Weiss said. "These 20 children lit up this community better than all these Christmas lights we have. ... There are a lot brighter stars up there tonight because of these kids."

Weiss said he spent much of the day trying to console those who had lost a child or other family member, adding that he had no answers for their questions of how something so horrible could happen.

But through their sorrow, some parents found solace in remembering their loved ones, he said. One father whose son was killed recalled how his boy had made his first soccer goal this year.

Some parents said they struggled with mixed emotions after their own children survived the massacre that took so many young lives.

After receiving word of the shooting, Tracy Hoekenga said she was paralyzed with fear for her two boys, fourth-grader C.J. and second-grader Matthew.

"I couldn't breathe. It's indescribable. For a half an hour, 45 minutes, I had no idea if my kids were OK," she said.

Matthew said a teacher ordered him and other students to their cubbies, and a police officer came and told them to line up and close their eyes.

"They said there could be bad stuff. So we closed our eyes and we went out. When we opened our eyes, we saw a lot of broken glass and blood on the ground," he said.

David Connors, whose triplets attend the school, said his children were told to hide in a closet during the lockdown.

"My son said he did hear some gunshots, as many as 10," he said. "The questions are starting to come out: `Are we safe? Is the bad guy gone?"'

At the vigil, Newtown High School freshman Claudia Morris, 14, said students had gathered in the school hallways after the massacre, asking each other, "Are you all right? Are you all right?"

"No one has answers to why this happened," she said. "It just seems so unreal."

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Conn. Shooter Adam Lanza: 'Obviously Not Well'

Adam Lanza of Newtown, Connecticut was a child of the suburbs and a child of divorce who at age 20 still lived with his mother.

This morning he appears to have started his day by shooting his mother Nancy in the face, and then drove her car to nearby Sandy Hook Elementary School, armed with two handguns and a semi-automatic rifle.

There, before turning his gun on himself, he shot and killed 20 children, who President Obama later described as "beautiful little kids" between five and 10 years of age. Six adults were also killed at the school. Nancy Lanza was found dead in her home.

A relative told ABC News that Adam was "obviously not well."

Family friends in Newtown also described the young man as troubled and described Nancy as rigid. "[Adam] was not connected with the other kids," said Barbara Frey, who also said he was "a little bit different ... Kind of repressed."

State and federal authorities believe his mother may have once worked at the elementary school where Adam went on his deadly rampage, although she was not a teacher, according to relatives, perhaps a volunteer.

Nancy and her husband Peter, Adam's father, divorced in 2009. When they first filed for divorce in 2008, a judge ordered that they participate in a "parenting education program."

Peter Lanza, who drove to northern New Jersey to talk to police and the FBI, is a vice president at GE Capital and had been a partner at global accounting giant Ernst & Young.

Adam's older brother Ryan Lanza, 24, has worked at Ernst & Young for four years, apparently following in his father's footsteps and carving out a solid niche in the tax practice. He too was interviewed by the FBI. Neither he nor his father is under any suspicion.

"[Ryan] is a tax guy and he is clean as a whistle," a source familiar with his work said.

Police had initially identified Ryan as the killer. Ryan sent out a series of Facebook posts saying it wasn't him and that he was at work all day. Video records as well as card swipes at Ernst & Young verified his statement that he had been at the office.

Two federal sources told ABC News that identification belonging to Ryan Lanza was found at the scene of the mass shooting. They say that identification may have led to the confusion by authorities during the first hours after the shooting. Neither Adam nor Ryan has any known criminal history.

A Sig Sauer handgun and a Glock handgun were used in the slaying and .223 shell casings – a round used in a semi-automatic military-style rifle -- were also found at the scene. Nancy Lanza had numerous weapons registered to her, including a Glock and a Sig Sauer. She also owned a Bushmaster rifle -- a semi-automatic carbine chambered for a .223 caliber round. However, federal authorities cannot confirm that the handguns or the rifle were the weapons recovered at the school.

Numerous relatives of the Lanzas in New Jersey, Connecticut, Massachusetts, as well as multiple friends, are being interviewed by the FBI in an effort to put together a better picture of the gunman and any explanation for today's tragedy.

"I think the most important thing to point out with this kind of individual is that he did not snap this morning and decide to act out violently," said former FBI profiler Mary Ellen O'Toole. "These acts involve planning and thoughtfulness and strategizing in order to put the plan together so what may appear to be snap behavior is not that at all."

With reporting by Pierre Thomas, Jim Avila, Santina Leuci, Aaron Katersky, Matthew Mosk, Jason Ryan and Jay Shaylor

MORE: 27 Dead, Mostly Children, at Connecticut Elementary School Shooting

LIVE UPDATES: Newton, Conn. School Shooting

Click Here for the Blotter Homepage.

