Singer Bjork’s vocal cord surgery successful












LONDON (AP) — Icelandic singer Bjork says she has had successful surgery to remove a vocal cord polyp.


The eccentric 47-year-old singer says on her official website that she had been trying to tackle the problem with exercises and diets since doctors first discovered the polyp, a benign growth on either one or both of the vocal cords, several years ago.












Bjork said that she decided to undergo laser surgery and it has worked, though she had to stay quiet for three weeks.


She wrote: “Surgery rocks! … It’s been very satisfying to sing all them clear notes again.”


The singer apologized for cancelling various shows earlier this year, and that she looked forward to singing for her fans next year.


Last year Adele had minor surgery to remove a benign polyp.


Entertainment News Headlines – Yahoo! News


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M.I.T. Lab Hatches Ideas, and Companies, by the Dozens





HOW do you take particles in a test tube, or components in a tiny chip, and turn them into a $100 million company?




Dr. Robert Langer, 64, knows how. Since the 1980s, his Langer Lab at the Massachusetts Institute of Technology has spun out companies whose products treat cancer, diabetes, heart disease and schizophrenia, among other diseases, and even thicken hair.


The Langer Lab is on the front lines of turning discoveries made in the lab into a range of drugs and drug delivery systems. Without this kind of technology transfer, the thinking goes, scientific discoveries might well sit on the shelf, stifling innovation.


A chemical engineer by training, Dr. Langer has helped start 25 companies and has 811 patents, issued or pending, to his name. That’s not too far behind Thomas Edison, who had 1,093. More than 250 companies have licensed or sublicensed Langer Lab patents.


Polaris Venture Partners, a Boston venture capital firm, has invested $220 million in 18 Langer Lab-inspired businesses. Combined, these businesses have improved the health of many millions of people, says Terry McGuire, co-founder of Polaris.


Along the way, Dr. Langer and his lab, including about 60 postdoctoral and graduate students at a time, have found a way to navigate some slippery territory: the intersection of academic research and the commercial market.


Over the last 30 years, many universities — including M.I.T. — have set up licensing offices that oversee the transfer of scientific discoveries to companies. These offices have become a major pathway for universities seeking to put their research to practical use, not to mention add to their revenue streams.


In the sciences in particular, technology transfer has become a key way to bring drugs and other treatments to market. “The model of biomedical innovation relies on research coming out of universities, often funded by public money,” says Josephine Johnston, director of research at the Hastings Center, a bioethics research organization based in Garrison, N.Y.


Just a few of the products that have emerged from the Langer Lab are a small wafer that delivers a dose of chemotherapy used to treat brain cancer; sugar-sequencing tools that can be used to create new drugs like safer and more effective blood thinners; and a miniaturized chip (a form of nanotechnology) that can test for diseases.


The chemotherapy wafer, called the Gliadel, is licensed by Eisai Inc. The company behind the sugar-sequencing tools, Momenta Pharmaceuticals, raised $28.4 million in an initial public offering in 2004. The miniaturized chip is made by T2Biosystems,  which completed a $23 million round of financing in the summer of 2011.


“It’s inconvenient to have to send things to a lab,” so the company is trying to develop more sophisticated methods, says Dr. Ralph Weissleder, a co-founder, with Dr. Langer and others, of T2Biosystems and a professor at Harvard Medical School.


FOR Dr. Langer, starting a company is not the same as it was, say, for Mark Zuckerberg with Facebook. “Bob is not consumed with any one company,” says H. Kent Bowen, an emeritus professor of business administration at Harvard Business School who wrote a case study on the Langer Lab. “His mission is to create the idea.”


Dr. Bowen observes that there are many other academic laboratories, including highly productive ones, but that the Langer Lab’s combination of people, spun-out companies and publications sets it apart. He says Dr. Langer “walks into the great unknown and then makes these discoveries.”


Dr. Langer is well known for his mentoring abilities. He is “notorious for replying to e-mail in two minutes, whether it’s a lowly graduate school student or the president of the United States,” says Paulina Hill, who worked in his lab from 2009 to 2011 and is now a senior associate at Polaris Venture Partners. (According to Dr. Langer, he has corresponded directly with President Obama about stem cell research and federal funds for the sciences.)


