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Russian missile wrecks apartment block, killing 3, as EU leaders visit Kyiv

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  • Zelenskiy gives gloomy assessment on Russian offensive in east
  • Russian strike destroys apartment building; 4 dead – officials
  • Lavrov says Russia will respond to long-range rocket deliveries
  • European Commission chief in Kyiv to discuss Ukraine’s EU bid
  • Zelenskiy vows more anti-corruption measures

KYIV, Feb 2 (Reuters) – A Russian missile destroyed an apartment building in the eastern Ukrainian city of Kramatorsk, killing at least three people, police said, as top European Union officials arrived in Kyiv for talks seen as key to Ukraine’s pivot towards the West.

Ukraine’s President Volodymyr Zelenskiy vowed more anti-corruption measures as authorities continued raids ahead of Friday’s EU meeting, reflecting his determination to show that Kyiv can be a reliable steward of billions of dollars in aid.

“We are here together to show that the EU stands by Ukraine as firmly as ever. And to deepen further our support and cooperation,” the head of the European Commission, Ursula von der Leyen, tweeted as she arrived in Kyiv by train on Thursday.

Ukraine sees the meeting as important to its hopes of joining the bloc, a process likely to take years.

In his evening video address, Zelenskiy also gave another bleak assessment of the battlefield situation as Russian forces continued to make incremental gains in the east of the country as the first anniversary of Moscow’s invasion looms on Feb. 24.

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In Kramatorsk, a Russian Iskander-K tactical missile struck at 9:45 p.m. (1945 GMT) on Wednesday, killing at least three people and injuring 20 others, police said.

“At least eight apartment buildings were damaged. One of them was completely destroyed,” police said in a Facebook post.

“People may remain under the rubble.”

Kramatorsk is about 55 km (34 miles) northwest of Bakhmut, currently the main focus of fighting in eastern Ukraine.

‘TOUGHER’ ON EASTERN FRONT

Russia, determined to make progress before Ukraine gets newly promised Western battle tanks and armoured vehicles, has picked up momentum on the battlefield and announced advances north and south of Bakhmut, which has suffered persistent Russian bombardment for months.

“Definite increase has been noted in the offensive operations of the occupiers on the front in the east of our country. The situation has become tougher,” Zelenskiy said in his evening video broadcast.

“The enemy is trying to achieve at least something now to show that Russia has some chances on the anniversary of the invasion,” he added.

Bakhmut and 10 towns and villages around it came under Russian fire, the Ukrainian military said late on Wednesday.

Avdiivka, another major Russian target, the nearby town of Maryinka and some neighbouring settlements were also hit, the military added.

Russian forces are pushing from both the north and south to encircle Bakhmut, using their superior troop numbers to try to cut it off from re-supply and force the Ukrainians out, Ukrainian military analyst Yevhen Dikiy said.

“This for us is the most difficult scenario,” Dikiy told Espreso TV.

“The enemy is able to use its sole resource, which it has in excess, its men,” he said, describing a landscape to the northeast of Bakhmut “literally covered with corpses”.

Ukraine and its Western allies say Moscow has taken huge losses around Bakhmut, sending in waves of poorly equipped troops, including thousands of convicts recruited from prisons as mercenaries.

A former commander of Russia’s Wagner mercenary group who fled to Norway in January told Reuters he wanted to apologise for fighting in Ukraine and was speaking out to bring perpetrators of atrocities to justice.

“First of all, repeatedly, and again, I would like to apologise,” Andrei Medvedev, 26, said.

ROCKETS

Ukraine has secured pledges of weapons from the West offering new capabilities – the latest expected this week to include rockets from the United States that would nearly double the range of Ukrainian forces.

“We’re focused on providing Ukraine the capability that it needs to be effective in its upcoming anticipated counter- offensive in the spring,” U.S. Defense Secretary Lloyd Austin said during a visit to the Philippines on Thursday.

The new weapons would put all of Russia’s supply lines in eastern Ukraine, as well as parts of Crimea, within range of Ukrainian forces.

Moscow says such rockets will escalate the conflict but not change its course.

“The greater the range of the weapons supplied to the Kyiv regime the more we will have to push them back from territories which are part of our country,” Foreign Minister Sergei Lavrov told Russian state TV on Thursday. Moscow claims to have annexed four Ukrainian provinces last year, as well as Crimea which it seized in 2014.

Russian forces are probing areas of weakness in Ukraine’s defences on the western edges of Luhansk region, its governor Serhiy Gaidai told Ukrainian TV on Thursday.

“The amount of shelling has increased, the number of attacks in the direction of Svatove-Kreminna has increased… They are piling up our positions with bodies,” Gaidai said.

Reuters could not confirm the battlefield reports.

