Laser Microscope Technology Detects Metastatic Breast Cancer Without Damaging Lymph Nodes
















FIRST PERSON | Researchers at Johns Hopkins University published a study in the Nov. 1, 2012, edition of The Journal of Biomedical Optics, which examined collagen one fibers (Col1) found in breast cancer tumors. They used special laser microscope technology called second harmonic generation (SHG) microscopy to examine Col1 fibers. As a result of this study, doctors can now tell whether breast cancer has metastasized. The study concluded using SHG microscopy allows doctors to determine if breast cancer is metastatic without having to compromise the lymph system.


The study













Collagen 1 fiber density increases in lymph node positive breast cancers: pilot study, by Samata M. Kakkad, et al, of Johns Hopkins University, describes how the Col1 fibers in lymph node-positive breast cancers differ greatly in density from lymph node-negative breast cancers. If cancer cells are detected in the lymph nodes, it is considered metastatic. Metastatic disease is an advanced form of cancer that has spread to other parts of the body.


Impact on breast cancer patients


The study shows that denser Col1 fibers indicate the cancer has metastasized. For breast cancer patients, like me, this is a huge discovery. Being able to identify metastatic disease without having to undergo painful lymph node procedures is a major improvement in patient care. It will greatly add to the quality of life after a cancer diagnosis.


Prior to breast surgery, many physicians order sentinel node mapping for their patients. This is a painful procedure that involves injecting radioactive dye into the nipple or near the tumor area. Once the dye is spread throughout the breast, the surgeon uses a Geiger counter to locate the lymph nodes used by the tumor. SHG technology will remove the need for sentinel node mapping if the Col1 fibers show the cancer has not metastasized.


During a mastectomy or lumpectomy, women with breast cancer have three or more lymph nodes removed for examination. The removal of the lymph nodes leaves women at a high risk for a serious medical condition called lymphedema. I had three lymph nodes removed during my mastectomy. So far, I’ve only had to deal with minor lymphedema symptoms, like minor swelling and stiffness. Examination of Col1 fibers would have eliminated the need for me to go through this.


Eliminating the need for painful procedures


All breast tumors are examined prior to a lumpectomy or mastectomy through biopsy. This is how the doctors arrive at the initial cancer diagnosis, but they cannot tell from the biopsy sample if the cancer has spread to other areas.


Examining the tissue sample through laser microscope technology, like SHG microscopy, at the time of biopsy, eliminates the need for the painful sentinel node mapping and removal of lymph nodes in early-stage breast cancers. It also removes the need for expensive procedures like bone scans and CT scans if the tissue sample shows that the cancer is not metastatic. Access to new technology like this greatly improves treatment for breast cancer.


Lynda Altman was diagnosed with breast cancer in November 2011. She writes a series for Yahoo! Shine called “My Battle With Breast Cancer.”


Diseases/Conditions News Headlines – Yahoo! News



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Fed’s Williams: Policies have aided growth without undue fallout
















IRVINE, California (Reuters) – The U.S. Federal Reserve‘s unconventional monetary policies have lowered borrowing costs and boosted growth without creating unwanted inflation, a top Fed official said on Monday, predicting the Fed’s latest round of asset-buying will exceed $ 600 billion.


The Fed will want to see sustained jobs gains and a consistent drop in the unemployment rate before it stops buying assets, making it likely the purchases will continue until “well into next year,” John Williams, president of the San Francisco Federal Reserve Bank, told reporters after a lecture at the University of California, Irvine.













The U.S. central bank’s prior round of quantitative easing totaled $ 600 billion; its first one was about $ 1.7 trillion.


The Fed began its third round of quantitative easing, known as QE3, in September, beginning with $ 40 billion a month in mortgage-backed securities and promising to continue or expand the purchases if the labor market does not improve substantially.


Although asset-buying and other non-traditional monetary policies pose potential risks, “the available evidence suggests they have been effective in stimulating growth without creating an undesirable rise in inflation,” Williams said at the lecture. “We are not seeing signs of rising inflation on the horizon.”


