Morning-after pill use up to 1 in 9 younger women

NEW YORK (AP) — About 1 in 9 younger women have used the morning-after pill after sex, according to the first government report to focus on emergency contraception since its approval 15 years ago.

The results come from a survey of females ages 15 to 44. Eleven percent of those who'd had sex reported using a morning-after pill. That's up from 4 percent in 2002, only a few years after the pills went on the market and adults still needed a prescription.

The increased popularity is probably because it is easier to get now and because of media coverage of controversial efforts to lift the age limit for over-the-counter sales, experts said. A prescription is still required for those younger than 17 so it is still sold from behind pharmacy counters.

In the study, half the women who used the pills said they did it because they'd had unprotected sex. Most of the rest cited a broken condom or worries that the birth control method they used had failed.

White women and more educated women use it the most, the research showed. That's not surprising, said James Trussell, a Princeton University researcher who's studied the subject.

"I don't think you can go to college in the United States and not know about emergency contraception," said Trussell, who has promoted its use and started a hot line.

One Pennsylvania college even has a vending machine dispensing the pills.

The morning-after pill is basically a high-dose version of birth control pills. It prevents ovulation and needs to be taken within a few days after sex. The morning-after pill is different from the so-called abortion pill, which is designed to terminate a pregnancy.

At least five versions of the morning-after pills are sold in the United States. They cost around $35 to $60 a dose at a pharmacy, depending on the brand.

Since it is sold over-the-counter, insurers generally only pay for it with a doctor's prescription. The new Affordable Care Act promises to cover morning-after pills, meaning no co-pays, but again only with a prescription.

The results of the study were released Thursday by the Centers for Disease Control and Prevention. It's based on in-person interviews of more than 12,000 women in 2006 through 2010. It was the agency's first in-depth report on that issue, said Kimberly Daniels, the study's lead author.

The study also found:

—Among different age groups, women in their early 20s were more likely to have taken a morning-after pill. About 1 in 4 did.

—About 1 in 5 never-married women had taken a morning-after pill, compared to just 1 in 20 married women.

—Of the women who used the pill, 59 percent said they had done it only once, 24 percent said twice, and 17 percent said three or more times.

A woman who uses emergency contraception multiple times "needs to be thinking about a more regular form" of birth control, noted Lawrence Finer, director of domestic research for the Guttmacher Institute, a nonprofit group that does research on reproductive health.

Also on Thursday, the CDC released a report on overall contraception use. Among its many findings, 99 percent of women who've had sex used some sort of birth control. That includes 82 percent who used birth control pills and 93 percent whose partner had used a condom.

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Online:

CDC report: http://www.cdc.gov/nchs/

Emergency contraception info: http://ec.princeton.edu/index.html

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Couple recounts harrowing Dorner ordeal

Fugitive former police officer Christopher Jordan Dorner was apparently holed up inside a Big Bear area condo for as many as five days before the husband and wife who own the property surprised him and then were tied up and gagged, the couple said Wednesday night.

Dorner bound the husband's and wife's hands with plastic zip ties, stuffed small towels in their mouths so they couldn't scream and covered their heads with pillowcases that he tied with electrical cords, they said.

"I really thought it could be the end," Karen Reynolds, 56, told reporters gathered outside her condominium.

She and husband Jim Reynolds, 66, provided new details on some of Dorner's movements in the apparent final hours of his life. He is believed to have died Tuesday in a cabin fire after a mountainside gun battle with officers.

Law enforcement authorities previously said Dorner had held two cleaning women hostage. The Reynoldses spoke to reporters to end the confusion.

The couple said Dorner had been at the condo in the 1200 block of Club View Drive since as early as Friday, when they arrived to do maintenance in the yard. He told them he watched them — and even said they were "hardworking, good people." The couple slept at another property nearby.

When they entered the condo about noon Tuesday, the couple said, they were surprised to find the fired Los Angeles police officer inside the home, which is near the command post where authorities provided media briefings. They said they were held captive for about 15 minutes by Dorner, whom they recognized immediately.

The Reynoldses stumbled on the suspected killer when they went upstairs. Once they saw him, they said, he brandished a "big gun" and yelled, "Stay calm!"

Karen Reynolds said she tried to run down the stairs, but Dorner chased after her and caught her. He then took the couple to a bedroom, where he tied them up.

Dorner was a menacing presence but at other times tried to reassure the couple that he did not want to harm them, they said.

