Police: Boy, 16 and man, 32, gunned down on West Side street













Double homicide


Chicago police investigate a double homicide in the 4200 block of W. Congress Parkway.
(Brian Cassella / January 26, 2013)



























































A 16-year-old boy and a 32-year-old man are the latest victims of gun violence after being shot dead on a West Side street this afternoon, police said. It was the second double homicide reported today.


Officers responded to a call of a person shot in the 4200 block of West Congress Parkway and found the two lying dead outside on the ground, according to the police.


Both victims lived in Chicago, police said. 





No one has been arrested.


Police had the crime scene near Genevieve Melody Elementary School taped off at least one block to the north, east and west, while neighbors milled about to get a better look.

On West Van Buren Street, a body could be scene lying in the roadway, near the curb and a bus stop.

A man who only identified himself as the teen victim's uncle said the boy, whose family lived nearby, had simply gone to run an errand.

"He was just going to the store," the man said. "They just killed him just like that."

Later, the man paced back and forth on the sidewalk, shaking his head in disbelief.

"He goes to school and everything," he said to a police officer.


This latest shooting represents the 4th and 5th homicides reported today, and the second double homicide.


chicagobreaking@tribune.com




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Singer Tina Turner on path to Swiss citizenship






(Reuters) – Soul music legend Tina Turner has taken the first steps toward giving up her U.S. passport and becoming a citizen of Switzerland, the country she has called home for nearly 20 years.


The Zurich suburb of Kusnacht has approved Swiss citizenship for the “Proud Mary” singer, pending confirmation from other authorities in the country, a spokeswoman for Turner said on Friday.






Turner, who was born in Tennessee, moved to Switzerland in 1995 to join her German-born record producer partner Erwin Bach and has lived there since. She enjoys the privacy she receives there and has no plans to live elsewhere, the spokeswoman said.


“I’m very happy in Switzerland and I feel at home here,” Turner, 73, was quoted as telling the Swiss daily newspaper Blick.


The eight-time Grammy winner retired from performing after her last tour, which ended 2009. Her hits with Ike Turner and as a solo artist include “What’s Love Got To Do With It,” “Private Dancer” and “River Deep – Mountain High.”


(Reporting by Lisa Richwine, editing by Jill Serjeant and Xavier Briand)


Music News Headlines – Yahoo! News





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Well: Ask Well: Squats for Aging Knees

You are already doing many things right, in terms of taking care of your aging knees. In particular, it sounds as if you are keeping your weight under control. Carrying extra pounds undoubtedly strains knees and contributes to pain and eventually arthritis.

You mention weight training, too, which is also valuable. Sturdy leg muscles, particularly those at the front and back of the thighs, stabilize the knee, says Joseph Hart, an assistant professor of kinesiology and certified athletic trainer at the University of Virginia, who often works with patients with knee pain.

An easy exercise to target those muscles is the squat. Although many of us have heard that squats harm knees, the exercise is actually “quite good for the knees, if you do the squats correctly,” Dr. Hart says. Simply stand with your legs shoulder-width apart and bend your legs until your thighs are almost, but not completely, parallel to the ground. Keep your upper body straight. Don’t bend forward, he says, since that movement can strain the knees. Try to complete 20 squats, using no weight at first. When that becomes easy, Dr. Hart suggests, hold a barbell with weights attached. Or simply clutch a full milk carton, which is my cheapskate’s squats routine.

Straight leg lifts are also useful for knee health. Sit on the floor with your back straight and one leg extended and the other bent toward your chest. In this position, lift the straight leg slightly off the ground and hold for 10 seconds. Repeat 10 to 20 times and then switch legs.

You can also find other exercises that target the knees in this video, “Increasing Knee Stability.”

Of course, before starting any exercise program, consult a physician, especially, Dr. Hart says, if your knees often ache, feel stiff or emit a strange, clicking noise, which could be symptoms of arthritis.

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Shedd Aquarium looks to slice energy bill









Bob Wengel's job at Shedd Aquarium makes your typical thermostat war seem laughable.


For him, keeping everybody comfortable means manufacturing a 2 p.m. sunset for penguins attuned to the daylight rhythms of South America. It means maintaining 3 million gallons at a cool 58 degrees for blubber-laden whales while also satisfying tiny neon fish that won't tolerate less than 78 degrees.


"The first thing you've got to make sure is that your animals are happy," said Wengel, Shedd's vice president of facilities. "Then, your guests come next and, after that, the people who work here."





Until now it has also meant forking over $1.4 million for electricity and $154,000 for natural gas each year.


The Chicago cultural institution is in the early stages of a massive energy overhaul aimed at cutting energy consumption by half at the 83-year-old building. Under a plan developed pro bono by a public-private consortium, Shedd plans to swap out light bulbs, buy solar panels and sell "negawatts" (getting paid to power down) to the electrical grid to achieve its goal by 2020.


The idea: To create a road map other cultural institutions can follow.


"What we're talking about is bigger than the Shedd," said Mark Harris, president and CEO of the Illinois Science and Technology Coalition, which led the consortium that developed Shedd's energy saving plan.


The task won't be easy. Keeping 32,500 animals healthy, happy and well-lit takes a lot of, well, energy. Part zoo, part art space, the building is a life-support system for 1,500 species operating under the parameters of just about every time zone on the planet. Lighting clings to nearly every floor, ceiling and exhibit, mimicking sunlight, guiding visitors and attractively framing columns.


Most days a small ocean of water is chilled or run through heat exchangers, with excess heat released through cooling towers on the aquarium roof.


Staff members bike to work, diligently compost and exchange unwanted items instead of trashing them, and for years the aquarium has tracked its energy use and made changes where appropriate. Still, the energy consumed at Shedd has it claiming the carbon footprint of an endless 2,200-car traffic jam.


"If you ask me — 'What is sustainability?' — to someone like me who runs a facility, it's energy, waste, water," Wengel said.


In 2011, Shedd used so much energy that, if harnessed, it could power nearly 1,500 homes for a year.


If done right, Shedd's energy-shaving work will be mostly invisible.


Discerning visitors may notice a lighting change in Shedd's main entrance, where 600 light bulbs in the aquarium's octopuslike chandeliers were fitted this week with highly efficient LED bulbs, a change that will cut $7,000 a year off its electricity bills.


The sunlight that appears to grace the colorful, bustling exhibit of 450 reef dwellers just inside the main entrance is actually six LED lights that were first tested for their ability to mimic natural light.


"The solar on the rooftop will be visible," said Tom Hulsebosch, managing director for energy and utilities for West Monroe Partners in Chicago, the consulting firm that helped create Shedd's energy road map. "They might notice the subtlety of the LED lighting, but a lot of it is really behind the scenes."


Shedd's goal is to create an intelligent aquarium that is constantly communicating its energy needs to Wengel and his staff. That means letting them know in real time if a system is using more power than usual and where inefficiencies lie in everything from HVAC systems to life-support pumps.


According to the road map the coalition developed, the aquarium plans to participate in a program that pays big energy users to power down on days when the electric grid is strained by demand from air conditioners. But first that means finding out what in the aquarium can be safely powered down.


To start with, Shedd is installing individual meters on everything from lighting systems to chillers so it can track and analyze how and when energy is being used. From there it can determine which systems could safely be powered down without harming the animals or causing a disruption to patrons, and which could be used or timed differently to save money.


"They cannot compromise experience both on the visitor's side and on the animal side, and they cannot compromise performance because they have a life-support system they have to maintain. So just the fact that they can do this, with those huge barriers, is an incredible example," said Karen Weigert, chief sustainability officer for the city of Chicago, which worked with a coalition that developed the energy plan. Also part of the coalition were the Institute for Sustainable Energy Development and Citizens Utility Board.


The aquarium would simultaneously switch to a pricing scheme that rewards it for using the most energy at the times of day when demand is lowest and electricity prices are cheaper.


Also on the docket: solar panels with batteries for storing excess energy that could be sold back to the electric grid in the same way that power plants sell their power.


