Northeast storm disrupts travel for sports teams

Several professional and college sports teams were forced to rearrange their travel plans as a massive storm swept through the Northeast, dumping a few feet of snow in some areas.

The NBA's New York Knicks were stuck in Minnesota after playing the Timberwolves on Friday night, hoping to try to fly home sometime Saturday. The San Antonio Spurs were also staying overnight in Detroit after seeing their 11-game winning streak fall to the Pistons, awaiting word on when they might be able to fly to New York for their game Sunday night at Brooklyn.

"We can't get there tonight — we know that," Spurs coach Gregg Popovich said. "So we're going to stay here tonight and try to get there (Saturday). Hopefully, we will be able to get there, but at this point, we don't know."

Airlines canceled more than 5,300 flights through Saturday, and New York City's three major airports and Boston's Logan Airport closed.

The Brooklyn Nets planned to take a train home instead of flying from Washington D.C. after losing to the Wizards on Friday night.

Knicks coach Mike Woodson said before a 100-94 victory that his team initially planned to fly home after the game, but the flight had already been postponed. New York is scheduled to play the Los Angeles Clippers at Madison Square Garden on Sunday.

The NHL's Boston Bruins pushed back the start of Saturday's game against the Tampa Bay Lightning by six hours because of the blizzard. The game originally slated for 1 p.m. was rescheduled for 7 p.m., but Boston was expected to be one of the cities hit hardest by the storm.

The storm had dumped more than 2 feet of snow on New England by early Saturday and knocked out power to 650,000 customers. The National Weather Service said up to 3 feet of snow is expected in Boston, threatening the city's 2003 record of 27.6 inches.

The Bruins and Lightning each already had road games scheduled for Sunday night.

The New Jersey Devils were still scheduled to host the Pittsburgh Penguins at 1 p.m., while the New York Islanders were slated to play at home against the Buffalo Sabres at 7 p.m.

Two Ivy League men's college basketball games that were scheduled for Saturday night were moved back to Sunday because of treacherous travel conditions.

Dartmouth will play at Cornell at noon on Sunday in Ithaca, N.Y., and Harvard will visit Columbia at 2 p.m. Sunday in New York. Dartmouth played at Columbia on Friday night, and Harvard played at Cornell. Two other Ivy League games were still scheduled to be played Saturday night, with Yale visiting Princeton and Brown playing at Pennsylvania.

Aqueduct also called off Saturday's card because of the storm. The track and Belmont Park were expected to remain open for wagering on out-of-town races, with racing scheduled to resume Sunday.

Read More..

In Nigeria, Polio Vaccine Workers Are Killed by Gunmen

At least nine polio immunization workers were shot to death in northern Nigeria on Friday by gunmen who attacked two clinics, officials said.

The killings, with eerie echoes of attacks that killed nine female polio workers in Pakistan in December, represented another serious setback for the global effort to eradicate polio.

Most of the victims were women and were shot in the back of the head, local reports said.

A four-day vaccination drive had just ended in Kano State, where the killings took place, and the vaccinators were in a “mop-up” phase, looking for children who had been missed, said Sarah Crowe, a spokeswoman for the United Nations Children’s Fund, one of the agencies running the eradication campaign.

Dr. Mohammad Ali Pate, Nigeria’s minister of state for health, said in a telephone interview that it was not entirely clear whether the gunmen were specifically targeting polio workers or just attacking the health centers where vaccinators happened to be gathering early in the morning. “Health workers are soft targets,” he said.

No one immediately took responsibility, but suspicion fell on Boko Haram, a militant Islamist group that has attacked police stations, government offices and even a religious leader’s convoy.

Polio, which once paralyzed millions of children, is now down to fewer than 1,000 known cases around the world, and is endemic in only three countries: Nigeria, Pakistan and Afghanistan.

Since September — when a new polio operations center was opened in the capital and Nigeria’s president, Goodluck Jonathan, appointed a special adviser for polio — the country had been improving, said Dr. Bruce Aylward, chief of polio eradication for the World Health Organization. There have been no new cases since Dec. 3.

While vaccinators have not previously been killed in the country, there is a long history of Nigerian Muslims shunning the vaccine.

Ten years ago, immunization was suspended for 11 months as local governors waited for local scientists to investigate rumors that it caused AIDS or was a Western plot to sterilize Muslim girls. That hiatus let cases spread across Africa. The Nigerian strain of the virus even reached Saudi Arabia when a Nigerian child living in hills outside Mecca was paralyzed.

