Retinal implants clear new hurdle

PARIS: German-designed implants aimed at restoring vision to patients blinded by retinal disease have succeeded in the second phase of trials, researchers reported on Wednesday.

The device was tested for up to nine months among nine people with retinitis pigmentosa, an inherited disease in which light receptors on the back of the eyeball degenerate and eventually cease to function.

"Of the nine patients observed in the study, three patients were able to read letters spontaneously," Retina Implant AG, a nine-year-old technology startup company that invented the device, said in a press release.

"During observation in and outside the laboratory, patients also reported the ability to recognise faces, distinguish objects such as telephones and read signs on doors."

The study appears in Proceedings of the Royal Society B, a journal published by Britain's de-facto academy of sciences.

The device consists of a tiny light-sensitive chip measuring 3mm by 3mm (0.11 x 0.11 inches), which sends electrical signals down the optic nerve to the brain, providing a "diamond-shaped" black-and-white image with a field of 15 degrees.

Attached to the retina, the implant is powered via a thin cable which connects to a small coil fitted under a fold of skin behind the ear.

The coil is charged when a handheld battery unit is brought up close to it -- the same principle of wireless charging that is used, for instance, in electrical toothbrushes -- and thus means it can be used outdoors.

The battery unit also has two knobs, enabling the user to adjust the brightness and contrast of the image.

The patients received the implant in one eye, the one with the worst visual function.

One of the nine had to drop out of the experiment after the optic nerve was damaged during the implant operation, and another experienced a buildup in eyeball pressure which was successfully treated with drugs.

New drugs and revolutionary medical devices typically undergo a three-phase process of trials on human volunteers.

The number of patients and the scope of the test gradually widens, in a bid to ensure that the innovation is both safe and effective.

The first trial of the implant, published in 2010, used a cable, rather than wireless technology, to power the device.

There are several other entrants in the field for retinal implants, reflecting big advances in electronic miniaturisation and microsurgery in the past decade.

None claims to be a cure but rather an aid to distinguish between light and darkness and ascertain the shape of objects.

"Although the restoration of vision described here is limited, blind persons with no alternative therapy options regard this type of artificial vision as an improvement in everyday life," the German doctors said.

Last week the US firm Second Sight Medical Products gained US regulatory approval in addition to the green light from Europe for its Argus II retinal prosthesis.

There is also a 24-electrode device made by Bionic Vision Australia, which has so far been tested on one patient.

-AFP/gn

Read More..

US supports India's constructive role in Afghanistan

WASHINGTON: Asserting that the United States and India share a vision of a secure, peaceful, democratic and prosperous Afghanistan, the Obama administration has said it strongly supports the constructive role being played by New Delhi in the war-torn country's ongoing development.

During the just concluded trilateral dialogue involving India and Afghanistan in New Delhi on Tuesday, the US expressed particular appreciation for the former's leading role in developing regional trade and investment.

"The US side expressed particular appreciation for India's leading role in helping to advance opportunities for regional trade and investment - and noted our shared interest in advancing the New Silk Road vision of connectivity between South and Central Asia - with Afghanistan at its core," a State Department spokesperson said on the conclusion of the trilateral dialogue in New Delhi.

Officials from the three countries, the spokesperson said, held in-depth consultations on issues ranging from political and security spheres to trade, commerce and investment.

"The United States and India share a vision of a secure, peaceful, democratic and prosperous Afghanistan. We strongly support the constructive role that India plays in Afghanistan's ongoing development," he said.

The US delegation was led by the assistant secretary of state for South and Central Asia, Robert Blake. The US delegation also included the deputy special representative for Afghanistan and Pakistan, Dan Feldman, for the trilateral dialogue.

This meeting follows the inaugural trilateral consultations held at the Afghan Mission in New York City on September 25, 2012.

Read More..

Drug overdose deaths up for 11th consecutive year

CHICAGO (AP) — Drug overdose deaths rose for the 11th straight year, federal data show, and most of them were accidents involving addictive painkillers despite growing attention to risks from these medicines.

"The big picture is that this is a big problem that has gotten much worse quickly," said Dr. Thomas Frieden, head of the Centers for Disease Control and Prevention, which gathered and analyzed the data.

In 2010, the CDC reported, there were 38,329 drug overdose deaths nationwide. Medicines, mostly prescription drugs, were involved in nearly 60 percent of overdose deaths that year, overshadowing deaths from illicit narcotics.

