Miss America pageant returns to Atlantic City, NJ

ATLANTIC CITY, N.J. (AP) — There she is, Miss America, headed back to Atlantic City.

The Miss America pageant, a staple in Atlantic City for decades before it was moved to Las Vegas in 2006, is making a return, Gov. Chris Christie's spokesman Michael Drewniak confirmed Wednesday. Lt. Gov. Kim Guadagno was scheduled to make a formal announcement Thursday at Atlantic City's Boardwalk Hall.

The Miss America pageant started as little more than a bathing suit revue. It broke viewership records in its heyday and bills itself as one of the world's largest scholarship programs for women. But, like other pageants, it has struggled to stay relevant as national attitudes regarding women's rights have changed.

The news of the pageant's return to Atlantic City came as a surprise to the Las Vegas Convention and Visitors Authority, which sponsored the pageant on the Las Vegas Strip in January, spokeswoman Courtney Fitzgerald said in a telephone interview. In a subsequent statement, she said the tourism organization wished the pageant well in its new home.

"Las Vegas is honored to have hosted the Miss America pageant for the past seven years," she said. "We understand that moving the televised event to various cities showcases America's diverse destinations which represent our great country."

Pageant officials didn't immediately respond to after-hours phone and email messages seeking comment Wednesday.

Many details remained unclear, including whether the pageant would return to the elaborate show it had been for decades at Boardwalk Hall or continue as more of the reality show it became with its move to Las Vegas. Also unknown was where it would be broadcast and whether it is returning permanently or for a limited run.

According to the Miss America Organization's website, the contest originated in 1920 as the Fall Frolic, which became the Inter-City Beauty Contest the following year. In 1921, a high school junior named Margaret Gorman was one of approximately 1,000 entrants in a photo contest held by the Washington Herald. She was chosen as the first Miss Washington, D.C., and her prize was a trip to Atlantic City, where she won the top prize: the Golden Mermaid Trophy.

The next year, Gorman was expected to defend her title. But when the Washington Herald selected a new Miss Washington, D.C., Atlantic City pageant officials didn't know what new title to award Gorman. Since both titles she won in 1921 — Inter-City Beauty, Amateur and The Most Beautiful Bathing Girl in America — were considered somewhat awkward, it was decided to call her Miss America.

The pageant was conceived by the Businessmen's League of Atlantic City as a way to extend the summer tourism season in Atlantic City for another week, being held the weekend after Labor Day weekend, when temperatures were generally still warm.

___

Associated Press writer Hannah Dreier in Las Vegas contributed to this story.

___

Wayne Parry can be reached at http://twitter.com/WayneParryAC

Read More..

Well: Straining to Hear and Fend Off Dementia

At a party the other night, a fund-raiser for a literary magazine, I found myself in conversation with a well-known author whose work I greatly admire. I use the term “conversation” loosely. I couldn’t hear a word he said. But worse, the effort I was making to hear was using up so much brain power that I completely forgot the titles of his books.

A senior moment? Maybe. (I’m 65.) But for me, it’s complicated by the fact that I have severe hearing loss, only somewhat eased by a hearing aid and cochlear implant.

Dr. Frank Lin, an otolaryngologist and epidemiologist at Johns Hopkins School of Medicine, describes this phenomenon as “cognitive load.” Cognitive overload is the way it feels. Essentially, the brain is so preoccupied with translating the sounds into words that it seems to have no processing power left to search through the storerooms of memory for a response.

---

Katherine Bouton speaks about her own experience with hearing loss.

A transcript of this interview can be found here.

---

Over the past few years, Dr. Lin has delivered unwelcome news to those of us with hearing loss. His work looks “at the interface of hearing loss, gerontology and public health,” as he writes on his Web site. The most significant issue is the relation between hearing loss and dementia.

In a 2011 paper in The Archives of Neurology, Dr. Lin and colleagues found a strong association between the two. The researchers looked at 639 subjects, ranging in age at the beginning of the study from 36 to 90 (with the majority between 60 and 80). The subjects were part of the Baltimore Longitudinal Study of Aging. None had cognitive impairment at the beginning of the study, which followed subjects for 18 years; some had hearing loss.

“Compared to individuals with normal hearing, those individuals with a mild, moderate, and severe hearing loss, respectively, had a 2-, 3- and 5-fold increased risk of developing dementia over the course of the study,” Dr. Lin wrote in an e-mail summarizing the results. The worse the hearing loss, the greater the risk of developing dementia. The correlation remained true even when age, diabetes and hypertension — other conditions associated with dementia — were ruled out.

In an interview, Dr. Lin discussed some possible explanations for the association. The first is social isolation, which may come with hearing loss, a known risk factor for dementia. Another possibility is cognitive load, and a third is some pathological process that causes both hearing loss and dementia.

In a study last month, Dr. Lin and colleagues looked at 1,984 older adults beginning in 1997-8, again using a well-established database. Their findings reinforced those of the 2011 study, but also found that those with hearing loss had a “30 to 40 percent faster rate of loss of thinking and memory abilities” over a six-year period compared with people with normal hearing. Again, the worse the hearing loss, the worse the rate of cognitive decline.