Heidi Larson, an anthropologist at the London School of Hygiene and Tropical Medicine who tracks vaccine issues, said the newest killings “are kind of mimicking what’s going on in Pakistan, and I feel it’s very much prompted by that.”

In a roundabout way, the C.I.A. has been blamed for the Pakistan killings. In its effort to track Osama bin Laden, the agency paid a Pakistani doctor to seek entry to Bin Laden’s compound on the pretext of vaccinating the children — presumably to get DNA samples as evidence that it was the right family. That enraged some Taliban factions in Pakistan, which outlawed vaccination in their areas and threatened vaccinators.

Nigerian police officials said the first shootings were of eight workers early in the morning at a clinic in the Tarauni neighborhood of Kano, the state capital; two or three died. A survivor said the two gunmen then set fire to a curtain, locked the doors and left.

“We summoned our courage and broke the door because we realized they wanted to burn us alive,” the survivor said from her bed at Aminu Kano Teaching Hospital.

About an hour later, six men on three-wheeled motorcycles stormed a clinic in the Haye neighborhood, a few miles away. They killed seven women waiting to collect vaccine.

Ten years ago, Dr. Larson said, she joined a door-to-door vaccination drive in northern Nigeria as a Unicef communications officer, “and even then we were trying to calm rumors that the C.I.A. was involved,” she said. The Iraq and Afghanistan wars had convinced poor Muslims in many countries that Americans hated them, and some believed the American-made vaccine was a plot by Western drug companies and intelligence agencies.

Since the vaccine ruse in Pakistan, she said, “Frankly, now, I can’t go to them and say, ‘The C.I.A. isn’t involved.’ ”

Dr. Pate said the attack would not stop the newly reinvigorated eradication drive, adding, “This isn’t going to deter us from getting everyone vaccinated to save the lives of our children.”

Aminu Abubakar contributed reported from Kano, Nigeria.

Read More..

U.S. Use of Mexican Battery Recyclers Is Faulted

United States companies are sending spent lead batteries to recycling plants in Mexico that do not meet American environmental standards, according to an environmental agency created under the North American Free Trade Agreement, putting Mexican communities at risk.

In a blistering report submitted this week, the agency, the Commission for Environmental Cooperation, notes that the United States does not fully follow procedures common among developed nations that treat international battery shipments as hazardous waste. It faults environmental agencies on both sides of the border for lapses in regulation and enforcement. Cross-border trade in lead batteries increased by up to 525 percent from 2004 to 2011, the report said.

The report, which has been circulating in draft form, has been forwarded to the governments of the United States, Canada and Mexico, which have 60 days to object to its publication. An estimated 20 percent of lead acid batteries from the United States now go to Mexico for recycling, according to trade statistics.

“There needs to be better coordination between government agencies and better cross-border tracking,” said Evan Lloyd, who was the agency’s executive director until late last year and oversaw the yearlong study.

The report highlighted a number of shortcomings: Customs data on the number of batteries crossing the border did not mesh with counts by the United States Environmental Protection Agency. Though the E.P.A. requires notice of batteries leaving the United States, there was no effort to make sure that they had arrived at qualified recyclers in Mexico. The data that battery companies sent to the E.P.A. about exports consisted of “piles of paper,” Mr. Lloyd said, and it was never amassed into an electronic database that would be “useful to regulators.”

Almost all lead acid batteries used in the United States are recycled to extract the lead for reuse because lead is a dangerous pollutant and because it is a valuable commodity. Lead batteries are used in vehicles, cellphone towers and wind turbines.

Since 2008, new United States limits on lead pollution have made domestic recycling complicated and costly. That has helped propel the recycling trade to Mexico, both legally and illegally, environmental groups say, because that country has less stringent limits for lead pollution, and far less vigorous enforcement.

“There’s a pretty consistent pattern suggesting that exports are the direct result of U.S. emissions standards,” said Perry Gottesfeld, executive director of Occupational Knowledge International, which has led the campaign against lead poisoning internationally. Mr. Gottesfeld noted that a Mexican plant owned by a major American recycler, Johnson Controls Inc., puts out more than 30 times as much lead emissions as its newest plant in the United States.

“What Mexico needs to do is to get its recycling up to U.S. standards, and the U.S. needs to do a much better job of tracking batteries overseas,” he said. In an e-mail, Johnson Controls, based in Milwaukee, said it was “modernizing and reinvesting” in the Mexican facility, acquired in 2005, “to reduce its environmental footprint.”

