‘Argo,’ ‘Silver Linings Playbook’ win at Critics Choice

(Reuters) – Ben Affleck’s Iran hostage drama “Argo,” “Lincoln” star Daniel Day-Lewis and “Zero Dark Thirty”‘s Jessica Chastain were among big winners at the Critics Choice Movie Awards on Thursday, taking honors for best picture, actor and actress, with Affleck nabbing the prize for best director.

The all-star “Silver Linings Playbook” swept the comedy awards, winning best comedy film, best comedy actor for Bradley Cooper and best comedy actress, which went to Jennifer Lawrence.

The 250-member Broadcast Film Critics Association, the largest film critics organization in the United States and Canada, also gave the film its best acting ensemble prize at the event in Santa Monica, California.

Affleck, known mostly as actor and who was overlooked for directing “Argo” earlier on Thursday when the Academy Award nominations were announced, began his acceptance with the quip: “I would like to thank the academy,” before adding “I’m kidding. This is the one that counts.”

Day-Lewis won for his acclaimed performance in the title role of Steven Spielberg’s historical drama “Lincoln,” while Chastain took the prize for “Zero Dark Thirty,” about the hunt for Osama Bin Laden.

It was one of only two awards for “Lincoln,” which led the Oscar nominations with 12. The Oscar runner-up, “Life of Pi,” won only two technical awards.

Lawrence took home two awards, also winning best actress in an action movie for “The Hunger Games.”

“Critics aren’t so bad,” she said as she accepted the award, later riffing on the line when she won her second award, for “Silver Linings Playbook,” saying “Seriously, I love critics.”

Many stars who were nominated just hours earlier for Oscars, Hollywood’s top honors, were on hand, including “Les Miserables” star Hugh Jackman, Robert De Niro and Anne Hathaway, who won the award for best supporting actress for “Les Miserables.”

Best supporting actor went to Philip Seymour Hoffman for “The Master.”

Director David O. Russell dedicated the “Silver Linings” award to his son, saying “I made it to give him hope,” adding, “That’s my silver lining.”

European director Michael Haneke’s drama “Amour,” about an aging couple struggling with failing health and mortality and which scored several major Oscar nominations on Thursday, won the award for best foreign language film.

The prize for best sci-fi/horror film went to “Looper,” while “Searching for Sugarman” won best documentary.

The screenwriting awards were won by Quentin Tarantino for his original screenplay for “Django Unchained” and Tony Kushner who adapted the screenplay for “Lincoln.”

British singer Adele’s song “Skyfall” from the James Bond film of the same name won best song, and star Daniel Craig was named best actor in a action film. The film also won best action movie.

Nine-year old Quvenzhane Wallis, star of “Beasts of the Southern Wild” who became the youngest best actress Oscar nominee in history on Thursday, was named best young actor or actress. She accepted her award clutching a pink-cased electronic device, from which she read her speech as she grinned broadly.

The awards were handed out ahead of Sunday’s Golden Globes and a slew of other award shows that narrow the field for the Oscars, which will be held on February 24.

Writer-producer-director Judd Apatow received a special “genius” award created to honor “an unprecedented demonstration of excellence in the cinematic arts.”

(Reporting by Chris Michaud; Editing by Eric Walsh)

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The New Old Age Blog: Taking a Zen Approach to Caregiving

You try to help your elderly father. Irritated and defensive, he snaps at you instead of going along with your suggestion. And you think “this is so unfair” and feel a rising tide of anger.

How to handle situations like this, which arise often and create so much angst for caregivers?

Jennifer Block finds the answer in what she calls “contemplative caregiving” — the application of Buddhist principles to caregiving and the subject of a year-long course that starts at the San Francisco Zen Center in a few weeks.

This approach aims to cultivate compassion, both for older people and the people they depend on, said Ms. Block, 49, a Buddhist chaplain and the course’s lead instructor. She’s also the former director of education at the Zen Hospice project in San Francisco and founder of the Beyond Measure School for Contemplative Care, which is helping develop a new, Zen-inspired senior living community in the area.

I caught up with Ms. Block recently, and what follows is an edited transcript of our conversation.

Let’s start with your experience. Have you been a caregiver?

My experience in caregiving is as a professional providing spiritual care to individuals and families when they are facing and coping with aging and sickness and loss and dying, particularly in hospital and hospice settings.

What kinds of challenges have you witnessed?

People are for the most part unprepared for caregiving. They’re either untrained or unable to trust their own instincts. They lack confidence as well as knowledge. By confidence, I mean understanding and accepting that we don’t know all the answers – what to do, how to fix things.

