on our broadcast tonight, risk factors. two major health stories breaking this evening. the news about dramatically reducing the advances of ovarian cancer, plus, new questions about pregnant women taking pain relievers like tylenol. and historic cuts at the pentagon, the new plan to shrink the military to numbers not seen before world war ii. and the price you pay at the supermarket, from everything to milk to meat, why everything is on the rise right now. and a comedy genius is gone from "ghostbusters," to "groundhog" day. animal house, caddy shack, to clark griswold chlt tonight, we remember the great harold ramis.

nightly news begins now. good evening, we begin tonight with two major health stories, both breaking late in the day. both of them concern women's health. in a moment, the story involving pregnant women and the active ingredient in pain relievers like tylenol. but first, the news tonight involving the prevention of ovarian cancer, in women that have a genetic mutation that increases their risk for this often fatal disease. and it concludes that these women should make a tough choice about the treatment, even earlier than many do now. we get more from dr. nancy snyderman. >> reporter: nicole armstrong credits her older sister, katrina, an award-winning special olympian, with saving her life. >> because of everything my sister had gone through, had she not had gotten sick it could have been me. >> reporter: katrina died two

years ago at the age of 32, from breast cancer. she has a gene mutation associated with breast cancer and ovarian cancer. it was a wake-up call for the rest of the family to have the genetic testing. >> we walked in the room, and just -- the look on the counselor's face said that owe >> reporter: their grandmother owe it was going to be positive. also died of breast cancer. and in their case, their gene mutation runs on their dad's side of the family. nicole underwent a double mastectomy to reduce her risk of breast cancer. but now at 28 years of age, she has another big decision to make. >> having my ovaries removed is a big fear of mine. >> reporter: they suggest that women with the brc 1 mutation can reduce their risk of breast cancer by 80% and their risk of death by 70% if they have their ovaries and tubes removed by 35. doctors say this is a new study.

it could dramatically change how patients a s -- counseled. >> the amazing thing that excites me about this study is that it gives us more information and more hard data to provide the patients to guide their treatment decisions and their timing decisions for these surgeries. >> reporter: while nicole is in a serious relationship and hopes to have children one day, today's study will force her and other women like her to make some tough decisions that could save their lives. and some of those decisions are whether to get genetically tested if you have a strong family history of ovarian or breast cancer. and if you have that brca 1 gene then have your ovaries taken out early and plan to save your eggs or embryos for future family planning. a lot of hard decisions, but there are options, brian. >> and nancy, this other story we heard involving pregnant

women, and if not tylenol, the brand, the active ingredient, acetaminophen. >> the big study today looking at over 60,000 mores who took the tylenol ingredient during pregnancy had a 27% increased risk of having a child diagnosed with adhd. they also found that the more trimesters and the more longer period of times that the moms use the medication the higher the risk of the disorder. now the researchers caution and stress this does not prove cause and effect. and there may be other factors because adhd is quite complicated. but doctors are underscoring, aga again, that acetaminophen is safe, medication, especially during pregnancy and other times for fever, and aches and pains. but for short periods of time. a reminder again that when you're pregnant anything you put in your body can have long-lasting effects. but this is going to be a

continuing study. there is no doubt people will turn away from this one. >> dr. nancy snyderman, just off a plane, thank you for joining us. you bet. now to a major announcement today about the pentagon. after 13 years of war fare for this country, the u.s. now has a new defense battle plan that involves shrinking down the military to levels not seen since before world war ii. the obama administration says it is not only about re-shaping budgets, but it is about re-thinking the way we fight in the future. and these proposed cuts have already set off the kind of war fare they conduct in washington, our report tonight on all of it from our pentagon correspondent, jim miklaszewski. >> reporter: outside fort benning, georgia, these cadets were glued to the pentagon's speech on military budget cut, leaving one cadet to rethink his plans to join the army. >> it means i wouldn't get paid as much. and it means they may not even want me as a pilot.

>> reporter: the pentagon's budget could slash up to 90,000 soldiers from the army, down to 440,000, the lowest level since pre-world war ii. the entire wing of the attack aircraft and the cold war spy plane would also be taken out of service, defense secretary chuck hagel said the cuts are necessary to deal with the tight budgets and a changing battlefield. >> this plan goes along with the need to protect our national security with the need to be realistic about future budget levels. >> reporter: for now, there appears to be no need for big army war fare, for now, the wars in iraq and afghanistan will be over. instead of large-scale ground wars military operations predict special forces will engage in smaller, tighter missions. but the defense secretary warns the reduction in force could only come at a higher cost. >> that means if you have fewer

forces no matter what the circumstances, you will have higher risks. >> reporter: some congressional lawmakers are already threatening to do battle over this budget. >> what we're trying to do is solve the financial problems on the backs of our military and that can't be done. >> reporter: but the joint chiefs chairman martin dempsey insists he would not put america's defense at risk. >> this budget helps us remain the world's finest military, modern, capable and ready even while transitioning to a smaller, more affordable force over time. >> reporter: even though some military programs would take a heavy hit, under this budget overall pentagon spendinwould somehow increase by $115 billion over the next five years. jim miklaszewski, nbc news, the pentagon. we are learning more tonight about the dramatic takedown of the most wanted drug kingpin in the world, and how the u.s. and mexican authorities finally got their man after a decade of evasion. authorities say that joaquin shorty guzman was responsible

