Tens of thousands of Islamists rally for Morsi in Cairo









CAIRO — Islamists in Egypt's capital rallied Saturday to support President Mohamed Morsi in what is emerging as a decisive battle with opposition forces in the country's messy political transition away from three decades of Hosni Mubarak's corrupt and undemocratic rule.


Tens of thousands of Muslim Brotherhood and ultraconservative Islamists marched in a counterdemonstration to an energized week-old protest across the Nile in Tahrir Square by opposition groups challenging Morsi's expanded powers. Islamists back the president for his religious ideology but say Morsi's central aim is to rid state institutions of the lingering influence of the Mubarak era.


"There are different segments of society here. Not everyone who supports Morsi is a radical Islamist," said Mohamed Hassanein, standing amid banners and the static of loudspeakers in front of Cairo University. "He is the president for all Egyptians. He is trying protect state institutions from remnants of the old regime."





Such have been the president's talking points since he took office in June. He and the Brotherhood explain his recent decree expanding his power and the frantic race by an Islamist-dominated assembly to finish a draft constitution as the path to parliamentary elections early next year to move the country forward. Morsi told the nation Saturday that a referendum on the constitution would be held Dec. 15.


"We hope to ascend into a new era of Egypt's history, to a bright future for our beloved people," the president said in an address to the assembly. "This is a breakthrough, the first truly representative constitution that protects the rights, freedoms and human dignity of all Egyptians."


The Brotherhood has painted many of those protesting against Morsi as Mubarak loyalists who have infiltrated a wider protest movement to disrupt Egypt's transition. That view is testament to the vast differences over how Morsi's supporters and detractors view the nation's troubled political climate, even as Cairo maneuvers to rise as a leading voice in the Arab world's changing political landscape.


Protesters in Tahrir accuse the president of overstepping his bounds, peddling conspiracies and accumulating power reminiscent of Mubarak while brushing aside court rulings to propel the Brotherhood's Islamist agenda. Morsi's supporters argue that he is a good man, if an inexperienced politician, who has been unfairly tainted by liberals and leftists in a dangerous counterrevolution.


Morsi and the Brotherhood face high stakes in coming weeks. Once an outlawed opposition movement, the Brotherhood is now the country's dominant political force. Yet it has made many missteps, reversing promises, angering opposition leaders and failing to stem economic turmoil. The march Saturday was a show of unity before the vote on the draft constitution, which, if not passed, would damage Morsi's credibility.


"I'm here to watch and see what is happening, not because I'm fully convinced of the president," said Walid Alnasr, an Egyptologist, standing in a tightening crowd of men with their ears bent toward him. "The country is suffering from years and years of corruption. Do you think these things can change in three or four or five months? The president is new. He should be given time."


As Alnasr spoke, a bearded man stood at the edge of the crowd, holding up a copy of the Koran in the sunlight. "God's law," he said, and walked away.


The rally was a mix of extremists, moderates, students, professionals, men in suits and peasants from the provinces, including one wearing a white turban who spoke of the need for sharia, or Islamic law, while others tried to hush him.


"Let somebody more educated speak," they said.


The peasant was undeterred: "We're not only here for Morsi. We're here for sharia."


Another man, Hamed Abdelhamid, said, "The people in Tahrir Square are only 1% of the population. They don't represent Egypt. Most of our population is religious and is behind the president."


But the nation's judiciary, notably the Supreme Constitutional Court dominated by Mubarak-era judges, has undercut Morsi and the Brotherhood's wider ambitions, in part by dissolving the Islamist-led parliament in June. The president's decree last month to place his office and the constitutional assembly above legal jurisdiction, a move meant to limit the court's power, drew outrage from Morsi's opponents.


The court was expected to rule Sunday to dissolve the assembly amid charges it was unrepresentative. Opposition groups say the proposed constitution is influenced by Islamic law and could set back civil rights. But with the assembly's work done, it remains uncertain what leverage the court has against a leader who has ignored its decisions.


Many of the Islamists at the rally showed contempt for the courts. A poster pictured a regal Morsi standing next to an unruly collection of caricatures depicting holdover officials from the Mubarak era, including a constitutional court judge made to look like Miss Piggy and Prosecutor-General Abdel Meguid Mahmoud, who resembled the Disney character Goofy.


"Morsi will save the nation," said Ayman Alshahat, a teacher waving a banner. "He will continue the revolution to take back state institutions.... This is for all Egyptian people. This is an invitation to negotiations that will move the country forward."


The opposition and the Islamists are far from compromise. The rally to support Morsi had been planned for Tahrir, but the Brotherhood switched venues to Cairo University to avoid clashes with antigovernment protesters. Brotherhood offices in several cities have been attacked and set ablaze, and officials fear more violence if tension is not eased.


There was no rancor at the Morsi rally, which with flapping flags and practiced chants was a model of sameness. Brotherhood security guards stood at barricades, checking bags and asking for identification cards. Police stayed far to the edges. Images of Morsi — thin graying beard, smile, face bordered by glasses — bobbed in the sunlight. A child with a microphone recited poetry.


"We need Morsi's decree at this critical time because remnants of the old regime are back in Tahrir Square," said Fatima Ibrahim, a black veil covering all but her eyes. "The square used to be for revolutionaries, but it is not anymore. It has been taken over by others. But we'll move forward as long as we stay behind the president."


As she spoke, Islamists chanted: "Bread. Freedom. Islamic sharia."


Across the river in Tahrir Square the chant was: "Bread. Freedom. Social Justice."


jeffrey.fleishman@latimes.com


Special correspondent Reem Abdellatif contributed to this report.





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App of the Week: Hooked












App Name: Hooked


Price: Free












Available Platforms: Android


What does this app do? Words with Friends, Angry Birds, Mahjong Connect – these are just a few of the popular apps in the Google Play Store for Android devices. For game app lovers, wading through the possibilities can be daunting.


Hooked, a game recommendation app developed by Hooked Media Group, can help.


“There are hundreds of thousands of apps out there people may really enjoy,” says Pita Uppal, CEO of the San Francisco based company.


Uppal, who recognizes people like to play with variety game apps but may have no idea what to try, likens Hooked to Netflix and Pandora rolled into one.


Once you download the app, Hooked analyses more than 40 factors, such as device type, the kinds of games a user has on his or her device, and usage statistics. By looking at what a consumer already has and how he or she is using those games, Hooked aims to offer users intelligent suggestions.


From the homescreen, select the menu button at the top and then search categories such as “Top Picks for You,” which provides a customized, star-rated list of recommendations. Press the tools key in the upper right hand corner and customize your recommendations by category, such as puzzle and racing, or by price.


Select “My Games”, and the app displays a dashboard of icons to help you understand your game activity. A folder icon, for example, shows what and how many games you have installed, and a clock icon tells you the amount of time you’ve spent playing a particular game. I spent an entire minute playing “Stupid Zombies.”


Logging in through Facebook or Google+ allows you to see what your friends and connections are playing, too.


Is it easy to set up? Yes, the 2.1MB app installs quickly. Log in with your account and go.


Should I try it? Hooked is like a personal shopper for game-loving app users, and the more you use it the more it understands what you might like. For the moment, it is only available for Android, but Uppal says the company plans to launch Hooked for iOS in the coming months.


Also Read
Wireless News Headlines – Yahoo! News


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Ricky Martin finds new home on small screen

NEW YORK (AP) — Ricky Martin is saying goodbye to Broadway's "Evita." But don't cry for him.

The Latin superstar has a slew of new projects in the works, including two television series and a children's book.

"It's about growing," said Martin in an interview Friday. "It's a moment in my life where I just need to absorb and be surrounded by amazing actors and musicians and grow as an entertainer. I think this is going to be an amazing year for that."

Martin takes his final bow in the Andrew Lloyd Webber revival on Jan. 26. Then he heads down under to join the second season of the Australian edition of "The Voice." But the Grammy winner says not to expect any biting, Simon Cowellesque critiques.

"I don't believe in tough love. I believe in love, and I believe in being nurturing to new talented men and women," he said at an M.A.C. Viva Glam event for Saturday's World AIDS Day. Martin partnered with the cosmetics brand to raise awareness and funding for HIV/AIDS programs worldwide.

The "Livin' la Vida Loca" singer is developing a new series for NBC, expected in 2013. He's producing, writing and will star in the currently untitled dramedy, where he hopes to tackle social issues with humor.

He's also writing his second book and admitted he didn't have to look far for inspiration.

