Surgeon infected patients during heart procedure, Cedars-Sinai admits









A heart surgeon at Cedars-Sinai Medical Center unwittingly infected five patients during valve replacement surgeries earlier this year, causing four of the patients to need a second operation.


The infections occurred after tiny tears in the latex surgical gloves routinely worn by the doctor allowed bacteria from a skin inflammation on his hand to pass into the patients' hearts, according to the hospital. The patients survived the second operation and are still recovering, hospital officials said.


The outbreak led to investigations by the hospital and both the L.A. County and California departments of public health. The federal Centers for Disease Control and Prevention was also consulted.








Hospital officials called it a "very unusual occurrence" probably caused by an unfortunate confluence of events: the nature of the surgery, the microscopic rips in the gloves and the surgeon's skin condition. Valve replacement requires the surgeon to use thick sutures and tie more than 100 knots, which can cause extra stress on the gloves, they said.


Nevertheless, the hospital's goal is to have zero infections, said Harry Sax, vice chairman of the hospital's department of surgery. "Any hospital-acquired infection is unacceptable," he said.


The infections raise questions about what health conditions should prevent a surgeon from operating and how to get the best protection from surgical gloves. Surgeons with open sores or known infections aren't supposed to operate, but there is no national standard on what to do if they have skin inflammation, said Rekha Murthy, medical director of the hospital's epidemiology department. She added that there were also no national standards on types of gloves used, whether to wear double gloves or how many times surgeons should change those gloves during a procedure.


Healthcare-acquired infections are very common throughout the United States. Each year, infections cause 99,000 deaths in the country, including about 12,000 in California. Hospitals in the state are required to report certain infections to the California Department of Public Health. That reporting makes the public more aware of the quality of care provided at local hospitals and is an important tool for reducing infections, said Debby Rogers, deputy director of the department's Center for Health Care Quality.


Cedars-Sinai has low rates for hospital-acquired infections compared with the state and national average but has not performed as well on other surgical quality measures recently, according to the Leapfrog Group, an employer-backed nonprofit focused on healthcare quality. The organization gave the hospital a C rating last month on its national report card, down from an A in June, though it was not related to the infection outbreak.


"Clearly this hospital is making attempts to reduce infections, but they have more work to do," said Leah Binder, Leapfrog's chief executive.


Cedars-Sinai Medical Center conducts about 360 valve replacement surgeries each year and said infections occur in fewer than 1% of its cases — lower than the national average.


The hospital learned about the problem in June after three patients who had undergone valve replacement surgery showed signs of infection. Doctors diagnosed the patients with an infection called endocarditis. Concerned there might be a connection among the cases, epidemiologists analyzed the bacteria, staphylococcus epidermidis, and determined that it was an identical strain and therefore must have come from a single source. "It led to the question of gee, I wonder where it came from?" Murthy said.


Epidemiologists homed in on the surgeon with the skin inflammation. The bacteria matched, and then they made a surprising discovery: microscopic tears in the gloves typically worn by surgeons after performing valve replacement surgery. The surgeon, whose name was not released, was not allowed to operate again until he healed. He is still a member of the medical staff but no longer performs surgeries at the hospital.


The hospital soon found the same infection in two more patients. Officials also reached out to 67 patients who had heart valve replacements with the same surgeon but didn't find any other cases. One of the five infected patients was treated with antibiotics, and the other four had new valve replacement surgeries. Sax said the hospital apologized to the patients and has continued to monitor their health. The hospital has also covered the cost of their care, including follow-up treatment and all the related surgeries.


All surgeons doing valve replacements are now required to change gloves more frequently, officials said. Some surgeons are wearing double gloves during the operations, Sax said.


Following the outbreak, Cedars-Sinai did the proper follow-up to ensure the safety of their patients, said Dawn Terashita, a medical epidemiologist with L.A. County, who was notified in September. What occurred at Cedars-Sinai was an unintentional consequence of the surgery, she said.


"There is no way to keep a room entirely sterile and all the people in it sterile," she said. "You will always have risk of infection."


anna.gorman@latimes.com





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15 Agonizing Automotive Atrocities












Yugo.


There, we got it out of the way. When you read the headline, of course an image of a tiny Cold War-era hatchback popped into your head. We bet you also shuddered at the thought of a Pontiac Aztek.



We love to poke fun at failure, and no failure made a punchline better than the Yugo. We found that out while talking with Jason Vuic, author of The Yugo: The Rise and Fall of the Worst Car in History. Vuic was aware that the Yugo fell far short of being a good car, but what truly amazed him was how many people who had never driven a Yugo knew just how bad it was. In failure, it became a wild viral marketing success.


Not all cars rose to level of infamy embodied by the Yugo. To paraphrase Shakespeare, some cars were born awful while others had awfulness thrust upon them. Some automotive atrocities were the result of automakers trying something new and falling far short of the mark, while other cars failed from a lack of effort. Still others were perfectly adequate cars but came to represent a regrettable moment in time.


Here we display all three kinds of auto-trocities, highlighting famous failures and digging deep to dredge up detritus better off forgotten. Yes, we know there are many, many more automotive atrocities and this list only scratches the surface of the heap. You’ll have a chance to list your favorite heaps tomorrow, so stay tuned.


Above: Peel Trident 1965-1966


Famous from appearances on Top Gear and Monster Garage, the Peel Trident was a “shopping car” built on the Isle of Man. Along with the bubblelicious BMW Isetta and the fiberglass Reliant Robin, the Trident was ridiculed for its small size and three wheels.


Photo: Casaflamingo/Flickr


Pages: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 View All





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Reinhold Weege, creator of “Night Court,” dies at 63












LOS ANGELES (TheWrap.com) – Reinhold Weege, the creator of the hit NBC sitcom “Night Court,” has died, a spokeswoman for the family told TheWrap. He was 63 years old.


He also wrote for other notable television shows, including “Barney Miller” and “M*A*S*H.”












However, it was “Night Court,” a show that poked gentle fun at bureaucratic absurdity, that would become his signature work. The series centered on a young judge (Harry Anderson) saddled with handling the bottom of the barrel cases that come into Manhattan’s night court and featured a breakout performance by John Larroquette as a skirt-chasing lawyer.


The show started out tackling serious legal issues, but over the course of its nine seasons, slowly expunged commentary in favor of broad humor.


Weege might never have entered show business had he not been fired from a job in journalism. In a 1994 piece in the Chicago Tribune, he wrote that he was working as a reporter and editor of a tiny suburban paper when he reported on a secret meeting, between the town and the Pritzker hotel chain about a proposal to build a monorail, hotels and a 60-story office building.


After his paper was less than thrilled with the piece he copyrighted it and had it picked up by a larger paper — the result was he got canned.


“Shortly after that, I sold our couch, the only asset my wife and I had, got in the car and headed toward Hollywood,” Weege wrote.


The rest is history.


Weege is survived by his ex-wife Shelley, two daughters and a granddaughter.


TV News Headlines – Yahoo! News


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Japan's post-quake tsunami warning lifted









TOKYO—





A strong earthquake Friday struck the same Japanese coast devastated by last year's massive quake and tsunami, generating small waves but no immediate reports of heavy damage. Several people along the northeastern coast were reportedly injured and buildings in Tokyo and elsewhere swayed for several minutes.

The earthquake had a preliminary magnitude of 7.3 and struck in the Pacific Ocean off the coast of Miyagi prefecture at 5:18 p.m. (0818 GMT), the Japan Meteorological Agency said. The epicenter was 6.2 miles beneath the seabed and 150 miles offshore.

The area was shaken by repeated, smaller aftershocks, the agency said.

After the quake, authorities issued a warning that a tsunami potentially as high as 2.2 yards could hit. Sirens whooped along the coast as people ran for higher ground.

Ishinomaki, a city in Miyagi, reported a tsunami 1 yard high and other towns reported smaller tsunamis.

About two hours after the quake struck, the tsunami warning was cancelled. The Pacific Tsunami Warning Center earlier said there was no risk of a widespread tsunami.

Aiko Hibiya, a volunteer for the recovery in Minami-Sanriku, a coastal town devastated by last year's tsunami, said she was at a friend's temporary housing when the quake struck.

“It shook for such a long time,” she said.

She said other volunteers who had been in coastal areas were evacuated to a square and a parking lot as they waited for the tsunami warning to be lifted.

Japan has barely begun to rebuild from last year's magnitude-9.0 earthquake, which triggered a tsunami that swelled to 20 meters high in some areas, ravaging dozens of coastal communities in Miyagi and elsewhere. About 19,000 people were killed and some 325,000 people remain displaced from their homes, living in barracks and other temporary quarters.

Miyagi prefectural police said there were no immediate reports of damage from Friday's quake and tsunami, although traffic was being stopped in some places to check on roads.

Public television broadcaster NHK reported that five people were injured, including a 75-year-old woman in Miyagi who fell while fleeing the tsunami. Police said they could not immediately confirm those reports.

Shortly before the earthquake struck, NHK broke off regular programming to warn that a strong quake was due to hit. Afterward, the announcer repeatedly urged all near the coast to flee to higher ground.

The Meteorological Agency has an early warning system that, using data from seismographs scattered across Japan, enables it to provide advance warning of the estimated intensity and timing of a major quake. The warning for Friday's quake was issued six minutes before it struck, according to an unnamed official from the Meteorological Agency who spoke on national television more than an hour after the quake.