The policies also have not stimulated excessive risk-taking, he said.


The Fed lowered short-term interest rates to zero in December 2008, and has bought more than $ 2 trillion in long-term securities to lower borrowing costs even more.


August 2011 it moved further into unconventional territory by saying it planned to keep rates ultra-low for about two more years, a form of policy easing known as forward guidance.


In September, the Fed launched a third round of asset purchases and promised to keep rates low until at least mid-2015.


The latest asset purchase program kicked off with an initial $ 40 billion a month in mortgage-backed securities, and the Fed said it will continue or expand the program until the jobs situation improves substantially.


Unemployment was 7.9 percent last month, considerably higher than the 5 percent to 6 percent that most economists see as the norm for the U.S. economy. Inflation has averaged below the Fed’s 2 percent target over the past year.


Williams told the largely student audience that the Fed’s first two rounds of asset-buying likely shaved 1.5 percentage points from the unemployment rate. They also probably kept the U.S. economy from falling into deflation, he said.


Forward guidance has also become a key monetary policy tool, he said. The Fed’s first stab at it, in August 2011 when it promised low rates until mid-2013, pushed down borrowing costs sharply, equivalent to cutting short-term interest rates by 3/4 to 1 percentage point, he said.


Such guidance only works if the public believes the central bank will do what it says, he added.


“If the public doesn’t understand the central bank’s intended policy path, then forward guidance may not work so well,” he said.


One way for the central bank to reinforce public expectations is to buy assets on a large scale, effectively “putting its money where its mouth is,” he said. Buying assets shows the Fed is “determined to ease monetary conditions,” he said – and helps push down rates further.


Quantifying the effects of the Fed’s policies is difficult, he added, but “the presence of uncertainty does not mean that we shouldn’t be using these tools.”


Williams has been a strong supporter of the U.S. central bank’s super-easy monetary policy and is a voter this year on the Fed’s policy-setting committee.


Once it comes time to exit its super-easy monetary policy, the Fed will target a “soft landing,” raising rates and then selling the assets it has accumulated in its bid to push borrowing costs lower, Williams said.


(Reporting by Ann Saphir; Editing by Leslie Adler and Lisa Shumaker)


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Newspaper discloses new Cameron text messages
















LONDON (AP) — A British lawmaker says he’s asked the country’s media ethics inquiry to consider newly disclosed text messages sent between Prime Minister David Cameron and Rebekah Brooks, the ex-chief executive of Rupert Murdoch‘s British newspaper division.


The Mail on Sunday newspaper on Sunday published two previously undisclosed messages exchanged between the pair, who are friends and neighbors.













Brooks is facing trial on conspiracy charges linked to Britain’s phone hacking scandal, which saw Murdoch close down The News of The World tabloid.


In one newly disclosed message, Cameron thanked Brooks in 2009 for allowing him to borrow a horse, joking it was “fast, unpredictable and hard to control but fun.”


Opposition lawmaker Chris Bryant has asked a judge-led inquiry scrutinizing ties between the press and the powerful to examine the messages.


Europe News Headlines – Yahoo! News



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Newspaper discloses new Cameron text messages
















LONDON (AP) — A British lawmaker says he’s asked the country’s media ethics inquiry to consider newly disclosed text messages sent between Prime Minister David Cameron and Rebekah Brooks, the ex-chief executive of Rupert Murdoch‘s British newspaper division.


The Mail on Sunday newspaper on Sunday published two previously undisclosed messages exchanged between the pair, who are friends and neighbors.













Brooks is facing trial on conspiracy charges linked to Britain’s phone hacking scandal, which saw Murdoch close down The News of The World tabloid.


In one newly disclosed message, Cameron thanked Brooks in 2009 for allowing him to borrow a horse, joking it was “fast, unpredictable and hard to control but fun.”


Opposition lawmaker Chris Bryant has asked a judge-led inquiry scrutinizing ties between the press and the powerful to examine the messages.