"He tried to calm us down, saying very frequently, he would not kill us," said Jim Reynolds, who has owned the condo with his wife for 12 years. "He huddled down beside me and said, 'You're going to be quiet right? Not make a fuss and let me get away?' "

Dorner identified himself as the man wanted by law enforcement authorities. "I know you know who I am, I know you've been seeing the news," Karen Reynolds recalled him saying.

Karen Reynolds said Dorner left the condo and stole their purple Nissan. About two minutes after they heard the car leave, Karen Reynolds propped herself up and shuffled to her cellphone. She grabbed it with her bound hands and called 911, using the speaker function.

"Dorner tied us up and he's in Big Bear," she recalled telling the dispatcher.

The couple, who have been married for 36 years, said they were "happy to be alive." They said they had mixed feelings about Dorner, whom they described as calm, alert and methodical. Karen Reynolds said she wasn't expecting to see any of the $1-million-plus reward money offered in the Dorner case. "We heard nobody was getting that because he needed to be captured and convicted," she said.

They said they found evidence that someone had been staying in the cabin, including a gallon of milk in the fridge, but that they didn't know if a previous tenant had left it behind. The last guests were there on Jan. 29.

All of the units are equipped with cable television and Internet. There was no sign of a forced entry.

It was Karen Reynolds' 12:20 p.m. 911 call that set in motion the chain of events that led to a shootout between Dorner and a state Fish and Wildlife warden, then to the standoff at another cabin where he is believed to have exchanged hundreds of rounds in the gun battle with officers before dying.

As the couple described their harrowing ordeal, they recalled that Dorner was insistent about what he wanted to do.

"I don't have a problem with you," he told them. "I just want to clear my name."

adolfo.flores@latimes.com

robert.lopez@latimes.com

Flores reported from Big Bear, Lopez from Los Angeles. Times staff writers Andrew Blankstein and Rong-Gong Lin II contributed to this report.

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India Ink: India's Capital City Celebrates 'Design Week'

Art lovers have the India Art Fair and Francophiles have Bonjour India. And now interior design enthusiasts have a week to call their own in New Delhi.

India Design 2013, organized by Ogaan Publications, the company behind ELLE and ELLE Décor, celebrates design and decoration in India. An exhibition at the NSIC Grounds in the Okhla Industrial Estate will feature speakers like Anita Lal, the founder of Good Earth, a leading luxury home décor chain in India, and Lidewij Edelkoort, an internationally renowned Dutch trend forecaster. The exhibition will run through Sunday.

On this past Monday, over 60 venues all over the city opened up their space for a satellite event called “Style in the City,” including art galleries, restaurants and even salons.

For instance, Nature Morte and the Oberoi Gurgaon have collaborated with Divya Thakur of Design Temple, a graphic and product designer studio, to curate a special exhibition called “Sense and Sensuality.” Everything will be for sale and priced at under 25,000 rupees ($460).

The main action will be at the weekend exhibition, spread over 8,000 square meters. Here are some displays worth seeking out:

Pinakin Patel: Pinakin Patel, a self-taught architect and designer, is known for his modern take on Indian design, like his interpretation of jalli, an ornamental pattern made popular by the Mughals. His stainless steel jhoola (swing) won the coveted Elle Décor International Design Award in 2004, and he is the man behind Hara Villa, prefabricated one-bedroom luxury holiday homes that run completely on solar power.

Sunil Sethi Design Alliance: Sunil Sethi has been in the business of sourcing and representing Indian design for over 25 years, working with the Conran Shop, Armani Casa and Selfridges. In the concept area of the exhibition, he is working in a design alliance with the Italian designer Paola Navone to curate a mesmerizing display of home décor products that show off the best of Indian handmade craftsmanship. Quilts, furniture, tableware, glassware will be combined with over 100,000 flowers.

In the main hall, Mr. Sethi will show “Floored by Art,” featuring limited-edition floor art by some of India’s leading artists, like S.H. Raza, T. Vaikuntham and Bose Krishnamachari, as well by fashion designers like Manish Arora and Rajesh Pratap Singh.

Peter D’Ascoli: Having worked in New York with Diane von Furstenberg as studio director and then Covington Fabrics as creative director, Mr. D’Ascoli moved to New Delhi to open his studio, finding a gap in the Indian market for luxury and bespoke upholstery. Though he sources some of fabrics in Europe and his work displays a definite old world European touch, all his designs, embroideries and weaving techniques are done in India. The D’Ascoli Studio has supplied fabrics to Pierre Frey in Paris, Baker Interiors of America and the celebrity decorator Kathryn Ireland, and it is now working closely with Indian architects and interior designers.

