Delhi gang rape victim dies: Cerebral edema or swelling of the brain proved fatal

NEW DELHI: A swollen brain finally got better of the fighting spirit of the 23-year-old gang-rape victim Nirbhaya (a name given to her by TOI) as she succumbed to her injuries at Singapore's Mount Elizabeth hospital at 2:15am (IST) on Saturday.

Cerebral edema - serious swelling of the brain, which resulted from the cardiac arrest on Tuesday night when Nirbhaya was still in India, along with severe infections, finally proved fatal.

A CT scan that was conducted after Nirbhaya reached Singapore showed that blood loss to her brain caused during the three-minute period when doctors at Safdarjung hospital in Delhi had failed to find a pulse or blood pressure, led to the brain edema - a dangerous condition where the brain's water content rises, causing the pressure to rise in the skull.

This cuts off oxygen supply as the blood vessels become squeezed. Cerebral edema is a medical emergency that can even lead to death as brain cells become damaged and die.

Prime minister Manohan Sngh said he was "deeply saddened to learn that the unfortunate victim of the brutal assault that took place on December 16 in New Delhi had succumbed to the grievous injuries she suffered following that attack. "I join the nation in conveying to her family and friends my deepest condolences at this terrible loss."

Singh said: "I want to tell them and the nation that while she may have lost her battle for life, it is up to us all to ensure that her death will not have been in vain. We have already seen the emotions and energies this incident has generated. These are perfectly understandable reactions from a young India and an India that genuinely desires change. It would be a true homage to her memory if we are able to channelize these emotions and energies into a constructive course of action."

According to Singh, the need of the hour is a dispassionate debate and inquiry into the critical changes that are required in societal attitudes.

He said that the government is examining, on priority basis, the penal provisions that exist for such crimes and measures to enhance the safety and security of women.

"I hope that the entire political class and civil society will set aside narrow sectional interests and agenda to help us all reach the end that we all desire - making India a demonstrably better and safer place for women to live in," Singh said.

Nirbhaya's health started to slide from Friday evening (6.30 pm IST) when she suffered multiorgan failure.

Doctors informed her family members that Nirbhaya's condition had seriously deteriorated as she was put on maximum artificial ventilation support, optimal antibiotic doses as well as stimulants which would help maximise her body's capability to fight infections.

In the early hours of Saturday, Mount Elizabeth hospital issued a fresh statement announcing the worst.

The hospital said: "In relation to the young female patient from Delhi who was assaulted in a bus, and who was transferred from a hospital in India to receive further treatment at Mount Elizabeth Hospital in Singapore on December 27, we are very sad to report that the patient passed away peacefully at 4.45am (Singapore time) on December 29. Her family and officials from the high commission of India were by her side. The patient had remained in an extremely critical condition since admission to Mount Elizabeth hospital in the morning of Dec 27."

According to the hospital, despite all efforts by a team of eight specialists at Mount Elizabeth hospital to keep her stable, her condition continued to deteriorate and she suffered from severe organ failure following serious injuries to her body and brain.

"She was courageous in fighting for her life for so long against the odds but the trauma to her body was too severe for her to overcome," Dr Kelvin Loh, CEO of the hospital said.

Critical care specialist Dr Yatin Mehta from Medanta hospital, who had accompanied Nirbhaya to Singapore, told TOI on his return to India on Saturday morning that the swelling of the brain finally took her life.

"A fresh episode of cardiac arrest resulted in multiorgan dysfunction syndrome. Her injuries were too severe. While being transported to Singapore, her oxygen requirements increased by 70%. We had carried 8 oxygen cylinders as standby, each capable of running for two hours. Six additional batteries were taken to ensure the machines ran fine during the flight. Her blood pressure fell to around 80 on route which we finally managed to bring back to normal. The injuries were horrendous," said Dr Mehta, who left for India from Singapore on Friday night when Nirbhaya was still alive, told TOI on his return.

Dr Mehta also added that Nirbhaya's organs weren't fit for donation as they were seriously infected.

"We spoke to the family very frankly last night. We told her father and brothers that she is critical and might not pull through. Her family was stoic and handled the eventuality i a very mature way," Dr Mehta said.