Both studies also found, somewhat surprisingly, that hearing aids were “not significantly associated with lower risk” for cognitive impairment. But self-reporting of hearing-aid use is unreliable, and Dr. Lin’s next study will focus specifically on the way hearing aids are used: for how long, how frequently, how well they have been fitted, what kind of counseling the user received, what other technologies they used to supplement hearing-aid use.

What about the notion of a common pathological process? In a recent paper in the journal Neurology, John Gallacher and colleagues at Cardiff University suggested the possibility of a genetic or environmental factor that could be causing both hearing loss and dementia — and perhaps not in that order. In a phenomenon called reverse causation, a degenerative pathology that leads to early dementia might prove to be a cause of hearing loss.

The work of John T. Cacioppo, director of the Social Neuroscience Laboratory at the University of Chicago, also offers a clue to a pathological link. His multidisciplinary studies on isolation have shown that perceived isolation, or loneliness, is “a more important predictor of a variety of adverse health outcomes than is objective social isolation.” Those with hearing loss, who may sit through a dinner party and not hear a word, frequently experience perceived isolation.

Other research, including the Framingham Heart Study, has found an association between hearing loss and another unexpected condition: cardiovascular disease. Again, the evidence suggests a common pathological cause. Dr. David R. Friedland, a professor of otolaryngology at the Medical College of Wisconsin in Milwaukee, hypothesized in a 2009 paper delivered at a conference that low-frequency loss could be an early indication that a patient has vascular problems: the inner ear is “so sensitive to blood flow” that any vascular abnormalities “could be noted earlier here than in other parts of the body.”

A common pathological cause might help explain why hearing aids do not seem to reduce the risk of dementia. But those of us with hearing loss hope that is not the case; common sense suggests that if you don’t have to work so hard to hear, you have greater cognitive power to listen and understand — and remember. And the sense of perceived isolation, another risk for dementia, is reduced.

A critical factor may be the way hearing aids are used. A user must practice to maximize their effectiveness and they may need reprogramming by an audiologist. Additional assistive technologies like looping and FM systems may also be required. And people with progressive hearing loss may need new aids every few years.

Increasingly, people buy hearing aids online or from big-box stores like Costco, making it hard for the user to follow up. In the first year I had hearing aids, I saw my audiologist initially every two weeks for reprocessing and then every three months.

In one study, Dr. Lin and his colleague Wade Chien found that only one in seven adults who could benefit from hearing aids used them. One deterrent is cost ($2,000 to $6,000 per ear), seldom covered by insurance. Another is the stigma of old age.

Hearing loss is a natural part of aging. But for most people with hearing loss, according to the National Institute on Deafness and Other Communication Disorders, the condition begins long before they get old. Almost two-thirds of men with hearing loss began to lose their hearing before age 44. My hearing loss began when I was 30.

Forty-eight million Americans suffer from some degree of hearing loss. If it can be proved in a clinical trial that hearing aids help delay or offset dementia, the benefits would be immeasurable.

“Could we do something to reduce cognitive decline and delay the onset of dementia?” he asked. “It’s hugely important, because by 2050, 1 in 30 Americans will have dementia.

“If we could delay the onset by even one year, the prevalence of dementia drops by 15 percent down the road. You’re talking about billions of dollars in health care savings.”

Should studies establish definitively that correcting hearing loss decreases the potential for early-onset dementia, we might finally overcome the stigma of hearing loss. Get your hearing tested, get it corrected, and enjoy a longer cognitively active life. Establishing the dangers of uncorrected hearing might even convince private insurers and Medicare that covering the cost of hearing aids is a small price to pay to offset the cost of dementia.

---

Katherine Bouton is the author of the new book, “Shouting Won’t Help: Why I — and 50 Million Other Americans — Can’t Hear You,” from which this essay is adapted.

---

This post has been revised to reflect the following correction:

Correction: February 14, 2013

An article on Tuesday about hearing loss and dementia misidentified the city in which the Medical College of Wisconsin is located. It is in Milwaukee, not in Madison.

Read More..

American, US Airways approve merger

A long-anticipated merger of American Airlines and US Airways is expected to be announced Thursday after weeks of closed-door negotiations, according to people briefed on the deal. The transaction would create the nation's largest carrier and cap an era of consolidation in a troubled industry.

The marriage of American, based in Fort Worth, and its smaller competitor based in Tempe, Ariz., would form an airline valued at $11 billion. The union would be the latest in a string of mergers and acquisitions in an industry struggling to stay airborne amid fluctuating fuel costs, labor strife and economic turbulence.

The new airline would retain the name American, have its headquarters in Fort Worth and be the biggest carrier in eight of the nation's largest airports including Los Angeles, according to the sources, who were not authorized to speak publicly. The airline is expected to surpass its competitors in revenue, passengers served and fleet size. In the first few years, the merger could generate savings and increased revenue of up to $1.2 billion, according to Robert Herbst, an industry consultant.

Quiz: Test your knowledge about airport security

But critics say another airline merger would only hurt passengers.

With newly merged airlines eliminating overlapping service, fares are certain to rise and carriers will probably stop serving less-profitable markets, some critics argue. Since 2007, the average domestic airfare has increased 15%, according to federal statistics.

