21-year-old dies in rollover on Dan Ryan Expressway

Josiah Martin’s parents woke him before sunrise on Saturday to deliver grim news: His best friend of 12 years, Phillip Briner, had been in a serious car crash and they weren’t sure if he would survive.

“I just kept asking myself if it was a dream,” said Martin, 20, of DeMotte, Ind. “I just kept hoping that he would be okay, that he was just in bad shape.”

Martin later got a call from Briner’s mother, who, too distraught to say the words, handed the phone to another son who simply said, “He’s gone.”

Briner, 21, was killed early Saturday morning after a drunk driver crashed into him on the Dan Ryan Expressway near 95th Street, authorities said. Both trucks were heading south around 1:30 a.m. when the other driver crossed from the far-right to the far-left lane of the 5-lane highway and smashed into Briner. A witness who saw the crash in the rearview mirror told police that both trucks hit the far left wall, crossed traffic again and hit the right wall before coming to rest.

Briner, of Crown Point, Ind., was transported to Advocate Christ Medical Center in Oak Lawn with severe injuries and was pronounced dead 30 minutes later, according to police and the Cook County medical examiner’s office.

Michael Briner of south suburban University Park, said that his younger brother was heading home from working his shift at The Peninsula Chicago hotel in downtown when the crash occurred. He normally worked nights at the hotel but worked until midnight as a server for a banquet, Briner said.

“We are all very angry,” said Briner, 26. “I knew that they had (the driver) in custody, which means he walked away from the crash and my brother didn’t. We want justice to be served.”

“I can’t believe this, that someone would be so selfish that they have to get somewhere, that they can’t say, maybe I shouldn’t be drinking,” Martin added. “It’s not worth it. Now (the driver’s) going to jail and I lost a best friend and a brother.”

Michael Briner said that Phillip was the fifth of six siblings and described him as imaginative, caring and fun-loving. He attended Hammond Baptist High School in Schererville, Ind., graduating in 2010. Before working at the hotel, Briner said his brother took classes to become a massage therapist.

Briner and Martin met in church as pre-teens when Martin’s family was looking for a new pastor and Briner’s father came to the church seeking a preacher position.

The Briners eventually moved down the street from the Martins and the two rambunctious boys didn’t take long to start stirring up trouble, Martin said. So frequent were their antics that when the Briners first called with the tragic news, Martin said his mother first thought, “What did Jo and Phillip do now?”

“We were goofballs,” he said, chuckling. “We didn’t cause anyone harm but we were always doing something silly. My mother has three sons but they had no idea what hell was to come when Phillip moved in.”

To wit: Both boys, obsessed with Spider-Man, often tried climbing up the side of the Martin home to mimic the comic-book superhero, Martin said. Just as often, Briner would tumble off the roof into a pile of leaves and get up to try again. Another time, the two lit a gas can on fire. On another occasion, the two doused each other with Axe body spray, emptying several cans of the aerosol deodorant into the home.

“You couldn’t get it out of the house,” Martin said. “It was like a haze. My sister is still angry about it to this day.”

But it was his wit that endeared him to nearly everyone he met, Michael Briner said.

“He always tried to find the humor in things, which is what he would want us to do right now,” Briner said. “He wouldn’t want us to be mourning like we are.”

Martin, offering a glimpse into his friend’s levity, said that Briner always wanted his last Facebook message to be a conversation he imagined having upon arriving in heaven. After St. Peter would ask for his name, Briner would say: “My name is Phillip Scott Briner and I’m here to party!”

On Saturday, Martin fulfilled his friend’s wish and posted the conversation to his profile.

“It’s like my brother said: ‘God must have needed a comedian in heaven,” Martin said.

pnickeas@tribune.com, cdrhodes@tribune.com

Twitter: @rhodes_dawn, @peternickeas

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How Oscar entry “La Source” launched a campaign for clean water across Haiti

LOS ANGELES (TheWrap.com) – The documentary “La Source” was originally conceived to be the tale of a single project, the efforts by a Princeton University janitor to bring clean water to a single village in rural Haiti.

Now, the film’s exposure has spawned a soccer field, two schools and 20 more villages with sanitary water.

The Oscar-nominated film, which follows Haiti-born Josue Lajeunesse as he fulfills his dream of bringing bacteria-free water to his native village, launched a regional project by the nonprofit Generosity Water to improve the lives of rural Haitians.

“We’re hoping that we can really continue to build on what this film was about,” producer Jordan Wagner told TheWrap’s Steve Pond at Thursday night showing of “La Source,” which is part of TheWrap’s annual Award Screening Series.

Seated at Los Angeles‘ Landmark Theatre alongside director Patrick Shen, producer Brandon Vedder and Lajeunesse, Wagner, the nonprofit’s director, said his organization has already carved out a spot in the film’s namesake village for a school and soccer field.

“We’re putting a plan together to use the film at screenings to mobilize people,” Wagner said. “We figured out which plot of land we’d buy, we’re going to build a primary school and a secondary school.”

Wagner met Lajeunesse after he was filmed in Shen’s “The Philosopher Kings,” a movie about the stories behind college custodians.

He began raising money after hearing the janitor’s lifelong desire to pipe clean water down from a mountain spring and into his village. Students and faculty at Princeton, where Lajeunesse worked after coming to the United States in 1990, held benefit concerts and donated money to help fund the project.

For Lajeunesse, the plan was decades in the works.

“I was seven or eight years old, but I had in my mind that I have to go to school in order to do something to take the people and the town out of the situation,” Lajeunesse told Landmark Theatre audience. “Day by day, day by day, I save, I save, I save but we didn’t know how we were going to start it.”

Then, in January 2010, a 7.0 magnitude earthquake struck Haiti, killing more than 250,000 people and destroying the impoverished nation’s infrastructure.

“The first time we went was about a month after the earthquake,” Vedder said, adding that the humidity in the Caribbean country nearly destroyed the cinematographers’ cameras. “It was hard to be another camera sticking in these people’s faces, right in their lives.”

The troubles didn’t end there. After the pipeline was built and Lajeunesse and his brother installed the spigots, it was clear how the film would begin and finish, but the meat of the story was harder to pare down.

“We knew where it would end, but the whole kind of middle part of the narrative was what was tricky,” Shen said. “We had to have discussions every night about the strategy for the next day.”

And, with $ 30,000 going toward the actual water project, the filmmakers quickly ran out of cash to support themselves during the months of editing.

“The story was happening whether we decided to make this film or not,” Wagner said. “We were scrambling to make this happen. We have the money for the project and this is happening and now we don’t have money for the film.”

Still, the filmmakers raised enough to keep the film alive after its spring-to-fall shooting schedule in 2010, working through the footage for a year and creating a few different cuts of the film before finding its final shape.

The movie premiered at Washington’s Silverdocs festival – the same festival where Wagner first met Shen at a screening of “The Philosopher Kings,” beginning a relationship that led directly to “La Source.”

The film was also a selection in the International Documentary Association’s annual DocuWeeks showcase, which qualified it for the Academy Awards via week-long engagements in Los Angeles and New York in August.

And though Lajeunesse hasn’t been back to Haiti since July 2010 – his janitorial and taxi jobs, plus four kids, make travel difficult – he said he gets phone calls from his family frequently, updating him on how the town is improving.

“Everyone there is so happy,” he said, drawing applause from the audience. “They have water and they don’t know what to say. All the town, they say, ‘tell everyone thank you for me.’”

Movies News Headlines – Yahoo! News

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The New Old Age Blog: The Emotional Aftermath of Hurricane Sandy

Let’s talk about the emotional aftermath of the storm that left tens of thousands of older people on the East Coast without power, bunkered down in their homes, chilled to the bone and out of touch with the outside world.