for much of the flow of drugs flowing into the country every day. nbc's mark potter has more. >> reporter: these are the first images of mexico's top crime kingpin in 13 years, since his dramatic escape from this maximum security prison by hiding in a laundry cart. since then, guzman has become a known drug trafficker, supplying most of the u.s.'s drug supply, reportedly a billionaire, and a violent player in mexico's drug war. >> 80,000 murdered and he was responsible for a good bit of it. >> reporter: authorities say he became restless in his hideout and sought a more comfortable life in the cities. early last week, authorities raided several of guzman's safe houses in mexico where they just missed him after he escaped while climbing through a secret door underneath his tub, into a tunnel that poured into the

city's drainage system. the u.s. and the marshal services had been tracking his movements by developing informants and wiretapping cell phones. but after the safe house raids, only one ofhe wire taps worked, but it was enough to get him. early saturday morning the team of marines converged on this town, and on the fourth floor of this hotel burst into the apartment where he found him sleeping with his wife, the former beauty queen. >> he was so tired, sleeping when they arrested him. >> reporter: guzman is indicted in six american cities, public enemy number one in chicago, and the u.s. wants to extradite him. but in mexico, where he is in prison, they say he will be tried there first, the biggest catch in the bloody drug war, mark potter, nbc news, miami. and joining us in a situation in ukraine, where one man who was last week the

president of the nation. among other things, viktor yanukovych is wanted for the murder of scores of protesters last week. we get our report from our chief foreign correspondent richard engel who remains in kiev tonight. >> reporter: the president of ukraine caught on secuty video leaving kiev friday night. destination, unknown. the interim government today issued a warra for his arrest for mass murder. nearly 80 protesters were killed last thursday, and nbc news has now learned new details about that crucial tipping point that changed history here. it began when protesters took a huge risk. with riot police in retreat, protesters left the safety of their barricades and charged. suddenly, a hail of bullets. new footage appears to show at

least some of the shooting was organized and disciplined. police were heavily armed. one asked if they had permission to fire. no answer could be heard. the video shows security forces paused briefly by this wall. they received instructions, loaded their weapons and then calmly, deliberately deployed toward the protesters. the crew with the television reporter took the footage. he says he witnessed police shooting heavily for 30 minutes under orders from a general on location. ukrainians told us they were horrified by last week's massacre, but not surprised. the candle still burns in the square, honoring those whose deaths sparked a revolution. and the sound of gunfire in this square has been replaced by music. they're holding concerts here

tonight as this place becomes a memorial. brian? >> richard engel reporting in kiev for us, thank you. and john dingle is leaving congress after almost 60 years, the michigan democrat is 87. he is the longest serving member of congress in u.s. history. first came to the house when eisenhower was president back in 55. he is leaving at the end of his 29th term. as the liberal chairman of the commerce committee he once yielded a lot of power, he presided over the passage of medicare and is proudest of the vote for the 64-civil rights act. he succeeded his dad in congress when he was 29. said he hopes his wife, deborah, a political fixture in detroit, will run for his congressional seat. and still today, a price you pay for the spike in grocery bills, the price starts to have real-life consequences at the food store. real-life consequences at the food store. er ] your heart. it powers your body to walk enough stairs in a lifetime

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occasional series of reports about the price you pay, that makes everyone pay more and the price hikes that are holding back so many people from getting ahead. and our focus this evening starts with what we're paying at the food store as all the warnings about the historic drought and the effect on prices sadly are starting to become real. we get our report from nbc's tom costello. >> reporter: grocery shopping for jasmine's family of five is not cheap. averaging 200 a week, she cuts coupons and balances between stores. >> meat was on sale this week, that is why i bought it. >> reporter: and it will likely get more expensive for her and families across the nation. the california drought affected farmers who lost their harvest and sold off their livestock. >> it means you will probably pay more for that steak when you go to the supermarket, and the burger when you go to the

drive-in. >> reporter: it already has an effect on the price you pay. ground beef has risen to $3.46, and could hit $4 at the end of this year. milk price is also up, 13 cents a gallon since september and expected to keep rising. also to blame, the demand for cheese is exploding overseas. meanwhile, oats, the main ingredient in cereal is up nearly 40% this year. all of this is forcing jasmine to use more strategy. >> i make my list, i go in, i know what i'm going to get. but once i arrive at the market when i see the jumps then i have to rethink the list. >> reporter: economists say 2014 could be a year of higher prices across the board, including fruits, vegetables, poultry and pork. >> the typical american will see a 5 to $10 increase in their grocery bill when they check

out. everything in that basket will come at a higher price. >> reporter: adding insult to injury, a drought in brazil is sending coffee prices up, a 35% increase since november. for many that is just too much. >> there will be coffee in this house at all times. but there is no way i can cut the coffee. >> reporter: balancing the family budget and personal priorities. tom costello, nbc news, washington. coming up here after the break, remembering one of the most widely quoted voices in film history. of the most widely quoted voices in film history. , or afib. he has the most common kind... ...it's not caused by a heart valve problem. dad, it says your afib puts you at 5 times greater risk of a stroke. that's why i take my warfarin every day. but it looks like maybe we should ask your doctor about pradaxa. in a clinical trial, pradaxa® (dabigatran etexilate mesylate)... ...was proven superior to warfarin at reducing the risk of stroke. and unlike warfarin, with no regular blood tests or dietary restrictions. hey thanks for calling my doctor. sure. pradaxa is not for people with artificial heart valves. don't stop taking pradaxa without talking to your doctor. stopping increases your risk of stroke. ask your doctor if you need to stop pradaxa

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