Ukraine fights spreading HIV epidemic

BUCHA, Ukraine (AP) — Andrei Mandrykin, an inmate at Prison No. 85 outside Kiev, has HIV. He looks ghostly and much older than his 35 years. But Mandrykin is better off than tens of thousands of his countrymen, because is he receiving treatment amid what the World Health Organization says is the worst AIDS epidemic in Europe.

Ahead of World AIDS Day on Saturday, international organizations have urged the Ukrainian government to increase funding for treatment and do more to prevent HIV from spreading from high-risk groups into the mainstream population, where it is even harder to manage and control.

An estimated 230,000 Ukrainians, or about 0.8 percent of people aged 15 to 49, are living with HIV, the virus that causes AIDS. Some 120,000 are in urgent need of anti-retroviral therapy, which can greatly prolong and improve the quality of their lives. But due to a lack of funds, fewer than a quarter are receiving the drugs — one of the lowest levels in the world.

Ukraine's AIDS epidemic is still concentrated among high-risk groups such as intravenous drug users, sex workers, homosexuals and prisoners. But nearly half of new cases registered last year were traced to unprotected heterosexual contact.

"Slowly but surely the epidemic is moving from the most-at-risk, vulnerable population to the general population," said Nicolas Cantau of The Global Fund to Fight AIDS, Tuberculosis and Malaria, who manages work in Eastern Europe and Central Asia. "For the moment there is not enough treatment in Ukraine."

Stigma is also a big problem for those with HIV in Ukraine. Liliya, a 65-year-old woman who would give only her first name, recently attended a class on how to tell her 9-year-old great-granddaughter that she has HIV. The girl, who contacted HIV at birth from her drug-abusing mother, has been denied a place in preschool because of her diagnosis.

"People are like wolves, they don't understand," said Liliya. "If any of the parents found out, they would eat the child alive."

While the AIDS epidemic has plateaued elsewhere in the world, it is still progressing in Eastern Europe and Central Asia, according to Cantau. Nearly 21,200 new cases were reported in Ukraine in 2011, the highest number since the former Soviet republic registered its first case in 1987, and a 3 percent increase over 2010. As a result of limited and often delayed treatment, the number of AIDS-related deaths grew 17 percent last year to about 3,800.

Two years ago, Mandrykin, the prisoner, was on the verge of becoming part of that statistic, with his level of crucial CD4 immune cells — a way to measure the strength of the immune system — dropping to 11. In a healthy person, the CD4 count is usually over 600.

"I was lying in the hospital, I was dying," said Mandrykin, who is serving seven years for robbery, his fourth stint in jail. "It's a scary disease."

After two years of treatment in a small prison clinic, his CD4 count has risen to 159 and he feels much better, although he looks exhausted and is still too weak to work in the workshop of the medium-security prison.

The Ukrainian government currently focuses on testing and treating standard cases among the general population. The anti-retroviral treatment of more than 1,000 inmates, as well as some 10,000 HIV patients across Ukraine who also require treatment for tuberculosis and other complications and all prevention and support activities, are paid for by foreign donors, mainly the Global Fund.

The Global Fund is committed to spending $640 million through 2016 to fight AIDS and tuberculosis in Ukraine and then hopes to hand over most of its programs to the Ukrainian government.

Advocacy groups charge that corruption and indifference by government officials help fuel the epidemic.

During the past two years, Ukrainian authorities have seized vital AIDS drugs at the border due to technicalities, sent prosecutors to investigate AIDS support groups sponsored by the Global Fund and harassed patients on methadone substitution therapy, prompting the Global Fund to threaten to freeze its prevention grant.

Most recently, Ukraine's parliament gave initial approval to a bill that would impose jail terms of up to five years for any positive public depiction of homosexuality. Western organizations say it would make the work of AIDS prevention organizations that distribute condoms and teach safe homosexual sex illegal and further fuel the epidemic. It is unclear when the bill will come up for a final vote.