Let’s name the feelings they may have experienced. Fear. Despair. Hopelessness. Anxiety. Panic.

Linda Leest and her staff at Services Now for Adult Persons in Queens heard this in the voices of the older people they had been calling every day, people who were homebound and at risk because of medical conditions that compromise their physical functioning.

“They’re afraid of being alone,” she said in a telephone interview a few days after the storm. “They’re worried that if anything happens to them, no one is going to know. They feel that they’ve lost their connection with the world.”

What do we know about how older adults fare, emotionally, in a disaster like that devastating storm, which destroyed homes and businesses and isolated older adults in darkened apartment buildings, walk-ups and houses?

Most do well — emotional resilience is an underappreciated characteristic of older age — but those who are dependent on others, with pre-existing physical and mental disabilities, are especially vulnerable.

Most will recover from the disorienting sense that their world has been turned upside down within a few weeks or months. But some will be thrown into a tailspin and will require professional help. The sooner that help is received, the more likely it is to prevent a significant deterioration in their health.

The best overview comes from a November 2008 position paper from the American Association for Geriatric Psychiatry that reviewed the effects of Hurricane Katrina and other disasters. After Katrina, “the elderly had the highest mortality rates, health decline and suicide rates of any subgroup,” that document notes. “High rates of psychosomatic problems were seen, with worsening health problems and increased mortality and disability.”

This is an important point: Emotional trauma in older adults often is hard to detect, and looks different from what occurs in younger people. Instead of acknowledging anxiety or depression, for instance, older people may complain of having a headache, a bad stomachache or some other physical ailment.

“This age group doesn’t generally feel comfortable talking about their feelings; likely, they’ll mask those emotions or minimize what they’re experiencing,” said Dr. Mark Nathanson, a geriatric psychiatrist at Columbia University Medical Center.

Signs that caregivers should watch out for include greater-than-usual confusion in an older relative, a decline in overall functioning and a disregard for “self care such as bathing, eating, dressing properly and taking medication,” Dr. Nathanson said.

As an example, he mentioned an older man who had “been sitting in a cold house for days and decided to stop taking his water pill because he felt it was just too much trouble.” Being distraught or distracted and forgetting or neglecting to take pills for chronic conditions like diabetes or heart disease can have immediate harmful effects.

Especially at risk of emotional disturbances are older adults who are frail and advanced in age, those who have cognitive impairments like Alzheimer’s disease, those with serious mental illnesses like schizophrenia or major depression, and those with chronic medical conditions or otherwise in poor physical health, according to the geriatric psychiatry association’s position paper.

A common thread in all of the above is the depletion of physical and emotional reserves, which impairs an older person’s ability to adapt to adverse circumstances.

“In geriatrics, we have this idea of the ‘geriatric cascade’ that refers to how a seemingly minor thing can set in motion a functional, cognitive and psychological downward spiral” in vulnerable older adults, said Dr. Mark Lachs, chief of the division of geriatrics at Weill Cornell Medical College. “Well, the storm was a major thing — a very large disequilibrating event — and its impact is an enormous concern.”

Of special concern are older people who may be in the early stages of Alzheimer’s disease or other types of dementia who are living alone. For this group, the maintenance of ordinary routines and the sense of a dependable structure in their lives is particularly important, and “a situation like Sandy, which causes so much disruption, can be a tipping point,” Dr. Lachs said.

Also of concern are older people who may have experienced trauma in the past, and who may suffer a reignition of post-traumatic stress symptoms because of the disaster.

Most painful of all, for many older adults, is the sense of profound isolation that can descend on those without working phones, electricity or relatives who can come by to help.

“That isolation, I can’t tell you how disorienting that can be,” said Bobbie Sackman, director of public policy for the Council of Senior Centers and Services of New York City. “They’re scared, but they won’t tell you because they’re too proud and ashamed to ask for help.”

The best remedy, in the short run, is the human touch.

“Now is the time for people to reach out to their neighbors in high-rises or in areas where seniors are clustered, to knock on doors and ask people how they are doing,” said Dr. Gary Kennedy, director of the division of geriatric psychiatry at Montefiore Medical Center in the Bronx.

Don’t make it a one-time thing; let the older person know you’ll call or come by again, and set up a specific time so “there’s something for them to look forward to,” Dr. Kennedy said. So-called naturally occurring retirement communities with large concentrations of older people should be organizing from within to contact residents who may not be connected with social services and find out how they’re doing, he recommended.

In conversations with older adults, offer reassurance and ask open-ended questions like “Are you low on pills?” or “Can I run out and get you something?” rather than trying to get them to open up, experts recommended. Focusing on problem-solving can make people feel that their lives are being put back in order and provide comfort.

Although short-term psychotherapy has positive outcomes for older adults who’ve undergone a disaster, it’s often hard to convince a senior to seek out mental health services because of the perceived stigma associated with psychological conditions. Don’t let that deter you: Keep trying to connect them with services that can be of help.

Be mindful of worrisome signs like unusual listlessness, apathy, unresponsiveness, agitation or confusion. These may signal that an older adult has developed delirium, which can be extremely dangerous if not addressed quickly, Dr. Nathanson said. If you suspect that’s the case, call 911 or make sure you take the person to the nearest hospital emergency room.

This is a safe place to talk about all kinds of issues affecting older adults. Would you be willing to share what kinds of mental health issues you or family members are dealing with since the storm so readers can learn from one another?

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Retailers plan earlier start to Black Friday

Cierra Hobson is a die-hard Black Friday shopper.

Every year she queues in front of one of her favorite stores, where she waits, in her pajamas, in hopes of bagging a good deal.

This year, Hobson and other deal-seekers will find some twists on the post-Thanksgiving Day ritual: coupons delivered via mobile phones and deeper discounts, maneuvers designed to make shopping easier for consumers and to set retailers on a strong start to the biggest shopping period of the year. But perhaps the biggest change will be an earlier start to the holiday rush.

Black Friday historically launched the day after Thanksgiving. But in recent years, stores have opened at 4 a.m., then midnight. Last year, retailers created a stir by opening at 10 p.m. Thursday. This year, Sears and Wal-Mart announced plans to open at 8 p.m.

"The name of the game this holiday season is who can do it best," said National Retail Federation spokeswoman Kathy Grannis.

"When (early openings) started in 2009, things were a little bit worse off in terms of consumer confidence," Grannis added. "At that point it was very necessary for retailers to get out there before anybody else, and that literally meant before midnight."

This year, holiday spending is expected to rise 4.1 percent, according to the retail federation. Last year, more than 24 percent of Black Friday shoppers were out before midnight and nearly 39 percent of shoppers were in the stores before 5 a.m.

Wal-Mart plans to greet shoppers with the likes of $89 Wii consoles and a $38 Blu-ray player. At Sears, there will be perks on sale items for members of its shopper loyalty program.

Both retailers are touting in-store pickup, allowing customers to buy items online and pick them up at the store, avoiding checkout lines.

The Disney Store plans to begin offering Black Friday deals on the Monday before Thanksgiving, though Disney stores will open at midnight in some markets and 5 a.m. in others. Ads leaked to Internet deal sites say Target stores will open at 9 p.m. on Thanksgiving.

Last year, Wal-Mart recorded its most customer traffic at 10 p.m. on Thanksgiving night, said spokesman Steven Restivo, adding that the retailer relied on focus groups, online surveys and other feedback to help it decide to open two hours earlier this year. "Our customers told us they loved our Thanksgiving event last year and wanted it again."