The plans are in line with that of Illinois, which in October 2011 approved a 10-year, $2.6 billion upgrade to the electrical grid that serves Shedd and the rest of the Chicago area. Half of that is being spent to create a smart grid that, according to ComEd, will bring 100-year-old electrical grid technology into the digital age, automatically reporting problems, rerouting power and eliminating the need for meter readers.


With a smart grid, Shedd could power up some systems while powering down others, and sell or buy electricity from the grid in real time according to the demands of the electrical grid.


To pay for these changes, Shedd plans to seek government grants and private donations. In time, say coalition members, those investments will reap dividends, financially, educationally and environmentally.


"The Shedd's in a unique position. It's been there for 100 years and it's going to be there for another 100 more; so, when you look at a 15-year return on investment, that's not too bad," Hulsebosch said.


jwernau@tribune.com





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New purported Galaxy Note 8.0 images confirm S-Pen support







Earlier this week, images that were purportedly of Samsung’s (005930) upcoming Galaxy Note 8.0 tablet leaked onto the Web. The slate looked like an oversized Galaxy S III smartphone and included the company’s physical home button, which had perviously been omitted from earlier Galaxy tablets. French blog Frandroid posted additional images of the tablet on Friday that confirmed it will include an S-Pen stylus, similar to the Galaxy Note II and Galaxy Note 10.1.


[More from BGR: Sony’s PS Vita: Dead again]






[More from BGR: The Boy Genius Report: Apple’s iMac takes desktop crown]


The Galaxy Note 8.0 is rumored to be equipped with a 1280 x 800 pixel resolution display, 1.6GHz quad-core processor and a 5-megapixel rear camera. The slate is also believed to include 2GB of RAM, 16GB of internal storage, a microSD slot and Android 4.2.


Samsung is expected to announce the Galaxy Note 8.0 tablet next month at Mobile World Congress in Barcelona.


This article was originally published on BGR.com


Wireless News Headlines – Yahoo! News





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Wrigley rooftops offer to let Cubs sell ads on their buildings

Representatives of the Wrigleyville Rooftops Association proposed a plan to erect LED billboards on rooftops and share revenue with the Chicago Cubs. (Chris Walker, Chicago Tribune)









The relationship between the Chicago Cubs and the rooftop businesses overlooking Wrigley Field sounds about as bitter as the Cubs-Cardinals rivalry.

George Loukas, who owns three rooftop clubs and other businesses in the North Side Wrigleyville neighborhood, threatened to sue the the team if it erects billboards in the outfield that block rooftop views into the stadium.






"We have a right to defend our position," Loukas said Friday. "Yes, we would go to court."

He made his comments a news conference he and other rooftop owners held to present to the public an alternative to outfield signs the Cubs say they want to help pay for a $300 million renovation of the 99-year-old ballpark. They offered to let the Cubs place signs on their buildings and forego all the revenues the signs would generate.

But the Cubs did not warmly receive the proposal.

"If the rooftop owners have a new plan, they would be well advised to discuss it with the team instead of holding press conferences, because a deadline is fast approaching for the team and the city of Chicago to move forward," said Dennis Culloton, a spokesman for the owners of the Cubs.

The team's response upset the rooftop owners, who say they presented a general outline of their plan three months ago in a private meeting with Cubs' officials as well as at a meeting the local alderman held Wednesday night that team representatives attended.

The owners of the 16 rooftop clubs, who share a portion of their tickets sales with the team, contend the new signs will put them out of business.

The dispute threatens to hold up a deal that the team is negotiating with Mayor Rahm Emanuel's administration to modernize the "Friendly Confines" without tax dollars. The Cubs seek to amend city ordinances that regulate team operations, from the number of night games to the number of ads in the ballpark. Without the zoning and landmark restrictions, the team's owners say they will pay for a long-overdue face-lift of their stadium.

Despite a record of futility on the field, the Cubs remain a huge draw primarily because of the intimacy, charm and distinctive urban setting of Wrigley Field. But the Ricketts family, who bought the team in 2009, say the oldest stadium in the National League is in desperate need of makeover to improve player and fan amenities.

The family's renovation project includes a structural overhaul that would expand concourses, increase restroom capacity and create a new player clubhouse. The family wants to grow revenues from the stadium by adding restaurants, lounges, club seats, concession areas and expanding luxury suites. The owners showed renderings of the changes at the Cubs Convention last weekend.

The owners also want to install more and bigger signs but haven't provided details about where they would be placed. The most obvious, and lucrative, position would be along the back of the bleachers, which could potentially block the bird's-eye views from the rooftops. Without those views, the rooftop business don't have much to sell, Loukas said.

"I don't think you would spend $5 to go sit up on a rooftop to look at the back of a billboard," Loukas said.

The rooftop owners have a lot to lose. In 2004, the rooftop owners and the Cubs settled a lawsuit by striking a 20-year deal that allowed the clubs to keep operating while paying the team 17 percent of their sales.

The rooftop owners used the security of the agreement to spend millions of dollars renovating their buildings and increasing capacity. Beth Murphy, owner of the Murphy's Bleachers bar and rooftop, said the royalty collectively amounts to $3.5 million to $4 million a year for the Cubs. Overall seasonal revenue for the rooftops appears to be about $23 million.

"There's a reason that the Cubs pull (in crowds)," Murphy said. "I believe it's the synergy between the neighborhood and the ballpark."

The rooftop owners, who have united to form a loosely knit association, say new signs in the outfield would not only violate their contract with the team but also the landmark status that was placed on Wrigley Field in 2004.

They proposed to let the Cubs sell advertising on their buildings that would been seen on several digital screens. The rooftop owners hired a marketing consultant who calculated that rooftop signs would generate $10 million to $20 million in annual revenue.

But Culloton said the team would bring in more money from advertising atop the back wall of the bleachers. Chicago Tribune parent Tribune Co. owns 5 percent of the Cubs.

Ald. Tom Tunney, 44th ward, said "The advertising proposal from the rooftops can be part of the larger picture for preserving Wrigley," he said.

The mayor's office reiterated what Emanuel said earlier in the week that he would like all parties to work together to craft a solution.

But that may be difficult given the feelings of resentment some rooftop owners have for the Cubs. When asked if he feels the team is trying to diminish the value of the rooftop properties so they could eventually acquire them, Loukas said, "Absolutely, absolutely."

Twitter @ameetsachdev

asachdev@tribune.com





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Dr. Phil to interview alleged girlfriend hoaxer






NEW YORK (AP) — Dr. Phil McGraw has booked the first on-camera interview with the man who allegedly concocted the girlfriend hoax that ensnared Notre Dame football star Manti Te’o.


A “Dr. Phil Show” spokesperson confirmed on Friday the interview with Ronaiah Tuiasosopo (roh-NY-ah too-ee-AH’-so-SO’-poh), the man accused of creating an online persona of a nonexistent woman who Te’o said he fell for without ever meeting face-to-face.






The ruse was uncovered last week by Deadspin.com, which reported that Tuiasosopo created the woman, named Lennay Kekua, who then supposedly died last September.


No further details of the “Dr. Phil” interview, including its airdate, were announced.


This interview follows the first on-camera interview with Te’o conducted this week by Katie Couric.


Entertainment News Headlines – Yahoo! News





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Europe: Germany: Funds for Global Health Fund Reinstated





Signaling that it was pleased with changes in the Global Fund to Fight AIDS, Tuberculosis and Malaria, Germany announced Thursday that it would reinstate the annual pledge of 200 million euros (about $267 million) it had made since the fund’s early days. In 2011, Germany temporarily held back half its contribution and threatened to hold back future funds in protest against inefficiencies, thefts by some grantee countries and infighting among the fund’s top executives. Other contributions dried up, forcing the fund to cancel a planned round of grants. Since then, both the fund’s executive director and inspector general have departed, and it was run for one year by a Brazilian banker; he devised an overhaul of the grant-making process that is to take effect next month. In November, Dr. Mark Dybul, the Bush administration’s global AIDS czar, became the new executive director. The fund recently announced that it cut its operating expenses by 5 percent in 2012 while still making 26 percent more in grants than it did in 2011. Of the grants that had been audited, Dr. Dybul said, only 0.5 percent had been lost to fraud. The fund plans a new fund-raising round for later this year. The United States is the fund’s largest supporter, providing roughly a third of its budget.