AIDS drug procurement is another headache, with Ukrainian health authorities greatly overpaying for AIDS drugs. Advocacy groups accuse health officials of embezzling funds by purchasing drugs at inflated prices and then pocketing kickbacks.

Officials deny those allegations, saying their tender procedures are transparent.

Much also remains to be done in Ukraine to educate people about AIDS.

Oksana Golubova, a 40-year-old former drug user, infected her daughter, now 8, with HIV and lost her first husband to AIDS. But she still has unprotected sex with her new husband, saying his health is in God's hands.

"Those who are afraid get infected," Golubova said.

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The lure of fishing endures even when they're not biting

Jordan and Stephanie Martinez planned to celebrate their one-month wedding anniversary with a night out at their favorite Thai restaurant. But what's a date without fishing? So first, they drove in from Alhambra for a little pole time at Belmont Veterans Memorial Pier in Long Beach.

Carrying folding camp chairs and tackle boxes, the Martinezes joined a handful of lone fishermen and families staking out spots along the pier's metal railing and dropping their lines. From Vietnamese, Filipino, Mexican and African American backgrounds, they shared bait, admired each other's catches flopping around in plastic buckets of ice, and traded fish stories.

What they didn't do is complain about the fish not biting. They didn't care. They came out, even with rain in the forecast, to break away, enjoy the peace and camaraderie.

"We don't even need to fish," Jordan Martinez, 23, a FedEx driver, said. "We're just here for the fun."

Belmont is the homely stepsister to the Redondo Beach and Santa Monica piers, with their restaurants, honky-tonks and vintage arcade games like Zoltar the Fortune Teller. The T-shaped pier doesn't have much in the way of frills — just portable toilets and street lights with metal shades shaped like pith helmets. An American flag flaps over a bait shop at the end.

What the pier, a third of a mile long and as wide as a city street, does have is space. And, on a chilly autumn night this week, a bizarre but strangely enchanting view. Christmas lights hung from a metal frame form a Christmas tree in front of the bait shop. In the distance, the Queen Mary's stacks were also strung for the holidays. The moon rose, spilling ribbons of milky light across the waters.

Way offshore, a twinkling breakwater built by the Navy slashed through the bay. Closer in, several islands were alight. It took a minute to realize the islands weren't real: they were camouflage for oil and gas drilling equipment. With their pastel towers and unnaturally jaunty palms, they looked like where Gilligan pulled up after the S.S. Minnow shipwrecked, or the atoll where castaways slump in old New Yorker cartoons.

I was drawn to the pier by a half-baked desire to start fishing again. While the cool kids worked on their tans in Balboa, my family vacationed at the then-unfashionable Oxnard Beach, which seemed to be socked in solid in dense fog every day of the year. But at dawn, my father would take us fishing off the now-vanished Point Mugu Pier. He was a World War II veteran, but even so, it remains a mystery to me how he got us on the restricted naval base that once included the pier.

Although the ocean perch we caught and fried up remains my favorite breakfast, I had failed to interest my kids in fishing. And without equipment or somebody to tell me what to do, I hadn't fished for decades.

But the Belmont pier was my kind of place. Nobody seemed to know what they were doing. They paid no heed to the "do not eat" list of fish contaminated by DDT, PCBs and mercury posted on the pier in four languages — English, Spanish, Chinese and Khmer. If it's big enough to keep, it's big enough to eat.

"That's for kids," Benilda Badeo, a Long Beach caregiver for the elderly, said as she laughed off the do-not-eat warning and prepared to take home several forbidden smelt. "I'm already an adult."

Several fishermen and women admitted they didn't know one fish species from another. Icie Gibson, 29, of Compton, said she didn't "eat anything with eyes on the same side of the head."

"There was one here came up biting on the line of the pole," Gibson said. "That thing was vicious. I said, oh no, that's not an eater."