At Sears, staying open 26 consecutive hours through Black Friday gives its customers the flexibility they want and makes good business sense, said spokesman Brian Hanover.

"There's a segment of Sears customers who want that thrill of holiday shopping to start as soon as their Thanksgiving dinner ends," he said. "Traditionalists," he added, can wait for door busters at 4 a.m.

Despite discounts that often go beyond 50 percent, stores still make money on the sales, retail experts say. That's because shoppers in physical stores tend to spend more than they planned, said Sanjay Dhar, professor of marketing at the University of Chicago Booth School of Business.

In the store, "you end up making purchases that aren't as marked down, in addition to the door-buster deals," he said.

Opening earlier and staggering door-buster deals is not only a good way to make money, but it's also necessary for crowd control, retail watchers say. In 2008, a store employee was trampled to death in a Black Friday door-buster stampede at a Long Island, N.Y., Wal-Mart.

Hobson said she doesn't plan to start shopping Thanksgiving night, but she said she'll be up before dawn to catch sales at Express, a clothing store.

"Just knowing that everybody is doing the same thing I'm doing on the same day feels like the beginning of Christmas," she said.

Others worry that super-early openings could backfire.

Sheri Petras, CEO of CFI Group, a Michigan-based consultancy, said store employees grumpy from having to leave their Thanksgiving festivities will take out their anger on customers.

"Consumers will not spend as much with cranky employees," she said.

Some employees at Wal-Mart, Sears and Target say they'd like the day off.

Change.org, an activist website, said Friday that more than 20 new petitions were submitted by employees and consumers asking retailers to reconsider their Thanksgiving evening openings.

It's the second year the website has administered petitions calling for retailers to stick to traditional Black Friday openings.

In a statement distributed by OUR Walmart, a labor rights group, Wal-Mart employee Mary Pat Tifft, of Wisconsin, said she would be "devastated" if she had to work on Thanksgiving, because she is expecting her son home from Afghanistan for the holiday.

"This early opening is one more example of Walmart's disconnect with the workers who keep its stores running and disregard for all of our families. As the largest employer in the country, Walmart could be setting a standard for businesses to value families, but instead, this is one more Walmart policy that hurts the families of workers at its stores," she said.

crshropshire@tribune.com

Twitter @corilyns

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CIA Director David Petraeus resigns over affair

David Petraeus, the retired four-star general renowned for taking charge of the military campaigns in Iraq and then Afghanistan, abruptly resigned Friday as director of the CIA, admitting to an extramarital affair.

The affair was discovered during an FBI investigation, according to officials briefed on the developments. They spoke on condition of anonymity because they were not authorized to publicly discuss the matter. It was unclear what the FBI was investigating or when it became aware of the affair.

Petraeus' resignation shocked Washington's intelligence and political communities. It was a sudden end to the public career of the best-known general of the post 9/11 wars, a man sometimes mentioned as a potential Republican presidential candidate. His service was effusively praised Friday in statements from lawmakers of both parties.

Petraeus, who turned 60 on Wednesday, told CIA employees in a statement that he had met with President Barack Obama at the White House on Thursday and asked to be allowed to resign. On Friday, the president accepted.

Petraeus told his staffers he was guilty of "extremely poor judgment" in the affair. "Such behavior is unacceptable, both as a husband and as the leader of an organization such as ours."

He has been married for 38 years to Holly Petraeus, whom he met when he was a cadet at the U.S. Military Academy at West Point, N.Y. She was the daughter of the academy superintendent. They have two children, and their son led an infantry platoon in Afghanistan.

Obama said in a statement that the retired general had provided "extraordinary service to the United States for decades" and had given a lifetime of service that "made our country safer and stronger." Obama called him "one of the outstanding general officers of his generation."

The president said that CIA Deputy Director Michael Morell would serve as acting director. Morell was the key CIA aide in the White House to President George W. Bush during the Sept. 11, 2001, terror attacks.

"I am completely confident that the CIA will continue to thrive and carry out its essential mission," Obama said.

The resignation comes at a sensitive time. The administration and the CIA have struggled to defend security and intelligence lapses before the attack that killed the U.S. ambassador to Libya and three others. It was an issue during the presidential campaign that ended with Obama's re-election Tuesday.

The CIA has come under intense scrutiny for providing the White House and other administration officials with talking points that led them to say the Benghazi attack was a result of a film protest, not a militant terror attack. It has become clear that the CIA was aware the attack was distinct from the film protests roiling across other parts of the Muslim world.

Morell rather than Petraeus now is expected to testify at closed congressional briefings next week on the Sept. 11 attacks on the consulate in Benghazi.

For the director of the CIA, being engaged in an extramarital affair is considered a serious breach of security and a counterintelligence threat. If a foreign government had learned of the affair, the reasoning goes, Petraeus or the person with whom he was involved could have been blackmailed or otherwise compromised. Military justice considers conduct such as an extramarital affair to be possible grounds for court martial.

Failure to resign also could create the perception for the rank-and-file that such behavior is acceptable.

At FBI headquarters, spokesman Paul Bresson declined to comment on the information that the affair had been discovered in the course of an investigation by the bureau.

Holly Petraeus is known for her work helping military families. She joined the new Consumer Financial Protection Bureau to set up an office dedicated to helping service members with financial issues.

Though Obama made no direct mention of Petraeus' reason for resigning, he offered his thoughts and prayers to the general and his wife, saying that Holly Petraeus had "done so much to help military families through her own work. I wish them the very best at this difficult time."

Petraeus, who became CIA director in September 2011, was known as a shrewd thinker and hard-charging competitor. His management style was recently lauded in a Newsweek article by Paula Broadwell, co-author of the biography, "All In: The Education of General David Petraeus."

The article listed Petraeus' "rules for living." No. 5 was: "We all make mistakes. The key is to recognize them, to learn from them, and to take off the rear view mirrors — drive on and avoid making them again."

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Jimmy Kimmel’s Family Members Are Apparently Fair Game

We realize there’s only so much time one can spend in a day watching new trailers, viral video clips, and shaky cell phone footage of people arguing on live television. This is why every day The Atlantic Wire highlights the videos that truly earn your five minutes (or less) of attention. Today:

RELATED: The Roots Take on ‘Call Me Maybe’ (and Win)

Watch this video, bookmark it, and watch it the next time you think you’d rather go home than wait in a long line to vote. Seriously, Time‘s look at the Rockaways on the election night hits the matrix where heart-break and optimism meet and it makes you really appreciate a right we shouldn’t take for granted: 

RELATED: Cookie Monster Batman and the Dog You Wish You Had

RELATED: Behold the Power of ‘Gangnam Style’

The best part of Louis C.K.’s SNL appearance was his “Lincoln” skit. Six days later, here we are with a new video: the director’s cut of the Lincoln-Louie parody—it’s funnier, dirtier, and one really awesome look at what NBC think is too offensive for network television. 

RELATED: The Robot That Performs Gangnam Style Better Than You

RELATED: The Uncle You Wish You Had and the Joy of Human Jukeboxes

Children, we’ve learned, are not safe from the pranks of Jimmy Kimmel. Neither is Jimmy Kimmel‘s aunt. 

And finally, the weekend is here. We’re talking like one hour away. This baby elephant video is clear evidence of that: 

Wireless News Headlines – Yahoo! News

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Stradivarius dealer gets six years for embezzlement

VIENNA (Reuters) – A dealer in rare Stradivarius violins coveted by the world’s top violinists was sentenced on Friday to six years in prison for embezzlement after his glittering global empire crumbled.

Dietmar Machold, 63, built his Bremen-based family business into a juggernaut with branches in Zurich, Vienna, New York and Chicago to serve elite musicians and collectors of the instruments that can command prices of several million dollars.