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How to Banish That New Year's Eve Hangover

For those of us who enjoy the occasional cocktail, the holiday season would be incomplete without certain treats of the liquid variety. Some look forward to the creamy charms of rum-laced eggnog; others anticipate cupfuls of high-octane punch or mugs of warm, spiced wine.

No matter what's in your glass, raising one as the year winds down is tradition. What could be more festive? The problem is, one drink leads to two, then the party gets going and a third is generously poured. Soon, the music fades and the morning arrives—and with it, the dreaded hangover. (Explore a human-body interactive.)

Whether it's a pounding headache, a queasy stomach, sweating, or just general misery, the damage has been done. So now it's time to remedy the situation. What's the quickest way to banish the pain? It depends who you ask.

Doctors typically recommend water for hydration and ibuprofen to reduce inflammation. Taking B vitamins is also good, according to anesthesiologist Jason Burke, because they help the body metabolize alcohol and produce energy.

Burke should know a thing or two about veisalgia, the medical term for hangover. At his Las Vegas clinic Hangover Heaven, Burke treats thousands of people suffering from the effects of drinking to excess with hydrating fluids and medications approved by the U.S. Food and Drug Administration.

"No two hangovers are the same," he said, adding that the unfavorable condition costs society billions of dollars-mostly from lost productivity and people taking sick days from work.

Hot Peppers for Hangovers?

So what's the advice from the nonmedical community? Suggestions range from greasy breakfasts to vanilla milkshakes to spending time in a steamy sauna. A friend insists hot peppers are the only way to combat a hangover's wrath. Another swears by the palliative effects of a bloody mary. In fact, many people just have another drink, following the old "hair of the dog that bit you" strategy.

Whether such "cures" actually get rid of a hangover is debatable, but one thing's for sure: the sorry state is universal. The only people immune to hangovers are the ones who avoid alcohol altogether.

So for those who do indulge, even if it's just once in awhile, see our interactive featuring cures from around the world (also above). As New Year's Eve looms with its attendant excuse to imbibe, perhaps it would be wise to stock your refrigerator with one of these antidotes. Pickled herring, anyone?

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Epic Journey: Did Moses' Exodus Really Happen?

In the Bible, he is called Moses. In the Koran, he is the prophet Musa.

Religious scholars have long questioned whether of the story of a prophet leading God's chosen people in a great exodus out of Egypt and the freedom it brought them afterwards was real, but the similarities between a pharaoh's ancient hymn and a psalm of David might hold the link to his existence.

Tune in to Part 2 of Christiane Amanpour's ABC News special, "Back to the Beginning," which explores the history of the Bible from Genesis to Jesus, on Friday, Dec. 28 at 9 p.m. ET on ABC.

Christian scripture says Moses was content to grow old with his family in the vast deserted wilderness of Midian, and 40 years passed until the Bible says God spoke to him through the Burning Bush and told him to lead his people, the Israelites, out of Egypt. According to tradition, that miraculous bush can still be seen today enclosed within the ancient walls of St. Catherine's Monastery, located not far from Moses' hometown.

But there was another figure in the ancient world who gave up everything to answer the call from what he believed was the one and only true God.

Archaeologists discovered the remains of the ancient city of Amarna in the 1800s. Egyptologist Rawya Ismail, who has been studying the ruins for years, believes, as other archaeologists do, that Pharaoh Akhenaten built the city as a tribute to Aten, the sun.

G.Sioen/De Agostini/Getty Images

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She said it was a bold and unusual step for the pharaoh to leave the luxurious trappings of palace life in Luxor for the inhospitable landscape of Amarna, but it might have been his only choice as the priests from the existing religious establishment gained power.

"The very powerful Amun-Ra priests that he couldn't stand against gained control of the whole country," Ismail said. "The idea was to find a place that had never been used by any other gods -- to be virgin is what he called it -- so he chose this place."

All over the walls inside the city's beautiful tombs are examples of Akhanaten's radical message of monotheism. There is the Hymn to the Aten, which translates, in part, to: "The earth comes into being by your hand, as you made it. When you dawn, they live. When you set, they die. You yourself are lifetime, one lives by you."

PHOTOS: Christiane Amanpour's Journey 'Back to the Beginning'

Some attribute the writing of the hymn to Akhanaten himself, but it bears a striking resemblance to a passage that can be found in the Hebrew Bible: Psalm 104.