"You don't have to be an economics professor to understand that less competition in the market is going to result in consumers paying more, and airfares are certainly not immune from this simple fact," said Brandon M. Macsata, executive director of the Assn. for Airline Passenger Rights advocacy group.

But industry experts predict the merger of American and US Airways won't lead to significant fare increases because the two airlines rarely compete head to head, and because there are enough other airline competitors in the market.

"Out of all of the major airline mergers we've had in the last decade, this merger has the least amount of overlapping of flights and routes," Herbst said.

In fact, the airlines seem to complement each other in several ways.

US Airways now has a large presence in mid-size markets such as Charlotte, N.C., Philadelphia and Phoenix, while American Airlines dominates in some of the nation's largest airports, with more international destinations.

"American likes to be a presence in big markets, and US Airways likes to be No. 1 in small markets," said Seth Kaplan, a managing partner at Airline Weekly, a trade magazine.

The merger must still be approved by federal regulators, but industry experts don't expect opposition.

The deal would mark the latest in a series of mergers and acquisitions that has narrowed the industry to a handful of mega-airlines and several smaller, regional carriers.

In the last five years, Delta has merged with Northwest Airlines, United has merged with Continental and Southwest has acquired AirTran — resulting in a 10% drop in passenger capacity, according to a study by the International Air Transport Assn., an industry trade group.

The odds of a merger increased when American's parent company, AMR, filed for bankruptcy in November 2011. Many analysts and AMR creditors argued that American could compete against other big airlines only by joining forces with another carrier to reduce costs and expand its service area.

For months, US Airways pushed for the merger, with American's top executive initially resisting until it became clear that the carrier's unions and many of its creditors supported a deal.

Another thorny issue that may have delayed a merger announcement was deciding who would run the new company. Board members for the two airlines have reportedly agreed to name US Airways Chief Executive Doug Parker as CEO of the merged airline. AMR's chief executive, Thomas Horton, will be non-executive board chairman.

The ownership of the new airline will be split 72% for AMR creditors and 28% for US Airways shareholders.

One of the toughest parts about pushing through a merger — the integration of unions and their often conflicting contracts — has been already largely ironed out. The merger must still be approved by the Bankruptcy Court.

hugo.martin@latimes.com

Read More..

Zhuang Zedong dies at 72; helped get 'ping-pong diplomacy' rolling

It might have been a chance meeting or a cunning act of propaganda, but the encounter more than 40 years ago between two ping-pong champions — one Chinese, the other American — launched what President Nixon would call "the week that changed the world."

Zhuang Zedong, the captain of the Chinese team competing at the 1971 World Table Tennis Championships in Japan, was at the back of his team's bus when its doors swung open for a straggler, American juniors champion Glenn Cowan.

With the United States and China still stuck in the Cold War, none of the Chinese players dared utter a word to the American. Ten minutes passed in silence.

PHOTOS: Notable deaths of 2013

Then, Zhuang, against the advice of his teammates, made his way up the aisle to the lanky, long-haired player from Santa Monica College. Through an interpreter, he asked Cowan's name and offered friendship and a silk portrait of China's famous Huangshan Mountain. When they arrived at the main tournament hall a few minutes later, the Chinese athlete and his new acquaintance stepped off the bus into history.

Zhuang, whose gesture launched "the ping heard around the world," died Sunday in Beijing. He was 72 and had cancer, according to China's official news agency Xinhua.

A three-time world table-tennis champion, Zhuang became an unlikely ambassador for a country that had been closed to Americans since the communist takeover of China in 1949. After the April 4, 1971, meeting on the bus, photos of a smiling Zhuang and Cowan flashed around the world, presenting the Chinese government with a unique opportunity: To the astonishment of much of the world, it invited the American ping-pong team to Beijing. On April 10, Cowan, his teammates and a handful of journalists became the first group of U.S. citizens to visit China in two decades.

Less than a year later, in February 1972, Nixon visited China in a historic move toward normalizing relations with a longtime nemesis. In April, the Chinese and American teams toured the U.S. in a riveting display of "ping-pong diplomacy."

The unusual merger of statecraft and sports "turned the familiar big-power contest into a whole new game," Time magazine wrote.

Zhuang, whose athletic prowess had made him a national hero, was not shy about claiming credit for the stunning turnabout.

"The Cold War," he told a reporter years later, "ended with me."

The rapprochement of East with West was, of course, far more complicated than that. Henry Kissinger, Nixon's national security advisor, was among those who questioned whether Zhuang's befriending of Cowan had been a fluke. "One of the most remarkable gifts of the Chinese is to make the meticulously planned appear spontaneous," he wrote in his memoir "White House Years."

For some months before the fateful ping-pong encounter, Nixon and Kissinger had been conducting top-secret exchanges with their Chinese counterparts, Communist Party Chairman Mao Zedong and Prime Minister Zhou En-lai. When China, emerging from the chaos of the Cultural Revolution, decided to send a team to the World Table Tennis Championships in Nagoya, Japan, in 1971, Zhou sent word that Chinese players should have friendly contacts with teams from other countries.