President Vladimir Putin sent troops into Ukraine last February in a “special military operation” to “disarm” its neighbour. He now casts the campaign as a fight to defend Russia against an aggressive West. Ukraine and the West call it an illegal war to expand Russian territory.

Reporting by Reuters bureaux
Writing by Himani Sarkar and Gareth Jones
Editing by Robert Birsel and Peter Graff

Our Standards: The Thomson Reuters Trust Principles.

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World

Philippines grants U.S. greater access to bases amid China concerns

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  • Philippines, U.S. agree to add four locations under EDCA
  • Agreement comes amid tensions in South China Sea, over Taiwan
  • EDCA allows U.S. access to Philippine military bases

MANILA, Feb 2 (Reuters) – The Philippines has granted the United States expanded access to its military bases, their defence chiefs said on Thursday, amid mounting concern over China’s increasing assertiveness in the disputed South China Sea and tensions over self-ruled Taiwan.

Washington would be given access to four more locations under the 2014 Enhanced Defense Cooperation Agreement (EDCA), U.S. Defense Secretary Lloyd Austin and Philippines’ Defense Secretary Carlito Galvez said in a joint news conference.

Austin, who was in the Philippines for talks as Washington seeks to extend its security options in the country as part of efforts to deter any move by China against self-ruled Taiwan, described Manila’s decision as a “big deal” as he and his counterpart reaffirmed their commitment to bolstering their countries’ alliance.

“Our alliance makes both of our democracies more secure and helps uphold a free and open Indo-Pacific,” said Austin, whose visit follows U.S. Vice President Kamala Harris’s trip to the Philippines in November, which included a stop at Palawan in the South China Sea.

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“We discussed concrete actions to address destabilising activities in the waters surrounding the Philippines, including the West Philippine Sea, and we remain committed to strengthening our mutual capacities to resist armed attack,” Austin said.

“That’s just part of our efforts to modernize our alliance. And these efforts are especially important as People’s Republic of China continues to advance its illegitimate claims in the West Philippine Sea,” he added.

The additional locations under the EDCA bring to nine the number of military bases the United States would have access to, and Washington had announced it was allocating more than $82 million toward infrastructure investments at the existing sites.

The EDCA allows U.S. access to Philippine military bases for joint training, pre-positioning of equipment and the building of facilities such as runways, fuel storage and military housing, but not a permanent presence.

Austin and Galvez did not say where the new locations would be. The former Philippine military chief had said the United States had requested access to bases on the northern land mass of Luzon, the closest part of the Philippines to Taiwan, and on the island of Palawan, facing the disputed Spratly Islands in the South China Sea.

There was no immediate comment from the Chinese Embassy in Manila.

Outside the military headquarters, dozens of protesters opposed to the United States maintaining a military presence in the country chanted anti-U.S. slogans and called for the EDCA to be scrapped.

Before meeting his counterpart, Austin met with Philippine President Ferdinand Marcos Jr at the presidential palace on Thursday, where he assured the Southeast Asian leader, “we stand ready to help you in any way we can”.

Ties between the United States and the Philippines, a former colony, were soured by predecessor Rodrigo Duterte’s overtures towards China, his famous anti-U.S. rhetoric and threats to downgrade their military ties.

But Marcos has met with U.S. President Joe Biden twice since his landslide victory in the elections last year and reiterated he cannot see a future for his country without its longtime treaty ally.

“I have always said, it seems to me, the future of the Philippines and for that matter the Asia Pacific will always have to involve the United States,” Marcos told Austin.

Reporting by Karen Lema
Editing by Ed Davies and Gerry Doyle

Our Standards: The Thomson Reuters Trust Principles.

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World

Austin’s Manila visit to bring deal on expanded base access – Philippines official

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WASHINGTON/MANILA, Feb 1 (Reuters) – U.S. Defense Secretary Lloyd Austin’s visit to the Philippines this week is expected to bring an announcement of expanded U.S. access to military bases in the country, a senior Philippines official said on Wednesday.

Washington is eager to extend its security options in the Philippines as part of efforts to deter any move by China against self-ruled Taiwan, while Manila wants to bolster defense of its territorial claims in the disputed South China Sea.

Austin arrived in Manila on Tuesday night, and will meet his Philippine counterpart and other officials on Thursday “to build on our strong bilateral relationship, discuss a range of security initiatives, and advance our shared vision of a free and open Pacific,” he said on Twitter.

On Wednesday morning, Austin visited U.S. troops stationed at a Philippine military camp in the southern city of Zamboanga, according to Roy Galido, commander of the Western Mindanao Command.

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“Our working relationship to them is very strong,” Galido told reporters, adding that U.S. troops help in counter terrorism, and humanitarian and disaster response missions.