The report was initiated in response to a report by Occupational Knowledge International and Fronteras Comunes, a Mexican environmental group, as well as to an investigative article in The New York Times, Mr. Lloyd said. Soil collected by The Times in a school playground near a recycling plant outside Mexico City was found to have lead levels five times those allowed in the United States.

Lead poisoning causes high blood pressure, kidney damage and abdominal pain in adults, and serious developmental delays and behavioral problems in young children. When batteries are broken for recycling, the lead is released as dust and, during melting, as lead-laced emissions.

In the United States, recyclers operate in highly mechanized, tightly sealed plants, with smokestack scrubbers and extensive monitors to detect lead release. Plants in Mexico vary greatly in safety standards, and in some, the recycling process is little more than men with hammers smashing batteries and melting down their contents in furnaces.

In recent months, there have been new efforts to curb the flow of batteries south of the border, though many battery makers have fought that. In response to a draft of the report released late last year, Battery Council International, an industry group, said it opposed “the creation of additional burdensome certification programs.”

Last year, the United States General Services Administration, which is responsible for federal vehicles, asked ASTM International, an independent standards agency, to explore a voluntary standard for battery recycling.

But that effort came to naught after the proposal was voted down at an open meeting attended by representatives from industry, government and environmental groups in December. Of the 103 people at the meeting, 49 worked for Johnson Controls.

This article has been revised to reflect the following correction:

Correction: February 9, 2013

An earlier version of this article misstated part of the name of an American recycler cited by Perry Gottesfeld, executive director of Occupational Knowledge International, as the owner of a Mexican plant that puts out more than 30 times as much lead emissions as the company’s newest plant in the United States. The American recycling company is Johnson Controls Inc., not Johnson Controls International.

Read More..

IHT Rendezvous: 'Downton Abbey' vs. 'Girls': Who's Happier?

BROOKLYN — Can we have too much freedom?

Page Two

Posts written by the IHT’s Page Two columnists.

That’s the question behind my latest Currents column, where I discuss what “Downton Abbey” and “Girls,” two wildly popular television shows set 100 years apart, have to tell us about ourselves and our society — especially when it comes to personal freedom and its consequences.

What begins on ‘‘Downton’’ as a new liberty to follow your heart, to dare love that others find unwise, has culminated in ‘‘Girls’’ in romantic pursuits that are dully mercenary and often unwise. The daughters of the sexual revolution are depicted without much agency: far from being conquerors, initiators, even equals, the girls of ‘‘Girls’’ are reactors, giving in to an ex who changes his mind, or a gay man wanting to try something, or a financier seeking a threesome that he manages to upgrade to (traditionally twosome) marriage.

I discussed the dangers of today’s freedoms with Rendezvous’s editor, Marcus Mabry, in this video, here and below. (I also argue that today’s India is “Downton.”)

Do you agree with my analysis of the drawbacks of what we call Western-style freedom? Is there a happy medium between the strictures of “Downton Abbey” and the ceaseless longing of “Girls”? In the video, I suggest Latin America is a modern society that, in places, has found the balance between personal freedoms and a collective sense of belonging. What society or country or group would you nominee?

Read More..

Illini buzzer-beater upsets No. 1 Hoosiers, 74-72

CHAMPAIGN, Ill. (AP) — At this rate, no one will want to be No. 1.

Indiana became the fifth straight top-ranked men's college basketball team to lose, falling to unranked Illinois 74-72 on a buzzer-beater by Tyler Griffey on Thursday night.

The senior forward took an inbounds pass with 0.9 seconds to play and made a wide-open layup. And, just like that, the Hoosiers — who moved into the top spot by beating then-No. 1 Michigan just a few days ago — went down.

Indiana coach Tom Crean, whose team has been No. 1 for a total of seven weeks this season after opening there, doesn't know why the top spot is suddenly so hard to hang on to.

"I can't answer that. I'm not sure," Crean said. "I just know that these games are 40-minute games. We played at a high level for most of the game."

The Hoosiers (20-3, 8-2 Big Ten) were in charge until the final 3 1/2 minutes when the Illini (16-8, 3-7 Big Ten) finally put together a run to take and then retake the lead.

"I know this: When we turn the ball over, we're not very good," Crean said. "And the biggest difference tonight was 28 points off turnovers to our 16."

Hoosiers guard Jordan Hulls said flatly that the top rank had nothing to do with Thursday's loss, even for a team that some worried might be looking past unranked, slumping Illinois to a meeting Sunday with No. 10 Ohio State.

"We just didn't execute when we needed to," he said.

