Venezuelan Official Confirms Chávez Receiving Cancer Treatments





CARACAS, Venezuela — President Hugo Chávez is receiving chemotherapy or radiation treatments in the aftermath of his most recent cancer surgery, a government official said for the first time on Friday.




Mr. Chávez has not been seen and has not spoken in public since his Dec. 11 surgery in Havana, including after officials said he was flown back to Venezuela and installed in a military hospital here on Feb. 18. His long isolation has fueled speculation about the gravity of his illness.


The government has given only partial information about his condition, leaving Venezuelans playing a guessing game, trying to piece together a fuller picture from the scant details that are parceled out.


The new information adds to the recent description by the president’s son-in-law, Science and Technology Minister Jorge Arreaza, of Mr. Chávez’s treatment as “palliative,” which could indicate that doctors consider his cancer incurable and they are concentrating their efforts on reducing pain or slowing the progress of the disease.


On Friday Vice President Nicolás Maduro said that Mr. Chávez was undergoing “complementary treatments,” a phrase that officials had used previously without specifying what the treatments were.


But this time Mr. Maduro added, “You know what the complementary treatments are, don’t you? Well, the chemotherapy that they apply to the patient after an operation, as he went through chemotherapy and radiation therapy after the operations in 2011 and 2012.”


Speaking after a mass to inaugurate a small chapel erected near the military hospital where officials say Mr. Chávez is staying, he described the treatments as being hard and said that Mr. Chávez is in a “battle for his life” but in good spirits.


Mr. Arreaza, the son in law, did not say what he meant by the term palliative treatments. Medical experts not involved with Mr. Chávez’s care said chemotherapy or radiation could be used as palliative treatments for cancer, such as to slow down the growth of a tumor that is causing a patient pain.


“The definition of palliative treatment is that the cancer can’t be cured and one is treating only to make the person comfortable and relieve discomfort,” said Dr. Julio Pow-Sang, an oncologist at the Moffitt Cancer Center in Tampa, Fla.


Dr. Edward Greeno, an oncologist at the University of Minnesota said that palliative treatments can go on for an extended period, depending on the type of cancer.


“It doesn’t always mean the end is close,” Dr. Greeno said. “Sometimes you can keep things controlled for a long time. But it does mean that you’re not trying to get rid of the cancer or control the cancer but you are providing symptom control and maybe provide increased survival time.”


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Fans keep love alive for 'Walking Dead' star


LOS ANGELES (AP) — From week to week fans simply never know which characters will survive the relentless zombie attacks on AMC's hit series "The Walking Dead."


That unpredictability keeps viewers on the edge of their seats and the shows' stars in a constant state of alertness.


"You see series and they last a long time and sometimes the writing gets lazy or the acting gets lazy. Because we're in a zombie apocalypse and anyone can go at any time, it sort of keeps us fresh and on our toes," Norman Reedus told The Associated Press Friday.


Fans lined up around the block to watch a panel discussion with Reedus and his co-stars at Paleyfest, the annual Southern California TV celebration. Many in the crowd showed their support for Reedus' crossbow-wielding character, Daryl Dixon, with their "If Daryl dies we riot!" T-shirts.


The 44-year-old actor says his vocal fan base is responsible for his character's impressive longevity in a series that seems to have no qualms in axing its most popular characters.


"Hell yes. Oh my god, yes," he said. "(They're) keeping me on the show."


"The Walking Dead" focuses on a rag-tag band of surviving refugees, including unruly brothers Daryl and Merle Dixon, who were not part of the series' comic book origins.


"I want to be Daryl Dixon in my next life," joked co-star Laurie Holden. "He's sexy and he's got the rugged thing going on."


When asked about his breakout star status, Reedus becomes humble and tries to turn the spotlight on his Golden Globe-nominated cast.


"I watch them grow and I watch myself grow. It's one of those acting things where like I'll be in a scene with her or with him and I'll say should I try this? And they'll go 'yeah' and I'll believe them and I'll trust them. Everyone wants everyone to just kill it," Reedus said with a laugh.


_____


Online: www.amctv.com/shows/the-walking-dead


www.paleycenter.org


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


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U.S. Judges Offer Addicts a Way to Avoid Prison


Todd Heisler/The New York Times


Emily Leitch of Brooklyn, with her son, Nazir, 4, was arrested for importing cocaine but went to “drug court” to avoid prison.







Federal judges around the country are teaming up with prosecutors to create special treatment programs for drug-addicted defendants who would otherwise face significant prison time, an effort intended to sidestep drug laws widely seen as inflexible and overly punitive.




The Justice Department has tentatively embraced the new approach, allowing United States attorneys to reduce or even dismiss charges in some drug cases.


The effort follows decades of success for “drug courts” at the state level, which legal experts have long cited as a less expensive and more effective alternative to prison for dealing with many low-level repeat offenders.


But it is striking that the model is spreading at the federal level, where judges have increasingly pushed back against rules that restrict their ability to make their own determination of appropriate sentences.


So far, federal judges have instituted programs in California, Connecticut, Illinois, New Hampshire, New York, South Carolina, Virginia and Washington. About 400 defendants have been involved nationwide.


In Federal District Court in Brooklyn on Thursday, Judge John Gleeson issued an opinion praising the new approach as a way to address swelling prison costs and disproportionate sentences for drug trafficking.


“Presentence programs like ours and those in other districts mean that a growing number of courts are no longer reflexively sentencing federal defendants who do not belong in prison to the costly prison terms recommended by the sentencing guidelines,” Judge Gleeson wrote.


The opinion came a year after Judge Gleeson, with the federal agency known as Pretrial Services, started a program that made achieving sobriety an incentive for drug-addicted defendants to avoid prison. The program had its first graduate this year: Emily Leitch, a Brooklyn woman with a long history of substance abuse who was arrested entering the country at Kennedy International Airport with over 13 kilograms of cocaine, about 30 pounds, in her luggage.


“I want to thank the federal government for giving me a chance,” Ms. Leitch said. “I always wanted to stand up as a sober person.”


The new approach is being prompted in part by the Obama administration, which previously supported legislation that scaled back sentences for crimes involving crack cocaine. The Justice Department has supported additional changes to the federal sentencing guidelines to permit the use of drug or mental health treatment as an alternative to incarceration for certain low-level offenders and changed its own policies to make those options more available.


“We recognize that imprisonment alone is not a complete strategy for reducing crime,” James M. Cole, the deputy attorney general, said in a statement. “Drug courts, re-entry courts and other related programs along with enforcement are all part of the solution.”


For nearly 30 years, the United States Sentencing Commission has established guidelines for sentencing, a role it was given in 1984 after studies found that federal judges were giving defendants widely varying sentences for similar crimes. The commission’s recommendations are approved by Congress, causing judges to bristle at what they consider interference with their judicial independence.


“When you impose a sentence that you believe is unjust, it is a very difficult thing to do,” Stefan R. Underhill, a federal judge in Connecticut, said in an interview. “It feels wrong.”


The development of drug courts may meet resistance from some Republicans in Congress.


“It is important that courts give deference to Congressional authority over sentencing,” Representative F. James Sensenbrenner Jr., Republican of Wisconsin, a member and former chairman of the Judiciary Committee, said in a statement. He said sentencing should not depend “on what judge happens to decide the case or what judicial circuit the defendant happens to be in.”


At the state level, pretrial drug courts have benefited from bipartisan support, with liberals supporting the programs as more focused on rehabilitation, and conservatives supporting them as a way to cut spending.


Under the model being used in state and federal courts, defendants must accept responsibility for their crimes and agree to receive drug treatment and other social services and attend regular meetings with judges who monitor their progress. In return for successful participation, they receive a reduced sentence or no jail time at all. If they fail, they are sent to prison.


The drug court option is not available to those facing more serious charges, like people accused of being high-level dealers or traffickers, or accused of a violent crime. (These programs differ from re-entry drug courts, which federal judges have long used to help offenders integrate into society after prison.)


In interviews, the federal judges who run the other programs pointed to a mix of reasons for their involvement.


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Economix Blog: Bernanke Defends Stimulus as Necessary and Effective

The Federal Reserve’s chairman, Ben S. Bernanke, picked an unusual time to offer his most recent defense of the Fed’s campaign to stimulate the economy: 7 p.m. on a Friday night in San Francisco, 10 p.m. back home on the East Coast.

The basic message was the same as Mr. Bernanke delivered to Congress earlier this week: The Fed regards its current efforts as necessary and effective, and the risks, while real, are under control.

“Commentators have raised two broad concerns surrounding the outlook for long-term rates,” Mr. Bernanke told a conference at the Federal Reserve Bank of San Francisco. “To oversimplify, the first risk is that rates will remain low, and the second is that they will not.”

If rates remain low, it may drive investors to take excessive risks. If rates jump, investors could lose money – not least the Fed.