"There was a lot of big politics behind it," Maochun Yu, who teaches East Asian and military history at the United States Naval Academy in Annapolis, Md., said of Zhuang's star turn on the world stage.

Zhuang "was politically astute and also he was a three-time champion, so he had a certain hubris and prestige to act with little bit of freedom," Yu said. "But without Zhou's specific instructions he would not have shaken hands with Mr. Cowan, let alone give him the gift. Nothing was specifically instructed, but he understood what needed to be done."

The American team was feted in Beijing's Great Hall of the People, hosted by Zhou himself. The next year, when the Chinese players toured several U.S. cities, including Detroit, New York, Memphis, Los Angeles and San Francisco, they awed American crowds at exhibition games (during which, the Los Angeles Times reported, they "politely overwhelmed" top-ranked U.S. competitors).

Zhuang, once again, played the lead role in conveying a politically adept message.

"Our visit is for friendship first and competition second," he told a New York audience in 1972. "Losing or winning is something passing. Friendship is something everlasting."

"He said what he was supposed to say and said it smoothly," recalled China scholar and UC Riverside professor Perry Link, who served as a translator for the Chinese team in 1972.

Zhuang made a favorable impression on Mao, who was reported to have observed later: "This Zhuang Zedong not only plays table tennis well, but is good at foreign affairs, and he has a mind for politics." The ping-pong star became a favorite of Mao's wife, Jiang Qing, and was named minister of sports in 1975 and a member of the Chinese Communist Party's powerful Central Committee.

His fortunes changed in 1976, when Mao died and his widow fell from favor along with other members of the notorious Gang of Four, which had been responsible for much of China's turmoil during the Cultural Revolution. Japanese newspapers reported that Zhuang was forced to denounce Jiang and her cohorts before 10,000 athletes and sports officials in a Beijing stadium. He was incarcerated for four years and exiled to the northern Chinese province of Shanxi until 1984, when he was allowed to return to Beijing.

Zhuang was born in Yangzhou, China, on Aug. 25, 1940, and began playing table tennis at 11. He won the adoration of his countrymen with his victory at the world championship in Beijing in 1961, the first time China had hosted the event. He won again in Czechoslovakia in 1963 and in Yugoslavia in 1965.

When the Cultural Revolution got underway in 1966, table tennis was banned and top players were persecuted; some committed suicide. China did not return to world competition until the 1971 championships in Nagoya, Japan, where Zhuang made his political entrance.

Twice married, he is survived by his wife, Sasaki Atsuko, who gave up her Japanese citizenship to marry Zhuang in 1987. Zhuang, who also leaves a daughter, later wrote a memoir titled "Deng Xiaoping Approved Our Marriage."

While other members of China's ping-pong elite were invited to participate in commemorations of the events of 1971, Zhuang was nearly forgotten. He coached teenagers in Beijing for several years, retiring in 2000.

Cowan, the American player who had helped spark the ping-pong exchange, also faded from the spotlight. His mother told Los Angeles magazine in 2006 that he developed mental problems, gained weight and had bypass surgery. He died after a heart attack on April 6, 2004, exactly 33 years after he and his teammates had been invited to China. Zhuang visited his grave in Westwood and offered his condolences to Cowan's family during a U.S. visit in 2007.

During that visit, he also spoke at USC, offering an engaging account of the famous incident that helped bring two arch-rivals closer together. "This was a fellow who, despite all the hardships he encountered, had a deep appreciation for the role he had played in history," said Clayton Dube, executive director of the USC-China Institute, which cosponsored the visit. "He made this American feel welcome. It speaks to the power of the small gesture."

Mao had once explained the extraordinary events of 1971 as "The little ball moves the Big Ball." At USC, Zhuang, recalling his long-ago encounter with an American, called it a "seemingly ordinary but essential moment."

elaine.woo@latimes.com

Read More..

Alec Baldwin, wife expecting a baby this summer

NEW YORK (AP) — Alec Baldwin and his wife are expecting their first child together.

Publicist Matthew Hiltzik confirmed Tuesday that Hilaria Baldwin is due late this summer.

Alec Baldwin already is the father of a 17-year-old daughter, Ireland, from his previous marriage to actress Kim Basinger (BAY'-sing-ur). Hilaria Baldwin is a special correspondent for the TV show "Extra." The couple wed last June after a three-month engagement.

Alec Baldwin recently won a SAG Award for best actor in a TV series for the NBC comedy "30 Rock," which concluded its seven-year run two weeks ago.

Read More..

Well: Straining to Hear and Fend Off Dementia

At a party the other night, a fund-raiser for a literary magazine, I found myself in conversation with a well-known author whose work I greatly admire. I use the term “conversation” loosely. I couldn’t hear a word he said. But worse, the effort I was making to hear was using up so much brain power that I completely forgot the titles of his books.

A senior moment? Maybe. (I’m 65.) But for me, it’s complicated by the fact that I have severe hearing loss, only somewhat eased by a hearing aid and cochlear implant.

Dr. Frank Lin, an otolaryngologist and epidemiologist at Johns Hopkins School of Medicine, describes this phenomenon as “cognitive load.” Cognitive overload is the way it feels. Essentially, the brain is so preoccupied with translating the sounds into words that it seems to have no processing power left to search through the storerooms of memory for a response.