Europe News Headlines – Yahoo! News



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Everyday Objects Photographed as Childlike Adventures
















1. Zesty Mower


“It was so like Patty. Right idea. Wrong execution.” Image used with permission by Christopher Boffoli


Click here to view this gallery.













[More from Mashable: The Top 250 Movies of All Time in Less Than 3 Minutes [VIDEO]]


Children let their imaginations run wild, turning everyday scenarios like breakfast at the kitchen table into a fantasy world.


As we grow more familiar with our surroundings, things become “normal” and lose that sense of wild curiosity.


[More from Mashable: ‘We’re Apple, And You’re Suckers,’ Says iPad Mini Parody Ad]


Photographer Christopher Boffoli created the series Big Appetites with that same imaginative, childlike mindset. The photos, shown above, play on object scale and words, adding tiny, detailed figurines of people to real food environments. A cup of tea turns into a scuba diving adventure, and cylindrical pasta becomes a pipeline factory.


“As a child you live in an adult world that is out of scale with your body and proportions. And you constantly exercise your imagination around a world of toys that are further out of scale,” says Boffoli.


Each photo is paired with a humorous caption that Boffoli says adds “an element of surprise and humor that things aren’t simply as they appear.”


The series will be exhibited in Seattle and Singapore this month, and a book on Bofolli’s work will release next year.


What sort of imaginative adventures did you go on as a child? Let us know in the comments below.


Images used with permission by Christopher Boffoli


This story originally published on Mashable here.


Tech News Headlines – Yahoo! News



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Lucas plans ‘little personal films’ in future
















NEW YORK (AP) — George Lucas is done with “Star Wars,” but not with filmmaking.


The “Star Wars” creator says he’s looking forward to making his “own little personal films” that he doubts will be for the theater crowd.













Lucas spoke Friday night at Ebony magazine‘s Power 100 Gala, days after announcing the sale of his storied Lucasfilm to Disney for $ 4.05 billion. The deal would allow for more “Star Wars” films.


Lucas was “very sad” let Lucasfilm go but excited about his educational foundation, which will benefit from the sale. He also plans to make more movies. His last one was this year’s “Red Tails,” about the Tuskegee Airmen, but he said he barely got it in theaters. He said the movies he’s working on now “will never get into theaters.”


Entertainment News Headlines – Yahoo! News



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Angioplasty costs are higher at non-surgery hospitals
















LOS ANGELES (Reuters) – Angioplasty to clear blocked arteries costs more at hospitals not equipped for emergency heart surgery, according to a study presented on Sunday at the American Heart Association scientific meeting.


Elective angioplasty is becoming increasingly common at hospitals that do not conduct more complicated heart procedures. During angioplasty, doctors insert a balloon-tipped catheter into an artery and inflate a balloon to open the narrowed blood vessel.













Researchers from Duke University Medical School in North Carolina analyzed billing data from more than 18,000 patients and found that the average cumulative medical costs were $ 23,991 in surgery-equipped hospitals, versus $ 25,460 in those without surgical centers.


“Surprisingly, there was no difference in procedure cost,” said Dr. Eric Eisenstein, lead author of the study and assistant professor of medicine at Duke. “We did find a difference in follow-up cost.”


The difference was due mainly to the fact that non-surgery hospitals used intensive care units for post-angioplasty care, as required by the study, and patients treated at these hospitals were more likely to be readmitted nine months after treatment.


“Rising costs of medical care make it very pertinent for us to assess value,” said Dr. Mark Hlatky, director of the cardiovascular outcomes research center at Stanford University.


Eisenstein said, “there is no guarantee that a community hospital can provide angioplasty services at costs comparable with those of major hospitals with on-site cardiac surgery.”


More than 1 million coronary artery opening procedures are performed in the United States each year, according to the American Heart Association.


(Reporting By Deena Beasley; Editing by Stacey Joyce)


Health News Headlines – Yahoo! News



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India’s Outsourcing Firms Must Boost Morale
















12da4  JaiGill 75x75 Indias Outsourcing Firms Must Boost Morale

India’s business-process-outsourcing (BPO) companies have a problem. The $ 50 billion industry has enjoyed phenomenal growth: The top 20 BPO companies’ employee base grew 12 percent in 2011, according to Dataquest, and the domestic market is expanding.