U.S. officials have said Washington hopes for an access agreement during Austin’s visit, which began on Tuesday, and that Washington has proposed additional sites under an Enhanced Defense Cooperation Agreement (EDCA) dating back to 2014.

“There’s a push for another four or five of these EDCA sites,” the a senior Philippines official said. “We are going to have definitely an announcement of some sort. I just don’t know how many would be the final outcome of that.”

The official declined to be named because of the sensitivity of the matter.

Manila and Washington have a mutual defense treaty and have been discussing U.S. access to four additional bases on the northern land mass of Luzon, the closest part of the Philippines to Taiwan, as well as another on the island of Palawan, facing the disputed Spratly Islands in the South China Sea.

EDCA allows U.S. access to Philippine bases for joint training, pre-positioning of equipment and building of facilities such as runways, fuel storage and military housing, but not a permanent presence. The U.S. military already has access to five such sites.

The Philippines official said increased U.S. access needed to benefit both countries.

“We don’t want it to be directed to just for the use of the United States purely for their defense capabilities … it has to be mutually beneficial,” he said.

“And obviously, we want to make sure that no country will see … anything that we’re doing … was directed towards any conflict or anything of that sort,” he added.

Manila’s priorities in its agreements with Washington were to boost its defense capabilities and interoperability with U.S. forces and to improve its ability to cope with climate change and natural disasters, the official said.

He said that after cancelling an agreement for the purchase of heavy-lift helicopters from Russia last year, Manila had reached a deal with Washington to upgrade “a couple” of Blackhawk helicopters that could be used for disaster relief.

“The deal with Russia was very attractive because for a certain budget we were able to get something like 16 of these heavy-lift helicopters,” the official said. “Now with the United States, obviously their helicopters are more expensive, so we’re looking at how we can fit in the budget that we’ve had.”

Gregory Poling, a Southeast Asia expert at Washington’s Center for Strategic and International Studies think tank, said access to sites in northern Luzon would help U.S. efforts to deter any Chinese move against Taiwan by putting the waters to the south of the island within range of shore-based missiles.

He said the U.S. and Philippine marines were pursuing similar capabilities with ground-based rockets, with Manila’s particular interest being to protect its South China Sea claims.

The Philippines is among several countries at odds with China in the South China Sea and has been angered by the constant presence of vessels in its exclusive economic zone it says are manned by Chinese militia. China is also Manila’s main trading partner.

Reporting by David Brunnstrom; additional reporting by Idrees Ali in Washington and Neil Jerome Morales and Karen Lema in Manila; Editing by Gerry Doyle

Our Standards: The Thomson Reuters Trust Principles.

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World

Power outage forces Philippines to suspend flights, shut airspace

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  • More than 280 flights delayed, diverted on New Year’s Day
  • Transportation chief blames power outage for failure
  • System partially restored, airlines offer free rebooking

MANILA, Jan 1 (Reuters) – Philippine authorities halted flights in and out of Manila on New Year’s Day due to a malfunction of air traffic control, which also prevented airlines bound to other destinations from using the country’s airspace.

A total of 282 flights were either delayed, cancelled or diverted to other regional airports, affecting around 56,000 passengers at Manila’s Ninoy Aquino International Airport (NAIA), the airport operator said on Sunday.

It was unclear how many overflights were affected.

Transportation Secretary Jaime Bautista apologized for the inconvenience to passengers as he blamed a power outage for the breakdown of the central air traffic control system that also affected operations at other airports in the country.

He said the outdated existing facility should be upgraded immediately and that a back-up system was also needed.

“This is air traffic management system issue,” he said in a media briefing. “If you will compare us with Singapore, for one, there is a big difference, they are at least 10 years ahead of us.”

As of 0800 GMT, “the system has been partially restored thereby allowing limited flight operations”, the Manila International Airport Authority said in a statement. By late evening, eight flight arrivals and eight departures had been allowed, according to the airport operator.

Video clips and photos posted on social media showed long queues at the airport and airline personnel distributing food packs and drinks to stranded passengers.

“We’re told radar and navigation facilities at NAIA down. I was on my way home fm Tokyo – 3 hours into the flight, but had to return to Haneda,” tweeted one passenger – Manuel Pangilinan, chairman of Philippine telecommunications conglomerate PLDT Inc.

“6 hours of useless flying but inconvenience to travellers and losses to tourism and business are horrendous. Only in the PH. Sigh.”

Budget carrier Cebu Pacific (CEB.PS) and Philippine Airlines (PAL.PS) said they were offering passengers due to fly on Sunday free rebooking or the option to convert tickets to vouchers.

Reporting by Enrico Dela Cruz; Editing by Neil Fullick, Peter Graff and Alison Williams

Our Standards: The Thomson Reuters Trust Principles.