"If you compare the hymns from A to Z, you'll find mirror images to it in many of the holy books," Ismail said. "And if you compare certain parts of it, you'll find it almost exactly -- a typical translation for some of the [psalms] of David."

Psalm 104, written a few hundred years later, references a Lord that ruled over Israel and a passage compares him to the sun.

"You hide your face, they are troubled," part of it reads. "You take away your breath, they die, And return to dust. You send forth your breath, they are created, And you renew the face of the earth."

Like the psalm, the Hymn to Aten extols the virtues of the one true God.

"A lot of people think that [the Hymn to Aten] was the source of the [psalms] of David," Ismail said. "Putting Egypt on the trade route, a lot of people traveled from Egypt and came back to Egypt, it wasn't like a country living in isolation."

Ismail believes it is possible that the message from the heretic pharaoh has some connection to the story of Moses and the Exodus, as outlined in the Hebrew Bible.

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As ‘fiscal cliff’ deadline nears, OPM updates furlough guidelines

With talks on averting the “fiscal cliff” apparently stalled, the Office of Personnel Management posted new guidance to federal workers for administrative furloughs on its Web site Thursday afternoon.

“We wanted to take some prudent steps to keep federal employees informed in case of an order for sequestration,” said Thomas Richards, OPM’s communications director.

He added that the guidelines were not issued as “a reaction to any specific action” involving the talks between President Obama and congressional leaders.

“It’s nothing more than that,” Richards said.

Nonetheless, after months of the White House expressing confidence that the standoff would be resolved before a crisis hit and that furloughs would be unnecessary, the guidance reflects the reality that little time remains on the calendar to avert the automatic cuts that will be triggered by a failure to reach a deal by the year’s end.

Obama returned to Washington from Hawaii on Thursday in an effort to keep the talks alive. As the deadline approaches, federal workers have grown increasingly worried about the potential threat to their jobs.

The guidance notes that “agencies are responsible for identifying the employees affected by administrative furloughs based on budget conditions, funding sources, mission priorities (including the need to perform emergency work involving the safety of human life or protection of property), and other factors.”

Employees will be given a minimum 60-day notice before any furlough of longer than 22 days takes place, according to the document. A 30-day notice will be given for shorter furloughs.

The guidance also specifies that employees may not take other forms of paid time off, including annual or sick leave, in lieu of being furloughed. Nor is an employee allowed to volunteer to do his or her job for free, unless otherwise authorized by law.

The guidelines are updated from a previous version issued in April by OPM in response to the possibility of a government shutdown at the time.

“The policy folks are diving down deep into the weeds,” Richards said. “We wanted to make sure the guidelines were up to date to reflect the possibility of sequestration.”

Richards said the OPM will soon post answers to frequently asked questions on the agency’s Web site (opm.gov/furlough).

“It will be questions like, ‘Do I need to show up for work on January 2nd? Yes, you do,’ ” Richards said.

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Football: Bosses on notice as owners eye Premier promotion

LONDON: Henning Berg, sacked by Blackburn after just 57 days, and Sean O'Driscoll, dismissed by Nottingham Forest just six months into his reign, became the latest managers to discover that patience is an increasingly rare quality among chairmen chasing the dream of a lucrative place in the Premier League.

Owen Coyle, booted out by Bolton in October after a slow start to the season, and Paul Jewell, fired by Ipswich with a relegation battle looming, had already been losers in the Championship's frantic game of managerial musical chairs.

There have been eight bosses on the move with only half the season gone and more casualties are certain to follow in the new year.

And, as ever in modern day football, money is the root cause of the blood-letting.

The rewards of promotion are estimated at around £90 million, but the cost is even greater for the managers who fall short of that goal.

The prospect of buying a sleeping giant and turning them into a cash cow has convinced a series of investors from across the world to pitch up at second-tier clubs with a wad of cash and promises of instant success.

But when that seductive talk of promotion falters on the pitch, there is no apology from the owners for spreading false hope. Instead it is the managers who are made the scapegoats.

Nowhere is that more apparent than at Blackburn, where Indian owners Venky's are searching for their third manager of the season following the brutal dismissal of Berg on Thursday.

Berg, who played in the Blackburn team that won the Premier League in 1995, had been appointed as successor to the much-criticised Steve Kean, who avoided the sack despite relegation from the top-flight last season but then quit in September amid suggestions Venky's were meddling in his team selections.