The magnitude-9.0 earthquake and ensuing tsunami that slammed into northeastern Japan on March 11, 2011, killed or left missing some 19,000 people, devastating much of the coast. checks after the

Last year's earthquake and tsunami also caused meltdowns at the Fukushima Dai-Ichi nuclear plant in the worst nuclear disaster since the Chernobyl in 1986.

Immediately following Friday's quake, there were no problems at any of the nuclear plants operated by Fukushima Dai-Ichi operator Tokyo Electric Power Co., said a TEPCO spokesman, Takeo Iwamoto. Only two of Japan's 50 nuclear plants are currently operating; the rest have been shut down for maintenance and safety checks while the country re-examines the future of nuclear power there.

All Nippon Airways spokesman Takuya Taniguchi said government officials were checking on the runways at Sendai airport. The two jets that were in the air went to other airports and all seven flights scheduled to go to Sendai for the day were cancelled, he said.

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Apple Builds a New Home on Facebook's Back Porch



We knew that Apple was building a pair of new data centers close to Facebook’s operation in Prineville, Oregon. But we didn’t realize just how close they were until we spent a plane over Oregonian high desert.


The notoriously secretive Apple is especially secretive about its data centers. So while Google and Facebook have opened up their doors to Wired reporters over the past year, Apple has not only rolled up the welcome mat. They’ve disconnected the front doorbell.


That’s what forced us to take to the skies. In April, we published our first overhead shots of Apple’s Maiden, North Carolina, data center, and a few weeks ago, we sent our iSpy plane over Prineville, where Apple has just broken ground on a $68 million data center, just down the road from Facebook.


So here’s the world’s first look at the future home of the West Coast iCloud:



You can see Apple’s mini data center — they call it a tactical data center — up in the northeast corner of the property. Here’s a close-up shot:



Apple finished this building earlier this year, but just south of it, you can see what will be the site of its much larger 338,000-square-foot data center. Apple wants to eventually build two of these monster data centers on the 160-acre site, but right now, there’s no sign of the second facility.


When it goes fully online, Prineville will be fully powered by alternative energy. That might help cut it some slack from Greenpeace, which has been known to launch unexpected protests on Apple property armed with window-washers and black balloons.


Apple showed up in Prineville only after Facebook had built its own 330,000-square-foot data center just outside of town. The internet giants love locations like this, primarily because of their cheap real estate, local tax breaks, cool climates, and reliable and abundant power supplies.


Facebook’s first data center was up and running a year ago. The company is now putting the finishing touches on a second data center (at the bottom of the photo below) and has also broken ground on a new cold-storage facility, which is designed to save power by icing backup data on servers that are only rarely switched on. That smoothed-out rectangular patch just beneath the second data center is the future site of cold storage:



Apple operates three other data centers: in Newark, California; in Maiden, North Carolina; and at the company’s Cupertino headquarters. Earlier this year, it started work on a fifth facility in Reno, Nevada.


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Deportation looms for tech guru McAfee after heart drama












GUATEMALA CITY (Reuters) – Software guru John McAfee, fighting deportation to Belize, was rushed to a hospital in Guatemala on Thursday shortly after his asylum request was rejected, but a suspected heart attack turned out to be stress in a fresh twist to the saga.


The 67-year-old U.S. computer software pioneer was taken swiftly from a hospital in a police car out of the sight of media, after earlier arriving in an ambulance lying on a stretcher.












His lawyer said he was being taken back to an immigration department cottage where he has been detained since crossing illegally into Guatemala from neighboring Belize, where police want to question him in connection with his neighbor’s murder.


“He never had a heart attack, nothing like that,” said Telesforo Guerra, a former attorney general who had earlier said McAfee had two mild heart attacks.


“I’m not a doctor. I’m just telling you what the doctors told me,” he added. “He was suffering from stress, hypertension and tachycardia (an abnormally fast heartbeat).”


McAfee was posting on his blog www.whoismcafee.com in the morning, the time he suffered the stress attack.


“I don’t think a heart attack prevents one from using one’s blog,” Guerra had said at the time.


Guerra’s assistant, Karla Paz, earlier said she found McAfee lying on the ground and unable to move his body or speak.


McAfee was detained by Guatemalan police on Wednesday for illegally sneaking across the border with his 20-year-old girlfriend to escape authorities in Belize. He has said he fears authorities in Belize will kill him if he returns.


Guatemala’s foreign minister, Harold Caballeros, said earlier McAfee’s request for asylum was rejected.


Constitutional lawyer Gabriel Orellana, a former foreign minister, said the government should have given more weight to the asylum request rather than rush to a decision.


“We should take into account the fact that McAfee has not been accused of any crime in Belize,” he said.


QUARRELED WITH FELLOW AMERICAN


Police in Belize want to quiz McAfee as “a person of interest” in the killing of a fellow American, Gregory Faull, with whom he had quarreled. But they say he is not a prime suspect in the probe.


McAfee says he has been persecuted by Belize’s ruling party because he refused to pay around $ 2 million he says it is trying to hustle out of him, he said.


Belize’s prime minister denies this and said McAfee, who made millions from the Internet anti-virus software that bears his name, was “bonkers.” McAfee later lost much of his fortune and turned to a life of semi-reclusion by the Belizean beach.


McAfee spent Wednesday night reading his blog and posting his thoughts on a laptop he said was lent to him by the warden of the cottage where he was staying.


One person asked him if he felt like committing suicide.


“I enjoy living, and suicide is absurdly redundant,” he wrote. “The world, from the very beginning, hurls viruses, accidents, hungry animals, defective DNA – and uncountable more – in an attempt to kill us. It always succeeds. Suicide is simply aiding and abetting.”


McAfee’s earlier posts spoke of his relief at arriving in Guatemala, thinking he had found a way out of his troubles.


One of his readers posted a message offering him just that.


“John. I have a special ops team near the La Aurora International Airport. I can get you out of jail and provide safe passage back to the States for a fee. Please let me know if this interests you.”


DRUG PAST


Guatemala’s government originally said the eccentric tech entrepreneur, who loves guns and young women and has tribal tattoos covering his shoulders, would be expelled to Belize within hours. But it later rowed back.


The U.S. State Department said it was aware of McAfee’s arrest and its embassy was providing “appropriate consular services,” but could not comment further.


On the island of Ambergris Caye, where McAfee has lived for about four years, residents and neighbors say he is eccentric and at times unstable. He was seen to travel with armed bodyguards, sporting a pistol tucked into his belt.


The predicament of the former Lockheed systems consultant is a far cry from his heyday in the late 1980s, when he started McAfee Associates. McAfee has no relationship now with the company, which was sold to Intel Corp.


McAfee was previously charged in Belize with possession of illegal firearms, and police had raided his property on suspicions that he was running a lab to produce illegal synthetic narcotics. He says he has not taken drugs since 1983.


“I took drugs constantly, 24 hours of the day. I took them for years and years. I was the worst drug abuser on the planet,” he told Reuters just before his arrest. “Then I finally went to Alcoholics Anonymous, and that was the end of it.”


(With reporting by Andrew Quinn in Washington; Writing by Simon Gardner and Dave Graham; Editing by Doina Chiacu and Philip Barbara)


Celebrity News Headlines – Yahoo! News


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Baca shifts course on compliance with deportation program









Los Angeles County Sheriff Lee Baca has reversed his support for a controversial deportation program, announcing Wednesday that he will not comply with federal requests to detain suspected illegal immigrants arrested in low-level crimes.


The sheriff's dramatic turnaround came a day after California Atty. Gen. Kamala Harris issued a legal directive advising that compliance with the requests is discretionary, not mandatory.


Until then, Baca had insisted that he would honor the requests from U.S. Immigration and Customs Enforcement to hold some defendants for up to 48 hours. He was an outspoken opponent of the Trust Act, which would have required California law enforcement officials to disregard the requests in many cases, declaring that he would defy the measure if it passed.








Baca has also been sued by the American Civil Liberties Union for allegedly denying bail to immigration detainees.


Now, he appears ready to do more or less what was proposed in the Trust Act, which was vetoed by Gov. Jerry Brown in September.


The change of heart from Baca, a Republican in a heavily Democratic county, comes as GOP leaders are warming to immigration reform in an effort to counteract dismal support from Latino voters. Last month, Baca closed the 1,100-bed Mira Loma immigration detention center, which earned his agency up to $154 a day for each detainee, after contract negotiations with ICE broke down.


None of those considerations were at play, a Baca spokesman said. The sheriff's reversal was prompted solely by Harris' opinion, which contradicted advice from Los Angeles County attorneys that the requests were mandatory, said the spokesman, Steve Whitmore.


Baca joins Los Angeles Police Chief Charlie Beck, who announced a similar policy in October. San Francisco and Santa Clara counties also decline to honor some types of ICE holds.


The change may not take effect until early next year. Baca's staff must first flesh out the details of the new policy, which would apply only to those arrested in misdemeanors who do not have significant criminal records. The department would still honor federal detention requests for those accused of serious or violent crimes.


Under the federal Secure Communities program, all arrestees' fingerprints are sent to immigration officials, who flag suspected illegal immigrants and request that they be held for up to 48 hours until transfer to federal custody.


Secure Communities has come under fire for ensnaring minor offenders when its stated purpose is to deport dangerous criminals and repeat immigration violators. According to federal statistics, fewer than half of those deported in Los Angeles County since the program's inception in 2008 have committed felonies or multiple misdemeanors. Critics say immigrants have become fearful of cooperating with police.


"The last thing we want is victims to be frightened to come forward," Whitmore said.