If Indiana falls from No. 1 on Monday, No. 2 Florida might not be a candidate to replace the Hoosiers after the Gators' loss this week to Arkansas. That could put No. 3 Michigan back on top if they can make it to Monday without a loss.

For the Hoosiers, nothing could have been worse than the way Thursday's game ended.

With 0.9 seconds, Griffey left defenders Cody Zeller and Christian Watford behind on an inbounds play from the baseline, took the pass from Brandon Paul and delivered the uncontested buzzer-beater.

The shot sent hundreds of students onto the court, though they waited as officials checked the replay to make sure the clock hadn't beaten Griffey. Once the basket was upheld, Paul and fellow guard D.J. Richardson hugged and teared up in relief.

Illinois had endured an awful run since starting 12-0. The Illini had since lost eight of 11 and fallen to 10th in the 12-team Big Ten.

Griffey, who had struggled as bad as any Illini player, seemed surprised at how easily the winning shot came.

"I just made a simple curl cut and left two guys behind me, and Brandon got off a heck of a pass," he said. "Zeller and Watford were both right in front of me and just kind of stayed there."

Crean said the play was a lot like the other breakdowns in the Hoosiers' game that let Illinois climb back from a 12-point halftime deficit.

"We didn't communicate," he said.

Indiana's loss drops them into a three-way tie for first in the Big Ten with Michigan and Michigan State. The win moves the Illini up into a ninth-place tie with Iowa but, more importantly, provides a potential lifeline ahead of a meeting Sunday at No. 18 Minnesota.

"It was good to get back to having that toughness and togetherness and trust that we needed," Illinois coach John Groce said.

Illinois also added a plank to what may be one of the oddest resumes of any team in the country trying to make the NCAA tournament. Illinois has lost to Purdue, Northwestern and twice to Wisconsin. But coming into Thursday night, the Illini had already beaten three teams now in the top 15: No. 6 Gonzaga, No. 10 Ohio State and No. 14 Butler.

Before Thursday, Illinois hadn't beaten a No. 1 team since a win over Wake Forest in 2004.

Richardson had 23 points for Illinois, Paul had 21 and Griffey finished with 14 points and eight rebounds.

Zeller led Indiana with 14 points, while Will Sheehey had 13, Watford 12 and Hulls 11.

Indiana shot 50 percent from the field (25 of 50), 52.9 percent from 3-point range (9 of 17) and 93 percent from the free throw line (13 of 14). The Hoosiers led by an eight- to 10-point margin for most of the second half.

When 6-foot-11 Nnanna Egwu fouled out with just under 5 minutes to play, Indiana appeared in control. Watford made both free throws and, at 69-59, the Illini looked done.

But Richardson went on a one-man run, first burying back-to-back 3-pointers and then hitting a midrange jumper on the run to tie it at 70 with 1:17 to play.

With the clock under 30 seconds and the game tied at 72, Indiana had the ball for what would have been a last shot but Victor Oladipo coughed up the ball. Richardson picked it up and tried a breakaway layup that Oladipo just swatted out of bounds to set up the final play.

Groce credited Richardson for providing a spark.

"I thought he was absolutely terrific on both ends of the floor," Groce said. "He battled, he fought."

Griffey was benched several weeks ago after a blowout loss at Wisconsin. On a team that had lost its shooting touch, the senior forward had especially struggled. And, though one of Illinois' bigger players at 6-9, he wasn't adding much to the inside presence the Illini desperately needed.

Groce said that, even after he benched Griffey, he never gave up on him.

"I just have told him numerous times here I believe in him," the first-year Illinois coach said. "I do."

Read More..

The New Old Age: The Executor's Assistant

I’m serving as executor for my father’s estate, a role few of us are prepared for until we’re playing it, so I was grateful when the mail brought “The American Bar Association Guide to Wills and Estates” — the fourth edition of a handbook the A.B.A. began publishing in 1995.

This is a legal universe, I’m learning, in which every step — even with a small, simple estate that owes no taxes and includes no real estate or trusts — turns out to be at least 30 percent more complicated than expected.

If my dad had been wealthy or owned a business, or if we faced a challenge to his will, I would have turned the whole matter over to an estate lawyer by now. But even then, it would be helpful to know what the lawyer was talking about. The A.B.A. guide would help.

Written with surprising clarity (hey, they’re lawyers), it maps out all kinds of questions and decisions to consider and explains the many ways to leave property to one’s heirs. Updated from the third edition in 2009, the guide not only talks taxes and trusts, but also offers counsel for same-sex couples and unconventional families.