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S&P tops 1,500 in biggest rally since 2004










NEW YORK (Reuters) - The Standard & Poor's 500 index closed above 1,500 for the first time in more than five years on Friday as strong earnings reports, including Procter & Gamble's, helped the benchmark extend its rally to eight days.

The winning streak is the longest in eight years and left the S&P 500 about 4.1 percent away from its all-time closing high of 1,565.15 on October 9, 2007.






The equity market's strong start this year has been attributed to solid corporate results, an agreement in Washington to extend the government's borrowing power, encouraging signs from the global economy and seasonal inflows into stocks.

Procter & Gamble shares led the Dow and S&P higher with a 4 percent gain to $73.25 after the world's top household products maker's quarterly profit soared past expectations. The company also raised its sales and earnings outlook for the fiscal year.

Sales of new U.S. single-family homes fell in December but rose in 2012 to the highest level since 2009, a sign the U.S. housing market turned a corner last year.

"Economic data in the U.S. has been trending higher, albeit modestly. Things are incrementally better," said Quincy Krosby, market strategist at Prudential Financial in Newark, New Jersey.

The Dow Jones industrial average rose 70.65 points or 0.51 percent, to close at 13,895.98. The S&P 500 gained 8.14 points or 0.54 percent, to 1,502.96. The Nasdaq Composite added 19.33 points or 0.62 percent, to end at 3,149.71.

The S&P 500 closed at its highest since December 10, 2007, and the Dow ended at its highest since October 31, 2007.

Apple shares dropped 2.4 percent to $439.88, and the iPhone maker lost its coveted title as the largest U.S. company by market capitalization to Exxon Mobil Corp .

Apple's market cap fell to $413 billion, down roughly $250 billion from its September peak. Apple's fall is about equal to the entire value of Google Inc .

"The market was able to move forward despite deterioration in Apple and that's also a positive," Prudential Financial's Krosby said.

There was heavy volume in Apple shares as it hit its session low shortly before the closing bell. The stock dropped by as much as $7, to $435 from $442, within the span of one second during the last minute of trading.

More than 50 orders were executed on NYSE Arca at $435 a share, according to Thomson Reuters time-and-sales data, in blocks as small as 100 shares and as large as 10,494 shares.

Adding to the overall bullish tone in the market, German business morale improved for a third consecutive month in January to its highest in more than six months. In addition, European banks said they will repay the European Central Bank much more than expected of the loans the bank gave them during the crisis.

"Good news in credit markets helps set the stage for (more investment in) riskier assets," Krosby said.

For the week, the Dow rose 1.8 percent, the S&P 500 gained 1.1 percent and the Nasdaq added 0.5 percent. It was the fourth straight week of gains for all three indexes.

Helping to lift the Nasdaq on Friday, Starbucks rose 4.1 percent to $56.81 after the coffee retailer reported stronger-than-expected sales in the United States and Asia. {ID:nL1N0ATH04]

Netflix added 15.5 percent to $169.56, following its massive 42.2 percent jump on Thursday after the company announced a surprising jump in subscribers to its video streaming service.

Thomson Reuters data through Friday showed that of the 147 S&P 500 companies that have reported earnings so far, 68 percent exceeded expectations. Since 1994, 62 percent of companies have topped expectations, while the average over the past four quarters stands at 65 percent.

Halliburton Co shares jumped 5.1 percent to $39.72 after the world's second-largest oilfield services company reported higher-than-expected earnings and sales for the fourth quarter.

About 6.4 billion shares changed hands on the New York Stock Exchange, the Nasdaq and NYSE MKT, below the daily average during January 2012 of about 6.93 billion shares.

On the NYSE, more than three issues rose for every two that fell. On the Nasdaq, five stocks advanced for every four that declined.

(Reporting by Rodrigo Campos; Editing by Kenneth Barry and Jan Paschal)

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DUST 514, Online Shooter Set in EVE Online Universe, Enters Open Beta






First announced in 2009, CCP Games’ online first-person shooter tie-in to its popular sci-fi MMO, EVE Online, was finally released as an open beta on Tuesday. Called DUST 514, it allows PlayStation 3 owners to play in the same world as EVE Online, fighting ground battles while EVE Online pilots contest star systems. The results of DUST 514 matches affect worlds and in-game corporations in EVE Online, and EVE Online players can even use starship weaponry to bombard the planets DUST 514 matches take place on.


Introducing New Eden






EVE Online and DUST 514 take place in a distant star cluster called New Eden. In a scenario sort of like ” Stargate” meets ” Star Trek: Voyager,” human space explorers found themselves trapped in New Eden, impossibly far from Earth, after using a one-way portal. Many thousands of years later, their descendants have formed completely new nations and ethnicities, and fight each other in space and on the ground over resources or ideology.


The most difficult MMO ever?


Widely regarded as very difficult — a popular infographic depicts EVE’s learning curve as a sheer cliff littered with stick figure bodies — EVE Online is also known for its byzantine politics, which take place completely between players. Player-run alliances sink years into building enormous spacecraft, which can vanish in a single battle or thanks to one person’s treachery.


A study in contrasts


DUST 514 is only available on the PlayStation 3 console, whereas EVE Online is for Windows PCs and Macs. DUST 514 is free to play and has no monthly fee, while EVE costs money to start and up to $ 14.95 per month (although there’s an expensive in-game item which can be used to offset this fee). But perhaps the biggest contrast is the level of commitment required. Instead of managing a whole spacecraft and needing to keep track of where it’s docked, DUST 514 players can just jump into instant battles, and are rewarded with experience and in-game currency each time.


Since the two games were linked together just a few weeks ago, however, EVE Online politics are beginning to affect DUST 514, and groups of players are getting drawn into its conflicts — or being sent by EVE in-game alliances to fight for them.


A work in progress


DUST 514 still bears the “beta” tag, and the end-user license agreement reminds players of this, even pointing out that CCP Games may choose to reset players’ gear and experience points at some time in the future. It has a very limited number of planet environments and only two styles of play, which basically amount to capture the flag and team deathmatch. CCP continues to develop DUST, however, promising that even more content will be available in the future.


Jared Spurbeck is an open-source software enthusiast, who uses an Android phone and an Ubuntu laptop PC. He has been writing about technology and electronics since 2008.


Linux/Open Source News Headlines – Yahoo! News





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Quinn signs sex-abuse education mandate

Teachers across Illinois will begin teaching their students on how they can protect themselves against sexual abuse and assaults. (WGN - Chicago)









After watching Gov. Pat Quinn sign into law a new mandate for child sex-abuse education in Illinois schools, the woman behind that measure will be hitting the road to push the cause nationwide.


On Thursday, Quinn signed "Erin's Law" at the Children's Advocacy Center of North and Northwest Cook County in Hoffman Estates. That's where, 14 years ago, a then-13-year-old Erin Merryn first spoke up about sexual abuse she had endured.


"You do not know how joyous this is for me, how hard I've worked for this," Merryn said of the law, which extends state-mandated sexual abuse and assault awareness and prevention efforts to elementary and middle schools. Previously, only high schools were required to teach it.








Although it's an unfunded mandate, Merryn, 27, said the law lets school districts decide how to implement it. Districts can choose either to use and pay for existing research-based curriculum, or train teachers on how to educate their students.


"Schools don't just need to hire someone to come in (from) outside the school," Merryn said. "You've got the staff right there that you already pay that are capable of teaching this, with the proper training."


Rep. Fred Crespo, D-Hoffman Estates, said "Erin's Law" is the first unfunded school mandate in two years. Crespo, vice-chair for the Elementary and Secondary Education Committee, said unfunded mandates are always a concern and an issue.