The Klove Studio: The product design studio is best known for its lighting installations, which use hand-blown glass, wood and metal. Inspired heavily by Indian jewelry, the studio turns furniture into pieces of collectible art. For India Design 2013, the company has designed a four-by-three-meter wall installation inspired by a prayer space called Devalaya, one of its most ambitious projects.

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Westminster Names Affenpinscher Banana Joe Best in Show

People Pets

By Kiran Hefa & Alison Schwartz

02/12/2013 at 11:55 PM EST

Westminster has its top dog!

After two days of meticulous primping, prizes and the less-pretty realities of any spirited championship, the 137th Annual Westminster Kennel Club Dog Show came to its finale Tuesday night, declaring Affenpinscher Banana Joe the best in show.

The competition proved fur-rocious as the pint-sized, black-haired furball bested six other finalists (and 2,721 entries total) for the honor, including Old English Sheepdog Swagger, who was named the reserve best in show. It’s the first time the breed has ever taken home the top prize in Westminster history.

Earning top marks at Westminster is the latest accolade in Banana Joe's storied run. The paw-dorable pooch, who is 5 years old, has been named best in show 86 times in his career, and his Westminster win will go down as his last.

"It's all so indescribable. It's just a wonderful thing as a tribute for a small breed with such a big heart," handler Ernesto Lara said post-victory. "The plans for him now is for him to retire back home where he was born, and that's in the Netherlands."

Describing his little buddy, Lara praised the breed for its commendable qualities as a canine companion.

"An Affenpinscher is a very human-like dog," he said. "It's definitely a breed you don’t want to tame or train, in the proper sense."

"You want to befriend it," Lara continued. "Once you gain the friendship, they're loyal just like a human friend."

As for Banana Joe's big victory, "Nobody told him he's small," said Lara, "and I don't think he'll believe that."

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Study questions kidney cancer treatment in elderly

In a stunning example of when treatment might be worse than the disease, a large review of Medicare records finds that older people with small kidney tumors were much less likely to die over the next five years if doctors monitored them instead of operating right away.

Even though nearly all of these tumors turned out to be cancer, they rarely proved fatal. And surgery roughly doubled patients' risk of developing heart problems or dying of other causes, doctors found.

After five years, 24 percent of those who had surgery had died, compared to only 13 percent of those who chose monitoring. Just 3 percent of people in each group died of kidney cancer.

The study only involved people 66 and older, but half of all kidney cancers occur in this age group. Younger people with longer life expectancies should still be offered surgery, doctors stressed.

The study also was observational — not an experiment where some people were given surgery and others were monitored, so it cannot prove which approach is best. Yet it offers a real-world look at how more than 7,000 Medicare patients with kidney tumors fared. Surgery is the standard treatment now.

"I think it should change care" and that older patients should be told "that they don't necessarily need to have the kidney tumor removed," said Dr. William Huang of New York University Langone Medical Center. "If the treatment doesn't improve cancer outcomes, then we should consider leaving them alone."

He led the study and will give results at a medical meeting in Orlando, Fla., later this week. The research was discussed Tuesday in a telephone news conference sponsored by the American Society of Clinical Oncology and two other cancer groups.

In the United States, about 65,000 new cases of kidney cancer and 13,700 deaths from the disease are expected this year. Two-thirds of cases are diagnosed at the local stage, when five-year survival is more than 90 percent.

However, most kidney tumors these days are found not because they cause symptoms, but are spotted by accident when people are having an X-ray or other imaging test for something else, like back trouble or chest pain.

Cancer experts increasingly question the need to treat certain slow-growing cancers that are not causing symptoms — prostate cancer in particular. Researchers wanted to know how life-threatening small kidney tumors were, especially in older people most likely to suffer complications from surgery.

They used federal cancer registries and Medicare records from 2000 to 2007 to find 8,317 people 66 and older with kidney tumors less than 1.5 inches wide.

Cancer was confirmed in 7,148 of them. About three-quarters of them had surgery and the rest chose to be monitored with periodic imaging tests.