Dr. Langer says he looks at his students “as an extended family,” adding that “I really want them to do well.”


And they have, whether in business or in academia, or a combination of the two. One former student, Ram Sasisekharan, helped found Momenta and now runs his own lab at M.I.T. Ganesh Venkataraman Kaundinya is Momenta’s chief scientific officer and senior vice president for research.


Hongming Chen is vice president of research at Kala Pharmaceuticals. Howard Bernstein is chief scientific officer at Seventh Sense Biosystems, a blood-testing company. Still others have taken jobs in the law or in government.


Dr. Langer says he spends about eight hours a week working on companies that come out of his lab. Of the 25 that he helped start, he serves on the boards of 12 and is an informal adviser to 4. All of his entrepreneurial activity, which includes some equity stakes, has made him a millionaire. But he says he is mainly motivated by a desire to improve people’s health.


Operating from the sixth floor of the David H. Koch Institute for Integrative Cancer Research on the M.I.T. campus in Cambridge, Mass., Dr. Langer’s lab has a research budget of more than $10 million for 2012, coming mostly from federal sources.


The research in labs like Dr. Langer’s is eyed closely by pharmaceutical companies. While drug companies employ huge research and development teams, they may not be as freewheeling and nimble, Dr. Langer says. The basis for many long-range discoveries has “come out of academia, including gene therapy, gene sequencing and tissue engineering,” he says.


He has served as a consultant to pharmaceutical companies. Their large size, he says, can end up being an impediment.


“Very often when you are going for real innovation,” he says, “you have to go against prevailing wisdom, and it’s hard to go against prevailing wisdom when there are people who have been there for a long time and you have some vice president who says, ‘No, that doesn’t make sense.’ ”


Pharmaceutical companies are eager to tap into the talent at leading research universities. In 2008, for example, Washington University in St. Louis announced a $25 million pact with Pfizer to collaborate more closely on biomedical research.


But in some situations, the close — critics might say cozy — ties between business and academia have the potential to create conflicts of interest.


There was a controversy earlier this year when it was revealed that the president of the University of Texas M.D. Anderson Cancer Center owned stock in Aveo Oncology, which had announced earlier that the university would be leading clinical trials of one of its cancer drugs.  Last month, the University of Texas announced that he would be allowed to keep his ties with three pharmaceutical companies, including Aveo Oncology; his holdings will be placed in a blind trust.


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Legal Consensus of Warrantless Cellphone Searches Is Elusive





Judges and lawmakers across the country are wrangling over whether and when law enforcement authorities can peer into suspects’ cellphones, and the cornucopia of evidence they provide.







Peter DaSilva for The New York Times

Organizations like the Electronic Frontier Foundation, where Hanni Fakhoury is a lawyer, have lobbied for legislation that would require authorities to obtain a warrant before demanding cellphone location records.







A Rhode Island judge threw out cellphone evidence that led to a man being charged with the murder of a 6-year-old boy, saying the police needed a search warrant. A court in Washington compared text messages to voice mail messages that can be overheard by anyone in a room and are therefore not protected by state privacy laws. In Louisiana, a federal appeals court is weighing whether location records stored in smartphones deserve privacy protection, or whether they are “business records” that belong to the phone companies.


“The courts are all over the place,” said Hanni Fakhoury, a criminal lawyer with the Electronic Frontier Foundation, a San Francisco-based civil liberties group. “They can’t even agree if there’s a reasonable expectation of privacy in text messages that would trigger Fourth Amendment protection.”


The issue will attract attention on Thursday when a Senate committee considers limited changes to the Electronic Communications Privacy Act, a 1986 law that regulates how the government can monitor digital communications. Courts have used it to permit warrantless surveillance of certain kinds of cellphone data. A proposed amendment would require the police to obtain a warrant to search e-mail, no matter how old it was, updating a provision that currently allows warrantless searches of e-mails more than 180 days old.


