Many have ovary surgery even with negative gene test






NEW YORK (Reuters Health) – Many women who test negative for gene mutations that heighten the risk of ovarian cancer still get their ovaries removed despite a lack of evidence that it reduces the risk of dying, says a new study.


“A higher number than expected went through with the surgery, and it probably has to do with doctors in the community not having enough information on their patients’ risk levels,” said Dr. Gabriel Mannis, the study’s lead author.






According to Mannis and his colleagues, who published their study in the Archives of Internal Medicine on Monday, the average woman’s risk of developing ovarian cancer is about 2 percent, but women with BRCA1 and BRCA2 gene mutations have a 40 percent and 20 percent risk, respectively.


For women that test positive for the gene mutations, the American Congress of Obstetricians and Gynecologists (ACOG) says, if they choose to have their ovaries removed, it should be when they are done having children and near 40 years old.


There are no guidelines, however, on ovary removal and screening for women whose blood tests don’t show the gene mutations but who may still be at an increased risk of cancer based on their family’s medical history.


“We don’t have a clear sense of what their risk level is, or what the role of screening should be,” said Mannis, of the division of oncology at the University of California, San Francisco.


For the new study, the researchers surveyed women at two hospitals about 4 years after they were tested for the gene mutations to see if they decided to be screened or have their ovaries removed.


Of 1,077 women surveyed, about 19 percent tested positive for a BRCA mutation, about 10 percent had no mutation, and the rest had unclear results.


The researchers found that about 70 percent of the women who tested positive for a mutation had their ovaries removed by the time they took the survey.


But, despite a lack of evidence that they should have their ovaries removed, about 12 percent of the women with unclear results still had the surgery.


OVARIAN CANCER SCREENING


The researchers also found that despite the U.S. Preventive Services Task Force recommending against screening for ovarian cancer in women without the gene mutations, about 20 percent of women whose test results didn’t clearly show the mutations still ended up getting screened in the year before taking the survey.


In a previously published study, women screened annually for ovarian cancer were no less likely to die from the disease than those who didn’t get regular screening (see Reuters Health article of Sep. 10, 2012. http://reut.rs/QAmMdk).


Aside from not being shown to help, the tests are also imperfect, said Dr. Jed Delmore, chair the Gynecologic Oncology Sub-committee for ACOG.


“I can simply say that as of today we don’t have a good screening,” said Delmore, of the University of Kansas School of Medicine in Wichita.


“At this point if doctors are going to proceed with screening in this group of women, there needs to be a conversation that we don’t really know if this will prevent you from dying sooner of ovarian cancer or that it may come back as a false positive,” said Mannis.


In that previous study, about one in ten screened women had a false positive result, and of those a third had one or both ovaries removed.


That means some women had both ovaries removed even though they were not at an increased risk for cancer, which needlessly put them in danger of a complication and forced them into menopause.


Plus, the removing an ovary can cost over $ 3,000.


Delmore told Reuters Health that it seems like an intermediate ground has been reached with a majority of BRCA-positive women having surgery to reduce their risk, and fewer BRCA-negative women having it.


He agreed with Mannis that doctors need to be honest with their patients about the limitations of today’s screenings and treatments.


“We have pretty solid information for women who are BRCA positive and clearly BRCA negative,” he said. “It’s just that group in the middle.”


Mannis told Reuters Health that the next step would be to identify that group’s risk levels, but both he and Delmore said that won’t be easy.


SOURCE: http://bit.ly/WiwDtv Archives of Internal Medicine, online December 17, 2012.


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Abe’s challenge: Can he give Japan what money can’t buy






TOKYO (Reuters) – Even before Japanese voters returned Shinzo Abe‘s party to power, he had already won over financial markets with an economic revival plan as seductively simple as economists say it is risky: print money and spend it. Lots of it.


The Liberal Democratic Party’s landslide on Sunday is likely to sustain a market rally fuelled by economic stimulus hopes, but Abe’s economic legacy will probably be defined by how he tackles chronic ills that easy money alone cannot fix and that were largely ignored during the campaign.






The conservative leader set to return to the prime minister’s post he abruptly left in 2007 campaigned on a promise to double spending on public works and to push the Bank of Japan for radical action to end deflation and help exporters such as Toyota and Sony by taming the yen.


“The fact that Abe points to changes in the BOJ law or forex levels, or aggressive easing as solutions to Japan‘s problems is, if anything, worrying,” said Yuuki Sakurai, chief executive of Fukoku Capital Management which manages $ 19 billion in assets.


“They should be treated as tools to buy time to implement structural reforms, but we’re not hearing anything about deep reforms that the LDP wants to carry out.”


The so-called Abe trade – a 4 percent slide in the yen and more than a 10 percent rise in stock prices over the past month – shows that for now, most investors just want to see the new leader fulfill his pledges.


Analysts said they expected Sunday’s vote, which according to TV projections based on counted votes gave LDP and its ally a two-thirds lower house majority, to sustain that trend in the near-term.


“Abe’s economic policies will be implemented so the economy will improve next year. The problem is what happens after that,” said Koichi Haji, chief economist at NLI Research Institute in Tokyo. “The key is whether Abe can implement long-term structural reforms and growth strategies.”


The BOJ is poised to heed Abe’s calls for more aggressive easing and a more ambitious 2 percent inflation target, with markets expecting the central bank to ease policy for the fifth time this year on Thursday.


Investors also expect an extra budget of up to 10 trillion yen ($ 120 billion) as a down payment on Abe’s plan to spend such amounts per year over the next decade – double the current level – on public works long synonymous with the LDP.