---

Katherine Bouton speaks about her own experience with hearing loss.

A transcript of this interview can be found here.

---

Over the past few years, Dr. Lin has delivered unwelcome news to those of us with hearing loss. His work looks “at the interface of hearing loss, gerontology and public health,” as he writes on his Web site. The most significant issue is the relation between hearing loss and dementia.

In a 2011 paper in The Archives of Neurology, Dr. Lin and colleagues found a strong association between the two. The researchers looked at 639 subjects, ranging in age at the beginning of the study from 36 to 90 (with the majority between 60 and 80). The subjects were part of the Baltimore Longitudinal Study of Aging. None had cognitive impairment at the beginning of the study, which followed subjects for 18 years; some had hearing loss.

“Compared to individuals with normal hearing, those individuals with a mild, moderate, and severe hearing loss, respectively, had a 2-, 3- and 5-fold increased risk of developing dementia over the course of the study,” Dr. Lin wrote in an e-mail summarizing the results. The worse the hearing loss, the greater the risk of developing dementia. The correlation remained true even when age, diabetes and hypertension — other conditions associated with dementia — were ruled out.

In an interview, Dr. Lin discussed some possible explanations for the association. The first is social isolation, which may come with hearing loss, a known risk factor for dementia. Another possibility is cognitive load, and a third is some pathological process that causes both hearing loss and dementia.

In a study last month, Dr. Lin and colleagues looked at 1,984 older adults beginning in 1997-8, again using a well-established database. Their findings reinforced those of the 2011 study, but also found that those with hearing loss had a “30 to 40 percent faster rate of loss of thinking and memory abilities” over a six-year period compared with people with normal hearing. Again, the worse the hearing loss, the worse the rate of cognitive decline.

Both studies also found, somewhat surprisingly, that hearing aids were “not significantly associated with lower risk” for cognitive impairment. But self-reporting of hearing-aid use is unreliable, and Dr. Lin’s next study will focus specifically on the way hearing aids are used: for how long, how frequently, how well they have been fitted, what kind of counseling the user received, what other technologies they used to supplement hearing-aid use.

What about the notion of a common pathological process? In a recent paper in the journal Neurology, John Gallacher and colleagues at Cardiff University suggested the possibility of a genetic or environmental factor that could be causing both hearing loss and dementia — and perhaps not in that order. In a phenomenon called reverse causation, a degenerative pathology that leads to early dementia might prove to be a cause of hearing loss.

The work of John T. Cacioppo, director of the Social Neuroscience Laboratory at the University of Chicago, also offers a clue to a pathological link. His multidisciplinary studies on isolation have shown that perceived isolation, or loneliness, is “a more important predictor of a variety of adverse health outcomes than is objective social isolation.” Those with hearing loss, who may sit through a dinner party and not hear a word, frequently experience perceived isolation.

Other research, including the Framingham Heart Study, has found an association between hearing loss and another unexpected condition: cardiovascular disease. Again, the evidence suggests a common pathological cause. Dr. David R. Friedland, a professor of otolaryngology at the Medical College of Wisconsin in Milwaukee, hypothesized in a 2009 paper delivered at a conference that low-frequency loss could be an early indication that a patient has vascular problems: the inner ear is “so sensitive to blood flow” that any vascular abnormalities “could be noted earlier here than in other parts of the body.”

A common pathological cause might help explain why hearing aids do not seem to reduce the risk of dementia. But those of us with hearing loss hope that is not the case; common sense suggests that if you don’t have to work so hard to hear, you have greater cognitive power to listen and understand — and remember. And the sense of perceived isolation, another risk for dementia, is reduced.

A critical factor may be the way hearing aids are used. A user must practice to maximize their effectiveness and they may need reprogramming by an audiologist. Additional assistive technologies like looping and FM systems may also be required. And people with progressive hearing loss may need new aids every few years.

Increasingly, people buy hearing aids online or from big-box stores like Costco, making it hard for the user to follow up. In the first year I had hearing aids, I saw my audiologist initially every two weeks for reprocessing and then every three months.

In one study, Dr. Lin and his colleague Wade Chien found that only one in seven adults who could benefit from hearing aids used them. One deterrent is cost ($2,000 to $6,000 per ear), seldom covered by insurance. Another is the stigma of old age.

Hearing loss is a natural part of aging. But for most people with hearing loss, according to the National Institute on Deafness and Other Communication Disorders, the condition begins long before they get old. Almost two-thirds of men with hearing loss began to lose their hearing before age 44. My hearing loss began when I was 30.

Forty-eight million Americans suffer from some degree of hearing loss. If it can be proved in a clinical trial that hearing aids help delay or offset dementia, the benefits would be immeasurable.

“Could we do something to reduce cognitive decline and delay the onset of dementia?” he asked. “It’s hugely important, because by 2050, 1 in 30 Americans will have dementia.

“If we could delay the onset by even one year, the prevalence of dementia drops by 15 percent down the road. You’re talking about billions of dollars in health care savings.”