Although Berg had won only one of his first 10 matches -- a 1-0 defeat on Wednesday to Middlesbrough was their fifth loss in six matches -- he surely deserved longer to get a troubled club back on an even keel.

In the circumstances, it was hardly surprising that the Norwegian should talk of being "bitterly disappointed" at his treatment.

Manchester United defender Rio Ferdinand summed up the disbelief felt by the football world when he tweeted: "Henning Berg was given loads of time to implement his coaching ideas and get the team playing the way he wanted, 50 something days... NOT!!

"Berg didn't even get to see a transfer window let alone take part in one?!?"

While O'Driscoll was given a little longer than Berg by Forest's Kuwaiti owners, he still had plenty of cause for complaint.

Forest were just one point outside the play-off places after a 4-2 win over Leeds on Wednesday, yet even that wasn't good enough for impatient Kuwaiti chairman Fawaz Al Hasawi, who talked of the need for a manager with Premier League experience after sacking O'Driscoll, widely regarded as one of the most astute managers in the lower divisions.

Danny Collins, one of O'Driscoll's first signings when he took charge at Forest in July, said: "To hear the news that the gaffer had gone was obviously a surprise, and we're shocked and disappointed at the same time."

Forest striker Simon Cox added on Twitter: "So we win 4-2 and the manager gets the sack. Gutted for Sean, pleasure to work under. Wonder who will walk through the door next."

And as the stakes get even higher in the coming months, there will be plenty more managers and players nervously wondering when the next change will come.

The pressure will be most intense for under-achieving Wolves boss Stale Solbakken, Malky Mackay at leaders Cardiff, where the Malaysian owners are determined to secure promotion at all costs, and Nigel Pearson at Leicester, whose Thai owners have been spent big to reach the top-flight.

- AFP/al

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Varun Gandhi likely to contest Lok Sabha 2014 from Sultanpur

LUCKNOW: Pilibhit MP of the Bharatiya Janata Party Varun Gandhi might contest 2014 Lok Sabha election from Sultanpur-the constituency adjoining Amethi represented by his cousin Congress general secretary Rahul Gandhi. Congress' Sanjay Singh is the sitting MP from Sultanpur.

So far, two things have actually given credence to the speculation that Varun might contest from Sultanpur. A team of around 24 persons from the BJP has visited all five assembly segments falling in the constituency to mobilise youth in favour of Varun's candidature.

Also, there are posters of Varun everywhere that read, 'Naam wahi jo kaam karaye, Sultanpur ka samman badhaye'. During a rally in 2009, Varun had announced that he would, one day, turn Sultanpur into his 'karmabhoomi' (ground of action).

It seems BJP's plan for Uttar Pradesh would be full of surprises this time - from Varun shifting to Sultanpur to Rajnath switching over from his Ghaziabad constituency and Narendra Modi contesting from Lucknow.

Varun told TOI: "Sultanpur has been my father's political ground, so I don't have to start afresh. There is no need for any survey, as I understand the constituency well."

About the team propagating his candidature, Varun said they were locals. On whether he had decided to contest from Sultanpur, Varun said it would not be right to say anything on this count as election was still a year away.

In 1984, former prime minister Rajiv Gandhi and father of Rahul Gandhi was pitted against his sister-in-law and Varun's mother Maneka Gandhi in the election that took place after Indira Gandhi's death, Rajiv won by a huge margin defeating Maneka, who wanted to establish her claim to her late husband Sanjay's legacy.

In 1977, former prime minister Indira Gandhi's son Sanjay Gandhi had contested from Amethi, which was then part of Sultanpur district. Amethi is from where both Sanjay and Rajiv Gandhi started their political careers.

Sanjay's was a debut that didn't happen because of the Emergency. He lost to Ravindra Pratap Singh of the Janata Party by a few thousand votes. However, he bounced back in the '80 elections, defeating Singh this time.

After Sanjay's death, Indira persuaded Rajiv to help her and in June 1981, he entered politics formally getting elected to the Lok Sabha from Amethi. Since then, Amethi has been the battleground for major showdowns.

Yet another showdown, will it be?

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How to Live to a Ripe Old Age

Cento di questi giorni. May you have a hundred birthdays, the Italians say, and some of them do.