"We're very convinced we just need to make this happen," Crespo said. "We have other unfunded mandates. Somehow the school districts do manage a way to do those things."


With children as young as preschoolers, the education will be tailored for age appropriateness, Merryn said. For some, it could be as simple as teaching them to whom they could turn if they feel uncomfortable.


Lawmakers at the event praised Merryn for having the courage to quit her job as a youth and family counselor in 2010 to take on a national awareness campaign. Merryn became devoted to the cause after being sexually abused as a child between the ages 6 to 8, and again from age 11 to 13.


Merryn's campaign also focuses on support for child advocacy centers, ending stigma about sex abuse and reminding adults to be aware and to act.


At the bill signing, Quinn invited Merryn to a national governor's meeting next month. The Schaumburg native and author is working to get similar laws passed in all 50 states. It took Merryn three years to get the Illinois state law passed. She had tears in her eyes as she accepted Quinn's invitation, saying: "You will save me many, many years."


saho@tribune.com





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The New Old Age Blog: Grief Over New Depression Diagnosis

When the American Psychiatric Association unveils a proposed new version of its Diagnostic and Statistical Manual of Mental Disorders, the bible of psychiatric diagnoses, it expects controversy. Illnesses get added or deleted, acquire new definitions or lists of symptoms. Everyone from advocacy groups to insurance companies to litigators — all have an interest in what’s defined as mental illness — pays close attention. Invariably, complaints ensue.

“We asked for commentary,” said David Kupfer, the University of Pittsburgh psychiatrist who has spent six years as chairman of the task force that is updating the handbook. He sounded unruffled. “We asked for it and we got it. This was not going to be done in a dark room somewhere.”

But the D.S.M. 5, to be published in May, has generated an unusual amount of heat. Two changes, in particular, could have considerable impact on older people and their families.

First, the new volume revises some of the criteria for major depressive disorder. The D.S.M. IV (among other changes, the new manual swaps Roman numerals for Arabic ones) set out a list of symptoms that over a two-week period would trigger a diagnosis of major depression: either feelings of sadness or emptiness, or a loss of interest or pleasure in most daily activities, plus sleep disturbances, weight loss, fatigue, distraction or other problems, to the extent that they impair someone’s functioning.

Traditionally, depression has been underdiagnosed in older adults. When people’s health suffers and they lose friends and loved ones, the sentiment went, why wouldn’t they be depressed? A few decades back, Dr. Kupfer said, “what was striking to me was the lack of anyone getting a depression diagnosis, because that was ‘normal aging.’” We don’t find depression in old age normal any longer.

But critics of the D.S.M. 5 now argue that depression may become overdiagnosed, because this version removes the so-called “bereavement exclusion.” That was a paragraph that cautioned against diagnosing depression in someone for at least two months after loss of a loved one, unless that patient had severe symptoms like suicidal thoughts.

Without that exception, you could be diagnosed with this disorder if you are feeling empty, listless or distracted, a month after your parent or spouse dies.

“D.S.M. 5 is medicalizing the expected and probably necessary process of mourning that people go through,” said Allen Frances, a professor emeritus at Duke who chaired the D.S.M. IV task force and has denounced several of the changes in the new edition. “Most people get better with time and natural healing and resilience.”

If they are diagnosed with major depression before that can happen, he fears, they will be given antidepressants they may not need. “It gives the drug companies the right to peddle pills for grief,” he said.

An advisory committee to the Association for Death Education and Counseling also argued that bereaved people “will receive antidepressant medication because it is cheaper and ‘easier’ to medicate than to be involved therapeutically,” and noted that antidepressants, like all medications, have side effects.

“I can’t help but see this as a broad overreach by the APA,” Eric Widera, a geriatrician at the University of California, San Francisco, wrote on the GeriPal blog. “Grief is not a disorder and should be considered normal even if it is accompanied by some of the same symptoms seen in depression.”

But Dr. Kupfer said the panel worried that with the exclusion, too many cases of depression could be overlooked and go untreated. “If these things go on and get worse over time and begin to impair someone’s day to day function, we don’t want to use the excuse, ‘It’s bereavement — they’ll get over it,’” he said.

The new entry for major depressive disorder will include a note — the wording isn’t final — pointing out that while grief may be “understandable or appropriate” after a loss, professionals should also consider the possibility of a major depressive episode. Making that distinction, Dr. Kupfer said, will require “good solid clinical judgment.”

Initial field trials testing the reliability of D.S.M. 5 diagnoses, recently published in The American Journal of Psychiatry, don’t bolster confidence, however. An editorial remarked that “the end results are mixed, with both positive and disappointing findings.” Major depressive disorder, for instance, showed “questionable reliability.”

In an upcoming post, I’ll talk more about how patients might respond to the D.S.M. 5, and to a new diagnosis that might also affect a lot of older people — mild neurocognitive disorder.

Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”


This post has been revised to reflect the following correction:

Correction: January 24, 2013

An earlier version of this post misspelled the surname of a professor emeritus at Duke who chaired the D.S.M. IV task force. He is Allen Frances, not Francis.

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United to cut 600 front-office jobs









United Continental Holdings Inc. will cut about 600 front-office jobs through voluntary and involuntary cuts, the company said Thursday as it announced disappointing financial losses for 2012.

The world's largest airline did not detail where cutbacks will take place, but Chicago is likely to be most affected considering the corporate headquarters and network operations center are in downtown Chicago and that Chicago O'Hare airport is one of the airline's largest hubs.

The job cuts were announced Thursday morning during a conference call about the airline's profits. United officials said they were disappointed in the airline company's 2012 performance and pledged to improve in 2013, both in financial performance and the airline's operational reliability.

They said they intend to win back corporate customers who defected to other airlines last year when the airline experienced periods of poor on-time performance and high cancellations rates. The operational problems, which have abated since the fall, stemmed from numerous computer-related glitches after the airline merged United and Continental customer reservation systems onto a common platform last March.

United CEO Jeff Smisek called 2012 "the toughest year of our merger integration," but that the airline was "back on track."

"Despite our integration pains, we accomplished an enormous amount and we are now in a position to go forward as a single carrier and compete effectively on a global scale," he said. "Our operations are running smoothly. Our many product improvements are rolling out and our customer satisfaction scores are climbing."

Smisek also said the airline maintains its confidence in the Boeing 787 Dreamliner, which was grounded in the U.S. and elsewhere after numerous glitches, including a serious fire hazard with its lithium ion batteries.

He said he had confidence in the airplane and "Boeing's ability to fix the issues just as they have done on every other new aircraft model they've produced."

Smisek said he has no indication on when the Federal Aviation Administration will allow the planes to fly again, including Dreamliner on a route between Chicago and Houston. Boeing is also based in Chicago.

United, the only U.S. carrier currently operating 787 planes, has six Dreamliners. Smisek said the company expects to take delivery of two additional 787s in the second half of this year.

EARNINGS

United Continental said it lost $723 million in 2012, or $2.18 per share. Excluding special charges of $1.3 billion, mostly related to merging United and Continental, the company earned $589 million, or $1.59 per share, meeting Wall Street analyst expectations.

In the fourth quarter, United lost $620 million, or $1.87 per share, compared with a loss of $138 million, or 42 cents per share, in the same quarter a year earlier.

It took charges of $430 million in the quarter, with much of that tied to paying off pension debt and costs for systems integration and training and severance. Excluding items, United said the 2012 quarterly loss was 58 cents a share, compared with a 61 cent loss expected by analysts on average, according to Thomson Reuters I/B/E/S.

Revenue fell 2.5 percent to $8.7 billion.

Superstorm Sandy, which barreled through the U.S. Northeast in late October, reduced revenue by about $140 million and profit by about $85 million in the fourth quarter. The storm caused shutdowns at major New York area airports, including New Jersey's Newark Liberty International where United operates a major hub.

CUSTOMER SERVICE

Customer service will be a larger focus for the airline, Smisek said during the conference call.