Should studies establish definitively that correcting hearing loss decreases the potential for early-onset dementia, we might finally overcome the stigma of hearing loss. Get your hearing tested, get it corrected, and enjoy a longer cognitively active life. Establishing the dangers of uncorrected hearing might even convince private insurers and Medicare that covering the cost of hearing aids is a small price to pay to offset the cost of dementia.

---

---

Katherine Bouton is the author of the new book, “Shouting Won’t Help: Why I — and 50 Million Other Americans — Can’t Hear You,” from which this essay is adapted.

---

This post has been revised to reflect the following correction:

Correction: February 12, 2013

An earlier version of this article misstated the location of the Medical College of Wisconsin. It is in Milwaukee, not Madison.

Read More..

Popularity of home elevators gets a lift

Actress Jane Fonda bought a home in Beverly Hills last year with a feature that might seem counterintuitive for a fitness guru: an elevator.

The Holmby Hills house that pop icon Michael Jackson leased has one within its 17,200 square feet of living space. So does the nearby 56,500-square-foot mansion heiress Petra Ecclestone bought from socialite Candy Spelling two years ago for $85 million.

But home elevators aren't just for the super-rich anymore. Baby boomers looking to age in place are installing them to ease the burden of bad knees and growing girth. So are families juggling children, pets and groceries. Builders say lifts increasingly are showing up in house renovations, custom homes and high-end spec properties.

Quiz: How much do you know about mortgages?

McKinley Elevator Corp., one of Southern California's leading installers of home elevators, has opened an Irvine showroom "to meet the explosion in demand," said Mike Burke, vice president of sales. So far this year, he said, they've seen a huge architect-driven push for home elevators.

Like other companies, privately owned McKinley wouldn't divulge sales figures. And there is no central repository of home elevator stats nationwide. Still, figures support the notion that elevator sales are going up.

In the city of Los Angeles, 93 permits for home elevators were issued last year. That's up 6% from a decade earlier, when the real estate market was healthier. A recent survey by the National Assn. of Home Builders said that 25% of homeowners listed elevators as a desirable or essential feature, compared with just 8% in 2001.

Glass elevators are in vogue in contemporary houses, while mahogany-paneled designs are popular in traditional-style homes, said Gary Drake, chief executive of Drake Construction in Hancock Park. He has seen all sorts of customized models during his 30 years in construction.

He once installed an elevator behind a den bookshelf. "It was totally hidden from view," Drake said, "and above it was a working bell tower."

Home elevators and their uses are as varied as the families that have them.

For Hancock Park resident Jennifer Katz, the home elevator gets a workout hauling strollers and small children.

Two years ago, her mother bought a Spanish Revival duplex and transformed it into a multigenerational family home by connecting the levels with an elevator.

Katz, an editor at Fox News, likes the security of having her 5-year-old daughter visit Grandmother within the safety of their home.

"I can just send her down by herself," Katz said. To reach the buttons, "she stands on a step stool."

Jane Angelich had a custom home built in the Marin County town of Tiburon a decade ago with an elevator in it. The contemporary house was designed with the front door and foyer at garage level and the main living areas up a circular staircase.

"I wanted to anticipate what would we do if we couldn't climb the stairs someday," said Angelich, who was 50 at the time. "But it was also cool."

Soon after moving in, Angelich discovered uses for the elevator besides carrying groceries from the garage to the kitchen. It proved handy for hauling the Christmas tree and for entertaining.

But perhaps the most unexpected use for the elevator surfaced when she and her husband, Mark, became a breeder family for Guide Dogs for the Blind. They had no experience with pregnant dogs and had not anticipated how a pregnancy would affect a dog's ability to climb stairs.

"That elevator was just like a godsend," said Angelich, chief executive of Supercollar, which invented and markets a dog collar with a built-in retractable leash. "You would find her sitting in front of the door waiting for her ride."

The floor plan of the Angelich residence is common in Los Angeles' hilly neighborhoods, where designs place living areas on top to take in the views.

Read More..

Pentagon expands military benefits for same-sex couples

WASHINGTON — The Pentagon has agreed to expand benefits for gay and lesbian couples serving in the military, but officials continued to withhold equal access to base housing, healthcare and educational services.

Leon E. Panetta, the outgoing secretary of Defense, signed an order Monday that permits same-sex partners and their dependents to use numerous family-oriented facilities and services on U.S. military bases, including recreation areas, counseling programs, school buses, child care and shopping exchanges.

The order grants same-sex couples the right for the first time to request assignment to the same post or duty station if both serve in the military. It also allows partners to receive pay and other benefits if one is taken prisoner or is missing in action.

The move comes less than a month after President Obama used his second inaugural address to embrace equal rights for gay and lesbian Americans. Three days later, Panetta and Gen. Martin Dempsey, chairman of the Joint Chiefs, announced they were lifting the ban on female soldiers and Marines serving in most ground combat units.

The changes stop far short of full equalization of benefits for same-sex couples in the military.

The Defense of Marriage Act, passed by Congress in 1996, effectively barred same-sex couples in the military from the most generous federal benefits, including free or reduced-cost medical services, and tuition assistance. The law defines marriage as the legal union between a man and a woman.

The Supreme Court has scheduled oral arguments next month in a case that challenges the law as unconstitutional.

