Gaza shakes, Israelis killed as Clinton seeks truce

GAZA/JERUSALEM (Reuters) - Israeli air strikes shook the Gaza Strip and Palestinian rockets struck across the border as U.S. Secretary of State Hillary Clinton held talks in Jerusalem in the early hours of Wednesday, seeking a truce that can hold back Israel's ground troops.

Egypt's new Islamist government is mediating talks and had floated hopes for a ceasefire by late Tuesday between Israel and Hamas, the Islamist movement controlling Gaza. However, by the time Clinton met Israeli Prime Minister Benjamin Netanyahu, it was clear there would be more argument, and more violence, first.

Hamas leaders in Cairo accused the Jewish state of failing to respond to proposals and said an announcement on holding fire would not come before daylight on Wednesday. Israel Radio quoted an Israeli official saying a truce was held up due to "a last-minute delay in the understandings between Hamas and Israel."

An initial halt to attacks may, however, not see the sides stand their forces down from battle stations immediately. Clinton, who flies to Cairo to see Egyptian President Mohamed Mursi later on Wednesday, spoke of a deal "in the days ahead."

Like most Western powers, Washington shuns Hamas as an obstacle to peace and has blamed it for the Gaza conflagration. A U.N. Security Council statement condemning the conflict was blocked on Tuesday by the United States, which complained that it "failed to address the root cause," the Palestinian rockets.

As Clinton arrived in Israel after nightfall, Israel was stepping up its bombardment from air and sea. At one point munitions slammed into Gaza at a rate of one every 10 minutes.

Gazan rocket fire waned overnight but resumed before dawn on Wednesday with six launches, Israel said. No one was hurt.

After seven days of hostilities that have killed over 130 Palestinians and five Israelis, both sides are looking for more than a return to the sporadic calm that has prevailed across the blockaded enclave since Israel ended a much more devastating air and ground offensive four years ago.

ELECTION

Netanyahu, who faces an election in two months that he is, for now, favored to win, told Clinton he wanted a "long-term" solution. Failing that, Netanyahu made clear, he stood ready to step up the military campaign to silence Hamas' rockets.

Hamas for its part is exploring the opportunities that last year's Arab Spring has given it to enjoy favor from the new Islamist governments of states once ruled by U.S. proteges, and from Sunni Gulf powers keen to woo it away from Shi'ite Iran. It has used longer-range missiles, some sent by Tehran, and hopes to eclipse Western-backed Palestinian President Mahmoud Abbas.

Hamas has spoken of an easing of Israel's blockade on the 40-km (25-mile) slice of Mediterranean coast that is home to 1.7 million people. It may count on some sympathy from Mursi, though Egypt's first freely elected leader, whose Muslim Brotherhood inspired Hamas' founders, has been careful to stick by the 1979 peace deal with Israel struck by Cairo's former military rulers.

Clinton, who broke off from an Asian tour with President Barack Obama and assured Netanyahu of "rock-solid" U.S. support for Israel's security, spoke of seeking a "durable outcome" and of Egypt's "responsibility" for promoting peace.

She repeated international calls for the kind of lasting, negotiated, comprehensive Israeli-Palestinian settlement that has eluded the two peoples for decades - something neither of the two warring parties seems seriously to be anticipating.

"In the days ahead, the United States will work with our partners here in Israel and across the region toward an outcome that bolsters security for the people of Israel, improves conditions for the people of Gaza and moves toward a comprehensive peace for all people of the region," Clinton said.

"It is essential to de-escalate the situation in Gaza. The rocket attacks from terrorist organizations inside Gaza on Israeli cities and towns must end and a broader calm restored," she said.

"SELF-DEFENCE"

Netanyahu, who has appeared in no immediate rush to repeat the invasion of winter 2008-09 in which over 1,400 Palestinians died, said: "If there is a possibility of achieving a long-term solution to this problem with diplomatic means, we prefer that.

"But if not, I'm sure you understand that Israel will have to take whatever action is necessary to defend its people."

As Israeli aircraft have carried out hundreds of strikes on rocket stores, launchpads and suspected Hamas command posts since assassinating the head of its military wing a week ago. Tens of thousands of Israeli soldiers have been preparing tanks and infantry units for a possible invasion.