The report appears in Tuesday's Journal of the American Medical Association.

It details which drugs were at play in most of the fatalities. As in previous recent years, opioid drugs — which include OxyContin and Vicodin — were the biggest problem, contributing to 3 out of 4 medication overdose deaths.

Frieden said many doctors and patients don't realize how addictive these drugs can be, and that they're too often prescribed for pain that can be managed with less risky drugs.

They're useful for cancer, "but if you've got terrible back pain or terrible migraines," using these addictive drugs can be dangerous, he said.

Medication-related deaths accounted for 22,134 of the drug overdose deaths in 2010.

Anti-anxiety drugs including Valium were among common causes of medication-related deaths, involved in almost 30 percent of them. Among the medication-related deaths, 17 percent were suicides.

The report's data came from death certificates, which aren't always clear on whether a death was a suicide or a tragic attempt at getting high. But it does seem like most serious painkiller overdoses were accidental, said Dr. Rich Zane, chair of emergency medicine at the University of Colorado School of Medicine.

The study's findings are no surprise, he added. "The results are consistent with what we experience" in ERs, he said, adding that the statistics no doubt have gotten worse since 2010.

Some experts believe these deaths will level off. "Right now, there's a general belief that because these are pharmaceutical drugs, they're safer than street drugs like heroin," said Don Des Jarlais, director of the chemical dependency institute at New York City's Beth Israel Medical Center.

"But at some point, people using these drugs are going to become more aware of the dangers," he said.

Frieden said the data show a need for more prescription drug monitoring programs at the state level, and more laws shutting down "pill mills" — doctor offices and pharmacies that over-prescribe addictive medicines.

Last month, a federal panel of drug safety specialists recommended that Vicodin and dozens of other medicines be subjected to the same restrictions as other narcotic drugs like oxycodone and morphine. Meanwhile, more and more hospitals have been establishing tougher restrictions on painkiller prescriptions and refills.

One example: The University of Colorado Hospital in Aurora is considering a rule that would ban emergency doctors from prescribing more medicine for patients who say they lost their pain meds, Zane said.

___

Stobbe reported from Atlanta.

___

Online:

JAMA: http://www.jama.ama-assn.org

CDC: http://www.cdc.gov

___

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

Read More..

Nike, Oakley Distance Themselves from Pistorius

Corporate sponsors of Olympic "blade runner" Oscar Pistorius have begun to distance themselves from the sprinter, who is accused of murdering his model girlfriend, Reeva Steenkamp. Pistorius is back to court in South Africa Tuesday morning on murder charges.

Oakley, the eyewear manufacturer, and the sporting goods giant Nike announced today that they would no longer run ads featuring Pistorius, the South African double-amputee who gained worldwide fame for running on carbon-fiber blades.

"In light of the recent allegations, Oakley is suspending its contract with Oscar Pistorius, effective immediately. Our hearts are with the families during this difficult time and we'll continue to follow the developments in this tragic case," Oakley spokeswoman Cheri Quigley said in a statement released this afternoon.

Earlier in the day, Nike said it had "no plans" to use Pistorius in future ad campaigns, according to the Associated Press. Nike had already pulled an Internet ad showing Pistorius starting to sprint with the caption, "I am the bullet in the chamber."

The companies made their announcements shortly after Pistorius' own agent, Peet Van Zyl, said publicly that he expected the sponsors to stick with Pistorius through the legal process.

PHOTOS: Paralympic Champion Charged in Killing

Pistorius will appear in court Tuesday morning for a bail hearing. His attorneys are expected to argue against the charge of premeditated murder.

His family has said the shooting was an accident.

The news comes as more details emerge about the incident on Thursday morning in which Pistorius allegedly shot and killed Steenkamp at his gated home in Pretoria, South Africa.

Bryn Lennon; Gallo Images/Getty Images

Oscar Pistorius Allegedly Fought the Night of Shooting Watch Video

Oscar Pistorius: Possibly Incriminating Information Leaked Watch Video

'Blade Runner' Murder Charges: Family Insist Accidental Shooting Watch Video

News reports in local papers have said that police are investigating whether Pistorius had an anger-management problem that led to the incident. They focused in on a bloodied cricket bat that may have been used when Steenkamp died.