If you want to permit your second husband to live in the family home until he dies, but then guarantee that the house reverts to the children of your first marriage, the guide tells you how a “life estate” works. It explains what is taxable and what isn’t, and discusses how to choose executors and trustees. It lists lots of resources and concludes with an estate-planning checklist.

In general, the A.B.A. intends its guide for the person trying to put his or her affairs in order, more than for family members trying to figure out how to proceed after someone has died. But many of us will play both these parts at some point (and if you are already an executor, or have been, please tell us how that has gone, and mention your state). We’ll need this information.

---

Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

Read More..

Postal Service Posts Loss of $1.3 Billion in First Quarter

WASHINGTON — Holiday shipping and the 2012 election helped the Postal Service stems its losses, but the agency’s financial woes continued in the first quarter, which ended Dec 31.

The Postal Service posted a $1.3 billion loss in the first quarter, compared with a $3.1 billion loss over the same period last year. The agency said the first quarter has traditionally been one of its strongest periods.

Total mail volume continued to decline, however. Mail volume was 43.5 billion pieces for the quarter, down from 43.6 billion in earlier year, according to agency officials.

Revenue from first-class mail, which provides the bulk of the revenue for the Postal Service, declined $237 million, or 3.1 percent, from the same period last year, with a decrease in volume of 834 million pieces, or 4.5 percent. Revenue from advertising mail increased $141 million, or 3.1 percent, in the first quarter compared with the same period last year on a volume increase of 783 million pieces, or 3.6 percent. The increase is largely attributable to official election mail and political campaign advertising related to the presidential and Congressional elections mailed during the quarter, which began Oct. 31.

The agency’s shipping and packaging business increased by $154 million, or 4.7 percent, over 2012 first-quarter results, fueled by the growth of online shopping and the continuing success of Postal Service marketing campaigns to promote shipping services.

The agency also said that it cut its operating costs to $18.9 billion from $20.9 billion over the same period last year, a decrease of 9.8 percent. The agency attributed the savings to a number of cost-cutting measures it has undertaken, including staff reductions and the consolidation of some of its mail processing centers.

But postal officials said the agency’s actions alone are not enough.

“The encouraging results from our holiday mailing season cannot sustain us as we move deeper into the current fiscal year and face continuing financial challenges,” said Patrick R. Donahoe, the postmaster general. “We urgently need Congress to do its part and pass legislation that allows us to better manage our costs and gives us the commercial flexibility needed to operate more like a business does. This will help ensure the future success of the Postal Service and the mailing industry it supports.”

The agency announced earlier this week that it would seek to move to a new delivery schedule beginning the week of Aug. 5. The post office would stop delivering or picking up mail on Saturdays, ending a practice that goes back to the 1890s. Packages would continue to be delivered Monday through Saturday. The Postal Service said the change would result in an annual cost savings of approximately $2 billion if the new delivery plan is fully implemented.

Members of Congress, postal unions and some businesses strongly oppose the move. But Mr. Donahoe said the Postal Service's dire financial situation calls for drastic measures.

Current projections show the Postal Service will have less than five days of operating cash reserves by the end of the 2013 fiscal year, which the post office said would leave it unable to react to possible economic downturns or other issues.

The Postal Service wants Congress to remove a 2006 requirement that it pay nearly $5.5 billion a year for health benefits to future retirees, a mandate imposed on no other government agency, that officials have said has crippled the post office. The agency defaulted on two payments last year for the first time and said it would not be able to pay them this year. The agency also wants to be able to enter into new areas, like shipping beer and wine through the mail, which is currently prohibited.

Last April, the Senate passed a bill that would have allowed the Postal Service to ship beer and wine, reduced its work force, and allowed the agency to recoup more than $11 billion it overpaid into an employee pension fund. The Senate refused to stop Saturday deliveries. The House has taken no action on its own postal overhaul.

“Our liquidity concerns can only be fully resolved if Congress takes action to address our unsustainable business model, including resolving the overly aggressive payment schedule to prefund retiree health benefits,” said Joseph Corbett, the agency’s chief financial officer. “The Postal Service will continue to prioritize payments to our employees and suppliers ahead of those to the federal government to ensure that we maintain high-quality customer service.”

Read More..

Lens Blog: Sirkka-Liisa Konttinen's Photos of Her Newcastle Neighborhood

On clear days in Newcastle-Upon-Tyne, a small yet bustling working-class city in northeast England, the view from the hills of Byker can be spectacular. That shabby neighborhood’s rows of brick houses and terraced streets overlook a historic city center, the river and sometimes far beyond.