The fishing lore they passed around was contradictory. Martin Estrada blamed the near-full moon for his bad luck.

"The moon has to be gone to best catch fish," said the 42-year-old Long Beach gardener. "I just like to waste my time here."

John Colima, on the other hand, held that fish flee the darkness. He said he suspended a light bulb above the water line or threw in glow sticks to attract the little buggers.

Colima, his face obscured behind the light from his headlamp, arrived with a hoop net as well as his pole. The net was for catching lobsters, he said.

Lobstering in Southern California? Granted, they're spiny, strange and altogether different from Maine's finest. But Colima, 40, rhapsodized about their delectability, dipped in soy sauce or melted butter.

And, drawn by mussels bristling off the pier footings, lobsters were easy to catch, said Colima, 40, a phone installer. He assured me he'd caught lobsters a half-foot wide.

Unfolding his camp chair, he sat down and scored several little silver fish with his knife, slipped them into his net and dropped it over the side. Lobsters would be crawling into the net in 15 minutes, he predicted, half an hour tops.

An hour later, with the lobsters still stubbornly refusing to show, I asked another lobster fisherman, Tuan Lai of Anaheim, to report on the catch the next day.

Reached by phone, Lai, 19, a Golden West College student, said he plied his own net for two or three hours but came up with nothing but little blue crabs. And no one else did any better, he added.

"I don't know what happened," said Lai, who, Internet-trained in lobstering, insisted that earlier in the month he'd snagged a small one. Perhaps the gig was up with the lobsters, he theorized. "Maybe the lobsters are just kind of smart," he said.

gale.holland@latimes.com

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Hacking Report Criticizes Murdoch Newspaper and British Press Standards

LONDON — The leader of a major inquiry into the standards of British newspapers triggered by the phone hacking scandal offered an excoriating critique of the press as a whole on Thursday, saying it displayed “significant and reckless disregard for accuracy,” and urged the press to form an independent regulator to be underpinned by law.

Dan Kitwood/Getty Images

Lord Justice Sir Brian Leveson on Thursday with his inquiry on press standards.

Kerim Okten/European Pressphoto Agency

The British actor Hugh Grant arrived Thursday at the Queen Elizabeth II conference center in London, where Lord Justice Sir Brian Leveson was scheduled to release a report on the British press.

The report singled out Rupert Murdoch’s defunct tabloid The News of the World for sharp criticism.

“Too many stories in too many newspapers were the subject of complaints from too many people with too little in the way of titles taking responsibility, or considering the consequences for the individuals involved,” the head of the inquiry, Lord Justice Sir Brian Leveson, said in a 46-page summary of the findings in his long-awaited, 1,987-page report published in four volumes.

“The ball moves back into the politicians’ court,” Sir Brian said, referring to what form new and tighter regulations should take. “They must now decide who guards the guardians.”

Mr. Murdoch closed the 168-year-old News of the World in July 2011 as the phone hacking scandal blossomed into broad public revulsion with reports that the newspaper had ordered the interception of voice mail messages left on the cellphone of Milly Dowler, British schoolgirl who was abducted in 2002 and later found murdered.

Sir Brian said there had been a “failure of management and compliance” at The News of the World, accusing it of a “general lack of respect for individual privacy and dignity.”

“It was said that The News of the World had lost its way in relation to phone hacking,” the summary said. “Its casual attitude to privacy and the lip service it paid to consent demonstrated a far more general loss of direction.”

Speaking after the report was published, Sir Brian said that while the British press held a “privileged and powerful place in our society,” its “responsibilities have simply been ignored.”

“A free press in a democracy holds power to account. But, with a few honorable exceptions, the U.K. press has not performed that vital role in the case of its own power.”

“The press needs to establish a new regulatory body which is truly independent of industry leaders and of government and politicians,” he said. “Guaranteed independence, long-term stability and genuine benefits for the industry cannot be realized without legislation,” he said, adding: “This is not and cannot reasonably or fairly be characterized as statutory regulation of the press.”