Regarding the first possibility, Mr. Bernanke said that the Fed was keeping a careful eye on financial markets. But he noted that rates were low in large part because the economy was weak, and that keeping rates low was the best way to encourage stronger growth. “Premature rate increases would carry a high risk of short-circuiting the recovery, possibly leading — ironically enough — to an even longer period of low long- term rates,” he said.

At the other extreme, Mr. Bernanke said the Fed could “mitigate” any jump in rates by prolonging its efforts to hold rates down, for example by keeping some of its investments in Treasury and mortgage-backed securities.

Three more highlights from the question-and-answer session after the speech.

1. Mr. Bernanke, asked about the outlook for the Washington Nationals, responded by accurately quoting the “Las Vegas odds” of a World Series appearance: 8/1.

2. Although the decision may be made under a future chairman, Mr. Bernanke said the Fed should continue to offer “forward guidance” — predicting its policies — even after it concludes its long effort to revive the economy.

“Providing information about the future path of policy could be useful, probably would be useful, under even normal circumstances,” he said in response to a question. “I think we need to keep providing information.”

3. Not surprisingly, Mr. Bernanke often is asked to reflect on the financial crisis. He offered something a little different than his normal response on Friday night.

“In many ways, in retrospect, the crisis was a normal crisis,” he said. “It’s just that the intuitional framework in which it occurred was much more complex.”

In other words, there was a panic, and a run, and a collapse – but rather than a run on bank deposits, the run was in the money markets. Improving the stability of those markets is something regulators have yet to accomplish.

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Muay Thai Fighter Somluck Kamsing Returns to Home Ring


Rob Cox


Somluck Kamsing, right, fought Jomhod Kiatadisak last month in Bangkok as part of a string of comeback fights there.







BANGKOK — Before his Olympic gold medal, before his sponsorship deals, his movies and his music, Somluck Kamsing was one of thousands of young muay Thai fighters from Isan, Thailand’s poorest region.




“My family worked all day to be able to eat at night,” he said.


At a temple fair in their village, there was a small ring for muay Thai fights. Like many Isan men, Somluck’s father had been a fighter when he was young.


“My father put me in the ring, but I didn’t want to do it,” said Somluck, who was 7 or 8 at the time. “He hit me, so I had to fight.”


He won money, a trophy and his first fans. When Somluck walked around the village, people complimented his skill.


“I had a natural talent,” he said through an interpreter. “A gift from heaven.”


Local notice led to regional fame for the charismatic Somluck.


“I was a bet hunter,” he said. “I’d go from village to village fighting to earn money.”


Muay Thai is sustained by gamblers, who contribute to the atmosphere at matches but are more concerned with results than artistry. For others, muay Thai is a spectacle, and for a select few like Somluck, it is a way to a better life.


When he reached 15 and the minimum fighting weight, 100 pounds, he made his debut at the prestigious Lumpini Stadium here. As usual, the second and third tiers of the stadium, which holds 9,500 spectators, were full of bettors wiggling their raised fingers throughout the fights, indicating the changing odds of wagers among themselves.


Muay Thai, a sport closely linked to kickboxing that was adapted from hand-to-hand combat, is as known for intricate rituals like the prefight dance wai kru ram muay as for devastating elbow and knee strikes.


“Such a mixture of gentleness and violence is characteristic of the Thai people and their culture,” the Thai poet Montri Umavijani wrote.


Virat Vacirarattanawong, a Lumpini Stadium promoter, remembered watching the 15-year-old Somluck. “He was shining,” he said through an interpreter. “He had a kind of glamour about him. I didn’t know what it was, but I knew that he was not an ordinary boy.”


Thai fighters compete so frequently that they are usually considered veterans by age 27. But Kamsing, now 40, returned to the ring last fall and won. On Saturday, an American audience will get a chance to take the measure of Somluck when he faces Chike Lindsay in Pomona, Calif.


By the time Somluck was 18, he had competed in more than 200 bouts. Despite his ability, he never became a champion at Lumpini or at the smaller Rajadamnern Stadium, the nation’s other storied muay Thai arena. Somluck was considered such a prohibitive favorite that the big gamblers lost interest and the promoters did not want to risk their best prospects against him.


“I was out of a job,” he said. “I could not support myself.”


So Somluck switched to amateur boxing by refining the four striking tools of muay Thai — fists, feet, elbows and knees — into one. He approached matches the way he always did: before each fight, he paid respect to his amulet, which he believes protects him, and thought about his deceased father.


“The most important thing is I trust in myself,” he said. “I am a boxer. I have to believe that I can beat my opponent. For some of them I have to train, for some don’t. It is easy for me to read fighters.”


He was a success as a featherweight boxer. At 19, Somluck represented Thailand at the 1992 Olympics in Barcelona, Spain, and he won his nation’s first Olympic gold medal four years later. Some may remember Somluck as the boxer who bowed to each compass direction before his bouts at the 1996 Atlanta Games. In the final, he outpunched the Bulgarian Serafim Todorov, who had beaten 19-year-old Floyd Mayweather Jr. in the semifinals.


Somluck, then 23, returned from the Olympics a national hero. He had an audience with King Bhumibol Adulyadej. He received more than $1 million in bonuses from the government and his sponsors. “My life went from the earth to the stars,” he said. “I was famous. I was able to do advertising, movies, music, you name it. Everything changed.”


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Jane C. Wright, Pioneering Oncologist, Dies at 93





Dr. Jane C. Wright, a pioneering oncologist who helped elevate chemotherapy from a last resort for cancer patients to an often viable treatment option, died on Feb. 19 at her home in Guttenberg, N.J. She was 93.




Her death was confirmed by her daughter Jane Jones, who said her mother had dementia.


Dr. Wright descended from a distinguished medical family that defied racial barriers in a profession long dominated by white men. Her father, Dr. Louis T. Wright, was among the first blacks to graduate from Harvard Medical School and was reported to be the first black doctor appointed to the staff of a New York City hospital. His father was an early graduate of what became the Meharry Medical College, the first medical school in the South for African-Americans, founded in Nashville in 1876.


Dr. Jane Wright began her career as a researcher working alongside her father at a cancer center he established at Harlem Hospital in New York.


Together, they and others studied the effects of a variety of drugs on tumors, experimented with chemotherapeutic agents on leukemia in mice and eventually treated patients, with some success, with new anticancer drugs, including triethylene melamine.


After her father died in 1952, Dr. Wright took over as director of the center, which was known as the Harlem Hospital Cancer Research Foundation. In 1955, she joined the faculty of the New York University Medical Center as director of cancer research, where her work focused on correlating the responses of tissue cultures to anticancer drugs with the responses of patients.


In 1964, working as part of a team at the N.Y.U. School of Medicine, Dr. Wright developed a nonsurgical method, using a catheter system, to deliver heavy doses of anticancer drugs to previously hard-to-reach tumor areas in the kidneys, spleen and elsewhere.


That same year, Dr. Wright was the only woman among seven physicians who, recognizing the unique needs of doctors caring for cancer patients, founded the American Society of Clinical Oncologists, known as ASCO. She was also appointed by President Lyndon B. Johnson to the President’s Commission on Heart Disease, Cancer and Stroke, led by the heart surgeon Dr. Michael E. DeBakey. Its recommendations emphasized better communication among doctors, hospitals and research institutions and resulted in a national network of treatment centers.


In 1967, Dr. Wright became head of the chemotherapy department and associate dean at New York Medical College. News reports at the time said it was the first time a black woman had held so high a post at an American medical school.


“Not only was her work scientific, but it was visionary for the whole science of oncology,” Dr. Sandra Swain, the current president of ASCO, said in a telephone interview. “She was part of the group that first realized we needed a separate organization to deal with the providers who care for cancer patients. But beyond that it’s amazing to me that a black woman, in her day and age, was able to do what she did.”


Jane Cooke Wright was born in Manhattan on Nov. 30, 1919. Her mother, the former Corinne Cooke, was a substitute teacher in the New York City schools.


Ms. Wright attended the Ethical Culture school in Manhattan and the Fieldston School in the Bronx (now collectively known Ethical Culture Fieldston School) and graduated from Smith College, where she studied art before turning to medicine. She received a full scholarship to New York Medical College, earning her medical degree in 1945. Before beginning research with her father, she worked as a doctor in the city schools.


Dr. Wright’s marriage, in 1947, to David D. Jones, a lawyer, ended with his death in 1976. She is survived by their two daughters, Jane and Alison Jones, and a sister, Barbara Wright Pierce, who is also a doctor.


As both a student and a doctor, Dr. Wright said in interviews, she was always aware that as a black woman she was an unusual presence in medical institutions. But she never felt she was a victim of racial prejudice, she said.