"I think it's time to write about things that I've been through with my kids that I'm sure many daddys out there will understand," said the father of 4-year-old twins Matteo and Valentino.

The family-friendly story about self-esteem is slated for release next summer.

___

AP writer Sigal Ratner-Arias contributed to this story.

___

Follow Nicole Evatt on Twitter at http://twitter.com/NicoleEvatt

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Adderall, a Drug of Increased Focus for N.F.L. Players





The first time Anthony Becht heard about Adderall, he was in the Tampa Bay locker room in 2006. A teammate who had a prescription for the drug shook his pill bottle at Becht.




“ ‘You’ve got to get some of these,’ ” Becht recalled the player saying. “I was like, ‘What the heck is that?’ He definitely needed it. He said it just locks you in, hones you in. He said, ‘When I have to take them, my focus is just raised up to another level.’ ”


Becht said he did not give Adderall another thought until 2009, when he was playing in Arizona and his fellow tight end Ben Patrick was suspended for testing positive for amphetamines. The drug he took, Patrick said, was Adderall. Becht asked Patrick why he took it, and Patrick told Becht, and reporters, that he had needed to stay awake for a long drive.


Those two conversations gave Becht, now a free agent, an early glimpse at a problem that is confounding the N.F.L. this season. Players are taking Adderall, a medication widely prescribed to treat attention deficit hyperactivity disorder, whether they need it or not, and are failing drug tests because of it. And that is almost certainly contributing to a most-troubling result: a record-setting year for N.F.L. drug suspensions.


According to N.F.L. figures, 21 suspensions were announced this calendar year because of failed tests for performance-enhancing drugs, including amphetamines like Adderall. That is a 75 percent increase over the 12 suspensions announced in 2011 and, with a month to go in 2012, it is the most in a year since suspensions for performance-enhancing drugs began in 1989.


At least seven of the players suspended this year have been linked in news media reports to Adderall or have publicly blamed the drug, which acts as a strong stimulant in those without A.D.H.D. The most recent examples were Tampa Bay cornerback Eric Wright and New England defensive lineman Jermaine Cunningham last week.


The N.F.L. is forbidden under the terms of the drug-testing agreement with the players union from announcing what substance players have tested positive for — the urine test does not distinguish among types of amphetamines — and there is some suspicion that at least a few players may claim they took Adderall instead of admitting to steroid use, which carries a far greater stigma. But Adolpho Birch, who oversees drug testing as the N.F.L.’s senior vice president for law and labor, said last week that failed tests for amphetamines were up this year, although he did not provide any specifics. The increase in Adderall use probably accounts for a large part of the overall increase in failed tests.


“If nothing else it probably reflects an uptick in the use of amphetamine and amphetamine-related substances throughout society,” Birch said. “It’s not a secret that it’s a societal trend, and I think we’re starting to see some of the effects of that trend throughout our league.”


Amphetamines have long been used by athletes to provide a boost — think of the stories of “greenies” in baseball clubhouses decades ago. That Adderall use and abuse has made its way to the N.F.L. surprises few, because A.D.H.D. diagnoses and the use of medication to control it have sharply increased in recent years.


According to Dr. Lenard Adler, who runs the adult A.D.H.D. program at New York University Langone Medical Center, 4.4 percent of adults in the general population have the disorder, of which an estimated two-thirds are men. Birch said the number of exemptions the N.F.L. has granted for players who need treatment for A.D.H.D. is “almost certainly fewer” than 4.4 percent of those in the league.


The rates of those with the disorder fall as people get older; it is far more prevalent in children and adolescents. A report from the Centers for Disease Control and Prevention, using input from parents, found that as of 2007, about 9.5 percent or 5.4 million children from ages 4 to 17 had A.D.H.D. at some point. That was an increase of 22 percent from 2003. Boys (13.2 percent) were more likely to have the disorder than girls (5.6 percent).


Of children who currently have A.D.H.D., 66.3 percent are receiving medication, with boys 2.8 times more likely to receive medication. Those 11 to 17 years old are more likely to receive medication than younger children.


But Adderall, categorized by the Drug Enforcement Administration as a Schedule II controlled substance because it is particularly addictive, is also used by college students and even some high school students to provide extra energy and concentration for studying or as a party drug to ward off fatigue.


Dr. Leah Lagos, a New York sports psychologist who has worked with college and professional athletes, said she had seen patients who have used Adderall. She said she believed the rise in its use by professional athletes mimicked the use by college students. Just a few years ago, she said, it was estimated that 1 in 10 college students was abusing stimulants like Adderall and Ritalin. That estimate, Lagos said, has almost doubled.


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Rising sports programming costs could have consumers crying foul









The new owners of the Dodgers are expected to get $6-billion-plus for the TV rights to their team's games.


That may be a big win for the home team, but consumers won't be doing high-fives once they see their pay-TV bills.


The average household already spends about $90 a month for cable or satellite TV, and nearly half of that amount pays for the sports channels packaged into most services. Massive deals for marquee sports franchises like the Dodgers and Lakers are driving those costs even higher. Over the next three years, monthly cable and satellite bills are expected to rise an average of nearly 40%, to $125, according to the market research company NPD Group.





So far, people seem willing to pay. But the escalating costs are triggering worries that, at some point, consumers will begin ditching their cable and satellite subscriptions.


"We've got runaway sports rights, runaway sports salaries and what is essentially a high tax on a lot of households that don't have a lot of interest in sports," said John Malone, the cable industry pioneer and chairman of Liberty Media. "The consumer is really getting squeezed, as is the cable operator."


A key concern is that the higher bills driven by sports are being shouldered by subscribers whether they watch sports or not. National and local sports networks typically require cable and satellite companies to make their channels available to all customers.


"I pay $98 a month for cable and half of that is for sports?" said Vincent Castellanos, 51, a fashion stylist who lives in Los Feliz. "I've never once gone to a single sports channel. I wasn't even aware I was paying for it. I want my money back. Who do I call?"


Cable TV and satellite providers have long paid a premium for national sports channels such as ESPN. Now they are increasingly paying higher fees to the regional sports networks that carry local football, basketball, baseball, hockey and soccer games.


For many years, Los Angeles had just two regional sports networks — Fox Sports West and Prime Ticket, both owned by News Corp. They shared rights to the Dodgers, Angels, Lakers, Clippers and Kings.


Then Time Warner Cable entered the fray, followed by Pac-12 Networks — the Pac-12 Conference's sports service, which includes one channel devoted to USC and UCLA and another channel that focuses on the entire conference.


Time Warner Cable agreed to pay more than $3 billion last year for a long-term deal to take the Lakers rights away from Fox Sports West and launch its own sports channels. Now Fox Sports is preparing to spend at least $6 billion to keep the Dodgers on Prime Ticket. The Dodger and Laker deals could end up adding more than $10 a month to existing pay-TV bills in the region, according to industry analysts.


The competition has spawned turf wars for sports rights among big media companies both nationally and locally. NBC and CBS have launched their own national sports networks to compete with ESPN. Fox is expected to follow suit next year.


"There are not new pro and college games being created," said Dan York, an executive vice president of satellite broadcaster DirecTV. "You are getting the same product being reshuffled into smaller slices at higher prices. That's not a model consumers can continue to support."


Cox Cable executive Bob Wilson estimated that sports account for more than 50% of the bill for the provider's Southern California subscribers even though just 15% to 20% are regular watchers. "That relationship is getting way out of whack," he said.


For the sports leagues and teams, this is found money. When an investors group led by Chicago-based Guggenheim Partners paid $2.15 billion to buy the Dodgers from Frank McCourt last spring, many sports business analysts thought the buyers had wildly overpaid.


Guggenheim was betting that either Fox Sports or Time Warner Cable would spend big for the team. That gambit will probably pay off, as Fox Sports is trying to wrap up a deal this week to keep the team on its Prime Ticket channel, according to people close to the situation.


Under the current contract expiring at the end of next season, Fox's Prime Ticket will pay $39 million for the 2013 TV rights to the Dodgers. In 2014, that price tag would more than double — and continue to escalate for the next two decades. A Fox Sports spokesman declined to comment.


Sports costs are also rising because this programming is considered "DVR proof" — consumed live by viewers, and thus more valuable to advertisers and networks. Increasingly, consumers are opting to record other types of shows to watch later, and then fast-forwarding through the commercials.


"Sports are foolproof when it comes to ratings," said Charles Bergmann, associate director of Mindshare, a prominent advertising buying firm. "Sports fans can't wait to watch a game; they want to know the outcome. And that's not traditionally the case with most prime-time shows."