In the body of the exhaustive report, reprising at length the testimony of many of the witnesses who spoke at the hearings, the document discusses press culture and ethics; explores the press’s attitude toward the subjects of its stories; and discusses the cozy relationship between the press and the police, and the press and politicians.

The report devotes an entire section to The News of the World. Using a number of case studies that came from the testimony of witnesses, it described a newsroom under immense pressure to bring in stories exclusively and quickly, full of journalists with cavalier and sometimes cruel attitudes toward the privacy and feelings of the people they were covering. Sir Brian said that reporters regularly obtained illegal information about their subjects, harassed and threatened subjects into cooperating, and concealed their identities in pursuit of stories.   

Concluding the section on the ethical  practices and culture of the news media, Sir Brian said he recognized that “most of what the press does is good journalism free from the sort of vices I have had to address at length.” But still,  he says, “it is essential that the need for a fresh start in press regulation is fully embraced and a new regime thereafter implemented.”

In the current system of self-regulation by a body called the Press Complaints Commission, newspapers effectively regulate themselves. The report urged the creation of a new independent regulatory body with powers to fine offending newspapers up to $1.6 million, made up of people who are not serving editors and should not be either lawmakers or figures from the government.

Lark Turner contributed reporting.

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Jude Law: I'm Okay Not Being 'That Young Pretty Thing' Anymore

Stylewatch
Style News Now

11/29/2012 at 09:15 AM ET

Courtesy T, The New York Times Style Magazine

While most people dread getting older, Jude Law is actually thrilled about it. And not for any reason you’d expect.

“In a weird way, it’s kind of a relief to think, ‘Oh, I know I’m not that young sort of pretty thing anymore,’” Law tells T, The New York Times Style Magazine. And at 39 years old, the actor admits he’d much rather reflect on his heartthrob days than relive them. “It’s quite nice talking about what it was like to be the young pretty thing, rather than being it.”

And though Law might not consider himself pretty anymore, he was still a bit too good looking for his role in Anna Karenina, in which he plays Anna’s older controlling husband (below). The director, Joe Wright, reveals in the T Magazine cover story, “I had to stop him [from] doing his ‘handsome face.’”

Another part of himself that Law had to change? His hair. Law’s character is almost bald. And while some actors would choose to wear a bald cap and wig, Law embraced the look. “[I was] surprised when he chose to actually cut his hair that way and not just wear a wig,” his co-star Keira Knightley admits in the feature.

To read more of Law’s cover story, pick up T, The New York Times Style Magazine Holiday 2012 edition, available this weekend, or click over to nytimes.com. Tell us: Do you prefer Law now or back in his heartthrob days (think 1997′s Gattaca)?

Laurie Sparham/Focus Features

–Jennifer Cress

PHOTOS: FEAST YOUR EYES ON MORE GOOD-LOOKING GUYS!

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Simple measures cut infections caught in hospitals

CHICAGO (AP) — Preventing surgery-linked infections is a major concern for hospitals and it turns out some simple measures can make a big difference.

A project at seven big hospitals reduced infections after colorectal surgeries by nearly one-third. It prevented an estimated 135 infections, saving almost $4 million, the Joint Commission hospital regulating group and the American College of Surgeons announced Wednesday. The two groups directed the 2 1/2-year project.

Solutions included having patients shower with special germ-fighting soap before surgery, and having surgery teams change gowns, gloves and instruments during operations to prevent spreading germs picked up during the procedures.

Some hospitals used special wound-protecting devices on surgery openings to keep intestine germs from reaching the skin.

The average rate of infections linked with colorectal operations at the seven hospitals dropped from about 16 percent of patients during a 10-month phase when hospitals started adopting changes to almost 11 percent once all the changes had been made.

Hospital stays for patients who got infections dropped from an average of 15 days to 13 days, which helped cut costs.