During the night, explosions again rocked the city of Gaza and other parts of the Strip, while rockets from the enclave, some essentially home-made, others Iranian-designed and smuggled through tunnels from Egypt, landed in southern Israel.

One reached as far as Rishon Lezion, near Tel Aviv, on Tuesday, the latest to jar Israel's metropolis, long untroubled by Palestinian attacks. Another rocket fell close to Jerusalem, the holy city claimed by both sides in the conflict.

Medical officials in Gaza said 31 Palestinians were killed on Tuesday. An Israeli soldier and a civilian died when rockets exploded near the Gaza frontier, police and the army said.

Gaza medical officials say 138 people have died in Israeli strikes, mostly civilians, including 34 children. In all, five Israelis have died, including three civilians killed last week.

AMMUNITION STORES

Obama, whose relations with the hawkish Netanyahu have long been strained, has said he wants a diplomatic solution, rather than a possible Israeli ground operation in the densely populated territory, home to 1.7 million Palestinians.

Israel's military said it targeted overnight more than 100 sites in Gaza, including rocket launchers, tunnels and the Ministry of Internal Security, used by Hamas as a command center. Israeli police said more than 150 rockets had been fired from Gaza by Tuesday evening.

"No country would tolerate rocket attacks against its cities and against its civilians," Netanyahu said with U.N. Secretary-General Ban Ki-moon, who arrived in Jerusalem from talks in Cairo, at his side. "Israel cannot tolerate such attacks."

Critics have accused Israel of using disproportionate force that has killed civilians. Israel accuses Hamas of putting Gaza's people in harm's way by siting rockets among them.

Media groups have criticized attacks on Gaza media facilities. On Tuesday, three local journalists died in air strikes on their vehicles.

A building housing AFP's bureau was bombed. The French news agency said its staff were unhurt. Israel's military said it had been targeting a Hamas intelligence centre in the tower.

Hamas executed six Palestinians accused of spying for Israel, who a security source quoted by Hamas Aqsa radio said had been "caught red-handed" with "filming equipment to take footage of positions." The radio said they had been shot.

Militants on a motorcycle dragged the body of one of the men through the streets.

A delegation of nine Arab ministers, led by the Egyptian foreign minister, visited Gaza in a further signal of heightened Arab solidarity with the Palestinians.

(Additional reporting by Cairo bureau; Writing by Alastair Macdonald; Editing by Lisa Shumaker)

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Obama sends Clinton to Mideast amid Gaza crisis

PHNOM PENH, Cambodia (AP) — President Barack Obama is sending Secretary of State Hillary Rodham Clinton to the Middle East in hopes that she can help mediate an end to bloody conflict in the region.

A deputy White House national security adviser says Clinton will depart Tuesday from Cambodia, where she had accompanied Obama on a visit to Southeast Asia.

Clinton will begin her Mideast diplomacy by meeting with Israeli Prime Minister Benjamin Netanyahu in Jerusalem. She also will meet with Palestinian officials in Ramallah before heading to Cairo to meet with leaders in Egypt.

Israel has been firing rockets into the Gaza Strip in an attempt to end months of rocket fire out of the Hamas-ruled territory.

The U.S. says Israel has a right to defend itself.

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People turn to Twitter for CPR information: study

(Reuters) – Amid snarky comments and links to cat videos, some Twitter users turn to the social network to find and post information on health issues like cardiac arrest and CPR, according to a U.S. study.

Over a month, researchers found 15,234 messages on Twitter that included specific information about resuscitation and cardiac arrest, said the study published in the journal Resuscitation.

“From a science standpoint, we wanted to know if we can reliably find information on a public health topic, or is (Twitter) just a place where people describe what they ate that day,” said Raina Merchant, the study’s lead author and a professor at the Department of Emergency Medicine at the University of Pennsylvania.

According to the researchers, they found people using Twitter to send and receive a wide variety of information on CPR and cardiac arrest, including their personal experiences, questions and current events.

Some researchers and organizations already use Twitter for public health matters, including tracking the 2009 H1N1 “swine flu” pandemic and finding the source of the Haitian cholera outbreak, the researchers said.

For the study, the researchers created a Twitter search for key terms, such as CPR, AED (automatic external defibrillators), resuscitation and sudden death.

Between April and May 2011, their search returned 62,163 tweets, which were whittled down to 15,324 messages that contained specific information about cardiac arrest and resuscitation.