Economists say pumping cash into the economy will only give it a temporary jolt if not followed by efforts to lift its growth potential and contain runaway debt.


In just three decades Japan has become the world’s oldest society, with those 65 or above making up nearly a quarter of a population that is greying and is estimated to have shrunk by over 260,000 in the last fiscal year alone.


Recipes to cope with it are well known: social security overhaul, including cuts in healthcare and pensions; boosting access to overseas markets and opening Japan to foreign goods, workers and investment; power sector revamp and bringing more women into the workforce.


All, however, carry political and social risks that Japan’s recent revolving-door leaders were unable or unwilling to take.


Left to sink or swim with swings in overseas demand for its exports and its currency, the world’s third-largest economy has been in and out of recession and dogged by low-grade deflation for the past two decades.


Now, in firm control of the lower house, Abe has a chance to prove his mettle and erase the memories of his first troubled year in office.


So far he has played it safe.


His “Abenomics” — a mix of potent monetary stimulus and big public spending — carries little political cost and he has been coy on touchy issues such the U.S.-led Trans-Pacific Partnership (TPP) free trade pact, or implementing sales tax increases.


With some luck, the new government may be even be able to call an end to a brief recession it entered last quarter.


Economists polled by Reuters last week predict the economy will start growing again in the first quarter of next year, largely due to expected recovery in China, Japan’s top export market.


TAX TEST


Abe’s first stern economic test will come after August, when the government, armed with second-quarter data, will decide whether the economy is strong enough to go ahead with a first round of planned sales tax increases.


With 10-year bond yields near a decade low below 0.7 percent, bond investors are now confident that he can steer the central bank to buy more bonds from the world’s most indebted government without setting off a market meltdown.


To keep that trust, Abe must convince investors that in his push for big scale-stimulus, he has not abandoned budget discipline. Economists say with Japan’s public debt at more than twice its economic output and climbing, the new government can ill-afford delaying a tax hike that has become a symbol of Tokyo’s fiscal rectitude. Their message is clear: “Just do it!”


“I hope they will go through with it,” said Takatoshi Ito, a Tokyo University professor, former adviser to the first Abe administration who is now mooted as a possible successor to BOJ Governor Masaaki Shirakawa when his term ends in April.


“Tax revenue is less than half of expenditures. Bond issuance is bigger than tax revenues. It’s like using a credit card for more than half of your monthly expenditure. It’s crazy, abnormal, you can’t go on like that.”


(Additional reporting by Kaori Kaneko, Antoni Slodkowski and Leika Kihara; Editing by Raju Gopalakrishnan)


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Be Careful When Downloading Your Twitter Archive






Twitter is rolling out the long-awaited feature of downloading your entire tweet history, it seems, but be careful. You might not like what you find in there. Sometimes we remember our tweets with rose-colored lenses.


RELATED: ‘Human Virus’ Snakes Through Twitter






The Next Web was the first to notice a few users posting about being able to download their tweet history this weekend. Not everyone can do it, though. Twitter is slow-rolling the new feature, so only a limited number of people have access to the option. To check if you’re one of the lucky few, go to your settings page. At the very bottom there should be a new section with a big button offering you the chance to download your archive. Twitter will send you an email with three different compression files of your tweet history after a few minutes. You’ll decompress a .html file and be able to sort through all the dumb stuff you’ve said on Twitter by month and by year. 


RELATED: Twitter Finally Grows Up


The Verge has the best screen shots of what the process looks like. One of their readers even posted a link to his history in the comments of their post. You can check it out here if you’re interested to see what the feature is like. Just don’t judge the poor guy too harshly. 


RELATED: Sexy Piggy Banks, Analogies and Haley Barbour


We don’t have the option to download our archive yet. We checked. And, in case you think you’re clever, we checked to see if you could game the url to get your history by subbing in your username into the Verge commenter’s URL. You can’t, unfortunately. 


RELATED: Arm Wrestling, Strangers and Pricey Prophylactics


Twitter CEO Dick Costello promised the feature would be here by the end of the year, so it seems like he’s just delivering what he promised. You should get it soon, too. 


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‘Hobbit’ bests ‘Rings’ with $84.8 million opening






NEW YORK (AP) — Peter Jackson‘s “The Hobbit” led the box office with a haul of $ 84.8 million, a record-setting opening better than the three previous “Lord of the Rings” films.


The Warner Bros. Middle Earth epic was the biggest December opening ever, surpassing Will Smith’s “I Am Legend,” which opened with $ 77.2 million in 2007, according to studio estimates Sunday. “The Hobbit: An Unexpected Journey” also passed the December opening of “Avatar,” which opened with $ 77 million. Internationally, “The Hobbit” also added $ 138.2 million, for an impressive global debut of $ 223 million.






Despite weak reviews, the 3-D adaptation of J. R. R. Tolkien‘s first novel in the fantasy series was an even bigger draw than the last “Lord of the Rings” movie, “The Return of the King.” That film opened with $ 72.6 million. “The Hobbit” is the first of another planned trilogy, with two more films to be squeezed out of Tolkien’s book.


While Jackson’s “Rings” movies drew many accolades — “The Return of the King” won best picture from the Academy Awards — the path for “The Hobbit” has been rockier. It received no Golden Globes nominations on Thursday, though all three “Rings” films were nominated by the Hollywood Foreign Press Association for best picture.


Particularly criticized has been the film’s 48-frames-per-second (double the usual rate), a hyper-detailed look that some have found jarring. Most moviegoers didn’t see “The Hobbit” in that version, though, as the new technology was rolled out in only 461 of the 4,045 theaters playing the film.


Regardless of any misgivings over “The Hobbit,” the film was a hit with audiences. They graded the film with an “A” CinemaScore.