As technology races ahead of the law, courts and lawmakers are still trying to figure out how to think about the often intimate data that cellphones contain, said Peter P. Swire, a law professor at Ohio State University. Neither the 1986 statute nor the Constitution, he said, could have anticipated how much information cellphones are privy to, including detailed records of people’s travels and diagrams of their friends.


“It didn’t take into account what the modern cellphone has — your location, the content of communications that are easily readable, including Facebook posts, chats, texts and all that stuff,” Mr. Swire said.


Courts have also issued divergent rulings on when and how cellphones can be inspected. An Ohio court ruled that the police needed a warrant to search a cellphone because, unlike a piece of paper that might be stuffed inside a suspect’s pocket and can be confiscated during an arrest, a cellphone may hold “large amounts of private data.”


But California’s highest court said the police could look through a cellphone without a warrant so long as the phone was with the suspect at the time of arrest.


Judges across the country have written tomes about whether a cellphone is akin to a “container” — like a suitcase stuffed with marijuana that the police might find in the trunk of a car — or whether, as the judge in the Rhode Island murder case suggested, it is more comparable to a face-to-face conversation. That judge, Judith C. Savage, described text messages as “raw, unvarnished and immediate, revealing the most intimate of thoughts and emotions.” That is why, she said, citizens can reasonably expect them to be private.


There is little disagreement about the value of cellphone data to the police. In response to a Congressional inquiry, cellphone carriers said they responded in 2011 to 1.3 million demands from law enforcement agencies for text messages and other information about subscribers.


Among the most precious information in criminal inquiries is the location of suspects, and when it comes to location records captured by smartphones, court rulings have also been inconsistent. Privacy advocates say a trail of where people go is inherently private, while law enforcement authorities say that consumers have no privacy claim over signals transmitted from an individual mobile device to a phone company’s communications tower, which they refer to as third-party data.


Delaware, Maryland and Oklahoma have proposed legislation that would require the police to obtain a warrant before demanding location records from cellphone carriers. California passed such a law in August after intense lobbying by privacy advocates, including Mr. Fakhoury’s group. But Gov. Jerry Brown, a Democrat, vetoed the bill, questioning whether it struck “the right balance between the operational needs of law enforcement and individual expectations of privacy.”


Similar legislation has been proposed in Congress.


Lacking a clear federal statute, the courts have been unable to reach a consensus. In Texas, a federal appeals court said this year that law enforcement officials did not need a warrant to track suspects through cellphones. In Louisiana, another federal appeals court is considering a similar case. Prosecutors are arguing that location information is part of cellphone carriers’ business records and thus not constitutionally protected.


The Supreme Court has not directly tackled the issue, except to declare, in a landmark ruling this year, that the police must obtain a search warrant to install a GPS tracking device on someone’s private property.


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Egypt judges denounce Morsi maneuver, threaten strike









CAIRO — Political tension sharpened Saturday when judges threatened a nationwide strike and condemned President Mohamed Morsi for his decision to expand his power amid growing mistrust in Egypt's transition to democracy.

The Supreme Judicial Council urged Morsi, whose decree on Thursday put his office above judicial oversight, to reverse what it called an "unprecedented attack" on the courts. "We call upon the president to retract this declaration and all articles that affect the judiciary's independence," it said.

The consequences of a battle over the separation of powers were evident when a separate association of judges called for a partial strike, and judges in Alexandria suspended their duties. If similar actions spread to Cairo and other cities, tens of thousands of court cases would be delayed, crippling a judicial system strained by rising crime and pressure to prosecute officials and businessmen tied to the toppled regime of Hosni Mubarak.








Prosecutor-General Abdel Meguid Mahmoud, whom Morsi moved to fire Thursday, addressed the judges, saying that the president was running a "systematic campaign against the country's institutions ... and the judiciary in particular."

Street protests against Morsi continued in Cairo's Tahrir Square, where more than 20 political movements have called for a weeklong sit-in. Scores of young men hurled rocks through clouds of tear gas at riot police on nearby side streets. Clashes also erupted between pro- and anti-Morsi demonstrators in front of the Supreme Judiciary Council.