Only 7 percent of the tweets were about specific cardiac arrest events, such as a user saying they just saw a man being resuscitated, or a user asking for prayers for a sick family member.

About 44 percent of the tweets were about performing CPR and using an AED. Those types of tweets included information on rules about keeping AEDs in businesses and questions about how to resuscitate a person.

The rest of the tweets were about education, research and news events, such as links to articles about celebrities going into cardiac arrest.

The vast majority of the Twitter users send fewer than three tweets about cardiac arrest or CPR throughout the month. Users that sent more tweets typically had more followers – people who subscribe to their messages – and often worked in a health-care related field.

About 13 percent of the tweets were re-sent, or retweeted, by other users. The most popular retweeted messages were about celebrity-related cardiac arrest news, such as an AED being used to revive a fan at a Lady Gaga concert.

“I think the pilot (study) illustrated for us that there is an opportunity to potentially provide research and information for people in real time about cardiac arrest and resuscitation,” Marchant said.

“I can imagine in the future we will see systems that would automatically respond to tweets of individual users. Twitter is a really powerful tool, and we’re just beginning to understand its abilities.”

SOURCE: http://bit.ly/T2bj7u

(Reporting from New York by Andrew Seaman at Reuters Health; editing by Elaine)

Internet News Headlines – Yahoo! News

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Fight over 'Modern Family' star returns to court

LOS ANGELES (AP) — A judge is scheduled to wade into the messy family dynamics of teen actress Ariel Winter and determine whether the "Modern Family" star should stay away from her mother, who has been described in court filings as physically and emotionally abusive.

At a hearing Tuesday, Superior Court Judge Michael Levanas will consider whether the 14-year-old should continue living with her sister, who has temporary guardianship of the actress.

The judge will have more information to consider than he did on Oct. 3, when he temporarily stripped Chrisoula Workman of custody of her daughter. Workman has denied all accusations of abuse and filed more than two dozen declarations from friends, acquaintances, stylists and others who say they've never witnessed any abuse.

Winter's father, Glenn Workman, also filed an objection to the guardianship late Monday, stating he wants a better relationship with his daughter and would be willing to care for her.

Winter has been in the care of her adult sister, Shanelle Gray, who was removed from Chrisoula Workman's care in the 1990s amid accusations of abuse. Chrisoula Workman contends Gray was a rebellious teen who left home and that she is contending with a similar situation with Winter, who has been acting since age 7 and currently stars as Alex Dunphy on the hit ABC series "Modern Family."

People on the show's set are concerned about Winter's wellbeing and have been sneaking her food, according to in-court statements by Gray's attorney, Michael Kretzmer.

Gray's filing states Chrisoula Workman has repeatedly slapped Winter and engaged in emotional abuse, including name-calling.

"The allegations made by Ariel are false," said Chrisoula Workman's attorney Anita Gumm. "We really feel she's just a rebellious teen and wants her independence. It's our hope that the court terminates the guardianship. Both parents want Ariel home. Shanelle is not suitable to be a guardian."

Glenn Workman's filing Monday does not address the abuse allegations, but states he believes his daughter should be returned to live with Chrisoula Workman, or that he be allowed to raise her.

"I want to provide for her a calm loving home environment that is a retreat from the glitz and glamour of Hollywood; a place where she can think and relax without any distractions," Glenn Workman wrote. "This whole situation has turned into a circus and places Ariel in a position she should not have to be in."

Kretzmer declined to comment on Glenn Workman's filing.

He has previously told The Associated Press that it is unfortunate that the case became public, but that Winter was removed from her mother's custody for good reasons. "The court granted a temporary guardianship, and I think any rational person will realize that the court simply doesn't see the sky falling but has some basis for granting a temporary guardianship," he said last week.

During a contentious court hearing Workman lashed out at Gray, called Kretzmer a moron and accused Winter of screaming her and hitting her.

"I think what we've got is a situation that's not healthy, at least for a temporary ... basis," Levanas said in early October. He ordered child welfare workers to conduct an investigation and appointed an attorney to represent Winter's interests.

Workman's attorney has also scheduled a deposition of Gray for early December, and a review of Winter's finances will be conducted. Currently, Gray has no access to Winter's money, some of which should be in a special account meant to protect the earnings of child actors.