That focus includes a comprehensive customer service training program for airport agents, contact center agents and flight attendants, he said. It will also roll out a program called "It's Our Job," a companywide approach to customer service "that clearly explains our customer service standards and expectation for front line coworkers," Smisek said.

It will also include an expanded recognition program to reward employees for outstanding service, collecting more customer-satisfaction data and roll out of a new set of tools for airport agents, he said.

JOB CUTS

As far as the job cuts, they will not affect unionized workers, such as pilots, flight attendants and airport ground workers, a spokeswoman said. The airline in December reduced the officer ranks by several positions, representing 7 percent of managers with titles of vice president and higher. It will reduce management and administrative staff by 6 percent through voluntary and involuntary cuts and not filling empty positions.

Those cuts will begin in early February, Smisek said in a letter to employees Thursday morning.

gkarp@tribune.com

 
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TSX near 18-month high, buoyed by Agrium, RIM






TORONTO (Reuters) – Canada’s main stock index hit a near 18-month high on Thursday, as shares of Agrium Inc rose after the fertilizer maker raised its profit forecast and as U.S. manufacturing and labor data drove optimism on the economic outlook of Canada’s largest trade partner.


Shares of Research In Motion Ltd also boosted the market, rising more than 3 percent after a report that China’s Lenovo Group said a bid for the BlackBerry maker was among the options available to boost its mobile business.






Canadian stocks were also supported by data that showed Chinese manufacturing growth hit a two-year high this month. Gains were kept in check by falling gold stocks, which slipped with the price of the precious metal.


In the United States, a private survey showed that factory activity advanced at the fastest pace in nearly two years this month, while the government reported the number of Americans filing new claims for jobless benefits hit a five-year low last week.


“There’s a growing feeling that we’re heading in the right direction. The U.S. economy is showing a little bit of life, and that’s spilling over into Canada,” said Fred Ketchen, director of equity trading at ScotiaMcLeod.


The Toronto Stock Exchange‘s S&P/TSX composite index <.gsptse> was up 41.36 points, or 0.32 percent, at 12,835.41, after touching 12,863.47, its highest since August 2, 2011.</.gsptse>


Seven of the 10 main sectors on the index were trading higher.


The materials sector, which includes mining stocks, slipped 0.1 percent as declines in gold stocks offset a rise in shares of fertilizer giants Agrium and Potash Corp .


Agrium rose 3.5 percent to C$ 114.55 after it raised its fourth-quarter earnings forecast as strong grain and oilseed prices spurred demand for its fertilizer products over the fall season.


Ketchen, noting the activity in Agrium shares over the past few days, said, “People are taking another look at it, thinking maybe it’s time to get back in.”


Potash was up 2.1 percent at C$ 42.77.


The energy sector gained 0.6 percent and was the biggest contributor to the market’s gains as U.S. crude oil prices rose.


Canadian Natural Resources Ltd rose 1.5 percent to C$ 30.62.


Financials, the index’s weightiest sector, added 0.4 percent. Toronto Dominion Bank


was up 0.4 percent at C$ 83.51, and the Royal Bank of Canada rose 0.3 percent to C$ 61.62.


(Editing by Jeffrey Hodgson and Leslie Adler)


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Pentagon chief to remove military ban on women in combat

Former Navy SEAL Dick Couch comments on U.S. Defense Secretary Leon Panetta's decision to lift the military's ban on women serving in combat.









WASHINGTON—





The U.S. military will formally end its ban on women serving in front-line combat roles, officials said on Wednesday, in a move that could open thousands of fighting jobs to female service members.

The move knocks down another societal barrier, after the Pentagon scrapped its “Don't Ask, Don't Tell” ban in 2011 on gays and lesbians serving openly in the military.






The decision by outgoing Defense Secretary Leon Panetta is expected to be formally announced on Thursday and comes after 11 years of non-stop war that has seen dozens of women killed in Iraq and Afghanistan.

They have represented around 2 percent of the casualties of those unpopular, costly wars, and some 12 percent of those deployed for the war effort, in which there were often no clearly defined front lines, and where deadly guerrilla tactics have included roadside bombs that kill and maim indiscriminately.

“This is an historic step for equality and for recognizing the role women have, and will continue to play, in the defense of our nation,” said Democratic Senator Patty Murray from Washington, the outgoing head of the Senate Veterans Affairs Committee.

The move was also welcomed by Democratic Senator Carl Levin of Michigan, the head of the Senate Armed Services Committee, who said it reflected the “reality of 21st century military operations.” In addition, the American Civil Liberties Union, which filed a suit in November seeking to force the Pentagon to end the ban, applauded the move.

The decision overturns a 1994 policy that prevents women from serving in small front-line combat units.

‘HISTORIC MOMENT'

Following the expected announcement on Thursday, the military services will have until May 15 to submit a plan for implementing the decision. That plan, which has to be approved by the defense secretary and notified to Congress, will guide how quickly the new combat jobs open up and whether the services will seek an exemption to keep some closed.

The policy would be implemented by 2016.

Anu Bhagwati, a former Marine captain and head of the Service Women's Action Network, said her decision to leave the Marine Corps in 2004 owed partly to the combat exclusion policy.

“I know countless women whose careers have been stunted by combat exclusion in all the branches,” said Bhagwati, who called the decision an “historic moment.”

“I didn't' expect it to come so soon,” she said.

For Panetta, the decision adds to his legacy as a secretary who oversaw the end of “Don't Ask, Don't Tell” and now started the process to end discrimination against women. Otherwise, his tenure has been dominated by budget wrangling, the end of the Iraq war and the troop reduction in Afghanistan.

President Barack Obama has nominated former Republican Senator Chuck Hagel as Panetta's successor.

The decision comes nearly a year after the Pentagon unveiled a policy that opened 14,000 new jobs to women but still prohibited them from serving in infantry, armor and special operations units whose main function was to engage in front-line combat.

Asked last year why women who had served in Iraq and Afghanistan conducting security details and house-to-house searches were still being formally barred from combat positions, Pentagon officials said the services wanted to see how they performed in the new positions before opening up further.

Nearly 300,000 women have been deployed in the U.S forces in the Iraq and Afghanistan wars over the past 11 years, or about 12 percent of the total. Women have counted some 84 hostile casualties in those wars.

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Obama inauguration TV viewership down by 17.2 million from 2009






LOS ANGELES (Reuters) – Some 20.6 million Americans watched President Barack Obama’s inauguration ceremony and related events on television, according to ratings data on Wednesday. That’s down sharply from his first inauguration in 2009.


TV ratings company Nielsen said 18 U.S. television networks and cable channels carried live coverage over about six hours of Monday’s swearing-in ceremony, speech and parade in Washington.






Monday’s TV audience was a drop of 17.2 million from 2009, when 37.8 million Americans – the highest number since Ronald Reagan’s 1981 inauguration – watched Obama formally take office as the first black president in U.S. history.


The Nielsen figures did not measure viewers who watched Monday’s daylong ceremonies online via live streaming on many TV channels, nor overseas audiences.


Second-term inaugurations of U.S. presidents have traditionally drawn smaller numbers of viewers than those for first terms.


Reagan’s 1981 inauguration drew the biggest television audience of the past 44 years, attracting some 41.8 million U.S. viewers, according to Nielsen.


(Reporting By Jill Serjeant; Editing by Bill Trott)


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Well: Long Term Effects on Life Expectancy From Smoking

It is often said that smoking takes years off your life, and now a new study shows just how many: Longtime smokers can expect to lose about 10 years of life expectancy.

But amid those grim findings was some good news for former smokers. Those who quit before they turn 35 can gain most if not all of that decade back, and even those who wait until middle age to kick the habit can add about five years back to their life expectancies.

“There’s the old saw that everyone knows smoking is bad for you,” said Dr. Tim McAfee of the Centers for Disease Control and Prevention. “But this paints a much more dramatic picture of the horror of smoking. These are real people that are getting 10 years of life expectancy hacked off — and that’s just on average.”