Yet BPO companies are struggling to attract the right talent. Not long ago, a BPO job was considered prestigious and financially beneficial, but lately potential candidates have opted for jobs in more traditional sectors such as banking, retail, and manufacturing. One of the critical issues facing business leaders today is the people perception that BPO jobs are unattractive. Rebranding could help change this view, but leaders can only achieve a true shift in people’s perceptions of BPO jobs when professionals in the industry view them as an attractive career option. When BPO employees feel loyalty to their companies and advocate for them, they provide excellent images of the industry to the outside world.


However, a study based on Gallup data indicates that BPO companies are unlikely to change people’s perspectives of them while the industry continues on its current path. A Gallup analysis of more than 75,000 respondents across eight BPO organizations over a two-year period indicates that a mere 28 percent of employees strongly agree that they intend to stay with their organization for the next two years; the same number strongly agree that they would recommend their organization to friends or family members.


The low level of loyalty shown by this number should worry any business leader concerned about employee turnover costs and lost productivity. But there is another issue here: When less than one in three employees strongly believes in a BPO employer, it is unlikely that young aspirants looking to embark on a career will meet mentors or advisers who would urge them to pursue a job with a BPO organization. This is true in any industry, but it is especially true in India: Indians typically rely on advice from people in their social networks, especially when it comes to big decisions such as choosing a school, a neighborhood, or a profession. While industry specific information is typically publicly available, many Indians tend to make key decisions after receiving direct advice from a trusted person.


That leads to the critical roadblock to acquiring talent in the BPO industry: Because of current experience in their organizations, these trusted sources are more likely to guide young, aspiring professionals into other industries.


The first step in reshaping the BPO industry’s image is to focus on existing BPO professionals’ needs. Gallup investigated the difference between extremely loyal advocates of the industry and those who take the opposite view and found two critical factors separating the groups: first, the contribution an employee’s job makes to the mission and purpose of the organization and second, the opportunities each employee has to learn and grow on the job.


While these factors are common across industries, the range of their effect on engagement and subsequently loyalty and advocacy in the BPO industry is tremendous. For example, when employees can strongly agree with two statements from Gallup’s engagement assessment designed to measure employee-engagement conditions, (“The mission or purpose of my organization makes me feel my job is important” and This last year, I have had opportunities at work to learn and grow”), their engagement levels increase to the 92nd engagement percentile of the overall workforce in India. Indeed, at those levels these workers become some of the most engaged employees. Being able to strongly agree with just one of the two items boosts employee engagement to above-average levels—into the 69th percentile of the workforce in India.


However, when an employee cannot strongly agree with either item, his or her engagement level falls to the 20th percentile of the India database. Such low levels of engagement drastically affect employees’ ability to be successful at work and ultimately their overall well being.


This lack of employee agreement with the key factors of loyalty and advocacy is an important signal to BPO company leaders. Increasing employee engagement affects loyalty and advocacy in the industry. Gallup data show that “engaged” employees are at least four times more likely than employees who are “not engaged” and 15 times more likely than “actively disengaged” employees to become advocates for their organizations in their social networks. Gallup has seen similar trends among employees regarding loyalty.


However, three out of five employees do not understand their role in fulfilling their organization’s mission and are unclear on how they will grow in their organization. The critical goal for BPO industry leaders is to connect their employee base with the vision of the company and to explain to employees how to achieve this vision and what the path forward will look like. If BPO companies can show workers the direction forward, the industry’s path will suddenly look a lot clearer, too.



Gill is a Senior Consultant with the strategic consulting firm Gallup in India. He works with clients in the technology, hospitality, financial services, and business services sectors in India, Australia, and Japan.


Businessweek.com — Top News



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As foreigners go, Afghan city is feeling abandoned

























KANDAHAR, Afghanistan (AP) — By switching from studying business management to training as a nurse, 19-year-old Anita Taraky has placed a bet on the future of the southern Afghan city of Kandahar — that once foreign troops are gone, private-sector jobs will be fewer but nursing will always be in demand.