Those vistas were rare in 1969, when Sirkka-Liisa Konttinen, a 21-year-old Finnish photographer, arrived. The landscape was cloaked in an industrial fog belched from the coal and shipbuilding industries.

Despite the grayness, the laughter and vivacity that radiated from this close-knit community appealed to Ms. Konttinen. It welcomed a young foreigner whose presence stoked curiosity, but also generosity. They joked with her in pubs. Some of the older women took her under their wing — she kindled a protective instinct in them.

“People were baffled by my choice to live there,” Ms. Konttinen recalled. “Not that many people had any idea where Finland was, but if they did, they thought it such a beautiful clean country, and why would I choose to come to Byker?”

She had ventured there because of Amber Collective, a progressive documentary project that she helped found, which chronicled the lives of working people in northeast England. The group was formed in London by a handful of students who made a film following Vietnam War demonstrations at Grosvenor Square that turned violent. Titled “All You Need Is Dynamite,” it was just a student effort, but its makers found they shared a philosophy.

Before long, they had relocated to Newcastle.

The city was in decline. Urban planners sought flashy new development projects, and some sections, like Byker, were scheduled for demolition. Ms. Konttinen was unaware that she was documenting a place that was about to disappear. Not drawn to gloomy topics, she found the place spirited and interesting.

“Initially, I don’t think we ever thought that we need to document it because it will be the only thing left for people to remember the place and what the area was like,” she said. “I personally have never felt that that was my mission.”

The Amber Collective has produced an enormous amount of material, dating back decades, that is focused on the communities of northeast England, although Ms. Konttinen’s Byker pictures are probably the collective’s best-known project. That work was published as a book in 1983; Amber also released a film companion of the same name, and in 2011 her documentation was registered with the Unesco U.K. Memory of the World. For the first time, the series as a whole will be shown in the United States, on view at the L. Parker Stephenson Gallery from Feb. 15 through May 18. Ms. Konttinen will also deliver a lecture at the International Center for Photography on Feb. 13.

In recent years, she returned to Byker. The new Byker is changed — more on that Friday — and the changes required her to reconsider her approach when she decided to photograph it. The newer project, “Byker Revisited,” is a result of a far more collaborative endeavor. Not that she hadn’t collaborated in other ways with a subject before. Her 1971 photo of Heather (Slide 3) brought about one such relationship.

“I heard music coming from a derelict house,” she said. “This was one of the last terraces before the final demolition, and there were no steps left to the house, but upstairs I heard music, piano, coming out the windows.”

She entered the house, climbing a rickety staircase to where the music was coming from. She found a girl, Heather, “playing the piano, banging the notes that were kind of stuck and unstuck.”

Ms. Konttinen and Heather started talking, and Ms. Konttinen taught her a simple tune.

“I told her if she ever wanted to come and play, she could come and play it again on my piano,” Ms. Konttinen said. Heather showed up a few days later, with her little brother. On Ms. Konttinen’s piano, they played the tune together.

---

Friday: Returning to Byker, in color.

“Byker” will be on view at the L. Parker Stephenson Gallery from Feb. 15 through May 18. Ms. Konttinen will also deliver a lecture at the International Center for Photography on Feb. 13.

Follow Lens on Facebook and Twitter.

Read More..

TCU shocks Kansas, 1st losing streak in 7 years

FORT WORTH, Texas (AP) — Kansas coach Bill Self's Big 12 bullies are suddenly beatable.

Even against the league newcomer that hadn't won a conference game.

The fifth-ranked Jayhawks have their first losing streak in more than seven years after trailing throughout in a 62-55 loss Wednesday night at TCU, which had never before beaten a top 5 team.

"It's not so much that we lost, it's just so much to me that we were kind of the bullies of the league, and we let people think they could whip us," Self said. "And when they did, everybody now thinks they can whip us."

Four days after an 85-80 home loss to Oklahoma State ended their nation-best 18-game overall winning streak and 33-game streak at Allen Fieldhouse, the Jayhawks went more than 7 minutes from the tip before finally scoring.

Kansas (19-3, 7-2 Big 12) had played 264 games in a row since January 2006 without consecutive losses, the longest active streak in Division I.

Against TCU (10-12, 1-8), the Jayhawks looked nothing like the team that has won or shared 12 of the league's 16 regular-season titles — and now has company at the top of the Big 12 standings with 13th-ranked Kansas State.

They trailed 22-13 at halftime on 3-of-22 shooting, the fewest points and field goals in a half since Kansas started keeping those records nearly 25 years ago.