“What’s really important, what makes this special is the CinemaScore,” said Dan Fellman, president of domestic distribution for Warner Bros. “All these things point to a great word of mouth. We haven’t even made it to the Christmas holidays yet. Kids are still in school this week.”


The strong opening culminated a long journey for “The Hobbit,” which was initially delayed when a lawsuit dragged on between Jackson and “Rings” producer New Line Cinema over merchandizing revenue. At one point, Guillermo del Toro was to direct the film with Jackson producing. But eventually the filmmaker opted to direct the movie himself, originally envisioning two “Hobbit” films. The production also went through the bankruptcy of distribution partner MGM and a labor dispute in New Zealand, where the film was shot.


The long delay for “The Hobbit,” nearly a decade after the last “Lord of the Rings” film, made it “one of those movies that had everyone scratching their heads as to how it would open,” said Paul Dergarabedian, an analyst for box-office tracker Hollywood.com.


“It’s been a decade since the ‘Lord of the Rings‘ trilogy concluded,” said Dergarabedian. “There’s been so much anticipation for this film and having Peter Jackson back at the helm just made it irresistible both to fans and the non-initiated alike.”


The Hobbit” was far and away the biggest draw in theaters, with no other new wide release. Paramount’s “Rise of the Guardians” continued to draw the family crowd, with $ 7.4 million, bringing its cumulative total to $ 71.4 million. The Oscar contender “Lincoln” from Walt Disney crossed the $ 100 million mark, adding another $ 7.2 million to bring its six-week total to $ 107.9 million. And Sony‘s James Bond film “Skyfall,” with another $ 7 million domestically, drew closer to a global take of $ 1 billion.


The box office continued to be on the upswing and with anticipated releases like “Les Miserables,” ”Django Unchained” and “The Guilt Trip” approaching in the holiday moviegoing season. Dergarabedian expects the year to break the 2009 record of $ 10.6 billion. With some $ 10.2 billion in revenue thus far, he said, “We’re on track to be in that realm.”


Estimated ticket sales for Friday through Sunday at U.S. and Canadian theaters, according to Hollywood.com. Where available, latest international numbers are also included. Final domestic figures will be released Monday.


1. “The Hobbit: An Unexpected Journey,” $ 84.8 million ($ 138.2 million international).


2. “Rise of the Guardians,” $ 7.4 million ($ 20.1 million international).


3. “Lincoln,” $ 7.2 million.


4. “Skyfall,” $ 7 million ($ 12.2 million international).


5. “Life of Pi,” $ 5.4 million ($ 11.5 million international).


6. “The Twilight Saga: Breaking Dawn, Part 2,” $ 5.2 million ($ 13 million international).


7. “Wreck-It Ralph,” $ 3.3million ($ 4.7 million international).


8. “Playing for Keeps,” $ 3.2 million ($ 1.4 million international).


9. “Red Dawn,” $ 2.4 million.


10. “Silver Linings Playbook,” $ 2 million ($ 370,000 international).


___


Estimated weekend ticket sales at international theaters (excluding the U.S. and Canada) for films distributed overseas by Hollywood studios, according to Rentrak:


1. “The Hobbit: An Unexpected Journey,” $ 138.2 million.


2. “Rise of the Guardians,” $ 20. 1 million.


3. “The Twilight Saga: Breaking Dawn, Part 2,” $ 13 million.


4. “Skyfall,” $ 12.2 million.


5. “Life of Pi,” $ 11.5 million.


6. “Wreck-It Ralph,” $ 4.7 million.


7. “26 Years,” $ 3.5 million.


8. “Whatcha Wearin’? (My P.S. Partner),” $ 3 million.


9. “Tutto Tutto Niente Niente,” $ 2.4 million.


10. “Pitch Perfect,” $ 2.3 million.


___


Universal and Focus are owned by NBC Universal, a unit of Comcast Corp.; Sony, Columbia, Sony Screen Gems and Sony Pictures Classics are units of Sony Corp.; Paramount is owned by Viacom Inc.; Disney, Pixar and Marvel are owned by The Walt Disney Co.; Miramax is owned by Filmyard Holdings LLC; 20th Century Fox and Fox Searchlight are owned by News Corp.; Warner Bros. and New Line are units of Time Warner Inc.; MGM is owned by a group of former creditors including Highland Capital, Anchorage Advisors and Carl Icahn; Lionsgate is owned by Lions Gate Entertainment Corp.; IFC is owned by AMC Networks Inc.; Rogue is owned by Relativity Media LLC.


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Workplace Bullying Common, Could Lead to Medication Use






Dec 16, 2012 7:00am



If you’ve ever felt bullied at work, you’re not alone. A new study suggests workplace bullying is common, and so is the need for medical intervention.






The survey-based study of more than 6,000 Finns found that one in eight men and one in five women reported being bullied at work. And self-reported bullying victims were more likely to use of antidepressants, sleeping pills and sedatives.


“A potentially unexpected finding is that the results were somewhat stronger for men than women,” study author Dr. Tea Lalluka of the University of Hilsinki said, explaining that bullied men were slightly more likely to use medications than bullied women.


The study was published Thursday in the journal BMJ.


Even witnessing bullying can have health effects, according to the study. Men and women who observed workplace bullying were one and a half to two times as likely to need similar medications, reflecting true, medically confirmed mental problems.


“We’ve all seen it go on,” said Dr. Nadine Kaslow, vice chair of psychiatry at Emory University in Atlanta, who was not involved with the study. “It’s that bystander effect; nobody wants to do anything about it.”