Gumm and Workman have cited Gray's finances as a reason why she should not be granted guardianship of her sister. But Kretzmer denied last week that money was an issue in the case.

"There's no truth whatsoever to Shanelle obtaining this guardianship for purposes of advancing her career or for some other personal gain," Kretzmer said. "Shanelle is successful and has done very well in her own rights. This is a tragedy for her, too."

Winter has been acting since age 7, appearing in several TV series, including "ER" and "Phineas and Ferb," and movies such as "Kiss Kiss Bang Bang," ''Ice Age: The Meltdown" and "ParaNorman."

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Anthony McCartney can be reached at http://twitter.com/mccartneyAP

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New push for most in US to get at least 1 HIV test

WASHINGTON (AP) — There's a new push to make testing for the AIDS virus as common as cholesterol checks.

Americans ages 15 to 64 should get an HIV test at least once — not just people considered at high risk for the virus, an independent panel that sets screening guidelines proposed Monday.

The draft guidelines from the U.S. Preventive Services Task Force are the latest recommendations that aim to make HIV screening simply a routine part of a check-up, something a doctor can order with as little fuss as a cholesterol test or a mammogram. Since 2006, the Centers for Disease Control and Prevention also has pushed for widespread, routine HIV screening.

Yet not nearly enough people have heeded that call: Of the more than 1.1 million Americans living with HIV, nearly 1 in 5 — almost 240,000 people — don't know it. Not only is their own health at risk without treatment, they could unwittingly be spreading the virus to others.

The updated guidelines will bring this long-simmering issue before doctors and their patients again — emphasizing that public health experts agree on how important it is to test even people who don't think they're at risk, because they could be.

"It allows you to say, 'This is a recommended test that we believe everybody should have. We're not singling you out in any way,'" said task force member Dr. Douglas Owens, of Stanford University and the Veterans Affairs Palo Alto Health Care System.

And if finalized, the task force guidelines could extend the number of people eligible for an HIV screening without a copay in their doctor's office, as part of free preventive care under the Obama administration's health care law. Under the task force's previous guidelines, only people at increased risk for HIV — which includes gay and bisexual men and injecting drug users — were eligible for that no-copay screening.

There are a number of ways to get tested. If you're having blood drawn for other exams, the doctor can merely add HIV to the list, no extra pokes or swabs needed. Today's rapid tests can cost less than $20 and require just rubbing a swab over the gums, with results ready in as little as 20 minutes. Last summer, the government approved a do-it-yourself at-home version that's selling for about $40.

Free testing is available through various community programs around the country, including a CDC pilot program in drugstores in 24 cities and rural sites.

Monday's proposal also recommends:

—Testing people older and younger than 15-64 if they are at increased risk of HIV infection,

—People at very high risk for HIV infection should be tested at least annually.

—It's not clear how often to retest people at somewhat increased risk, but perhaps every three to five years.

—Women should be tested during each pregnancy, something the task force has long recommended.

The draft guidelines are open for public comment through Dec. 17.

Most of the 50,000 new HIV infections in the U.S. every year are among gay and bisexual men, followed by heterosexual black women.

"We are not doing as well in America with HIV testing as we would like," Dr. Jonathan Mermin, CDC's HIV prevention chief, said Monday.

The CDC recommends at least one routine test for everyone ages 13 to 64, starting two years younger than the task force recommended. That small difference aside, CDC data suggests fewer than half of adults under 65 have been tested.

"It can sometimes be awkward to ask your doctor for an HIV test," Mermin said — the reason making it routine during any health care encounter could help.

But even though nearly three-fourths of gay and bisexual men with undiagnosed HIV had visited some sort of health provider in the previous year, 48 percent weren't tested for HIV, a recent CDC survey found. Emergency rooms are considered a good spot to catch the undiagnosed, after their illnesses and injuries have been treated, but Mermin said only about 2 percent of ER patients known to be at increased risk were tested while there.

Mermin calls that "a tragedy. It's a missed opportunity."

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Online:

Task force recommendation: http://www.uspreventiveservicestaskforce.org

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Israeli aircraft hit Hamas bank HQ in Gaza

GAZA CITY, Gaza Strip (AP) — Israeli aircraft have battered the headquarters of the Gaza Strip bank the territory's Hamas rulers set up to sidestep international sanctions.