This past weekend, I was on the phone with a woman who’d brought her mom to live near her in assisted living. The mom had been to the hospital the day before. My conversation with the daughter was about helping her see the truth that her mother needed more care and that was going to change the daughter’s responsibilities and her life. And also, her mother was frail, elderly, and coming nearer to death.

That’s hard, isn’t it?

Yes, because we live in a death-denying society. Also, we live in a fast-paced, demanding world that says don’t sit still — do something. But people receiving care often need most of all for us to spend time with them. When we do that, their mortality and our grief and our helplessness becomes closer to us and more apparent.

How can contemplative caregiving help?

We teach people to cultivate a relationship with aging, sickness and dying. To turn toward it rather than turning away, and to pay close attention. Most people don’t want to do this.

A person needs training to face what is difficult in oneself and in others. There are spiritual muscles we need to develop, just like we develop physical muscles in a gym. Also, the mind needs to be trained to be responsive instead of reactive.

What does that mean?

Here’s an example. Let’s say you’re trying to help your mother, and she says something off-putting to you like “you’ve always been terrible at keeping house. It’s no wonder you lost my pajamas.”

The first thing is to notice your experience. To become aware of that feeling, almost like being slapped emotionally. To notice your chest tightening.

Then I tell people to take a deep breath. And say something to themselves like “soften” to address that tightness. That’s how you can stay facing something uncomfortable rather than turning away.

If I were in this position, I might say something to myself like “hello unhappiness” or “hello suffering” or “hello aging” to tether myself.

The second step would be curiosity about that experience. Like, wow, where do I feel that anger that rose up in me, or that fear? Oh, it’s in my chest. I’m going to feel that, stay with it, investigate it.

Why is that important?

Because as we investigate something we come to understand it. And, paradoxically, when we pay attention to pain it changes. It softens. It moves. It lessens. It deepens. And we get to know it and learn not to be afraid of it or change it or fix it but just come alongside of it.

Over hours, days, months, years, the mind and heart come to know pain. And the response to pain is compassion — the wish for the alleviation of pain.

Let’s go back to what mother said about your housekeeping and the pajamas. Maybe you leave the room for five minutes so you can pay attention to your reaction and remember your training. Then, you can go back in and have a response rather than a reaction. Maybe something like “Mom, I think you’re right. I may not be the world’s best housekeeper. I’m sorry I lost your pajamas. It seems like you’re having a pretty strong response to that, and I’d like to know why it matters so much to you. What’s happening with you today?”

Are other skills important?

Another skill is to become aware of how much we receive as well as give in caregiving. Caregiving can be really gratifying. It’s an expression of our values and identity: the way we want the world to be. So, I try to teach people how this role benefits them. Such as learning what it’s like to be old. Or having a close, intimate relationship with an older parent for the first time in decades. It isn’t necessarily pleasant or easy. But the alternative is missing someone’s final chapter, and that can be a real loss.

What will you do in your course?

We’ll teach the principles of contemplative care and discuss them. We’ll have homework, such as ‘Bring me three examples of someone you were caring for who was caring toward you in return.’ That’s one way of practicing attention. And people will train in meditation.

We’ll also explore our own relationship to aging, sickness, dying and loss. We’ll tell our stories: this is the situation I was in, this is where I felt myself shut down, this was the edge of my comfort or knowledge. And we’ll teach principles from Buddhism. Equanimity. Compassion. Deep inner connectedness.

What can people do on their own?

Mindfulness training is offered in almost every city. That’s one of the core components of this approach.

I think every caregiver needs to have their own caregiver — a therapist or a colleague or a friend, someone who is there for them and with whom they can unburden themselves. I think of caregiving as drawing water from a well. We need to make sure that we have whatever nurtures us, whatever supplies that well. And often, that’s connecting with others.

Are other groups doing this kind of work?

In New York City, the New York Zen Center for Contemplative Care educates the public and professionals about contemplative care. And in New Mexico, the Upaya Zen Center does similar work, much of it centered around death and dying.

People who want to read about this might want to look at a new book of essays, “The Arts of Contemplative Care: Pioneering Voices in Buddhist Chaplaincy and Pastoral Work” (Wisdom Publications, 2012).

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F.A.A. to Begin a Review of Boeing 787s

Federal authorities said Friday they would order a review of electrical systems in Boeing’s new 787 Dreamliner following a spate of incidents, including a battery fire earlier this week in Boston, 15 months after the technologically advanced aircraft came into service.