The study was unable to examine the length or intensity of bullying among surveyed employees. But experts say preventing workplace bullying might help prevent serious mental health problems.


“There are employee assistance programs and wellness programs available to people,” Kaslow said. “I would encourage people to take advantage of those. Get support — social support, self care, exercise, eat well — whatever it is, make connections with people at work.”



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The VIPs of Ironman Misery







On the Thursday before the 2012 Ironman World Championship in Kona, on the Big Island of Hawaii, Troy Ford stood in the lobby of the King Kamehameha’s Kona Beach Hotel. Around him were several gaunt men with shaved legs, hands steadying their composite bicycles costing upwards of $ 10,000 each. Ford is the director of the Ironman Executive Challenge program, or XC, as everyone calls it. For $ 9,000, or about 10 times the regular registration price, XC provides a way to VIP the Ironman, which, for the uninitiated, is a 2.4-mile open-water swim followed by a scorching 112-mile bike ride and a full 26.2-mile marathon run. It’s the hardest major endurance race in the world and the ultimate status bauble for a certain set of high-earning, high-achieving, high-VO2-max CEOs.


c55a8  feature ironman51  02  inline202 The VIPs of Ironman MiseryFinisherpix






Ford, a sinewy 43-year-old with a shaved head, was waiting for two of his client-athletes: Jim Callerame, regional general manager of International Paper (IP), and Luis Alvarez, chief executive officer of Mexican fuel tank manufacturer SAG-Mecasa. Both needed their bikes tuned. For non-XC athletes, a bike tune-up requires a sweaty, anxious wait at an overburdened cycling shop and lost sleep over whether a year of training will be lost to some stoner bike mechanic who fails to true a wheel. Not so for Ford’s guys. Expected wait time: zero. “We’re going to walk right in,” Ford said, smiling.


XC provides its 25 athletes with what it refers to as “high-touch” service: breakfast with the pros, a seat up front at the welcome banquet, Ford at your disposal. He books your travel. He’ll find out your favorite snack is Oreos and have a pack waiting in your suite. When your kids get bored in the hotel restaurant, he’ll improvise with an entire box of Coffeemate creamers that they can use as building blocks.


Ford found his men and set out walking down Ali’i Drive. Callerame said he’d been to West Point, then flight school, then made a tidy pile in the paper industry. “It’s not that flight school is fun,” he said. “You just feel compelled to do these things, you know?”


The stated rationale for XC is that CEOs with demanding jobs have less time to deal with logistics. That fails to account for the fact that most entrants in Ironman races have demanding jobs (the average income is $ 160,000 per year), and to nab a spot in the XC program you have to have a demanding job that’s of interest to race organizers. Half of the XC athletes hold the title of president or CEO. (“The CEO of a lawn mower shop is not really a CEO, in my opinion,” Ford said.) “Once you reach a certain level of success,” said Callerame, “you become a brat. You don’t want to wait in the line anymore.”


c55a8  feature ironman51  01  inline405 The VIPs of Ironman MiseryPhotograph by John Segesta… a 26.2-mile marathon, here at the turnaround on Makako Bay Drive


Callerame was in Kona to clear an item from his bucket list. Just getting to the start line had been a feat. World Triathlon Corp. (WTC), which controls the Ironman brand, metes out slots for its events on a scarcity model. The 2,500 spots for the 2013 Ironman in Arizona sold out in less than a minute. The 2,500 slots for the 2013 Ironman Asia-Pacific Championship Melbourne sold out in five. There are 30 such events each year. Most Ironman customers hate to be denied. Andrew Messick, the CEO of WTC, describes them this way: “When you tell them about the hardest one-day endurance event in the world, they think, ‘I could do that!’ ” What makes getting a bib number for Kona even sweeter is that no berths are openly for sale. This year 84 of the nearly 2,000 spots went to pros, 1,668 to people who qualified by placing at the top of their age groups at earlier Ironman events, 205 were doled out through a lottery, and six were auctioned on EBay (EBAY). The top bidder paid $ 45,605.


Alvarez, 50, a regular in the XC program, wore a red and black Timex race kit, and his gait was lightly pigeon-toed from his Vibram five-finger shoes. He stopped frequently to kiss people hello. The Mexican fuel tank executive prides himself on living his entire life as an endurance event. This was his 91st Ironman, his 10th out of 11 in 2012 alone. Ironman—and mountaineering and skydiving—are constants in his life. “If you think Ironman is tough, try running a business in the global automotive industry,” he said. The day after the race he was going to fly home to Mexico City, where his driver would be waiting at the airport with one of the three suitcases he’d packed before this trip. He’d then fly to Detroit. After Detroit he’d fly home again and retrieve his second suitcase for Munich and Australia. Finally, home again for the third suitcase and his sister’s wedding.


“Ironman takes the stress away from working, and work takes the stress away from Ironman,” Alvarez explained between his warm greetings. “I do business with these people. They’re my family. Ironman is the new golf!” To succeed at both, he said, you need stamina, discipline, grit, and a plan. “If you know someone through Ironman, you know they have commitment, you know they are for real. They are not just talking, not a hot-air balloon.”


c55a8  feature ironman51  03  202inline The VIPs of Ironman MiseryFinisherpix


Ford guided Callerame and Alvarez through the deafening beat of the Ironman expo—a carnival of metal-tube and tarpaulin tents hawking everything a triathlete could want—to a backroom with a mechanic, who immediately put Callerame’s bike on a stand. Given that nobody at the expo or on Ali’i Drive wears much clothing, one of the few ways to decipher status between Ironman aspirants is by the color-coded security bracelets on everybody’s wrists. These look like little hospital bands, and they’re in the registration packets. Orange means racer, yellow means family member, purple volunteer, and blue VIP. None of the athletes swarming around the mechanic seemed to notice Ford’s high-touch service, which is just how he likes it. Lots of big egos; best not to ruffle feathers.