ICE officials said Baca's new policy is in line with federal priorities and will affect only a "very small number" of cases.


"The identification and removal of criminal offenders and other public safety threats is U.S. Immigration and Customs Enforcement's highest enforcement priority," the agency said in a statement.


Immigrant rights advocates called Baca's announcement a long overdue breakthrough.


"This will send a very strong message nationwide that in ... the most multicultural city in the nation, the sheriff is there to protect and to serve, not to deport," said Jorge-Mario Cabrera, communications director for the Coalition for Humane Immigrant Rights of Los Angeles.


Supporters of the Trust Act, which was reintroduced in modified form by Assemblyman Tom Ammiano (D-San Francisco) earlier this week, said it is still necessary because detention policies should not vary by jurisdiction.


"It's imperative that California have a uniform statewide policy. It's essential that people not receive different treatment under the law as they're driving up and down the 5," said Chris Newman, legal director of the National Day Laborer Organizing Network.


Baca has not taken a position on the new Trust Act, which is likely to evolve during the legislative process, Whitmore said.


cindy.chang@latimes.com



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Step to the Beat



Going out for a run used to just be about lacing up your sneakers. Now when you head out, you can feel like you’re drowning in tech: GPS watches, sports bands, sweat-proof earbuds, smartphone apps with cadence-matching playlists. And that’s before we even talk about what’s on your feet.


But we wouldn’t subject ourselves to this mountain of gadgetry if it didn’t really help. As our goals become more minute and more ambitious, training “by feel” doesn’t cut it anymore — you need the hard performance data and sophisticated tracking abilities only things like wearable sensors can provide.


Wahoo Fitness, a longtime favorite among plugged-in fitness freaks, has recently introduced a few new activity-monitoring gadgets. I tested the company’s latest real-time pace monitor, called the Stride sensor ($55), as well as a couple of heart-rate monitors. I also tested the Wahoo Key, a $60 dongle for your iPhone that links up to your sensors and passes the data along to your favorite fitness-tracking apps.


I started by setting up the Wahoo Key, which plugs into an iPhone’s 30-pin dock connector. According to Wahoo, iPhone 5 users will need to use a Lightning adapter until the company makes a new design. Setup is pretty easy, but the app guides you through the process, making the instruction manual (which is annoyingly reliant on QR codes) mostly redundant. Once the key was plugged in, I had the Wahoo Fitness app running smoothly in less than a minute. Links to download all the major compatible apps, such as MapMyRun and RunKeeper, were displayed as well.


Although a “keychain” is available for the Wahoo Key, it’s small enough to lose easily. Also, I was nervous about how it protrudes awkwardly from the end of my phone, and I bet it would snap right off if I dropped the phone.



Next, I strapped on the Stride Sensor, which you attach to your shoelaces. I clipped the sensor onto my shoe and it stayed comfortably in place through an entire half-marathon.


The sensor tracks your running pace using a pair of 3-axis accelerometers. It easily links to the phone (via the Wahoo Key), where all the data is displayed and recorded. There’s a slight delay in pace monitoring of only a few seconds, which is totally acceptable. Also, Wahoo lets you program your height to make its readings more accurate. It only lets you go up to 7 feet, so very few runners are going to feel left out.


The collected data could be very helpful to runners trying to teach themselves what various paces feel like. The stats of distance, time and pace are all displayed on the iPhone in large enough text to make them easy readable at the gym or mid-race.


Not content to stop there, I also strapped on a couple of the company’s heart-rate devices: the Wahoo Blue HR Heart Rate Strap ($80), and the Wahoo Soft Heart Rate Strap ($50). The biggest difference between them is that the Blue HR is Bluetooth-enabled (hello, iPhone 5 people!) while the other strap requires the Wahoo Key, in all of its last-generation technological glory.


Of all the goodies Wahoo currently offers, the ability to monitor your heart rate and have your BPM displayed on your phone is the most useful. Target heart rates are essential to a well-structured training program, so this is critical data, and Wahoo delivers it with great accuracy.


According to the Wahoo website, the Blue HR will connect to the iPhone 4s, iPhone 5, the latest-generation iPads and the iPad mini. Be warned: The sensors only talk to each other for a distance of up to 10 feet, and carrying an iPad around the gym could get awkward. I could see a paired iPad being useful on a treadmill, or if you work with a trainer who’s holding one while hovering nearby.


The straps that hold the heart-rate monitors against your chest are also comfortable and shouldn’t bother runners (or cyclists) on even their longer workouts. Wahoo also offers an armband to carry your iPhone while you sweat ($30). The longest run I completed while testing the band was 4 miles long, and the neoprene never chaffed or got uncomfortable, but it kept my iPhone 4 very stable.


For athletes who devour tech like GU on mile 10, Wahoo Fitness is a well-known name. If you’re just getting into tracking your runs or bike rides, the company’s gear is a good place to start. I’d recommend looking at the Bluetooth stuff first, since it works with the newer devices via wireless pairing, and you can avoid the annoyance of the protruding 30-pin dongle.


WIRED Real-time pace monitoring is valuable for undertaking tempo runs. Heart-rate sensors give the number junkies the accuracy and reporting they crave. Gear is comfortable and keeps everything in place without fuss.


TIRED Everything is iOS-centric. Wahoo Key sticks out too far, and doesn’t work with newer Apple devices unless you have an adapter. The Wahoo Key could easily be lost. Uploading music to the Wahoo app isn’t worth the hassle.



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UK’s Kate leaves hospital after morning sickness












LONDON (Reuters) – Prince William‘s pregnant wife Kate left the King Edward VII hospital in central London on Thursday where she had spent four days being treated for acute morning sickness.


Accompanied by her husband, Kate, 30, appeared at the steps of the hospital smiling and holding a bouquet of yellow flowers. Neither she nor William spoke to waiting reporters before being driven way.












Kate, who married the second-in-line to the throne in April last year, has been suffering from Hyperemesis Gravidarum, an acute morning sickness which causes severe nausea and vomiting and requires supplementary hydration and nutrients.


There has been no announcement about when the baby is due, although the prince’s spokesman has said Kate is less than 12 weeks pregnant.


(Reporting by Stephen Addison; Editing by Tim Castle)


Celebrity News Headlines – Yahoo! News


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Antismoking Outlays Drop Despite Tobacco Revenue





Faced with tight budgets, states have spent less on tobacco prevention over the past two years than in any period since the national tobacco settlement in 1998, despite record high revenues from the settlement and tobacco taxes, according to a report to be released on Thursday.







Paul J. Richards/Agence France-Presse — Getty Images

State antismoking spending is the lowest since the 1998 national tobacco settlement.







States are on track to collect a record $25.7 billion in tobacco taxes and settlement money in the current fiscal year, but they are set to spend less than 2 percent of that on prevention, according to the report, by the Campaign for Tobacco-Free Kids, which compiles the revenue data annually. The figures come from state appropriations for the fiscal year ending in June.


The settlement awarded states an estimated $246 billion over its first 25 years. It gave states complete discretion over the money, and many use it for programs unrelated to tobacco or to plug budget holes. Public health experts say it lacks a mechanism for ensuring that some portion of the money is set aside for tobacco prevention and cessation programs.


“There weren’t even gums, let alone teeth,” Timothy McAfee, the director of the Office on Smoking and Health at the Centers for Disease Control and Prevention, said, referring to the allocation of funds for tobacco prevention and cessation in the terms of the settlement.


Spending on tobacco prevention peaked in 2002 at $749 million, 63 percent above the level this year. After six years of declines, spending ticked up again in 2008, only to fall by 36 percent during the recession, the report said.


Tobacco use is the No. 1 cause of preventable death in the United States, killing more than 400,000 Americans every year, according to the C.D.C.


The report did not count federal money for smoking prevention, which Vince Willmore, the vice president for communications at the Campaign for Tobacco-Free Kids, estimated to be about $522 million for the past four fiscal years. The sum — about $130 million a year — was not enough to bring spending back to earlier levels.


The $500 million a year that states spend on tobacco prevention is a tiny fraction of the $8 billion a year that tobacco companies spend to market their products, according to a Federal Trade Commission report in September.


Nationally, 19 percent of adults smoke, down from over 40 percent in 1965. But rates remain high for less-educated Americans. Twenty-seven percent of Americans with only a high school diploma smoke, compared with just 8 percent of those with a college degree or higher, according to C.D.C. data from 2010. The highest rate — 34 percent — was among black men who did not graduate from high school.


“Smoking used to be the rich man’s habit,” said Danny McGoldrick, the vice president for research at the Campaign for Tobacco-Free Kids, “and now it’s decidedly a poor person’s behavior.”


Aggressive antismoking programs are the main tools that cities and states have to reach the demographic groups in which smoking rates are the highest, making money to finance them even more critical, Mr. McGoldrick said.


The decline in spending comes amid growing certainty among public health officials that antismoking programs, like help lines and counseling, actually work. California went from having a smoking rate above the national average 20 years ago to having the second-lowest rate in the country after modest but consistent spending on programs that help people quit and prevent children from starting, Dr. McAfee said.


An analysis by Washington State, cited in the report, found that it saved $5 in tobacco-related hospitalization costs for every $1 spent during the first 10 years of its program.


Budget cuts have eviscerated some of the most effective tobacco prevention programs, the report said. This year, state financing for North Carolina’s program has been eliminated. Washington State’s program has been cut by about 90 percent in recent years, and for the third year in a row, Ohio has not allocated any state money for what was once a successful program, the report said.