As a result, cable and broadcast channels that specialize in sports are able to command higher subscriber fees from pay-TV distributors. Walt Disney Co.'s ESPN gets more than $5 a month for each subscriber, from the systems that carry it, according to the media consulting firm SNL Kagan. Time Warner Cable is getting almost $4 a month per subscriber for SportsNet. Prime Ticket and Fox Sports West, which carries the Angels, together cost about $5 per subscriber, per month.





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Student scores may be used in LAUSD teacher ratings









After months of tense negotiations, leaders of the Los Angeles Unified School District and its teachers union have tentatively agreed to use student test scores to evaluate instructors for the first time, officials announced Friday.

Under the breakthrough agreement, the nation's second-largest school district would join Chicago and a growing number of other cities in using test scores as one measure of how much teachers help their students progress academically in a year.

Alarm over low student performance, especially in impoverished and minority communities, has prompted the Obama administration and others to press school districts nationwide to craft better ways to identify struggling teachers for improvement.





The Los Angeles pact proposes to do that using a unique mix of individual and schoolwide testing data — including state standardized test scores, high school exit exams and district assessments, along with rates of attendance, graduation and suspensions.

But the tentative agreement leaves unanswered the most controversial question: how much to count student test scores in measuring teacher effectiveness. The school district and the union agreed only that the test scores would not be "sole, primary or controlling factors" in a teacher's final evaluation.

"It is crystal clear that what we're doing is historic and very positive," said L.A. Supt. John Deasy, who has fought to use student test scores in teacher performance reviews since taking the district's helm nearly two years ago. "This will help develop the skills of the teaching profession and hold us accountable for student achievement."

Members of United Teachers Los Angeles, however, still need to ratify the agreement. Many teachers have long opposed using test scores in their evaluations, saying test scores are unreliable measures of teacher ability.

The union characterized the agreement as a "limited" response to a Dec. 4 court-ordered deadline to show that test scores are being used in evaluations and said negotiations were continuing for future academic years. The deadline was imposed by Los Angeles County Superior Court Judge James C. Chalfant, who ruled this year that state law requires L.A. Unified to use test scores in teacher performance reviews.

In a statement, the teachers union also emphasized that the agreement rejected the use of the district's method of measuring student academic progress for individual instructors. That measure, called Academic Growth Over Time, uses a mathematical formula to estimate how much a teacher helps students' performance, based on state test scores and controlling for such outside factors as income and race. Under the agreement, however, schoolwide scores using this method, also known as a value-added system, will be used.

For individual teachers, the agreement proposes to use raw state standardized test score data. Warren Fletcher, teachers union president, said that data give teachers more useful information about student performance on specific skills.

Critics of using test scores in teacher reviews praised Los Angeles' proposed new system, saying it uses a wide array of data to determine a teacher's effect on student learning.

Deasy said he will be developing guidelines for administrators on how to use the mix of data in teacher reviews and has said in the past that test scores should not count for more than 25% of the final rating.

"This is a complex agreement and possibly the most sophisticated evaluation agreement that I have seen," said Diane Ravitch, an educational historian and vocal critic of the use of test scores in teacher evaluations. "It assures that test scores will not be overused, will not be assigned an arbitrary and inappropriate weight, will not be the sole or primary determinant of a teacher's evaluation."

Teacher Brent Smiley at Lawrence Middle School in Chatsworth said: "I will vote yes. I have no doubt that my union leaders negotiated the best they could, given the adverse set of circumstances they faced."

Labor-relations expert Charles Kerchner called the agreement "a shotgun wedding," but added, "I think it's unabashed good news."

He said it's notable that value-added measures and test scores have been accepted in some form by the teachers union.

"UTLA has moved beyond a strategy of just saying no to a strategy of trying to craft a useful agreement," said Kerchner, a professor at Claremont Graduate University.

The district is currently developing a new evaluation system that uses Academic Growth Over Time — along with a more rigorous classroom observation process, student and parent feedback and a teacher's contributions to the school community. The new observations were tested last year on a voluntary basis with about 450 teachers and 320 administrators; this year, every principal and one volunteer teacher at each of the district's 1,200 schools are expected to be trained.

The teachers union has filed an unfair labor charge against the district, arguing that the system is being unilaterally imposed without required negotiations.

Some teachers who have participated in the new observation process say it offers more specific guidance on how they can improve. Other educators — teachers and administrators alike — complain that it is too time-consuming.

The tentative agreement, acknowledging the extra time the new evaluations would take, would extend the time between evaluations from two to as long as five years for teachers with 10 or more years of experience.

Bill Lucia of EdVoice, the Sacramento-based educational advocacy group that brought the lawsuit, said he was "cautiously optimistic."

But he expressed dismay that the union did not reach agreement a few weeks earlier, which he said would have given L.A. Unified a shot at a $40-million federal grant. The district applied for the Race to the Top grant without the required teacher union support and was eliminated from the competition this week.

Negotiations over the tentative pact, however, nearly fell apart. Earlier this week, the union pulled away from the deal on the table, L.A. Unified officials said. And the district discussed holding a Monday emergency school-board meeting to craft a formal response to the court order in anticipation that no deal would be reached. The options included adopting an evaluation system without the union's consent.

Some members of the Board of Education, who also will need to approve the pact, praised the agreement for taking student growth and achievement into account but gauging this growth through multiple measures. Steve Zimmer said that, just as important, this milestone was achieved through negotiation.

School board President Monica Garcia praised the tentative deal as "absolutely, by all accounts, better than what we have today."

teresa.watanabe@latimes.com

howard.blume@latimes.com





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Katy Perry, Carly Rae Jepsen get Billboard honors

NEW YORK (AP) — Billboard named Katy Perry its woman of the year, but the pop star thought her year was 2011.

"I felt like my year was last year ... I thought my moment had passed," Perry said in an interview with Jon Stewart at Billboard's Women in Music event Friday in New York City.

Perry released "Teenage Dream" in 2010, and the double platinum album sparked five No. 1 hits on the Billboard Hot 100 chart that spilled over to 2011. She tied the record Michael Jackson set with "Thriller" for most hits from a single album.

She re-released the album this year, which launched two more hits and a top-grossing 3-D film.

Perry thanked her fans, who stood outside of Capitale hoping to catch a glimpse of her.

"I don't really like to call myself a role model for my fans, but I hope I'm an inspiration, especially for young women," she said when she accepted the honor.

Perry also thanked her mom at the event, which honored women who work in the music industry.

In like fashion, newcomer Carly Rae Jepsen also thanked her mom — and stepmom — when accepting the rising star honor. The "Call Me Maybe" singer said she's happy and surprised by her success.

"It was sort of the key to unlocking the rest of the world for me and was something that none of us were expecting," she said, in an interview, of her viral hit.

British singer Cher Lloyd performed Perry's "E.T." at the luncheon, which also featured a performance from rising country singer Hunter Hayes.

Perry, who wore a fitted pink dress, joked about recording a follow-up to "Teenage Dream."

"Have you heard it? I haven't," the smiling singer said on the red carpet.

___

Follow Mesfin Fekadu on Twitter at http://twitter.com/MusicMesfin

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Doctors Who Work for Hospitals Face a New Bottom Line





For decades, doctors in picturesque Boise, Idaho, were part of a tight-knit community, freely referring patients to the specialists or hospitals of their choice and exchanging information about the latest medical treatments.







Joshua Roper for The New York Times

St. Luke's Health System dominates the market in Boise, Idaho, and critics say patients are paying more.







Chad Case for The New York Times

Dr. Julie A. Foote, an endocrinologist in Boise, questions whether patients are getting cost-effective care as a result of consolidation in the medical field.






But that began to change a few years ago, when the city’s largest hospital, St. Luke’s Health System, began rapidly buying physician practices all over town, from general practitioners to cardiologists to orthopedic surgeons.


Today, Boise is a medical battleground.


A little over half of the 1,400 doctors in southwestern Idaho are employed by St. Luke’s or its smaller competitor, St. Alphonsus Regional Medical Center.


Many of the independent doctors complain that both hospitals, but especially St. Luke’s, have too much power over every aspect of the medical pipeline, dictating which tests and procedures to perform, how much to charge and which patients to admit.


In interviews, they said their referrals from doctors now employed by St. Luke’s had dropped sharply, while patients, in many cases, were paying more there for the same level of treatment.