The Federal Aviation Administration said it would examine critical systems on the Boeing 787, including the design, manufacture and assembly of the aircraft. More details were to be announced at a news conference Friday in Washington with Transportation Secretary Ray LaHood; the administrator of the F.A.A., Michael P. Huerta; and Raymond L. Conner, the head of Boeing’s commercial airplane division.

The review was not expected to ground the 787 fleet, a Boeing spokesman said. Boeing has delivered 50 of the airplanes so far and has received orders for more than 800. But since their first commercial flight in November 2011, some 787s have had electrical fires, fuel leaks or other problems.

It is uncommon for the F.A.A. to open a review of an airplane it has already certified, but it points to increased concern by regulators.

A Boeing spokesman, Marc Birtel, declined to comment on any review on Thursday evening. But he said Boeing was working actively with the F.A.A. to understand and address “introductory issues” that might come up with the new aircraft.

“While we take each issue seriously, nothing we’ve seen in service causes us to doubt the capabilities of the airplane,” he said.

The review comes amid an investigation by the National Transportation Safety Board into why a battery pack caught fire in a parked 787 at Logan International Airport in Boston on Monday. The fire occurred in a Japan Airlines plane from Tokyo after the passengers and crew had left the plane.

The battery, which powers the auxiliary power unit used when the plane is on the ground, sustained “severe fire damage,” according to the safety board.

But with the current focus on the 787’s problems, every incident, however small, is getting extra attention. Earlier on Friday, All Nippon Airlines of Japan reported cracks in the cockpit window of a 787 Dreamliner heading from Tokyo to Matsuyama, the third time that cracks had appeared in the windshield of one of the 17 787s operated by the airline.

The cracks were on the outermost of five layers that compose the cockpit windshield and did not endanger the aircraft, said Megumi Tezuka, a company spokeswoman.

Moreover, she said, cracks of this kind are not unique to the 787 Dreamliner; cracks have appeared in other aircraft types operated by All Nippon from time to time.

“We do not see this as a sign of a fundamental problem” with the aircraft, Ms. Tezuka said.

A bigger concern to investigators would be problems in the plane’s electric systems. The 787, which make extensive use of lightweight carbon composites, relies more on electric systems than previous generations of airplanes. Electrical systems, not mechanical ones, operate hydraulic pumps, de-ice the wings, pressurize the cabin and handle other tasks. The plane also has electric brakes instead of hydraulic ones.

This electric architecture helps cut energy consumption and makes the aircraft more efficient to operate.

In a move to quell the damage to the plane’s reputation, Boeing on Wednesday defended its program and said it stood by its engineering and design choices, including the use of lithium-ion batteries such as the one that apparently caught fire.

Boeing pointed out that the plane had multiple layers of redundant systems and emphasized that any new plane program suffered from glitches in its first few years of production.

So far, airlines that operate the plane have stood by Boeing. After years of production delays, airlines have been eager to fly an airplane that promises significant fuel savings.

This week’s events followed incidents with the plane last month. In December, the F.A.A. ordered inspections of fuel line connectors on all 787s, warning of a risk of fuel leaks and fires. That same day, a United Airlines 787 flying from Houston to Newark was diverted to New Orleans after one of its six electric generators failed in midflight.

Boeing said this week that those problems were not related to the fire incident in Boston. It traced the problem on the United flight to a defective electric panel. It added that the 787 proved during testing that it could fly for more than five hours with just one of its six electrical generators.

Some safety experts agreed that the problems with the 787 pointed more to teething problems than structural faults. But the issues are still an embarrassment for Boeing’s flagship program. The plane maker has said it expects to sell 5,000 787s in the next 20 years.

In a separate matter, Japan Airlines said that an incident on Tuesday involving a fuel leak on a 787 was because one of four fuel valves connecting two tanks had been left open. This caused fuel to flow into a surge tank near the wing tip and out a vent. The plane was towed back to its gate but eventually left Boston for Tokyo after a delay of nearly four hours.

Bettina Wassener contributed reporting from Hong Kong.

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Irvine City Council overhauls oversight, spending on Great Park

Capping a raucous eight-hour-plus meeting, the Irvine City Council early Wednesday voted to overhaul the oversight and spending on the beleaguered Orange County Great Park while authorizing an audit of the more than $220 million that so far has been spent on the ambitious project.