"The improvements translate into safer patient care," said Dr. Mark Chassin, president of the Joint Commission. "Now it's our job to spread these effective interventions to all hospitals."

Almost 2 million health care-related infections occur each year nationwide; more than 90,000 of these are fatal.

Besides wanting to keep patients healthy, hospitals have a monetary incentive to prevent these infections. Medicare cuts payments to hospitals that have lots of certain health care-related infections, and those cuts are expected to increase under the new health care law.

The project involved surgeries for cancer and other colorectal problems. Infections linked with colorectal surgery are particularly common because intestinal tract bacteria are so abundant.

To succeed at reducing infection rates requires hospitals to commit to changing habits, "to really look in the mirror and identify these things," said Dr. Clifford Ko of the American College of Surgeons.

The hospitals involved were Cedars-Sinai Medical Center in Los Angeles; Cleveland Clinic in Ohio; Mayo Clinic-Rochester Methodist Hospital in Rochester, Minn.; North Shore-Long Island Jewish Health System in Great Neck, NY; Northwestern Memorial Hospital in Chicago; OSF Saint Francis Medical Center in Peoria, Ill.; and Stanford Hospital & Clinics in Palo Alto, Calif.

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Online:

Joint Commission: http://www.jointcommission.org

American College of Surgeons: http://www.facs.org

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

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As downtown L.A. grows trendier, Spring Street Arcade is left behind

The salesmen at the Spring Street Arcade spend their day gazing out at a city that's passing them by.

All around, a trendy downtown is on the rise — pet stores selling gourmet dog chews, chic bars with ginger and juniper soda cocktails, a new generation of mostly young residents jogging in spandex and cruising on bikes.

But inside the 88-year-old shopping arcade, with its giant curved skylight, arched Spanish Renaissance entryways and Beaux Arts exterior, many of the stores are vacant, and the remaining merchants seem stuck in another era. Bargain-rate clothes, toys, suitcases and DVDs share shelf space with dusty boomboxes and T-shirts from '90s rock bands like Korn and Nirvana.

Mohad Azimi lingers through the morning outside his kitchen appliance shop, chatting with the Taiwanese salesman at the toy store next to him. These days, the jokes focus on a new Starbucks that's just opened at Spring and 6th streets. Maybe that's where all the people are going now, the merchants say.

"Look around here — business is dead," Azimi says as he looks across the arcade's empty corridor, which stretches from Spring to Broadway. "Nobody comes inside."

Azimi opened his business in the early 1990s, after emigrating from Afghanistan. Back then, Los Angeles was still enjoying a boom in immigration from places like Guatemala, Mexico and El Salvador, and the mall was so busy on the weekends that you could barely walk inside. Broadway was a bustling promenade, with shoppers pouring in on bus lines from all over the city.

Families would come to buy kitchenware at Azimi's shop, sometimes shipping the products back to relatives in Latin America. And while they were there, he says, they'd pick up toys and clothes for their children.

Azimi still stacks the same goods on a white plastic table at the front of his shop — toaster ovens, blenders and microwaves in battered cardboard boxes. Inside the cluttered shop, there are old keyboards, calculators and Nintendo GameCube consoles.

But he makes only a few sales each week, he says, and he's not sure he can make it to the end of the year.

"The new residents, they don't have a family, they don't have anyone to cook for," Azimi says. "They just have a dog."

::

When the Spring Street Arcade opened in 1924, it was hailed as Los Angeles' premier shopping center — and celebrated with a bash that brought out Will Rogers and Charlie Chaplin.

Back then, the area was filled with department stores, high-end shops and rows of movie palaces. Even as downtown faded after World War II and the department stores and movie houses closed down, the small merchants along Broadway, Main and other downtown streets managed to find new customers.

By the 1980s, hundreds of them were making a good living catering to the city's rising Latino immigrant community, both new immigrants and Mexicans who would cross the border for shopping runs.