Besides, if the Taliban militants recapture the southern Afghan city that was their movement’s birthplace and from which they were expelled by U.S.-led forces 11 years ago, nursing will likely be one of the few professions left open to women.





















Taraky is one of thousands of Kandaharis who are weighing their options with the approaching departure of the U.S. and its coalition partners. But while she has opted to stay, businessman Esmatullah Khan is leaving.


Khan, 29, made his living in property dealing and supplying services to the Western contingents operating in the city. Property prices are down, and business with foreigners is already shrinking, so he is pulling out, as are many others, he said.


Many are driven by a certainty that the Taliban will return, and that there will be reprisals.   


“From our baker to our electrician to our plumber, everyone was engaged with the foreign troops and so they are all targets for the Taliban. And unless the government is much stronger, when the foreign troops leave, that is the end,” Khan said.


The stakes are high. Kandahar, Afghanistan’s second city, is the southern counterweight to Kabul, the capital. Keeping Kandahar under central government control is critical to preventing the country from breaking apart into warring fiefdoms as it did in the 1990s.


“Kandahar is the gate of Afghanistan,” said Asan Noorzai, director of the provincial council. “If Kandahar is secure, the whole country is secure. If it is insecure, the whole country will soon be fighting.”


Even though Kandahar city has traffic jams and street hawkers to give it an atmosphere of normality, there are dozens of shuttered stores on the main commercial street, it’s almost too easy to find a parking space these days, and shopkeepers are feeling the pinch.


Dost Mohammad Nikzad said his profits from selling sweets have dropped by a half or more in the past year, to about $ 30 a day, and he has had to cut back on luxuries.


He said that every month he would buy a new shalwar kameez, the tunic favored by Afghan men; now he buys one every other month.


“I only go out to eat at a restaurant once a week. Before I would have gone multiple times a week,” Nikzad said, as he stood behind his counter, waiting for customers to show.


The measurements of violence levels contradict each other. On the one hand, many Kandaharis say things are better this year. On the other hand, the types of violence have changed and, to some minds, gotten worse.


“Before, we were mostly worried about bomb blasts. Now … we are afraid of worse things like assassinations and suicide attacks,” said Gul Mohammad Stanakzai, 34, a bank cashier.


Prying open the Taliban grip on Kandahar and its surrounding province has cost the lives of more than 400 international troops since 2001, and many more Afghans, including hundreds of public officials who have been assassinated by the Taliban.


Kandahar province remains the most violent in the country, averaging more than five “security incidents” a day, according to independent monitors. In Kandahar city, suicide attacks have more than doubled so far this year compared with the same period of 2011, according to U.N. figures.


“They are not fighting in the open the way they were before. Instead they are planting bombs and trying to get at us through the police and the army,” said Qadim Patyal, the deputy provincial governor.


The Taliban have said in official statements that they are focusing more on infiltrating Afghan and international forces to attack them. In the Kandahar governor’s office, armed Afghan soldiers are barred from meetings with American officials lest they turn on them, Patyal said.


And many point out that the “better security” is only relative. By all measures — attacks, bombings and civilian casualties — Kandahar is a much more violent city now than in 2008, before U.S. President Barack Obama ordered a troop surge.


There are no statistics on how many people have left the city of 500,000, but people are fleeing the south more than any other part of the country, according to U.N. figures. About 32 percent of the approximately 397,000 people who were recorded as in-country refugees were fleeing violence in the south, according to U.N. figures from the end of May.


The provincial government, which is supposed to fill the void left by the departing international forces, has suffered heavily from assassinations. It suffered a double blow in July last year with the killing of Ahmed Wali Karzai, the half-brother of President Hamid Karzai who was seen as the man who made things work in Kandahar, and Ghulam Haider Hamidi, the mayor of the city.


Now, Noorzai says, he can neither get the attention of ministers in Kabul nor trust city officials to do their jobs.