Later, back at the King Kamehameha, Ford confessed that there was one perk he couldn’t guarantee: a VIP port-a-potty at the race start. “It would start a riot,” he said. “We’d need a full-time security person.” Not that all XC Ironmen wait in line for the loo. “We did have one XC guy a few years ago who was staying down the road at the Four Seasons. He rented a room at the King Kam, too, for the full three-day minimum, just in case he needed to poop.”
 
 
Considering the race’s origins, it’s odd that Ironman now involves $ 1,000 pit stops. Early on, the archetypical triathlete was not a rich, Spandex-wearing Master of the Universe but a seaside bar owner named Tom Warren, who in 1974 rode a beach cruiser from Canada to San Diego wearing surf trunks.


The first Ironman was proposed in 1977 by U.S. Navy Commander John Collins to figure out who was the fittest among his friends: the swimmers, the bikers, or the runners. Twelve guys competed in the race, which consisted of the 2.4-mile Waikiki Rough Water swim, the 115-mile Around-Oahu Bike Race course, and the Honolulu Marathon. The runners-ups’ crew drained its water supply early in the marathon; they rehydrated their athlete with beer.


The first race directors, too, lacked a killer instinct. In 1979, Collins tried to sell the Ironman to a gym owner named Valerie Silk, who bought it despite initial misgivings. “Frankly, I hated the event,” she later said. “It made no sense to me why anyone would care if a small contingent of men wanted to abuse themselves in that way.” But Silk grew to love the Ironman—for many years she sent all finishers birthday cards. In 1990, with aging parents to care for, she sold the race for $ 3 million to James Gills, a God-fearing, fitness-obsessed ophthalmologist. Gills created the ominous-sounding World Triathlon Corp. In 2008 he sold it to Providence Equity Partners, a private equity firm, for an undisclosed sum. Since then WTC has kicked into moneymaking gear, raising registration prices, refusing refunds or transfers (even when an athlete’s father died suddenly and he needed to attend the funeral the day of the race), and buying up companies around the globe that hold Ironman-distance events.


Along the way, the triathlon transformed from being a pastime for peripatetic endurance freaks into the consummate spreadsheet sport. Even the pros present themselves as dispassionate data-crunchers, talking at the pre-race press conference at the King Kamehameha not about strength, power, or psychological edge but hitting their numbers perfectly to execute their race plans. (Jordan Rapp, the 32-year-old American favorite, who graduated from Princeton with a degree in engineering, was expected to spend the entirety of the 112-mile bike ride staring at his power meter to make sure his output, measured in watts, never wavered.)


“It’s a never-ending optimization problem,” said Sami Inkinen, 36, who two weeks earlier had made $ 49.5 million (based on the value of his remaining shares) in the initial public offering of the real estate company Trulia (TRLA). He regularly finishes as the top amateur in Ironman and Half Ironman races. “There are so many little details that you can influence. It’s a system with many little levers to pull.”


c55a8  feature ironman51  04  202inline The VIPs of Ironman MiseryFinisherpix


In addition to measuring his success in dollars, Inkinen is completely caught up in the quantified-self movement. Each day he records on a spreadsheet and in his diary nearly everything in his life: how long he sleeps, his mood, the number of minutes he does core exercises each morning, his resting heart rate, the duration and the paces in his workouts, the number of push-ups he can do, what he eats, and major life events. Then he looks for patterns. “Triathlons appeal to people who like puzzles,” Inkinen said. “Running a race is easy. It’s very, very simple. An Ironman is complicated.”


Given all the opportunities for geeking out in triathlon, it’s little wonder that cycling shoes have replaced wingtips and golf cleats in the tech world. One XC athlete, Mark Watt, a managing director of San Francisco-based investment bank William Blair, said, “You can do more business in Silicon Valley on the bike than anywhere else.” (Pro tip: Because deals can’t be done if you’ve dropped your riding partner, the best way to show dominance up, say, Old La Honda Road is by taking long, hard pulls pedaling in front, reducing wind drag for the others.) Masters swim practice in 50-meter pools at Stanford or UCLA isn’t bad for networking, either. According to Wesley Hein, management consultant for Idea Den in Los Angeles, “You have 15, 20 seconds between intervals. A lot gets covered.”


In 2011 WTC hired Messick, then president of AEG, a company that put on events ranging from the Amgen Tour of California to the Grammys, to be its CEO. Ironman had already achieved the pinnacle in brand loyalty: racers having the M-dot logo, the equivalent of the Nike (NKE) swoosh, tattooed on themselves. But the company wanted to grow. So Messick, now 50, focused even more on overachieving execs. He added Ironman races in North America and overseas. He expanded the Half Ironman, or 70.3, program. Although the WTC won’t release financials, the company, based on its growth, sellouts, and raised prices, appears as healthy as its clients.


c55a8  BW51 feat ironman 202b launch The VIPs of Ironman Misery


Right now it’s keeping an eye on a new class of races, obstacle-based events that require far less conditioning than Ironman. Joe DeSana, a former Wall Streeter and serial Ironman himself, grew fed up with WTC’s super-controlled ethos and started Spartan Race, which features cold-water dunks, crawls under barbed wire, and climbs up greased walls. His idea is that endurance tests get interesting when you hit the wall or freak out. “In a Spartan Race, we fast-forward, we rush that moment,” DeSana said. That doesn’t mean Spartan aspirants need to train longer and harder. “Ironmen, they’re very self-consumed; they spend all their time biking, swimming, and running. It’s a serious commitment to yourself, and your family suffers. For a Spartan Race, you’re not putting in 40 hours a week of training. You’re not buying a $ 5,000 bike, all kinds of heart-monitoring equipment. You’re not screaming at the competitor next to you because he got in the way when you’re trying to eat your Gu.” Races put on by Tough Mudder, the fastest-growing of the obstacle-event companies, aren’t even timed.


