No Device Eliminates Concussion Risk, Experts Say

As the long-term consequences of concussions become clearer, a cottage industry has popped up to sell athletes and worried parents products designed to mitigate risks of concussions that even helmets cannot prevent.

Despite the bold claims of some companies, however, many experts say the Holy Grail in contact sports -- a device that prevents concussions -- simply does not exist. Indeed, experts say, there is no proof that any current device significantly reduces the risk of concussions beyond the protections already provided by helmets.

"Nightline" found several products for sale online that aim to reduce the risk of concussions or even alert parents and coaches when a kid has supposedly taken a concussion-level hit. The claims the manufacturers make are often breathtakingly reassuring.

Concern about the risk of concussion is mounting at every level of the gridiron from the NFL to colleges and even high schools. Concussions are the most common injury among high school football players.

Jennifer Branin, whose son Tyler Branin is one of the stars of the Woodbridge Warriors high school football team in Irvine, Calif., said "it was scary" the first time he had a concussion.

"He had lost his balance on the field," she said. "He got up and tried to continue, but couldn't keep his balance."

Junior Seau Had Brain Disease, Researchers Say Watch Video

She said the effects of the concussion lingered, causing Tyler to miss a week of school and football practice. Even months later, he complained of difficulty concentrating in class.

Parents such as Jennifer Branin, who is president of the team's booster club, and her husband, Andy Branin, a former college football player himself, were looking for a way to support their son's desire to play football while also keeping him safe.

"He wants to play and, as a mom, you may want to put bubble-wrap around them and protect them forever, but that's not going to happen," she said.

So Jennifer Branin decided to do something. She raised money to buy the team helmet inserts by Unequal Technologies for added protection.

Unequal Technologies, one of the highest profile players in this new market, described its product explicitly on the box as "Concussion Reduction Technology," or "CRT." It is a strip of composite material including bullet-proof Kevlar that is designed to stick inside the helmet as a liner to the existing helmet pads.

Unequal Technologies uses its material in products ranging from padded sleeves to shin guards. The company counts NFL players and X-Games athletes among its fans.

On board as paid spokesmen are Philadelphia Eagles quarterback Michael Vick and James Harrison, a linebacker for the Pittsburgh Steelers. Harrison is one of the hardest-hitting guys in the NFL and said he uses Unequal Technology's liners in his helmet.

"I don't know what it's made of but it works," Harrison says in one of Unequal's promotional videos. "I really don't feel like I'm taking a risk."

Vick wasn't wearing the CRT product when he suffered a season-ending concussion in November, but he has since promised that he will be wearing it when he returns to the field next season.

Rob Vito, founder and CEO of the Kennett Square, Pa.-based company, said he worked with scientists to create a military-grade composite material that can help protect athletes from all kinds of injuries from head to toe.

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Sixty-five people executed in Syria's Aleppo: activists

BEIRUT (Reuters) - At least 65 people were found shot dead with their hands bound in the northern Syrian city of Aleppo on Tuesday in a "new massacre" in the near two-year revolt against President Bashar al-Assad, activists said.

Opposition campaigners blamed the government but it was impossible to confirm who was responsible. Assad's forces and rebels have been battling in Syria's commercial hub since July and both have been accused of carrying out summary executions.

U.N.-Arab League mediator Lakhdar Brahimi told the U.N. Security Council "unprecedented levels of horror" had been reached in Syria, and that both the government and rebels had committed atrocious crimes, diplomats said.

He appealed to the 15-nation council to overcome its deadlock and take action to help end the civil war in which Syria is "breaking up before everyone's eyes".

More than 60,000 people are estimated to have been killed in the war, the longest and deadliest of the revolts that began throughout the Arab world two years ago.

The U.N. refugee agency said the fighting had forced more than 700,000 people to flee. World powers fear the conflict could envelop Syria's neighbors including Lebanon, Jordan and Turkey, further destabilizing an already explosive region.

Opposition activists posted a video of at least 51 muddied male bodies alongside what they said was the Queiq River in Aleppo's rebel-held Bustan al-Qasr neighborhood.

The bodies had what looked like bullet wounds in their heads and some of the victims appeared to be young, possibly teenagers, dressed in jeans, shirts and trainers.