A "shocked" teammate of Oscar Pistorius rebutted the rumors and speculation in South Africa that Pistorius had an anger problem.

Ofentse Mogawane, a sprinter for the South African Olympic team who ran the 400-meter relay with Pistorius in the London summer games last year, said Pistorius had always been genial to him and other people.

Mogawane said he would be in court Tuesday to support his friend.

"Basically, he was a very good guy to us, to the teammates and to most athletes," Mogawane said. "He was a really humble person and I wouldn't say a bad word about him. We never had any kind of clash, never any kind of fight or disagreement or arguing.

"The way Oscar's case was, it shocked me, shocked most of the people who know him. Tomorrow in court I am going to be there to support him. To hear what happened the night of the incident," he said.

"Sometimes when people are angry they cannot control their anger. Something must have happened."

Mogawane, 30, spoke in support of Pistorius after a report in South Africa's City Press newspaper that claimed police were looking into the possibility that a bloody cricket bat found in his bedroom was used before the shooting.

"The way the news has been running around in South Africa, that he is a short-tempered person, a person who has problems with anger management, they just want something to say," Mogawane said. "They don't know Oscar at all. They just want to get interviewed and take pictures. But truly speaking, it's just a lot of speculation."

Mogawane said he had seen Pistorius become angry before, but only in the same way as any other athlete or person.

But the City Press reported Sunday that police are investigating different scenarios involving the bat. Among them is the possibility that the flat-fronted bat was used in a violent argument before the shooting.

The paper also reported that Pistorius might have first shot Steenkamp in the bedroom, and that she possibly fled to the bathroom where she was shot three more times through the door.

When Pistorius' family arrived at the scene before paramedics, they saw him carrying Steenkamp down the stairs and performing mouth-to-mouth resuscitation on her, City Press reported.

Pistorius, who is nicknamed the "blade runner" because of the carbon-fiber blades on which he runs, has canceled all his upcoming racing appearances, his agent said Sunday night.

The decision was made to "allow Oscar to concentrate on the upcoming legal proceedings and to help and support all those involved as they try to come to terms with this very difficult and distressing situation," Van Zyl, of In Site Athlete Management, said in a statement.

Pistorius' father was quoted overnight in the South African paper The Sunday Times saying his countrymen are destroying a national icon.

Read More..

Time to refer Syrian war crimes to ICC: U.N. inquiry

GENEVA (Reuters) - United Nations investigators said on Monday that Syrian leaders they had identified as suspected war criminals should face the International Criminal Court (ICC).

The investigators urged the U.N. Security Council to "act urgently to ensure accountability" for violations, including murder and torture, committed by both sides in an uprising and civil war that has killed about 70,000 people since March 2011.

"Now really it's time ... We have a permanent court, the International Criminal Court, who would be ready to take this case," Carla del Ponte, a former ICC chief prosecutor who joined the U.N. team in September, told a news briefing in Geneva.

But because Syria is not party to the Rome Statute that established the ICC, the only way the court can investigate the situation is if it receives a referral from the Security Council. Russia, Assad's long-standing ally and a permanent veto-wielding member of the council, has opposed such a move.

"We cannot decide. But we pressure the international community to decide because it's time to act," del Ponte said.

Brazilian expert Paulo Pinheiro, who leads the U.N. inquiry set up in 2011, said: "We are in very close dialogue with all the five permanent members and with all the members of the Security Council, but we don't have the key that will open the path to cooperation inside the Security Council."

His team of some two dozen experts is tracing the chain of command in Syria to establish criminal responsibility and build a case for eventual prosecution.

"Of course we were able to identify high-level perpetrators," del Ponte said, adding that these were people "in command responsibility...deciding, organizing, planning and aiding and abetting the commission of crimes".

She said it was urgent for the Hague-based war crimes tribunal to take up cases of "very high officials", but did not identify them, in line with the inquiry's practice.

"We have crimes committed against children, rape and sexual violence. We have grave concerns. That is also one reason why an international body of justice must act because it is terrible."

Del Ponte, who tried former Yugoslav President Slobodan Milosevic at the International Criminal Tribunal for the Former Yugoslavia on war crimes charges, said the ICC prosecutor would need to deepen the investigation on Syria before an indictment could be prepared.

Karen Koning AbuZayd, an American member of the U.N. team, told Reuters it had information pointing to "people who have given instructions and are responsible for government policy, people who are in the leadership of the military, for example".