So do other people in various spots around the world—in Blue Zones, so named by National Geographic Fellow Dan Buettner for the blue ink that outlines these special areas on maps developed over more than a decade. (National Geographic News is part of the National Geographic Society.)

In his second edition of his book The Blue Zones, Buettner writes about a newly identified Blue Zone: the Greek island of Ikaria (map). National Geographic magazine Editor at Large Cathy Newman interviewed him about the art of living long and well. (Watch Buettner talk about how to live to a hundred.)

Q. You've written about Blue Zones in Sardinia, Italy; Loma Linda, California; Nicoa, Costa Rica and Okinawa, Japan. How did you find your way to Ikaria?

A. Michel Poulain, a demographer on the project, and I are always on the lookout for new Blue Zones. This one popped up in 2008. We got a lead from a Greek foundation looking for biological markers in aging people. The census data showed clusters of villages there with a striking proportion of people 85 or older. (Also see blog: "Secrets of the Happiest Places on Earth.")

In the course of your quest you've been introduced to remarkable individuals like 100-year-old Marge Jetton of Loma Linda, California, who starts the day with a mile-long [0.6-kilometer] walk, 6 to 8 miles [10 to 13 kilometers] on a stationary bike, and weight lifting. Who is the most memorable Blue Zoner you've met?

Without question it's Stamatis Moraitis, who lives in Ikaria. I believe he's 102. He's famous for partying. He makes 400 liters [100 gallons] of wine from his vineyards each year, which he drinks with his friends. His house is the social hot spot of the island. (See "Longevity Genes Found; Predict Chances of Reaching 100.")

He's also the Ikarian who emigrated to the United States, was diagnosed with lung cancer in his 60s, given less then a year to live, and who returned to Ikaria to die. Instead, he recovered.

Yes, he never went through chemotherapy or treatment. He just moved back to Ikaria.

Did anyone figure out how he survived?

Nope. He told me he returned to the U.S. ten years after he left to see if the American doctors could explain it. I asked him what happened. "My doctors were all dead," he said.

One of the common factors that seem to link all Blue Zone people you've spoken with is a life of hard work—and sometimes hardship. Your thoughts?

I think we live in a culture that relentlessly pursues comfort. Ease is related to disease. We shouldn't always be fleeing hardship. Hardship also brings people together. We should welcome it.

Sounds like another version of the fable of the grasshopper and the ant?

You rarely get satisfaction sitting in an easy chair. If you work in a garden on the other hand, and it yields beautiful tomatoes, that's a good feeling.

Can you talk about diet? Not all of us have access to goat milk, for example, which you say is typically part of an Ikarian breakfast.

There is nothing exotic about their diet, which is a version of a Mediterranean diet, which emphasizes vegetables, beans, fruit, olive oil, and moderate amounts of alcohol. (Read more about Buettner's work in Ikaria in National Geographic Adventure.)

All things in moderation?

Not all things. Socializing is something we should not do in moderation. The happiest Americans socialize six hours a day.

The people you hang out with help you hang on to life?

Yes, you have to pay attention to your friends. Health habits are contagious. Hanging out with unhappy people who drink and smoke is hazardous to your health.

So how has what you've learned influenced your own lifestyle?

One of the big things I've learned is that there's an advantage to regular low-intensity activity. My previous life was setting records on my bike. [Buettner holds three world records in distance cycling.] Now I use my bike to commute. I only eat meat once a week, and I always keep nuts in my office: Those who eat nuts live two to three more years than those who don't.

You also write about having a purpose in life.

Purpose is huge. I know exactly what my values are and what I love to do. That's worth additional years right there. I say no to a lot of stuff that would be easy money but deviates from my meaning of life.

The Japanese you met in Okinawa have a word for that?

Yes. Ikigai: "The reason for which I wake in the morning."

Do you have a non-longevity-enhancing guilty pleasure?

Tequila is my weakness.

And how long would you like to live?

I'd like to live to be 200.

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Gen. 'Stormin' Norman Schwarzkopf Dead at 78

H. Norman Schwarzkopf, the retired general credited with leading U.S.-allied forces to a victory in the first Gulf War, died today at age 78.

The man who Defense Secretary Leon Panetta today called "one of the great military giants of the 20th century" died in Tampa, Fla., where he lived in retirement, the Associated Press reported.