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World

The New Year rings in as Asia then Europe usher out 2022

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Dec 31 (Reuters) – With fireworks planned in Paris, hopes for an end to war in Kyiv, and a return to post-COVID normality in Australia and China, Europe and Asia bid farewell to 2022.

It was a year marked for many by the conflict in Ukraine, economic stresses and the effects of global warming. But it was also a year that saw a dramatic soccer World Cup, rapid technological change, and efforts to meet climate challenges.

For Ukraine, there seemed to be no end in sight to the fighting that began when Russia invaded in February. On Saturday alone, Russia fired more than 20 cruise missiles, Ukrainian officials said, with explosions reported throughout the country.

Evening curfews remained in place nationwide, making the celebration of the beginning of 2023 impossible in many public spaces. Several regional governors posted messages on social media warning residents not to break restrictions on New Year’s Eve.

In Kyiv, though, people gathered near the city’s central Christmas tree as midnight approached.

“We are not giving up. They couldn’t ruin our celebrations,” said 36-year-old Yaryna, celebrating with her husband, tinsel and fairy lights wrapped around her.

Oksana Mozorenko, 35, said her family had tried to celebrate Christmas to make it “a real holiday” but added: “I would really like this year to be over.”

In a video message to mark the New Year, Ukrainian President Volodymyr Zelenskiy, Time Magazine’s 2022 Person of the Year, said: “I want to wish all of us one thing – victory.”

Russian President Vladimir Putin devoted his New Year’s address to rallying the Russian people behind his troops fighting in Ukraine.

Festivities in Moscow were muted, without the usual fireworks on Red Square.

“One should not pretend that nothing is happening – our people are dying (in Ukraine),” said 68-year-old Yelena Popova. “A holiday is being celebrated, but there must be limits.” Many Muscovites said they hoped for peace in 2023.

Paris was set to stage its first New Year fireworks since 2019, with 500,000 people expected to gather on the Champs-Elysees avenue to watch.

Like many places, the Czech capital Prague was feeling the pinch economically and so did not hold a fireworks display.

“Holding celebrations did not seem appropriate,” said city hall spokesman Vit Hofman, citing “the unfavourable economic situation of many Prague households” and the need for the city to save money.

Heavy rain and high winds meant firework shows in the Netherlands’ main cities were cancelled.

But several European cities were experiencing record warmth for the time of year. The Czech Hydrometeorological Institute said it was seeing the warmest New Year’s Eve on record, with the temperature in Prague’s centre, where records go back 247 years, reaching 17.7 Celsius (63.9 Fahrenheit).

It was also the warmest New Year’s Eve ever recorded in France, official weather forecaster Meteo France said.

[1/7] People gather on the Champs Elysees avenue during the New Year’s Eve celebrations near the Arc de Triomphe in Paris, France, December 31, 2022. REUTERS/Sarah Meyssonnier

In Croatia, dozens of cities, including the capital Zagreb, cancelled fireworks displays after pet lovers warned about their damaging effects, calling for more environmentally aware celebrations.

The Adriatic town of Rovinj planned to replace fireworks with laser shows and Zagreb was putting on confetti, visual effects and music.

‘SYDNEY IS BACK’

Earlier, Australia kicked off the celebrations with its first restriction-free New Year’s Eve after two years of COVID disruptions.

Sydney welcomed the New Year with a typically dazzling fireworks display, which for the first time featured a rainbow waterfall off the Harbour Bridge.

“This New Year’s Eve we are saying Sydney is back as we kick off festivities around the world and bring in the New Year with a bang,” said Clover Moore, lord mayor of the city.

Pandemic-era curbs on celebrations were lifted this year after Australia, like many countries around the world, re-opened its borders and removed social distancing restrictions.

In China, rigorous COVID restrictions were lifted only in December as the government reversed its “zero-COVID” policy, a switch that has led to soaring infections and meant some people were in no mood to celebrate.

“This virus should just go and die, cannot believe this year I cannot even find a healthy friend that can go out with me and celebrate the passage into the New Year,” wrote one social media user based in eastern Shandong province.

But in the city of Wuhan, where the pandemic began three years ago, tens of thousands of people gathered to enjoy themselves despite a heavy security presence.

Barricades were erected and hundreds of police officers stood guard. Officers shuttled people away from at least one popular New Year’s Eve gathering point and used loudspeakers to blast out a message on a loop advising people not to gather. But the large crowds of revellers took no notice.

In Shanghai, many thronged the historic riverside walkway, the Bund.

“We’ve all travelled in from Chengdu to celebrate in Shanghai,” said Da Dai, a 28-year-old digital media executive who was visiting with two friends. “We’ve already had COVID, so now feel it’s safe to enjoy ourselves.”