The inquiry's third roster of suspects, building on lists drawn up in the past year, remains secret. It will be entrusted to U.N. High Commissioner for Human Rights Navi Pillay upon expiry of its mandate at the end of March, the report said.

Pillay, a former ICC judge, said on Saturday Assad should be investigated for war crimes, and called for outside action on Syria, including possible military intervention.

Pinheiro said the investigators would not speak publicly about "numbers, names or levels" of suspects.

SEVEN MASSACRES IDENTIFIED

The investigators' latest report, covering the six months to mid-January, was based on 445 interviews conducted abroad with victims and witnesses, as they have not been allowed into Syria.

"We identified seven massacres during the period, five on the government side, two on the armed opponents' side. We need to enter the sites to be able to confirm elements of proof that we have," del Ponte said.

The U.N. report said the ICC was the appropriate institution for the fight against impunity in Syria. "As an established, broadly supported structure, it could immediately initiate investigations against authors of serious crimes in Syria."

Government forces have carried out shelling and air strikes across Syria including Aleppo, Damascus, Deraa, Homs and Idlib, the 131-page report said, citing corroborating satellite images.

"Government forces and affiliated militias have committed extra-judicial executions, breaching international human rights law. This conduct also constitutes the war crime of murder. Where murder was committed as part of a widespread or systematic attack against a civilian population, with knowledge of that attack, it is a crime against humanity," the report said.

Those forces have targeted bakery queues and funeral processions to spread "terror among the civilian population".

Rebels fighting to topple Assad have also committed war crimes including murder, torture, hostage-taking and using children under age 15 in hostilities, the U.N. report said.

"They continue to endanger the civilian population by positioning military objectives inside civilian areas" and rebel snipers had caused "considerable civilian casualties", it said.

George Sabra, a vice president of the opposition Syrian National Coalition, asked about the U.N. report, told Reuters at a conference in Stockholm: "We condemn all kind of crimes, regardless who did it.

"We can't ignore that some mistakes have been made and maybe still happen right now. But nobody also can ignore that the most criminal file is that of the regime."

(This story has been corrected to fix name of Milosevic tribunal in 11th paragraph)

(Reporting by Stephanie Nebehay; additional reporting by Anna Ringstrom in Stockholm; Editing by Mark Heinrich)

Read More..

Tennis: Mass security for Nadal's Mexico event

ACAPULCO, Mexico: A brutal gang rape and other crimes have prompted a massive security operation for Acapulco's tennis tournament, with 4,000 personnel to be deployed at an event headlined by Rafael Nadal.

The Pacific port has become Mexico's deadliest city and local police have struggled to stem a brutal turf war between drug gangs where the intimidation of rivals includes the dumping of headless bodies in the streets.

The unprecedented show of security at the tennis event is three times the size of Acapulco's own police force and will feature army, navy, federal, state and municipal police, a senior Guerrero state government official told AFP.

Members of the deployment will begin to arrive on Wednesday, said the official, who spoke on condition of anonymity regarding next week's tournament.

Tourists had been relatively shielded from the city's violence until a group of gunmen stormed a beach bungalow on February 3 and raped six Spanish women after tying up seven Spanish men and a local woman.

The scaled up force will secure access to the Mextenis stadium, which has a capacity of 7,500, and the Hotel Fairmont Acapulco Princess, with a security perimeter being installed and cars will also be checked.

Former world number one Nadal, who won the Brazil Open on Sunday after a seven-month hiatus due to a knee injury, will be the top ranked player at Acapulco's red clay tournament which begins February 25 and ends March 2.

- AFP/al

Read More..

Hold panchayat polls as per existing quota: SC to Andhra Pradesh

NEW DELHI/HYDERABAD: The Supreme Court on Monday cleared the decks for elections to the panchayati raj (PR) institutions in the state and an upbeat chief minister Kiran Kumar Reddy wants to hold the polls at the earliest. With state election commissioner P Ramakanth Reddy stating that his department is fully prepared, the PR polls, touted as an acid test for the chief minister as well as new entrant YS Jaganmohan Reddy, could be held as early as April this year.