“I know I’m a member of two minority groups,” she said in an interview with The New York Post in 1967, “but I don’t think of myself that way. Sure, a woman has to try twice as hard. But — racial prejudice? I’ve met very little of it.”


She added, “It could be I met it — and wasn’t intelligent enough to recognize it.”


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F-35 Jets Returned to Service by Pentagon





The Pentagon lifted its grounding of the new F-35 jet fighter on Thursday after concluding that a turbine blade had cracked on a single plane after it was overused in test operations.


The office that runs the program said no other cracks were found in inspections of the other engines made so far, and no engine redesign was needed.


It said the engine in which the blade cracked was in a plane that “had been operated at extreme parameters in its mission to expand the F-35 flight envelope.”


The program office added that “prolonged exposure to high levels of heat and other operational stressors on this specific engine were determined to be the cause of the crack.”


All flights were suspended last week for the 64 planes built so far once the crack, which stretched for six-tenths of an inch, was found during a routine inspection.


Pratt & Whitney, which makes the engines, investigated the problem with military experts. The company, a unit of United Technologies, said on Wednesday that the crack occurred after that engine was operated more than four times longer in a high-temperature flight environment than the engines would in normal use.


The F-35, a supersonic jet meant to evade enemy radar, is the Pentagon’s most expensive program and has been delayed by various technical problems. The program could cost $396 billion if the Pentagon builds 2,456 jets by the late 2030s.


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European Union Agrees on Plan to Cap Banker Bonuses


BRUSSELS — Bankers in Europe face a cap on bonuses as early as next year, after an agreement on Thursday to introduce what would be the world’s strictest pay curbs in a move politicians hope will address public anger at financial-sector greed.


The provisional agreement, announced by diplomats and officials after late-night talks between E.U. member representatives and the bloc’s parliament, means bankers face an automatic cap that sets bonuses at the level of their salaries.


If a majority of a bank’s shareholders vote in favor, that ceiling can be raised to two times a banker’s pay.


“For the first time in the history of E.U. financial market regulation, we will cap bankers’ bonuses,” said Othmar Karas, the Austrian lawmaker who helped negotiate the deal.


The backing of a majority of E.U. states is needed for the deal to be finalized.


Such limits, which are set to enter E.U. law as part of a wider overhaul of capital rules to make banks safer, will be popular on a continent struggling to emerge from the ruins of a 2008 financial crisis.


But it represents a setback for the British government, which had long argued against such absolute limits. The City of London, the region’s financial capital, with 144,000 banking staff and many more in related jobs, will be hit hardest.


As it stands in draft legislation, the cap would also apply to bankers employed by an E.U. institution but based elsewhere globally, for instance in New York, according to one official, who was not authorized to speak to the media.


There are also provisions for adjusting the value of long-term non-cash payments, so more bonuses could be paid that way without breaking through the new ceiling.


Ireland, which holds the rotating E.U. presidency and negotiated what it called a “breakthrough,” will now present the agreement to E.U. countries.


Irish Finance Minister Michael Noonan said he would ask his peers to back it at an EU ministers’ meeting on March 5 in Brussels.


The change in the law is set to be introduced as part of a wider body of legislation demanding banks set aside roughly three times more capital and build up cash buffers to cover the risk of unpaid loans, for example.


Some experts have criticized the E.U., however, for failing to keep to all of the so-called Basel III code of capital standards drawn up by international regulators to reform banking after the financial crash.


The agreement on Thursday will also require banks to outline profits and other details of operations on a country-by-country basis.


A ceiling on bonuses, the only one of its kind globally, is perhaps the most radical aspect of the new rules.


Many in banking argue, however, that such reform will do little to lower pay in finance, where head-hunters say some annual packages in London approach £5 million, or about $7.6 million.


“If the cap is implemented, it could result in significantly more complex pay structures within banks as they try to fall outside the restrictions to remain competitive globally,” said Alex Beidas, a pay specialist with the law firm Linklaters.


An earlier attempt to limit bankers’ pay with an E.U. law forcing financiers to defer bonus payments for up to five years merely prompted lenders to increase base salaries. But it would be harder for banks to raise base pay this time around.


Hedge funds and private equity firms will be excluded from such curbs, although they face restrictions on pay later this year under another E.U. law.


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Well: Think Like a Doctor: The Man Who Wobbled

The Challenge: Can you solve the medical mystery of a man who suddenly becomes too dizzy to walk?

Every month, the Diagnosis column of The New York Times Magazine asks Well readers to try their hand at solving a medical mystery. Below you will find the story of a 56-year-old factory worker with dizziness and panic attacks. I have provided records from his two hospital visits that will give you all the information available to the doctor who finally made the diagnosis.

The first reader to offer the correct diagnosis gets a signed copy of my book, “Every Patient Tells a Story,” and the satisfaction of solving a case that stumped a roomful of specialists.

The Patient’s Story:

The middle-aged man clicked his way through the multiple reruns of late-late-night television. He should have been in bed hours ago, but lately he hadn’t been able to get to sleep. Suddenly his legs took on a life of their own. Stretched out halfway to the center of the room, they began to shake and twitch and jump around. The man watched helplessly as his legs disobeyed his mental orders to stop moving. He had no control over them. He felt nauseous, sweaty and out of breath, as if he had been running some kind of race. He called out to his wife. She hurried out of bed, took one look at him and called 911.

The Patient’s History:

By the time the man arrived at Huntsville Hospital, in Alabama, the twitching in his legs had subsided and his breathing had returned to normal. Still, he had been discharged from that same hospital for similar symptoms just two weeks earlier. They hadn’t figured out what was going on then, so they weren’t going to send him home now.

The patient considered himself pretty healthy, but the past year or so had been tough. In 2011, at the age of 54, he had had a mild stroke. He had no medical problems that put him at risk for stroke — no high blood pressure, no high cholesterol, no diabetes. A work-up at that time showed that he had a hole in his heart that allowed a tiny clot from somewhere in his body to travel to the brain and cause the stroke. He was discharged on a couple of blood thinners to keep his blood from making more clots. He hadn’t really felt completely well, though, ever since. His balance seemed a little off, and he was subject to these weird panic attacks, in which his heart would pound and he would feel short of breath whenever he got too stressed. Mostly he could manage them by just walking away and focusing on his breathing. Still, he never felt as if he was the kind of guy to panic.

And he had always been quick on his feet. The first half of his career he had been in the steel business — building huge metal trusses and supports. He and his team put together 60-plus tons of steel structures every day. For the past decade he had been machining car parts. After his stroke, work seemed to get a lot harder.

The Dizziness:

A few weeks ago, he stood up and wham — suddenly the whole world went off-kilter. He felt as if he was constantly about to fall over in a world that no longer lay down flat. His first thought was that he was having another stroke. He went straight to his doctor’s office. The doctor wasn’t sure what was going on and sent him to that same emergency room at Huntsville Hospital. After three days of testing and being evaluated by lots of specialists, his doctors still were not sure what was going on. He hadn’t had a heart attack; he hadn’t had a stroke. There was no sign of infection. All the tests they could think of were normal.

The only abnormal finding was that when he stood up, his blood pressure dropped. Why this happened wasn’t clear, but the doctors in the hospital gave him compression stockings and a pill — both could help keep his blood pressure in the normal range. Then they sent him home. He was also started on an antidepressant to help with the panic attacks he continued to have from time to time.

You can read the report from that hospital admission below.

You can also read the consultation and discharge notes from that hospital visit here.

He had been home for nearly two weeks and still he felt no better. He tried to go back to work after a week or so at home, but after driving for less than five miles, he felt he had to turn around. He wasn’t sure what was wrong; he just knew he didn’t feel right. Then his legs started jumping around, and he ended up back in the hospital.

The Doctor’s Exam:

It was nearly dawn by the time Dr. Jeremy Thompson, the first-year resident on duty that night, saw the patient. Awake but tired, the patient told his story one more time. He had been at home, watching TV, when his legs started jumping on their own and he started feeling short of breath. His wife sat at the bedside. She looked just as worried and exhausted as he did. She told the resident that when he spoke that night at home, his speech was slurred. And when the ambulance came, he could barely walk. He has never missed this much work, she told the young doctor. It’s not like him. Can’t you figure out what’s wrong?

The resident had already reviewed the records from the patient’s previous hospital admissions. He asked a few more questions: the patient had never smoked and rarely drank; his father died at age 80; his mother was still alive and well. The patient exam was normal, as were the studies done in the E.R.

The first E.R. doctor thought that his symptoms were a result of anxiety, culminating in a full-blown panic attack. The resident thought that was probably right. In any case he would discuss the case with the attending in a couple of hours during rounds on the new patients. Till then, he told the worried couple, they should just try to get a little sleep.