The retail economy was so strong that Broadway storefronts famously commanded rents similar to those of Rodeo Drive in Beverly Hills.

But changes in immigration patterns, improved economic conditions in Mexico, competition in other communities and the recession have left many downtown merchants fighting to survive. While new, "500 Days of Summer" residents are frequenting bars and restaurants and coffeehouses, they have little need for the bargain shops that line the arcade.

Joel Kotkin, an urban studies fellow at Chapman University, says the shift is evident all around downtown.

It's the "gradual dissolution of one economy — a really vibrant, unique economy — and an attempt to replace it with another," he says. "The question is, are we just seeing the death of something that will be replaced, or will we have this parallel universe of yuppies alongside the decline?"

::

Inside the arcade, merchants are quick to reminisce about the prosperous years — and lament how it went so wrong.

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News Analysis: Sunni Leaders Gaining Clout in Mideast

Mohammed Saber/European Pressphoto Agency

A Palestinian woman in Gaza City on Tuesday walked amid the rubble left from eight days of fighting that ended in a cease-fire.

RAMALLAH, West Bank — For years, the United States and its Middle East allies were challenged by the rising might of the so-called Shiite crescent, a political and ideological alliance backed by Iran that linked regional actors deeply hostile to Israel and the West.

But uprising, wars and economics have altered the landscape of the region, paving the way for a new axis to emerge, one led by a Sunni Muslim alliance of Egypt, Qatar and Turkey. That triumvirate played a leading role in helping end the eight-day conflict between Israel and Gaza, in large part by embracing Hamas and luring it further away from the Iran-Syria-Hezbollah fold, offering diplomatic clout and promises of hefty aid.

For the United States and Israel, the shifting dynamics offer a chance to isolate a resurgent Iran, limit its access to the Arab world and make it harder for Tehran to arm its agents on Israel’s border. But the gains are also tempered, because while these Sunni leaders are willing to work with Washington, unlike the mullahs in Tehran, they also promote a radical religious-based ideology that has fueled anti-Western sentiment around the region.

Hamas — which received missiles from Iran that reached Israel’s northern cities — broke with the Iranian axis last winter, openly backing the rebellion against the Syrian president, Bashar al-Assad. But its affinity with the Egypt-Qatar-Turkey axis came to fruition this fall.

“That camp has more assets that it can share than Iran — politically, diplomatically, materially,” said Robert Malley, the Middle East program director for the International Crisis Group. “The Muslim Brotherhood is their world much more so than Iran.”

The Gaza conflict helps illustrate how Middle Eastern alliances have evolved since the Islamist wave that toppled one government after another beginning in January 2011. Iran had no interest in a cease-fire, while Egypt, Qatar and Turkey did.

But it is the fight for Syria that is the defining struggle in this revived Sunni-Shiite duel. The winner gains a prized strategic crossroads.

For now, it appears that that tide is shifting against Iran, there too, and that it might well lose its main Arab partner, Syria. The Sunni-led opposition appears in recent days to have made significant inroads against the government, threatening the Assad family’s dynastic rule of 40 years and its long alliance with Iran. If Mr. Assad falls, that would render Iran and Hezbollah, which is based in Lebanon, isolated as a Shiite Muslim alliance in an ever more sectarian Middle East, no longer enjoying a special street credibility as what Damascus always tried to sell as “the beating heart of Arab resistance.”

If the shifts seem to leave the United States somewhat dazed, it is because what will emerge from all the ferment remains obscure.

Clearly the old leaders Washington relied on to enforce its will, like President Hosni Mubarak of Egypt, are gone or at least eclipsed. But otherwise confusion reigns in terms of knowing how to deal with this new paradigm, one that could well create societies infused with religious ideology that Americans find difficult to accept. The new reality could be a weaker Iran, but a far more religiously conservative Middle East that is less beholden to the United States.