For the most part, Ironman has kept itself novelty-free, although last year some thought it was growing too fast. WTC that year planned the first New York-based Ironman U.S. Championship, for August 2012. The idea of a New York Ironman sounded promising: The inaugural event sold out in 11 minutes with an $ 895 price tag. Then, two days before the race, 3.4 million gallons of raw sewage spilled into the swim course, the Hudson River. WTC assured athletes the river was safe, but a 43-year-old man died during the swim portion. Still, Messick opened registration for the 2013 Ironman U.S. Championship the following day, this time with a $ 1,200 fee. Racers balked. The event did not sell out. Messick pulled down the registration website. A month later he called the race off.
 
 
As the sun rose on race day in Kona, an emcee worked the crowd to a backdrop of trance music and Hawaiian drumming. Callerame, Alvarez, and the rest of the XC athletes wore purple swim caps. Inkinen wore blue, along with the rest of the male amateurs. The women wore pink. The race starts at 7 a.m. Pros finish the course in a little over eight hours; stragglers sometimes come in 17 hours later.


c55a8  feature ironman51  05  405inline The VIPs of Ironman MiseryPhotograph by Kramon… and a 112-mile bike ride, here on the Queen Kaahumanu Highway


Ironman forbids coaching along the course. Ford can’t swim out from Dig Me Beach to pace his athletes. Yet on race days, the high-touch service really kicks in. Earlier, Ford distributed frozen water bottles, to leave with their bikes in what’s known as the transition zone, for athletes who asked for them. He also arranged for XC families to head out from Kailua-Kona Pier in Zodiacs. While the masses squinted to see from Ali’i Drive, out on the water the XC spouses and children at least made confirmed sightings of their racers, though they quickly grew bored. A minute after the Zodiac captain tracked down a purple-capped XC swimmer, his wife had snapped 10 frames and was done. “There’s only so many photos you can take with one arm up,” she said. The next wife, after finding her spouse, said, “Whatever. We saw him, so …”


For everyone, VIP families included, the rest of the race was nearly unwatchable. For the bike and the run, you can stand on what’s known as “hot corner,” the intersection of Palani Drive and the Kuakini Highway, where athletes pass six times. For your commitment to roasting in the sun all day, you’ll see your racer for a combined total of two or three minutes. By 11 a.m., the poolside bar was full of spouses drinking and watching The Price Is Right. Kids were spun out on sugar and heat exhaustion, ordering second rounds of milkshakes.


Deep into the race, near hot corner, at mile six of the run, Ford handed Callerame a yellow sheet cake. He jogged it over to his grandmother, who was just about to turn 100 and was sitting in a wheelchair on the median of Palani Drive. Everybody sang Happy Birthday. Callerame continued on the course.


Out on the Queen K Highway, Pete Jacobs, an Australian marathoning machine, took the lead, going on to win with ease. Finish line crossed, victor’s garland on his head, he finally cracked. “Those last two miles, I was just repeating to myself, ‘Love. Love. Love. I’m in love with the sport. I’m in love with my family. I’m running home to my beautiful wife, Jamie.’ ” Other pro finishers were less coherent. Just after Dirk Bockel, who came in fourth in 2009, crossed the finish line, his body became rigid and he crumpled to the ground. Caitlin Snow, an American, reached the end and kept running, finally stopped by a volunteer.


Inkinen didn’t have his day. He was the first amateur to finish the bike and head out on the run, but he’d been sick, and his heart rate was higher than he expected for much of the race. Ten miles into the run he was still leading the amateurs, but, he said, he “knew things were falling apart and felt extreme fatigue and discomfort.” He dropped out at mile 13 and walked home.


Alvarez took an opposite approach, optimizing the race for pleasure, setting a pace several hours slower than his “PR,” or personal record. Still, his XC coup de grâce awaited him. If you’re just a regular Ironman at the finish line you receive a lei from a volunteer “catcher” and an escort to a tent for pizza, ice cream, and flat Coke. About 10 hours into the race, one such athlete crossed, clinging proudly to his newborn son. It was a beautiful scene, the triumph of tenderness over exhaustion. But his wife didn’t have a blue bracelet, so she and the baby couldn’t join her husband in the reception tent. He had to find her in the crowd and return the child before he could get a drink.


A few minutes later, the first XC athlete crossed: Dan Foehner, Facebook’s (FB) vice president of sales operations. Waiting for him, positioned by Ford across the threshold, were his freshly bathed children and pretty wife. For $ 9,000, the Ironman fell into their arms.



Weil is a Bloomberg Businessweek contributor.


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Nigeria governor, 5 others die in helicopter crash






LAGOS, Nigeria (AP) — A navy helicopter crashed Saturday in the country’s oil-rich southern delta, killing a state governor and five other people, in the latest air disaster to hit Africa’s most populous nation, officials said.


Nigeria‘s ruling party said in a statement that the governor of the central Nigerian state of Kaduna, Patrick Yakowa, died in the helicopter crash in Bayelsa state in the Niger Delta. The People’s Democratic Party’s statement described Yakowa’s death as a “colossal loss.”






The statement said the former national security adviser, General Andrew Azazi, also died in the crash. Azazi was fired in June amid growing sectarian violence in Nigeria, but maintained close ties with the government.