The protests were smaller than on Friday, indicating the opposition lacks organization and shared goals to challenge the president and the politically dominant Muslim Brotherhood. But they revealed how polarized Egypt has become as its hopes for democracy have been marred by rancor between Islamists and secularists and other non-Muslims.

The nation is flying blind in many ways, led by a conservative Islamist with little political experience who nevertheless has been lauded for his recent diplomacy, including negotiating a cease-fire between Israel and Hamas in the Gaza Strip. At home, though, state institutions crumble, mistrust in government abounds, and little has been done to improve a faltering economy.

Much of this was to be expected after 30 years of corrupt rule by Mubarak. Yet for many Egyptians the struggle over power and the constitution is a philosophical battle that doesn't speak to their frail finances and deeper worries about everyday life that last year's revolution was meant to address.

Morsi's decree was a bold gamble. The president, serving without a new constitution or a parliament, had already controlled the executive and legislative branches of government. Morsi suggested he is justified in sidelining Mubarak-era judges, whom he accused of blocking Egypt's steps toward a constitutional democracy.

The Supreme Constitutional Court disbanded the Islamist-dominated parliament in June. Morsi feared that the court was also preparing next month to dissolve the Islamist-led assembly drafting the country's constitution. Such a move, he said, would create further political turmoil, delay parliamentary elections and leave Egypt without a legal blueprint to run its affairs.

The president's decree "completely destabilizes the political makeup for the country going forward," said Hafsa Halawa, an activist and lawyer. "Our biggest problem lies with the fact that parliament was dissolved. This left the executive with no balancing of powers. [His] taking over the judiciary is incredibly dangerous. It's unclear where Egypt goes from here."

She added: "The opposition has to be smart and work toward cornering the Muslim Brotherhood into forcing Morsi to go back on his actions."

Morsi, who has the support of a small circle of judges, has said his decree is temporary and will be withdrawn when a constitution is approved, probably early next year.

But the president's critics say Morsi's action is a blatant power play to enshrine Islamic law in the constitution and further the interests of the Brotherhood. His detractors say it's ironic that Morsi espouses advancing democracy even as he raises himself above an independent judiciary and democratic institutions.

"The president's decision may eventually lead to a civil war," Tarek El-Kholy, a member of the April 6 youth movement, told the Ahram Online news website. "Morsi said he sought stability, but we can all see that his decision only stirred troubles and clashes. It's time for him to backtrack, or is he waiting for blood to be spilled?"

The drama took an intriguing twist when Prosecutor-General Mahmoud, a Mubarak holdover who has refused Morsi's order to step aside, threatened to reveal what one judge called "secrets and truths for the first time" about pending murder trials and business deals.

"I'll tell you about what cases are being put in the fridge, the cases of the privatization of [the] public sector," said Mahmoud. "Two-hundred-fifty companies have been privatized, and all complaints against them were sidestepped. ... I sent a memorandum to the president and the Cabinet, and they have not responded to the prosecution."

jeffrey.fleishman@latimes.com

Abdellatif is a special correspondent.





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How One <em>Myst</em> Fan Made Himself a Real-Life Linking Book











The classic PC game Myst was known for drawing people in to its massive, surreal world. But maker Mike Ando took a little piece of that world and drew it into ours. He made a lovingly authentic replica of the Linking Book that helps the main character — you — navigate the world.


Myst was a ground-breaking point-and-click adventure game created by Cyan Worlds, made of hundreds of beautifully rendered scenes whose combined size made the game so big that it needed a CD-ROM to play, back when many computers didn’t have them. It was the first breakout hit in PC gaming and from its release in 1993 it held the title of best-selling PC game until 2002 when The Sims surpassed it.


The game spawned four sequels, along with novels, music, and an MMO that is still online and being powered by donations from the fan base. The games have been widely ported and the game — once so huge that you needed special hardware to run it — is now available for download on iOS (among other places). In other words, it’s a pretty big deal.