But the business collapsed in 2010, triggering claims against him worth tens of millions of euros (dollars) from creditors and clients who say they were bilked.

“I am a failure. I have lost everything,” Machold said in a Vienna court as he was sentenced after being convicted of embezzling client funds and hiding assets from creditors.

“You played for high stakes and you lost a lot, but you understand you have to take the responsibility for this,” Judge Claudia Moravec-Loidolt told him.

Prosecutor Herbert Harammer had traced the career of the fifth-generation violin expert who became one of the world’s most influential dealers in instruments crafted by 18th-century masters like Antonio Stradivari, whose workshop in Cremona, Italy produced some of the finest violins and cellos ever made.

“This ascent was built on sand,” Harammer had told the court, accusing Machold of leading a lifestyle that was a facade for a business that had actually been insolvent since mid-2006.

FIXTURE OF HIGH SOCIETY

A fixture of high society, Machold lived in an Austrian castle, had a fleet of expensive cars and collected watches and cameras. His global network of rare instrument dealerships let him move in the highest circles of music, fame and money.

His former wife and her mother got one-year suspended sentences for helping him hide precious musical instruments and a valuable watch collection as his business imploded.

Machold admitted from the start that he embezzled money made from the sale of instruments entrusted to him by his customers, but denied fraud charges that are being handled separately.

“I did what I did and I am to be punished for it. That is the way it has to be,” the German native told the court before sentencing, his voice calm before he teared up and had to pause.

Machold, who told the court he did not deserve a mild sentence given the magnitude of his misdeeds, had faced a sentence of up to 10 years. His lawyer did not say if he would file an appeal.

Machold said he acted in desperation after losing a lawsuit brought by a construction company which meant his Eichbuechl castle was at risk.

The high-profile dealer had at times given contradictory testimony, at one stage saying he built personal relationships with the instruments in his care that he called “my children”.

But later he said he “simply forgot” one expensive violin that he failed to report to administrators.

($ 1 = 0.7857 euros)

(Editing by Michael Roddy)

Celebrity News Headlines – Yahoo! News

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The New Old Age Blog: More Time to Enroll in Medicare If You Live in Storm Areas

Medicare beneficiaries battered by Hurricane Sandy have one fewer problem to worry about: Federal officials have extended the Dec. 7 deadline to enroll in a private medical or drug plan for next year for those still coping with storm damage.

The Centers for Medicare and Medicaid Services “understands that many Medicare beneficiaries have been affected by this disaster and wants to ensure that all beneficiaries are able to compare their options and make enrollment choices for 2013,” Arrah Tabe-Bedward, acting director for the Medicare Enrollment and Appeals Group, wrote in a Nov. 7 letter to health insurance companies and state health insurance assistance programs.

Beneficiaries hit by the storm can still enroll after the Dec. 7 midnight deadline if they call Medicare’s 24-hour information line: 1-800-MEDICARE (1-800-633-4227). Representatives will be able to review available plans and complete the enrollment process over the phone.

“We are committed to giving people with Medicare the information and the time they need to make important decisions about their coverage,” a Medicare spokeswoman, Isabella Leung, said in an e-mail message. Medicare officials have not set a new deadline but have encouraged beneficiaries to make their decisions soon if possible.

People currently in a plan will be automatically re-enrolled for next year in the same plan.

The extra time also applies to any beneficiaries who normally get help from family members or others to sort through dozens of plans, but who have been unable to do so this year because they live in areas affected by the storm. Neither beneficiaries nor those who provide them assistance will be required to prove that they experienced storm damage.

“This is a really important recognition by CMS to accommodate Medicare enrollees affected by Hurricane Sandy,” said Leslie Fried, director for policy and programs at the National Council on Aging, an advocacy group in Washington.

After the hurricane, the Obama administration declared Connecticut, New Jersey, New York and Rhode Island “major disaster areas,” according to the Federal Emergency Management Agency. In addition, FEMA issued emergency declarations for parts of Delaware, the District of Columbia, Maryland, Massachusetts, New Hampshire, Pennsylvania, Virginia and West Virginia.

More than four million older people in those states are enrolled in drugs-only plans, and more than 2.8 million have Medicare Advantage policies, which includes medical and health coverage.

Susan Jaffe is a writer for Kaiser Health News, an editorially independent program of the Henry J. Kaiser Family Foundation, a nonprofit, nonpartisan health policy research and communication organization not affiliated with Kaiser Permanente.

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Sandy to raise U.S. used-car prices

The estimated 250,000 cars flooded by Superstorm Sandy on the East Coast will drive up used-car prices, even as far away as California.

The supply shortage comes on the heels of an already tightened used-car market in the wake of the recession, when new car sales dried up. Some experts say prices could rise $700 to $1,000 on the typical used car in the short term. Although those effects will be felt most acutely near the flood zone, the increasingly digital and national market for used cars will spread the price shocks widely.

The flood of Sandy-damaged cars further poses the risk that many will wind up in the hands of unscrupulous dealers peddling to unwitting consumers. The vehicles pose both financial and health risks.

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"Cars that have been submerged in saltwater, and contaminated by bacteria and various toxins, will soon start to appear all over the country, even in states far from the center of the storm," said Rosemary Shahan, president of Consumers for Auto Reliability and Safety.

Shahan said there were cases of Nissan vehicles flooded by Hurricane Katrina auctioned as "new" as far away as California after that storm.

She urged shoppers to look for signs of flood damage, including engines that hesitate or run roughly, musty interior smells or signs of silt residue or premature rust.

Buyers should also run the vehicle information number through the National Motor Vehicle Title Information System at vehiclehistory.gov. Insurers, salvage pools, auctions and junkyards in all 50 states are required to report all total-loss vehicles to this federal database within 30 days, Shahan said.

For new vehicles or those still within the factory warranty period, shoppers who suspect flood damage should call the manufacturer to ask if they will honor the warranty, which is typically nullified for flooded cars. If the vehicle was registered as a flood vehicle, the manufacturer won't honor the warranty, and the buyer will know there is a problem.

Although properly restored and titled salvage or flooded vehicles can be an "economical option," consumers should understand what they are getting.

"There is always a chance that there will be problems down the road with corrosion or malfunctions in the electrical systems," said Bob Passmore, senior director at the Property Casualty Insurers Assn. of America.

Rising prices caused by the storm might be one reason why consumers would turn to such cheaper options or fall victim to an attractively priced vehicle with hidden flood damage.

Prices are already comparatively high for late-model used cars, according to industry analysts. That's because of the low number of new cars sold in 2009 and 2010, which also slowed the flow of trade-ins into the used-car market. Leases, a major source of used cars, nearly disappeared.

Now the flood of Sandy-damaged cars is putting more pressure on the tight supply of late-model cars. Prices will go up at least 0.5% to 1.5% in December, said Jonathan Banks, an analyst with the National Automobile Dealers Assn. The dealer group said that amounts to a little more than $50 to $175 for the average used vehicle.

Auto information company Edmunds.com has a much higher estimate, saying that used-car prices will climb $700 to $1,000 "in the short term."

The price hikes will be highest on the East Coast but felt nationally, Banks said.

"We have seen a trend for dealers, regardless of where they are located, buying inventory online, and that means that geography is not as important as in the past," he said. "It used to be that dealers would buy cars from a physical auction near their dealership."

Pulling such a huge number of vehicles out of the U.S. fleet will have an effect at the national level, Banks said.

The problem is compounded by at least tens of thousands of new cars that were destroyed both at dealerships and storage yards in parts of New York and New Jersey hit hardest by the storm.