He remembers 2001, when he and others traveled to the capital flying the Afghan flag which had just been reinstated in place of that of the ousted Taliban. “People were throwing flowers and money on our car, they were so happy to have the Afghan flag flying again,” he said.


“When we got power, what did we give them in return? Poverty, corruption, abuse.”


Mohammad Omer, Kandahar’s current mayor, insists that if people are leaving the city, it is to return to villages they fled in previous years because now security has improved.


Zulmai Hafez disagrees. He has felt like a marked man since his father went to work for the government three years ago, and is too frightened to return to his home in the Panjwai district outside Kandahar city. He refused to have his picture taken or to have a reporter to his home, instead meeting at the city’s media center.


“It’s the Taliban who control the land, not the government,” Hafez said. He notes that the government administrator for his district sold off half his land, saying he would not be able to protect the entire farm from insurgents. Many believe the previous mayor was murdered because he went after powerful land barons.


Land reform is badly needed, and the mayor is angry about people who steal land, but he offers no solution. Kandahar only gets electricity about half the day. The mayor says it’s up to the Western allies to fix that. But the foreign aid is sharply down. Aid coming to Kandahar province through the U.S. Agency for International Development, the largest donor, has fallen to $ 63 million this year from $ 161 million in 2011, according to U.S. Embassy figures.


The mayor prefers to talk about investing in parks and planting trees. “I can’t resolve the electricity problem, but at least I can provide a place in the city for people to relax,” he said.


The only people thinking long-term appear to be the Taliban.


“The Americans are going and the Taliban need the people’s support, so they are trying to avoid attacks that result in civilian casualties,” said Noor Agha Mujahid, a member of the Taliban shadow government for Kandahar province, where he oversees operations in a rural district. “After 2014 … it will not take a month to take every place back.”


One of the biggest worries is the fate of women who have made strides in business and politics since the ouster of the Taliban.


“What will these women do?” asked Ehsanullah Ehsan, director of a center that trains more than 800 women a year in computers, English and business. It was at his center where Anita Taraky studied before switching to nursing.


“Even if the Taliban don’t come back, even if the international community just leaves, there will be fewer opportunities for women,” he said.


On the outskirts of the city stands one of the grandest projects of post-Taliban Kandahar — the gated community of Ayno Maina with tree-lined cement homes, wi-fi and rooftop satellite dishes.


Khan, the departing businessman, says he bought bought 10 lots for $ 66,000 in Ayno Maina and has yet to sell any of them despite slashing the price,


He recalled that when he first went to the project office it was packed with buyers. “Now it is full of empty houses. No one goes there,” Khan said.


Only about 15,000 of the 40,000 lots have been sold, and 2,400 homes built and occupied, according to Mahmood Karzai, one of the development’s main backers and a brother of President Karzai. He argues, however, that prices are down all over Afghanistan, and that Ayno Maina is still viable, provided his brother gets serious about reform that will attract investors.


“Afghanistan became a game,” he said over lunch at the Ayno Maina office. “The game is to make money and get the hell out of here. That goes for politicians. That goes for contractors.”


He shrugged off allegations that he skimmed money from Ayno Maina, saying the claims were started by competitors in Kabul who assume everyone who is building something in Afghanistan is also stealing money.


He said the money went where it was needed: to Western-style building standards and security.


In downtown Kandahar, a deserted park and Ferris wheel serve as another reminder of thwarted hopes. Built in the mid-2000s, the wheel has been idle for two years according to a guard, Abdullah Jan Samad. It isn’t broken, he said, it just needs electricity. A major U.S.-funded project to get reliable electricity to the city has floundered and generators that were supposed to provide a temporary solution only operate part-time because of fuel shortages.


“The government should be paying for maintenance for the Ferris wheel,” the guard said. “When you build something you should also make sure to maintain it.”


____


Associated Press Writer Mirwais Khan contributed to this report from Kandahar.