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Secure Communities is optional, Harris says









SAN FRANCISCO — California Atty. Gen. Kamala Harris told local law enforcement agencies Tuesday that they were not obligated to comply with a federal program whose stated goal is to deport illegal immigrants convicted of serious crimes.


It was Harris' first public assessment of Secure Communities. Under the program launched in 2008, all arrestees' fingerprints are sent to immigration officials, who may ask police and sheriff's departments to hold suspects for up to 48 hours after their scheduled release so they can be transferred to federal custody.


Although the intent may have been to improve public safety, Harris said that a review of data from March through June showed that 28% of those targeted for deportation in California as a result were not criminals. Those numbers, she noted, had changed little since U.S. Immigration and Customs Enforcement a year earlier pledged to reform the program to focus on the most serious offenders.





"Secure Communities has not held up to what it aspired to be," Harris said. The law enforcement bulletin she issued Tuesday stated that "immigration detainer requests are not mandatory, and each agency may make its own decision" about whether to honor them.


Harris said her office conducted its analysis after dozens of agencies across the state inquired about whether they were compelled to honor the ICE requests.


Some elected officials and local law enforcement have complained that — in addition to pulling in those found guilty of minor offenses or never convicted — Secure Communities had made illegal immigrants fearful of cooperating with police, even when they were the victims.


Harris, a former prosecutor, echoed that view Tuesday.


"I want that rape victim to be absolutely secure that if she waves down an officer in a car that she will be protected … and not fear that she's waving down an immigration officer," Harris said


While immigrant-rights advocates applauded her announcement, they said it did not go far enough. Allowing police chiefs and sheriffs to craft their own policies without state guidance, they said, could lead to disparate enforcement and enable racial profiling.


This "should eliminate the confusion among some sheriffs about the legal force of detainers," said Reshma Shamasunder, executive director of the California Immigrant Policy Center. "The only logical next step is a strong, statewide standard that limits these burdensome requests."


One attempt by legislators to do just that unraveled in October with Gov. Jerry Brown's veto of the Trust Act. The proposed law by Assemblyman Tom Ammiano (D-San Francisco) would have forbidden police departments to honor federal detainer requests except in cases in which defendants had been convicted of a serious or violent crime.


Ammiano on Monday reintroduced a modified version of the measure. Harris said she had opposed the bill's last iteration for going "too far" and had not seen the current version, but looked forward "to working with the governor and any of our lawmakers to take a look at what we can do to improve consistency."


"It's very difficult to create formulas for law enforcement," she said, noting that local agencies should have the freedom to determine which federal hold requests to honor. For example, she said, an inmate with five previous arrests for forcible rape but no convictions might still be deemed too great a risk for release.


Some law enforcement agencies, including the San Francisco Sheriff's Department and the Santa Clara County Sheriff's Department, have declined to comply with federal requests to hold non-serious offenders. Los Angeles Police Chief Charlie Beck followed suit last month, announcing that suspected illegal immigrants arrested in low-level crimes would no longer be turned over for possible deportation.


Los Angeles County Sheriff Lee Baca, who opposed the Trust Act, is among those who have argued that compliance with Secure Communities was mandatory.


On Tuesday, Los Angeles County sheriff's spokesman Steve Whitmore said that Harris' opinion was welcome guidance that may offer sheriffs more flexibility in how they deal with immigration detainees.


"The attorney general's opinion is going to be taken very seriously," Whitmore said. "The sheriff applauds it and is grateful for it." Baca, he added, has been working with the attorney general and the governor on the issue.


In a written response to Harris' announcement, a spokeswoman for Immigration and Customs Enforcement said the agency's top priorities were the deportation of criminals, recent border-crossers and repeat violators of immigration law.


"The federal government alone sets these priorities and places detainers on individuals arrested on criminal charges to ensure that dangerous criminal aliens and other priority individuals are not released from prisons and jails into our communities," the statement said.


lee.romney@latimes.com


cindy.chang@latimes.com


Romney reported from San Francisco and Chang from Los Angeles.





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Machine Gun Expo Is Down-Home Americana Gone Ballistic


There are thousands of gun shows in America each year, but machine gun shows are a rare spectacle. At the two-day hands-on shootfest that is the Oklahoma Full Auto Shoot & Trade Show (OFASTS) exhibitors rent out fully automatic weapons to the public so that they may annihilate refrigerators, ovens and other household appliances.


Photojournalist Pete Muller recently scratched a years-long itch to visit OFASTS and documented his trip.


“I grew up in a congested and heavily regulated area of the northeast and consequently had little exposure to guns and gun culture,” says Muller. “What was happening at OFASTS was unlike anything I’d seen or experienced.”


Muller has seen a lot of guns. Between 2009 and 2012, he lived in Sudan documenting the tense transition from civil war to independence for the South — even now the peace agreement on which independence rests remains fragile and not without skirmish. While Muller pursued his long-term story in Sudan, he was also thinking of gun culture in the United States, specifically the recreational use of machine guns. That’s when OFASTS came on his radar.


Held annually in Wyandotte, Okla., OFASTS is — alongside the Knob Creek Machine Gun Show (Kentucky) and the Big Sandy Shoot Out (Arizona) – one of the largest machine gun shows in the country. Over a hundred vendors trade machine guns there, with prices in the thousands and sometimes in the tens of thousands. Though prices are high, the opportunity for machine gun enthusiasts to shoot others’ weapons is a big draw.


Whether your fancy is the M248 SAW, which fires 750 rounds per minute, or the FN M240B, which is the U.S. armed forces current-issue medium machine gun, there’s a firearm for everyone. There’s also a dynamite crew on hand to beef up the explosions. At $10 a day or $18 for the weekend (under-10s get in free), it’s good bang for your buck. Gun and magazine rental prices vary.


“Given the politicized nature of the gun discussion, I wanted to better understand this fundamental element of our national ethos,” says Muller, who was skeptical of others’ viewpoints on gun issues and wanted to see OFASTS for himself.


South Sudan and Oklahoma are extremely far apart in both geography and culture, yet Muller says that generally communities’ proximity to state security institutions shape their affinity for and possession of firearms. OFASTS is the type of exposition special to rural America; permits for machine gun shows aren’t very likely to be passed out in urban areas.


“People living in the periphery are often more likely to possess weapons as a means of insuring their personal security. This propensity increases, of course, if the isolation in which they live is, or is perceived to be, fraught with danger,” says Muller.


OFASTS culminates in “Kill the Car,” a moment when every gun-wielding attendee takes aim at a free-wheeling, explosives-packed car rolling down a hillside. Within a minute, tens of thousands of bullets pepper the condemned beater. Heaps of empty shells scatter the mainline shooting gallery.


During Muller’s stay, attendees ranged from lawyers and investors to IT experts and even an unnamed former Apple executive.


“Owning legal machine guns is an expensive hobby. Most of the gun owners are pretty well-heeled,” he says.


For those accustomed to guns, especially automatics, events like OFASTS can be as welcoming and innocuous as a state fair. For outsiders, the shows and the photos from them can be quite shocking and, in some cases, disturbing.


“I find it somewhat peculiar when people seem surprised by the ongoing American love affair with guns. The country was acquired in a way that required guns. Expansion of the American frontier was a severely violent process in which the gun played a central role, its sanitized memory has since become a pillar of white American nostalgia. It represents notions of freedom, individualism and valor and all of those things are tied to patriotism,” says Muller.


Follow Pete Muller on his blog on Twitter and Facebook.


All images: Pete Muller


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“Family Guy” executive producer lands animated cop series with Fox












LOS ANGELES (TheWrap.com) – Despite – or perhaps because of – a robust cartoon slate that includes “The Simpsons,” “American Dad” and “Family Guy,” Fox apparently feels that it’s just not animated enough.


The network has given a 13-episode order to a new animated series, “Murder Police,” from “Family Guy” executive producer David Goodman and Jason Ruiz, Fox said Tuesday.












The series, which will be produced by Bento Box Animation (“Bob’s Burgers,” “Brickleberry”) via 20th Century Fox Television, centers around a dedicated, but inept detective and his colleagues – some perverted, some corrupt, some just plain lazy – in a twisted city precinct. Goodman and Ruiz created and wrote the series, with Goodman as executive producer and Ruiz as co-executive producer.


In addition to “Family Guy,” Goodman executive-produced Fox’s short-lived animated series “Allen Gregory,” which failed to receive a pickup after airing a handful of episodes last year.


Ruiz is one of the writers discovered through the network’s Fox Inkubation program. He will also voice the program, along with “MADtv” alum Will Sasso, Chi McBride, Horatio Sanz of “Saturday Night Live,” and other voice actors.


“David and Jason came to us with a really fresh take on law enforcement that we’ve never seen before,” said Kevin Reilly, Chairman of Entertainment, Fox Broadcasting Company. “With ‘Murder Police,’ these guys are taking a staple genre of television – the cop show – and turning it on its head by pushing the warped comedic boundaries that only animation can offer. It’s the kind of show our Animation Domination fans will absolutely love, and I can’t wait to introduce it next season.”


“Murder Police” will premiere during the 2013-2014 season.


TV News Headlines – Yahoo! News


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The New Old Age Blog: For the Old, Less Sense of Whom to Trust

There’s a reason so many older people fall for financial scams, new research suggests. They don’t respond as readily to visual cues that suggest a person might be untrustworthy, and their brains don’t send out as many warning signals that ignite a danger ahead gut response.