An Important Clue:

Dr. Robert Centor was definitely a morning person. His cheerful enthusiasm about teaching and taking care of patients made him a favorite among residents. At 7:30 that morning, he stood outside the patient’s door as Dr. Thompson relayed the somewhat frustrating case of the middle-aged man with worsening dizziness and panic attacks. Then they went into the room to meet the patient. He was a big guy, tall and muscular with the first signs of middle-aged thickening around his middle. His complexion had the look of someone who spent a lot of time outdoors. Dr. Centor introduced himself and pulled up a chair as the rest of the team watched. He asked the patient what brought him to the hospital.

“Every time I get up, I get dizzy,” the man replied. Sure, he had had some balance problems ever since his stroke, he explained, but this felt different – somehow worse. He could hardly walk, he told the doctor. He just felt too unstable.

“Can you get up and show us how you walk?” Dr. Centor asked.

“Don’t let me fall,” the patient responded. He carefully swung his legs over the side of the bed. The resident and intern stood on either side as he slowly rose. He stood with his feet far apart. When asked to close his eyes as he stood there, he wobbled and nearly fell over. When he took a few steps, his heel and toes hit the ground at the same time, making a strange slapping sound.

Seeing that, Dr. Centor knew where the problem lay and ordered a few tests to confirm his diagnosis.

You can see the review report and notes for the patient’s second hospital visit below.

Solving the Mystery:

What tests did Dr. Centor order? Do you know what is making this middle-aged man wobble? Enter your guesses below. I’ll post the answer tomorrow.


Rules and Regulations: Post your questions and diagnosis in the Comments section below. The correct answer will appear tomorrow on Well. The winner will be contacted. Reader comments may also appear in a coming issue of The New York Times Magazine.

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European Union Agrees on Plan to Cap Banker Bonuses


BRUSSELS — Bankers in Europe face a cap on bonuses as early as next year, after an agreement on Thursday to introduce what would be the world’s strictest pay curbs in a move politicians hope will address public anger at financial-sector greed.


The provisional agreement, announced by diplomats and officials after late-night talks between E.U. member representatives and the bloc’s parliament, means bankers face an automatic cap that sets bonuses at the level of their salaries.


If a majority of a bank’s shareholders vote in favor, that ceiling can be raised to two times a banker’s pay.


“For the first time in the history of E.U. financial market regulation, we will cap bankers’ bonuses,” said Othmar Karas, the Austrian lawmaker who helped negotiate the deal.


The backing of a majority of E.U. states is needed for the deal to be finalized.


Such limits, which are set to enter E.U. law as part of a wider overhaul of capital rules to make banks safer, will be popular on a continent struggling to emerge from the ruins of a 2008 financial crisis.


But it represents a setback for the British government, which had long argued against such absolute limits. The City of London, the region’s financial capital, with 144,000 banking staff and many more in related jobs, will be hit hardest.


As it stands in draft legislation, the cap would also apply to bankers employed by an E.U. institution but based elsewhere globally, for instance in New York, according to one official, who was not authorized to speak to the media.


There are also provisions for adjusting the value of long-term non-cash payments, so more bonuses could be paid that way without breaking through the new ceiling.


Ireland, which holds the rotating E.U. presidency and negotiated what it called a “breakthrough,” will now present the agreement to E.U. countries.


Irish Finance Minister Michael Noonan said he would ask his peers to back it at an EU ministers’ meeting on March 5 in Brussels.


The change in the law is set to be introduced as part of a wider body of legislation demanding banks set aside roughly three times more capital and build up cash buffers to cover the risk of unpaid loans, for example.


Some experts have criticized the E.U., however, for failing to keep to all of the so-called Basel III code of capital standards drawn up by international regulators to reform banking after the financial crash.


The agreement on Thursday will also require banks to outline profits and other details of operations on a country-by-country basis.


A ceiling on bonuses, the only one of its kind globally, is perhaps the most radical aspect of the new rules.


Many in banking argue, however, that such reform will do little to lower pay in finance, where head-hunters say some annual packages in London approach £5 million, or about $7.6 million.


“If the cap is implemented, it could result in significantly more complex pay structures within banks as they try to fall outside the restrictions to remain competitive globally,” said Alex Beidas, a pay specialist with the law firm Linklaters.


An earlier attempt to limit bankers’ pay with an E.U. law forcing financiers to defer bonus payments for up to five years merely prompted lenders to increase base salaries. But it would be harder for banks to raise base pay this time around.


Hedge funds and private equity firms will be excluded from such curbs, although they face restrictions on pay later this year under another E.U. law.


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Asian-American Diversity in Potential California Race


Jim Wilson/The New York Times


Ro Khanna, a possible challenger to Representative Michael H. Honda, spoke at this rally in San Jose, Calif., against gun violence.







CUPERTINO, Calif. — Home to Apple, Google and other high-tech pioneers, the 17th Congressional District here recorded a political first in last fall’s elections, becoming the first majority Asian-American district in the mainland United States.




At the same time, voters sent candidates of Asian descent to the Legislature and to local city councils like the one here, where Asian-Americans account for 63 percent of the population.


The Congressional seat itself was easily retained by Michael M. Honda, a Democrat first elected in 2000 and one of the most influential Asian-Americans in Congress. A Japanese-American whose views on politics and civil rights were shaped by his internment during World War II, Mr. Honda, 71, helped build a network for Asian-American political aspirants here and served as a mentor to many.


But a possible challenge to Mr. Honda in 2014 — coming from Ro Khanna, 36, an Indian-American lawyer who served as a deputy assistant secretary in the Commerce Department and is a rising star in the Democratic Party — has already set off intense maneuvering inside the district. Even as Asian-Americans represent the nation’s fastest growing racial group, the attention focused on this potential contest underscores the diversity, and possibly emerging rivalries, among different Asian groups.


Mr. Khanna said he has yet to decide whether to run. Mr. Honda, perhaps in one of the earliest moves to fend off a potential challenge next year, recently secured the endorsements of President Obama, Representative Nancy Pelosi of California and other Democrats. The possible face-off has put many Asian-Americans here, especially Indian-Americans, in an awkward situation.


“I really appreciate what the congressman has done for the Asian-American community, and I have worked closely with him,” said Kamil Hasan, an Indian-American who has long been involved in the tech industry and the Democratic Party. “Ro Khanna would be a very strong candidate in whichever district he runs. The Indian community has wanted him to run for office for a long time.”


Mr. Hasan, who said he would not take a position until Mr. Khanna decided whether to run, has held fund-raisers for both Mr. Honda and Mr. Khanna.


California’s system of nonpartisan redistricting created the 17th Congressional District, where Asian-Americans total 51 percent of the population. Asian-American politicians and activists had long sought such a district from which to build power nationally.


Although the district includes parts of San Jose, suburbs like Cupertino, Milpitas and Fremont have the highest concentration of Asian-Americans, especially the most recent waves of immigrants, said James S. Lai, the director of ethnic studies at Santa Clara University. Institutions like the Silicon Valley Asian Pacific American Democratic Club remain under the leadership of more established groups like Japanese-Americans and Chinese-Americans. The San Jose airport, for example, is named after Norman Y. Mineta, the Japanese-American politician.


But newer Asian-American groups have begun exerting influence. Democrats and Republicans have especially courted Indian-Americans, many of whom work in Silicon Valley and have proved formidable fund-raisers.


“The question is what Asian Indians feel ideologically aligned with,” Mr. Lai said. “This election could be an example of whether Asian Indians see themselves along the lines of pan-Asian, progressive politics that are part of what Mike Honda stands for, or whether they will they go for his challenger’s politics, which are more conservative and pro-business.”


A teacher, Mr. Honda got his political start in 1971 when Mr. Mineta, as mayor of San Jose, appointed him to the planning commission. Mr. Honda rose steadily — from the school board to the Santa Clara County Board of Supervisors to the State Assembly — before being elected to Congress in 2000 in a district that had been represented by Mr. Mineta.


Ami Bera, an Indian-American physician elected to Congress last fall in a district near Sacramento, said he approached Mr. Honda for advice four years ago when he was considering running. Speaking after a panel on Asian-Americans and politics with Mr. Honda here recently, Mr. Bera said of the Asian-Americans serving in the House, “Each of us has our own unique story of how Mike took us under his wing, mentored us and then was out there probably the most active of any member of Congress helping us getting elected.”


Mr. Khanna has been laying the groundwork for a possible campaign by meeting influential people in the district and writing op-ed articles on subjects that resonate here, like American relations with Asia and manufacturing. Under California’s top-two primary system, Mr. Khanna and Mr. Honda, both Democrats, could end up facing each other in a general election.


This article has been revised to reflect the following correction:

Correction: February 27, 2013

Due to an editing error, a photo caption with an earlier version of this article mistakenly said that both Representative Mike Honda and his possible challenger, Ro Khannaand, were at a rally against gun violence. Mr. Khannaand spoke at the rally, but Mr. Honda did not attend.