Aleppo-based opposition activists who asked not to be named for security reasons blamed pro-Assad militia fighters.

They said the men had been executed and dumped in the river before floating downstream into the rebel area. State media did not mention the incident.

The British-based Syrian Observatory for Human Rights, which says it provides objective information about casualties on both sides of Syria's war from a network of monitors, said the footage was evidence of a new massacre and the death toll could rise as high as 80.

"They were killed only because they are Muslims," said a bearded man in another video said to have been filmed in central Bustan al-Qasr after the bodies were removed from the river. A pickup truck with a pile of corpses was parked behind him.

STALEMATE

It is hard for Reuters to verify such reports from inside Syria because of restrictions on independent media.

Rebels are stuck in a stalemate with government forces in Aleppo - Syria's most populous city which is divided roughly in half between the two sides.

The revolt started as a peaceful protest movement against more than four decades of rule by Assad and his family, but turned into an armed rebellion after a government crackdown.

About 712,000 Syrian refugees have registered in other countries in the region or are awaiting processing as of Tuesday, the U.N. refugee agency said.

"We have seen an unrelenting flow of refugees across all borders. We are running double shifts to register people," Sybella Wilkes, spokeswoman for the U.N. High Commissioner for Refugees (UNHCR), told Reuters in Geneva.

The United Nations said it had received aid promises ahead of a donor conference in Kuwait on Wednesday where it is seeking $1.5 billion for refugees and people inside Syria. Washington announced an additional $155 million that its said brought the total U.S. humanitarian aid to the crisis to some $365 million.

Aid group Médecins Sans Frontières said the bulk of the current aid was going to government-controlled areas in Syria and called on donors to make sure they were even-handed.

MISSILES

In the eastern city of Deir al-Zor, insurgents including al Qaeda-linked Islamists captured a security agency after days of heavy fighting, according to an activist.

Some of the fighters were shown carrying a black flag with the Islamic declaration of faith and the name of the al-Nusra Front, which has ties to al Qaeda in neighboring Iraq.

The war has become heavily sectarian, with rebels who mostly come from the Sunni Muslim majority fighting an army whose top generals are mostly from Assad's Alawite sect, an offshoot of Shi'ite Islam. Assad has framed the revolt as a foreign-backed conspiracy and blames the West and Sunni Gulf states.

Fighting also took place in the northern town of Ras al-Ain, on the border with Turkey, between rebels and Kurdish militants, the Observatory said.

In Turkey, a second pair of Patriot missile batteries being sent by NATO countries are now operational, a German security official said.

The United States, Germany and the Netherlands each committed to sending two batteries and up to 400 soldiers to operate them after Ankara asked for help to bolster its air defenses against possible missile attack from Syria.

(Additional reporting by Sylvia Westall in Kuwait, Sabine Siebold in Berlin and Stephanie Nebehay in Geneva; Editing by Andrew Heavens and Robin Pomeroy)

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Talent Development Alliance formed to tap into workforce training in China market

SINGAPORE: Singapore has formed a Talent Development Alliance (TDA) to help the country's companies gain a stronger foothold in the China market through education and training.

Driven by IE Singapore, the alliance is the first of its kind in the industry in Singapore with seven institutions from the public and private sectors - Civil Service College, ITE Education Services, NTUC LearningHub, Nanyang Technological University, National University of Singapore and Singapore Management University.

A Memorandum of Understanding was signed on Wednesday.

IE Singapore said as China's economy continues to move from one that's driven by investments to one that's based on consumption, demand in the education and training sectors will grow exponentially.

China's workforce will need skills upgrading and higher education to support this development.

Singapore companies, with their forte in the services sector, as well as in education and training, can leverage these developments to contribute to China's growth.

- CNA/ck

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Freebies mark Alagiri's birthday celebration

MADURAI: Freebies and launch of various welfare schemes marked the celebration of Union Minister M K Alagiri's 62nd birthday by his supporters here.

DMK supporters at the venue where the freebies were distributed, said better publicity would be given in future to celebrate his birthday as the corporation had 'restricted' the number of posters and cutouts of their leader.