The research, published Monday in the Proceedings of the National Academy of Sciences, is the first to show that older adults’ vulnerability to fraud may be rooted in age-related neurological changes.

Specifically, researchers from the University of California, Los Angeles, found that an area in the brain known as the anterior insula was muted when older people looked at photographs of suspicious-looking individuals. This part of the brain activates gut-level feelings that help individuals interpret the reliability of other people and assess potential risks and rewards associated with social interactions.

In one part of the U.C.L.A. study, both younger and older adults were asked to evaluate the trustworthiness of people portrayed in 60 photographs while undergoing brain scans. When the younger adults (21 altogether, from 23 to 46 years of age) labeled a person “not trustworthy,” their anterior insulas lit up. But this wasn’t true for older adults (23 altogether, age 55 to 80).

“The warning signals that convey a sense of potential danger to younger adults just don’t seem to be there for older adults,” said Shelley Taylor, the lead researcher and a psychology professor at U.C.L.A.

In another part of the study, researchers asked 119 older adults (55 to 84 years old) and 24 younger adults (age 20 to 42) to rate people in photographs as trustworthy, neutral or untrustworthy. Signs they were potentially untrustworthy included people with insincere smiles, averted gazes and postures that “leaned away” rather than toward the camera, among others, Dr. Taylor said.

Older adults were equally adept at identifying people judged to be trustworthy or neutral, but much more likely to miss signs of those who may be untrustworthy and view suspicious-looking people as approachable, the study found.

“We believe what’s going on is that older adults have a bias toward positive emotional experience and this keeps them from recognizing negative cues,” Dr. Taylor said.

This so-called “positivity effect” has been documented through research by Laura Carstensen, a professor of psychology and public policy at Stanford University, and it explains why older adults are, on the whole, happier than younger adults.

Asked to comment about the new study, Ms. Carstensen said in an e-mail that it was “very well done,” and observed that for older adults, “there are likely many benefits of looking on the bright side. However, there are likely some contexts where looking away from the negative and focusing on the positive is not good,” including financial scams and fraud.

Alexander Todorov, a professor of psychology at Princeton University, called the findings “interesting,” but warned that “there is an implicit assumption that these trustworthiness evaluations based on facial appearance are accurate. This is far from clear.”

Dr. Taylor became acutely aware of financial fraud practiced on the elderly almost 20 years ago when her elderly father handed $17,000 to two men who approached him on the street and walked with him to his bank.

“I got descriptions of the two men from someone who lived nearby — one had few teeth, both were dressed in a slovenly manner, and they’d been seen sleeping in doorways and were using the drug rehab center nearby,” the professor explained in an e-mail.

In other words, they would have been viewed skeptically by most people, but weren’t seen in that light by Dr. Taylor’s father.

Statistics show that financial exploitation of the elderly is on the rise. According to a study published last year by the MetLife Mature Market Institute and the National Committee for the Prevention of Elder Abuse, elder financial abuse — everything from fraudulent sweepstakes to bank accounts emptied out by guardians — totaled $2.9 billion in 2010, a 12 percent increase from only two years before.

Earlier this year, the Government Accountability Office weighed in on the issue, noting the inadequacy of existing safeguards and calling for a new national strategy to address the problem.

On Tuesday my colleague Paula Span wrote about a just-published consumer guide, “Protect Your Pocketbook,” intended for older adults and families who wanted to understand what put them at risk, how to prevent fraud, and where to turn for help.

As for Dr. Taylor, she advises that seniors never agree on the spot to a phone offer or a pitch from a door-to-door salesman. “Either hang up or wait and get someone else involved in your life to evaluate what’s being presented,” she said.

With financial fraud, almost half the time seniors end up being taken in by a caretaker or someone posing as a friend. “Make absolutely sure that you’ve carefully checked out the people taking care of an older relative,” or any “surprising new friend” that you’ve never heard of before that’s now on the scene, she tells family members.

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Free-Messaging Apps Siphon Profits from Cellular Providers





For a long time, opening a cellphone bill was scary for the parents of teenagers. Charges for texting could reach hundreds of dollars a month, prompting many families to sign up for unlimited plans. But at perhaps $20 a month for each family member, that quickly added up, too.







Lucas Jackson/Reuters

A man uses his Apple iPhone in New York in September. Cellphone users are sending more text messages than ever, but increasingly they are free — thanks to the Internet.








Apps like Facebook Messenger, top, and WhatsApp, bottom, send their messages using the Internet rather than cellular networks. The shift could cost wireless companies billions of dollars.






Relief is on the way. Cellphone users are sending more text messages than ever, but increasingly they are free — thanks to the Internet. While that is good news for consumers, it could cost the world’s wireless companies tens of billions of dollars in lost revenue.


Standard texting, the kind where you send abbreviation-filled messages over a cellphone network, has been in decline in many parts of the world, and now appears to be shrinking in the United States. That is because smartphones can use free Internet-powered services that send messages over data networks instead, and those services are attracting millions of users.


The shift is opening an opportunity for big companies like Facebook and Apple and smaller start-ups like WhatsApp and Kik, which are making aggressive grabs at this market, aiming to put themselves at the center of how people communicate in the smartphone era.


Peter Deng, a product director at Facebook who oversees its Messenger software, said that text messaging was “ripe for innovation” because it had been held back by outdated technology.


“It’s limited to 160 characters,” Mr. Deng said, “and it’s not at all rich in its expression. People want to connect deeply with each other, and they don’t want to be constrained by various technical boundaries and decisions made 20 years ago.”


Unlike ordinary text messages, Facebook’s messaging service allows people to see when their friends are typing a reply and when messages are received, among other features, he said.


Standard texting is still popular. CTIA, the wireless industry trade group, said that in the first half of this year, Americans sent 1.107 trillion text messages. But that was down 2.6 percent from the 1.137 trillion messages sent in the first half of last year. Ovum, a mobile communications research firm, estimates that by 2016, Internet-based message services will have eaten up $54 billion in revenue that carriers could have made from text messaging.


For years, text messages have been a source of pure profit for carriers because it costs nearly nothing to deliver them. In response to the rise of Internet services, they have been overhauling their pricing plans to stay profitable.


Verizon Wireless and AT&T, for example, offer new plans that include unlimited texting and phone calls, while charging bigger fees for using Internet data, which is likely to be their main source of growth. (Internet messaging over a carrier’s data network does use up some of a customer’s monthly data allotment, but it is a tiny amount relative to, say, watching a video.)


John Walls, vice president for public affairs at CTIA, said carriers were always expanding their services by offering things like all-you-can-eat texting plans and the ability to donate to charity via text. He noted that 72,000 text messages were being sent every second of every day.


“I hardly think the end is in sight for texts,” Mr. Walls said.


For Internet companies, messaging will never be a cash cow. But they have other reasons to get excited about this market.


Facebook benefits if more people use its messaging service, because those people are likely to spend more time on its Web site and mobile apps, seeing more ads. On Tuesday the company said it would allow Android users in some countries to sign up for its messaging service with just a phone number, no Facebook account required, partly because this might eventually persuade non-Facebook users to cave in and sign up for an account. That feature will come to the United States at some point, Facebook said.


Apple’s free texting service, iMessage, comes installed on iPhones, iPads and iPod Touch devices, where it automatically routes messages over the Internet if they are being sent to another Apple device. The service also works with the Messages app on Apple’s computers. That could encourage people to continue buying Apple products to keep in touch with family and friends cheaply and easily. Even the design of iMessage makes people feel like they’re in a special clique: an iMessage shows up on an Apple device as a blue bubble, while a normal text message from a non-Apple phone is green.


Perhaps the most talked-about player in texting right now is the small start-up WhatsApp, based in Mountain View, Calif. The 30-person company, founded by Jan Koum and Brian Acton, two former Yahoo executives, says its service is used in more than 100 countries. Its app is one of the most popular in the world on iPhones and Android devices, and on the BlackBerry it is even bigger than Research in Motion’s own messaging service.


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Mexico port picks up slack from strike at L.A., Long Beach complex









ENSENADA — This sluggish port city is coming alive.


Standing atop a pier with a hulking cargo ship behind him, dock manager Rogelio Valenzuela Gonzalez motioned Monday toward four cranes as they plucked metal containers from the vessel.


Operators swiveled the cranes toward a line of flatbed trucks. Supervisors in reflective vests and hard hats watched from below, using two-way radios to dispatch trucks as they filled up.





Not even during the peak fall shipping season is this port so busy.


But a strike that has effectively shut down rival ports in Los Angeles and Long Beach has diverted ships south of the border. It has become a windfall for the port located about 50 miles from the border, its workers and the region's struggling economy.


"It's good for the workers' families," said Gonzalez, adding that the extra work will pay for additional Christmas presents. "We all know it's temporary, but it definitely helps out at the end of the year."


The Southern California strike ended its first week Monday, with negotiations continuing but no signs of an immediate resolution.


The strike by the International Longshore and Warehouse Union Local 63 Office Clerical Unit, which handles paperwork for incoming and outgoing ships, has crippled the nation's two busiest cargo ports.


The dispute centers on the charge by the union that employers — large shipping lines and terminal operators — have steadily outsourced jobs through attrition. The union says the employers have transferred work from higher-paid union members to lower-paid employees in other states and countries.


The employers dispute that claim, saying they've offered the workers full job security and generous wage and pension increases. Though the union has only 800 members, the 10,000-member dockworkers union is honoring the picket lines.