At the core of Myst’s story was a mystical technology called Linking Books that pulled players into other realms, called Ages. They were these beautiful old tomes that, when opened, showed an animated preview of the Age to which you’d be linked.


“Ever since I first played the game, I always wanted my own linking book,” says Ando, “Of course, there was no way my old bulky 486 would fit within a book, but as time marched on technology advanced and computers became smaller. Eventually technology caught up and it was possible to shrink everything down to fit inside the book.”


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“Big Bang Theory” star Mayim Bialik tweets pre-Thanksgiving divorce plans












LOS ANGELES (TheWrap.com) – Things are bound to be a little tense around the dinner table at Mayim Bialik‘s house this Thanksgiving.


Bialik is divorcing her husband of nine years, Mike Stone, the “Big Bang Theory” star announced via her twitter account Wednesday.












The actress, 36, tweeted a link to a blog post about the split with the message, “I’m beating the tabloids to it and posting this Divorce Statement.”


The post itself says that the pair decided to divorce “after much consideration and soul-searching,” and cites irreconcilable differences as the reason for the breakup.


Bialik and Stone have two sons, 7-year-old Miles and 4-year-old Frederick, together.


“Divorce is terribly sad, painful and incomprehensible for children. It is not something we have decided lightly,” Bialik wrote in her blog post. “The hands-on style of parenting we practice played no role in the changes that led to this decision; relationships are complicated no matter what style of parenting you choose.”


The actress added, “Our sons deserve parents committed to their growth and health and that’s what we are focusing on.”


Bialik’s post concludes, “We will be ok.”


Celebrity News Headlines – Yahoo! News


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Insurer’s Regulatory Win Benefits a Chinese Leader’s Family


Gilles Sabrie for The New York Times


Ping An, one of China’s largest financial services companies, is building a 115-story office tower in Shenzhen. The company is a $50 billion powerhouse now worth more than A.I.G., MetLife or Prudential.







SHENZHEN, China — The head of a financially troubled insurer was pushing Chinese officials to relax rules that required breaking up the company in the aftermath of the Asian financial crisis.




The survival of Ping An Insurance was at stake, officials were told in the fall of 1999. Direct appeals were made to the vice premier at the time, Wen Jiabao, as well as the then-head of China’s central bank — two powerful officials with oversight of the industry.


“I humbly request that the vice premier lead and coordinate the matter from a higher level,” Ma Mingzhe, chairman of Ping An, implored in a letter to Mr. Wen that was reviewed by The New York Times.


Ping An was not broken up.


The successful outcome of the lobbying effort would prove monumental.


Ping An went on to become one of China’s largest financial services companies, a $50 billion powerhouse now worth more than A.I.G., MetLife or Prudential. And behind the scenes, shares in Ping An that would be worth billions of dollars once the company rebounded were acquired by relatives of Mr. Wen.


The Times reported last month that the relatives of Mr. Wen, who became prime minister in 2003, had grown extraordinarily wealthy during his leadership, acquiring stakes in tourist resorts, banks, jewelers, telecommunications companies and other business ventures.


The greatest source of wealth, by far, The Times investigation has found, came from the shares in Ping An bought about eight months after the insurer was granted a waiver to the requirement that big financial companies be broken up.


Long before most investors could buy Ping An stock, Taihong, a company that would soon be controlled by Mr. Wen’s relatives, acquired a large stake in Ping An from state-owned entities that held shares in the insurer, regulatory and corporate records show. And by all appearances, Taihong got a sweet deal. The shares were bought in December 2002 for one-quarter of the price that another big investor — the British bank HSBC Holdings — paid for its shares just two months earlier, according to interviews and public filings.


By June 2004, the shares held by the Wen relatives had already quadrupled in value, even before the company was listed on the Hong Kong Stock Exchange. And by 2007, the initial $65 million investment made by Taihong would be worth $3.7 billion.


Corporate records show that the relatives’ stake of that investment most likely peaked at $2.2 billion in late 2007, the last year in which Taihong’s shareholder records were publicly available. Because the company is no longer listed in Ping An’s public filings, it is unclear if the relatives continue to hold shares.