Boise’s experience reflects a growing national trend toward consolidation. Across the country, doctors who sold their practices and signed on as employees have similar criticisms. In lawsuits and interviews, they describe growing pressure to meet the financial goals of their new employers — often by performing unnecessary tests and procedures or by admitting patients who do not need a hospital stay.


In Boise, just a few weeks ago, even the hospitals were at war. St. Alphonsus went to court seeking an injunction to stop St. Luke’s from buying another physician practice group, arguing that the hospital’s dominance in the market was enabling it to drive up prices and to demand exclusive or preferential agreements with insurers. The price of a colonoscopy has quadrupled in some instances, and in other cases St. Luke’s charges nearly three times as much for laboratory work as nearby facilities, according to the St. Alphonsus complaint.


Federal and state officials have also joined the fray. In one of a handful of similar cases, the Federal Trade Commission and the Idaho attorney general are investigating whether St. Luke’s has become too powerful in Boise, using its newfound leverage to stifle competition.


Dr. David C. Pate, chief executive of St. Luke’s, denied the assertions by St. Alphonsus that the hospital’s acquisitions had limited patient choice or always resulted in higher prices. In some cases, Dr. Pate said, services that had been underpriced were raised to reflect market value. St. Luke’s, he argued, is simply embracing the new model of health care, which he predicted would lead over the long term to lower overall costs as fewer unnecessary tests and procedures were performed.


Regulators expressed some skepticism about the results, for patients, of rapid consolidation, although the trend is still too new to know for sure. “We’re seeing a lot more consolidation than we did 10 years ago,” said Jeffrey Perry, an assistant director in the F.T.C.’s Bureau of Competition. “Historically, what we’ve seen with the consolidation in the health care industry is that prices go up, but quality does not improve.”


A Drive to Consolidate


An array of new economic realities, from reduced Medicare reimbursements to higher technology costs, is driving consolidation in health care and transforming the practice of medicine in Boise and other communities large and small. In one manifestation of the trend, hospitals, private equity firms and even health insurance companies are acquiring physician practices at a rapid rate.


Today, about 39 percent of doctors nationwide are independent, down from 57 percent in 2000, according to estimates by Accenture, a consulting firm.


Many policy experts praise the shift away from independent practices as a way of making health care less fragmented and expensive. Systems that employ doctors, modeled after well-known organizations like Kaiser Permanente, are better able to coordinate patient care and to find ways to deliver improved services at lower costs, these advocates say. Indeed, consolidation is encouraged by some aspects of the Obama administration’s health care law.


“If you’re going to be paid for value, for performance, you’ve got to perform together,” said Dr. Ricardo Martinez, chief medical officer for North Highland, an Atlanta-based consultant that works with hospitals.


The recent trend is reminiscent of the consolidation that swept the industry in the 1990s in response to the creation of health maintenance organizations, or H.M.O.’s — but there is one major difference. Then, hospitals had difficulty managing the practices, contending that doctors did not work as hard when they were employees as they had as private operators. Now, hospitals are writing contracts more in their own favor.


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Santa Monica hospital ousts top execs, most of its board









Saint John's Health Center abruptly ousted its top two executives and most of its governing board as the Santa Monica hospital tries to grapple with years of losses and increasing competition from bigger rivals.


Sisters of Charity of Leavenworth Health System, a Catholic nonprofit that owns Saint John's and 10 other hospitals in the U.S., dismissed hospital CEO Lou Lazatin, the chief operating officer and 15 members of the hospital's 17-person board, effective Thursday.


Mike Wall, former head of Northridge Hospital Medical Center, was named interim president and chief executive at Saint John's. He replaces Lazatin, who had been the hospital's CEO since 2005.





Los Angeles billionaire Patrick Soon-Shiong, who has committed $100 million to the hospital in recent years to make it a national leader in medical research and patient care, said he was shocked and disturbed by the sudden changes. He said that Lazatin was fired and escorted out of the building Thursday and that hospital board members were then fired by email.


Michael Slubowski, chief executive of Denver-based SCL Health System, called Lazatin's departure a "confidential" matter and declined to comment in any detail.


"We thank Lou for her service," he said. "We are setting off on a new strategic direction that we think is in the best interests of the community and the hospital."


Lazatin could not be reached for comment.


The 266-bed hospital has been losing money in recent years, according to filings with state regulators. It reported a loss of $21.9 million for 2010 and $12.8 million for 2011, records show. Patient revenue last year was $891.3 million, down 8% from a year earlier.


Amid those financial difficulties, Soon-Shiong has been a major benefactor. He said he learned of the changes Thursday while meeting with Saint John's doctors, nurses and other staff members about his plans to build an institute for genomic pathology there next year. He also had plans to begin construction on a sports science center to accompany the existing Chan Soon-Shiong Center for Life Sciences.


Soon-Shiong said those expansion plans are now on hold.


"I will be evaluating our options over the next two months and having discussions with other partners in the city," he said. "I was very disappointed and aghast that the board was not, to my knowledge, consulted and that people who have dedicated their lives to helping others were treated in this way. I am really not sure of the motivations of this new leadership team."


Slubowski said he had a "pleasant conversation" with Soon-Shiong about the management changes and assured him the board of the hospital foundation would not be affected.


Hospitals are wrestling with major changes in reimbursement under the federal Affordable Care Act that reward medical providers that keep patients healthy and curb spending. In response, hospitals have been merging with one another and acquiring large physician groups.


Saint John's is the only California hospital run by SCL Health System, whose other 10 hospitals are in Colorado, Montana and Kansas.


Steve Valentine, president of Camden Group, an El Segundo healthcare consulting firm, said Saint John's faces intense competition from big-name institutions such as the UCLA Health System and Cedars-Sinai Medical Center. He said it might make sense for Saint John's to be acquired by a bigger Catholic hospital chain or to partner with another health system.


Slubowski said it's a priority to improve the hospital's finances and it will be looking to partner with area healthcare providers in order to better compete.


"At this point we are not selling the hospital to anyone," Slubowski said. "Our goal and hope is to remain a Catholic institution."


The Santa Monica hospital was founded in 1942. It sustained major damage during the 1994 Northridge earthquake and was rebuilt over time.


chad.terhune@latimes.com





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Retail sales rise a weak 1.6% in November









Despite robust sales on Black Friday, the nation's retailers reported weak sales in November, raising concerns about whether merchants can make up enough ground in the coming weeks of the crucial holiday season.


Hit hard by Superstorm Sandy and its aftermath, major retailers such as Macy's Inc., Kohl's Corp. and Target Corp. reported sales declines. Luxury retailers saw troubles as well. Tiffany & Co. said Thursday that its third-quarter profit plunged 30%, and department store chain Nordstrom Inc. saw sales drop 1.1% in November.


At the Target store in West Hollywood, some shoppers said that despite improvements in the economy, they had learned to rein in Christmas spending over the last few years and had no plans to change.





"Lots of people are getting hugs," said Brooke Seguin, 31, of Los Feliz, who recently spent $40 on a knife set and two necklaces for herself and friends. "I'm going to make some gifts this year."


Quiz: Do you know your premium jeans?


The theater producer said there was no longer pressure among friends to give everyone presents that cost a certain amount. Therefore she planned to spend "way below" what was once her typical holiday budget of $1,000.


Although Black Friday set records for sales and shopper traffic, analysts said that doesn't necessarily guarantee a great holiday season, when retailers can rake in as much as 40% of their annual sales. There were signs that shoppers who splurged over the Thanksgiving weekend went for the best bargains, industry watchers said, and now may be done with their Christmas spending.


"A lot of retailers are using Sandy as a very convenient excuse to dismiss their poor sales performance. Not all these retailers have all their stores situated in just the Northeast," said Britt Beemer, a retail expert at America's Research Group. "A lot of retailers are going to have to admit that Black Friday, as incredible as it was," favored merchants offering enormous discounts.


Thursday's tally of 17 retailers showed that major chains posted a 1.6% increase in retail sales in November compared with the same month a year earlier, according to Thomson Reuters. That was below analyst expectations of a 3.3% rise.


There was a broad mix of stores among the month's top performers. Discount retailer Costco Wholesale Corp. reported a 6% jump in sales. Limited Brands Inc., the parent company of Victoria's Secret and Bath & Body Works, said sales rose 5%. And Gap Inc., which has been showing signs of a turnaround, posted a 3% gain.


Other retailers posted weak results. Kohl's saw sales decline 5.6%. Struggling teen clothier Wet Seal Inc., which recently went through a board shake-up after more than a year of falling sales, reported that its sales slipped 5.4%.