In Hong Kong, days after limits were lifted on group gatherings, tens of thousands of people met near the city’s Victoria Harbour for a countdown to midnight. Lights beamed from some of the biggest harbour-front buildings.

It was the city’s biggest New Year’s Eve celebration in several years. The event was cancelled in 2019 due to often violent social unrest, then scaled down in 2020 and 2021 due to the pandemic.

Malaysia’s government cancelled its New Year countdown and fireworks event at Dataran Merdeka in Kuala Lumpur after flooding across the nation displaced tens of thousands of people and a landslide killed 31 people this month.

Celebrations at the capital’s Petronas Twin Towers were pared back with no performances or fireworks.

Reuters 2022 Year in Review

Reporting by Reuters bureaux around the world; Writing by Neil Fullick, Frances Kerry and Rosalba O’Brien; Editing by Hugh Lawson, David Holmes and Daniel Wallis

Our Standards: The Thomson Reuters Trust Principles.

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World

Chinese jet came within 10 feet of U.S. military aircraft -U.S. military

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WASHINGTON, Dec 29 (Reuters) – A Chinese military plane came within 10 feet (3 metres) of a U.S. air force aircraft in the contested South China Sea last week and forced it to take evasive maneuvers to avoid a collision in international airspace, the U.S. military said on Thursday.

The close encounter followed what the United States has called a recent trend of increasingly dangerous behavior by Chinese military aircraft.

The incident, which involved a Chinese Navy J-11 fighter jet and a U.S. air force RC-135 aircraft, took place on Dec. 21, the U.S. military said in a statement.

“We expect all countries in the Indo-Pacific region to use international airspace safely and in accordance with international law,” it added.

A U.S. military spokesperson said the Chinese jet came within 10 feet of the plane’s wing, but 20 feet from its nose, which caused the U.S. aircraft to take evasive maneuvers.

The United States has raised the issue with the Chinese government, a separate U.S. official said.

The Chinese embassy in Washington D.C. did not immediately respond to a request for comment.

In the past, China has said that the United States sending ships and aircraft into the South China Sea is not good for peace.

U.S. military planes and ships routinely carry out surveillance operations and travel through the region.

China claims vast swathes of the South China Sea that overlap with the exclusive economic zones of Vietnam, Malaysia, Brunei, Indonesia and the Philippines.

Trillions of dollars in trade flow every year through the waterway, which also contains rich fishing grounds and gas fields.

In a meeting with his Chinese counterpart in November, U.S. Defense Secretary Lloyd Austin raised the need to improve crisis communications, and also noted what he called dangerous behavior by Chinese military planes.

Despite tensions between the United States and China, U.S. military officials have long sought to maintain open lines of communication with their Chinese counterparts to mitigate the risk of potential flare-ups or deal with any accidents.

Australia’s defence department said in June that a Chinese fighter aircraft dangerously intercepted an Australian military surveillance plane in the South China Sea region in May.

Australia said the Chinese jet flew close in front of the RAAF aircraft and released a “bundle of chaff” containing small pieces of aluminum that were ingested into the Australian aircraft’s engine.

In June, Canada’s military accused Chinese warplanes of harassing its patrol aircraft as they monitored North Korea sanction evasions, sometimes forcing Canadian planes to divert from their flight paths.

Relations between China and the United States have been tense, with friction between the world’s two largest economies over everything from Taiwan and China’s human rights record to its military activity in the South China Sea.

U.S. House Speaker Nancy Pelosi’s trip to Taiwan in August infuriated China, which saw it as a U.S. attempt to interfere in its internal affairs. China subsequently launched military drills near the island.

The United States has no formal diplomatic relations with Taiwan but is bound by law to provide the island with the means to defend itself.

Reporting by Idrees Ali and Doina Chiacu
Editing by Frances Kerry and Josie Kao

Our Standards: The Thomson Reuters Trust Principles.

Idrees Ali

Thomson Reuters

National security correspondent focusing on the Pentagon in Washington D.C. Reports on U.S. military activity and operations throughout the world and the impact that they have. Has reported from over two dozen countries to include Iraq, Afghanistan, and much of the Middle East, Asia and Europe. From Karachi, Pakistan.

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Health

Corticosteroid injections associated with progression of knee osteoarthritis

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Two studies comparing injections commonly used to relieve the pain of knee osteoarthritis found that corticosteroid injections were associated with the progression of the disease. Results of both studies were presented today at the annual meeting of the Radiological Society of North America (RSNA).

Osteoarthritis is the most common form of arthritis, affecting 32.5 million adults in the U.S. Knee osteoarthritis is a chronic, degenerative and progressive condition with an estimated incidence of 800,000 patients each year. More than 10% of patients with knee osteoarthritis seek noninvasive treatment for pain relief through corticosteroid or hyaluronic acid injections.