It is also not known whether Mr. Wen or the central bank chief at the time, Dai Xianglong, personally intervened on behalf of Ping An’s request for a waiver, or if Mr. Wen was even aware of the stakes held by his relatives.


But internal Ping An documents, government filings and interviews with bankers and former senior executives at Ping An indicate that both the vice premier’s office and the central bank were among the regulators involved in the Ping An waiver meetings and who had the authority to sign off on the waiver.


Only two large state-run financial institutions were granted similar waivers, filings show, while three of China’s big state-run insurance companies were forced to break up. Many of the country’s big banks complied with the breakup requirement — enforced after the financial crisis because of concerns about the stability of the financial system — by selling their assets in other institutions.


Ping An issued a statement to The Times saying the company strictly complies with rules and regulations, but does not know the backgrounds of all entities behind shareholders. The company also said “it is the legitimate right of shareholders to buy and sell shares between themselves.”


In Beijing, China’s foreign ministry did not return calls seeking comment for this article. Earlier, a Foreign Ministry spokesman sharply criticized the investigation by The Times into the finances of Mr. Wen’s relatives, saying it “smears China and has ulterior motives.”


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Lining up even earlier for Black Friday becomes a shop priority









In a tradition that seems to take a bigger slice of Thanksgiving every year, hordes of deal-sniffing shoppers descended on Southland stores Thursday, elbowing their way in search of toys, video games and that time-honored Black Friday symbol: cut-rate television sets. As nightfall came, they huddled in long lines, clutching coupons and hatching shopping strategies.


Rebecca Abbott, 42, of Torrance had it down to a science Thursday night. The accountant said she was out the door of the local Toys R Us store in 20 minutes with a shopping cart full of Christmas gifts for her two daughters. 


Her fourth time shopping on Black Friday, Abbott had spent a few hours in Toys R Us the day before scoping out her plan of attack. The first item on her list: a Rockstar Mickey Mouse doll, normally priced at $59.99 but selling for just $19.99.





"You have to have a strategy for this Black Friday madness," she said as she headed for the door. "First-timers will walk around all day looking at deals," Abbott said. "I got in, grabbed my stuff and got out." Her cart was overflowing with large toys — primarily Barbie and Mickey Mouse items. 


PHOTOS: Black Friday shoppers hunt for deals


At a Wal-Mart in Panorama City, just after 8 p.m., "it was really crazy, but you could still walk," said Marya Huaman, 23, as she left the store with her dad, her two infant sons and three bags full of Fisher-Price toys.


"No, you couldn't," scoffed her father, Edward Huaman. "I didn't see anyone fighting, but they will be soon. This is madness."


Last year, Thanksgiving night was marred by a pepper spray "shopping rage" incident at a Wal-Mart in Porter Ranch that injured at least seven people and forced employees to evacuate part of the store. One person was hospitalized.


Los Angeles Police Cmdr. Andy Smith said Thursday that the night appeared to be running smoothly across Los Angeles. "In general, I think things have gone really well," he said. "It sounds like the stores have taken proper precautions and everyone is aware of the hazards of Black Friday."


After retailers last year moved the opening bell for Black Friday sales to midnight, this year there were even more customers eager to get a jump on the traditional kickoff to the holiday shopping season. Wal-Mart, Sears and Toys R Us began rolling out their door busters at 8 p.m. on Turkey Day, followed by Target at 9 p.m. Macy's, Kohl's and Best Buy were set to open at midnight.


A handful of chains such as Kmart and Old Navy also had daytime hours on Thursday. And online merchants were touting bargains all day and night.


About 147 million shoppers are expected this all-important holiday weekend, with more logging in for online specials by Cyber Monday, according to the National Retail Federation. In all, the trade group estimated that holidays sales will rise 4.1% this year, to $586 billion.


"Though the Black Friday tradition is here to stay, there's no question that it has changed in recent years," NRF Chief Executive Matthew Shay said in a statement.