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Today on New Scientist: 13 December 2012

Violent beauty at the end of an Alaskan glacier

You can almost hear the crash of ice on water in this stunning image of an ice sheet calving off the Chenega glacier in Alaska

Overeating now bigger global problem than lack of food

The most comprehensive disease report ever produced confirms that, for the first time, there is a larger health problem from people eating too much than too little

In search of the world's oldest cave etching

Strange markings on the walls of a cave in Australia's vast Nullarbor Plain could have been a tactile code for ancient Aboriginal flint miners

Higgs boson having an identity crisis

Six months on from its announcement, the mass and decay rates of the particle thought to be the Higgs boson are proving hard to pin down

Go forth and print: 3D objects you can print yourself

We pick our favourite objects to 3D-print, including a mathematical cookie cutter, a wormhole and a New Scientist holiday tree ornament inspired by fractals

Laser drills could relight geothermal energy dreams

High-powered lasers that can drill through igneous rocks may make reaching oil and geothermal sources much easier

Robots should be cleaning your home

Tech investor Dmitri Grishin explains why the time is right for sleek, versatile robots that will be our everyday helpers rather than factory equipment

Welcome to the personal drone revolution

Sophisticated, affordable drones could soon be so commonplace that they will become our personal servants, says Michael Brooks

Finding dangerous asteroids, before they find us

Near-Earth Objects: Finding them before they find us by Donald Yeomans is a fascinating tour guide of the asteroids we should worry about

World's loneliest bug turns up in Death Valley

A microbe that survives deep below Earth's surface without the sun's energy has reappeared, in California

Search for aliens poses game theory dilemma

The complex question of whether to risk contact with ET may be navigable with a new spin on the "prisoner's dilemma"

'Robot ecosystem' in sight as apps get a cash boost

The first company dedicated to investing in consumer robotics stakes $250,000 on robot apps

First results from James Cameron's trip to the abyss

It's not Pandora, but the Mariana trench holds life just as strange as that in James Cameron's film Avatar

UK government urged to consider relaxing drug rules

A parliamentary report calls for a fresh programme of research to monitor the effects of European drug legalisation

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China shares up over 3% on data, policy hopes

SHANGHAI: Chinese shares were up more than three per cent in afternoon trade on Friday on fresh signs of an economic recovery and hopes new policies will emerge from a key government meeting, dealers said.

The benchmark Shanghai Composite Index jumped 3.02 per cent, or 62.24 points, to 2,123.72.

British banking giant HSBC said on Friday its preliminary purchasing managers' index (PMI) hit a 14-month high of 50.9 in December, compared with a final reading of 50.5 for November.

"The PMI data confirmed that the domestic economy has turned for the better. The index was also pushed up by expectations for policies from the economic work conference," Zheshang Securities analyst Zhang Yanbing told AFP.

China is expected to hold its annual economic work conference over the weekend to lay out policies for next year, state media reported.

- AFP/xq

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NATO: Syrian regime near collapse

STORY HIGHLIGHTS

• Rights group urges rebels to abide by international accords amid report of "horrible abuses"


• Collapse of Syrian regime appears inevitable, NATO chief says


• Syria's apparent use of Scud missiles is "reckless," Anders Fogh Rasmussen says


• Opposition group calls for rebels to protect religious, cultural sites

(CNN) -- Defeat could be near for Syria's embattled regime, NATO and Syrian ally Russia said Thursday.

"I think now it's only a question of time," NATO Secretary-General Anders Fogh Rasmussen said in Brussels, Belgium, where he and Dutch Prime Minister Mark Rutte announced the deployment of two Patriot air-defense batteries to Turkey's border with Syria.

The al-Assad government is "approaching collapse," Rasmussen said. "I urge the regime to stop violence, to realize what is the actual situation and initiate a process that leads to the accommodation of the legitimate aspirations of the Syrian people."

Russian Deputy Foreign Minister Mikhail Bogdanov offered a similar view from Moscow, noting what he said were rebel reports that victory was imminent.

"We need to look the facts in the eye," the state-run RIA Novosti news service quoted Bogdanov as saying. "Unfortunately, we can't exclude a victory by the opposition."

His comments came as opposition groups said they had seized a military base near Damascus and amid calls by the Local Coordination Committees for rebels to push for the fall of the capital.

"We all know that the battle is not going to be easy and that the regime will defend its existence by the most brutal means, as we have become accustomed to seeing," the opposition group said. "We know that the regime will spare no resources in destroying any hold it may have before its collapse, as we have witnessed in all other Syrian cities."

Diplomatic efforts to help end the 21-month conflict, which opposition activists say has claimed more than 42,000 lives, have so far failed.