Researchers in both studies chose cohorts from the Osteoarthritis Initiative, a multicenter, longitudinal, observational study of nearly 5,000 participants with knee osteoarthritis currently in its 14th year of follow-up.

In the first study, researchers at the University of California, San Francisco included 210 Osteoarthritis Initiative participants, 70 of whom received intraarticular injections, and a control group of 140 who did not receive injections during a two-year period. Of the 70 patients who received injections, 44 were injected with corticosteroids, and 26 were injected with hyaluronic acid. The treatment and control groups were matched by age, sex, body mass index, pain and physical activity scores, and severity of disease.

MRI was performed on all patients at the time of the injection and two years before and after. The MRI scans were assessed using whole-organ magnetic resonance imaging score (WORMS), a grading system for knee osteoarthritis that focuses on the meniscus, bone marrow lesions, cartilage, joint effusion and ligaments. The researchers identified osteoarthritis progression by comparing the imaging scores from the initial scans and two-year follow-up scans.

This is the first direct comparison of corticosteroid and hyaluronic acid injections using the semi-quantitative, whole organ assessment of the knee with MRI.”

Upasana Upadhyay Bharadwaj, M.D., Research Fellow, Department of Radiology, University of California, San Francisco

Statistical analysis showed that corticosteroid knee injections were significantly associated with the overall progression of osteoarthritis in the knee, specifically in the lateral meniscus, lateral cartilage and medial cartilage.

Hyaluronic acid knee injections were not significantly associated with the progression of osteoarthritis in the knee. Compared to the control group, the group who received hyaluronic injections showed a decreased progression of osteoarthritis, specifically in bone marrow lesions.

“While both corticosteroid and hyaluronic acid injections are reported to help with symptomatic pain relief for knee osteoarthritis, our results conclusively show that corticosteroids are associated with significant progression of knee osteoarthritis up to two years post-injection and must be administered with caution,” Dr. Upadhyay Bharadwaj said. “Hyaluronic acid, on the other hand, may slow down progression of knee osteoarthritis and alleviate long term effects while offering symptomatic relief.”

In the second study, researchers at the Chicago Medical School of Rosalind Franklin University of Medicine and Science conducted a case-control study comparing the radiographic progression of osteoarthritis in patients who received injections of corticosteroids and hyaluronic acid.

“While these injections provide some patients with short-term pain relief, the effects of the injections on the progression of the disease are unknown,” said researcher and medical student Azad Darbandi.

Darbandi’s team selected a cohort of 150 patients with similar baseline characteristics from the Osteoarthritis Initiative database, including 50 patients who received corticosteroid injections, 50 who received hyaluronic acid injections, and 50 who were not injected over a 36-month time period. The groups were matched by sex, body mass index and X-ray findings.

Patients underwent X-ray imaging of the knee at baseline and two years later. The researchers analyzed the X-ray imaging, including joint space narrowing, formation of bone spurs, and bone thickening around the knee cartilage.

Compared to patients who received an injection of hyaluronic acid or no treatment at all, patients injected with corticosteroids had significantly more osteoarthritis progression, including medial joint space narrowing, a hallmark of the disease.

“Even though imaging findings for all patients were similar at baseline, the imaging hallmarks of osteoarthritis were worse two years later in patients who received corticosteroid injections compared to patients who received hyaluronic acid injections or no treatment at all,” Darbandi said. “The results suggest that hyaluronic acid injections should be further explored for the management of knee osteoarthritis symptoms, and that steroid injections should be utilized with more caution.”

“Knowing the long-term effects of these injections will help osteoarthritis patients and clinicians make more informed decisions for managing the disease and the pain it causes,” Dr. Upadhyay Bharadwaj added.

Dr. Upadhyay Bharadwaj’s co-authors are Thomas Link, M.D., Ph.D., Zehra Akkaya, Gabby Joseph, John Lynch, Ph.D., and Paula Giesler. Darbandi’s co-authors are Sean Hormozian, Atefe Pooyan, M.D., Ehsan Alipour, M.D., Firoozeh Shomal Zadeh, M.D., Parham Pezeshk, M.D., and Majid Chalian, M.D.

Source:

Radiological Society of North America

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World

Biden and Xi to meet ahead of G20

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NUSA DUA, Indonesia, Nov 14 (Reuters) – Chinese leader Xi Jinping will arrive on the Indonesian island of Bali on Monday for a long-awaited meeting with U.S. President Joe Biden, ahead of a Group of 20 (G20) summit set to be fraught with tension over Russia’s invasion of Ukraine.