Already, Islamists have been empowered in Egypt, Libya and Tunisia, while Syria’s opposition is being led by Sunni insurgents, including a growing number identified as jihadists, some identified as sympathizing with Al Qaeda. Qatar, which hosts a major United States military base, also helps finance Islamists all around the region.

In Egypt, President Mohamed Morsi resigned as a member of the Muslim Brotherhood only when he became head of state, but he still remains closely linked with the movement. Turkey, the model for many of them, has kept strong relations with Washington while diminishing the authority of generals who were longstanding American allies.

“The United States is part of a landscape that has shifted so dramatically,” said Mr. Malley of the International Crisis Group. “It is caught between the displacement of the old moderate-radical divide by one that is defined by confessional and sectarian loyalty.”

The emerging Sunni axis has put not only Shiites at a disadvantage, but also the old school leaders who once allied themselves with Washington.

The old guard members in the Palestinian Authority are struggling to remain relevant at a time when their failed 20-year quest to end the Israeli occupation of Palestinian lands makes them seem both anachronistic and obsolete.

“Hamas has always argued that it is the future of the changes in the region because of its revolutionary nature, that it is part of the religious political groups who have been winning the revolutions,” said Ghassan Khatib, an official at Birzeit University and former government spokesman.

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U.S. for-profit colleges spend big on marketing while slashing other costs

(Reuters) – Google‘s biggest advertiser is neither a bank nor a retailer.

It’s the for-profit University of Phoenix, which has recently been spending nearly $ 400,000 a day on ads, more than any financial firm or retailer, the traditional big spenders on online advertising, according to search analytics firm SpyFu.

That kind of spending may seem surprising coming from a college, but marketing has become vital for the university and its for-profit rivals as enrollments plummet and they fight back against a host of criticisms, including low job-placement rates.

Colleges such as University of Phoenix, the industry leader owned by Apollo Group Inc, will not only have to boost enrollments to reverse their fortunes, analysts say. They will also need to consider cutting tuition fees as well as continue to slash costs and take market share from rivals.

“I have witnessed several versions of this cycle but none as extreme as this,” said Trace Urdan, an analyst with Wells Fargo Securities, who has been covering the U.S. for-profit education industry for about 15 years.

“We are going to see more pointed efforts at marketing and more price competition in an effort to try to capture more market share both from each other as well as from traditional schools,” Urdan said.

Operators of other for-profit colleges, whose ranks include the Washington Post Co’s Kaplan business, DeVry Inc and ITT Educational Services Inc, are also boosting their spending on marketing and are among the 25 biggest advertisers on Google.

But no one is spending like the University of Phoenix, which doubled its spending on Google ads to about $ 380,000 per day on average between October 12 and November 12, compared with $ 170,000 a day in the previous month, according to SpyFu.

Increased marketing alone will not be enough to fatten fast-shrinking profit margins and increase enrollments, however. Lower tuition fees and increased specialization of the type of programs offered, along with further streamlining of operations, will also be necessary, analysts say.

Industry bellwether University of Phoenix, which offers courses at about 230 campuses as well as online, announced plans last month to shut about half its locations and cut 800 jobs in order to save about $ 300 million a year by 2014.

New enrollments in the Apollo system are down nearly 50 percent in the past two years. As of August 31, enrollment totaled about 328,000.

Career Education Corp, which owns American InterContinental University and the Le Cordon Bleu colleges, and Lincoln Educational Services Corp have also announced closures.

LOW-COST MODEL

The $ 25 billion industry, which typically serves adults looking for a career change or a program to enhance job skills, is reeling after government investigations revealed fraud related to financial aid, worryingly high student debt loads and low rates of graduation and job placement.

“Many for-profit colleges make decisions that prioritize their bottom line, even when those decisions limit their students’ opportunities for academic success,” a U.S. Senate report said earlier this year.

Tuition fees, and therefore profits, is one area under pressure as potential students need to be convinced to take out loans in an uncertain job market.