Schwarzkopf, called "Stormin' Norman" because of his reportedly explosive temper, led America to two military victories: a small one in Grenada in the 1980s and a big one as de facto commander of allied forces in the Gulf War in 1991.

"'Stormin' Norman' led the coalition forces to victory, ejecting the Iraqi Army from Kuwait and restoring the rightful government," read a statement by former Secretary of State Colin Powell, who was chairman of the Joint Chiefs of Staff during the Gulf War. "His leadership not only inspired his troops, but also inspired the nation."

WATCH: Gen. Norman Schwarzkopf to Saddam Hussein: 'Get Outta Town'

Schwarzkopf's success during that fight, also known as Operation Desert Storm, came under President George H.W. Bush, who through his office today mourned "the loss of a true American patriot and one of the great military leaders of his generation."

"Gen. Norm Schwarzkopf, to me, epitomized the 'duty, service, country' creed that has defended our freedom and seen this great nation through our most trying international crises," Bush said. "More than that, he was a good and decent man -- and a dear friend."

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Bush's office released the statement though the former president, himself, was ill, hospitalized in Texas with a stubborn fever and on a liquids-only diet.

The current White House occupant, President Obama, also memorialized Schwarzkopf, declaring him "an American original" who "stood tall for the country and Army he loved."

The future four-star general was born Aug. 24, 1934, in Trenton, N.J.

Schwarzkopf's father, who shared his name, directed the investigation of the Lindbergh baby kidnapping as head of the New Jersey State Police, later becoming a brigadier general in the U.S. Army.

Schwarzkopf was raised as an army brat in Iran, Switzerland, Germany and Italy, following in his father's footsteps to West Point, earning an engineering degree and being commissioned as a second lieutenant in 1956.

WATCH: Gen. Schwarzkopf's '5 Minutes of Unimportant Questions'

He earned three Silver Stars for bravery during two tours in Vietnam, gaining a reputation as an opinionated, plain-spoken commander with a sharp temper who would risk his own life for his soldiers.

"He had volunteered to go to Vietnam early just so he could get there before the war ended," said former Army Col. William McKinney, who knew Schwarzkopf from their days at West Point, according to ABC News Radio.

In 1983, as a newly-minted general, Schwarzkopf once again led troops into battle in President Reagan's invasion of Granada, a tiny Caribbean island where the White House saw American influence threatened by a Cuban-backed coup.

But he gained most of his fame in Iraq, where he used his 6-foot-3, 240-pound frame and fearsome temper to drive his forces to victory.

"He was known as a soldier's general," said retired Maj. Gen. Donald Shepperd, as he explained the "Stormin' Norman" nickname to ABC News Radio. "In other words, he really liked the troops and was soft on the troops. But boy, on his general officers, his officers, his NCO's, he was very, very tough and he had a real quick temper."

PHOTOS: In Memoriam: People We Lost in 2012

Gruff and direct, Schwarzkopf said during the Gulf War that his goal was to win the war as quickly as possible and with a focused objective: getting Iraq out of Kuwait.

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Hawaii’s lieutenant governor is named to the U.S. Senate

Hawaii Gov. Neil Abercrombie (D) selected Lt. Gov. Brian Schatz on Wednesday to fill the vacancy created by the death last week of veteran U.S. Sen. Daniel K. Inouye (D).

With the “fiscal cliff” five days away and critical decisions facing the Senate, the White House said Schatz would fly to Washington on Wednesday evening with President Obama. Schatz said he would be in place to be sworn in Thursday.

Abercrombie chose Schatz, 40, a former state Democratic Party chairman and state lawmaker, over U.S. Rep. Colleen W. Hanabusa (D), whom Inouye had indicated shortly before his death would be his preference to replace him.

“No one and nothing is pre­ordained,” Abercrombie told reporters in Hono­lulu. He said Inouye’s views were taken into account but so were those of grass-roots activists and his own analysis of what was best for the state.

He said Schatz, a native of Michigan, was best positioned to help Hawaii begin to rebuild its congressional seniority.

He called Schatz “intelligent, forceful, insightful, committed.”

Schatz will be joined in the Senate next month by Rep. Mazie K. Hirono (D), who was elected in November to replace retiring Sen. Daniel K. Akaka (D).