"Many dealers lost a significant amount of inventory. One Honda dealer told me he lost 600 new units," Banks said.

Fisker Automotive Inc., the Anaheim maker of $100,000 plug-in hybrid sports cars, said it lost 338 vehicles, with a retail value of nearly $34 million, at a port storage facility in New Jersey. Toyota Motor Corp. has said it might have lost as many as 4,500 new Toyota, Scion and Lexus vehicles to flooding and storm damage. American Honda Motor Co. said that more than 3,000 new vehicles at its dealers and storage yards suffered flood damage.

All this is going to create problems for consumers in the storm region who need to replace their rides quickly.

"Prices could really shoot up for consumers buying cars right away, because they will run into a severe inventory shortage," Banks said.

The dealers group believes that some replacement buying will start this month but will pick up in December and run through February. Banks expects that about 30% of buyers will purchase new cars and the remainder will choose used cars.

The buying, however, should provide a boost for the economy, said Edmunds.com Chief Economist Lacey Plache.

"Even if 100,000 damaged vehicles are replaced by the end of the year, it could boost auto sales 3% to 4% for the quarter," Plache said. "That has a positive effect on the economy overall."

jerry.hirsch@latimes.com

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Loughner faces life term for Giffords shooting rampage

Jared Loughner, the man who pleaded guilty to a deadly Arizona shooting rampage that also wounded then-Congresswoman Gabrielle Giffords, came face to face with his victims Thursday.

TUCSON, Arizona (Reuters) - Former Arizona congresswoman Gabrielle Giffords stood in federal court to face her would-be assassin on Thursday moments before he was sentenced to life in prison for killing six people and wounding 13 others, including Giffords, last year.

Jared Loughner, 24, a college dropout with a history of psychiatric disorders, received seven consecutive life terms plus 140 years in prison, without the possibility of parole, under a deal with prosecutors that spared him the death penalty.

U.S. District Judge Larry Burns said the life sentences he imposed - one for each of the six people who lost their lives, and a seventh for the attempted assassination of Giffords - represented the individuality of the victims.

"He will never have the opportunity to pick up a gun and do this again," Burns said before Loughner was led away by federal marshals.

Giffords suffered a head wound in the January 8, 2011, shooting that left her with speech difficulties, a paralyzed right arm, diminished sight and a limp.

Loughner, who sat through the proceedings without addressing the court, showed no emotion as his sentence was pronounced or during statements delivered in court by several survivors.

Giffords did not speak. Her husband, retired astronaut Mark Kelly, spoke on her behalf.

"You may have put a bullet through her head, but you haven't put a dent in her spirit and her commitment to make the world a better place," Kelly told him, with Giffords standing at his side as she impassively faced her assailant.

Loughner, seated next to his lawyer, Judy Clarke, appeared to gaze back at them without expression.

"Though you are mentally ill, you are responsible for the death and hurt you inflicted," Kelly told Loughner in a clear, ringing voice. "You have decades upon decades to contemplate what you did. But after today ... Gabby and I are done thinking about you."

Giffords resigned from Congress in January to focus on her recuperation.

GUN CONTROL

Kelly also used the occasion to take a political swipe at Republican Arizona Governor Jan Brewer, a staunch gun rights advocate, criticizing her for speaking out against calls to ban high-capacity ammunition magazines, like the ones Loughner used, a week after the shooting.

He recalled her as saying that she didn't think the shooting had "anything to do with the size of the magazine."

He went on to note that the state legislature "thought it appropriate to busy itself naming an official Arizona state gun just weeks after this tragedy," a proclamation Brewer signed.

Brewer spokesman Matthew Benson declined comment.

"On this solemn occasion, Governor Brewer isn't interested in engaging in politics," he said in a statement. "This is a day of justice and peace. Governor Brewer wishes both for the victims and their families."

The proceedings marked a dramatic epilogue to a rampage of gun violence that shocked many Americans, added to the long-running debate over gun control and cut short the political career of Giffords, a rising star in the Democratic Party.

"For the victims, their families and the larger community impacted by this tragic event in our nation's history, it is my sincere hope that this conclusion will help in their journey toward physical and emotional recovery," U.S. Attorney General Eric Holder said in a statement.

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Exclusive: Google Ventures beefs up fund size to $300 million a year

SAN FRANCISCO (Reuters) - Google will increase the cash it allocates to its venture-capital arm to up to $300 million a year from $200 million, catapulting Google Ventures into the top echelon of corporate venture-capital funds.

Access to that sizeable checkbook means Google Ventures will be able to invest in more later-stage financing rounds, which tend to be in the tens of millions of dollars or more per investor.

It puts the firm on the same footing as more established corporate venture funds such as Intel's Intel Capital, which typically invests $300-$500 million a year.

"It puts a lot more wood behind the arrow if we need it," said Bill Maris, managing partner of Google Ventures.

Part of the rationale behind the increase is that Google Ventures is a relatively young firm, founded in 2009. Some of the companies it backed two or three years ago are now at later stages, potentially requiring larger cash infusions to grow further.

Google Ventures has taken an eclectic approach, investing in a broad spectrum of companies ranging from medicine to clean power to coupon companies.

Every year, it typically funds 40-50 "seed-stage" deals where it invests $250,000 or less in a company, and perhaps around 15 deals where it invests up to $10 million, Maris said. It aims to complete one or two deals annually in the $20-$50 million range, Maris said.

LACKING SUPERSTARS

Some of its investments include Nest, a smart-thermostat company; Foundation Medicine, which applies genomic analysis to cancer care; Relay Rides, a carsharing service; and smart-grid company Silver Spring Networks. Last year, its portfolio company HomeAway raised $216 million in an initial public offering.

Still, Google Ventures lacks superstar companies such as microblogging service Twitter or online bulletin-board company Pinterest. The firm's recent hiring of high-profile entrepreneur Kevin Rose as a partner could help attract higher-profile deals.

Soon it could have even more cash to play around with. "Larry has repeatedly asked me: 'What do you think you could do with a billion a year?'" said Maris, referring to Google chief executive Larry Page.

(Editing by Muralikumar Anantharaman)

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Final “Spartacus” Season to Enter the Arena January 25

LOS ANGELES (TheWrap.com) – Starz’s “Spartacus” series will engage in one last round of battle in January, the cable network said Tuesday.

“Spartacus: War of the Damned” will premiere January 25, 2013 at 9 p.m., marking the beginning of the end for the blood-and-sex soaked franchise, whose previous installments included “Spartacus: Vengeance” and “Spartacus: Blood and Sand.”

“Spartacus: War of the Damned” sees Liam McIntyre returning as the titular gladiator, and takes place following the defeat of Roman commander Gaius Claudius Glaber. Following successful battles against the Romans after the Battle of Vesuvius, the ranks of the rebellious slaves have swelled, with Rome trembling at Spartacus’ increased threat to the empire.

This season also sees the addition of new cast members Todd Lasance as Gaius Julius Caesar, Simon Merrells as Marcus Crassus and Anna Hutchison as Laeta.

TV News Headlines – Yahoo! News

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Doctor and Patient: Comparative Effectiveness Studies Lack Impact

“Comparative effectiveness” studies, which compare one treatment for a particular illness against another to determine which works better, have received a lot of attention and billions of dollars in federal support in the last few years. But when I mentioned comparative effectiveness research recently to a colleague who I know is particularly interested in treatments and the clinical trials behind them, he let out a loud snort and guffaw before I even finished saying the words.

“It’s a great idea, but it’s not real life,” he said, regaining his composure. “Or at least not the real life of a lot of doctors and patients.”