A rebel victory would unleash a host of complications for the shattered country, including the need to quickly assemble a functioning government; to provide humanitarian assistance as winter approaches; and to address the status of the chemical weapons currently held by regime forces.

U.S. official: Syria uses Scud missiles against rebels

The regime has shown no signs of backing down. On Thursday, the LCC reported that 138 people had been killed by government forces, including seven children and four women. Sixty-nine of the deaths occurred in Damascus and its suburbs, it said.

Syrian state TV, citing a foreign ministry official, denied Thursday Western accusations that the government has used Scud missiles against rebels inside the country, a move analysts and world leaders have described as a dangerous escalation in President Bashar al-Assad's campaign against the rebellion.

A U.S. official said Syrian forces in Damascus loyal to al-Assad had fired at least four short-range Scud missiles from the capital into northern Syria, presumably at rebel groups.

Rasmussen said NATO also had detected launches this week.

"We can't confirm details of the missiles, but some of the information indicates they were Scud-type missiles," Rasmussen said. "The use of such indiscriminate weapons shows utter disregard for the lives of the Syrian people. It is reckless, and I strongly condemn it."

Aleppo Today TV becomes vital news source amid Syria's chaos

The predictions of defeat for al-Assad and his forces come amid rising international recognition of the Syrian opposition.

On Tuesday, President Barack Obama extended U.S. recognition to the rebel coalition. The more than 100 nations in the Friends of Syria group followed suit on Wednesday and pledged at least $110 million in humanitarian aid.

Coalition Vice President George Sabra said rebels were pleased with the gestures, but had hoped the United States would go further by naming the group not just as a legitimate representative of the Syrian people but as their sole legitimate representative.

Syrian officials belittled the declarations. Information Minister Omran al-Zoebi said the recognition was comparable to Syria recognizing "Liverpool Football Club as the sole representative of the British people while in fact it represented very little," Britain's Independent newspaper said.

As fighting subsides, Aleppo residents find little left

Also Thursday, Amnesty International urged rebel leaders to free a Ukrainian journalist accused of working with Syrian government officials and to respect international accords on human rights.

"There are increasing reports of opposition forces carrying out horrific abuses of captured government soldiers, journalists and some other civilians," Amnesty said Thursday. "The coalition must condemn these grave abuses in the strongest possible terms and do its utmost to prevent them."

The LCC called on rebels to deliver a knockout punch to the regime while protecting civilians, religious sites and the nation's cultural heritage.

It also urged rebels to preserve any documents found in offices of state security services seized by rebels in preparation for possible war crimes trials.

"These documents contain massive amounts of incriminating evidence against the regime and its symbols and will be required to hold the regime accountable, compensate victims and retain a historical record of decades of state behavior," the group said.

State Department spokeswoman Victoria Nuland said U.S. government-trained medical workers have reached an estimated 410,000 patients in Syria, performed 22,370 surgeries and had partnered with a group -- which she would not identify for security reasons -- that has set up 20 field hospitals in the country.

"I don't think any of us has a crystal ball as to exactly how this is going to go, but we do believe that the Assad regime's days are numbered," Nuland said. "The opposition in recent days and weeks has made a number of significant captures, in particular major military facility outside of Aleppo with the last Sheik Suleiman base and other important military installations."

She urged Russian officials to withdraw support for the al-Assad regime.

An afternoon with a Syrian bombmaker

CNN's Barbara Starr, Tom Watkins, Jill Dougherty, Mike Mount, Ben Brumfield and David Ariosto contributed to this report.

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Donation-based hospital rescues Afghanistan's wounded

(CBS News) KABUL - In Afghanistan, an American soldier and two Afghans were killed by a car bomb Thursday.

It happened near the U.S. airbase in Kandahar, a few hours after Defense Secretary Leon Panetta left there to meet with Afghan President Karzai.

Taliban attacks have grown more frequent, causing a sharp rise in civilian casualties. There's one place where many of those lives are saved or lost.

The non-profit trauma hospital goes by one name: Emergency. It offers free treatment to the bruised and bloodied victims of this conflict. Every patient who arrives there is a casualty of war.

Dr. Gino Strada

/

CBS News

Dr. Gino Strada is the chain-smoking Italian cardiologist who founded emergency in 1999. He told CBS News that he'll take in patients, regardless of whether they're Taliban or whatever their political affiliations may be.

"Otherwise, you're not a doctor anymore," he said, "then you're a judge."

Visit to military hospital shows extent of Syrian conflict
U.S. serviceman killed in Afghanistan just after Panetta visit
Children give graphic account of Afghan murders

Strada said he's seen a dramatic shift in the types of injuries he treats: Fewer bullet wounds and more from roadside bombs and heavy weapons.

"The weapons which are now used are much more powerful and destructive than those that were available ten or fifteen years ago," Strada said.