Tuesday's strike on the Islamic National Bank in Gaza City is part of a widening Israeli onslaught against the militants and their rocket squads targeting Israel. The offensive is now in its seventh day.

The inside of the bank was destroyed, and a building supply business in the basement was damaged.

The bank's 31-year-old owner, Suleiman Tawil, denounced the strike, saying he is not "involved in politics."

Hamas set up the bank after foreign lenders, afraid of running afoul of international terror financing laws, stopped doing business with the militant-led Gaza government.

The U.S., Israel and others in the West consider Hamas a terror group.

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Obama: Myanmar visit about sustaining momentum

YANGON, Myanmar (AP) — In a historic trip to a long shunned land, President Barack Obama on Monday showered praise and promises of more U.S. help to Myanmar if the Asian nation keeps building its new democracy. "Our goal is to sustain the momentum," he declared with pride as the first U.S. president to visit here.

Tens of thousands of people lined the streets as Obama packed in diplomacy and soaked in his steamy surroundings. He shared words and an affectionate hug with the Aung San Suu Kyi, the democracy activist who endured years of house arrest to gain freedom and become a lawmaker.

"We are confident that this support will continue through the difficult years that lie ahead," she said of the help from America, Obama at her side. "The most difficult time in any transition is when you think that success is in sight. We have to be very careful that we're not lured by a mirage of success."

Obama told her that if the nation's leaders keep making true reforms, "we will do everything we can to ensure success."

The president was then on his way to give a televised speech at the University of Yangon, in which he would deliver the same message. Obama planned to tell his audience that the United States is ready to "extend the hand of friendship" now that Myanmar has unclenched its fist of iron rule.

"Instead of being repressed, the right of people to assemble together must now be fully respected," the president said in speech excerpts released by the White House. "Instead of being stifled, the veil of media censorship must continue to be lifted. As you take these steps, you can draw on your progress."

Long isolated because of a repressive military rule, Myanmar began a transition to democracy began last year.

After meeting with President Thein Sein, who has orchestrated much of his country's transition to democracy, Obama said the reforms "in Myanmar" could unleash "the incredible potential of this beautiful country."

Obama's language alone was significant. The United States still officially refers to the country as Burma, after the former ruling junta summarily changed the name years ago to Myanmar. But U.S. officials — and now Obama — have been less rigid about using the old name as relations change.

Obama met with Suu Kyi in the very home where she spent years under house arrest, a gated compound with a lawn ringed by roses.

On an overcast and steamy day, Obama touched down Monday morning. The city basically stopped for his visit, with many people waving American flags and taking photos with their smartphones.

Obama's visit to Myanmar was to last just six hours, but it carries significant symbolism, reflecting a remarkable turnaround in the countries' relationship.

Obama has rewarded Myanmar's rapid adoption of democratic reforms by lifting some economic penalties. The president has appointed a permanent ambassador to the country, and pledged greater investment if Myanmar continues to progress following a half-century of military rule.

Some human rights groups say Myanmar's government, which continues to hold hundreds of political prisoners and is struggling to contain ethnic violence, hasn't done enough to earn a personal visit from Obama. The president says his visit is not an endorsement of the government in Myanmar, but an acknowledgment that dramatic progress is underway.

Obama came down the steps of Air Force One next to Secretary of State Hillary Rodham Clinton, in recognition of their final foreign trip together. Clinton is leaving the job soon.

The president's stop came between visits to Thailand and Cambodia. His Asia tour also marks his formal return to the world stage after months mired in a bruising re-election campaign. For his first postelection trip, he tellingly settled on Asia, a region he has deemed the region as crucial to U.S. prosperity and security.

Aides say Asia will factor heavily in Obama's second term as the U.S. seeks to expand its influence in an attempt to counter China.

China's rise is also at play in Myanmar, which long has aligned itself with Beijing. But some in Myanmar fear that China is taking advantage of its wealth of natural resources, so the country is looking for other partners to help build its nascent economy.

Even as Obama turned his sights on Asia, widening violence in the Middle East competed for his attention.

Obama told reporters Sunday that Israel had the right to defend itself against missile attacks from Gaza. But he urged Israel not to launch a ground assault in Gaza, saying it would put Israeli soldiers, as well as Palestinian citizens, at greater risk and hamper an already vexing peace process.