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Greek man charged in NY Dali theft pleads guilty


NEW YORK (AP) — A Greek man has admitted to stealing a Salvador Dali painting from a New York City gallery, only to return it in the mail.


Phivos Istavrioglou pleaded guilty on Tuesday following his arrest in the theft of a work titled "Cartel de Don Juan Tenorio."


Prosecutors say the fashion industry publicist walked into the Manhattan gallery in June, put the painting valued at about $150,000 in a shopping bag and walked out. He anonymously mailed the piece back to the United States from Greece after seeing news coverage of the theft.


Under the plea deal, Istavrioglou avoids additional jail time if he remains incarcerated until his formal sentencing on March 12. He also must pay more than $9,000 in restitution.


His lawyer said it was a stupid thing to do.


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Well: What Housework Has to Do With Waistlines

Phys Ed

Gretchen Reynolds on the science of fitness.

One reason so many American women are overweight may be that we are vacuuming and doing laundry less often, according to a new study that, while scrupulously even-handed, is likely to stir controversy and emotions.

The study, published this month in PLoS One, is a follow-up to an influential 2011 report which used data from the U.S. Bureau of Labor Statistics to determine that, during the past 50 years, most American workers began sitting down on the job. Physical activity at work, such as walking or lifting, almost vanished, according to the data, with workers now spending most of their time seated before a computer or talking on the phone. Consequently, the authors found, the average American worker was burning almost 150 fewer calories daily at work than his or her employed parents had, a change that had materially contributed to the rise in obesity during the same time frame, especially among men, the authors concluded.

But that study, while fascinating, was narrow, focusing only on people with formal jobs. It overlooked a large segment of the population, namely a lot of women.

“Fifty years ago, a majority of women did not work outside of the home,” said Edward Archer, a research fellow with the Arnold School of Public Health at the University of South Carolina in Columbia, and lead author of the new study.

So, in collaboration with many of the authors of the earlier study of occupational physical activity, Dr. Archer set out to find data about how women had once spent their hours at home and whether and how their patterns of movement had changed over the years.

He found the information he needed in the American Heritage Time Use Study, a remarkable archive of “time-use diaries” provided by thousands of women beginning in 1965. Because Dr. Archer wished to examine how women in a variety of circumstances spent their time around the house, he gathered diaries from both working and non-employed women, starting with those in 1965 and extending through 2010.

He and his colleagues then pulled data from the diaries about how many hours the women were spending in various activities, how many calories they likely were expending in each of those tasks, and how the activities and associated energy expenditures changed over the years.

As it turned out, their findings broadly echoed those of the occupational time-use study. Women, they found, once had been quite physically active around the house, spending, in 1965, an average of 25.7 hours a week cleaning, cooking and doing laundry. Those activities, whatever their social freight, required the expenditure of considerable energy. (The authors did not include child care time in their calculations, since the women’s diary entries related to child care were inconsistent and often overlapped those of other activities.) In general at that time, working women devoted somewhat fewer hours to housework, while those not employed outside the home spent more.

Forty-five years later, in 2010, things had changed dramatically. By then, the time-use diaries showed, women were spending an average of 13.3 hours per week on housework.

More striking, the diary entries showed, women at home were now spending far more hours sitting in front of a screen. In 1965, women typically had spent about eight hours a week sitting and watching television. (Home computers weren’t invented yet.)

By 2010, those hours had more than doubled, to 16.5 hours per week. In essence, women had exchanged time spent in active pursuits, like vacuuming, for time spent being sedentary.

In the process, they had also greatly reduced the number of calories that they typically expended during their hours at home. According to the authors’ calculations, American women not employed outside the home were burning about 360 fewer calories every day in 2010 than they had in 1965, with working women burning about 132 fewer calories at home each day in 2010 than in 1965.

“Those are large reductions in energy expenditure,” Dr. Archer said, and would result, over the years, in significant weight gain without reductions in caloric intake.

What his study suggests, Dr. Archer continued, is that “we need to start finding ways to incorporate movement back into” the hours spent at home.

This does not mean, he said, that women — or men — should be doing more housework. For one thing, the effort involved is such activities today is less than it once was. Using modern, gliding vacuum cleaners is less taxing than struggling with the clunky, heavy machines once available, and thank goodness for that.

Nor is more time spent helping around the house a guarantee of more activity, over all. A telling 2012 study of television viewing habits found that when men increased the number of hours they spent on housework, they also greatly increased the hours they spent sitting in front of the TV, presumably because it was there and beckoning.

Instead, Dr. Archer said, we should start consciously tracking what we do when we are at home and try to reduce the amount of time spent sitting. “Walk to the mailbox,” he said. Chop vegetables in the kitchen. Play ball with your, or a neighbor’s, dog. Chivvy your spouse into helping you fold sheets. “The data clearly shows,” Dr. Archer said, that even at home, we need to be in motion.

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Media Decoder Blog: SFX Entertainment Buys Electronic Dance Music Site

SFX Entertainment, the company led by the media executive Robert F. X. Sillerman, has agreed to buy the music download site Beatport, part of the company’s plan to build a $1 billion empire centered on the electronic dance music craze.

Mr. Sillerman declined on Tuesday to reveal the price. But two people with direct knowledge of the transaction, who were not authorized to speak about it, said it was for a little more than $50 million.

Beatport, founded in Denver in 2004, has become the pre-eminent download store for electronic dance music, or E.D.M., with a catalog of more than one million tracks, many of them exclusive to the service. It says it has nearly 40 million users, and while the company does not disclose sales numbers, it is said to be profitable.

The site has also become an all-purpose online destination for dance music, with features like a news feed, remix contests and D.J. profiles. Those features, and its reach, could help in Mr. Sillerman’s plan to unite the disparate dance audience through media.

“Beatport gives us direct contact with the D.J.’s and lets us see what’s popular and what’s not,” Mr. Sillerman said in an interview. “Most important, it gives us a massive platform for everything related to E.D.M.”

Since the company was revived last year, SFX has focused mostly on live events, with the promoters Disco Donnie Presents and Life in Color; recently it also invested in a string of nightclubs in Miami and formed a joint venture with ID&T, the European company behind festivals like Sensation, to put on its events in North America.

In the 1990s, Mr. Sillerman spent $1.2 billion creating a nationwide network of concert promoters under the name SFX, which he sold to Clear Channel Entertainment in 2000 for $4.4 billion; those promoters are now the basis of Live Nation’s concert division.

Matthew Adell, Beatport’s chief executive, said that being part of SFX could help the company extend its business into live events, and also into countries where the dance genre is exploding, like India and Brazil.

“We already are by far the largest online destination of qualified fans and talent in the market,” Mr. Adell said, “and we can continue to grow that.”

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Gaza Militants Fire Rocket Into Israel, Police Say







JERUSALEM (AP) — A rocket fired from the Gaza Strip struck Israel on Tuesday as tensions are mounting in the region weeks ahead of President Barack Obama's visit.




Police spokesman Micky Rosenfeld said remains of the rocket were found south of the city of Ashkelon, in southern Israel. The attack caused damage to a road but no injuries, he said. It was the first such projectile from the Palestinian territory to hit Israel since Israel-Gaza hostilities last November.


The rocket fire came one day after Israeli troops injured two Palestinian teenagers near a holy site close to Bethlehem, during one of the many demonstrations Palestinians in the West Bank have staged in recent days.


Initially, West Bank street protests broke out in support of Palestinians held in Israeli jails, particularly in support of four inmates on lengthy hunger strikes. Then, over the weekend, a Palestinian prisoner who was not on hunger strike died under disputed circumstances, prompting more demonstrations.


Israeli and Palestinian officials have traded barbs, each side saying the other is trying to exploit the latest unrest for political gains.


A statement from the Palestinian president's office said President Mahmoud Abbas instructed Palestinian security officials Monday night to preserve security and order in the West Bank, but placed the blame on Israel for "dragging the area into violence and chaos."


Adnan Damiri, the spokesman of the Palestinian security apparatus, said Palestinian officials were committed to prevent fighting, saying that his forces had recently detained members of the militant Hamas group who were planning "violent confrontations."


"The only one(s) seeking violence in West Bank is Netanyahu and Hamas, but we will not be dragged to that," said Damiri. "Our struggle will always be peaceful."


The clashes come weeks before Obama is scheduled to arrive in Israel and the West Bank, his first presidential visit to the region. U.S. State Department spokesman Patrick Ventrell said the U.S. has asked Israeli and Palestinian officials to exercise "maximum restraint" at this time of high tension in the West Bank.


"All parties should seriously consider the consequences of their actions, particularly at this very difficult moment," Ventrell said Monday.