A newly elected City Council majority voted 3 to 2 to terminate contracts with two firms that had been paid a combined $1.1 million a year for consulting, lobbying, marketing and public relations. One of those firms — Forde & Mollrich public relations — has been paid $12.4 million since county voters approved the Great Park plan in 2002.

"We need to stop talking about building a Great Park and actually start building a Great Park," council member Jeff Lalloway said.

The council, by the same split vote, also changed the composition of the Great Park's board of directors, shedding four non-elected members and handing control to Irvine's five council members.

The actions mark a significant turning point in the decade-long effort to turn the former El Toro Marine base into a 1,447-acre municipal park with man-made canyons, rivers, forests and gardens that planners hoped would rival New York's Central Park.

The city hoped to finish and maintain the park for years to come with $1.4 billion in state redevelopment funds. But that money vanished last year as part of the cutbacks to deal with California's massive budget deficit.

"We've gone through $220 million, but where has it gone?" council member Christina Shea said of the project's initial funding from developers in exchange for the right to build around the site. "The fact of the matter is the money is almost gone. It can't be business as usual."

The council majority said the changes will bring accountability and efficiencies to a project that critics say has been larded with wasteful spending and no-bid contracts. For all that has been spent, only about 200 acres of the park has been developed and half of that is leased to farmers.

But council members Larry Agran and Beth Krom, who have steered the course of the project since its inception, voted against reconfiguring the Great Park's board of directors and canceling the contracts with the two firms.

Krom has called the move a "witch hunt" against her and Agran. Feuding between liberal and conservative factions on the council has long shaped Irvine politics.

"This is a power play," she said. "There's a new sheriff in town."

The council meeting stretched long into the night, with the final vote coming Wednesday at 1:34 a.m. Tensions were high in the packed chambers with cheering, clapping and heckling coming from the crowd.

At one point council member Lalloway lamented that he "couldn't hear himself think."

During public comments, newly elected Orange County Supervisor Todd Spitzer chastised the council for "fighting like schoolchildren." Earlier this week he said that if the Irvine's new council majority can't make progress on the Great Park, he would seek a ballot initiative to have the county take over.

And Spitzer angrily told Agran that his stewardship of the project had been a failure.

"You know what?" he said. "It's their vision now. You're in the minority."

mike.anton@latimes.com

rhea.mahbubani@latimes.com

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Darpa Open Sources Code for Building Your Own Amphibious Tank

Two years ago, Defense Secretary Robert Gates killed off the Marines’ Expeditionary Fighting Vehicle — a $13 billion misfire of an attempt to build an armored boat that could make landfall and still get around on the beach. But on Monday, the Department of Defense will give you the chance to design something better.

The DoD’s forward-thinking Darpa group plans to release open-source software that will let anyone design and run virtual tests on their own swimming tank. And more than that, it will kick off the first phase of a contest where you can pit your amphibious tank design against everyone else’s. The prize: $1 million.

Darpa’s software — built in part by researchers at Vanderbilt University — is called Meta. It’s an open source version of the same kind of complex design and simulation software that typically costs big corporations tens or hundreds of thousands of dollars, says Lt. Col. Nathan Wiedenman, the Darpa program manager in charge of the challenge.

The code will be released Monday at noon EST, and the first phase of the contest — called the FANG (Fast, Adaptable, Next-Generation Ground Vehicle) challenge — will kick off. Contestants will use this code to build a drive train and mobility system, Wiedenman says.

Darpa plans to continue to refine the code as the FANG challenge evolves. And, eventually, it will also release the source code to the Vehicleforge.org website that it’s using to manage the contest.

Once the drive train is built, the field gets winnowed a little bit, and the top 20 contestants will then design more of their amphibious vehicle. Contestants will move forward based on how well they meet about 150 design goals of the drive system.

When the $1 million prize winner is finally selected a few years from now, Darpa will try to build out the top design. But of course, they won’t do this in a standard way. According to Bloomberg BusinessWeek, they’re investing $3.5 million in Washington, D.C. and Pittsburgh hacker spaces where Darpa employees will literally work by night, building a new kind of reconfigurable foundry where they’ll be able to quickly spit out prototypes of the parts they’re creating.

The goal, Wiedenman says, is to build “new infrastructure for systems design development from a set of requirements — an idea on a cocktail napkin — all the way to a final fielded product.”

You can watch Darpa’s FANG Challenge video below:

Screen grab: DARPA

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TNT Orders Dick Wolf Series “Cold Justice”

LOS ANGELES (TheWrap.com) – TNT has ordered eight episodes of a new procedural from “Law & Order” boss Dick Wolf, the network said Wednesday.