The findings were part of research, published on Wednesday in The New England Journal of Medicine, that looked at government data on more than 200,000 Americans who were followed starting in 1997. Similar studies that were done in the 1980s and the decades prior had allowed scientists to predict the impact of smoking on mortality. But since then many population trends have changed, and it was unclear whether smokers today fared differently from smokers decades ago.

Since the 1960s, the prevalence of smoking over all has declined, falling from about 40 percent to 20 percent. Today more than half of people that ever smoked have quit, allowing researchers to compare the effects of stopping at various ages.

Modern cigarettes contain less tar and medical advances have cut the rates of death from vascular disease drastically. But have smokers benefited from these advances?

Women in the 1960s, ’70s and ’80s had lower rates of mortality from smoking than men. But it was largely unknown whether this was a biological difference or merely a matter of different habits: earlier generations of women smoked fewer cigarettes and tended to take up smoking at a later age than men.

Now that smoking habits among women today are similar to those of men, would mortality rates be the same as well?

“There was a big gap in our knowledge,” said Dr. McAfee, an author of the study and the director of the C.D.C.’s Office on Smoking and Public Health.

The new research showed that in fact women are no more protected from the consequences of smoking than men. The female smokers in the study represented the first generation of American women that generally began smoking early in life and continued the habit for decades, and the impact on life span was clear. The risk of death from smoking for these women was 50 percent higher than the risk reported for women in similar studies carried out in the 1980s.

“This sort of puts the nail in the coffin around the idea that women might somehow be different or that they suffer fewer effects of smoking,” Dr. McAfee said.

It also showed that differences between smokers and the population in general are becoming more and more stark. Over the last 20 years, advances in medicine and public health have improved life expectancy for the general public, but smokers have not benefited in the same way.

“If anything, this is accentuating the difference between being a smoker and a nonsmoker,” Dr. McAfee said.

The researchers had information about the participants’ smoking histories and other details about their health and backgrounds, including diet, alcohol consumption, education levels and weight and body fat. Using records from the National Death Index, they calculated their mortality rates over time.

People who had smoked fewer than 100 cigarettes in their lifetimes were not classified as smokers. Those who had smoked at least 100 cigarettes but had not had one within five years of the time the data was collected were classified as former smokers.

Not surprisingly, the study showed that the earlier a person quit smoking, the greater the impact. People who quit between 25 and 34 years of age gained about 10 years of life compared to those who continued to smoke. But there were benefits at many ages. People who quit between 35 and 44 gained about nine years, and those who stopped between 45 and 59 gained about four to six years of life expectancy.

From a public health perspective, those numbers are striking, particularly when juxtaposed with preventive measures like blood pressure screenings, colorectal screenings and mammography, the effects of which on life expectancy are more often viewed in terms of days or months, Dr. McAfee said.

“These things are very important, but the size of the benefit pales in comparison to what you can get from stopping smoking,” he said. “The notion that you could add 10 years to your life by something as straightforward as quitting smoking is just mind boggling.”

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Chicago hotel occupancy climbs back









Visitors filled downtown hotel rooms in 2012 at a rate not seen since before the recession.

Hotel occupancy rose to 75.2 percent, up from 72.2 percent in 2011, according to an announcement by Choose Chicago, the city's tourism and convention agency, and Mayor Rahm Emanuel. The 2012 level matched a previous record set in 2007.

Hotel operators also saw increases in two other key measures, though those remain slightly below their peaks. The average daily room rate rose to $187.27, from $177.33 in 2011. And the revenue per available room, a key indicator of profitability, increased by 10 percent to $140.76.

The data comes from STR Global, with analysis by Choose Chicago.

Among the factors affecting performance, officials said, was a more aggressive marketing strategy. They cited Choose Chicago's regional advertising campaigns. An eight-week winter and 12-week summer campaign, at a combined cost of $2 million, targeted Cincinnati, Detroit, Grand Rapids, Indianapolis, Milwaukee and St. Louis.

The improved performance, along with a hike in the city's hotel tax rate, brought the city's hotel tax revenue to more than $100 million for the first time. This was an increase of $25 million, or 33 percent, from 2011.
 
The city share of the hotel tax increased by 1 percentage point last year, bringing the total Chicago hotel tax rate to 16.39 percent. The city's share of that is 4.5 percentage points.

 kbergen@tribune.com | Twitter@kathy_bergen



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Three reasons to root for RIM






I have expressed skepticism that RIM (RIMM) will really be able to pull off an epic comeback and reestablish BlackBerry as a legitimate contender with the iPhone and the barrage of Android smartphones that get released every year. But that doesn’t mean I don’t want it to happen. Quite the contrary, I’m hoping that RIM proves all us nasty skeptics wrong, defies the odds and produces a big hit with the BlackBerry Z10 that’s set to be released over the next couple of months.


[More from BGR: As data gets cheaper for Verizon to transmit, customers are paying more]






So why am I rooting for RIM even if I’m dubious of its prospects for success? Three specific reasons come to mind.


[More from BGR: Success with BlackBerry ‘diehards’ isn’t the key to BlackBerry 10′s future]


First, I think the mobile market will benefit from having a third option besides iOS and Android, and it doesn’t look as though Microsoft (MSFT) is up to the task just yet. Sure, Windows Phone devices have started to make some progress in Europe, but in North America the platform’s market share has remained largely flat despite the large piles of money Microsoft is spending to promote it. This gives RIM an opportunity to elbow itself into the discussion in the United States and Canada as a legitimate contender for consumers who have moved on to iOS or Android but who still miss their BlackBerry phones of old.


Second, I think CEO Thorsten Heins has some interesting and ambitious ideas for where he’d like to take the company in the future. Sure, there are times when I can’t tell whether he really has a plan to boldly remake BlackBerry or is just insane, but when I hear him talk about integrating BlackBerry 10 into cars, I am intrigued. Heins is also easy to root for when you consider how well he’s played the thoroughly lousy hand he was dealt when he took over as RIM CEO last year — the fact that he’s generated significant support from both carriers and app developers at a time when it looked like the company could collapse at any moment has been impressive.


And finally, I’ve come to really love RIM’s crazy fans over the past year, even if they don’t like me all that much. Every time I’ve written a post critical of RIM or BlackBerry, they were there to immediately pounce on me, declare me a hopeless “iSheep” and tell me how stupid I’ll feel when RIM emerges triumphant and stomps all over the iPhone and Android. I’m not sure such dedication to a product is emotionally healthy, but it is something I have to respect and I hope that BlackBerry 10 will, at the very least, make RIM’s loyal and long-suffering fans happy.


So now’s the time, RIM. Next week will be your chance to make me look like a fool for ever doubting the power of BlackBerry 10. And for all the reasons I listed above, I hope you take it.


This article was originally published on BGR.com


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“Zero Dark Thirty” heads to Europe: will torture controversy follow?






LOS ANGELES (TheWrap.com) – Best Picture Oscar nominee “Zero Dark Thirty” rolls out in several Western European countries starting Wednesday, absent – at least for now – the firestorm of criticism that has accompanied its U.S. release.


The movie has been a lightning rod for detractors in the U.S. over its perceived endorsement of torture, an allegation that director Kathryn Bigelow and Sony executives have repeatedly denied.






“Overall, I believe Europeans are far less ambiguous than Americans when it comes to the use of torture,” Bruce Nash of box-office tracking service TheNumbers told TheWrap.


“To the extent that the film is perceived as pro-torture — whether it is or not, and I don’t believe it is — if that somehow became how the film is defined, that would hurt it at the box office,” Nash said. “But I don’t think that’s the case.”


Bigelow, screenwriter Marc Boal and several others involved with the picture have been in Europe for the past two weeks to promote the film. Boal told the New York Times that interviewers in France seemed to regard the torture issue as belonging to the Americans, and in fact appreciated the film’s head-on approach.


Indeed, the film begins its foreign run with a lot of momentum. The dark thriller about the hunt for Osama bin Laden was No. 1 in its first week of wide release on January 11 and has finished a strong second for the past two weeks.