They alleged that the district administration had also started taking action against wall paintings, though these were just announcements of the freebies to be given away. The venue of the freebies distribution wore a festive look with posters and buntings and a traditional chenda melam percussion group from Kerala playing.

Posters praising Alagiri and his son Durai Dayanidhi were put up at various places. The cadres had organised blood donation camps and distribution free food at some places since January 26 and said they planned to distribute welfare schemes to at least one lakh people this year.

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Soldier with new arms determined to be independent

BALTIMORE (AP) — After weeks of round-the-clock medical care, Brendan Marrocco insisted on rolling his own wheelchair into a news conference using his new transplanted arms. Then he brushed his hair to one side.

Such simple tasks would go unnoticed in most patients. But for Marrocco, who lost all four limbs while serving in Iraq, these little actions demonstrate how far he's come only six weeks after getting a double-arm transplant.

Wounded by a roadside bomb in 2009, the former soldier said he could get by without legs, but he hated living without arms.

"Not having arms takes so much away from you. Even your personality, you know. You talk with your hands. You do everything with your hands, and when you don't have that, you're kind of lost for a while," the 26-year-old New Yorker told reporters Tuesday at Johns Hopkins Hospital.

Doctors don't want him using his new arms too much yet, but his gritty determination to regain independence was one of the chief reasons he was chosen to receive the surgery, which has been performed in the U.S. only seven times.

That's the message Marrocco said he has for other wounded soldiers.

"Just not to give up hope. You know, life always gets better, and you're still alive," he said. "And to be stubborn. There's a lot of people who will say you can't do something. Just be stubborn and do it anyway. Work your ass off and do it."

Dr. W.P. Andrew Lee, head of the team that conducted the surgery, said the new arms could eventually provide much of the same function as his original arms and hands. Another double-arm transplant patient can now use chopsticks and tie his shoes.

Lee said Marrocco's recovery has been remarkable, and the transplant is helping to "restore physical and psychological well-being."

Tuesday's news conference was held to mark a milestone in his recovery — the day he was to be discharged from the hospital.

Next comes several years of rehabilitation, including physical therapy that is going to become more difficult as feeling returns to the arms.

Before the surgery, he had been living with his older brother in a specially equipped home on New York's Staten Island that had been built with the help of several charities. Shortly after moving in, he said it was "a relief to not have to rely on other people so much."

The home was heavily damaged by Superstorm Sandy last fall.

"We'll get it back together. We've been through a lot worse than that," his father, Alex Marrocco, said.

For the next few months, Marrocco plans to live with his brother in an apartment near the hospital.

The former infantryman said he can already move the elbow on his left arm and rotate it a little bit, but there hasn't been much movement yet for his right arm, which was transplanted higher up.

Marrocco's mother, Michelle Marrocco, said he can't hug her yet, so he brushes his left arm against her face.

The first time he moved his left arm was a complete surprise, an involuntary motion while friends were visiting him in the hospital, he said.

"I had no idea what was going through my mind. I was with my friends, and it happened by accident," he recalled. "One of my friends said 'Did you do that on purpose?' And I didn't know I did it."

Marrocco's operation also involved a technical feat not tried in previous cases, Lee said in an interview after the news conference.

A small part of Marrocco's left forearm remained just below his elbow, and doctors transplanted a whole new forearm around and on top of it, then rewired nerves to serve the old and new muscles in that arm.

"We wanted to save his joint. In the unlucky event we would lose the transplant, we still wanted him to have the elbow joint," Lee said.

He also explained why leg transplants are not done for people missing those limbs — "it's not very practical." That's because nerves regrow at best about an inch a month, so it would be many years before a transplanted leg was useful.

Even if movement returned, a patient might lack sensation on the soles of the feet, which would be unsafe if the person stepped on sharp objects and couldn't feel the pain.

And unlike prosthetic arms and hands, which many patients find frustrating, the ones for legs are good. That makes the risks of a transplant not worth taking.

"It's premature" until there are better ways to help nerves regrow, Lee said.

Now Marrocco, who was the first soldier to survive losing all four limbs in the Iraq War, is looking forward to getting behind the wheel of his black 2006 Dodge Charger and hand-cycling a marathon.