The series bears the working title “Cold Justice” and is billed as an “unscripted procedural drama.” It will follow Texas prosecutor Kelly Siegler and Yolanda McClary, a crime-scene investigator for the Las Vegas Police Department, as they help local law-enforcement agencies in small towns across the country solve violent crimes that have sat cold because of lack of funding and proper forensic technology.

In each episode, Siegler and McClary will take on a different case, re-examining the evidence and questioning suspects and witnesses in an effort to finally solve the dormant cases.

The show is tentatively slated to premiere on TNT in late summer 2013.

Wolf will executive-produce the series, along with Dan Cutforth and Jane Lipsitz (“Top Chef,” “Fashion Star”) and Tom Thayer (“Hitchcock”). The project comes to TNT from Wolf Films and Cutfort and Lipsitz’s Magical Elves production company.

“Cold Justice” will join other unscripted projects on TNT this year, including the Donnie Walhberg-produced “Boston’s Finest,” a Boston law-enforcement series, which premieres in February; and “The Hero,” a competition series starring Dwayne “The Rock” Johnson, which premieres in the summer. Also premiering in the summer: “72 Hours,” a race-against-the-clock competition set in the wild.

TV News Headlines – Yahoo! News

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Flu Widespread, Leading a Range of Winter’s Ills

It is not your imagination — more people you know are sick this winter, even people who have had flu shots.

The country is in the grip of three emerging flu or flulike epidemics: an early start to the annual flu season with an unusually aggressive virus, a surge in a new type of norovirus, and the worst whooping cough outbreak in 60 years. And these are all developing amid the normal winter highs for the many viruses that cause symptoms on the “colds and flu” spectrum.

Influenza is widespread, and causing local crises. On Wednesday, Boston’s mayor declared a public health emergency as cases flooded hospital emergency rooms.

Google’s national flu trend maps, which track flu-related searches, are almost solid red (for “intense activity”) and the Centers for Disease Control and Prevention’s weekly FluView maps, which track confirmed cases, are nearly solid brown (for “widespread activity”).

“Yesterday, I saw a construction worker, a big strong guy in his Carhartts who looked like he could fall off a roof without noticing it,” said Dr. Beth Zeeman, an emergency room doctor for MetroWest Medical Center in Framingham, Mass., just outside Boston. “He was in a fetal position with fever and chills, like a wet rag. When I see one of those cases, I just tighten up my mask a little.”

Massachusetts General Hospital in Boston started asking visitors with even mild cold symptoms to wear masks and to avoid maternity wards. The hospital has treated 532 confirmed influenza patients this season and admitted 167, even more than it did by this date during the 2009-10 swine flu pandemic.

At Brigham and Women’s Hospital, 100 patients were crowded into spaces licensed for 53. Beds lined halls and pressed against vending machines. Overflow patients sat on benches in the lobby wearing surgical masks.

“Today was the first time I think I was experiencing my first pandemic,” said Heidi Crim, the nursing director, who saw both the swine flu and SARS outbreaks here. Adding to the problem, she said, many staff members were at home sick and supplies like flu test swabs were running out.

Nationally, deaths and hospitalizations are still below epidemic thresholds. But experts do not expect that to remain true. Pneumonia usually shows up in national statistics only a week or two after emergency rooms report surges in cases, and deaths start rising a week or two after that, said Dr. Gregory A. Poland, a vaccine specialist at the Mayo Clinic in Minnesota. The predominant flu strain circulating is an H3N2, which typically kills more people than the H1N1 strains that usually predominate; the relatively lethal 2003-4 “Fujian flu” season was overwhelmingly H3N2.

No cases have been resistant to Tamiflu, which can ease symptoms if taken within 48 hours, and this year’s flu shot is well-matched to the H3N2 strain, the C.D.C. said. Flu shots are imperfect, especially in the elderly, whose immune systems may not be strong enough to produce enough antibodies.

Simultaneously, the country is seeing a large and early outbreak of norovirus, the “cruise ship flu” or “stomach flu,” said Dr. Aron J. Hall of the C.D.C.’s viral gastroenterology branch. It includes a new strain, which first appeared in Australia and is known as the Sydney 2012 variant.

This week, Maine’s health department said that state was seeing a large spike in cases. Cities across Canada reported norovirus outbreaks so serious that hospitals were shutting down whole wards for disinfection because patients were getting infected after moving into the rooms of those who had just recovered. The classic symptoms of norovirus are “explosive” diarrhea and “projectile” vomiting, which can send infectious particles flying yards away.