Many shoppers were perfectly content to queue up. At Best Buy electronic stores across the Southland, people waited for hours — and sometimes days — in tents before the midnight opening.


But many workers were angry about spending Turkey Day away from loved ones.


Frustrated retail employees and families have taken to creating online petitions at Change.org to beg companies not to cut into Thanksgiving dinners. More than 20 online petitions have popped up in recent weeks. Lines grew throughout the afternoon and into the evening as anxious shoppers surveyed the competition in line.


Throughout Southern California there were reports of lines wrapped around stores. In Glendale, more than 750 shoppers were lined up outside the Target at the Galleria.


For shoppers who just couldn't wait until Thursday night — much less Black Friday — some retailers opened their doors all day on Thanksgiving.


The sales weren't quite as glorious as the Black Friday specials that stores promise to roll out later. But they were pretty good nonetheless, shoppers said.


JoAnne Garcia walked into Kmart in Burbank in search of a roasting pan in which to cook her turkey. She walked out 90 minutes later, having shelled out $491, including $329 for an RCA 39-inch LCD flat-panel TV.


"The roasting pan was $14.99," Garcia said, laughing at how much she spent as she rolled her cart to the parking lot.


To the 53-year-old aerospace machinist, shopping on Thanksgiving made perfect sense.


Standing near a store display touting "Freak Out Pricing," Garcia explained her theory about shopping while cooking. "You get up, throw your turkey in the oven, and you come back and it's all done."


walter.hamilton@latimes.com


joseph.serna@latimes.com


Contributing to this report were staff writers Wesley Lowery, Marisa Gerber, Nicole Santa Cruz and Andrew Khouri.





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WHO Announces Family Cluster Of Cases Of New Coronavirus



Holidays. It never fails.


Today, while the United States has been largely off-line following our Thanksgiving holiday (and while Northern Europe was on its way to the pub for Friday evening revelry), the World Health Organization announced four new cases of the novel coronavirus that caused a great deal of worry immediately before the October hajj season. (Earlier posts here and here.)


In its bulletin, released by the WHO’s Global Alert and Response team (GOAR), the agency said:


  • Four additional laboratory-confirmed cases have been identified; one of the four has died.

  • One case is in Qatar, the location of one of the original two cases earlier this year.

  • Three of the new cases, including the dead person, are in Saudi Arabia, site of the other original case (who also died).

  • Two of the three Saudi cases, including the dead person, are members of the same family.

  • In that family, two other people have also fallen ill, and one has died. The man who recovered showed no laboratory evidence of infection with the novel coronavirus. Analysis of the case of the person who died is continuing.

A quick recap: This new virus concerns public health officials because it is related to the viral cause of SARS, which swept the globe in 2003, sickening more than 8,000 people and killing almost 800. News of it first emerged in September, when a post to the mailing list ProMED described the illness and death in June of a man who lived in Saudi Arabia. That bulletin caused physicians in London who were treating a man from Qatar to realize that their patient was suffering from the same illness. The timing and location of the cases caused international concern, because Saudi Arabia was about to host the annual hajj, which brings millions of observant Muslims to the country in closely crowded conditions, and thus could have been a transmission risk.


Since then, very little new has been released.


On Sept. 27, the journal EuroSurveillance published two reports, a case definition and recommendation for public health measures by the European Centre for Disease Prevention and Control (the EU’s equivalent of the United States’ CDC) and the UK’s Health Protection Agency, and a first attempt at PCR-based identifying tests, by scientists at the HPA, in Berlin, and at the Erasmus Medical Center in Rotterdam, who collaborated on that first ProMED post.


On Oct. 17, the New England Journal of Medicine carried a description of the first Saudi case written by the authors of that first ProMED post, Dr. Ali Moh Zaki of the Soliman Fareek Hospital in Jiddah and Dr. Ron Fouchier and other staff from Erasmus.