Macy's, which reported a 0.7% decline, blamed Sandy for its poor performance. The retailer had previously said it was forced to close about 200 of its stores during and after the storm.


"We were not able to overcome the weak start to the month," Chief Executive Terry J. Lundgren said in a statement, adding that Macy's remained "on track to deliver a very strong sales performance in the fourth quarter."


Tiffany, which does not report monthly sales figures, said Thursday that its third-quarter revenue rose 4%. However, its profit dropped nearly 30% because of high material costs and greater-than-expected taxes. Shares of the jewelry company fell $3.93, or 6.2%, to $59.80.


Results in the Thomson Reuters survey are based on sales at stores open at least a year, known as same-store sales. These are considered an important measure of a retailer's health because they exclude the effect of store openings and closings.


Some industry watchers were optimistic about the remaining holiday season, pointing to rising home prices and a rallying stock market as reasons that shoppers would open their wallets in the coming weeks. The Conference Board reported this week that consumer confidence jumped to its highest level in almost five years.


"We had a month that was not typical given Sandy and how it impacted quite an extreme part of our country," said Matthew Rahn, a principal in the retail practice at A.T. Kearney. "But overall, given what we saw over the holiday weekend, it's going to be quite a positive holiday season this year."


Analysts also noted that the November results failed to show the effect of Cyber Monday, the first workday after Thanksgiving weekend, when online merchants offer a variety of bargains and saw record sales.


Robust sales on Cyber Monday will give December a boost instead, said Michael Niemira, chief economist at the International Council of Shopping Centers. He also said purchases made through layaway, which is available at many retailers this holiday season, will be included in the December tally.


Retailers may get a boost from shoppers like Early Cursell, 35, who said she is ready to splurge this Christmas because her husband, who works as a security guard, has been getting a lot of overtime lately. Browsing at the West Hollywood Target, the homemaker said she planned to spend $2,000, double last year's budget, on gifts for her children and extended family.


"I'm just feeling more confident about our finances," said Cursell, a Los Angeles resident. "With four kids — you want to get them nice things for the holidays."


shan.li@latimes.com





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Adkins explains Confederate flag earpiece

NEW YORK (AP) — Trace Adkins wore an earpiece decorated like the Confederate flag when he performed for the Rockefeller Center Christmas Tree Lighting but says he meant no offense by it.

Adkins appeared with the earpiece on a nationally televised special for the lighting on Wednesday. Some regard the flag as a racist symbol and criticized Adkins in Twitter postings.

But in a statement released Thursday, the Louisiana native called himself a proud American who objects to any oppression and says the flag represents his Southern heritage.

He noted he's a descendant of Confederate soldiers and says he did not intend offense by wearing it.

Adkins — on a USO tour in Japan — also called for the preservation of America's battlefields and an "honest conversation about the country's history."

___

Online:

http://www.traceadkins.com

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Medicare Is Faulted in Electronic Medical Records Conversion





The conversion to electronic medical records — a critical piece of the Obama administration’s plan for health care reform — is “vulnerable” to fraud and abuse because of the failure of Medicare officials to develop appropriate safeguards, according to a sharply critical report to be issued Thursday by federal investigators.







Mike Spencer/Wilmington Star-News, via Associated Press

Celeste Stephens, a nurse, leads a session on electronic records at New Hanover Regional Medical Center in Wilmington, N.C.







Centers for Medicare and Medicaid Services

Marilyn Tavenner, acting administrator for Medicare.






The use of electronic medical records has been central to the aim of overhauling health care in America. Advocates contend that electronic records systems will improve patient care and lower costs through better coordination of medical services, and the Obama administration is spending billions of dollars to encourage doctors and hospitals to switch to electronic records to track patient care.


But the report says Medicare, which is charged with managing the incentive program that encourages the adoption of electronic records, has failed to put in place adequate safeguards to ensure that information being provided by hospitals and doctors about their electronic records systems is accurate. To qualify for the incentive payments, doctors and hospitals must demonstrate that the systems lead to better patient care, meeting a so-called meaningful use standard by, for example, checking for harmful drug interactions.


Medicare “faces obstacles” in overseeing the electronic records incentive program “that leave the program vulnerable to paying incentives to professionals and hospitals that do not fully meet the meaningful use requirements,” the investigators concluded. The report was prepared by the Office of Inspector General for the Department of Health and Human Services, which oversees Medicare.


The investigators contrasted the looser management of the incentive program with the agency’s pledge to more closely monitor Medicare payments of medical claims. Medicare officials have indicated that the agency intends to move away from a “pay and chase” model, in which it tried to get back any money it has paid in error, to one in which it focuses on trying to avoid making unjustified payments in the first place.


Late Wednesday, a Medicare spokesman said in a statement: “Protecting taxpayer dollars is our top priority and we have implemented aggressive procedures to hold providers accountable. Making a false claim is a serious offense with serious consequences and we believe the overwhelming majority of doctors and hospitals take seriously their responsibility to honestly report their performance.”


The government’s investment in electronic records was authorized under the broader stimulus package passed in 2009. Medicare expects to spend nearly $7 billion over five years as a way of inducing doctors and hospitals to adopt and use electronic records. So far, the report said, the agency has paid 74, 317 health professionals and 1,333 hospitals. By attesting that they meet the criteria established under the program, a doctor can receive as much as $44,000 for adopting electronic records, while a hospital could be paid as much as $2 million in the first year of its adoption. The inspector general’s report follows earlier concerns among regulators and others over whether doctors and hospitals are using electronic records inappropriately to charge more for services, as reported by The New York Times last September, and is likely to fuel the debate over the government’s efforts to promote electronic records. Critics say the push for electronic records may be resulting in higher Medicare spending with little in the way of improvement in patients’ health. Thursday’s report did not address patient care.


Even those within the industry say the speed with which systems are being developed and adopted by hospitals and doctors has led to a lack of clarity over how the records should be used and concerns about their overall accuracy.


“We’ve gone from the horse and buggy to the Model T, and we don’t know the rules of the road. Now we’ve had a big car pileup,” said Lynne Thomas Gordon, the chief executive of the American Health Information Management Association, a trade group in Chicago. The association, which contends more study is needed to determine whether hospitals and doctors actually are abusing electronic records to increase their payments, says it supports more clarity.


Although there is little disagreement over the potential benefits of electronic records in reducing duplicative tests and avoiding medical errors, critics increasingly argue that the federal government has not devoted enough time or resources to making certain the money it is investing is being well spent.


House Republicans echoed these concerns in early October in a letter to Kathleen Sebelius, secretary of health and human services. Citing the Times article, they called for suspending the incentive program until concerns about standardization had been resolved. “The top House policy makers on health care are concerned that H.H.S. is squandering taxpayer dollars by asking little of providers in return for incentive payments,” said a statement issued at the same time by the Republicans, who are likely to seize on the latest inspector general report as further evidence of lax oversight. Republicans have said they will continue to monitor the program.


In her letter in response, which has not been made public, Ms. Sebelius dismissed the idea of suspending the incentive program, arguing that it “would be profoundly unfair to the hospitals and eligible professionals that have invested billions of dollars and devoted countless hours of work to purchase and install systems and educate staff.” She said Medicare was trying to determine whether electronic records had been used in any fraudulent billing but she insisted that the current efforts to certify the systems and address the concerns raised by the Republicans and others were adequate.


This article has been revised to reflect the following correction:

Correction: November 30, 2012

An article on Thursday about a federal report critical of Medicare’s performance in assuring accuracy as doctors and hospitals switch to electronic medical records misstated, in some copies, the timing of a statement from a Medicare spokesman in response to the report. The statement was released late Wednesday, not late Thursday.



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Electricity rates to rise for Southern California Edison customers









SACRAMENTO — Almost 5 million Southern California Edison Co. customers in hundreds of cities and communities across the southern, central and coastal parts of the state will be hit with higher electric bills early next year and bigger hikes in each of the following two years.


The decision, which Edison says will add an average of $7 a month to residential bills for the first year, covers Edison's costs to provide service, which amounts to about half a ratepayer's bill. Other costs for buying fuel and contracting for power deliveries fluctuate and are passed directly to consumers.


The California Public Utilities Commission unanimously approved new rates, retroactive to the beginning of this year, on Thursday as part of an every-three-years process of reviewing finances at the heavily regulated utility.





The 5% increase for 2012 — providing the Rosemead company with $5.7 billion in revenue — is less than the 16.6% the company had sought. Rates, however, are estimated to rise an additional 6.3% for 2013 and 5.9% in 2014 under the PUC order.