Apollo, whose stock has lost about 65 percent of its value this year, implemented a tuition freeze earlier this year and promised students it will not increase prices through the course of their programs.

Apollo is also looking at different cost models, with a view to serving segments of the population that it cannot serve with current University of Phoenix tuition prices.

“We have certainly seen a lot more competition at the lower end of the price scale, and that’s something we are focusing on,” Apollo spokesman Mark Brennar said, while declining to offer specifics.

Wells Fargo’s Urdan said it is likely that Apollo wants to compete in the low-cost end of the market by building a second brand, which it would likely do by acquiring another college rather than starting from scratch.

As colleges lower their revenue base by cutting tuition fees even as they spend more on marketing, lower margins could become the norm, analysts say. That has spooked investors already worried about sliding enrollments.

The S&P 1500 Education Services index has lost three-quarters of its value since April 2010, including a 50 percent decline in 2012.

Some for-profit colleges already differentiate themselves in the crowded higher-education market by offering programs in a particular field or by targeting students of a particular background, and that trend could accelerate.

American Public Education, for example, is known for enrolling those who work in the military and public services, while Universal Technical Institute offers programs related to the automotive industry.

For-profit colleges play up their links to employers to attract students who may otherwise opt for traditional or community colleges, said Rob Lytle, head of the education practice at advisory firm Parthenon Group.

“They are about getting people workforce employability skills, and I think they are going to be focusing tighter on that,” said Lytle.

(Reporting by A. Ananthalakshmi in Bangalore; Editing by Ted Kerr)

Internet News Headlines – Yahoo! News

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Angus T. Jones's Video Surprises Two and a Half Men Set

By Mike Fleeman

11/28/2012 at 08:35 AM EST

After the Charlie Sheen tiger blood debacle, it would seem that nothing could shock the cast and crew of Two and a Half Men anymore.

Then came the Angus T. Jones video.

"This came as a surprise to most people. This isn't who he grew up as," a source on the show tells PEOPLE. "He's always been a good kid and he's very well-liked by everyone at the show."

The 19-year-old has blasted the CBS sitcom that pays him a reported $350,000 an episode, saying in a video posted on a religious website: "Please stop watching it. Please stop filling your head with filth."

The comments came during an apparent religious awakening for the actor in the Seventh-Day Adventist Church.

“We are happy that Angus has joined the Seventh-Day Adventist family and has found a place in which he feels comfortable to worship and grow his faith,” says George Johnson, a church spokesman. “Recently, Angus made some statements concerning his spiritual journey and expressed his views concerning the television program
Two and a Half Men.

"These comments are of a personal nature, reflecting his views after having undergone changes during his spiritual journey," Johnson continues. "We welcome him with open arms to the worldwide Seventh-Day Adventist Church family and are excited about his commitment to God through his recent baptism at his church."

Neither Jones nor reps for the show have spoken out.

The actor won't be on the set this week – which was previously planned because his character isn't involved in this episode.

"The cast was really surprised by the video," says a second source on set. "At first they didn't believe he'd say those things. ... He always has a great attitude, which is why everyone was surprised. He's friendly and talented and great at his job."

• Reporting by MONICA RIZZO, AILI NAHAS and MELODY CHIU

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CDC: HIV spread high in young gay males

NEW YORK (AP) — Health officials say 1 in 5 new HIV infections occur in a tiny segment of the population — young men who are gay or bisexual.

The government on Tuesday released new numbers that spotlight how the spread of the AIDS virus is heavily concentrated in young males who have sex with other males. Only about a quarter of new infections in the 13-to-24 age group are from injecting drugs or heterosexual sex.

The Centers for Disease Control and Prevention said blacks represented more than half of new infections in youths. The estimates are based on 2010 figures.

Overall, new U.S. HIV infections have held steady at around 50,000 annually. About 12,000 are in teens and young adults, and most youth with HIV haven't been tested.

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Online:

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

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