On Nov. 4 and Nov. 20, ProMED carried reports of two additional cases beyond the first two, both in Saudi. The Nov. 4 report, of a man who fell ill in Riyadh and recovered, was submitted to ProMED by Dr. Ziad Memish, the Kingdom’s deputy minister for public health. The Nov. 20 report relayed an announcement from the Kingdom’s Ministry of Health reporting an additional case in Riyadh. (There has been no indication whether these cases are included in the four new ones announced by the WHO, or are separate. Prior to today’s brief announcement, the WHO had not issued any bulletins on the new virus since Oct. 10.)


Meanwhile, on Nov. 13, the UK’s Health Protection Agency announced that its laboratories had achieved a complete genome of the virus isolated from the case treated in London, finding it to be most closely related to a coronavirus isolated from bats in the Netherlands several years ago. (This is important because the SARS virus, originally thought to be harbored by civet cats, was identified in 2005 in bats as well.)


And in addition, there have been some indications that the flow of information on this new virus may not be complete as health authorities might wish. Among them: On Oct. 22, Dr. Memish complained on ProMED of “incomplete, even hysterical reporting” and said that the initial report of the first Saudi case “intentionally or inadvertently circumvented” “internal reporting mechanisms.” Two days later, Deborah Mackenzie of New Scientist reported that the physician who sent that first report, Dr. Zaki, lost his job in the Kingdom after official actions that he described to her as “threatening,” and fled to Egypt, where he is from.


So where does that leave us today?


The WHO statement is notable for what it does not say: It does not give ages, genders or places of residence for the new cases, and it has nothing to say about how they may have become infected — including whether person-to-person transmission of the virus has occurred, which would be one reasonable hypothesis given the family relationships.


But it does say that the agency assumes the virus to be more widely distributed than these cases suggest, and urges countries to be on the look-out for additional cases. Notably, it suggests testing patients with severe pneumonia even if they have no travel history to Saudi Arabia or Qatar, which is a lowering of the screening threshold from what the agency recommended earlier:


WHO encourages all Member States to continue their surveillance for severe acute respiratory infections (SARI) and is currently reviewing the case definition and other guidance related to the novel coronavirus. Until more information is available, it is prudent to consider that the virus is likely more widely distributed than just the two countries which have identified cases. Member States should consider testing of patients with unexplained pneumonias for the new coronavirus even in the absence of travel or other associations with the two affected countries. In addition, any clusters of SARI or SARI in health care workers should be thoroughly investigated regardless of where in the world they occur.


Much more to come on this, I am sure. Over the weekend, consider following Helen Branswell of Canadian Press and Declan Butler of Nature, who got stories about this posted this afternoon; and also indefatigable emerging-diseases blogger Crawford Killian, who has picked up indications that the new Qatar case may actually be in Germany.


Update: I failed to notice that Mike Coston of Avian Flu Diary has confirmed the reports of the new Qatar case actually being in Germany. Mike found a statement from Germany’s Robert Koch Institute about the man’s illness. So (and I should have said this earlier), for more about this evolving story, you should follow Mike too.


SARS image, PHIL, CDC


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McCartney joins lineup for UK soccer disaster song












LONDON (Reuters) – Former Beatle Paul McCartney has joined the lineup for a Christmas single raising money for the families of those who died in the 1989 Hillsborough soccer stadium tragedy in northern England, organizers said on Thursday.


Already committed to the song are artists including Robbie Williams, ex-Spice Girl Melanie C, Frankie Goes to Hollywood‘s Holly Johnson and Gerry Marsden of Gerry and the Pacemakers.












The version of “He Ain’t Heavy, He’s My Brother” will hit the shelves on December 17 and is among the frontrunners to claim the coveted Christmas No. 1 slot in the British singles chart.


The charity single will benefit Hillsborough families who campaigned for more than 20 years to overturn official accounts of the tragedy that smeared fans, blaming them for being drunk, ticketless, and intent on forcing their way into the packed ground.


Ninety-six Liverpool supporters died after a crush at the Hillsborough stadium in Sheffield, and an independent inquiry earlier this year concluded that police tried to deflect the blame on to fans to cover up their own incompetence.


(Reporting by Mike Collett-White, editing by Paul Casciato)


Music News Headlines – Yahoo! News


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