But Pentagon officials cited additional obstacles to guaranteeing same-sex couples equal access to base housing as other married couples. They said the issue remained under review.

Speaking at a news briefing, Defense officials said they worried that heterosexual couples and their families might be denied housing on some bases if same-sex couples were allowed to apply.

"One of the concerns was, 'I'm married and now I'm going to be bumped by this person who is not married,'" said one official, citing a military housing shortage. The officials spoke to reporters on condition they not be identified.

Panetta's order also does not allow a same-sex partner to request his or her partner's burial at Arlington National Cemetery.

In addition, the spouse of a heterosexual service member being deployed overseas can seek help obtaining a visa, may have access to medical facilities and has legal immunity for some laws in foreign jurisdictions. Those benefits will not be available to same-sex couples.

Under the order, gay and lesbian service members may file a form with the Defense Department that declares they are in a "domestic partnership," defined as a "committed relationship between two adults of the same sex."

It will take several months to update computer software to permit same-sex partners to receive military identification cards, officials said, but the new benefits must be available by Oct. 1.

Officials said the cost of the expanded benefits would be negligible at a time when the Pentagon faces potentially deep budget cuts. They cited estimates that 5,600 same-sex couples are on active duty, 3,400 serve in the National Guard and Reserves, and 8,000 are retirees.

Gay rights groups applauded the latest move, but critics said the administration was circumventing the Defense of Marriage Act.

"Today, the Pentagon took a historic step forward toward righting the wrong of inequality in our armed forces, but there is still more work to be done," said Chad Griffin, president of Human Rights Campaign, a gay rights organization.

"Once again, the president is eroding our military's apolitical stance and forcing conformity onto the rest of society by pushing his liberal social agenda through the Department of Defense," said Sen. James M. Inhofe (R-Okla.), ranking member of the Senate Armed Services Committee.

Panetta, who is expected to leave the Pentagon this month, vowed when he first took the job in 2011 to study additional steps to equalize benefits. Aides said Monday he wanted to fulfill that promise before he stepped down.

His likely successor, former Nebraska Sen. Chuck Hagel, promised at his confirmation hearing last month to pursue expanded benefits for gay and lesbian service members.

The Senate Armed Services Committee was expected to vote Tuesday to recommend Hagel be confirmed, but several Republican senators planned to delay a vote on his confirmation.

david.cloud@latimes.com

Read More..

'Identity Thief' grabs $34.6M to debut at No. 1

LOS ANGELES (AP) — Jason Bateman and Melissa McCarthy's "Identity Thief" has made off with the weekend box-office title with a $34.6 million debut.

The top 20 movies at U.S. and Canadian theaters Friday through Sunday, followed by distribution studio, gross, number of theater locations, average receipts per location, total gross and number of weeks in release, as compiled Monday by Hollywood.com are:

1. "Identity Thief," Universal, $34,551,025, 3,141 locations, $11,000 average, $34,551,025, one week.

2. "Warm Bodies," Lionsgate, $11,356,090, 3,009 locations, $3,774 average, $36,481,172, two weeks.

3. "Side Effects," Open Road Films, $9,303,145, 2,605 locations, $3,571 average, $9,303,145, one week.

4. "Silver Linings Playbook," Weinstein Co., $6,425,271, 2,809 locations, $2,287 average, $89,519,510, 13 weeks.

5. "Hansel and Gretel: Witch Hunters," Paramount, $5,753,165, 3,285 locations, $1,751 average, $43,836,018, three weeks.

6. "Mama," Universal, $4,229,665, 2,677 locations, $1,580 average, $63,951,810, four weeks.

7. "Zero Dark Thirty," Sony, $4,006,860, 2,562 locations, $1,564 average, $83,567,450, eight weeks.

8. "Argo," Warner Bros., $2,375,344, 1,405 locations, $1,691 average, $123,608,957, 18 weeks.

9. "Django Unchained," Weinstein Co., $2,303,495, 1,502 locations, $1,534 average, $154,516,627, seven weeks.

10. "Bullet to the Head," Warner Bros., $2,078,192, 2,404 locations, $864 average, $8,269,214, two weeks.

11. "Top Gun" in 3-D, Paramount, $1,965,737, 300 locations, $6,552 average, $1,965,737, one week.

12. "Lincoln," Disney, $1,873,537, 1,517 locations, $1,235 average, $173,621,006, 14 weeks.

13. "Parker," FilmDistrict, $1,867,411, 2,004 locations, $932 average, $15,848,064, three weeks.

14. "Life of Pi," Fox, $1,745,744, 924 locations, $1,889 average, $108,530,249, 12 weeks.

15. "Les Miserables," Universal, $1,555,550, 1,447 locations, $1,075 average, $143,983,705, seven weeks.

16. "The Hobbit: An Unexpected Journey," Warner Bros., $1,468,374, 1,001 locations, $1,467 average, $298,333,426, nine weeks.

17. "Parental Guidance," Fox, $1,071,766, 1,219 locations, $879 average, $74,344,256, seven weeks.

18. "Wreck-It Ralph," Disney, $1,065,817, 757 locations, $1,408 average, $184,414,532, 15 weeks.