"It was the worst team that Kansas ever put on the floor, since Dr. Naismith was there," Self said. "I think he had some bad teams when he lost to Topeka YMCA and things like that in the first couple years. But for the first half, there hasn't been a team play worse than that offensively."

Instead of a bounce-back win, Kansas had six turnovers and missed its first four shots before finally scoring 7:17 into the game. Ben McLemore's bounce pass to Jamari Traylor for a layup made it 8-2, but the Jayhawks then went 8 more minutes before making another field goal.

The Jayhawks finished 29.5 percent from the field (18 of 61), their worst in 514 games — since making only 15 of 51 shots (29.4 percent) against Kentucky on Dec. 1, 1998. It was their lowest-scoring game since also scoring 55 in an NCAA tournament loss to UCLA on March 24, 2007.

They made only 3-of-22 from 3-point range, including two in the final minute.

McLemore led Kansas with 15 points, 13 after halftime. Jeff Withey had 12 points and Naadir Tharpe 11.

"We knew going in that we would have to play extremely well, offensively, defensively, extremely hard, and they were going to have to help us out," said first-year TCU coach Johnson said. "When I said help us, obviously they missed a lot of shots they probably would make."

Garlon Green scored 20 points for the Horned Frogs, including five in a row after a late 17-4 Kansas spurt.

"It means a lot. Obviously we've had some tough years," said Green, a senior forward. "We've had a tough year right now, but this is a big win. We need to carry this momentum."

TCU played the first of three games in six days. The Frogs host fellow league newcomer West Virginia on Saturday and go to Oklahoma on Monday night.

Kansas, which plays at Oklahoma on Saturday, hasn't lost three games in a row since February 2005 — a stretch with games that went to overtime and double-overtime.

Tharpe scored nine points in a 2-minute span for Kansas, with a 3-pointer and six consecutive free throws, before a basket by Withey with 6:49 left got the Jayhawks within 44-40 — the closest they got after TCU's game-opening spurt.

After Tharpe missed a 3-pointer on a break, Adrick McKinney slung a pass inside to Green for a layup. McLemore, the Big 12's top freshman scorer, missed an open 3-pointer before Green had a three-point play to stretch the TCU lead back to 49-40.

"Everybody came to play today," said Connell Crossland, who had eight points and 15 rebounds for TCU. "I just saw everybody was ready (in warmups). That's when I knew it was going to be a good game. And we pulled it off."

The record sellout crowd of 7,412 fans in the Daniel-Meyer Coliseum included a large portion of loud Jayhawks fans, but they filed out quietly after this game while TCU students stormed the court to celebrate.

"All teams go through funks, but we're certainly in probably the worst funk that I've ever seen a Kansas team be in," Self said. "Just a bad, bad, bad night. Not a good team right now. ... This thing has turned on a dime and it could certainly continue to turn worse if we don't right the ship real soon."

Read More..

Well: Think Like a Doctor: A Confused and Terrified Patient

The Challenge: Can you solve the mystery of a middle-aged man recovering from a serious illness who suddenly becomes frightened and confused?

Every month the Diagnosis column of The New York Times Magazine asks Well readers to sift through a difficult case and solve a diagnostic riddle. Below you will find a summary of a case involving a 55-year-old man well on his way to recovering from a series of illnesses when he suddenly becomes confused and paranoid. I will provide you with the main medical notes, labs and imaging results available to the doctor who made the diagnosis.

The first reader to figure out this case will get a signed copy of my book, “Every Patient Tells a Story,” along with the satisfaction of knowing you solved a case of Sherlockian complexity. Good luck.

The Presenting Problem:

A 55-year-old man who is recovering from a devastating injury in a rehabilitation facility suddenly becomes confused, frightened and paranoid.

The Patient’s Story:

The patient, who was recovering from a terrible injury and was too weak to walk, had been found on the floor of his room at the extended care facility, raving that there were people out to get him. He was taken to the emergency room at the Waterbury Hospital in Connecticut, where he was diagnosed with a urinary tract infection and admitted to the hospital for treatment. Doctors thought his delirium was caused by the infection, but after 24 hours, despite receiving the appropriate antibiotics, the patient remained disoriented and frightened.

A Sister’s Visit:

The man’s sister came to visit him on his second day in the hospital. As she walked into the room she was immediately struck by her brother’s distress.

“Get me out of here!” the man shouted from his hospital bed. “They are coming to get me. I gotta get out of here!”