“I also saw a woman I’m sure had norovirus,” Dr. Zeeman said. “She said she’d gone to the bathroom 14 times at home and 4 times since she came into the E.R. You can get dehydrated really quickly that way.”

This month, the C.D.C. said the United States was having its biggest outbreak of pertussis in 60 years; there were about 42,000 confirmed cases, the highest total since 1955. The disease is unrelated to flu but causes a hacking, constant cough and breathlessness. While it is unpleasant, adults almost always survive; the greatest danger is to infants, especially premature ones with undeveloped lungs. Of the 18 recorded deaths in 2012, all but three were of infants under age 1.

That outbreak is worst in cold-weather states, including Colorado, Washington, Wisconsin, Minnesota and Vermont.

Although most children are vaccinated several times against pertussis, those shots wear off with age. It is possible, the authorities said, that a new, safer vaccine introduced in the 1990s gives protection that does not last as long, so more teenagers and adults are vulnerable.

And, Dr. Poland said, if many New Yorkers are catching laryngitis, as has been reported, it is probably a rhinovirus. “It’s typically a sore, really scratchy throat, and you sometimes lose your voice,” he said.

Though flu cases in New York City are rising rapidly, the city health department has no plans to declare an emergency, largely because of concern that doing so would drive mildly sick people to emergency rooms, said Dr. Jay K. Varma, deputy director for disease control. The city would prefer people went to private doctors or, if still healthy, to pharmacies for flu shots. Nursing homes have had worrisome outbreaks, he said, and nine elderly patients have died. Homes need to be more alert, vaccinate patients, separate those who fall ill and treat them faster with antivirals, he said.

Dr. Susan I. Gerber of the C.D.C.’s respiratory diseases branch, said her agency has not seen any unusual spike of rhinovirus, parainfluenza, adenovirus, coronavirus or the dozens of other causes of the “common cold,” but the country is having its typical winter surge of some, like respiratory syncytial virus “that can mimic flulike symptoms, especially in young children.”

The C.D.C. and the local health authorities continue to advocate getting flu shots. Although it takes up to two weeks to build immunity, “we don’t know if the season has peaked yet,” said Dr. Joseph Bresee, chief of prevention in the agency’s flu division.

Flu shots and nasal mists contain vaccines against three strains, the H3N2, the H1N1 and a B. Thus far this season, Dr. Bresee said, H1N1 cases have been rare, and the H3N2 component has been a good match against almost all the confirmed H3N2 samples the agency has tested.

About a fifth of all flus this year thus far are from B strains. That part of the vaccine is a good match only 70 percent of the time, because two B’s are circulating.

For that reason, he said, flu shots are being reformulated. Within two years, they said, most will contain vaccines against both B strains.

Joanna Constantine, 28, a stylist at the Guy Thomas Hair Salon on West 56th Street in Manhattan, said she recently was so sick that she was off work and in bed for five days — and silenced by laryngitis for four of them.

She did not have the classic flu symptoms — a high fever, aches and chills — so she knew it was probably something else.

Still, she said, it scared her enough that she will get a flu shot next year. She had not bothered to get one since her last pregnancy, she said. But she has a 7-year-old son and a 5-year-old daughter, “and my little guys get theirs every year.”

Jess Bidgood contributed reporting.

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Nokia Has Better-Than-Expected Quarter

HELSINKI (Reuters) - Finland's Nokia said its fourth-quarter results were better than expected and that the mobile phone business achieved underlying profitability, a rare spot of good news for the struggling handset maker.

Quarterly net sales in devices and services was about 3.9 billion euros ($5.09 billion). It sold a total of 86.3 million devices. Smartphones accounted for 6.6 million units, of which 4.4 million were Windows-based Lumia handsets, the company said.

Nokia shares surged 16 percent to 3.48 euros by 1315 GMT. ($1 = 0.7667 euros)

(Reporting by Ritsuko Ando; Editing by David Goodman)

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Weight-loss regimen a preferred choice for countering diabetes

After all those well-intentioned New Year's resolutions have yielded to the force of habit, many of the nation's 79 million obese adults will have a day of reckoning with their primary care physicians.

Lose weight and get active, the doctor will order, or risk developing diabetes. Then the MD will scribble a prescription.

For most patients, the prescribed treatment will not be a pill. It will be a 12-week program aimed at preventing Type 2 diabetes by getting obese adults to shed as little as 10 pounds and exercise for a little more than 20 minutes a day.