After five years, 1,536 had died, including 191 of kidney cancer. For every 100 patients who chose monitoring, 11 more were alive at the five-year mark compared to the surgery group. Only 6 percent of those who chose monitoring eventually had surgery.

Furthermore, 27 percent of the surgery group but only 13 percent of the monitoring group developed a cardiovascular problem such as a heart attack, heart disease or stroke. These problems were more likely if doctors removed the entire kidney instead of just a part of it.

The results may help doctors persuade more patients to give monitoring a chance, said a cancer specialist with no role in the research, Dr. Bruce Roth of Washington University in St. Louis.

Some patients with any abnormality "can't sleep at night until something's done about it," he said. Doctors need to say, "We're not sticking our head in the sand, we're going to follow this" and can operate if it gets worse.

One of Huang's patients — 81-year-old Rhona Landorf, who lives in New York City — needed little persuasion.

"I was very happy not to have to be operated on," she said. "He said it's very slow growing and that having an operation would be worse for me than the cancer."

Landorf said her father had been a doctor, and she trusts her doctors' advice. Does she think about her tumor? "Not at all," she said.

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Online:

Kidney cancer info: http://www.cancer.net/cancer-types/kidney-cancer

and http://www.cancer.gov/cancertopics/types/kidney

Study: http://gucasym.org

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Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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Dorner manhunt leads to deadly standoff

When authorities hemmed in the man they suspected of killing three people in a campaign of revenge that has gripped Southern California, he responded as they had feared: with smoke bombs and a barrage of gunfire.

The suspect, who police believe is fugitive ex-cop Christopher Dorner, shot to death one San Bernardino County sheriff's deputy and injured another Tuesday. He then barricaded himself in a wood cabin outside Big Bear in the snow-blanketed San Bernardino Mountains, police said.

Just before 5 p.m., authorities smashed the cabin's windows, pumped in tear gas and called for the suspect to surrender. They got no response. Then, using a demolition vehicle, they tore down the cabin's walls one by one. When they reached the last wall, they heard a gunshot.

Then the cabin burst into flames. By late Tuesday evening, the smoldering ruins remained too hot for police to enter, but authorities said they believed Dorner's body was inside.

The standoff appeared to end a weeklong hunt for the former L.A. police officer and Navy reserve lieutenant, who is also suspected of killing an Irvine couple and a Riverside police officer. But Los Angeles Police Chief Charlie Beck said he would not consider the manhunt over until a body was recovered and identified as Dorner.

"It is a bittersweet night," said Beck as he drove to the hospital where the injured deputy was undergoing surgery. "This could have ended much better, it could have ended worse. I feel for the family of the deputy who lost his life."

According to a manifesto Dorner allegedly posted on Facebook, he felt the LAPD unjustly fired him in 2009, when a disciplinary panel determined that he lied in accusing his training officer of kicking a mentally ill man during an arrest. Beck has promised to review the case.

Dorner, 33, vowed to wage "unconventional and asymmetrical warfare" against law enforcement officers and their families, the manifesto said. "Self-preservation is no longer important to me. do not fear death as I died long ago."

Last week, authorities had tracked Dorner to a wooded area near Big Bear Lake. They found his torched gray Nissan Titan with several weapons inside. The only trace of Dorner was a short trail of footprints in newly fallen snow.

On Tuesday morning two maids entered a cabin in the 1200 block of Club View Drive and ran into a man who they said resembled the fugitive, a law enforcement official said. The cabin was not far from where Dorner's singed truck had been found and where police had been holding press conferences about the manhunt.

The man tied up the maids, and he took off in a purple Nissan parked near the cabin. About 12:20 p.m., one of the maids broke free and called police.

Nearly half an hour later, officers with the California Department of Fish and Wildlife spotted the stolen vehicle and called for backup. The suspect turned down a side road in an attempt to elude the officers but crashed the vehicle, police said.

A short time later, authorities said the suspect carjacked a light-colored pickup truck. Allan Laframboise said the truck belonged to his friend Rick Heltebrake, who works at a nearby Boy Scout camp.

Heltebrake was driving on Glass Road with his Dalmatian, Suni, when a hulking African American man stepped into the road, Laframboise said. Heltebrake stopped. The man told him to get out of the truck.

"Can I take my dog?" Heltebrake asked, according to his friend.

"You can leave and you can take your dog," the man said. He then sped off in the Dodge extended-cab pickup — and quickly encountered two Department of Fish and Wildlife trucks.