In its judgment on Monday, the SC bench of Justice P Sathasivam and Justice J S Khehar directed the state to conduct the polls on the basis of the existing 60.5% reservation for BCs (34%), SCs (18.25%) and STs (8.25%). Following a petition challenging the quota as exceeding the limit fixed by the apex court, the AP High Court had directed the state to hold the PR polls by fixing 50% as upper limit of the quota for the BCs, SC-STs . Monday's decision of the Supreme Court was on the basis of an appeal filed by the state government against the HC order.

Kiran Kumar Reddy's optimism of the Congress putting up a good performance is based on the public assurance given by Union panchayat raj minister Kishore Chandra Deo in Delhi soon after the SC verdict on Monday that Rs 2,400 crore that was held up for the last two years for providing drinking water and sanitation in rural areas will be released as soon as the local bodies are in place. "Assured of the funds, the CM can sway the voters in Congress' favour by announcing several welfare schemes," averred political analysts.

The term of the panchayati raj institutions, namely 1,094 zilla parishad territorial constituency (ZPTC) members , 14,591 mandal parishad territorial constituency members (MPTC), and 21,843 sarpanches , ended in July 2011 and since then, they have been under the control of special officers in the absence of elected councils. The PR polls could not be held till now as the issue was pending in the court.

Confident that he will be flush with funds, the chief minister has directed the concerned departments to be ready for the polls at the earliest . "Jagan is in jail. Telangana is calm. The state government is politically stable. And summer is far away. All this should work in Congress favour ," said a senior Congress leader.

Deo promises to release blocked funds

Although the recently held primary agricultural cooperative societies polls were not party-based , the Congress has claimed that it won a majority. In fact, the Congress claims that candidates owing allegiance to it won the elections even in Telangana, much to the chagrin of TRS and other parties .

The PR polls will be party based and the opposition parties, including the YSR Congress, TDP, TRS, BJP, Left parties and Lok Satta welcomed the SC order and wanted the state to hold the local body elections immediately. Jagan is confident that the polls will prove that he has mass following, while the TDP believes that the elections will pave the way for its leader Chandrababu Naidu's return to power. Panchayat raj department officials said they would initiate the process of delimitation of the constituencies and fixing quota in a week. State election chief Ramakanth Reddy told the media in Delhi that the commission would launch its process once it receives the data from the government.

Welcoming the SC decision, Union panchayat raj minister Kishore Chandra Deo announced that he would release the amount withheld as per the Constitution. "We have withheld Rs 2400 crore in the past two years, meant for providing drinking water and sanitation for rural areas, as there were no local governing bodies. We will release the amount once the local bodies are in place," Deo told media in Delhi.

Read More..

Hip implants a bit more likely to fail in women

CHICAGO (AP) — Hip replacements are slightly more likely to fail in women than in men, according to one of the largest studies of its kind in U.S. patients. The risk of the implants failing is low, but women were 29 percent more likely than men to need a repeat surgery within the first three years.

The message for women considering hip replacement surgery remains unclear. It's not known which models of hip implants perform best in women, even though women make up the majority of the more than 400,000 Americans who have full or partial hip replacements each year to ease the pain and loss of mobility caused by arthritis or injuries.

"This is the first step in what has to be a much longer-term research strategy to figure out why women have worse experiences," said Diana Zuckerman, president of the nonprofit National Research Center for Women & Families. "Research in this area could save billions of dollars" and prevent patients from experiencing the pain and inconvenience of surgeries to fix hip implants that go wrong.

Researchers looked at more than 35,000 surgeries at 46 hospitals in the Kaiser Permanente health system. The research, published Monday in JAMA Internal Medicine, was funded by the U.S. Food and Drug Administration.

After an average of three years, 2.3 percent of the women and 1.9 percent of the men had undergone revision surgery to fix a problem with the original hip replacement. Problems included instability, infection, broken bones and loosening.

"There is an increased risk of failure in women compared to men," said lead author Maria Inacio, an epidemiologist at Southern California Permanente Medical Group in San Diego. "This is still a very small number of failures."

Women tend to have smaller joints and bones than men, and so they tend to need smaller artificial hips. Devices with smaller femoral heads — the ball-shaped part of the ball-and-socket joint in an artificial hip — are more likely to dislocate and require a surgical repair.

That explained some, but not all, of the difference between women and men in the study. It's not clear what else may have contributed to the gap. Co-author Dr. Monti Khatod, an orthopedic surgeon in Los Angeles, speculated that one factor may be a greater loss of bone density in women.