That regimen — the Diabetes Prevention Program — may soon become the blockbuster prescription medicine you've never heard of. In 2013, it is poised to become the envy of pharmaceutical companies, a new rival to programs such as Weight Watchers, and a target of opportunity for healthcare entrepreneurs.

Led by a trained coach, it is a testament to the power of a mentor and of setting modest goals in spurring healthful behavior. And it may be a crucial first test of the Affordable Care Act's focus on preventive health.

In nearly 30 clinical trials, scientists have established that the program is far more effective at helping people lose weight and prevent or delay the onset of diabetes than "usual care" — essentially, a doctor telling a patient to slim down and get active, and then sending him on his way. But the program hasn't been packaged in a form that healthcare providers can simply and cheaply offer to patients, said Dr. Jun Ma of the Palo Alto Medical Foundation Research Institute, who studies diabetes prevention.

The Diabetes Prevention Program is not rocket science. In 12 weekly sessions, a coach teaches obese subjects at high risk of developing diabetes to set goals for losing 5% to 7% of their body weight, limit the fat and calories they consume, track their food intake, get at least 150 minutes of exercise each week, and devise strategies to avoid gaining back lost pounds.

In trials, subjects who attended the tightly scripted sessions and followed the regimen were far more likely than those who were on their own to reach their weight-loss goals in three months — and to keep that weight off for more than a year. By doing so, they drove down their risk of developing Type 2 diabetes by 58%, according to a landmark report published in the New England Journal of Medicine in 2002.

The program, in short, is powerful medicine.

"If you could take it as a pill, it would definitely be commercialized," said Sean Duffy, a software designer and former Google employee who launched an online version of the program about a month ago.

In June, a panel of physicians and public health experts that advises the Department of Health and Human Services gave the program a mighty push into everyday medical practice. The U.S. Preventive Services Task Force recommended that doctors refer their obese patients to "intensive, multicomponent behavioral interventions" designed to promote weight loss and physical activity. It cited only one that met its strict standards: the Diabetes Prevention Program.

Under the Affordable Care Act, that carries significant weight. Starting in June, most health insurers will be required to make proven weight-loss and behavior-modification programs available without a copayment to obese customers with a doctor's referral.

No one knows whether expanded coverage of such programs can save money and head off a public health disaster. But without it, experts believe a tidal wave of Type 2 diabetes and heart disease — with a 20-year price tag estimated at $550 billion in the U.S. alone — is a virtual certainty.

For all its promise, the program has remained little more than a good idea — and a pretty expensive one at that — for years. The researchers who developed it at the University of Indiana pegged the cost of the trial's intensive 12-week phase and nine months of maintenance at about $1,300 per patient. To make it cheaper and more accessible, they trained a few YMCA chapters to deliver the program.

Today, about 75 chapters in 28 states and the District of Columbia offer it. The Centers for Disease Control and Prevention, which has been charged with broadening access to "lifestyle change" programs, disbursed $6.75 million in 2012 to encourage health insurers, public health advocates and employer groups to offer versions of the program.

But with more than 78 million people potentially in line to get it, demand far outstrips supply.

Researchers like Ma have been working on ways to use technology to make the program more widely available. In a study published last month in the Archives of Internal Medicine, she and her colleagues found that putting the 12-week curriculum on an inexpensive DVD and assigning a coach to answer questions and offer support helped 37% of obese participants lose 7% of their body weight — a rate more than twice as high as for those who got no help at all.

In a related study published in the same journal, researchers gave obese volunteers a personal digital device to monitor their weight, diet and physical activity and had them check in with a coach every other week. The volunteers lost more weight than trial subjects who were on their own.

The UnitedHealth Group's Diabetes Prevention and Control Alliance in Minnetonka, Minn., has worked to make the Diabetes Prevention Program available on demand to Comcast cable subscribers nationwide. UnitedHealth Group physicians and public health specialists worked with a TV production crew to create a reality-show version of the program. After the pilot aired last year in Philadelphia and Knoxville, Tenn., it took just three weeks to get 700 people to volunteer for a clinical trial of the TV-based program. The results of that will be published soon, said Dr. Deneen Vojta, chief clinical officer for the UnitedHealth program.

"These people lost a ton of weight," she said.

The growing scientific consensus around the diabetes program has not been lost on one of the nation's most ubiquitous and respected weight-loss programs, Weight Watchers. With 20,000 meetings a week across the United States, Weight Watchers International has the infrastructure that the Diabetes Prevention Program lacks. Like the diabetes program, its groups are run by coaches who give advice and encouragement and teach members to track their intake. The company has steadily added features — most recently a spate of food-tracking apps — as clinical trials showed their value.