Economists estimate the effect of the work stoppage at $1 billion a day in forfeited worker pay, missing revenue for truckers and other businesses and the value of the cargo that hasn't been able to reach its destination. The two ports are directly responsible for an estimated 595,000 jobs in Southern California.


But while thousands of Southern California workers sit idle in Los Angeles and Long Beach, the walkout is giving Ensenada a hoped-for chance to showcase itself.


Collectively, Los Angeles and Long Beach handle 100 times more cargo each year than Ensenada.


Long seen as a backup port, Ensenada is eager to win more business from shippers inconvenienced by the second major work dispute at the L.A. and Long Beach ports in a decade.


"It's a great opportunity to show that the Port of Ensenada presents an alternative method for bringing in products from Asia and the Pacific Rim," said Kenn Morris, president of Crossborder Group, a San Diego consulting firm. "The Ensenada port can really show itself off as being something a lot of people hadn't expected."


Uncertain how long the strike may last, retailers have scrambled to find alternate ways to get their products onto shelves. Given their typically thin profit margins, retailers are concerned about the added shipping costs.


"These blockages are dead-weight losses to the system," said Carl Voigt, an international business professor at USC. "They raise costs for everybody. Everybody's goods and services are more expensive."


Ensenada is used to seeing the occasional cruise ship and maybe half a dozen cargo ships a week. Two ships have made unplanned dockings and unloaded cargo here in the last week. Three others have docked in Manzanillo, a Mexican port city 1,200 miles to the south of Ensenada.


Altogether, 17 ships bound for the L.A. or Long Beach port have been diverted elsewhere, including nine to Oakland, one to Mazatlan, Mexico, and one to Panama.


In Ensenada, dockworkers made quick work unloading 100 cargo containers from the Maersk Merlion. The giant cargo vessel was diverted over the weekend and docked early Monday morning.


Since late last week, Ensenada has been preparing for a hoped-for influx of diverted ships. The port has 200 dockworkers when operating at capacity, and an additional hundred clerical and customs workers.


Equipment is on standby. Workers are at the ready. And trucking lines have been placed on alert that cargo may need to be hauled.


"It's hard to guess how many ships we'll receive, but we are preparing for more," said Juan Carlos Ochoa, the port's trade development manager.


Ensenada is still handicapped by longer-standing obstacles, primarily its lack of railway access to move goods.


And for now, the cargo unloaded from the Maersk Merlion will sit at the port as the shipping line weighs whether to move it by truck to its final destination or have another ship pick up the containers at a later date.


The strike "is an extraordinary situation," Gonzalez said. "But it'll show our clients that this port is a good option. It's efficient, reliable and secure."


ricardo.lopez2@latimes.com


walter.hamilton@latimes.com


Lopez reported from Ensenada, and Hamilton from Los Angeles.





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Meet the Dancing Otter That Helped Obama Win the Presidency



It would happen a couple of times each month at the Obama campaign headquarters in Chicago. Ben Hagen would giggle and then send out a web link to his coworkers, the geeks who ran the technology operation for the Obama reelection campaign.


Soon, the sound of Kenny Loggins’ inspirational 1979 hit “This Is It” would fill the office, and the dancing Otter would pop up on machine after machine. It was Hagan’s way of telling the team he’d found another bug in their web code.


The geeks who built Obama’s internet infrastructure sat side-by-side, in a long row in the campaign’s Chicago headquarters, and sometimes, you could hear Kenny Loggins echo down the line. “The laughing would kind of work its way down the row and you’d see people’s screens light up with dancing otters and the sound progressing down the row,” Hagen says. “It was a pretty gratifying experience.”


It was gratifying because Hagan — a security engineer with the campaign — was helping to lock down Obama’s websites, securing them from a common web programming error called a cross-site scripting bug. The otter was the campaign’s version of the RickRoll — an annoying internet joke — but it also carried a message. In essence, Hagan was publicly shaming people into writing better code.


“I think public embarrassment is a very important part of security,” Hagan said last week, at a conference in Las Vegas dedicated to Amazon’s cloud services. “Once you find a problem, embarrass the person who made it and then help them understand how to fix it.”


It’s an unusual method, but it seems to work — and it’s indicative of the campaign’s overall approach to technology. Traditionally, political campaigns are far from the cutting edge of tech, but Obama 2012 was different. The team operated very much like a Silicon Valley startup. They grew quickly, building an enormous code base using many of the popular open-source tools that underpin companies such as Google and Facebook and Twitter, and they built it atop Amazon’s cloud platform, unafraid to put their code on third-party servers.


Hagan chose the Kenny Loggins music because “This is it” was a popular sound sample in the team’s Campfire chat software, and he chose the dancing otter because, well, he just liked it. We laugh every time we see it. But make no mistake: it aimed to solve a serious problem for the campaign. Hagen was plugging security holes that could allow hackers to post anything they wanted on one of the campaign’s websites, which were used by tens of millions of Obama supporters.


Whenever he’d find a cross-site scripting flaw on a website being tested on the campaign’s staging network, he’d exploit the flaw and insert the otter. It was slightly humiliating to the web programmers, but they enjoyed it too. “You can only describe the otter dance as erotic,” said Scott VanDenPlas, the tech team’s development and operations lead, speaking last week at the same conference.


The move to AWS was equally unusual. VanDenPlas called it a first for a presidential campaign. “All of us came from a traditional ops world,” he said. “It was a little bit of a gamble in that we didn’t have the full experience at the time. We just kind of trusted that we would hire very smart people that would figure it out.”


It all worked out pretty well. While the Republican’s get-out-the-vote system bugged out on election night, the Obama campaign nailed it on the tech side. And thanks to Kenny Loggins and the dancing otter, they had more than a little fun too.



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Kutcher’s Steve Jobs, Gordon-Levitt among Sundance premieres












NEW YORK (Reuters) – Ashton Kutcher‘s turn as Apple co-founder Steve Jobs and actor Joseph Gordon-Levitt‘s directorial debut about a modern day Don Juan are leading a slew of star-studded premieres unveiled Monday for the 2013 Sundance Film Festival.


Kutcher stars in “Jobs,” a biographical look at the career rise of Jobs from wayward hippie to charismatic inventor and entrepreneur, which Sundance said Monday will officially close the indie film festival backed by Robert Redford that runs January 17 to January 27.












The premiere lineup also features Gordon-Levitt directing, writing and starring in “Don Jon’s Addiction,” about a self-centered porn-addict attempting to reform his ways opposite Scarlett Johansson, Julianne Moore and Tony Danza.


Behind-the-scenes tales of pornography will also be explored in British director Michael Winterbottom‘s “The Look of Love,” starring Steve Coogan and based on British adult magazine publisher and entrepreneur Paul Raymond.


“Lovelace,” starring Amanda Seyfried and James Franco, tells the story of porn star Linda Lovelace famed for the film “Deep Throat.”


Sundance, the top U.S. film festival for independent cinema held in Park City, Utah, unveiled the premieres section – which typically feature more established directors – after it announced its competition films last week.


Adding to the premieres list is “Before Midnight,” director Richard Linklater’s third film collaborating with Ethan Hawke and Julie Delpy after “Before Sunrise” and “Before Sunset,” in which the audience encounters their characters nine years later in Greece.


New Zealand director Jane Campion will screen her new six-hour epic, “Top Of The Lake,” a haunting mystery about a pregnant 12-year-old girl who disappears, with Holly Hunter.


Other big-name actors in the lineup include Steve Carell and Toni Collette in “The Way, Way Back,” Naomi Watts and Robin Wright in “Two Mothers”, Dakota Fanning and Elizabeth Olsen in “Very Good Girls,” and Shia LaBeouf and Evan Rachel Wood in “The Necessary Death of Charlie Countryman.”


Australian actresses Nicole Kidman, Mia Wasikowska and Jacki Weaver star in psychological thriller “Stoker,” which marks South Korean director Park Chan-wook’s English-language debut.


WIKILEAKS, POLITICS LEAD DOCUMENTARIES


Among documentaries premiering at Sundance in January is Oscar-winning documentary filmmaker Alex Gibney’s insight on WikiLeaks, the power of the Internet and the beginning of an information war in “We Steal Secrets: The Story of Wikileaks.”


Author and documentarian Sebastian Junger chronicles the life of late photojournalist Tim Hetherington in “Which Way Is The Front Line From Here?” after Hetherington’s death in Libya in 2011. The photojournalist had collaborated with Junger on the 2010 Oscar-nominated film “Restrepo” about the Afghanistan war.


“The World According to Dick Cheney” promises to examine the former vice president while “Anita” profiles how Anita Hill’s allegations in 1991 of sexual harassment against then-U.S. Supreme Court nominee Clarence Thomas brought sexual politics into the national consciousness for the next two decades.


“Linsanity” offers a portrait of basketballer Jeremy Lin and “Running From Crazy” follows actress Mariel Hemingway, granddaughter of Ernest Hemingway, and her insights into her family’s mental illness and suicide.


“Pandora’s Promise” looks at a growing number of environmentalists and anti-nuclear activists changing their minds after decades of opposition to support nuclear power.


Continuing the rise of music documentaries in the last several years, Foo Fighters’ musician Dave Grohl looks at the history of Sound City studios in California, where Grohl’s former band Nirvana had recorded their classic 1991 album “Nevermind.”


Veteran Los Angeles rock band The Eagles will also showcase their past in “The History of the Eagles Part 1.”