Of course, the publicity surrounding the torture issue hasn’t hurt it at the box office in the U.S. The domestic haul for “Zero Dark Thirty” to this point is nearly $ 57 million, ahead of pre-release projections and likely heading for $ 100 million.


The film’s five Oscar nominations and the critical acclaim it has received have helped, too, but even Sony has acknowledged the flood of news stories raised the film’s profile.


Universal will be handling the film’s release in most countries in Western Europe, after buying rights to those territories from Megan Ellison’s Annapurna Pictures, which financed it and cut distribution deals territory by territory.


It will open in France and Switzerland on Wednesday and in the U.K and Finland on Friday. Its debut in Germany will be on January 31, and Austria, Sweden, Denmark, Italy, Norway and South Africa will follow in February. Regional distributors will handle the film’s February releases in Russia and Latin America, and the Annapurna is still considering a China run.


“Zero Dark Thirty” is one of three Best Picture Oscar nominees that is currently hitting overseas theaters with a distributor different than the one that handled its U.S.release.


Sony, which along with the Weinstein Company co-financed “Django Unchained,” is overseeing the foreign release of Quentin Tarantino’s slave saga. It opened last weekend and took in $ 48 million from 54 overseas markets.


DreamWorks’ “Lincoln,” distributed by Disney in North America, debuted in Spain and Mexico this past weekend via Fox.


With an explanatory preamble approved by director Steven Spielberg added, “Lincoln” opened to $ 2.3 million on 344 screens in Spain and to $ 729,000 on 259 screens in Mexico. “Lincoln” goes much wider next weekend, when it opens in 19 markets including Brazil, Germany, Italy, Russia and the U.K..


As for the torture controversy that accompanied “Zero Dark Thirty’s” U.S. release, it doesn’t seem to have caused the slightest ripple.


Indeed, the fact that torture has been used in the war against terror has been seen as a reality in Europe for some time.


In December, Europe’s highest court, the Grand Chamber of the European Court of Human Rights, concluded that techniques used routinely by the Bush-era CIA in connection with its extraordinary-renditions program constituted torture.


If torture does not become an issue, The Numbers’ Nash said it should do solid business. He pointed out that other U.S. films about the war on terror have done pretty well overseas. In 2006, “United 93″ made $ 31 million domestically and nearly $ 45 million overseas. Oliver Stone’s “World Trade Center” did $ 70 million in the U.S. and went to make $ 92 million abroad that same year.


Bigelow’s last movie, “The Hurt Locker,’” was about a U.S. bomb squad in the Iraq war, and it nearly doubled its $ 17 million domestic take, with $ 32 million from abroad in 2009. The bulk of that foreign run came after its surprise victory over “Avatar” for the Best Picture Oscar, however.


This weekend’s U.K. and France debuts will be telling, but Universal quietly opened “Zero Dark Thirty” on just 250 screens in Spain on January 4. With a minimum of criticism, politicians’ ire or public furor, the movie has taken in nearly $ 4 million over three weekends.


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Medicaid Patients Could Face Higher Fees Under a Proposed Federal Policy





WASHINGTON — Millions of low-income people could be required to pay more for health care under a proposed federal policy that would give states more freedom to impose co-payments and other charges on Medicaid patients.




Hoping to persuade states to expand Medicaid, the Obama administration said state Medicaid officials could charge higher co-payments and premiums for doctors’ services, prescription drugs and certain types of hospital care, including the “nonemergency use” of emergency rooms. State officials have long asked for more leeway to impose such charges.


The 2010 health care law extended Medicaid to many childless adults and others who were previously ineligible. The Supreme Court said the expansion of Medicaid was an option for states, not a requirement as Congress had intended. The administration has been trying to persuade states to take the option, emphasizing that they can reconfigure Medicaid to hold down their costs and “promote the most effective use of services.”


In the proposed rule published Tuesday in the Federal Register, the administration said it was simplifying a complex, confusing array of standards that limit states’ ability to charge Medicaid beneficiaries. Under the proposal, a family of three with annual income of $30,000 could be required to pay $1,500 in premiums and co-payments.


As if to emphasize the latitude given to states, the administration used this heading for part of the new rule: “Higher Cost Sharing Permitted for Individuals With Incomes Above 100 Percent of the Federal Poverty Level” (that is, $19,090 for a family of three).


Barbara K. Tomar, director of federal affairs at the American College of Emergency Physicians, said the administration had not adequately defined the “nonemergency services” for which low-income people could be required to pay. In many cases, she said, patients legitimately believe they need emergency care, but the final diagnosis does not bear that out.


“This is just a way to reduce payments to physicians and hospitals” from the government, Ms. Tomar said.


With patients paying more, the federal government and states would pay less than they otherwise would. Medicaid covers 60 million people, and at least 11 million more are expected to qualify under the 2010 law. The federal government pays more than half of Medicaid costs and will pay a much larger share for those who become eligible under the law.


In the proposed rule, the administration said it had discovered several potential problems in its efforts to carry out the law.


First, it said, it has not found a reliable, comprehensive and up-to-date source of information about whether people have employer-sponsored health insurance. The government needs such information to decide whether low- and middle-income people can obtain federal subsidies for private insurance.


The subsidies can be used to buy coverage in competitive marketplaces known as insurance exchanges. Under the law, people can start enrolling in October for coverage that starts in January 2014, when most Americans will be required to have health insurance. People who have access to affordable coverage from employers will generally be ineligible for subsidies.


In applying for subsidies, people must report any employer-sponsored insurance they have. But the administration said it could be difficult to verify this information because the main sources of data reflect only “whether an individual is employed and with which employer, and not whether the employer provides health insurance.”


Since passage of the health care law, the administration has often said that people seeking insurance would use a single streamlined application for Medicaid and the subsidies for private coverage. Moreover, the state Medicaid agency and the exchange are supposed to share data and issue a “combined eligibility notice” for all types of assistance.


But the administration said this requirement would be delayed to Jan. 1, 2015, because more time was needed to establish electronic links between Medicaid and the exchanges.


Leonardo D. Cuello, who represents Medicaid beneficiaries as a lawyer at the National Health Law Program, expressed concern.


“Under the proposed rule,” Mr. Cuello said, “many people will be funneled into health insurance exchanges even though they have special needs that are better met in Medicaid. And if you asked the right questions, you would find out that they are eligible for Medicaid.”


The federal government will have the primary responsibility for running exchanges in more than half the states. About 20 states are expected to expand Medicaid; governors in other states are opposed or uncommitted.


The proposed rule allows hospitals to decide, “on the basis of preliminary information,” whether a person is eligible for Medicaid. States must provide immediate temporary coverage to people who appear eligible.


Kenneth E. Raske, president of the Greater New York Hospital Association, said this could be a boon to low-income people. “Currently,” he said, “only children and pregnant women are presumed eligible for inpatient admissions under Medicaid in New York.”


The public has until Feb. 13 to comment on the proposed rule. Comments can be submitted at www.regulations.gov.


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Area home sales up 19% in December









More than 7,000 consumers in the Chicago-area bought themselves a home last month, the best finish for the year since December 2006, just before the local housing market's bubble burst.

December sales of existing homes in the nine-county area rose 19.2 percent from a year ago, to 7,372 single-family homes and condominiums sold, the Illinois Association of Realtors reported Tuesday. The median price of $151,500 recorded for the month rose 4.5 percent, from $145,000 in December 2011.

In terms of volume, it was the best monthly performance for the market since December 2006, when 7,530 homes were sold. Twelve months later, in December 2007, the number of homes sold locally had plunged to 5,033.

While it showed improvement, last month's $151,500 median price was far below the December 2007 market high of $247,800.

Pricing recovery was even more evident within the city of Chicago, which recorded a 14.6 percent year-over-year increase in sales, to 1,806 properties sold at a median price of $185,000, up 19.4 percent from December 2011's $155,000.

The pricing improvement is largely a result of the continued shrinking inventory of quality homes on the market, which for months has meant homes are going under contract faster than they have in the past. Sellers of choice properties, whether they are in the traditional market or foreclosures, are fielding multiple offers from potential buyers.