"This decision ensures that SCE is able to invest in smart energy systems, renewables and safety and reliability, while its ratepayers are protected," PUC Commissioner Timothy Alan Simon said.


Edison provides electricity to 13 million people, including most of Los Angeles and Orange counties as well as much of Central California and the Inland Empire. Not included are residents of Los Angeles who get their power from the municipally owned Department of Water and Power.


Edison, the decision notes, has faced "two significant challenges to operations" in the last year: a December 2011 wind storm that damaged the grid, and the extended shutdown of two nuclear power reactors at the San Onofre Nuclear Generating Station in San Diego County.


Edison in a statement called the commission's action "constructive" because the decision helps it finance needed upgrades in its system.


Consumer groups said they were pleased that commissioners granted Edison, a unit of Edison International, less than what the company sought from the PUC.


"We definitely got a substantial amount shaved off, but it's still more than we think Edison really needs," said Mindy Spatt, a spokeswoman for the Utility Reform Network, which advocates for ratepayers at the state's three big investor-owned electric companies.


Business groups also complained that the jump in Edison's already steep electric rates could make it harder for them to keep operating profitably.


"California manufacturers already pay 50% higher electricity rates than the national average," said Gino Di Caro, a spokesman for the California Manufacturers & Technology Assn. "Obviously, energy costs are one of the primary budgetary items for any manufacturing operation, and this is all the more reason for California to find ways to offset these costs."


marc.lifsher@latimes.com





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Iran blogger's death in prison sets off blame game









BEIRUT — The mysterious death of a dissident blogger while in Iranian police custody this month has generated a rare torrent of criticism from officials apparently embarrassed by a case that has drawn international condemnation and again shined a spotlight on the nation's poor human rights record.


Iranian authorities have echoed calls from such human rights groups as Amnesty International for a thorough investigation of the death of Sattar Beheshti, 35, who died Nov. 3 under still-hazy circumstances after being arrested by Iran's cyber police, according to various accounts.


The case has sparked an unusually public and vitriolic bout of blame-dispensing among various powerful factions in the Islamic Republic.








The late blogger — a working-class high-school dropout virtually unknown to the dissident community until his death became a cause celebre — frequently assailed the lack of freedom in Iran. An online photograph said to be of Beheshti shows a man with a shaved head and a slender chain around his neck, wearing a dark T-shirt.


The few details of the case that have emerged offer a glimpse of the largely hidden world of Iranian bloggers and Web activists working in near-anonymity, though clearly on the radar of the nation's diligent cyber police.


On Monday, Mehdi Davatgari, a parliament member, charged that the cyber police — known as FATA — had held the blogger illegally overnight without a court order. He called for the "resignation or dismissal of the cyber police chief," reported Press TV, the government's English-language broadcast service.


Also this week, the public prosecutor's office said the most likely cause of Beheshti's death was "shock," either from psychological pressure while under interrogation or from beatings received while in custody. Those findings seemed to contradict an earlier assessment by Tehran's chief coroner, Ahmad Shojaei, that Beheshti probably died of natural causes, possibly a heart attack, even though his family reportedly said Beheshti had no history of heart problems.


The coroner, in comments to the semiofficial Mehr News Agency, acknowledged signs of bruising on five parts of the dead man's body — from his hands to his feet — indicating that Beheshti had been beaten. But he said that the blogger suffered no broken bones and that the physical evidence did not indicate any brutality that could have been fatal.


Toxicology and other tests are pending.


The case has provided fuel for the bitter political rivalry between loyalists to President Mahmoud Ahmadinejad and hard-line critics of the two-term president, who is to step down next year because of term limits.


"Officials are blaming each other and want to shrug off responsibility to others," said journalist Farshad Ghorbanpour, who says he spent eight months in jail for his writings on Iranian opposition websites and news outlets abroad.


Presidential surrogates have hinted that responsibility lies with Iran's judiciary, whose chief is an Ahmadinejad adversary appointed by Iran's supreme leader, Ayatollah Ali Khamenei. The judiciary has nominal responsibility for the nation's detention system.


"The death of a worker writing a blog is very agonizing for me and, as a writer, I feel ashamed of myself," wrote editor Mohammad Reza Naghavifard in an editorial in Khorshid, a daily newspaper that supports Ahmadinejad. "It is more than a shame."


But Ahmadinejad's rivals have suggested that the fault lies with the cyber police and the internal security apparatus, which fall under the president's purview.


Ali Motahari, a conservative Iranian lawmaker and political rival of Ahmadinejad, recently voiced his outrage and warned against meddling.


"Sometimes we as supporters think that it is all right to do all sorts of things to preserve the system," Motahari told Etemad, a widely read daily considered to be anti-Ahmadinejad. "We are following up.... We will not budge, and we will not permit this case to be covered up."


Human rights organizations have long accused Iran of jailing dissidents, suppressing free speech and not thoroughly investigating deaths that occur in custody.


According to Amnesty International, authorities have acknowledged that at least three detainees at the Kahrizak prison, where Beheshti was reportedly held for a period, died as a result of torture or other ill treatment after their arrests in the tumultuous aftermath of the nation's disputed 2009 presidential election.


Many details of the blogger's case — including where he died — remain opaque.


What is known is that Iranian cyber police arrested Beheshti at his home Oct. 30 and accused him of "actions against national security on social networks and Facebook," according to a summary by Reporters Without Borders, the Paris-based freedom-of-information advocacy group.





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Obama takes “fiscal cliff” battle to Twitter












WASHINGTON (Reuters) – President Barack Obama opened a new front on Wednesday in the battle between Democrats and Republicans over the best way to avoid the year-end “fiscal cliff” – Twitter.


The web-savvy Obama administration launched a social media campaign that asks Twitter users to add the “#my2k” hashtag to messages with examples of what $ 2,000 means to them.












The amount is roughly what a middle-class family of four would have to pay extra in taxes next year if Congress cannot strike a deal to remove the threat of roughly $ 600 billion in tax hikes and federal spending cuts.


The fast-paced social networking site known for its zippy 140-character comments is a tried-and-true method of reaching Americans. The latest call for such searchable references is an effort to pressure Congress into finding compromise on long-held partisan views.


Obama announced the new Twitter hashtag campaign at a news conference on Wednesday. He and fellow Democrats, who oppose significant cuts to U.S. “entitlement” programs such as Medicare as a way of balancing the budget, have been trying to break Republican opposition to hiking taxes on anyone, including the wealthy.


Promotions of “#my2k” quickly went out to millions of followers of the White House Twitter account and scores of Democratic backers, including former House of Representatives Speaker Nancy Pelosi. Soon, “my2k” was a top-trending subject.


“#My2K means food for a year, the remainder of my student loan paid off or a full month of child care. $ 2200 can make or break a family,” wrote Twitter user Katrina Burchett.


In the anarchic spirit of social media, Republicans, who also polished their Twitter hashtag skills during the bitter 2012 presidential campaign, pounced quickly.


The conservative Heritage Foundation bought the promotional tweet that pops up at the top of the list if one searches for “#my2k” mentions, where the think tank offered its own take on solutions to the fiscal cliff.


House Speaker John Boehner and scores of fellow Republican lawmakers started sharing examples they hoped would put the blame for the lack of a resolution on the Democrats.


“We in the House took steps this summer to avert #fiscalcliff and stop #my2K tax hikes,” wrote Representative Mike Turner. “It’s time for @whitehouse and @SenateDems to act.”


‘BEING AWARE OF WHAT’S GOING ON’


Users on Twitter can sign up to follow one another’s messages, making searchable hashtags a helpful way to sort by subject or theme.


Marcus Messner, who studies social media at Virginia Commonwealth University, said Twitter was a perfect environment to reignite Obama’s base swiftly and gauge public engagement on the issue.


The Obama administration has used Twitter hashtags as part of lobbying campaigns to keep student loan rates low with #dontdoublemyrate and to extend payroll tax cuts with #40dollars, which was their estimate of how much the cuts saved an average family each year.


White House Social Media Director Macon Phillips later called the $ 40dollars hashtag “one of the most significant campaigns we ran on Twitter.”


“It’s about being aware of what’s going on and understanding that in the age of social media, you’re just a participant,” he told an Entrepreneur.com blogger in February. “It’s not something that you can control.”


(Editing by Peter Cooney)


Internet News Headlines – Yahoo! News


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Oh, Yoko! Ono's fashion line gropes for Lennon

NEW YORK (AP) — You remember that Beatles classic "I Wanna Hold Your Hand"? Turns out Yoko Ono had other things in mind.