This year, the hospital has treated nearly two thousand patients -- an all time high. The vast majority are civilians.

Five-year-old Shayr Mohammed's wrist was fractured and his arm burned when he was hit by shrapnel.

His injuries have healed well. But not all children are so lucky.

Another young boy had picked up what he thought was a toy and it exploded in his pocket. By the time he arrived at Emergency, there was nothing the doctors could do.

"We live in a place where insurgents and police are shooting at each other all the time," his uncle said.

Strada said the fighting is coming closer to the capital and the fighting is becoming more intense.

"This is very worrying because it's very difficult to predict what's going to happen in the near future," he said.

As NATO troops prepare to pull out in 2014, there are fears that the security situation could deteriorate further and that Afghanistan's healthcare system will be overwhelmed.

A patient at the Emergency hospital in Kabul, Afghanistan.

/

CBS News

The U.S. has spent nearly a billion dollars on health care in Afghanistan the last ten years. But Strada said there is little to show for it.

"What worries me is particularly is corruption in the health sector. When you look at the amount of international aid that has come to Afghanistan for health, you would expect to find fantastic hospitals everywhere. And you don't see one," Strada said.

But there's no shortage of patients, and the war outside Emergency's walls rages on.

Donations to Emergency are accepted at the links below:

www.emergencyusa.org
www.emergency.it/en-index.html

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Health-Exchange Deadline Looms

All of the Affordable Care Act, also known as "Obamacare," doesn't go into effect until 2014, but states are required to set up their own health care exchanges or leave it to the federal government to step in by next year. The deadline for the governors' decisions is Friday.

The health insurance exchanges are one of the key stipulations of the new health care law. They will offer consumers an Internet-based marketplace for purchasing private health insurance plans.

But the president's signature health care plan has become so fraught with politics that whether governors agreed to set up the exchanges has fallen mostly along party lines.

Such partisanship is largely symbolic because if a state opts not to set up the exchange, the Department of Health and Human Services will do it for them as part of the federal program. That would not likely be well-received by Republican governors, either, but the law forces each state's chief executive to make a decision one way or the other.

Here's what it looks like in all 50 states and the District of Columbia:

20 states that have opted out -- N.J., S.C., La., Wis., Ohio, Maine, Ala., Alaska, Ariz., Ga., Pa., Kan., Neb., N.H., N.D., Okla., S.D., Tenn., Texas and Wyo.

Charles Dharapak/AP Photo

Obama Denounces Right-to-Work Laws at Visit to Auto Plant Watch Video

Washington, D.C., Gridlocked as Fiscal Cliff Approaches Watch Video

Several Republican governors have said they will not set up the exchanges, including Chris Christie (N.J.), Nikki Haley (S.C.), Bobby Jindal (La.), Scott Walker (Wis.), John Kasich (Ohio), Paul LePage (Maine), Robert Bentley (Ala.), Sean Parnell (Ark.), Jan Brewer (Ariz.), Nathan Deal (Ga.), Tom Corbett (Pa.), Sam Brownback (Kan.), Dave Heineman (Neb.), John Lynch (N.H.), Jack Dalrymple (N.D.), Mary Fallin (Okla.), Dennis Daugaard (S.D.), Bill Haslam (Tenn.), Rick Perry (Texas), and Matt Mead (Wyo.).

3 States Out, but a Little More Complicated -- Mont., Ind. and Mo.

The Montana outgoing and incoming governors are both Democrats, but the Republican state legislature rejected the Democratic state auditor's request to start setting up a state exchange. So a federal exchange will be set up in Montana as well.

The Indiana outgoing and incoming governors are both Republicans and outgoing Gov. Mitch Daniels deferred the decision to governor-elect and U.S. Rep. Mike Pence, who said his preference is not to set up a state health care exchange, paving the way for the feds to come in too.

In Missouri, Gov. Jay Nixon is a Democrat, but Prop E passed on Nov. 6, which barred his administration from creating a state-based exchange without a public vote or the approval of the state legislature. After the election, he sent a letter to the Department of Health and Human Services saying he would be unable to set up a state-based exchange, meaning the federal government would have to set up its own.

1 State Waiting for the White House -- Utah

Utah already has a state exchange set up, a Web-based tool where small-business employees can shop and compare health insurance with contributions from their employee. In a letter Republican Gov. Gary Herbert sent to the White House Tuesday, he asked for its exchange, called Avenue H, to be approved as a state-based exchange under the Affordable Care Act as long as state officials can open it to individuals and larger businesses.

Norm Thurston, the state's health reform implementation coordinator, says authorities there "haven't received an official response" from the White House, but "we anticipate getting one soon."

There are some sticking points that don't comply with the exchanges envisioned by the Affordable Care Act and Utah would like to keep it that way.

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