(Reporting By Christine Kearney, editing by Piya Sinha-Roy and Cynthia Osterman)


Movies News Headlines – Yahoo! News


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Software Programs Help Doctors Diagnose, but Can’t Replace Them





SAN FRANCISCO — The man on stage had his audience of 600 mesmerized. Over the course of 45 minutes, the tension grew. Finally, the moment of truth arrived, and the room was silent with anticipation.




At last he spoke. “Lymphoma with secondary hemophagocytic syndrome,” he said. The crowd erupted in applause.


Professionals in every field revere their superstars, and in medicine the best diagnosticians are held in particularly high esteem. Dr. Gurpreet Dhaliwal, 39, a self-effacing associate professor of clinical medicine at the University of California, San Francisco, is considered one of the most skillful clinical diagnosticians in practice today.


The case Dr. Dhaliwal was presented, at a medical  conference last year, began with information that could have described hundreds of diseases: the patient had intermittent fevers, joint pain, and weight and appetite loss.


To observe him at work is like watching Steven Spielberg tackle a script or Rory McIlroy a golf course. He was given new information bit by bit — lab, imaging and biopsy results. Over the course of the session, he drew on an encyclopedic familiarity with thousands of syndromes. He deftly dismissed red herrings while picking up on clues that others might ignore, gradually homing in on the accurate diagnosis.


Just how special is Dr. Dhaliwal’s talent? More to the point, what can he do that a computer cannot? Will a computer ever successfully stand in for a skill that is based not simply on a vast fund of knowledge but also on more intangible factors like intuition?


The history of computer-assisted diagnostics is long and rich. In the 1970s, researchers at the University of Pittsburgh developed software to diagnose complex problems in general internal medicine; the project eventually resulted in a commercial program called Quick Medical Reference. Since the 1980s, Massachusetts General Hospital has been developing and refining DXplain, a program that provides a ranked list of clinical diagnoses from a set of symptoms and laboratory data.


And I.B.M., on the heels of its triumph last year with Watson, the Jeopardy-playing computer, is working on Watson for Healthcare.


In some ways, Dr. Dhaliwal’s diagnostic method is similar to that of another I.B.M. project: the Deep Blue chess program, which in 1996 trounced Garry Kasparov, the world’s best player at the time, to claim an unambiguous victory in the computer’s relentless march into the human domain.


Although lacking consciousness and a human’s intuition, Deep Blue had millions of moves memorized and could analyze as many each second. Dr. Dhaliwal does the diagnostic equivalent, though at human speed.


Since medical school, he has been an insatiable reader of case reports in medical journals, and case conferences from other hospitals. At work he occasionally uses a diagnostic checklist program called Isabel, just to make certain he hasn’t forgotten something. But the program has yet to offer a diagnosis that Dr. Dhaliwal missed.


Dr. Dhaliwal regularly receives cases from physicians who are stumped by a set of symptoms. At medical conferences, he is presented with one vexingly difficult case and is given 45 minutes to solve it. It is a medical high-wire act; doctors in the audience squirm as the set of facts gets more obscure and all the diagnoses they were considering are ruled out. After absorbing and processing scores of details, Dr. Dhaliwal must commit to a diagnosis. More often than not, he is right.


When working on a difficult case in front of an audience, Dr. Dhaliwal puts his entire thought process on display, with the goal of “elevating the stature of thinking,” he said. He believes this is becoming more important because physicians are being assessed on whether they gave the right medicine to a patient, or remembered to order a certain test.


Without such emphasis, physicians and training programs might forget the importance of having smart, thoughtful doctors. “Because in medicine,” Dr. Dhaliwal said, “thinking is our most important procedure.”


He added: “Getting better at diagnosis isn’t about figuring out if someone has one rare disease versus another. Getting better at diagnosis is as important to patient quality and safety as reducing medication errors, or eliminating wrong site surgery.”


Clinical Precision


Dr. Dhaliwal does half his clinical work on the wards of the San Francisco V. A. Medical Center, and the other half in its emergency department, where he often puzzles through multiple mysteries at a time.


One recent afternoon in the E.R., he was treating a 66-year-old man who was mentally unstable and uncooperative. He complained of hip pain, but routine lab work revealed that his kidneys weren’t working and his potassium was rising to a dangerous level, putting him in danger of an arrhythmia that could kill him — perhaps within hours. An ultrasound showed that his bladder was blocked.


There was work to be done: drain the bladder, correct the potassium level. It would have been easy to dismiss the hip pain as a distraction; it didn’t easily fit the picture. But Dr. Dhaliwal’s instinct is to hew to the ancient rule that physicians should try to come to a unifying diagnosis. In the end, everything — including the hip pain — was traced to metastatic prostate cancer.


“Things can shift very quickly in the emergency room,” Dr. Dhaliwal said. “One challenge of this, whether you use a computer or your brain, is deciding what’s signal and what’s noise.” Much of the time, it is his intuition that helps figure out which is which.


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Michigan Movie Studio Gets Tax Breaks, but Results in Few Jobs





PONTIAC, Mich. — Even the great and powerful Oz could not save the film studio that was supposed to save this town.




The studio, a state-of-the-art facility fit for Hollywood blockbusters, had risen from the ruins of a General Motors complex here. It was the brainchild of a small group of investors with big plans: the studio would attract prestigious filmmakers, and the movie productions would create jobs and pump money into the local economy. A glamorous sheen would rub off on this down-on-its-luck town.


But in Pontiac, happy endings do not usually come Hollywood-style. The tale behind the studio, though, was cinematic in its own right, filled with colorful characters, calls from the White House and a starring role for Michigan’s taxpayers. Rounding out the cast was a big-budget Disney movie, “Oz: The Great and Powerful.”


It all started back in August 2007, when Gov. Jennifer M. Granholm met with Mike Binder, a Michigan-born actor and director who was lamenting the state’s lackluster program to award financial aid — otherwise known as film credits — to the movie industry. Ms. Granholm, an aspiring actress when she was in her early 20s, became determined to make Michigan competitive, she recalled.


Eight months later, the capital of the flailing auto industry became the capital of film tax credits. For every dollar spent locally, filmmakers would receive almost half back from Michigan. That sort of money turns heads at even the richest film studios, and word spreads fast. Janet Lockwood, the director of the state’s film office, said that a week after the enhanced credits were announced, she was besieged at a movie conference in Santa Monica, Calif., by “the baby studios to the big guys.”


Hollywood may make movies about the evils of capitalism, but it rarely works without incentives, which are paid for by taxpayers. Nationwide, about $1.5 billion in tax breaks is awarded to the film industry each year, according to a state-by-state survey by The New York Times.


Within two months, 24 movies had signed up to film in Michigan — up from two the entire year before. The productions estimated that they would spend $195 million filming there, and in return they would be refunded about $70 million in cash.


Before long, residents were rushing out on their lunch breaks to catch a glimpse of celebrities like Drew Barrymore, who was filming her movie “Whip It” in Ann Arbor, and Clint Eastwood, who was shooting “Gran Torino” in the Detroit area. Even Michael Moore, who was filming a movie about corporate welfare called “Capitalism: A Love Story,” sought and received incentives.


A ‘No-Brainer’ for Michigan


It was a time when most financial news was bad. Housing prices plunged, and thousands of automobiles went unsold. Michigan was facing growing budget shortfalls, and some lawmakers who voted for the film credits soon began questioning whether the state could actually afford them.


In Pontiac, tax revenue plummeted as General Motors pulled out and workers left. Half of downtown was boarded up, and landlords accepted rent checks through slits in doors locked for safety. For some, Hollywood provided distraction and hope.


By 2008, a plan was being hatched for what would become the movie studio in Pontiac. The man behind it, Linden Nelson, was a well-connected local entrepreneur with a charismatic personality. He had made a name for himself by creating the removable key chain for valet parkers in the 1980s. His company later manufactured promotional trinkets for brands like AT&T and Harley-Davidson. In the late 1990s, Mr. Nelson found himself in the headlines when a fire broke out at his office in Beverly Hills, Mich. It was ruled accidental.


Mr. Nelson got the idea for the studio, he said, from his college-age son, who had heard that the Michigan tax credits were the talk of the Cannes Film Festival in France that year. Mr. Nelson soon met an old friend, Ari Emanuel, over coffee in Aspen, Colo., to discuss the idea. Mr. Emanuel was the force behind what would become William Morris Endeavor Entertainment, and his fast-talking, take-no-prisoners style had been immortalized in HBO’s “Entourage.” His brother Rahm would soon be named the chief of staff to President Obama.


Intrigued, Mr. Emanuel did not take long to sign on. “I’m, like, blown away by it,” he told a gathering of the Detroit Regional Chamber of Commerce. “Not to use an L.A. phrase — I think this is a no-brainer for the state of Michigan.”


Motown Motion Pictures LLC was incorporated in May 2008, and two more partners came on board. One, John Rakolta Jr., had building expertise as the head of a commercial construction company. The other, A. Alfred Taubman, was a longtime friend of Mr. Nelson and a prominent investor who made billions building shopping malls nationwide.


Mr. Taubman is among the most generous donors to universities and institutions in Michigan and elsewhere. He went to prison for nearly 10 months in 2002 over price-fixing accusations related to Sotheby’s auction house, which his company owned. He has maintained that he was innocent.


When Mr. Taubman first visited the vacated General Motors site in Pontiac, he was brought to tears. “What happened to all the people?” he said, according to Mr. Nelson, who was at his side. “Where are the cars? What happened to their families?”