To explain, he described a newly published study on treating children who are thought to have swallowed a small foreign object, like a coin or a toy. He reeled off a long list of laboratory tests, scans, scopes and X-rays that the researchers recommended for such cases, adding, “Those experts assume that everyone lives near big medical centers like theirs, but not all of my patients do. And what are we going to do if the insurance company doesn’t approve of all the tests we order?”

It took only a cursory review of comparative effectiveness research over the last decade for me to realize that my colleague was right. Despite many useful and even potentially cost-saving findings, many of them failed to change doctors’ practice and patient care.

Now a group of researchers has offered a cogent analysis in the journal Health Affairs to explain this failure. And they have done so using methods about as different from comparative effectiveness as research can be.

The researchers talked to more than 50 doctors, patient advocates and other health care experts, each of whom had created, conducted or evaluated comparative effectiveness research or helped introduce the findings into clinical practice. During the interviews, they referred to trials of blood pressure medications, spine surgery, antipsychotic drugs, a heart rhythm device, heart catheterizations and bone marrow transplantation, and then asked why some of these studies seemed to inspire enduring changes while others did not.

A handful of factors came up again and again. Those interviewed frequently referred to the fact that many of these studies did not address the actual needs of practicing clinicians and patients. For instance, one study of medications for treating psychosis focused on the differences in efficacy among the drugs, but mental health care providers really wanted to know about differences in safety.

Sometimes, too, a study’s conclusions required such a significant shift in thinking that doctors and patients had difficulty adjusting to the change, like the recent recommendations against using measures of the prostate-specific antigen, or PSA, as a screening test for cancer. Other times, the findings were so nuanced or ambiguous, with such complicated restrictions on what worked best when, that they simply were not incorporated into professional guidelines or recommendations.

But perhaps the most common reason for these studies’ failures came down to dollars. In the current health care system, clinicians are rewarded for doing and ordering more. Pharmaceutical and medical device firms reap fortunes from physicians’ orders, and a single change could cost them billions. Studies that endorse anything less than another expensive procedure or a newer and more expensive medication or the latest device are often destined for failure or a protracted struggle against drug and device companies that are willing to put up a costly fight.

“The incentives are all out of whack,” said Justin W. Timbie, the lead author and a health policy researcher at the RAND Corporation in Arlington, Va. “The current system favors treatments that are well paid, not necessarily those that are most effective.”

For example, one study found that generic diuretic pills that cost pennies a day worked better for patients with high blood pressure than newer drugs that could be as much as 20 times as expensive. Because hypertension affects tens of millions of Americans, this finding had the potential to save the health care system billions of dollars.

But the finding never really took hold; the percentage of patients taking the cheaper diuretics barely increased. Physicians had a difficult time changing their prescribing habits; limited funding prevented researchers from widely disseminating the results; and pharmaceutical companies waged an aggressive marketing campaign that included paying health care experts to speak about the study in a way that made their expensive drugs seem better.

Based on their findings from these interviews, Dr. Timbie and his fellow investigators offer several suggestions that may improve the impact of these studies. These include realigning financial incentives to support recommended changes in practice; incorporating a broad range of perspectives, like those of practicing doctors and patients, in the design, goals and interpretation of such studies; and, above all, proceeding with a clear strategy for all future comparative effectiveness research.

Despite the challenges, the researchers remain optimistic about the future. And for good reason. Their study was initiated by policy makers and financed by the federal office responsible for health care policy coordination and planning. And representatives from the new national organization, the Patient-Centered Outcomes Research Institute, whose mission is to develop and oversee such studies, have reviewed and discussed the suggestions with Dr. Timbie and the other authors of the study.

“The track record to now has not been great, but for the first time, comparative effectiveness research is a priority for the country,” Dr. Timbie said. “The whole process of generating new evidence has a degree of governance that has never existed before.”

“It’s all about impact now,” he added.

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McDonald's sales drop, first time since 2003

McDonald's Corp. reported its first decline in monthly U.S. same store sales in nine years Thursday, as the chain began to suffer problems plaguing the rest of the fast food industry for several years.

Sales at restaurants open more than a year declined 2.2 percent. Same store sales also declined in Europe, 2.2 percent, and the Asia Pacific, Middle East and Africa region, 2.4 percent.

The chain cited lower demand and greater competition for the lower sales. While hamburger competitors Burger King and Wendy’s were walloped by the onset of the recession, both  have changed hands in recent years and launched new menu items that better compete with McDonald’s including expanded breakfast offerings, improved coffee options and more innovative salads.

"Though October's sales results reflect the pervasive challenges of today's global marketplace, I am confident that our strategies and the adjustments we are making in response to the current business headwinds will build sales momentum and drive sustained, profitable growth," McDonald's CEO Don Thompson said. 

Although the decline is historic for the world's largest restaurant chain, which has been on a roll since the beginning of its historic turnaround in 2003, it was not unexpected. Analysts have been tempering expectations and downgrading the stock for months.

To rev up sales, McDonald's has been working to emphasize value in markets around the world.

In the U.S., for example, McDonald's is stepping up advertising for its Dollar Menu after its attempt to market an "Extra Value Menu" for slightly higher prices fell flat. But the company said Thursday that the efforts were offset by "modest consumer demand" and competition.

In particular, McDonald's is facing stiffer competition from longtime rivals Burger King and Wendy's, which are both in the midst of reviving their brands with new ad campaigns and improved menus. Taco Bell, owned by Yum Brands Inc., is also enjoying growth with the help of new offerings such as it Doritos Locos Tacos and higher-end Cantina Bell bowls and burritos.

Stock slipped 0.99 percent in pre-market trades, to $86 in early trading. McDonald's hit an all-time high of $101.74 in February.

Baird analyst David Tarantino maintained an outperform rating on McDonald's, saying in a research note that, "We are cautiously optimistic that better trends can emerge as McDonald's gets past a wall of challenging comparisons in upcoming months."

Tarrantino added that though results "could remain soft" through early 2013, "we see opportunity for better performance to emerge in 2013 as a whole," because of emphasis on value offerings, lower ingredient costs, and reduced currency impact.

eyork@tribune.com | Twitter: @emilyyork

- Reuters contributed to this report

MCD Net Income Quarterly data by YCharts

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Nor'easter wary United cancels 269 flights -- 116 at O'Hare

United Airlines has canceled 269 flights as a result of a Nor'easter poised to hit the East Coast. The same storm also caused more than 100 flights at O'Hare International Airport to be canceled Wednesday.

Chicago-based United said it would suspend most service to and from the New York and Philadelphia areas between noon Wednesday and noon Thursday.

As of Wednesday afternoon, United was the most-affected airline, canceling 269 flights, according to FlightStats.com. That's followed by 251 canceled flights by ExpressJet, 146 by American Eagle and 140 by American Airlines.

The three major New York-area airports and Philadelphia International were most affected, but fifth on the list was O'Hare, with 116 cancellations, according to FlightStats data.

At Newark Liberty International Airport, United canceled all departures, including international flights, after 4 p.m. Wednesday and will cancel selected inbound flights, according to an update at United Hub online. It also canceled all United Express operations at the airport from 2 p.m. Wednesday through 10 a.m. Thursday.

At John F. Kennedy International, United planned departures through the early afternoon Wednesday. It won't resume operating until noon Thursday.

At LaGuardia, no United flights will operate between noon Wednesday and noon Thursday.

United said it has, where possible, rebooked travelers ticketed with connections at Newark through the airline's other hubs.

The airline will waive change fees and any additional fare that might apply to customers ticketed on flights to, from or through airports in the path of the storm from Nov. 6 through Nov. 8. Customers may reschedule itineraries no later than Nov. 15 with a one-time date or time change. Customers may also request refunds.