The failure of metal-on-metal hips was almost twice as high for women than in men. The once-popular models were promoted by manufacturers as being more durable than standard plastic or ceramic joints, but several high-profile recalls have led to a decrease in their use in recent years.

"Don't be fooled by hype about a new hip product," said Zuckerman, who wrote an accompanying commentary in the medical journal. "I would not choose the latest, greatest hip implant if I were a woman patient. ... At least if it's been for sale for a few years, there's more evidence for how well it's working."

___

Online:

Journal: http://www.jamainternalmed.com

Read More..

Pistorius Case: Agent Cancels All Future Races

Oscar Pistorius won't run in any of the future races that the athlete was contracted to compete in, but the Paraylmpic gold medalist's sponsors are still supportive as he faces a murder charge, his agent said today.

The decision to cancel Pistorius' scheduled appearances was made to "allow Oscar to concentrate on the upcoming legal proceedings and to help and support all those involved as they try to come to terms with this very difficult and distressing situation," Peet Van Zyl of In Site Athlete Management said in a statement.

"I have decided that following these tragic events that we have no option but to cancel all future races that Oscar Pistorius had been contracted to compete in," Van Zyl said.

Pistorius was slated to compete in races in Australia and Brazil, as well as at the Drake Relays in Iowa and the Manchester City Games in the U.K.

Van Zyl also said that Pistorius' sponsors and partners are supportive.

"I can confirm that at this point in time, all parties are supportive and their contractual commitments are maintained. They have said they are happy to let the legal process takes its course before making any change in their position," Van Zyl said in the statement.

However, M-Net movies, a subscription-funded South African television channel has pulled their ad campaign featuring Pistorius, tweeting, "Out of respect & sympathy to the bereaved, M-Net will be pulling its entire Oscar campaign featuring Oscar Pistorius with immediate effect."

The agent's announcement comes as family and friends rallied to Pistorius' defense -- saying they believe the Paralympic gold medalist's story that he shot his model girlfriend Reeva Steenkamp by accident after he mistook her for an intruder.

Adrian Dennis/AFP/Getty Images; Mike Holmes/The Herald/Gallo Images/Getty Images

'Blade Runner' Murder Mystery: Family Speaks Out Watch Video

'Blade Runner' on Suicide Watch After Charged With Girlfriend's Murder Watch Video

Oscar Pistorius Charged in Shooting Death of Girlfriend Watch Video

"When you are a sportsman, you act even more on instinct ... it's instinct -- things happen and that's what you do," Pistorius' father Henke Pistorius, 59, told The Telegraph.

The 26-year-old athlete, known as the "Blade Runner" because of the carbon-fiber blades he runs on, was charged Friday with premeditated murder.

PHOTOS: Paralympic Champion Charged With Murder

If convicted, Pistorius could face at least 25 years in jail.

"All of us saw at firsthand how close [Steenkamp] had become to Oscar during that time and how happy they were. They had plans together and Oscar was happier in his private life than he had been for a long time," Pistorius' uncle Arnold Pistorius said on Saturday.

According to South African newspaper Beeld, Steenkamp was killed nearly two hours after police were called to Pistorius' home to respond to reports of an argument at the complex.

Police said they have responded to disputes at the sprinter's residence before, but did not say whether Steenkamp was involved.

The athlete's best friend said Pistorius called him after the shooting to say "there has been a terrible accident, I shot Reeva," Justin Divaris told the Sunday People.

While his family insists he is not a murderer, prosecutors disagree.

Police sources told local media that Steenkamp was shot through the bathroom door where she may have been trying to hide to save herself.

Reeva Steenkamp

A memorial service for Steenkamp will be held in Port Elizabeth on Tuesday evening, SABC reported. Her body will be flown back for the service before being cremated, her family said.

"Her future has been cut short ... I dare say she's with the angels," said Mike Steenkamp, Reeva Steenkamp's uncle.

The South African reality show Steenkamp competed in premiered Saturday night on SABC as planned and included a special tribute to the slain law school graduate whose modeling career was starting to take off.

Read More..

Ecuador's Correa cruises to re-election victory

QUITO (Reuters) - Ecuadorean President Rafael Correa swept to a re-election victory on Sunday that allows him to strengthen state control over the OPEC nation's economy and gives a timely boost to Latin America's alliance of socialist leaders.