Asked if he could one day throw a football, Dr. Jaimie Shores said sure, but maybe not like Baltimore Ravens quarterback Joe Flacco.

"Thanks for having faith in me," Marrocco interjected, drawing laughter from the crowd.

His mother said Marrocco has always been "a tough cookie."

"He's not changed that, and he's just taken it and made it an art form," Michelle Marrocco said. "He's never going to stop. He's going to be that boy I knew was going to be a pain in my butt forever. And he's going to show people how to live their lives."

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Associated Press Chief Medical Writer Marilynn Marchione in Milwaukee and AP writer David Dishneau in Hagerstown, Md., contributed to this report.

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Clinton Talks 2016, Stands by Benghazi Testimony

In her final television interview as Secretary of State, Hillary Clinton told ABC's Cynthia McFadden that she is "flattered and honored" at the intense interest in whether she might run for president in 2016.

But Clinton maintained that right now she's "not focused" on a presidential campaign; instead she said she wants to return to a "normal" life when she steps down from office on Friday.

Watch Cynthia McFadden's full interview with Secretary of State Hillary Clinton on "Nightline" tonight at 12:35 a.m. ET

Clinton's first order of business, she said, will be sleep.

"I hope I get to sleep in," she told McFadden with a laugh. "It will be the first time in many years. I have no office to go to, no schedule to keep, no work to do. That will probably last a few days then I will be up and going with my new projects," she said.

"I have been working or attending school full-time since I was 13. This is going to be new for me. I don't know how I'm going to react to it, to be honest."

PHOTOS: Hillary Clinton Through the Years: From Wellesley to the White House, and Beyond

Clinton has had no trouble articulating her reaction to what has arguably been the darkest chapter of her tenure as Secretary of State: the Sept. 11 attack on the U.S. consulate in Benghazi, Libya, in which four Americans, including Ambassador Chris Stevens, were killed.

Hillary's Next Chapter: On Family and Future Watch Video

Secretary Clinton had a heated exchange with Republican Senator Ron Johnson during her five hours of testimony before Congress about the attack last week. Johnson accused the administration of misleading the American people about the cause of the attack, when UN Ambassador Susan Rice, on Sunday political talk shows, blamed it on protesters.

Clinton snapped back at Johnson, "Four Americans are dead. What difference does it make?" For that, she has been sharply criticized by some conservatives.

Clinton said she "absolutely" stands by her response to Johnson, maintaining that the administration has been transparent with the information it knew, when it was available. Clinton said partisan politics have no place in a response to a terrorist attack against Americans.

"I believe that we should in public life, whether you're in the administration or the Congress, de-politicize crisis and work together to figure out what happened, what we can do to prevent it and then put into place both the institutional changes and the budgetary changes that are necessary, " she said.

"When someone tries to put into a partisan lens, when they focus not on the fact that we have such a terrible event happening with four dead Americans but instead what did somebody say on a Sunday morning talk show? That to me is not in keeping with the seriousness of the issue and the obligation we all have as public servants"

FULL TRANSCRIPT: Sec. of State Hillary Clinton's "Nightline" Interview

Asked about her health, Clinton said her recent illness, concussion and blood clot were all a surprise.

"When I got sick and fainted and hit my head I was so surprised, and I thought I would just get up and go to work. And thankfully I had very good medical care and doctors who said, 'No we'd better do an MRI, we'd better do this, we'd better do that,'" she said, calling herself "lucky."

"I know now how split second beset by a virus and dehydrated, what it can do to you."

Though she confirmed she is wearing special glasses to help with double vision, a lingering issue following her illness, Clinton said that she expects to be fully recovered and operating at "full speed" soon.

The Secretary told McFadden that if she does decide to run, she would have "no problem" making her health records public.

"Of course, that goes with the territory," she said.

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French seal off Mali's Timbuktu, rebels torch library

GAO, Mali (Reuters) - French and Malian troops retook control of Timbuktu, a UNESCO World Heritage site, on Monday after Islamist rebel occupiers fled the ancient Sahara trading town and torched several buildings, including a library holding priceless manuscripts.

The United States and the European Union are backing a French-led intervention in Mali against al Qaeda-allied militants they fear could use the West African state's desert north as a springboard for international attacks.