Airports affected acted are Allentown, Pa.; Hartford, Conn.; Manchester, N.H.; New York/Newark (Liberty, Kennedy and LaGuardia); Philadelphia and White Plains, N.Y.

Details and specific flight information is available at United.com.

gkarp@tribune.com

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Apple slides to five-month low, uncertainty grows

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Phase 4 Films Acquires “Precious” Producer’s Directorial Debut “Long Time Gone”

NEW YORK (TheWrap.com) – Phase 4 Films has acquired U.S. and Canadian rights to Sarah Siegel-Magness‘ “Long Time Gone,” a drama starring Virginia Madsen, Amanda Crew and Zach Gilford.

Connecticut resident who has a nervous breakdown after discovering her husband is having an affair. Her son tries to comfort her with the help of his older brother (Gilford) and live-in girlfriend (Crew).

Anthony LaPaglia and Eva Longoria also star in the directorial debut of Siegel-Magness, who produced “Precious.”

“We are thrilled to be working with Sarah on her directorial debut after her past success as a producer,” Phase 4 president and CEO Ben Meyerowitz said in a statement. “We cannot wait until audiences see the great performances by Virginia Madsen and the rest of the wonderful cast involved.”

Phase 4 will release the film day-and-date in theaters and across all VOD and digital platforms Spring 2013.

“I am thrilled to have Phase 4 release my directorial debut. From the very start, they understood and appreciated our film and their enthusiasm has us very excited to move forward in the next chapter of our film’s journey,” Siegel-Magness said in a statement. “Their understanding of the ever changing landscape of the marketplace has us feeling confident that our film is in the right hands.”

Movies News Headlines – Yahoo! News

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A Collective Effort to Save Decades of Research at N.Y.U.

The calls started coming in late on Tuesday and early Wednesday: offers of dry ice, freezer space, coolers. By the end of Thursday there were dozens more: A researcher at Weill Cornell Medical College would clear 1,000 tanks to save threatened zebra fish; another, at Cold Spring Harbor Laboratory, promised to replace some genetically altered mice that were lost; and a doctor at the Children’s Hospital of Philadelphia even offered take over entire experiments, to keep them going.

As hurricane-driven waters surged into New York University research buildings in Kips Bay, on the East Side of Manhattan, investigators in New York and around the world jumped on the phone to offer assistance — executing a reverse Noah’s ark operation, to rescue lab animals and other assets from a flooding vessel.

“I’ve had 43 people who have offered to help so far, and some of them are direct competitors,” said Gordon Fishell, associate director of the N.Y.U. Neuroscience Institute, who lost more than 5,000 genetically altered mice when storm waters surged the night of Oct. 30, cutting off power. “It’s just been unbelievable,” he said. “It really buoys my spirits and my lab’s.”

Staff members at N.Y.U. worked around the clock to preserve research materials, running in and out of darkened buildings without elevator service, hauling dry ice and other supplies up anywhere from 2 to more than 15 floors.

The university’s medical center also got instant help, from almost every major research institution in the area.

The response reflects large shifts in the way that science is conducted over the past generation or so. Individual labs always compete to be first, but researchers increasingly share materials that are enormously expensive and time-consuming to reproduce. The loss of a single cell line or genetically altered animal can slow progress for years in some areas of biomedical research.

“We are totally dependent on each other in the life sciences now, for a very large number of cell lines and extracts, research animals and unique chemical tools and antibodies that might not have backup copies anywhere in the world, or in very few places,” said Dr. Steven Hyman, director of the Stanley Center for Psychiatric Research at the Broad Institute of M.I.T. and Harvard. “Losing any of these tools tears a significant hole in the entire field.”

Danny Reinberg, a professor of biochemistry at N.Y.U.’s medical school, has studied genetics for 30 years, accumulating valuable mice strains and stocks of extracts from cell nuclei that would be extremely difficult to replace. The extracts must be stored at minus 112 degrees Fahrenheit.

Dr. Reinberg said he lost all of his mice: nine strains, including more than 1,000 animals that died in the storm surge. But he managed to save all of the cell extracts by moving some containers into freezers at N.Y.U. labs that weren’t affected and others to the Rockefeller, Columbia and Cornell medical centers, each of which cleared space, he said.

“We were able to save many things; it was just phenomenal to get that kind of help,” said Dr. Reinberg, whose house in New Jersey has had no power.

“Later in the week, at a Starbucks, I could finally download all my e-mail, and there were messages from people at the University of Pennsylvania and the Howard Hughes Medical Institute, asking how they could help us re-establish the mouse lines we lost,” he said.

Some scientists have become interdependent because their students, who develop a specialty in specific tissues or animals, often move among labs. Research projects sometimes draw on experiments or analyses the students worked on at more than one place.

One researcher working in Dr. Fishell’s lab was formerly a student of Dr. Stewart Anderson of the Children’s Hospital of Philadelphia, who sent Dr. Fishell a text message on Wednesday to offer help. “I told him that even if it costs money, we’re happy to keep experiments rolling, if we’re able to,” Dr. Anderson said.

By late Thursday, freezer space in minus-112-degree units was extremely tight in the city. So was dry ice.

Susan Zolla-Pazner, director of AIDS research at the Manhattan Veterans Affairs Medical Center, had lost power in her 18th-floor lab in the department’s building at 23rd Street and First Avenue. She finally hired a company to haul her 20 freezers-full of specimens, for safekeeping.

“We spent all of Tuesday and Wednesday hauling 1,300 pounds of dry ice up to the 18th floor, using the stairs, to stabilize the freezers first,” said Dr. Zolla-Pazner, who is also a professor of pathology at N.Y.U. School of Medicine. “And the dry ice people would only take cash. I have about 25 to 30 people working for me, and everyone was out there on 23rd Street, reaching into their pockets to get what we needed. It was a herculean and heroic effort on the part of everyone here, and that is the story that needs to be told.”

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'Fiscal cliff' takes center stage

Now that Wall Street knows President Obama will stay in the White House, investors' attention has returned to looming crises facing the U.S. and European economies.

Major stock indexes were down more than 2 percent midway through the first trading session after election day.

At the top of the agenda is the "fiscal cliff," the automatic spending cuts and tax hikes looming at year's end. If Obama cannot successfully resolve the crisis with a House still controlled by Republicans, economists have warned that the "cliff" could slow growth and push the U.S. back into recession.

"We've gotten certainty on the presidency and now we move into the uncertainty of where we were before -- the fiscal cliff," said Quincy Krosby, a market strategist at Prudential Financial. "The market's not going to have much patience to wait to see when the negotiations begin in earnest and how they evolve."

The Dow Jones industrial average regained some ground but was still down 303 points, or 2.3 percent, to 12,943 in midday trading.

The broader Standard & Poor's 500 index was down 32 points, or 2.2 percent, to 1,396. The Nasdaq was down 71 points, or 2.4 percent, to 2,941.

Corporations reported sluggish revenues in the third quarter, signaling slowing economic growth regardless of the fiscal cliff, Krosby noted. Declining company fortunes could lead to job cuts and further drags on economic growth as consumer demand falls.

Also weighing on investors' minds: Continuing worries out of Europe. Economic data out of Germany indicate that not even the continent's most powerful economy is immune to the Eurozone slowdown, as European Central Bank President Mario Draghi noted in remarks Wednesday.

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Nation decides after long campaign

Election Day arrives, sending voters streaming to the polls to pick the next president and the candidates themselves scrounging for last-minute votes. The presidential contest is likely to be close, hinging on a few key states like Ohio

President Barack Obama and former Massachusetts Gov. Mitt Romney dueled for the White House on Tuesday in a tight-to-the-finish election shadowed by a weak economy and high unemployment that crimped middle class dreams for millions.