Ono's new menswear collection inspired by John Lennon includes pants with large handprints on the crotch, tank tops with nipple cutouts and even a flashing LED bra.

The collection of menswear for Opening Ceremony is based on a series of drawings she sketched as a gift for Lennon for their wedding day in 1969. Ono said she the illustrations were designs for clothing and accessories to celebrate Lennon's "hot bod."

Also in the collection are a "butt hoodie" with an outline suggesting its name, pants with cutouts at the behind, a jock strap with an LED light, open-toed boots and a transparent chest plaque with bells and a leather neck strap.

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Well: Weight Loss Surgery May Not Combat Diabetes Long-Term

Weight loss surgery, which in recent years has been seen as an increasingly attractive option for treating Type 2 diabetes, may not be as effective against the disease as it was initially thought to be, according to a new report. The study found that many obese Type 2 diabetics who undergo gastric bypass surgery do not experience a remission of their disease, and of those that do, about a third redevelop diabetes within five years of their operation.

The findings contrast with the growing perception that surgery is essentially a cure for Type II diabetes. Earlier this year, two widely publicized studies reported that surgery worked better than drugs, diet and exercise in causing a remission of Type 2 diabetes in overweight people whose blood sugar was out of control, leading some experts to call for greater use of surgery in treating the disease. But the studies were small and relatively short, lasting under two years.

The latest study, published in the journal Obesity Surgery, tracked thousands of diabetics who had gastric bypass surgery for more than a decade. It found that many people whose diabetes at first went away were likely to have it return. While weight regain is a common problem among those who undergo bariatric surgery, regaining lost weight did not appear to be the cause of diabetes relapse. Instead, the study found that people whose diabetes was most severe or in its later stages when they had surgery were more likely to have a relapse, regardless of whether they regained weight.

“Some people are under the impression that you have surgery and you’re cured,” said Dr. Vivian Fonseca, the president for medicine and science for the American Diabetes Association, who was not involved in the study. “There have been a lot of claims about how wonderful surgery is for diabetes, and I think this offers a more realistic picture.”

The findings suggest that weight loss surgery may be most effective for treating diabetes in those whose disease is not very advanced. “What we’re learning is that not all diabetic patients do as well as others,” said Dr. David E. Arterburn, the lead author of the study and an associate investigator at the Group Health Research Institute in Seattle. “Those who are early in diabetes seem to do the best, which makes a case for potentially earlier intervention.”

One of the strengths of the new study was that it involved thousands of patients enrolled in three large health plans in California and Minnesota, allowing detailed tracking over many years. All told, 4,434 adult diabetics were followed between 1995 and 2008. All were obese, and all underwent Roux-en-Y operations, the most popular type of gastric bypass procedure.

After surgery, about 68 percent of patients experienced a complete remission of their diabetes. But within five years, 35 percent of those patients had it return. Taken together, that means that most of the subjects in the study, about 56 percent — a figure that includes those whose disease never remitted — had no long-lasting remission of diabetes after surgery.

The researchers found that three factors were particularly good predictors of who was likely to have a relapse of diabetes. If patients, before surgery, had a relatively long duration of diabetes, had poor control of their blood sugar, or were taking insulin, then they were least likely to benefit from gastric bypass. A patient’s weight, either before or after surgery, was not correlated with their likelihood of remission or relapse.

In Type 2 diabetes, the beta cells that produce insulin in the pancreas tend to wear out as the disease progresses, which may explain why some people benefit less from surgery. “If someone is too far advanced in their diabetes, where their pancreas is frankly toward the latter stages of being able to produce insulin, then even after losing a bunch of weight their body may not be able to produce enough insulin to control their blood sugar,” Dr. Arterburn said.

Nonetheless, he said it might be the case that obese diabetics, even those whose disease is advanced, can still benefit from gastric surgery, at least as far as their quality of life and their risk factors for heart disease and other complications are concerned.

“It’s not a surefire cure for everyone,” he said. “But almost universally, patients lose weight after weight loss surgery, and that in and of itself may have so many health benefits.”

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Costco joins firms issuing special dividend payments this year

Deputy business editor Joe Bel Bruno and economy reporter Don Lee talk with Kent H. Hughes, director of the Program on America and the Global Economy at the Woodrow Wilson International Center for Scholars.









NEW YORK — Hoping to save shareholders money, Costco joined a growing list of companies issuing dividend payments this year, rather than waiting and seeing if tax rates rise as Congress wrangles over the "fiscal cliff."


The warehouse retailer said Wednesday that it would pay shareholders a special dividend of $7 a share before the end of the calendar year, "our latest effort in returning capital to our shareholders," said Chief Financial Officer Richard Galanti.


Dividends, which are profits made from investing in stocks and bonds, are currently taxed at a rate of 15% for the top four tax brackets, and 0% for the bottom bracket. If Congress does not act, rates will jump to as high as 39.6% for the top bracket.








Moving up dividends and making special one-time dividend payouts makes sense because even if Congress and President Obama reach a compromise, taxes on dividends could still go up — though not as much as they would under the fiscal cliff, said Tony Cherin, a finance professor emeritus at San Diego State University.


Quiz: How much do you know about the 'fiscal cliff'?


Wal-Mart Stores Inc., Hot Topic Inc. and Dillard's Inc. are among retailers that have said they would pay their dividends this year rather than next year. Retailers usually end their fiscal years in January, so many don't usually pay dividends until then.


Other companies may also move up their dividend payments, especially under pressure from their biggest shareholders who could lose millions of dollars if taxes on dividends rise.


"I wouldn't be surprised to see Microsoft, Cisco and Apple take advantage of this as well," said Randy Warren, chief investment officer of Warren Financial. "That's going to happen in the next couple of weeks."


On Wednesday, Walt Disney Co. also said that it would pay its annual dividend in December, and that the dividend of 75 cents was 25% higher than it was the previous year.


Paying dividends early limits companies' access to cash, which can be problematic if they're trying to make big purchases. But most companies have been hoarding cash during the recession, and probably won't worry about paying out large sums, Warren said. Few are making big acquisitions now anyway because of uncertainty in the economy.


Many of the people who will benefit most from early dividends payouts include the super wealthy who own lots of stock in big companies such as Wal-Mart. The Walton family, for instance, owns about half of Wal-Mart's stock.


But the uncertainty around what tax rates will be next year is wreaking havoc for people such as retirees, who depend on dividends for their income, said Edward Karl, vice president of taxation at the American Institute of Certified Public Accountants.


They also worry about a 3.8% tax on investment income of high-income earners that goes into effect in January as part of Obama's healthcare plan, he said.


The fiscal cliff has turned all sorts of planning upside down, he said. Financial advisors often tell clients to defer their income. But this year they're telling them to accelerate it because of the uncertainty about taxes. They're also telling clients to consider selling some stocks, rather than wait a few months, to avoid higher taxes on those profits as well.


That may lead to an increase in stock market activity as people sell off assets, unless the uncertainty around taxes is resolved.


"There's likely to be a flurry of activity over the next month," Karl said.


Negotiations over the fiscal cliff continue. The Senate has passed President Obama's proposal to extend middle-class tax cuts, but House GOP leadership disagreed publicly Wednesday on whether to vote on the measure.


alana.semuels@latimes.com





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Top Democrat urges progressives to deal on 'fiscal cliff'









WASHINGTON – A top Democrat pressured fellow progressives Tuesday to support – rather than fight – a far-reaching budget deal that includes cuts to entitlement programs after resolving  the upcoming fiscal cliff.


“We can't be so naive to believe that just taxing the rich will solve our problems,” said Sen. Richard Durbin of Illinois, the No. 2 Democrat in the Senate. “Put everything on the table. Repeat. Everything on the table.”


The assistant majority leader’s speech at the influential Center for American Progress comes at a pivotal moment in budget talks between the White House and Congress. Progressive and labor groups have warned President Obama against cuts to Medicare, Medicaid and other government programs and to instead focus on raising tax revenue in the administration’s negotiations with congressional Republicans.





The White House and Capitol Hill are working to prevent the combination of automatic tax hikes and deep spending cuts coming at year’s end – what economists have warned would be a $500-billion hit to the economy that could spark another recession.


QUIZ: How much do you know about the 'fiscal cliff'?


Durbin, a top progressive, has long angled for a broad deficit-reduction deal after having served on the White House’s nonpartisan fiscal commission that devised $4 trillion in new taxes and spending cuts to curb the nation’s debt load. Experts say such a large package is needed to stop record deficits and improve the nation’s fiscal outlook.