Asia News Headlines – Yahoo! News



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As foreigners go, Afghan city is feeling abandoned

























KANDAHAR, Afghanistan (AP) — By switching from studying business management to training as a nurse, 19-year-old Anita Taraky has placed a bet on the future of the southern Afghan city of Kandahar — that once foreign troops are gone, private-sector jobs will be fewer but nursing will always be in demand.


Besides, if the Taliban militants recapture the southern Afghan city that was their movement’s birthplace and from which they were expelled by U.S.-led forces 11 years ago, nursing will likely be one of the few professions left open to women.





















Taraky is one of thousands of Kandaharis who are weighing their options with the approaching departure of the U.S. and its coalition partners. But while she has opted to stay, businessman Esmatullah Khan is leaving.


Khan, 29, made his living in property dealing and supplying services to the Western contingents operating in the city. Property prices are down, and business with foreigners is already shrinking, so he is pulling out, as are many others, he said.


Many are driven by a certainty that the Taliban will return, and that there will be reprisals.   


“From our baker to our electrician to our plumber, everyone was engaged with the foreign troops and so they are all targets for the Taliban. And unless the government is much stronger, when the foreign troops leave, that is the end,” Khan said.


The stakes are high. Kandahar, Afghanistan’s second city, is the southern counterweight to Kabul, the capital. Keeping Kandahar under central government control is critical to preventing the country from breaking apart into warring fiefdoms as it did in the 1990s.


“Kandahar is the gate of Afghanistan,” said Asan Noorzai, director of the provincial council. “If Kandahar is secure, the whole country is secure. If it is insecure, the whole country will soon be fighting.”


Even though Kandahar city has traffic jams and street hawkers to give it an atmosphere of normality, there are dozens of shuttered stores on the main commercial street, it’s almost too easy to find a parking space these days, and shopkeepers are feeling the pinch.


Dost Mohammad Nikzad said his profits from selling sweets have dropped by a half or more in the past year, to about $ 30 a day, and he has had to cut back on luxuries.


He said that every month he would buy a new shalwar kameez, the tunic favored by Afghan men; now he buys one every other month.


“I only go out to eat at a restaurant once a week. Before I would have gone multiple times a week,” Nikzad said, as he stood behind his counter, waiting for customers to show.


The measurements of violence levels contradict each other. On the one hand, many Kandaharis say things are better this year. On the other hand, the types of violence have changed and, to some minds, gotten worse.


“Before, we were mostly worried about bomb blasts. Now … we are afraid of worse things like assassinations and suicide attacks,” said Gul Mohammad Stanakzai, 34, a bank cashier.


Prying open the Taliban grip on Kandahar and its surrounding province has cost the lives of more than 400 international troops since 2001, and many more Afghans, including hundreds of public officials who have been assassinated by the Taliban.


Kandahar province remains the most violent in the country, averaging more than five “security incidents” a day, according to independent monitors. In Kandahar city, suicide attacks have more than doubled so far this year compared with the same period of 2011, according to U.N. figures.


“They are not fighting in the open the way they were before. Instead they are planting bombs and trying to get at us through the police and the army,” said Qadim Patyal, the deputy provincial governor.


The Taliban have said in official statements that they are focusing more on infiltrating Afghan and international forces to attack them. In the Kandahar governor’s office, armed Afghan soldiers are barred from meetings with American officials lest they turn on them, Patyal said.


And many point out that the “better security” is only relative. By all measures — attacks, bombings and civilian casualties — Kandahar is a much more violent city now than in 2008, before U.S. President Barack Obama ordered a troop surge.


There are no statistics on how many people have left the city of 500,000, but people are fleeing the south more than any other part of the country, according to U.N. figures. About 32 percent of the approximately 397,000 people who were recorded as in-country refugees were fleeing violence in the south, according to U.N. figures from the end of May.


The provincial government, which is supposed to fill the void left by the departing international forces, has suffered heavily from assassinations. It suffered a double blow in July last year with the killing of Ahmed Wali Karzai, the half-brother of President Hamid Karzai who was seen as the man who made things work in Kandahar, and Ghulam Haider Hamidi, the mayor of the city.