In early 2009, the four investors bought the property from G.M. for “virtually nothing,” said Mr. Rakolta. General Motors, which had just received a hefty federal bailout, “spent more on the carpet than we spent on this building,” he said.


The investors agreed that they would put in a total of $10 million to $12 million of their own money, according to the studio’s chief financial officer. They would pay for the rest — $70 million or so — using borrowed money and state and federal incentives. “Michigan’s current tax incentive program appears to be the largest competitive advantage for the company,” one studio document said.


Ms. Lockwood, the film commissioner at the time, said she visited Mr. Taubman’s office in early 2009. Over lunch served by a butler, Mr. Taubman filled her in on the plan. “He believed that there was money to be made,” she recalled.


A Town on the Ropes


In public, the investors extolled the studio as an altruistic effort on behalf of Pontiac. “I go into things to make money, but on this, I don’t really care,” Mr. Taubman told The Detroit Free Press. “I just want to help create jobs, and this can create 3,600 jobs.”


Pontiac desperately needed them. In March of that year, roughly one of every two residents was without work, according to federal data. Food pantries had record requests. Pontiac was consistently listed among the top 10 most dangerous cities by the F.B.I. The city had made national news when a group of teenagers approached homeless people on the street and beat them to death.


Ms. Granholm declared the city in a financial crisis in February 2009 and appointed an emergency manager, Fred Leeb. The city’s budget was $54 million a year, but it was overspending by an estimated $7 million to $12 million. Pontiac was also still weighted down by old incentives it had given to businesses like G.M.


The movie studio was an added challenge, since it was seeking financial incentives from the city — not to mention from other branches of the government. It won redevelopment tax credits from the federal government and separate aid from the state that included incentives for technology companies that hire residents.


Job creation became a point of contention with beleaguered Pontiac, which was being asked to waive virtually all property taxes for the studio. The investors claimed that thousands of people would be employed, but Mr. Leeb said that when he asked for job numbers to be written into the contract, the investors refused. “We started seeing some backpedaling,” said Mr. Leeb, who added that the negotiations featured “knock-down, drag-out fights.”


Mr. Nelson said he did not recall that request, but added that his company could not have guaranteed jobs anyway, since they were mainly supposed to be created by filmmakers renting out the studio.


Under pressure from the governor’s office, Mr. Leeb said he had little choice but to approve the investors’ requests.


Ms. Granholm announced the project in her 2009 State of the State address, saying she thought the industry would create a flood of new jobs. “It was very exciting,” recalled Ms. Granholm, a Democrat. “A classic transformation, the phoenix rising from the ashes. This plant in Pontiac — it was a really great moment for a community that really wanted and needed hope.”


That summer, as the studio moved forward, Mr. Nelson was in local headlines for a second fire, this one at his 23,000-square-foot lakefront home in Bloomfield Hills. The fire extensively damaged the home, and its cause was not determined. Mr. Nelson declined to discuss it.


Not long after, he and the other studio investors hit a major hurdle. They would be borrowing around $18 million in municipal bonds, but they needed someone to back them.


Over the objections of some local officials, the state agreed to use the state workers’ pension funds to guarantee the bonds. If the investors failed to pay, the retirees would be on the hook.


At the time of the deal, the governor was speaking regularly with Mr. Obama, who was negotiating the General Motors bailout. Edward B. Montgomery, who was leading the White House’s efforts on communities and workers affected by the automaker’s bankruptcy, was engaged on the studio plans.


Mr. Montgomery said in an interview that he had expressed support for the studio and other projects that he believed would help diversify Michigan’s economy. He said the studio’s investors received assistance from the Treasury Department to qualify for a federal tax credit program. Mr. Montgomery said he was unaware of the bond guarantee involving the state pension fund.


On July 27, 2010, the governor and other officials gathered for the studio’s groundbreaking. Also on hand were Hollywood players like Mr. Binder, a creator of HBO’s “The Mind of the Married Man,” who had been instrumental in persuading the governor to expand the film subsidies.


Mr. Nelson, the studio’s main impresario, talked up the job numbers on local radio that day and said the incentives were necessary. “It’s a very competitive landscape out there,” he said. “There are very, very competitive rebates going on with other states. People don’t realize this, but 40 states have some kind of rebate or another in this industry. It’s an industry that’s fought after.”


Even as Michigan celebrated the studio, the Motion Picture Association of America was facing criticism of the use of film credits in a report by a Washington tax research group. The film association estimated that the industry employs just over two million people and supports 115,000 businesses. The report, conducted by the nonprofit Tax Foundation, which opposes film incentives, said that states justified them using “fanciful estimates of economic activity.”


The Pontiac studio was complete by the summer of 2011. Its first big production moved in after being awarded about $40 million from the state — the largest single movie payout yet. The Disney “Oz” film was being directed by Sam Raimi, a Michigan native who made the recent “Spider-Man” movies.


Over the coming months, the studio’s seven stages were filled with a yellow brick road and a haunted forest. The designers planted live grass and built a huge waterfall and pond where James Franco, the star of the film, could land in a hot-air balloon. Perhaps the most elaborate set was the courtyard around the good witch Glinda’s castle, which took 75,000 hours of work to build and used $9 million worth of wood, according to Mr. Nelson.


Sahir Rashid, a 35-year-old production assistant and Detroit resident, said that walking into the studio had been overwhelming. It was his first time on a soundstage, and he was thankful that the state’s movie boom allowed him to give up construction work. “For me, the films saved my life,” he said. “It’s not a dead-end job. It’s actually a career.”


As for the crew and actors, “the majority of them I think were from L.A.,” said London Moore, a local actress. Ms. Moore was the body double for Michelle Williams, who was playing Glinda. “I went into this thinking these people were probably going to be stuck up, but they welcomed me with open arms. They are like a family to me.”


Film Jobs Prove Scarce


The studio had created only 200 positions by the summer of 2011, according to correspondence between the company and local officials. And when temporary construction workers were excluded from the tally, Pontiac’s records show, the studio reported only two employees in 2010 and 12 the next year. The studio’s chief financial officer said it had not been able to cash in on $110 million in tax credits that were contingent on creating jobs. But the studio did cash in on other credits, including $14 million for a “Film and Digital Media Infrastructure Investment Tax Credit,” he said.


As the “Oz” shoot was under way, Pontiac moved on to its third emergency manager, Louis Schimmel, and he was not a fan of incentives. A former municipal bond analyst, Mr. Schimmel spent decades warning Michigan towns against trading tax revenues for jobs. “I’m just about the biggest critic of these programs, because giving away the taxes of the city is so detrimental,” he said. “The money is needed for police, fire and trash pickup.”


Mr. Schimmel said Disney had offered to prepay its workers’ personal income tax to the city, but Pontiac declined. The city later had problems collecting some of the taxes because Disney operated through a separate business entity that was difficult to track down, he said.


“This is a glamorous industry if you want to talk about Hollywood, but it’s not very glamorous for the municipality that wants to collect something,” Mr. Schimmel said. Pontiac, he said, was outgunned.


Disney declined to comment. Mr. Nelson said the studio and Disney were responsive to the city.


Mr. Schimmel was not alone in his opposition to incentives. Michigan elected a new governor in 2010, Rick Snyder, a Republican who believed that it made better sense to lower taxes for all businesses. The governor’s budget director, John Nixon, said in an interview, “States harm themselves by competing on tax credits.” The governor quickly began reining in the program.


Almost immediately, filmmakers pulled out of Michigan. The change hit hard at “Hollywood-land in Pontiac,” as Mr. Nelson sometimes refers to his studio, now called Michigan Motion Picture Studios. He said the makers of “Iron Man 3” had been considering filming there but opted for North Carolina after Mr. Snyder slashed incentives.


When the bill for the studio’s bond interest came due in February this year, it paid only a portion, $210,000. The state pension fund had to pick up the remaining $420,000. Mr. Nelson said he and his partners would have made the payment if the state had not changed the tax credit program. “No one would have missed a bond payment,” he said. “No one would have missed anything.”


The situation is galling to even longtime government officials, who over the years have seen plenty of economic development deals fail. “Taubman could write the whole check for that himself,” said Doug Smith, an official at the state’s economic development agency. The state pension fund may “end up owning these studios,” he said.


One of the development agency’s board members is Mr. Rakolta, the construction executive who invested in the Pontiac studio. He and Mr. Nelson said in separate interviews that they had never considered personally paying for the bond interest. A deal is a deal, they said, and the state agreed to cover the bond. The studio’s chief financial officer said the investors already stood to lose twice as much as they originally intended to invest.


A spokesman for Mr. Emanuel said he was not willing to discuss the situation on the record. A spokesman for Mr. Taubman said he was unavailable.


In August, the studio defaulted on the entire $630,000 payment on the bond, despite a decision by Mr. Snyder to temporarily allocate some film incentives.


The investors are lobbying state lawmakers to put more money into the tax credits and have formed a political action committee. Donating to the PAC are the four investors; Mr. Emanuel’s agency, William Morris Endeavor; and the Teamsters union. To rally public support, the studio offers public tours. “Please don’t hesitate to contact your state representative,” Mr. Nelson tells visitors. “Tell them you’ve been here, you believe in it, so please appropriate enough money so it will work.”


Mr. Nelson said that if the state did not improve the incentives, the Pontiac studio would probably shut down. For now, the soundstages are empty. Filming wrapped up last month on a Warner Brothers movie called “Black Sky.” It is about a town ravaged by deadly tornadoes.

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