The recovery of Timbuktu followed the swift capture by French and Malian forces at the weekend of Gao, another major town in Mali's north that had been occupied by the alliance of jihadist groups since last year.

The two-week-old mission by France in its former Sahel colony, at the request of Mali's government, has driven the Islamist rebels northwards out of towns into the desert and mountains.

Without a shot being fired, 1,000 French soldiers and paratroopers and 200 Malian troops seized Timbuktu airport and surrounded the town on the banks of the Niger River, looking to block the escape of insurgents.

In both Timbuktu and Gao, cheering crowds turned out to welcome the French and Malian troops.

A third town in Mali's vast desert north, Kidal, had remained in Islamist militant hands. But Malian Tuareg MNLA rebels, who are seeking autonomy for their northern region, said on Monday they had taken charge in Kidal after Islamist fighters abandoned it.

A diplomat in Bamako confirmed the MNLA takeover of Kidal.

A French military spokesman said the assault forces at Timbuktu were avoiding any fighting inside the city to protect the cultural treasures, mosques and religious shrines in what is considered a seat of Islamic learning.

But Timbuktu Mayor Ousmane Halle told Reuters departing Islamist gunmen had four days earlier set fire to the town's new Ahmed Baba Institute, which contained thousands of manuscripts.

UNESCO spokesman Roni Amelan said the Paris-based U.N. cultural agency was "horrified" by the news of the fire, but was awaiting a full assessment of the damage.

Ali Baba, a worker at the Ahmed Baba Institute, told Sky News in Timbuktu more than 3,000 manuscripts had been destroyed. "They are bandits. They have burned some manuscripts and also stole a lot of manuscripts which they took with them," he said.

Marie Rodet, an African history lecturer at Britain's School of Oriental and African Studies, said Timbuktu held one of the greatest libraries of Islamic manuscripts in the world.

"It's pure retaliation. They (the Islamist militant rebels) knew they were losing the battle and they hit where it really hurts," Rodet told Reuters. "These people are not interested in any intellectual debate. They are anti-intellectual."

ISLAMISTS "ALL FLED"

The Ahmed Baba Institute, one of several libraries and collections in Timbuktu containing fragile documents dating back to the 13th century, is named after a Timbuktu-born contemporary of William Shakespeare and houses more than 20,000 scholarly manuscripts. Some were stored in underground vaults.

The French and Malians have encountered no resistance so far in Timbuktu. But they will now have to comb through a labyrinth of ancient mosques, monuments, mud-brick homes and narrow alleyways to flush out any hiding fighters.

The Islamist forces comprise a loose alliance that groups Al Qaeda in the Islamic Maghreb (AQIM) with Malian Islamist group Ansar Dine and AQIM splinter MUJWA.

They have retreated in the face of relentless French air strikes and superior firepower and are believed to be sheltering in the rugged Adrar des Ifoghas mountain range, north of Kidal.

The MNLA Tuareg rebels who say they now hold Kidal have offered to help the French-led offensive against the al Qaeda-affiliated Islamists. It was not clear, however, whether the French and Malians would steer their offensive further towards Kidal, or hold negotiations with the MNLA.

FRANCE: MALI "BEING LIBERATED"

The world was shocked by Timbuktu's capture in April by Tuareg fighters, whose separatist rebellion was later hijacked by Islamist radicals who imposed severe sharia (Islamic law).

Provoking international outrage, the Muslim militants - who follow a more radical Salafist brand of Islam - destroyed dozens of ancient shrines in Timbuktu sacred to Sufi Muslims, condemning them as idolatrous and un-Islamic.

They also imposed a strict form of Islamic law, or sharia, authorizing the stoning of adulterers and amputations for thieves, while forcing women to go veiled.

On Sunday, many women among the thousands of Gao residents who came out to celebrate the rebels' expulsion made a point of going unveiled. Other residents smoked cigarettes and played music to flout the bans previously imposed by the rebels.

Hundreds of troops from Niger and Chad have been brought to Gao to help secure the town.

"Little by little, Mali is being liberated," French Foreign Minister Laurent Fabius told France 2 television.

Speaking at a news conference in Paris, French President Francois Hollande said French troops would take a step back once the job of retaking key towns was complete, and Malian and other African troops would take over the task of hunting the rebels.