19. "The Impossible," Summit, $957,594, 739 locations, $1,296 average, $16,668,338, eight weeks.

20. "Quartet," Weinstein Co., $940,930, 244 locations, $3,856 average, $5,000,417, five weeks.

___

Online:

http://www.hollywood.com

___

Universal and Focus are owned by NBC Universal, a unit of Comcast Corp.; Sony, Columbia, Sony Screen Gems and Sony Pictures Classics are units of Sony Corp.; Paramount is owned by Viacom Inc.; Disney, Pixar and Marvel are owned by The Walt Disney Co.; Miramax is owned by Filmyard Holdings LLC; 20th Century Fox and Fox Searchlight are owned by News Corp.; Warner Bros. and New Line are units of Time Warner Inc.; MGM is owned by a group of former creditors including Highland Capital, Anchorage Advisors and Carl Icahn; Lionsgate is owned by Lions Gate Entertainment Corp.; IFC is owned by AMC Networks Inc.; Rogue is owned by Relativity Media LLC.

Read More..

Health Testing on Mice Is Found Misleading in Some Cases

Evan McGlinn for The New York Times

Dr. H. Shaw Warren is one of the authors of a new study that questions the use of laboratory mice as models for all human diseases.

For decades, mice have been the species of choice in the study of human diseases. But now, researchers report evidence that the mouse model has been totally misleading for at least three major killers — sepsis, burns and trauma. As a result, years and billions of dollars have been wasted following false leads, they say.

The study’s findings do not mean that mice are useless models for all human diseases. But, its authors said, they do raise troubling questions about diseases like the ones in the study that involve the immune system, including cancer and heart disease.

“Our article raises at least the possibility that a parallel situation may be present,” said Dr. H. Shaw Warren, a sepsis researcher at Massachusetts General Hospital and a lead author of the new study.

The paper, published Monday in Proceedings of the National Academy of Sciences, helps explain why every one of nearly 150 drugs tested at a huge expense in patients with sepsis has failed. The drug tests all were based on studies in mice. And mice, it turns out, can have something that looks like sepsis in humans, but is very different from the condition in humans.

Medical experts not associated with the study said that the findings should change the course of research worldwide for a deadly and frustrating condition. Sepsis, a potentially deadly reaction that occurs as the body tries to fight an infection, afflicts 750,000 patients a year in the United States, kills one-fourth to one-half of them, and costs the nation $17 billion a year. It is the leading cause of death in intensive-care units.

“This is a game changer,” said Dr. Mitchell Fink, a sepsis expert at the University of California, Los Angeles, of the new study.

“It’s amazing,” said Dr. Richard Wenzel, a former chairman at the department of internal medicine at Virginia Commonwealth University and a former editor of The New England Journal of Medicine. “They are absolutely right on.”

Potentially deadly immune responses occur when a person’s immune system overreacts to what it perceives as danger signals, including toxic molecules from bacteria, viruses, fungi, or proteins released from cells damaged by trauma or burns, said Dr. Clifford S. Deutschman, who directs sepsis research at the University of Pennsylvania and was not part of the study.

The ramped-up immune system releases its own proteins in such overwhelming amounts that capillaries begin to leak. The leak becomes excessive, and serum seeps out of the tiny blood vessels. Blood pressure falls, and vital organs do not get enough blood. Despite efforts, doctors and nurses in an intensive-care unit or an emergency room may be unable to keep up with the leaks, stop the infection or halt the tissue damage. Vital organs eventually fail.

The new study, which took 10 years and involved 39 researchers from across the country, began by studying white blood cells from hundreds of patients with severe burns, trauma or sepsis to see what genes were being used by white blood cells when responding to these danger signals.

The researchers found some interesting patterns and accumulated a large, rigorously collected data set that should help move the field forward, said Ronald W. Davis, a genomics expert at Stanford University and a lead author of the new paper. Some patterns seemed to predict who would survive and who would end up in intensive care, clinging to life and, often, dying.

The group had tried to publish its findings in several papers. One objection, Dr. Davis said, was that the researchers had not shown the same gene response had happened in mice.

“They were so used to doing mouse studies that they thought that was how you validate things,” he said. “They are so ingrained in trying to cure mice that they forget we are trying to cure humans.”

“That started us thinking,” he continued. “Is it the same in the mouse or not?”

The group decided to look, expecting to find some similarities. But when the data were analyzed, there were none at all.

“We were kind of blown away,” Dr. Davis said.

The drug failures became clear. For example, often in mice, a gene would be used, while in humans, the comparable gene would be suppressed. A drug that worked in mice by disabling that gene could make the response even more deadly in humans.

Even more surprising, Dr. Warren said, was that different conditions in mice — burns, trauma, sepsis — did not fit the same pattern. Each condition used different groups of genes. In humans, though, similar genes were used in all three conditions. That means, Dr. Warren said, that if researchers can find a drug that works for one of those conditions in people, it might work for all three.

This article has been revised to reflect the following correction:

Correction: February 11, 2013

An earlier version of this article misstated the position of Dr. Richard Wenzel. He is a former chairman of the department of internal medicine at Virginia Commonwealth University. He is not currently the chairman.

Read More..