An Israeli military official, speaking on condition of anonymity in line with military policy, said protestors gathered Monday and hurled "improvised hand grenades" towards a holy site in the Bethlehem area, endangering Israeli worshippers inside.


Soldiers responded by firing at the legs of a Palestinian throwing grenades, lightly wounding him. Later, soldiers fired rubber bullets at demonstrators, seriously injuring one Palestinian who was then rushed to an Israeli hospital, the official said.


Palestinian medical officials said two Palestinian youths, one 13 years old and one 16, were seriously wounded by live fire. Palestinian medic Abdelhaleem Jaarah said the 16-year-old, Odai Sarhan, was hit in the head and rushed to Hadassah hospital in Jerusalem.


Etti Dvir, spokeswoman for Hadassah hospital in Jerusalem, said doctors operated overnight on the boy and that he was in critical condition.


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Singer Morrissey says no to Kimmel, 'Duck Dynasty'


LOS ANGELES (AP) — The TV series "Duck Dynasty" is coming between Morrissey and Jimmy Kimmel.


The singer and animal rights activist says he canceled his appearance Tuesday on ABC's "Jimmy Kimmel Live" because "Duck Dynasty" cast members will be on the talk show.


Morrissey says he can't perform on a show with what he called people who "amount to animal serial killers."


A&E's "Duck Dynasty" reality show follows a Louisiana family with a business selling duck calls and decoys.


A&E did not immediately respond to requests for comment from it and the Robertson family.


A person familiar with the Kimmel show's plans confirmed that Morrissey was to appear. The person lacked authority to discuss the matter publicly and spoke on condition of anonymity.


The person says Morrissey's performance will be rescheduled.


ABC says the Churchill band will perform Tuesday on Kimmel's show but declined comment on the switch.


___


Reach AP Television Writer Lynn Elber at http://www.twitter.com/lynnelber .


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Horse Meat in European Beef Raises Questions on U.S. Exposure





The alarm in Europe over the discovery of horse meat in beef products escalated again Monday, when the Swedish furniture giant Ikea withdrew an estimated 1,670 pounds of meatballs from sale in 14 European countries.




Ikea acted after authorities in the Czech Republic detected horse meat in its meatballs. The company said it had made the decision even though its tests two weeks ago did not detect horse DNA.


Horse meat mixed with beef was first found last month in Ireland, then Britain, and has now expanded steadily across the Continent. The situation in Europe has created unease among American consumers over whether horse meat might also find its way into the food supply in the United States. Here are answers to commonly asked questions on the subject.


Has horse meat been found in any meatballs sold in Ikea stores in the United States?


Ikea says there is no horse meat in the meatballs it sells in the United States. The company issued a statement on Monday saying meatballs sold in its 38 stores in the United States were bought from an American supplier and contained beef and pork from animals raised in the United States and Canada.


“We do not tolerate any other ingredients than the ones stipulated in our recipes or specifications, secured through set standards, certifications and product analysis by accredited laboratories,” Ikea said in its statement.


Mona Liss, a spokeswoman for Ikea, said by e-mail that all of the businesses that supply meat to its meatball maker  issue letters guaranteeing that they will not misbrand or adulterate their products. “Additionally, as an abundance of caution, we are in the process of DNA-testing our meatballs,” Ms. Liss wrote. “Results should be concluded in 30 days.”


Does the United States import any beef from countries where horse meat has been found?


No. According to the Department of Agriculture, the United States imports no beef from any of the European countries involved in the scandal. Brian K. Mabry, a spokesman for the department’s Food Safety and Inspection Service, said: “Following a decision by Congress in November 2011 to lift the ban on horse slaughter, two establishments, one located in New Mexico and one in Missouri, have applied for a grant of inspection exclusively for equine slaughter. The Food Safety and Inspection Service (F.S.I.S.) is currently reviewing those applications.”


Has horse meat been found in ground meat products sold in the United States?


No. Meat products sold in the United States must pass Department of Agriculture inspections, whether produced domestically or imported. No government financing has been available for inspection of horse meat for human consumption in the United States since 2005, when the Humane Society of the United States got a rider forbidding financing for inspection of horse meat inserted in the annual appropriations bill for the Agriculture Department. Without inspection, such plants may not operate legally.


The rider was attached to every subsequent agriculture appropriations bill until 2011, when it was left out of an omnibus spending bill signed by President Obama on Nov. 18. The U.S.D.A.  has not committed any money for the inspection of horse meat.


“We’re real close to getting some processing plants up and running, but there are no inspectors because the U.S.D.A. is working on protocols,” said Dave Duquette, a horse trader in Oregon and president of United Horsemen, a small group that works to retrain and rehabilitate unwanted horses and advocates the slaughter of horses for meat. “We believe very strongly that the U.S.D.A. is going to bring inspectors online directly.”


Are horses slaughtered for meat for human consumption in the United States?


Not currently, although live horses from the United States are exported to slaughterhouses in Canada and Mexico. The lack of inspection effectively ended the slaughter of horse meat for human consumption in the United States; 2007 was the last year horses were slaughtered in the United States. At the time financing of inspections was banned, a Belgian company operated three horse meat processing plants — in Fort Worth and Kaufman, Tex., and DeKalb, Ill. — but exported the meat it produced in them.


Since 2011, efforts have been made to re-establish the processing of horse meat for human consumption in the United States. A small plant in Roswell, N.M., which used to process beef cattle into meat has been retooled to slaughter 20 to 25 horses a day. But legal challenges have prevented it from opening, Mr. Duquette said. Gov. Susana Martinez of New Mexico opposes opening the plant and has asked the U.S.D.A. to block it.


Last month, the two houses of the Oklahoma Legislature passed separate bills to override a law against the slaughter of horses for meat but kept the law’s ban on consumption of such meat by state residents. California, Illinois, New Jersey, Tennessee and Texas prohibit horse slaughter for human consumption.


Is there a market for horse meat in the United States?


Mr. Duquette said horse meat was popular among several growing demographic groups in the United States, including Tongans, Mongolians and various Hispanic populations. He said he knew of at least 10 restaurants that wanted to buy horse meat. “People are very polarized on this issue,” he said. Wayne Pacelle, chief executive of the Humane Society of the United States, disagreed, saying demand in the United States was limited. Italy is the largest consumer of horse meat, he said, followed by France and Belgium.


Is horse meat safe to eat?


That is a matter of much debate between proponents and opponents of horse meat consumption. Mr. Duquette said that horse meat, some derived from American animals processed abroad, was eaten widely around the world without health problems. “It’s high in protein, low in fat and has a whole lot of omega 3s,” he said.


The Humane Society says that because horse meat is not consumed in the United States, the animals’ flesh is likely to contain residues of many drugs that are unsafe for humans to eat. The organization’s list of drugs given to horses runs to 29 pages.


“We’ve been warning the Europeans about this for years,” Mr. Pacelle said. “You have all these food safety standards in Europe — they do not import chicken carcasses from the U.S. because they are bathed in chlorine, and won’t take pork because of the use of ractopamine in our industry — but you’ve thrown out the book when it comes to importing horse meat from North America.”


The society has filed petitions with the Department of Agriculture and Food and Drug Administration, arguing that they should test horse meat before allowing it to be marketed in the United States for humans to eat.


This article has been revised to reflect the following correction:

Correction: February 25, 2013

An earlier version of this article misstated how many pounds of meatballs Ikea was withdrawing from sale in 14 European countries. It is 1,670 pounds, not 1.67 billion pounds.

This article has been revised to reflect the following correction:

Correction: February 25, 2013

An earlier version of this article misstated the last year that horses were slaughtered in the United States. It is 2007, not 2006.




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DealBook: Confirmation Hearing for Mary Jo White Said to Be Scheduled for March

Mary Jo White appears poised to face a Senate confirmation hearing next month, a crucial step for the former federal prosecutor on her path to becoming the top Wall Street regulator.

Ms. White, whose nomination to lead the Securities and Exchange Commission has lingered for over a month, plans to testify in March before the Senate Banking Committee, three Congressional officials briefed on the matter said on Monday. The committee has not set a firm date for the confirmation hearing, the officials said, though lawmakers have tentatively scheduled her to appear the week of March 11.

At the hearing, one official said, Ms. White will most likely join Richard Cordray, who is in line to become director of the Consumer Financial Protection Bureau. In January, when the White House nominated Ms. White to the S.E.C. spot, it reappointed Mr. Cordray to a position he has held for the last year under a temporary recess appointment.

The Senate last year declined to confirm him in the face of Republican and Wall Street opposition to the newly created consumer bureau. Republicans are likely to voice similar skepticism at the hearing next month.

While some officials have quietly expressed concerns about Ms. White’s role as a Wall Street defense lawyer, her nomination is not expected to face major complications. An S.E.C. spokesman did not immediately respond to a request for comment.