As for Myanmar, as he seeks to assuage critics, Obama has trumpeted Suu Kyi's support of his outreach efforts, saying Sunday that she was "very encouraging" of his trip.

The White House says Obama will express his concern for the ongoing ethnic tensions in Myanmar's western Rakhine state, where more than 110,000 people — the vast majority of them Muslims known as Rohingya — have been displaced.

The U.N. has called the Rohingya — who are widely reviled by the Buddhist majority in Myanmar — among the world's most persecuted people.

The president will deliver his speech at a university that was the center of the country's struggle for independence against Britain and the launching point for many pro-democracy protests. The former military junta shut the dormitories in the 1990s fearing further unrest and forced most students to attend classes on satellite campuses on the outskirts of town.

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Associated Press writer Jim Kuhnhenn contributed to this report.

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'Lincoln' director Spielberg speaks in Gettysburg

GETTYSBURG, Pa. (AP) — Director Steven Spielberg will make the keynote remarks at the 149th commemoration of "The Gettysburg Address," while his new movie about President Abraham Lincoln is in theaters.

Spielberg's speech on Monday at Soldier's National Cemetery in Gettysburg will be accompanied by a recitation of the famous speech by a Lincoln re-enactor.

Sixteen citizenship candidates from 11 countries are scheduled to take the oath of allegiance.

The event at Gettysburg National Military Park is expected to take about an hour, and is free. Previous speakers include presidents Harry Truman and Dwight Eisenhower, and Pennsylvania Gov. Tom Ridge.

Gettysburg is where the U.S. military was able to stop an invasion of the North by Confederate troops under Gen. Robert E. Lee. The 150th anniversary of that battle will occur next July.

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EU drug regulator OKs Novartis' meningitis B shot

LONDON (AP) — Europe's top drug regulator has recommended approval for the first vaccine against meningitis B, made by Novartis AG.

There are five types of bacterial meningitis. While vaccines exist to protect against the other four, none has previously been licensed for type B meningitis. In Europe, type B is the most common, causing 3,000 to 5,000 cases every year.

Meningitis mainly affects infants and children. It kills about 8 percent of patients and leaves others with lifelong consequences such as brain damage.

In a statement on Friday, Andrin Oswald of Novartis said he is "proud of the major advance" the company has made in developing its vaccine Bexsero. It is aimed at children over two months of age, and Novartis is hoping countries will include the shot among the routine ones for childhood diseases such as measles.

Novartis said the immunization has had side effects such as fever and redness at the injection site.

Recommendations from the European Medicines Agency are usually adopted by the European Commission. Novartis also is seeking to test the vaccine in the U.S.

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Israeli air strike kills 11 civilians in Gaza

GAZA/JERUSALEM (Reuters) - An Israeli missile killed at least 11 Palestinian civilians including four children in Gaza on Sunday, medical officials said, apparently an attack on a top militant that brought a three-storey home crashing down.

International pressure for a ceasefire seemed certain to mount in response to the deadliest single incident in five days of Palestinian rocket attacks on Israel and Israeli air strikes on the Gaza Strip.

Egypt has taken the lead in trying to broker a ceasefire and Israeli media said a delegation from Israel had been to Cairo for talks on ending the fighting, although a government spokesman declined to comment on the matter.

Egyptian President Mohamed Mursi met Hamas political leader Khaled Meshaal and Islamic Jihad's head Ramadan Shallah as part of the mediation efforts, but a presidency statement did not say if they were conclusive.

Izzat Risheq, a close aide to Meshaal, wrote in a Facebook message that Hamas would agree to a ceasefire only after Israel "stops its aggression, ends its policy of targeted assassinations and lifts the blockade of Gaza".

Listing Israel's terms for ceasing fire, Moshe Yaalon, a deputy to the prime minister, wrote on Twitter: "If there is quiet in the south and no rockets and missiles are fired at Israel's citizens, nor terrorist attacks engineered from the Gaza Strip, we will not attack."

Gaza health officials said 72 Palestinians , 21 of them children and several women have been killed in Gaza since Israel's offensive began. Hundreds have been wounded.

Israel gave off signs of a possible ground invasion of the Hamas-run enclave as the next stage in its offensive, billed as a bid to stop Palestinian rocket fire into the Jewish state. It also spelt out its conditions for a truce.