Voters also chose a new Congress to serve alongside the man who will be inaugurated president in January, Democrats defending their majority in the Senate, and Republicans in the House. Eleven states picked governors, and ballot measures ranging from gay marriage to gambling dotted ballots.

The first votes tallied in the presidential race were from reliably Republican Indiana and Kentucky, and favored Romney by a margin of 2-1.

The economy was rated the top issue by about 60 percent of voters surveyed as they left their polling places. About 4 in 10 said it is on the mend.

More than that said conditions are as bad or getting worse, but a significant fraction said former President George W. Bush bears more of the responsibility than Obama. The survey was conducted for The Associated Press and a group of television networks.

The long campaign's cost soared into the billions, much of it spent on negative ads, some harshly so.

In the presidential race, an estimated one million commercials aired in nine battleground states where the rival camps agreed the election was most likely to be settled — Ohio, New Hampshire, Virginia, Florida, North Carolina, Wisconsin, Iowa, Colorado and Nevada. They accounted for 110 of the 270 electoral votes needed for victory, and they drew repeated appearances by the 51-year-old president and Romney, 65.

Romney raced to Ohio and Pennsylvania for Election Day campaigning and projected confidence as he flew home to Massachusetts to await the results. "We fought to the very end, and I think that's why we'll be successful," he said, adding that he had finished writing a speech anticipating victory.

Obama made get-out-the-vote calls from a campaign office near his home in Chicago and found time for his traditional Election Day basketball game with friends. Addressing his rival, he said, "I also want to say to Gov. Romney, 'Congratulations on a spirited campaign.' I know his supporters are just as engaged, just as enthusiastic and working just as hard today." Romney, in turn, congratulated the president for running a "strong campaign."

Other than the battlegrounds, big states were virtually ignored in the final months of the campaign. Romney wrote off New York, Illinois and California, while Obama made no attempt to carry Texas, much of the South or the Rocky Mountain region other than Colorado.

There were 33 Senate seats on the ballot, 23 of them defended by Democrats and the rest by Republicans.

The GOP needed a gain of three for a majority if Romney won, and four if Obama was re-elected. Neither Majority Leader Harry Reid of Nevada nor GOP leader Mitch McConnell of Kentucky was on the ballot, but each had high stakes in the outcome.

All 435 House seats were on the ballot, including five where one lawmaker ran against another as a result of once-a-decade redistricting to take population shifts into account. Democrats needed to pick up 25 seats to gain the majority they lost two years ago.

Depending on the outcome of a few races, it was possible that white men would wind up in a minority in the Democratic caucus for the first time.

Speaker John A. Boehner, R-Ohio, raised millions to finance get-out-the-vote operations in states without a robust presidential campaign, New York, Illinois and California among them. His goal was to minimize any losses, or possibly even gain ground, no matter Romney's fate. House Democratic leader Rep. Nancy Pelosi of California campaigned aggressively, as well, and faced an uncertain political future if her party failed to win control.

In gubernatorial races, Republicans hoped to gain seats after Democratic retirements in New Hampshire, Washington, Montana and especially North Carolina.

Romney was in Massachusetts after his Election Day dash to Ohio and Pennsylvania.

In a campaign that traversed contested Republican primaries last winter and spring, a pair of political conventions this summer and three presidential debates, Obama, Romney, Vice President Joe Biden and Republican running mate Paul Ryan spoke at hundreds of rallies, were serenaded by Bruce Springstein and Meat Loaf and washed down hamburgers, pizza, barbecue and burrito bowls.

Obama was elected the first black president in 2008, and four years later, Romney became the first Mormon to appear on a general election ballot. Yet one man's race and the other's religion were never major factors in this year's campaign for the White House, a race dominated from the outset by the economy.

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Exclusive - Amazon to win EU e-book pricing tussle with Apple

BRUSSELS (Reuters) - European Union regulators are to end an antitrust probe into e-book prices by accepting an offer by Apple and four publishers to ease price restrictions on Amazon, two sources said on Tuesday.

That decision would hand online retailer Amazon a victory in its attempt to sell e-books cheaper than rivals in the fast-growing market publishers hope will boost revenue and increase customer numbers.

"Faced with years of court battles and uncertainty I can understand why some of these guys decided to fold their cards and take the whipping," said Mark Coker, founder of Smashwords, an ebook publisher and distributor that works with Apple.

"It's certainly another win for Amazon," he added. "I have not seen the terms of the final settlement, but my initial reaction is that it places restrictions on what publishers can do, slowing them down just when they need to be more nimble."

A spokesman at the EU Commission said its investigation was not yet finished. Amazon and Apple declined to comment.

In September, Apple and the publishers offered to let retailers set prices or discounts for a period of two years, and also to suspend "most-favored nation" contracts for five years.

Such clauses bar Simon & Schuster, News Corp. unit HarperCollins, Lagardere SCA's Hachette Livre and Verlagsgruppe Georg von Holtzbrinck, the owner of German company Macmillan, from making deals with rival retailers to sell e-books more cheaply than Apple.

The agreements, which critics say prevent Amazon and other retailers from undercutting Apple's charges, sparked an investigation by the European Commission in December last year.

Pearson Plc's Penguin group, which is also under investigation, did not take part in the offer.

The EU antitrust authority, which in September asked for feedback from rivals and consumers about the proposal, has not asked for more concessions, said one of sources.

"The Commission is likely to accept the offer and announce its decision next month," the source said on Tuesday.

Antoine Colombani, spokesman for competition policy at the European Commission, said: "We have launched a market test in September and our investigation is still ongoing."

Amazon declined to comment, while Apple did not respond to an email seeking comment.

Companies found guilty of breaching EU rules could be fined up to 10 percent of their global sales, which in Apple's case could reach $15.6 billion, based on its 2012 fiscal year.

AGGREGATE PRICING

UBS analysts estimate that e-books account for about 30 percent of the U.S. book market and 20 percent of sales in Britain but are minuscule elsewhere. When Amazon launched its Kindle e-reader, it charged $9.99 per book.

Apple's agency model let publishers set prices in return for a 30 percent cut to the maker of iPhone and iPad.

The U.S. Department of Justice is investigating e-book prices. HarperCollins, Simon & Schuster and Hachette have settled, but Apple, Pengin Group and Macmillan have not.

The DOJ settlement required that retailers must at least break even selling all ebooks from a publisher's available list, according to Coker and Joe Wikert, general manager and publisher at O'Reilly Media Inc.

It was not clear if EU regulators will include a similar requirement, which would prohibit Amazon from pricing all ebooks at a loss, said Wikert, a former publishing executive.

In the United States, Amazon will likely price popular titles at a loss and try to make up the difference on a publisher's other ebooks, he said.

Coker said any such rule could be dangerous in Europe, which still has distinct markets.

"It could allow a single retailer to charge full price in a large market like the U.K., and then sell below cost or for free in multiple smaller markets as a strategy to kill regional ebook retailing upstarts before they take root," Coker said.

FROWNING ON ONLINE TRADE CURBS

Antitrust regulators tend to frown on restrictions on online trade and the case is a good example, said Mark Tricker, a partner at Brussels-based law firm Norton Rose.

"This case shows the online world continues to be a major focus for the Commission," he said.

"These markets change very quickly and if you don't stamp down on potential infringements of competition rules, you can have significant consequences."

(Additional reporting by Alistair Barr in San Francisco; Editing by Rex Merrifield, David Goodman and David Gregorio)

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