As the suspect zoomed past the officers, he rolled down his window and fired about 15 to 20 rounds. One of the officers jumped out and shot a high-powered rifle at the fleeing pickup. The suspect abandoned the vehicle and took off on foot.

Police said he ended up at the Seven Oaks Mountain Cabins, a cluster of wood-frame buildings about halfway between Big Bear Lake and Yucaipa. The suspect exchanged gunfire with San Bernardino County sheriff's deputies as he fled into a cabin that locals described as a single-story, multi-room structure.

The suspect fired from the cabin, striking one deputy, law enforcement sources said. Then he ducked out the back of the cabin, deployed a smoke bomb and opened fire again, hitting a second deputy. Neither deputy was identified by authorities. The suspect retreated back into the cabin.

The gun battle was captured on TV by KCAL 9 reporter Carter Evans, who said he was about 200 feet from the cabin. As Evans described on air how deputies were approaching the structure, he was interrupted by 10 seconds of gunfire.

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North Korea Conducts Nuclear Test

Ahn Young-Joon/Associated Press

South Korean army soldiers patroled along a barbed-wire fence at the Imjingak Pavilion, near the demilitarized zone of Panmunjom, in Paju, South Korea, on Tuesday.

WASHINGTON — North Korea confirmed on Tuesday that it had conducted its third, long-threatened nuclear test, according to the official KCNA news service, posing a new challenge for the Obama administration in its effort to keep the country from becoming a full-fledged nuclear power.

The KCNA said it used a “miniaturized and lighter nuclear device with greater explosive force than previously” and that the test “did not pose any negative impact on the surrounding ecological environment.”

The test led to a crescendo of international condemnation Tuesday, with President Obama calling it a “highly provocative act” that demands “swift and credible action by the international community” against North Korea. Russia, Britain, South Korea and the United Nations similarly swiftly condemned the blast. The United Nations Security Council scheduled an emergency meeting at 9 a.m. New York time to take up the matter.

Preliminary estimates by South Korea suggested the test was much more powerful than the previous two conducted by the North.

Kim Min-seok, a spokesman for South Korea’s Defense Ministry, said Tuesday’s blast generated an explosive yield of between six and seven kilotons, far greater than the yield of less than one kiloton detected in the North’s 2006 test and an estimated yield of two to six kilotons in its 2009 test. But it appeared less powerful than the first bomb the United States dropped on Japan, in Hiroshima in 1945, which had an explosive yield of 15 kilotons.

The test is the first under the country’s new leader, Kim Jong-un, and an open act of defiance to the Chinese, who urged the young leader not to risk open confrontation by setting off the weapon. In a statement issued several hours after the blast, China expressed its “staunch opposition” to the test but called for “all parties concerned to respond calmly.” And it was unclear how China would act at the United Nations Security Council as it convenes Tuesday.

The nuclear test came the same day President Obama is to use his State of the Union address to call for drastically reducing nuclear arms around the world, potentially bringing the number of deployed American weapons to roughly 1,000 from the current 1,700.

Even before Pyongyang conducted Tuesday’s test, the Obama administration had already threatened to take additional action to penalize the North through the United Nations. But the fact is that there are few sanctions left to apply against the most unpredictable country in Asia. The only penalty that would truly hurt the North would be a cutoff of oil and other aid from China. And until now, despite issuing warnings, the Chinese have feared instability and chaos in the North more than its growing nuclear and missile capability, and the Chinese leadership has refused to participate in sanctions.

Mr. Kim, believed to be about 29, appears to be betting that even a third test would not change the Chinese calculus.

The test set off a scramble among Washington’s Asian allies to assess what the North Koreans had done.

The United States sent aloft aircraft equipped with delicate sensors that may, depending on the winds, be able to determine whether it was a plutonium or uranium weapon. The Japanese defense minister, Itsunori Onodera, said Japan had ordered the dispatch of an Air Self-Defense Force jet to monitor for radioactivity in Japanese airspace.

Japan’s new prime minister, Shinzo Abe, told Parliament that the country was considering “its own actions, including sanctions, to resolve this and other issues.”

But the threat may be largely empty, because trade is limited and the United States and its allies have refrained from a naval blockade of North Korea or other steps that could revive open conflict, which has been avoided on the Korean Peninsula since an armistice was declared 60 years ago.