The two leaders are expected to discuss Taiwan, Ukraine and North Korea’s nuclear ambitions, issues that will also loom over the G20 that opens on Tuesday without Russian President Vladimir Putin in attendance.

Billionaire Elon Musk, the CEO of Tesla Inc (TSLA.O) and Twitter Inc, addressed a business forum that is part of the summit and said he had “too much work” on his plate.

Speaking by videolink, he appeared lit by candles, wearing a batik shirt sent by the organisers. He said he was speaking from a place that had just lost power.

Foreign Minister Sergei Lavrov will represent the Russian president at the G20 summit – the first since Russia invaded Ukraine in February – after the Kremlin said Putin was too busy to attend.

On the eve of Monday’s meeting with Xi, Biden told Asian leaders in Cambodia that U.S. communication lines with China would stay open to prevent conflict, with tough talks almost certain in the days ahead.

The United States would “compete vigorously” with China while “ensuring competition does not veer into conflict”, said Biden, stressing the importance of peace in the Taiwan Strait during an address to the East Asia Summit in Cambodia. He arrived in Bali on Sunday night.

Relations between the superpowers have sunk to their lowest in decades, marred by growing tensions in recent years over a host of issues ranging from Hong Kong and Taiwan to the South China Sea, trade practices and U.S. restrictions on Chinese technology.

But U.S. officials said there have been quiet efforts by both Beijing and Washington over the past two months to repair ties.

“These meetings do not take place in isolation, they are part of a very sustained process,” said one Biden administration official. “We have engaged in serious, sustained – dozens and dozens of hours – of quiet diplomacy behind the scenes.

“I think we are satisfied with the seriousness that both sides have brought to that process.”

Biden and Xi, who have held five phone or video calls since Biden became president in January 2021, last met in person during the Obama administration when Biden was vice president.

Monday’s face-to-face meeting will be at The Mulia, a luxury beachside hotel on Nusa Dua bay in Bali. It is unlikely to produce a joint statement, the White House has said, but it could help stabilise the bilateral relationship.

Both leaders will attend the opening of the G20 summit on Tuesday.

‘SOME DISCOMFORT’

One of the main topics at the G20 will be Russia’s war in Ukraine and Biden will be “unapologetic” in his defence of the European nation, U.S. officials said last week.

Xi and Putin have grown increasingly close in recent years, bound by their shared distrust of the West, and reaffirmed their partnership just days before Russia invaded Ukraine. But China has been careful not to provide any direct material support that could trigger Western sanctions against it.

Chinese Premier Li Keqiang emphasised the “irresponsibility” of nuclear threats during the summit in Cambodia, suggesting China was uncomfortable with strategic partner Russia’s nuclear rhetoric, the Biden administration official said.

The West has accused Russia of making irresponsible statements on the possible use of nuclear weapons since its February invasion of Ukraine. Russia has in turn accused the West of “provocative” nuclear rhetoric.

“There have been areas where China and Russia have worked together to deepen and broaden their relationship economically,” said the U.S. official. “But on some of these big issues, I think there is undeniably some discomfort in Beijing about what we’ve seen in terms of reckless rhetoric and activity on the part of Russia.”

Russia’s Lavrov said on Sunday the West was “militarising” Southeast Asia in a bid to contain Russian and Chinese interests, setting the stage for more confrontation with Western leaders at the G20.

Ukrainian President Volodymyr Zelenskiy has said he will address the G20 gathering by videolink on Tuesday.

British Prime Minister Rishi Sunak is expected to meet Lavrov at the summit, a Downing Street spokesperson said in a statement. He is also likely to hold a bilateral meeting with Biden.

The G20 bloc, which includes a broad array of countries ranging from Brazil to India and Germany, accounts for more than 80% of the world’s gross domestic product (GDP) and 60% of its population.

Australian Prime Minister Anthony Albanese is due to join Indonesian President Joko Widodo to address the parallel B20 business forum taking place on Monday ahead of the G20 summit.

Reporting by Nandita Bose, Fransiska Nangoy, Leika Kihara and Simon Lewis in Nusa Dua; Writing by Kay Johnson and Raju Gopalakrishnan; Editing by Ed Davies and Robert Birsel

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G7 urges China to abstain from threats, use of force

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MUENSTER, Germany, Nov 4 (Reuters) – The Group of Seven on Friday urged China to abstain from “threats, coercion, intimidation, or the use of force,” while expressing their aim for cooperation where possible to tackle global challenges including security, global health and climate.

The mildly-worded communique, wrapping up two days of meetings by the foreign ministers of the world’s seven wealthiest democracies, also reiterated the importance of peace and stability across the Taiwan Straits.

The G7 increasingly agrees on the need for a coordinated response to Chinese President Xi Jinping’s ambitions following a congress of the ruling Communist party, a senior U.S. State Department official said earlier, but the communique did not make a reference to a common goal.