The pair of newcomers will replace one of the nation’s most stable lawmaking teams: A modest World War II hero, Inouye had represented the Aloha State in the Senate since 1963, becoming president pro tempore of the chamber and chairman of the powerful Appropriations Committee. Akaka has served in the Senate since 1980.

Schatz will hold the job for two years until Hawaii voters choose a replacement to fill out the final two years of Inouye’s term.

Schatz, who will be one of the Senate’s youngest members, told reporters that he is planning to stand for election in 2014 to complete Inouye’s term and then to run for reelection in 2016.

“No one can fill Senator Daniel K. Inouye’s shoes — but together, all of us, we can try to walk in his footsteps,” Schatz said, indicating he would focus on retaining federal funding for the state and addressing climate change.

The selection of Schatz was something of a surprise, given Inouye’s wishes and the esteem with which he is held in the state. But Abercrombie is close to Schatz and indicated that he was hesitant to choose Hanabusa and force a new special election to fill her House seat.

Jennifer Sabas, Inouye’s chief of staff, indicated in a statement that Hanabusa’s selection was ­Inouye’s “final wish.”

“While we are very disappointed that it was not honored, it was the governor’s decision to make. We wish Brian Schatz the best of luck,” she said.

Rising Democratic star Tulsi Gabbard, 31, an Iraq war veteran and former Hono­lulu City Council member who was elected to the House in November, had some strong supporters nationally, including Newark Mayor Cory Booker, who endorsed her for the Senate seat via Twitter.

The appointment of Schatz came at a particularly critical time, with Democratic leaders anticipating a potentially close vote in the coming days on a tax plan designed to avert the most serious economic impacts of the year-end fiscal cliff.

In the absence of a broad, bipartisan deficit-reduction package, Obama has called on Congress to at least pass a bill to extend tax breaks for the middle class and potentially forestall automatic budget cuts set to hit in January.

Democrats hope that Republicans will agree to forgo a filibuster and allow an up-or-down vote on a temporary fix, requiring only a bare majority to pass. If the GOP requires a 60-vote threshold for the bill, as has increasingly become standard in the Senate, Democrats hope that a handful of Republicans would join Democrats in supporting the measure and send it to the House.

Either way, Democrats will need every vote they can muster if the legislation is brought to the floor. A bill passed by the Senate in July to extend tax rates first enacted under President George W. Bush for those making less than $250,000 a year was adopted by a narrow 51 to 48 margin.

All Republicans opposed the measure, along with Sens. James Webb (D-Va.) and Joseph I. Lieberman (I-Conn.).

With tax hikes set to hit virtually every American in a matter of days, a similar measure could pick up additional support this time around. But the possibility of a squeaker vote led Senate Majority Leader Harry M. Reid (D-Nev.) to take the unusual step of urging Abercrombie to fill the Hawaii seat quickly.

“It is critically important to ensure that the people of Hawaii are fully represented in the pivotal decisions the Senate will be making before the end of the year,” Reid said in a statement Saturday.

Hawaii law required that Abercrombie choose a replacement from a list of three finalists selected by the state Democratic Party.

The party’s central committee met Wednesday — several days earlier than had been planned before Reid’s request for speed — to hear two-minute speeches from most of the 14 candidates who had formally asked the party to consider them for the role.

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Indian rape victim arrives in S'pore for further treatment

SINGAPORE: An Indian student who was left fighting for her life after being gang-raped in New Delhi has arrived at Singapore's Mount Elizabeth Hospital for further treatment.

The patient arrived at the hospital's Intensive Care Unit at 9.05am in extremely critical condition, said the hospital's spokesperson on Thursday.

The hospital is working with the Indian High Commission, and has requested that the privacy of the patient and the family be respected.

The 23-year-old, whose attack sparked protests across India, had been transferred from the Safdarjung hospital in central Delhi to Medanta hospital in Gurgaon, close to the city's international airport, before being flown to Singapore.

"The decision was taken this morning at cabinet," a source at Safdarjung told AFP early Thursday. "Her mother and father are with her."

The government had earlier announced it was setting up a special commission of inquiry after the gang-rape on December 16 when the woman was allegedly tricked into boarding a bus by six men who then took turns to assault her.

The group also attacked her with an iron bar before throwing her out of the vehicle, along with a male companion.

Six suspects have been arrested in connection with the attack and have been remanded in custody.

- CNA/AFP/al

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