It may take days or weeks to determine independently if the test, was successful. American officials will also be looking for signs of whether the North, for the first time, conducted a test of a uranium weapon, based on a uranium enrichment capability it has been pursuing for a decade. The past two tests used plutonium, reprocessed from one of the country’s now-defunct nuclear reactors. While the country has only enough plutonium for a half-dozen or so bombs, it can produce enriched uranium well into the future.

David E. Sanger reported from Washington, and Choe Sang-hun reported from Seoul, South Korea. Jane Perlez contributed reporting from Beijing, Hiroko Tabuchi from Tokyo, and Chris Buckley and Gerry Mullany contributed from Hong Kong.

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It's a Girl for John Cho

Mom & Babies
Celebrity Baby Blog

02/11/2013 at 06:30 PM ET

Paul Drinkwater/NBC

Surprise: Actor John Cho is a dad again!

The Go On star and his wife welcomed a daughter recently, Cho’s rep confirms to PEOPLE exclusively.

Baby girl is the second child for the couple, who are also parents to a son. No further details are available.

Cho currently stars alongside Jason Bateman in Identity Thief and will reprise his role as Hikaru Sulu in Star Trek Into Darkness in May.

He is also well known for his roles in American Pie and the Harold and Kumar films.

– Anya Leon with reporting by Julie Jordan

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Pope shows lifetime jobs aren't always for life

The world seems surprised that an 85-year-old globe-trotting pope who just started tweeting wants to resign, but should it be? Maybe what should be surprising is that more leaders his age do not, considering the toll aging takes on bodies and minds amid a culture of constant communication and change.

There may be more behind the story of why Pope Benedict XVI decided to leave a job normally held for life. But the pontiff made it about age. He said the job called for "both strength of mind and body" and said his was deteriorating. He spoke of "today's world, subject to so many rapid changes," implying a difficulty keeping up despite his recent debut on Twitter.

"This seemed to me a very brave, courageous decision," especially because older people often don't recognize their own decline, said Dr. Seth Landefeld, an expert on aging and chairman of medicine at the University of Alabama at Birmingham.

Age has driven many leaders from jobs that used to be for life — Supreme Court justices, monarchs and other heads of state. As lifetimes expand, the woes of old age are catching up with more in seats of power. Some are choosing to step down rather than suffer long declines and disabilities as the pope's last predecessor did.

Since 1955, only one U.S. Supreme Court justice — Chief Justice William Rehnquist — has died in office. Twenty-one others chose to retire, the most recent being John Paul Stevens, who stepped down in 2010 at age 90.

When Thurgood Marshall stepped down in 1991 at the age of 82, citing health reasons, the Supreme Court justice's answer was blunt: "What's wrong with me? I'm old. I'm getting old and falling apart."

One in 5 U.S. senators is 70 or older, and some have retired rather than seek new terms, such as Hawaii's Daniel Akaka, who left office in January at age 88.

The Netherlands' Queen Beatrix, who just turned 75, recently said she will pass the crown to a son and put the country "in the hands of a new generation."

In Germany, where the pope was born, Chancellor Angela Merkel, who is 58, said the pope's decision that he was no longer fit for the job "earns my very highest respect."

"In our time of ever-lengthening life, many people will be able to understand how the pope as well has to deal with the burdens of aging," she told reporters in Berlin.

Experts on aging agreed.

"People's mental capacities in their 80s and 90s aren't what they were in their 40s and 50s. Their short-term memory is often not as good, their ability to think quickly on their feet, to execute decisions is often not as good," Landefeld said. Change is tougher to handle with age, and leaders like popes and presidents face "extraordinary demands that would tax anybody's physical and mental stamina."

Dr. Barbara Messinger-Rapport, geriatrics chief at the Cleveland Clinic, noted that half of people 85 and older in developed countries have some dementia, usually Alzheimer's. Even without such a disease, "it takes longer to make decisions, it takes longer to learn new things," she said.

But that's far from universal, said Dr. Thomas Perls, an expert on aging at Boston University and director of the New England Centenarians Study.

"Usually a man who is entirely healthy in his early 80s has demonstrated his survival prowess" and can live much longer, he said. People of privilege have better odds because they have access to good food and health care, and tend to lead clean lives.

"Even in the 1500s and 1600s there were popes in their 80s. It's remarkable. That would be today's centenarians," Perls said.

Arizona Sen. John McCain turned 71 while running for president in 2007. Had he won, he would have been the oldest person elected to a first term as president. Ronald Reagan was days away from turning 70 when he started his first term as president in 1981; he won re-election in 1984. Vice President Joe Biden just turned 70.