"The 18.9 percent decrease in market time from the same time in 2011 shows a continued clearing of inventory, of both single-family homes and condominiums, which should prompt action among buyers and sellers and continue to promote home price stabilization," said Zeke Morris, president of the Chicago Association of Realtors.

Sales of Chicago condos swelled to 1,037 units sold, up 17.7 percent from a year ago, and the median sales price of $235,000 for a unit was up 28.8 percent from last year.

The median price is the point at which half the homes are sold for more and half for less.

"I believe we're going to have the most promising spring market we've had in years," said Zeke Morris, president of the Chicago Association of Realtors. "We can give (sellers) a slightly more confident expectation."

The pricing improvement is largely a result of the slim pickings of properties listed for sale, which for months has meant homes are going under contract faster than they have in the past.

Compared to a year ago, inventory has plunged. For instance, in Chicago, there were 14,183 homes for sale in December 2011. Last month, there were 8,036 listed properties, or 43.3 percent less. As a result, the average number of days it took to sell a Chicago home fell almost 19 percent year-over-year, to 77 days last month.

Sellers of choice properties, whether they are in the traditional market or foreclosures, are fielding multiple offers from potential buyers, both owner-occupants and investors.

"We have a lot of pending deals out there," said Mabel Guzman, an @properties real estate agent. "Sellers are holding onto their price, knowing they're the only thing in the market. People are going to get frustrated if there isn't enough product to buy."

For the year, 90,365 homes were sold in the Chicago area, a 26.7 percent increase from 2011, while the median price slipped 1.5 percent, to $160,000. In the city, the annualized median price rose 5.7 percent, to $185,000, for the 22,333 homes sold, a gain of 22.4 percent in sales volume.

According to the Federal Home Loan Mortgage Corp., the average commitment rate for a 30-year, fixed-rate mortgage in the Chicago area was 3.32 percent in December, compared with 3.33 percent in November and 3.94 percent in December 2011.

mepodmolik@tribune.com | Twitter @mepodmolik

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Is Facebook envy making you miserable?






LONDON (Reuters) – Witnessing friends’ vacations, love lives and work successes on Facebook can cause envy and trigger feelings of misery and loneliness, according to German researchers.


A study conducted jointly by two German universities found rampant envy on Facebook, the world’s largest social network that now has over one billion users and has produced an unprecedented platform for social comparison.






The researchers found that one in three people felt worse after visiting the site and more dissatisfied with their lives, while people who browsed without contributing were affected the most.


“We were surprised by how many people have a negative experience from Facebook with envy leaving them feeling lonely, frustrated or angry,” researcher Hanna Krasnova from the Institute of Information Systems at Berlin’s Humboldt University told Reuters.


“From our observations some of these people will then leave Facebook or at least reduce their use of the site,” said Krasnova, adding to speculation that Facebook could be reaching saturation point in some markets.


Researchers from Humboldt University and from Darmstadt’s Technical University found vacation photos were the biggest cause of resentment with more than half of envy incidents triggered by holiday snaps on Facebook.


Social interaction was the second most common cause of envy as users could compare how many birthday greetings they received to those of their Facebook friends and how many “likes” or comments were made on photos and postings.


“Passive following triggers invidious emotions, with users mainly envying happiness of others, the way others spend their vacations and socialize,” the researchers said in the report “Envy on Facebook: A Hidden Threat to Users’ Life Satisfaction?” released on Tuesday.


“The spread and ubiquitous presence of envy on Social Networking Sites is shown to undermine users’ life satisfaction.”


They found people aged in their mid-30s were most likely to envy family happiness while women were more likely to envy physical attractiveness.


These feelings of envy were found to prompt some users to boast more about their achievements on the site run by Facebook Inc. to portray themselves in a better light.


Men were shown to post more self-promotional content on Facebook to let people know about their accomplishments while women stressed their good looks and social lives.


The researchers based their findings on two studies involving 600 people with the results to be presented at a conference on information systems in Germany in February.


The first study looked at the scale, scope and nature of envy incidents triggered by Facebook and the second at how envy was linked to passive use of Facebook and life satisfaction.


The researchers said the respondents in both studies were German but they expected the findings to hold internationally as envy is a universal feeling and possibly impact Facebook usage.


“From a provider’s perspective, our findings signal that users frequently perceive Facebook as a stressful environment, which may, in the long-run, endanger platform sustainability,” the researchers concluded.


(Reporting by Belinda Goldsmith, editing by Paul Casciato)


Internet News Headlines – Yahoo! News





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Obama lays out 2nd-term agenda

Watch a one-minute time-lapse of the entire presidential inauguration on Jan. 21, 2013, from the pre-dawn set-up to the end of the event. (Alex Garcia/Chicago Tribune)









A confident President Barack Obama kicked off his second term on Monday with an impassioned call for a more inclusive America that rejects partisan rancor and embraces immigration reform, gay rights and the fight against climate change.

Obama's ceremonial swearing-in at the U.S. Capitol was filled with traditional pomp and pageantry, but it was a scaled-back inauguration compared to the historic start of his presidency in 2009 when he swept into office on a mantle of hope and change as America's first black president.






Despite expectations tempered by lingering economic weakness and a politically divided Washington, Obama delivered a preview of the priorities he intends to pursue - essentially a reaffirmation of core liberal Democratic causes - declaring Americans “are made for this moment” and must “seize it together.”

His hair visibly gray after four years in office, Obama called for an end to the partisanship that marked much of his first term in the White House in bitter fights over the economy with Republicans.

“We cannot mistake absolutism for principle, or substitute spectacle for politics, or treat name-calling as reasoned debate,” Obama said from atop the Capitol steps overlooking the National Mall.

Looking out on a sea of flags, Obama addressed a crowd of hundreds of thousands of people, considerably smaller than the record 1.8 million who assembled on the mall four years ago.

Speaking in more specific terms than is customary in an inaugural address, he promised “hard choices” to reduce the federal deficit without shredding the social safety net and called for a revamping of the tax code and a remaking of government.

The Democrat arrived at his second inauguration on solid footing, with his poll numbers up, Republicans on the defensive and his first-term record boasting accomplishments such as a U.S. healthcare overhaul, financial regulatory reforms, the end of the war in Iraq and the killing of Osama bin Laden.

But fights are looming over budgets, gun control and immigration. Obama, however, has sounded more emboldened because he never again needs to run for election.

SECOND TIME TAKING OATH

When Obama raised his right hand and was sworn in by Chief Justice John Roberts, it was his second time taking the oath in 24 hours - but this time with tens of millions of people watching on television. As he spoke, the president beamed as chants of “Obama, Obama!” rang out from the crowd.

Obama had a formal swearing-in on Sunday at the White House because of a constitutional requirement that the president take the oath on Jan. 20. Rather than stage the full inauguration on a Sunday, the main public events were put off until Monday.

It was another political milestone for Obama, the Hawaiian-born son of a black father from Kenya and a white mother from Kansas.

During a triumphant parade down Pennsylvania Avenue to the White House, the president and first lady Michelle Obama thrilled wildly cheering onlookers by twice getting out of their armored limousine and walking part of the way on foot, as they had done four years ago. Secret Service agents kept close watch.

In a speech of under 20 minutes, Obama, 51, sought to reassure Americans at the mid-point of his presidency and encourage them to help him take care of unfinished business. “Preserving our individual freedoms ultimately requires collective action,” he said.

The crowds on the National Mall were enthusiastic but the euphoria of 2009 was gone.

“Four years ago it was the first black president,” said local resident Greg Pearson, 42. “It doesn't have the same energy. It's more subdued. It's not quite the party it was four years ago. Our expectations are pretty low (this time): let's not default on the national debt, keep the government running.”

Touching on volatile issues, Obama ticked off a series of liberal policies he plans to push in this second term.

Most surprising was a relatively long reference to the need to address climate change, which he was unable to do in his first four years.

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