The timetable laid out on Monday offers Ms. White additional weeks to prepare. Over the last couple of weeks, she has received multiple briefings from agency staff members about new securities rules and the structure of the stock market, an official said. The briefings will in part prepare her for the confirmation hearing, which is expected to cover a broad scope of topics.

While Ms. White is a skilled litigator, she lacks experience in financial rule-writing and regulatory minutiae, a potential stumbling block for her nomination. Lawmakers also expect to raise questions about her movements through the revolving door that bridges government service and private practice. Some Democrats, a person briefed on the matter said, will question whether she is cozy with Wall Street.

In private practice, Ms. White defended some of Wall Street’s biggest names, including Kenneth D. Lewis, a former chief of Bank of America. As the head of litigation at Debevoise & Plimpton, she also represented JPMorgan Chase and the board of Morgan Stanley. Her husband, John W. White, is co-chairman of the corporate governance practice at Cravath, Swaine & Moore, where he represents many of the companies that the S.E.C. regulates.

(Ms. White has agreed to recuse herself from many matters that involve former clients, while her husband has agreed to convert his partnership at Cravath from equity to nonequity status.)

Despite some reservations, she is expected to receive broad support on Capitol Hill. When President Obama nominated her last month, Senator Charles E. Schumer of New York was one of several Democrats to praise her prosecutorial prowess, calling her “tough as nails” during stints as a federal prosecutor in Brooklyn and as the first female United States attorney in Manhattan.

While she handled some white-collar and securities cases, her specialty was terrorism and organized crime. As a federal prosecutor in New York City for more than a decade, she helped oversee the prosecution of the crime figure John Gotti and directed the case against those responsible for the 1993 World Trade Center bombing. She also supervised the original investigation into Osama bin Laden and Al Qaeda.

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Fashion Review: Sleeves and Straps Are Barely There at Oscars





Sleeves were in short supply and straps were so unrepresented on dresses at the Oscars on Sunday night that they might as well have been outlawed. But hold the envelope a moment: The verdict on this year’s red carpet is not all that bad. At least it wasn’t the usual monotonous parade of princess dresses.






Josh Haner/The New York Times

Anne Hathaway on the red carpet.







It was shocking in a way to see fashion like the dress worn by Anne Hathaway. Her last-moment choice was a pale pink dress that appeared to have been styled after a household apron, as potent a symbol of feminine repression as ever there was. Only the dress, made by Miuccia Prada with a loosely tied back, featured a bodice that was intentionally subversive. The seams along the bust were so sexually suggestive that many viewers at home believed they were seeing part of Ms. Hathaway’s anatomy.



“I didn’t know what I was wearing until about three hours ago,” Ms. Hathaway said on the red carpet, and that would have been around the time that Valentino sent out a news release announcing that she would be dressed in one of its couture gowns. Ms. Hathaway evidently changed her mind, and one would like to imagine it as a sign of independence from the pull of Big Fashion. She also wore a Tiffany & Company necklace worth a half-million dollars, but she wore it backward.



Anyone who pays the slightest attention to fashion knows the rap on actresses who wear clothes from the designers with whom they have big advertising contracts. And though you could still detect the pull of special interests on the red carpet, there was less of a sense that actors were complicit billboards.



It was no surprise when Jennifer Lawrence, the new face of Miss Dior handbags, appeared in a Dior Haute Couture dress, the palest of pinks with a modernized ball gown shape. It was her third major awards appearance in that label. But this was the best example yet of how the house’s new look, by the designer Raf Simons, could be worn in reality, which is to say beautifully, but not without difficulty. The skirt of the gown was so big that Ms. Lawrence couldn’t reach the mani-cam on E! network.



While strapless designs still ruled the night, it wasn’t all the same old, same old. There was that weird moment, for example, when Helen Hunt said she was wearing a strapless dress by the Swedish fast-fashion retailer H&M, not that the trend hasn’t had a while to settle down into the mainstream. It seems unlikely, anyway, that Ms. Hunt just dashed in and picked a great-looking, on-trend dress off the rack. But let’s not forget that Sharon Stone wore a Gap top out of her closet back in 1996.



There were plenty of microtrends for retailers to chew over, like the gunmetal colors and metallic beads. (Nicole Kidman in a swell L’Wren Scott, Naomi Watts in that extraterrestrial silver Armani and Catherine Zeta-Jones in campy gold Zuhair Murad.) Also, even though seen only in two examples — Ms. Hathaway’s Tiffany rocks and a long, delicate Chopard chain worn by Ms. Lawrence — backward-hanging necklaces are likely to become a thing.



There is no valid argument to be made against the old Hollywood strapless gowns worn by Jessica Chastain (a custom Giorgio Armani in coppery textured satin) or Reese Witherspoon (navy Louis Vuitton with a smart bow). But were not the dresses with sleeves more interesting, more, how shall we say, new Hollywood?



Jane Fonda, in a brilliant yellow Versace number that covered almost everything but a peekaboo cutout on the back, will most certainly wind up on the best-dressed lists, along with Sally Field in a red pleated chiffon Valentino couture dress with a long train.



And the pointed shoulders of Halle Berry’s heavily beaded Art Deco gown might have been a little severe, but it was nice to hear that Ms. Berry had told its designer, Donatella Versace, that she wanted to go to the Oscars dressed as a Bond Girl, and long sleeves were part of the result.


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Affleck's 'Argo' wins best-picture Oscar


LOS ANGELES (AP) — Ben Affleck's "Argo," a film about a fake movie, has earned a very real prize: best picture at the Academy Awards.


In share-the-wealth mode, Oscar voters spread Sunday's honors among a range of films, with "Argo" winning three trophies but "Life of Pi" leading with four.


Daniel Day-Lewis became the first person to win three best-actor Oscars, the latest coming for "Lincoln," while "Hunger Games" star Jennifer Lawrence triumphed in Hollywood's big games as best actress for "Silver Linings Playbook."


Ang Lee pulled off a major upset, winning best director for the shipwreck story "Life of Pi," taking the prize over Steven Spielberg, who had been favored for "Lincoln." It was the second directing Oscar for Lee, who also won for "Brokeback Mountain."


The supporting-acting prizes went to Anne Hathaway for "Les Miserables" and Christoph Waltz for "Django Unchained." It was Waltz's second supporting-actor Oscar in a Quentin Tarantino film after previously winning for "Inglourious Basterds." Tarantino also earned his second Oscar, for the "Django" screenplay, a category he previously won for "Pulp Fiction."


From the White House, first lady Michelle Obama joined Jack Nicholson to help present the final prize to "Argo."


"I never thought I'd be back here, and I am because of so many of you in this academy," said Affleck, who shared a screenplay Oscar with pal Matt Damon 15 years earlier for their breakout film "Good Will Hunting."


Among the wisdom he's acquired since then: "You can't hold grudges — it's hard but you can't hold grudges."


Kind words for an academy that overlooked him for a directing nomination, making "Argo" just the fourth film in 85 years to win best picture when its director was not in the running.


Lawrence took a fall on her way to the stage, tripping on the steps.


"You guys are just standing up because you feel bad that I fell," Lawrence joked as the crowd gave her a standing ovation.


At 22, Lawrence is the second-youngest woman to win best actress, behind Marlee Matlin, who was 21 when she won for "Children of a Lesser God."


With a monumental performance as Abraham Lincoln, Day-Lewis added to the honors he earned for "My Left Foot" and "There Will Be Blood." He's just the sixth actor to earn three or more Oscars, tied with Meryl Streep, Jack Nicholson, Ingrid Bergman and Walter Brennan with three each, and just behind Katharine Hepburn, who won four.


"It's funny, because three years ago, we agreed to do this swap. I had actually been committed to play Margaret Thatcher," a role that earned Streep her third Oscar last year for "The Iron Lady," Day-Lewis said. "And Meryl was Steven's first choice for Lincoln. I'd like to see that version."


On a not-so typically predictable Oscar night, given Lee's win and Obama's appearance, the emcee duties came off stylishly as crude-humor master Seth MacFarlane was on his best behavior — mostly — as host.


And "Argo" completed a quest that took it from populist underdog to Hollywood titleholder in an awards-season journey as quixotic as the film's story line.


In Greek mythology, Argo was the name of the ship that took hero Jason and his Argonauts on their unlikely quest for the Golden Fleece that would elevate him to his rightful kingship. The real-life thriller "Argo" borrows the name as title for a phony sci-fi movie concocted by the CIA as cover to spring six U.S. diplomats from Iran during the hostage crisis that erupted in 1979.


Like the voyage of Jason and the rescue of the Americans, the Oscar journey of "Argo" was filled with obstacles.


It was a slick, optimistic film in a best-picture race that often favors sober, gloomier stories. Best-picture doom seemed to chime for "Argo" after Affleck missed out on a directing nomination.