Yushau Shuaib, a spokesman for Nigeria’s National Emergency Management Agency, said four other bodies had been found, but he could not immediately give their identities.


The crash occurred at about 3:30 p.m. after the navy helicopter took off from the village of Okoroba in Bayelsa state where officials had gathered to attend the burial of the father of a presidential aide, said Commodore Kabir Aliyu. He said that the helicopter was headed for Nigeria’s oil capital of Port Harcourt when it crashed in the Nembe area of Bayelsa state.


Aviation disasters remain common in Nigeria, despite efforts in recent years to improve air safety.


In October, a plane made a crash landing in central Nigeria. A state governor and five others sustained injuries but survived.


In June, a Dana Air MD-83 passenger plane crashed into a neighborhood in the commercial capital of Lagos, killing 153 people onboard and at least 10 people on the ground. It was Nigeria’s worst air crash in nearly two decades.


In March, a police helicopter carrying a high-ranking police official crashed in the central Nigerian city of Jos, killing four people.


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Huge Wave of Google App Updates Hits iOS, Android






Google just brought iPhone and Android phone users a holiday gift. Google Maps has returned to the iPhone, this time in the form of its own separate app, while Google Currents — the company’s Flipboard-style online magazine app for Android — received a substantial update as well.


Besides the two big updates, about a half-dozen other apps for Android and Google TV received bug fixes and new features, according to Android Police blogger Ryan Whitwam. Here’s a look at what to expect, and where the rough edges still lay.






Google Maps is back


It was technically never there to begin with; the iPhone simply had a “Maps” app included, which used Google Maps’ data. But a few months ago, Apple switched from using Google’s map data to its own, which caused no end of problems as Apple’s data was incorrect much more often. These problems were sometimes hilarious, but in at least one case they were dangerous, as several motorists had to be rescued after becoming stranded inside an Australian national park (where Apple’s maps said the town they were trying to get to was).


Google Maps has also received a thumbs-down from the Victoria police in Australia, but is regarded as more reliable overall. It’s a completely new app this time, and while it has at least one “Android-ism” according to tech expert John Gruber (an Ice Cream Sandwich-style menu button), it’s reported to work well and doesn’t show ads like the YouTube app does.


It does, however, keep asking you to log in to your Google account so that it can track your location data.


Google Currents has a new look and new features


The update to digital magazine app Google Currents brings its features more in line with Google Reader, the tech giant’s online newsreader app which can monitor almost any website for updates. Like Google Reader, Currents can now “star” stories to put them in a separate list, can show which stories you’ve already read, and has a widget to put on your Android home screen. Other added features include new ways to scan editions and stories, and filter out sections you aren’t interested in.


Bugfixes and updates for other Google apps


Google Earth and Google Drive received miscellaneous bugfixes “and other improvements,” while Google Offers (a Groupon competitor) now features a “Greatly improved purchase experience.”


The Google Search app received a slew of additions to its Siri-like Google Now feature, including new cards to help while you are out and about and new voice actions (like asking it to tell you what song is playing nearby). The Field Trip augmented reality app now uses less battery life, and lets you “save cards” and favorite places you visit, as well as report incorrect data to Google. Finally, Google TV Search and PrimeTime for Google TV both received performance and stability updates.


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


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Chicano rock pioneers Los Lobos marking 40 years






LOS ANGELES (AP) — They are seen as the progenitors of Chicano rock ‘n’ roll, the first band that had the boldness, and some might even say the naiveté, to fuse punk rock with Mexican folk tunes.


It was a group called Los Lobos that had the unusual idea of putting an accordion, a saxophone and something called a bajo sexto alongside drums and Fender Stratocaster guitars and then blasting a ranchera-flavored folk tune or a Conjunto inspired melody through double reverb amps at about twice the volume you’d normally expect to hear.






“They were Latinos who weren’t afraid to break the mold of what’s expected and what’s traditionally played. That made them legendary, even to people who at first weren’t that familiar with their catalog,” said Greg Gonzalez of the young, Grammy-winning Latino-funk fusion band Grupo Fantasma.


To the guys in Los Lobos, however, the band that began to take shape some 40-odd years ago in the hallways of a barrio high school is still “just another band from East LA,” the words the group has used in the title of not one but two of its more than two dozen albums.


As a yearlong celebration of Los Lobos‘ 40th anniversary gets under way, having officially begun on Thanksgiving, much is likely to be made of how the band began as a humble mariachi group, toiling anonymously for nearly a decade at East LA weddings and backyard parties before the unlikely arrival of rock stardom.


That’s, well, sort of true.


For long before there was mariachi in Los Lobos‘ life, there was power-chord rock ‘n’ roll. Before the Latin trio Las Panchos had an impact, there was Jimi Hendrix.


“I actually went to go see him when I was 14 or 15,” says drummer-guitarist and principal lyricist Louie Perez, recalling how he had badgered his widowed mother to spend some of the hard-earned money she made sewing clothes in a sweatshop on a ticket to a Hendrix show.


“I sat right down front,” he recalls, his voice rising in excitement. “That experience just sort of rearranged my brain cells.”


About the same time, he had met a guitarist named David Hidalgo in an art class at James A. Garfield High, the school made famous in the 1988 film “Stand and Deliver” that profiled Jaime Escalante’s success in teaching college-level calculus to poor barrio kids. Soon the two had recruited fellow students Conrad Lozano and Cesar Rosas, both experienced musicians.


“Cesar had played in a power trio,” Perez recalls, while Lozano had been playing electric bass guitar for years.