"They are the ones who will go into the northern part, which we know is the most difficult because that's where the terrorists are hiding," Hollande said.

As the French and Malian troops thrust into northern Mali, African troops for a U.N.-backed continental intervention force for Mali, expected to number 7,700, are being flown into the country, despite severe delays and logistical problems.

Outgoing African Union Chairman President Thomas Boni Yayi of Benin scolded AU states at a weekend summit in Addis Ababa for their slow response to assist Mali while former colonial power France took the lead in the military operation.

Burkina Faso, Benin, Nigeria, Senegal, Togo, Niger and Chad are providing soldiers for the AFISMA force. Burundi and other nations have pledged to contribute.

AU Peace and Security Commissioner Ramtane Lamamra said these regional troops could play a useful "clean-up" role once the main military operations against the Islamist rebels end.

Speaking in Addis Ababa on Monday, U.N. Secretary-General Ban Ki-moon said the U.N. was "actively considering" helping the troop-contributing African countries with logistical support.

(Additional reporting by Richard Valdmanis in Sevare, Mali, Bate Felix and David Lewis in Dakar, Maria Golovina in London, Alexandria Sage, Vicky Buffery and Emmanuel Jarry in Paris, Tiemoko Diallo in Bamako, Abdoulaye Massalatchi in Niamey, Richard Lough and Aaron Masho in Addis Ababa; Writing by Pascal Fletcher; Editing by Andrew Heavens)

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Man charged with using another person's credit card to pay for fast food

SINGAPORE: A man who used another person's credit card to pay for a fast food chain's home delivery service on four occasions has been charged with cheating.

Tan Kok Sin, 32, allegedly made the home delivery orders between 29 January and 12 February in 2011.

The orders, each costing more than S$21, were delivered to a residential address in Bukit Panjang.

Tan faces four other charges of using another person's credit card in 2010.

On 27 September 2010, Tan is believed to have used the card three times, to pay for more than S$400 worth of groceries at a supermarket in Woodlands.

He also allegedly used the same card to pay for a rice cooker at an electrical shop on the same day.

If guilty, Tan faces 10 years' jail and a fine.

- CNA/ck

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BJP reaches out to workers who make stirs hit

LUCKNOW: At a time when the Bharatiya Janata Party (BJP) has hit the streets to protest against home minister Sushil Kumar Shinde's 'Hindu terror' remark, the state unit of the party plans to reach out to its workers who have played significant role in building the party and making such protests and demonstrations meaningful.

A meeting of state BJP chief Laxmikant Bajpayi with important workers of the party has been fixed at the party's state office on Tuesday. On the same day, Bajpayi will also visit the house of former district unit chief Ghanshyam Yadav, who was killed in a road accident while he was coming to attend the party's Atal Shankhnaad Rally on January 21.

Earlier, on Monday, Bajpayi also attended programmes at party workers' houses in Ambedkarnagar, Mau and Ghazipur districts. A direct contact with the party workers is the need of the hour if the party has to regain its lost glory in the state, said a senior BJP leader.

The effort to make direct contact with the workers by the state BJP leadership gains importance in wake of Rajnath Singh becoming the national BJP chief and former chief minister Kalyan Singh coming back to party fold, as the two developments are bound to infuse new life into the state BJP in the days to come.

The BJP is gearing up to take the Shinde's remark issue from the streets to Parliament. The state BJP even took to task the Samajwadi Party-led state government on Monday for silence on the home minister's remark. Party's spokesman HN Dixit said since the Samajwadi Party, which is an alliance partner of UPA II, has been silent on the remarks made by the home minister, it proves they too subscribe to the view that organizations with nationalist approach are terror organizations. He demanded SP leaders come out with clear stance on the issue.

It is pertinent to mention that former chief minister Mayawati, whose Bahujan Samaj Party is also supporting UPA II government at the Centre, had said Shinde should have desisted from making such remarks in public. Dixit demanded Shinde be sacked for calling Hindus terrorists and hurting sentiments of the majority in the country. It's an insult to the country, he said.

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Soldier who lost 4 limbs has double-arm transplant

On Facebook, he describes himself as a "wounded warrior...very wounded."