In remarks that strayed from his prepared comments, Durbin told the story of a labor leader who questioned his interest in serving on that 2010 panel, asking, “What is a nice progressive like you doing in a place like that?”


Durbin responded by saying it was better to have a seat at the table, a position he reiterated as he tried to prevent a schism among Democrats’ traditional allies while talks continue toward the year-end deadline.


“Progressives cannot afford to stand on the sidelines in this fiscal debate and deny the obvious,” Durbin said.


Already, a coalition of liberal groups is running ads warning Obama against striking a deal with Republicans that would slash social safety net programs while allowing tax breaks for wealthier households to continue.


White House Press Secretary Jay Carney said Tuesday that negotiations over Social Security should occur separately from deficit negotiations.


"We should address the drivers of the deficit," he told reporters, "and Social Security is not currently a driver of the deficit."


[For the Record, 6:02 p.m. PST  Nov. 27: This post has been updated to include the latest reaction from the White House. In addition, the lead has been corrected to make clear that Durbin wants the entitlement negotiations separate from a deal on the fiscal cliff.]


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Twitter: @LisaMascaroinDC





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Nintendo Unveils Wii Mini for the Canucks












Nintendo‘s pushing the new $ 299 Wii U console hard (and has already sold 400K units in the process), but in at least one region, the gaming company has a new back-up plan: The $ 99 Nintendo Wii Mini.


[More from Mashable: Wii U Sells 400,000 Units in First Week]












The new smaller, black box with red trim is a simpler game console. It offers no Internet access and cannot play older GameCube console games. What it does do is play virtually all Wii games (Nintendo says there are around 1,300 of them). The other major caveat is that the console is only available in Canada. According to a Nintendo press release on the new system, “Wii Mini is available exclusively in Canada during the holiday season. No information is available about its potential availability in other territories in the future.”


Nintendo also left out some details on the console itself. We do not know the exact size or weight of the box, though judging from the above image, it’s not much wider than a Wii Remote.


[More from Mashable: Meet the Super Fan Who Waited in Line for a Month for a Wii U [VIDEO]]


As Nintendo describes it, the Wii Mini is “all about games,” and without the Internet, it has to be. No Web browsing, cavorting with other Mii’s or multi-player gaming. It’s also worth noting that while the Wii Mini ships with a single Wii Remote Plus and Nunchuk (both red), a brand new Black Wii with Wii Sports and Wii Sports Resort (including Remote and Nunchuk) is currently $ 119 at Best Buy.


What do you think of the Wii Mini? Would you game without the Internet? Is this the perfect gift for young, Canadian children? Let us know in the comments.


GamePad


The Wii U GamePad has a 6.2-inch touchscreen.


Click here to view this gallery.


This story originally published on Mashable here.


Gaming News Headlines – Yahoo! News


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'Hobbit' director aims for magical film experience

WELLINGTON, New Zealand (AP) — Peter Jackson says he hopes technology he used on his "Hobbit" movie trilogy will help create a "magical" experience that will encourage people to return to theaters.

Jackson spoke at a news conference in Wellington hours before the Wednesday premiere of "The Hobbit: An Unexpected Journey." He shot at 48 frames per second instead of the traditional 24 to give the film greater clarity. He likened the technology to the leap from vinyl records to CDs.

He says younger people are happy to watch movies on their iPads, so filmmakers "have to make the cinema-going experience more magical and more spectacular."

Some observers who saw preview footage at a convention in April thought the images were too clear and that the realism detracted from the magic of film.

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Amid Hurricane Sandy, a Race to Get a Liver Transplant





It was the best possible news, at the worst possible time.




The phone call from the hospital brought the message that Dolores and Vin Dreeland had long hoped for, ever since their daughter Natalia, 4, had been put on the waiting list for a liver transplant. The time had come.


They bundled her into the car for the 50-mile trip from their home in Long Valley, N.J., to NewYork-Presbyterian Morgan Stanley Children’s Hospital in Manhattan. But it soon seemed that this chance to save Natalia’s life might be just out of reach.


The date was Sunday, Oct. 28, and Hurricane Sandy, the worst storm to hit the East Coast in decades, was bearing down on New York. Airports and bridges would soon close, but the donated organ was in Nevada, five hours away. The time window in which a plane carrying the liver would be able to land in the region was rapidly closing.


In a hospital room, Natalia watched cartoons. Her parents watched the clock, and the weather. “Our anxiety was through the roof,” Mrs. Dreeland said. “It just made your stomach into knots.”


The Dreelands, who are in their 60s, became Natalia’s foster parents in 2008 when she was 7 months old, and adopted her just before she turned 2. They have another adopted daughter, Dorothy Jane, who is 17.


Natalia is a “smart little cookie” who loves school and dressing up Alice, her favorite doll, her mother said. At age 3, Natalia used the word “discombobulated” correctly, Mr. Dreeland said.


Natalia’s health problems date back several years. Her gallbladder was taken out in 2010, and about half her liver was removed in 2011. The underlying problem was a rare disease, Langerhans cell histiocytosis. It causes a tremendous overgrowth of a type of cell in the immune system and can damage organs. Drugs can sometimes keep it in check, but they did not work for Natalia.


In her case, the disease struck the bile ducts, which led to progressive liver damage. “She would have eventually gone into liver failure,” said Dr. Nadia Ovchinsky, a pediatric liver transplant specialist at NewYork-Presbyterian. “And she demonstrated some signs of early liver failure.”


The only hope was a transplant.


Dr. Tomoaki Kato, Natalia’s surgeon, knew that the liver in Nevada was a perfect match for Natalia in the two criteria that matter most: blood type and size. The deceased donor was 2 years old, and though Natalia is nearly 5, she is small for her age. Scar tissue from her previous operations would have made it very difficult to fit a larger organ into her abdomen.


Though Dr. Kato had considered transplanting part of an adult liver into Natalia, a complete organ from a child would be far better for her. But healthy organs from small children do not often become available, Dr. Kato said. This was a rare opportunity, and he was determined to seize it.


But as the day wore on, the odds for Natalia grew slimmer. The operation in Nevada to remove the liver was delayed several times.


At many hospitals, surgery to remove donor organs is done at the end of the day, after all regularly scheduled operations. The Nevada hospital had a busy surgical schedule that day, made worse by a trauma case that took priority.


At the hospital in New York, Tod Brown, an organ procurement coordinator, had alerted a charter air carrier that a flight from Nevada might be needed. That company in turn contacted West Coast carriers to pick up the donated liver and fly it to New York.


Initially, two carriers agreed, but then backed out. Several other charter companies also declined.


Mr. Brown told Dr. Kato that they might have to decline the organ. Dr. Kato, soft-spoken but relentless, said, “Find somebody who can fly.”


Dr. Kato used to work in Miami, where pilots found ways to bypass hurricanes to deliver organs. Even during Hurricane Katrina, his hospital performed transplants.


“I asked the transplant coordinators to just keep pushing,” he said.


Mr. Brown said, “Dr. Kato knew he was going to get that organ, one way or another.”


As the trajectory of the storm became clearer, one of the West Coast charter companies agreed to attempt the flight. The plan was to land at the airport in Teterboro, N.J. The backup was Newark airport, and the second backup was Albany, from where an ambulance would finish the trip.


The timing was critical: organs deteriorate outside the body, and ideally a liver should be transplanted within 12 hours of being removed.


Early Monday, as the storm whirled offshore, the plane landed at Teterboro. Soon a nurse rushed to tell the Dreelands that she had just seen an ambulance with lights and sirens screech up to the hospital. Someone had jumped out carrying a container.


At about 5 a.m., the couple kissed Natalia and saw her wheeled off to the operating room.


Three weeks later, she is back home, on the mend. The complicated regimen of drugs that transplant patients need is tough on a child, but she is getting through it, her father said.


Recently, Mr. Dreeland said, he found himself weeping uncontrollably during a church service for the family of the child who had died. “Their child gave my child life,” he said.


Though only time will tell, because the histiocytosis appeared limited to Natalia’s bile ducts and had not affected other organs, her doctors say there is a good chance that the transplant has cured her.


This article has been revised to reflect the following correction:

Correction: November 28, 2012

Because of an editing error, a picture caption with an article on Tuesday about a girl who received a liver transplant during Hurricane Sandy misspelled the surname of the girl’s family. As the article correctly noted, it is Dreeland, not Vreeland.



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