In the U.S. Senate, where seniority is rewarded and revered, South Carolina's Strom Thurmond didn't retire until age 100 in 2002. Sen. Robert Byrd of West Virginia was the longest-serving senator when he died in office at 92 in 2010.

Now the oldest U.S. senator is 89-year-old Frank Lautenberg of New Jersey. The oldest congressman is Ralph Hall of Texas who turns 90 in May.

The legendary Alan Greenspan was about to turn 80 when he retired as chairman of the Federal Reserve in 2006; he still works as a consultant.

Elsewhere around the world, Cuba's Fidel Castro — one of the world's longest serving heads of state — stepped down in 2006 at age 79 due to an intestinal illness that nearly killed him, handing power to his younger brother Raul. But the island is an example of aged leaders pushing on well into their dotage. Raul Castro now is 81 and his two top lieutenants are also octogenarians. Later this month, he is expected to be named to a new, five-year term as president.

Other leaders who are still working:

—England's Queen Elizabeth, 86.

—Abdullah bin Abd al-Aziz al-Saud, king of Saudi Arabia, 88.

—Sabah al-Ahmad al-Jaber al-Sabah, emir of Kuwait, 83.

—Ruth Bader Ginsburg, U.S. Supreme Court associate justice, 79.

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Associated Press writers Paul Haven in Havana, Cuba; David Rising in Berlin; Seth Borenstein, Mark Sherman and Matt Yancey in Washington, and researcher Judy Ausuebel in New York contributed to this report.

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Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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Metrolink executive quits after report cites accounting problems

A high-ranking Metrolink executive resigned over the weekend following a scathing report that revealed accounting irregularities, poor management and record-keeping that made it difficult for board members to understand the railroad's financial situation.

Metrolink officials said Monday that Nancy Weiford, the regional commuter line's chief financial officer, stepped down after a special committee assigned to look into the railroad's business practices revealed its findings at Friday's board meeting. They declined to comment further on Weiford's departure, saying that personnel matters are confidential.

In a statement, railroad officials said: "Metrolink takes very seriously the recent findings of Metrolink's Ad Hoc Finance Committee regarding the agency's financial management. As one of the nation's largest commuter rail systems, Metrolink has been, and continues to be, committed to sound financial practices."

Reached by The Times, Weiford declined to comment.

Describing the accounting system as a "morass," the internal report found that Metrolink has inadequate cash reserves to meet its current obligations and that another cash account was underfunded by an estimated $66 million. Certain funds were improperly commingled and poor record-keeping made it hard to track the railroad's cash flows, according to the committee findings.

Because of a lack of sound business practices, the report stated that board members were unable to make informed decisions or accurately understand the financial situation of Metrolink, which serves more than 40,000 riders a day from six Southern California counties.

"These are very significant issues. The committee shows deficiencies in the fundamental operating systems for our financial management," said Mike Hennessey, vice chairman of the Metrolink board and a board member for the Orange County Transportation Authority, one of Metrolink's member agencies.

Metrolink formed the finance committee in early 2012 at the request of Richard Katz, who serves on the boards of Metrolink and the Los Angeles County Metropolitan Transportation Authority.

Some of the accounting problems, Katz said, date back to the tenure of former Metrolink Chief Executive David Solow, who resigned after the deadly 2008 Metrolink crash in Chatsworth. Solow's replacement, John Fenton, identified some of the problems before he stepped down in May.

"The past couple of years, we've been focused on developing our safety culture," Katz said. "But we also have to be careful stewards of the taxpayers' and our customers' money. What has been going on has been unacceptable and it will be fixed."

The report recommended a variety of solutions: adopting basic accounting practices, maintaining adequate cash reserves, improvements in record-keeping, hiring financial consultants and working with the five county transportation agencies that help fund Metrolink.

Committee members concluded that if their findings and recommendations are not addressed, they could not recommend that Metrolink's member agencies provide the railroad additional funding.

Their report requested that Metrolink's new chief executive, Michael DePallo, who started in October, provide the board accurate financial statements going back two years, an assessment of the railroad's financial condition and a response to the committee findings within 30 days.

"A lot of work has to be done at Metrolink," said Carolyn Cavecche, a Metrolink board member from Orange County who served on the committee. "Changes need to be made on how we do business internally."

dan.weikel@latimes.com

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