It was sometime in November 1973 (no one remembers the exact day so they picked Thanksgiving) when the band is believed to have been born.


And the group might have stayed just another garage band from East LA, had it not been for a Mexican tradition called Las Mananitas.


“It’s a serenade to someone on their birthday,” Perez explains, and the group members’ mothers had birthdays coming up.


“So we learned about four or five Mexican songs and we went to our parents’ homes and did a little serenade,” Hidalgo recalled separately.


They were such a hit that they began scouring pawn shops for genuine Mexican instruments and really learning to play them.


Because they were at heart a rock ‘n’ roll band, however, they always played the music a little too loud and a little too fast. That was acceptable at the Mexican restaurants that employed them, until they decided to break out the Stratocaster guitars they had so coveted as kids.


“They said, ‘Well, that’s not what we hired you for,’” Perez says, chuckling.


So they headed west down the freeway to Hollywood, where initially the reaction wasn’t much better.


Saxophonist Steve Berlin recalls seeing the hybrid group showered with garbage one night when they opened for Public Image Ltd. Two years later, however, when they opened for Berlin’s group the Blasters, the reaction was different.


“It was quite literally an overnight success kind of thing,” the saxophonist recalls. “By the next morning, everybody I knew in Hollywood, all they were talking about was this band Los Lobos.”


A few nights later, they asked Berlin if he might jam with them. They were working up some tunes melding punk rock with Norteno, a Latin music genre that uses an accordion and a saxophone, and they needed a sax player.


For his part, Berlin says, he had never heard of Norteno music.


Something clicked, however, and soon he was producing the group’s first true rock album, 1984′s “How Will the Wolf Survive?” At the end of the sessions he was in the band.


The next 28 years would be pretty much the same kind of up-and-down ride as the first 12 were.


The group became international rock stars in 1987 with their version of the Mexican folk tune “La Bamba” for the soundtrack of the film of the same name. They melded 1950s teen idol Ritchie Valens’ rock interpretation with the original Son Jarocho style and sent the song to No. 1.


A two-year tour and a couple albums that nobody bought followed, leaving the group broke and disillusioned.


So they poured their anger and disillusionment into the lyrics and power chords of “Kiko,” the 1992 album now hailed as their masterpiece. A new version, recorded live, was released earlier this year.


The influence of Los Lobos‘ cross-cultural work can be heard to this day in the music of such varied young Latino groups as the hip-hop rockers Ozomatli, the Son Jarocho-influenced alt-music band Las Cafeteras and the Latino pop-rock group La Santa Cecilia, says Josh Kun, an expert on cross-border music.


“All of these bands inherited, wittingly or not, the experimental and style crossing instincts that Los Lobos proved were possible while hanging onto and developing your roots as a Mexican-American group,” said Kun, who curated the Grammy Museum’s recent “Trouble in Paradise” exhibition that chronicled the modern history of LA music.


For Los Lobos, winner of three Grammys, that was just the natural way of doing things for guys, Perez says, who learned early on that they didn’t fit in completely on either side of the U.S.-Mexico border.


“As Mexican-Americans in the U.S. we’re not completely accepted on this side of the border. And then on the other side of the border it’s like, ‘Well, what are you?’” he mused.


“So if that’s the case,” he added brightly, “then, hey, we belong everywhere.”


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California home for developmentally disabled faces abuse inquiry






SAN FRANCISCO (Reuters) – California health officials have threatened to shut down part of the state’s oldest home for developmentally disabled adults due to evidence of physical abuse and neglect, in a move that could displace nearly 300 of its residents.


The state-run Sonoma Developmental Center could lose its license to run one unit if it does not fix the problems, according to a letter the state health department sent this week to the director of the sprawling facility in Eldridge.






Monitors this month and last “documented incidents of abuse constituting immediate jeopardy, as well as actual serious threats to the physical safety of female clients in certain units,” the California Department of Public Health letter said.


Among the incidents were physical abuse, a staff member exposing himself to a female client and inadequate monitoring of a patient who had propensity to swallow inedible items, leading to surgery, said Pam Dickfoss, assistant deputy director of the California Center for Health Care Quality.


The threat of sanctions against the board-and-care center in the heart of wine country represents a significant blow to a historic facility that opened at its current site in 1891 next to the bucolic town of Sonoma.


The center is northern California‘s only state-run residential facility for developmentally disabled adults and sits on 1,000 acres of land, including a petting zoo and sports fields.


Closure of the unit under scrutiny, the Intermediate Care Facility, could require moving 290 of the center’s more than 500 residents, officials said. It is unclear where they would be sent and officials say they hope that will not be necessary.


Administrators have vowed to correct deficiencies and said they plan to appeal the move to potentially strip them of federal funding and a state license for the unit under scrutiny.


“We are moving quickly to fix this center and protect our residents,” said Terri Delgadillo, director of the state Department of Developmental Services, which oversees the center.


She said the problems forced the removal of the center’s executive and clinical directors as well as other staff changes.


State monitors identified 57 deficiencies during a July visit, including four that posed an immediate danger to residents, and dozens of other threats to residents in more recent visits, the letter said.


The facility gets $ 117,000 a day in federal funding, said Nancy Lungren, a spokeswoman for the California Department of Developmental Services.


Most of the center’s residents suffer from cerebral palsy, epilepsy, autism, or a combination of those conditions. Many have lived their entire adult lives at the center.


Leslie Morrison, director of the investigations unit of Disability Rights California, a watchdog group, said she was troubled by reports from the facility over the past year.


“This has been developing for a long period,” Morrison said. “They have been trying to correct things, but it’s going to take a long time.”


(Editing by Alex Dobuzinskis and Eric Walsh)


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