Brendan Marrocco was the first soldier to survive losing all four limbs in the Iraq War, and doctors revealed Monday that he's received a double-arm transplant.

Those new arms "already move a little," he tweeted a month after the operation.

Marrocco, a 26-year-old New Yorker, was injured by a roadside bomb in 2009. He had the transplant Dec. 18 at Johns Hopkins Hospital in Baltimore, his father said Monday.

Alex Marrocco said his son does not want to talk with reporters until a news conference Tuesday at the hospital, but the younger Marrocco has repeatedly mentioned the transplant on Twitter and posted photos.

"Ohh yeah today has been one month since my surgery and they already move a little," Brendan Marrocco tweeted Jan. 18.

Responding to a tweet from NASCAR driver Brad Keselowski, he wrote: "dude I can't tell you how exciting this is for me. I feel like I finally get to start over."

The infantryman also received bone marrow from the same dead donor who supplied his new arms. That novel approach is aimed at helping his body accept the new limbs with minimal medication to prevent rejection.

The military sponsors operations like these to help wounded troops. About 300 have lost arms or hands in Iraq or Afghanistan.

Unlike a life-saving heart or liver transplant, limb transplants are aimed at improving quality of life, not extending it. Quality of life is a key concern for people missing arms and hands — prosthetics for those limbs are not as advanced as those for feet and legs.

"He was the first quad amputee to survive," and there have been four others since then, Alex Marrocco said.

The Marroccos want to thank the donor's family for "making a selfless decision ... making a difference in Brendan's life," the father said.

Brendan Marrocco has been in public many times. During a July 4 visit last year to the Sept. 11 Memorial with other disabled soldiers, he said he had no regrets about his military service.

"I wouldn't change it in any way. ... I feel great. I'm still the same person," he said.

The 13-hour operation was led by Dr. W.P. Andrew Lee, plastic surgery chief at Johns Hopkins. It was the seventh double-hand or double-arm transplant done in the United States.

Lee led three of those earlier operations when he worked at the University of Pittsburgh, including the only above-elbow transplant that had been done at the time, in 2010.

Marrocco's "was the most complicated one" so far, Lee said in an interview Monday. It will take more than a year to know how fully Marrocco will be able to use the new arms.

"The maximum speed is an inch a month for nerve regeneration," he explained. "We're easily looking at a couple years" until the full extent of recovery is known.

While at Pittsburgh, Lee pioneered the immune-suppression approach used for Marrocco. The surgeon led hand-transplant operations on five patients, giving them marrow from their donors in addition to the new limbs. All five recipients have done well, and four have been able to take just one anti-rejection drug instead of combination treatments most transplant patients receive.

Minimizing anti-rejection drugs is important because they have side effects and raise the risk of cancer over the long term. Those risks have limited the willingness of surgeons and patients to do more hand, arm and even face transplants.

Lee has received funding for his work from AFIRM, the Armed Forces Institute of Regenerative Medicine, a cooperative research network of top hospitals and universities around the country that the government formed about five years ago. With government money, he and several other plastic surgeons around the country are preparing to do more face transplants, possibly using the new immune-suppression approach.

Marrocco expects to spend three to four months at Hopkins, then return to a military hospital to continue physical therapy, his father said. Before the operation, he had been fitted with prosthetic legs and had learned to walk on his own.

He had been living with his older brother in a specially equipped home on New York's Staten Island that had been built with the help of several charities. Shortly after moving in, he said it was "a relief to not have to rely on other people so much."

The home was heavily damaged by Superstorm Sandy last fall.

Despite being in a lot of pain for some time after the operation, Marrocco showed a sense of humor, his father said. He had a hoarse voice from the tube that was in his throat during the long surgery and decided he sounded like Al Pacino. He soon started doing movie lines.

"He was making the nurses laugh," Alex Marrocco said.

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Associated Press Writer Stephanie Nano in New York contributed to this report.

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Online:

Army regenerative medicine:

http://www.afirm.mil/index.cfm?pageid=home

and http://www.afirm.mil/assets/documents/annual_report_2011.pdf

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Follow Marilynn Marchione at http://twitter.com/MMarchioneAP .

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