His brown eyes darted from side to side as if searching for his would-be attackers. His arms and legs shook with fear. He looked terrified.

For the past few months, the man had been in and out of the hospital, but he had been getting better — at least he had been improving the last time his sister saw him, the week before. She hurried into the bustling hallway and found a nurse. “What the hell is going on with my brother?” she demanded.

A Long Series of Illnesses:

Three months earlier, the patient had been admitted to that same hospital with delirium tremens. After years of alcohol abuse, he had suddenly stopped drinking a couple of days before, and his body was wracked by the sudden loss of the chemical he had become addicted to. He’d spent an entire week in the hospital but finally recovered. He was sent home, but he didn’t stay there for long.

The following week, when his sister hadn’t heard from him for a couple of days, she forced her way into his home. There she found him, unconscious, in the basement, at the bottom of his staircase. He had fallen, and it looked as if he may have been there for two, possibly three, days. He was close to death. Indeed, in the ambulance on the way to the hospital, his heart had stopped. Rapid action by the E.M.T.’s brought his heart back to life, and he made it to the hospital.

There the extent of the damage became clear. The man’s kidneys had stopped working, and his body chemistry was completely out of whack. He had a severe concussion. And he’d had a heart attack.

He remained in the intensive care unit for nearly three weeks, and in the hospital another two weeks. Even after these weeks of care and recovery, the toll of his injury was terrible. His kidneys were not working, so he required dialysis three times a week. He had needed a machine to help him breathe for so long that he now had to get oxygen through a hole that had been cut into his throat. His arms and legs were so weak that he could not even lift them, and because he was unable even to swallow, he had to be fed through a tube that went directly into his stomach.

Finally, after five weeks in the hospital, he was well enough to be moved to a short-term rehabilitation hospital to complete the long road to recovery. But he was still far from healthy. The laughing, swaggering, Harley-riding man his sister had known until that terrible fall seemed a distant memory, though she saw that he was slowly getting better. He had even started to smile and make jokes. He was confident, he had told her, that with a lot of hard work he could get back to normal. So was she; she knew he was tough.

Back to the Hospital:

The patient had been at the rehab facility for just over two weeks when the staff noticed a sudden change in him. He had stopped smiling and was no longer making jokes. Instead, he talked about people that no one else could see. And he was worried that they wanted to harm him. When he remained confused for a second day, they sent him to the emergency room.

You can see the records from that E.R. visit here.

The man told the E.R. doctor that he knew he was having hallucinations. He thought they had started when he had begun taking a pill to help him sleep a couple of days earlier. It seemed a reasonable explanation, since the medication was known to cause delirium in some people. The hospital psychiatrist took him off that medication and sent him back to rehab that evening with a different sleeping pill.

Back to the Hospital, Again:

Two days later, the patient was back in the emergency room. He was still seeing things that weren’t there, but now he was quite confused as well. He knew his name but couldn’t remember what day or month it was, or even what year. And he had no idea where he was, or where he had just come from.

When the medical team saw the patient after he had been admitted, he was unable to provide any useful medical history. His medical records outlined his earlier hospitalizations, and records from the nursing home filled in additional details. The patient had a history of high blood pressure, depression and alcoholism. He was on a long list of medications. And he had been confused for the past several days.

On examination, he had no fever, although a couple of hours earlier his temperature had been 100.0 degrees. His heart was racing, and his blood pressure was sky high. His arms and legs were weak and swollen. His legs were shaking, and his reflexes were very brisk. Indeed, when his ankle was flexed suddenly, it continued to jerk back and forth on its own three or four times before stopping, a phenomenon known as clonus.

His labs were unchanged from the previous visit except for his urine, which showed signs of a serious infection. A CT scan of the brain was unremarkable, as was a chest X-ray. He was started on an intravenous antibiotic to treat the infection. The thinking was that perhaps the infection was causing the patient’s confusion.

You can see the notes from that second hospital visit here.

His sister had come to visit him the next day, when he was as confused as he had ever been. He was now trembling all over and looked scared to death, terrified. He was certain he was being pursued.

That is when she confronted the nurse, demanding to know what was going on with her brother. The nurse didn’t know. No one did. His urinary tract infection was being treated with antibiotics, but he continued to have a rapid heart rate and elevated blood pressure, along with terrifying hallucinations.

Solving the Mystery:

Can you figure out why this man was so confused and tremulous? I have provided you with all the data available to the doctor who made the diagnosis. The case is not easy — that is why it is here. I’ll post the answer on Friday.

---

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

Correction: The patient’s eyes were brown, not blue.

Read More..