Now, Noorzai says, he can neither get the attention of ministers in Kabul nor trust city officials to do their jobs.


He remembers 2001, when he and others traveled to the capital flying the Afghan flag which had just been reinstated in place of that of the ousted Taliban. “People were throwing flowers and money on our car, they were so happy to have the Afghan flag flying again,” he said.


“When we got power, what did we give them in return? Poverty, corruption, abuse.”


Mohammad Omer, Kandahar’s current mayor, insists that if people are leaving the city, it is to return to villages they fled in previous years because now security has improved.


Zulmai Hafez disagrees. He has felt like a marked man since his father went to work for the government three years ago, and is too frightened to return to his home in the Panjwai district outside Kandahar city. He refused to have his picture taken or to have a reporter to his home, instead meeting at the city’s media center.


“It’s the Taliban who control the land, not the government,” Hafez said. He notes that the government administrator for his district sold off half his land, saying he would not be able to protect the entire farm from insurgents. Many believe the previous mayor was murdered because he went after powerful land barons.


Land reform is badly needed, and the mayor is angry about people who steal land, but he offers no solution. Kandahar only gets electricity about half the day. The mayor says it’s up to the Western allies to fix that. But the foreign aid is sharply down. Aid coming to Kandahar province through the U.S. Agency for International Development, the largest donor, has fallen to $ 63 million this year from $ 161 million in 2011, according to U.S. Embassy figures.


The mayor prefers to talk about investing in parks and planting trees. “I can’t resolve the electricity problem, but at least I can provide a place in the city for people to relax,” he said.


The only people thinking long-term appear to be the Taliban.


“The Americans are going and the Taliban need the people’s support, so they are trying to avoid attacks that result in civilian casualties,” said Noor Agha Mujahid, a member of the Taliban shadow government for Kandahar province, where he oversees operations in a rural district. “After 2014 … it will not take a month to take every place back.”


One of the biggest worries is the fate of women who have made strides in business and politics since the ouster of the Taliban.


“What will these women do?” asked Ehsanullah Ehsan, director of a center that trains more than 800 women a year in computers, English and business. It was at his center where Anita Taraky studied before switching to nursing.


“Even if the Taliban don’t come back, even if the international community just leaves, there will be fewer opportunities for women,” he said.


On the outskirts of the city stands one of the grandest projects of post-Taliban Kandahar — the gated community of Ayno Maina with tree-lined cement homes, wi-fi and rooftop satellite dishes.


Khan, the departing businessman, says he bought bought 10 lots for $ 66,000 in Ayno Maina and has yet to sell any of them despite slashing the price,


He recalled that when he first went to the project office it was packed with buyers. “Now it is full of empty houses. No one goes there,” Khan said.


Only about 15,000 of the 40,000 lots have been sold, and 2,400 homes built and occupied, according to Mahmood Karzai, one of the development’s main backers and a brother of President Karzai. He argues, however, that prices are down all over Afghanistan, and that Ayno Maina is still viable, provided his brother gets serious about reform that will attract investors.


“Afghanistan became a game,” he said over lunch at the Ayno Maina office. “The game is to make money and get the hell out of here. That goes for politicians. That goes for contractors.”


He shrugged off allegations that he skimmed money from Ayno Maina, saying the claims were started by competitors in Kabul who assume everyone who is building something in Afghanistan is also stealing money.


He said the money went where it was needed: to Western-style building standards and security.


In downtown Kandahar, a deserted park and Ferris wheel serve as another reminder of thwarted hopes. Built in the mid-2000s, the wheel has been idle for two years according to a guard, Abdullah Jan Samad. It isn’t broken, he said, it just needs electricity. A major U.S.-funded project to get reliable electricity to the city has floundered and generators that were supposed to provide a temporary solution only operate part-time because of fuel shortages.


“The government should be paying for maintenance for the Ferris wheel,” the guard said. “When you build something you should also make sure to maintain it.”


____


Associated Press Writer Mirwais Khan contributed to this report from Kandahar.


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