Correa won 58 percent of the votes compared with 24 percent for runner-up Guillermo Lasso, according to preliminary results released by the electoral authority based on almost 30 percent of the votes counted.

"Nobody can stop this revolution," a jubilant Correa told supporters from the balcony of the presidential palace, after claiming victory.

"We are making history, we are building our own homeland which is Ecuador and the great homeland which is Latin America."

The combative, U.S.-trained economist took power in 2007 and has won strong support among the poor by using booming oil revenues to build roads, hospitals and schools in rural areas and shantytowns.

"He has breathed new life into the country with the infrastructure and social programs. He has allowed the country to recover its dignity," said Rosa Patino, 40, a municipal worker in Quito.

DEDICATES WIN TO CHAVEZ

Correa, 49, may now be in line to become Latin America's main anti-American voice and de facto leader of the ALBA bloc of leftist governments as Venezuelan President Hugo Chavez has been silenced during his battle with cancer.

Correa said he dedicated his victory to Chavez.

The principal challenge in Correa's new four-year term will be wooing investors needed to boost stagnant oil production and spur the mining industry. A $3.2 billion debt default in 2008 and aggressive oil contract negotiations scared many off.

Critics view Correa as an authoritarian leader who has curbed media freedom and appointed aides to top posts in the judiciary.

"This government has not given us anything good, only insults and taxes. We're tired of all that. I'm concerned that this government has alliances with communist countries," said Celeste Guerrero, a 68-year-old pensioner in Guayaquil.

Even some supporters disapprove of his tempestuous outbursts, confrontations with media and bullying of adversaries.

But the fractured opposition failed to make a consolidated challenge. It fielded seven candidates, making it easy for Correa, and he is now on track for a decade in office.

That is rare stability in a country where three presidents were pushed from office by coups or street protests in the decade before Correa took power in 2007.

He is already the longest-serving president since the return to democracy in the 1970s following a military dictatorship.

Correa's success has hinged in part on high oil prices that allowed for liberal state spending, including boosting cash handouts to 2 million people, and spurred solid economic growth.

He is likely to continue spending heavily to maintain his high popularity, but state revenues would dry up if oil prices fell.

He now hopes to diversify the economy away from its dependence on oil, in part by bringing in new investment for the mining sector. Despite promising reserves of gold and copper, mining operations have barely gotten off the ground.

In a news conference on Sunday after polls closed, Correa played down the need for more foreign investment. He insisted the ultimate goal was to ensure economic growth rather than "mortgaging" the country to bring in cash from abroad.

"We welcome foreign investment, and we're already getting plenty of it," Correa said. "Ecuador is one of the most successful economies in Latin America."

Lasso, a wealthy ex-banker and Correa's closest rival, had tried to woo voters with promises of lower taxes.

CONGRESS BATTLE

The other six opposition candidates included former Correa ally Alberto Acosta, former President Lucio Gutierrez and banana magnate and five-time presidential candidate Alvaro Noboa.

Pollsters say some of them focused their campaigns on attacking Correa and failed to put forward concrete proposals to entice voters.

Ecuadoreans also chose a new Congress on Sunday.

The ruling Alianza Pais party was expected to win a majority in the legislature, which would let Correa push ahead with controversial reforms, including a media law and changes to mining legislation, without having to negotiate with rivals.

The results of the vote for Congress are not expected to be known for several days.

Correa never shies away from a fight, be it with international bondholders, oil companies, local bankers, the Catholic Church or media that criticize his policies.

He vowed on Sunday to expand state regulations over media groups he has called "dogs" and "hired assassins."

"One of the things we have to fix is an unethical and unscrupulous press that wants to judge, legislate and govern," Correa said. "That goes against the rule of law and we will not allow it."

His criticism of the U.S. "empire" and his clashes with foreign investors and the World Bank have fueled Correa's popularity as a strong-minded leader who stands up to foreign powers that many say meddled in Ecuador's affairs for decades.

He took the global limelight last year when he granted asylum to WikiLeaks' founder Julian Assange. Critics say he did it to brush off accusations that he is curbing freedom of expression in Ecuador.

(Additional reporting by Jose Llangari and Eduardo Garcia in Quito and Yuri Garcia in Guayaquil; Editing by Kieran Murray, Andrew Cawthorne and Eric Beech)

Read More..