Leading the Oscars with 12 nominations, "Lincoln" initially looked like the default favorite. Then "Argo" started collecting every prize in sight, winning top honors at the Golden Globes and guilds representing Hollywood directors, actors, producers and writers. Everyone loved "Argo," which managed to dominate awards season while coming across as the deserving underdog because of the directing snub for Affleck, who played nice and spent the time proclaiming his respect for the academy and endearing himself with self-effacing humor and humility.


Affleck said he was disappointed at his omission from the directing category. But he had a nice consolation prize with the first lady announcing the film's win.


"I was sort of hallucinating when that was happening," Affleck said backstage alongside fellow "Argo" producers George Clooney and Grant Heslov. "Honestly, I was just asking these two guys outside, was that Michelle Obama? ... Anyway, it was very cool."


Hathaway is the third performer in a musical to win supporting actress during the genre's resurgence in the last decade.


"It came true," said Hathaway, who joins 2002 supporting-actress winner Catherine Zeta-Jones for "Chicago" and 2006 recipient Jennifer Hudson for "Dreamgirls." Hathaway had warm thanks for "Les Miz" co-star Hugh Jackman, with whom she once sang a duet at the Oscars when he was the show's host.


"Life of Pi" also won for Mychael Danna's multicultural musical score that blends Indian and Western instruments and influences, plus cinematography and visual effects.


"I really want to thank you for believing this story and sharing this incredible journey with me," Lee said to all who worked on the film, a surprise blockbuster about a youth trapped on a lifeboat with a Bengal tiger.


"Argo" also claimed the Oscar for adapted screenplay for Chris Terrio, who worked with Affleck to create a liberally embellished story based on an article about the rescue and part of CIA operative Tony Mendez's memoir.


Terrio dedicated the award to Mendez, saying "33 years ago, Tony, using nothing but his creativity and his intelligence, Tony got six people out of a bad situation."


The foreign-language prize went to Austrian filmmaker Michael Haneke's old-age love story "Amour," which tells the agonizing story of an elderly man (Jean-Louis Trintignant) tending his wife (Emmanuelle Riva) as she declines from age and illness.


The Scottish adventure "Brave," from Disney's Pixar Animation unit, was named best animated feature. Pixar films have won seven of the 12 Oscars since the category was added.


The upbeat musical portrait "Searching for Sugar Man" took the documentary feature prize. The film follows the quest of two South African fans to discover the fate of acclaimed but obscure singer-songwriter Sixto Rodriguez, who dropped out of sight after two albums in the 1970s and was rumored to have died a bitter death.


There was a rare tie in one category, with the Osama bin Laden thriller "Zero Dark Thirty" and the James Bond tale "Skyfall" each winning for sound editing.


William Shatner made a guest appearance as his "Star Trek" character Capt. James Kirk, appearing on a giant screen above the stage during MacFarlane's monologue, saying he came back in time to stop the host from ruining the Oscars.


"Your jokes are tasteless and inappropriate, and everyone ends up hating you," said Shatner, who revealed a headline supposedly from the next day's newspaper that read, "Seth MacFarlane worst Oscar host ever."


The performance-heavy Oscars also included an opening number featuring Charlize Theron and Channing Tatum, who did a classy dance while MacFarlane crooned "The Way You Look Tonight." Daniel Radcliffe and Joseph Gordon-Levitt then joined MacFarlane for an elegant musical rendition of "High Hopes."


Halle Berry introduced a tribute to the Bond franchise, in which she has co-starred, as the British super-spy celebrated his 50th anniversary on the big-screen last year with the latest adventure "Skyfall." Shirley Bassey sang her theme song to the 1960s Bond tale "Goldfinger." Later, pop star Adele performed her theme tune from "Skyfall," which won the best-song Oscar.


A salute to the resurgence of movie musicals in the last decade included Oscar winners Zeta-Jones singing "All That Jazz" from "Chicago" and Hudson doing "And I Am Telling You I'm Not Going" from "Dreamgirls." Hathaway and Jackman joined cast mates of best-picture contender "Les Miserables" to sing songs from their musical.


Academy officials said all performances were sung live.


Fans had pondered how far MacFarlane, the impudent creator of "Family Guy," might push the normally prim and proper Oscars. MacFarlane was generally polite and respectful, though he pressed his luck a bit on an Abraham Lincoln joke.


"I would argue that the actor who really got inside Lincoln's head was John Wilkes Booth," MacFarlane wisecracked, earning some groans from the crowd. "A hundred and 50 years later, and it's still too soon?"


___


Online: http://www.oscars.org


___


AP writers Christy Lemire, Lynn Elber, Hannah Dreier, Ryan Nakashima, Sandy Cohen, Beth Harris and Anthony McCartney contributed to this report.


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‘Bloodless’ Lung Transplants for Jehovah’s Witnesses


Eric Kayne for The New York Times


SHARING HOME AND FAITH A Houston couple hosted Gene and Rebecca Tomczak, center, in October so she could get care nearby.







HOUSTON — Last April, after being told that only a transplant could save her from a fatal lung condition, Rebecca S. Tomczak began calling some of the top-ranked hospitals in the country.




She started with Emory University Hospital in Atlanta, just hours from her home near Augusta, Ga. Then she tried Duke and the University of Arkansas and Johns Hopkins. Each advised Ms. Tomczak, then 69, to look somewhere else.


The reason: Ms. Tomczak, who was baptized at age 12 as a Jehovah’s Witness, insisted for religious reasons that her transplant be performed without a blood transfusion. The Witnesses believe that Scripture prohibits the transfusion of blood, even one’s own, at the risk of forfeiting eternal life.


Given the complexities of lung transplantation, in which transfusions are routine, some doctors felt the procedure posed unacceptable dangers. Others could not get past the ethics of it all. With more than 1,600 desperately ill people waiting for a donated lung, was it appropriate to give one to a woman who might needlessly sacrifice her life and the organ along with it?


By the time Ms. Tomczak found Dr. Scott A. Scheinin at The Methodist Hospital in Houston last spring, he had long since made peace with such quandaries. Like a number of physicians, he had become persuaded by a growing body of research that transfusions often pose unnecessary risks and should be avoided when possible, even in complicated cases.


By cherry-picking patients with low odds of complications, Dr. Scheinin felt he could operate almost as safely without blood as with it. The way he saw it, patients declined lifesaving therapies all the time, for all manner of reasons, and it was not his place to deny care just because those reasons were sometimes religious or unconventional.


“At the end of the day,” he had resolved, “if you agree to take care of these patients, you agree to do it on their terms.”


Ms. Tomczak’s case — the 11th so-called bloodless lung transplant attempted at Methodist over three years — would become the latest test of an innovative approach that was developed to accommodate the unique beliefs of the world’s eight million Jehovah’s Witnesses but may soon become standard practice for all surgical patients.


Unlike other patients, Ms. Tomczak would have no backstop. Explicit in her understanding with Dr. Scheinin was that if something went terribly wrong, he would allow her to bleed to death. He had watched Witness patients die before, with a lifesaving elixir at hand.


Ms. Tomczak had dismissed the prospect of a transplant for most of the two years she had struggled with sarcoidosis, a progressive condition of unknown cause that leads to scarring in the lungs. The illness forced her to quit a part-time job with Nielsen, the market research firm.


Then in April, on a trip to the South Carolina coast, she found that she was too breathless to join her frolicking grandchildren on the beach. Tethered to an oxygen tank, she watched from the boardwalk, growing sad and angry and then determined to reclaim her health.


“I wanted to be around and be a part of their lives,” Ms. Tomczak recalled, dabbing at tears.


She knew there was danger in refusing to take blood. But she thought the greater peril would come from offending God.


“I know,” she said, “that if I did anything that violates Jehovah’s law, I would not make it into the new system, where he’s going to make earth into a paradise. I know there are risks. But I think I am covered.”


Cutting Risks, and Costs


The approach Dr. Scheinin would use — originally called “bloodless medicine” but later re-branded as “patient blood management” — has been around for decades. His mentor at Methodist, Dr. Denton A. Cooley, the renowned cardiac pioneer, performed heart surgery on hundreds of Witnesses starting in the late 1950s. The first bloodless lung transplant, at Johns Hopkins, was in 1996.


But nearly 17 years later, the degree of difficulty for such procedures remains so high that Dr. Scheinin and his team are among the very few willing to attempt them.


In 2009, after analyzing Methodist’s own data, Dr. Scheinin became convinced that if he selected patients carefully, he could perform lung transplants without transfusions. Hospital administrators resisted at first, knowing that even small numbers of deaths could bring scrutiny from federal regulators.


“My job is to push risk away,” said Dr. A. Osama Gaber, the hospital’s director of transplantation, “so I wasn’t really excited about it. But the numbers were very convincing.”


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