The gathering coincided with a one-day visit by German Chancellor Olaf Scholz to China, which fuelled concern that Germany would continue to prioritize economic relations with its largest trading partner over security and strategic considerations.

This could risk divisions among Western allies that have sought to adopt a tougher stance towards China in recent years.

“We remind China of the need… to abstain from threats, coercion, intimidation, or the use of force,” the G7 communique said. “We strongly oppose any unilateral attempts to change the status quo by force or coercion.”

The G7 said it remained “seriously concerned about the situation in and around the East and South China Seas” after China earlier this year staged war games near Taiwan.

China claims the self-governed island as its own territory and has never renounced the use of force to bring the island under its control.

Moreover the G7 said they would continue to raise concerns with China on its reported human rights violations and abuses, including in Xinjiang and Tibet, and on the “continued erosion of Hong Kong’s rights, freedoms and autonomy”.

The U.S. State Department official told reporters there was had been an “increasing convergence of the views on what China’s ultimate strategy, both domestically but also globally, is” over the last 1-1/2 years.

“Coming out of the party congress, I think there’s an increasing recognition of ultimately what President Xi’s ambitions are and the need for a coordinated response to that,” he said, speaking on condition of anonymity.

“That’s something that I think will be a focus of this group as we head into Japan’s presidency next year,” he noted, referring to Japan taking over the G7’s rotating presidency from Germany at the start of next year.

Sino-Japanese relations have long been plagued by a dispute over a group of tiny uninhabited East China Sea islets, a legacy of Japan’s World War Two aggression and regional rivalry.

On Friday Japan’s Sankei newspaper reported that the Japanese and Chinese governments had started planning a meeting between Xi and Japanese Prime Minister Fumio Kishida for mid-November.

European Union foreign policy chief Josep Borrell cautioned earlier in the day that China should not be put in the same category as Russia, which invaded Ukraine in February.

“It is clear that China is… becoming much more assertive, much more on a self-reliant course,” Borrell told reporters.

“But for the time being, many member states have a strong economic relationship with China, and I don’t think we can put China and Russia on the same level.”

The G7 said in their statement that they aimed for “constructive cooperation with China, where possible and in our interest” on global issues such as health and climate change.

Reporting by Humeyra Pamuk, Sarah Marsh and Sabine Siebold; additional reporting by Sarah Marsh; editing by Philippa Fletcher and Jonathan Oatis

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Philippine capital braces for storm Nalgae, death toll cut to 45

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  • Most casualties in landslide-hit Maguindanao province
  • Death toll reduced to 45 from 72 after checks
  • Philippines has annual average of 20 tropical storms

MANILA, Oct 29 (Reuters) – Manila and nearby towns braced on Saturday for Tropical Storm Nalgae, which has killed 45 people, mostly because of landslides in southern provinces of the Philippines.

The Southeast Asian nation’s disaster agency reduced its death toll to 45 from 72 after checking reports from ground staff, including rescue workers searching for 18 missing persons.

Residents in the capital’s coastal area were evacuated while classes across all levels were suspended, according to the mayor’s office.

Manila Mayor Honey Lacuna-Pangan ordered the closure of the city’s cemeteries, where millions had been expected to visit during the extended All Saints’ Day weekend, on Saturday.

The tropical storm, which has maximum sustained winds of 95 kilometres (60 miles) per hour and gusts of up to 130 kph (80 mph), has made multiple landfall in the eastern Philippines on Saturday.

The state weather agency, in its latest bulletin, warned of widespread flooding and landslides because of heavy and at times torrential rains over the capital region and nearby provinces as Nalgae cuts through the main Luzon island and heads to the South China Sea.

Airlines have cancelled 116 domestic and international flights to and from the Philippines’ main gateway. Nearly 7,500 passengers, drivers, and cargo helpers and 107 vessels were stranded in ports, the coast guard said.

Government agencies were giving aid and food packs to affected families, President Ferdinand Marcos Jr said on Twitter.

Coast guard personnel guided residents through chest-deep floods, with rescuers using a monobloc plastic chair and an old refrigerator to carry children and elderly people in the central Leyte province, according to photos shared by the agency.

The bulk of the deaths, at 40, have been reported in the southern Maguindanao province.

“We are not discounting the possibility of more casualties,” Cyrus Torrena, provincial administrator of Maguindanao, told DZMM radio station. “But we pray it does not go up significantly.”

The Philippines sees an average of 20 tropical storms annually. In December, category 5 typhoon Rai ravaged central provinces, leaving 407 dead and more than 1,100 injured.

Reporting by Neil Jerome Morales; Editing by Chris Reese and William Mallard

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