Weight Watchers has been lobbying the government to recognize its programs as an effective tool for diabetes prevention. The stakes are huge: If insurers were required to cover the costs of patients' Weight Watchers memberships, the customer base could expand by leaps and bounds.

In Britain, the National Health Service will pay for the company's initial 12-week course, said David Kirchhoff, chief executive of Weight Watchers International in New York City. Given the program's widespread presence in the U.S. and evidence of its effectiveness in clinical trials, it makes sense for insurers here to pay too, he said.

Entrepreneurs are also getting in on the act. Duffy's San Francisco-based startup, Omada Health, launched an online version of the Diabetes Prevention Program called Prevent that may be the first of many digital spinoffs.

Designed to win the CDC's seal of approval, Prevent resembles a Facebook version of the Diabetes Prevention Program while preserving the privacy of customers who prefer it. Incoming members are matched to a group, and everyone works toward a goal of losing 5% to 7% of their body weight in 12 weeks under the supervision of a coach. Members' weights are transmitted to the coach by a digital scale upon enrollment and weekly thereafter.

Early testing has shown that as groups jell, members learn from — and lean on — one another, Duffy said. He plans to sell the program at about $120 per month for four months, primarily to insurers and companies for use by their customers and employees.

Payment will be due only after users show results, he said.

melissa.healy@latimes.com

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Kickstarter Campaigns Reap $319M in 2012

While Kickstarter’s hardware projects made headlines in 2012, film and gaming ideas (of both the video and board variety) were the real cash magnets for the crowdfunding site, raising a combined $176 million.

That’s just one of the many stats Kickstarter recently released on its crowdfunding activity in 2012, arguably the year the online service, and the notion of crowdfunding, went mainstream. In 2012 Kickstarter attracted more than 2 million backers who pledged a combined $319 million on everything from one-woman comedy shows to iPhone-enabled watches and electronic banana pianos. The money total blew away 2011 by 221 percent, and the number of backers grew a corresponding 238 percent.

But just because a campaign launched didn’t mean it was successful, in fact, it got harder as the year went on (especially for hardware projects), both by Kickstarter’s design and as the public wised up to beautiful-looking renderings of gadgets that would never get shipped. Of the 41,765 projects launched on Kickstarter, only 18,109 campaigns (about 43 percent) were successful.

Across project categories, gaming projects took in the most money, $83 million, thanks in large part to the Ouya gaming console, which raised $8.6 million in August. Film and video projects raised close to $58 million, the second-highest amount of cash, and Kickstarter notes that 10 percent of films at the January 2012 Sundance film festival were funded on the site. In third place were design projects (including furniture, iPhone cases, and bike accessories), which raised $50.1 million.

The single biggest Kickstarter star last year was the Pebble watch, which pulled in a record-shattering $10 million in May. However, in Kickstarter’s 50 slide “Best of 2012” presentation, there’s no mention of the e-paper watch nor hardly any other physical goods. The spotlight is clearly on art and performance campaigns; a not so subtle hint at Kickstarter’s growing fatigue with design and technology projects, which caused the crowdfunding site considerable pain in 2012.

Here was the problem: fully 84 percent of the top physical product-based projects were delayed. That in turn led to a wave of unhappy backers who mistakenly thought pledging amounted to online shopping. As a result, Kickstarter laid out stricter guidelines for campaigns in the design and technology categories, where you find nearly all of the non-food consumer products on the site.

Product inventors must now have photographs of their working prototypes instead of computer renderings, and clearly articulate to backers the risks of their project. Even if you follow these guidelines perfectly, the odds you’ll get your product accepted on Kickstarter have diminished. The startup’s widely-discussed “Kickstarter is Not A Store” blog post from September made it clear that Kickstarter doesn’t know how to handle million-dollar hardware projects and has no desire to figure it out.

In many ways, the decisions about what to include and exclude in its 2012 roundup are an indication of where Kickstarter wants to place its emphasis going forward. It’s projects like this video game proposal, the XOXO Festival (one of the first major festivals funded on the site), and a community hackerspace in Baghdad.

As cool as the Pebble watch may be, it’s not likely you’ll see the likes of it rise up again on Kickstarter, especially as other crowdfunding sites emerge and start to specialize in the categories and projects with which Kickstarter would rather not bother.

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