U.S. President Barack Obama said that while Israel had a right to defend itself against the salvoes, it would be "preferable" to avoid a military thrust into the Gaza Strip, a narrow, densely populated coastal territory. Such an assault would risk high casualties and an international outcry.

A spokesman for the Hamas-run Interior Ministry said 11 people, all of them civilians, were killed when an Israeli missile flattened the home of the Dalu family. Medics said four women and four children were among the dead.

Israel's chief military spokesman said Yihia Abayah, a senior commander of rocket operations in the Gaza Strip, had been the target.

The spokesman, Yoav Mordechai, told Israel's Channel 2 television he did not know whether Abayah was killed, "but the outcome was that there were civilian casualties". He made no direct mention of the destroyed dwelling.

Prime Minister Benjamin Netanyahu said earlier that he had assured world leaders that Israel was doing its utmost to avoid causing civilian casualties in the military showdown with Hamas.

"The massacre of the Dalu family will not pass without punishment," Hamas's armed wing said in a statement.

VIOLENCE

In other air raids on Sunday, two Gaza City media buildings were hit, witnesses said. Eight journalists were wounded and facilities belonging to Hamas's Al-Aqsa TV as well as Britain's Sky News were damaged.

An employee of the Beirut-based al Quds television station lost his leg in the attack, local medics said.

The Israeli military said the strike targeted a rooftop "transmission antenna used by Hamas to carry out terror activity", and that journalists in the building had effectively been used as human shields by Gaza's rulers.

For their part, Gaza militants launched dozens of rockets into Israel and targeted its commercial capital, Tel Aviv, for a fourth day, once in the morning and another after dark.

Israel's "Iron Dome" missile shield shot down all three rockets, but falling debris from the daytime interception hit a car, which caught fire. Its driver was not hurt.

In scenes recalling Israel's 2008-2009 winter invasion of Gaza, tanks, artillery and infantry massed in field encampments along the sandy, fenced-off border. Military convoys moved on roads in the area newly closed to civilian traffic.

Netanyahu said Israel was ready to widen its offensive.

"We are exacting a heavy price from Hamas and the terrorist organisations and the Israel Defence Forces are prepared for a significant expansion of the operation," he said at a cabinet meeting, giving no further details.

The Israeli military said 544 rockets fired from Gaza have hit Israel since Wednesday, killing three civilians and wounding dozens. Some 302 were intercepted and 99 failed to reach Israel and landed inside the Gaza Strip, it added.

Israel's declared goal is to deplete Gaza arsenals and force the Islamist Hamas to stop rocket fire that has bedevilled Israeli border towns for years and is now displaying greater range, putting Tel Aviv and Jerusalem in the crosshairs.

Israel withdrew settlers from Gaza in 2005 and two years later Hamas took control of the impoverished enclave, which the Israelis have kept under blockade.

OBAMA CAUTIONS AGAINST GROUND CAMPAIGN

At a news conference during a visit to the Thai capital Bangkok, Obama said Israel has "every right to expect that it does not have missiles fired into its territory".

He added: "If this can be accomplished without a ramping up of military activity in Gaza that is preferable. That's not just preferable for the people of Gaza, it's also preferable for Israelis because if Israeli troops are in Gaza they're much more at risk of incurring fatalities or being wounded," he said.

Obama said he had been in regular contact with Egyptian and Turkish leaders - to secure their mediation in bringing about a halt to rocket barrages by Hamas and other Islamist militants.

"We're going to have to see what kind of progress we can make in the next 24, 36, 48 hours," he added.

Diplomatic efforts continued on Sunday when French Foreign Minister Laurent Fabius met Israeli officials and Palestinian President Mahmoud Abbas in the West Bank.

"It is absolutely necessary that we move urgently towards a ceasefire, and that's where France can be useful," Fabius told French television, adding that war must be avoided.

U.N. Secretary-General Ban Ki-moon will be in Egypt on Monday for talks with Mursi, the foreign ministry in Cairo said. U.N. diplomats earlier said Ban was expected in Israel and Egypt this week to push for an end to the fighting.

Israel's operation has so far drawn Western support for what U.S. and European leaders have called its right to self-defence, but there was also a growing number of appeals from them to seek an end to the hostilities.

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