Well: Turning to the Web for a Medical Diagnosis

Thirty-five percent of American adults said they have used the Internet to diagnose a medical condition for themselves or someone else, according to a new Pew Research Center study. Women are more likely than men to turn to the Internet for diagnoses. Other groups more likely to do so are younger people, white adults, people with college degrees and those who live in households with income above $75,000.

The study, released by Pew’s Internet and American Life Project on Tuesday, points out that Americans have always tried to answer their health questions at home, but that the Internet has expanded the options for research. Previous surveys have asked questions about online diagnoses, but the Pew study was the first to focus on the topic with a nationally representative sample, said Susannah Fox, an associate director at Pew Internet. Surveyors interviewed 3,014 American adults by telephone, from August to September 2012.

Of the one in three Americans who used the Internet for a diagnosis, about a third said they did not go to a doctor to get a professional medical opinion, while 41 percent said a doctor confirmed their diagnosis. Eighteen percent said a doctor did not agree with their diagnosis. As far as where people start when researching health conditions online, 77 percent said they started at a search engine like Google, Bing or Yahoo, while 13 percent said they began at a site that specializes in health information.

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Almacenamiento en nubes crecerá y permanecerá por años






(Paquete Tecnológico)


México, 13 Ene. (Notimex).- Ante el crecimiento de la industria de almacenamiento en nubes híbridas abiertas y ampliables, se prevé que esta tendencia se mantenga por muchos años más, anticipó Red-Hat.






Lo anterior debido al crecimiento de este sector en los últimos años, como consecuencia de la demanda en la aparición de datos no estructurados e implementaciones de nubes híbridas abiertas.


Durante 2013 el panorama de la industria informática no sólo cambiará, sino que la innovación en estos espacios surgirá al ritmo que los clientes necesiten y no al paso que imponen los proveedores, estimó la compañía de soluciones de código abierto (open source).


Para ello, prevé el surgimiento de soluciones de almacenamiento que ofrezcan un enfoque unificado para la obtención, el aprovisionamiento y la gestión de los datos de las empresas.


Explicó que estas deberán ser independientes de la clase de datos, tales como de archivos, objetos, bloques y datos semi-estructurados o no estructurados.


Al implementar estas soluciones, las empresas obtendrán grandes beneficios que se traducirán en menores gastos y en mayores niveles de servicio para sus usuarios finales, expuso la firma tecnológica.


Asimismo, consideró que el uso de software de almacenamiento de código abierto por parte de las empresas en lugar de software de almacenamiento propietario gravitará hacia el enfoque de código abierto para resolver los desafíos de almacenamiento de dicho sector.


Destacó que el rol del administrador de almacenamiento cambiará radicalmente con las implementaciones de nubes híbridas abiertas y se enfocarán en asegurar que el almacenamiento en el centro de datos funcione de manera óptima.


NTX/ILC/MDT


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Evan Connell, U.S. author of Custer history, dead at 88: publisher






WASHINGTON (Reuters) – U.S. writer Evan S. Connell, a versatile author whose widely acclaimed non-fiction account of Custer’s Last Stand, “Son of the Morning Star,” became a best seller, has died at 88, his publisher said.


Connell, who lived and worked in Santa Fe, New Mexico, died late on Wednesday after several years of declining health, Counterpoint Press of Berkeley, California, said on its website.






A novelist, short-story writer and poet, Connell was the author of 17 books. His best-known novels were “Mrs. Bridge” (1959) and “Mr. Bridge” (1969), intersecting tales about the stunted lives of a Kansas City lawyer and his wife.


Washington Post reviewer Webster Schott called “Mr. Bridge” a “tour de force of contemporary American realism, a beautiful work of fiction.”


The novels were made into a film in 1990, “Mr. and Mrs. Bridge,” starring Paul Newman and Joanne Woodward.


Connell was perhaps best known for “Son of the Morning Star” (1984), about the 1876 Battle of the Little Bighorn in which Indian warriors wiped out Lieutenant Colonel George Armstrong Custer and his 250 men.


“More significant men of his time can be discussed without passion because they are inextricably woven into a tapestry of the past, but this hotspur refuses to die. He stands forever on that dusty Montana slope,” he wrote.


“Son of the Morning Star” became a best seller, drew critical acclaim and was made into an ABC television mini-series. Time magazine named it one of the best books of the 1980s.


A writer who was hard to categorize, Connell also wrote about the life of a Navy pilot, which he had been in World War Two; medieval alchemy; the Crusades; and the inner life of a rapist.


In 2010 Connell was awarded the Robert Kirsch Award, a Los Angeles Times Book Prize, for “a living author with a substantial connection to the American West, whose contribution to American letters deserves special recognition.”


He was nominated in 2009 for the Man Booker International Prize for lifetime achievement.


Connell was born on August 17, 1924, in Kansas City, Missouri, and attended Dartmouth College and the University of Kansas. He was also an alumnus of Stanford and Columbia universities.


(Reporting by Ian Simpson; Editing by Eric Beech)


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Susan Nolen-Hoeksema, Psychologist Who Studied Depression in Women, Dies at 53





Susan Nolen-Hoeksema, a psychologist and writer whose work helped explain why women are twice as prone to depression as men and why such low moods can be so hard to shake, died on Jan. 2 in New Haven. She was 53.







Andrew Sacks

Susan Nolen-Hoeksema at the University of Michigan in 2003. Dr. Nolen-Hoeksema's research showed that women were more prone to ruminate, or dwell on the sources of problems rather than solutions, more than men.







Her death followed heart surgery to correct a congenitally weak valve, said her husband, Richard Nolen-Hoeksema.


Dr. Nolen-Hoeksema, a professor at Yale University, began studying depression in the 1980s, a time of great excitement in psychiatry and psychology. New drugs like Prozac were entering the market; novel talking therapies were proving effective, too, particularly cognitive behavior therapy, in which people learn to defuse upsetting thoughts by questioning their basis.


Her studies, first in children and later in adults, exposed one of the most deceptively upsetting of these patterns: rumination, the natural instinct to dwell on the sources of problems rather than their possible solutions. Women were more prone to ruminate than men, the studies found, and in a landmark 1987 paper she argued that this difference accounted for the two-to-one ratio of depressed women to depressed men.


She later linked rumination to a variety of mood and behavior problems, including anxiety, eating disorders and substance abuse.


“The way I think she’d put it is that, when bad things happen, women brood — they’re cerebral, which can feed into the depression,” said Martin Seligman, a professor of psychology at the University of Pennsylvania, who oversaw her doctoral work. “Men are more inclined to act, to do something, plan, beat someone up, play basketball.”


Dr. Seligman added, “She was the leading figure in sex differences in depression of her generation.”


Dr. Nolen-Hoeksema wrote several books about her research for general readers, including “Women Who Think Too Much: How to Break Free of Overthinking and Reclaim Your Life.” These books described why rumination could be so corrosive — it is deeply distracting; it tends to highlight negative memories — and how such thoughts could be alleviated.


Susan Kay Nolen was born on May 22, 1959, in Springfield, Ill., to John and Catherine Nolen. Her father ran a construction business, where her mother was the office manager; Susan was the eldest of three children.


She entered Illinois State University before transferring to Yale. She graduated summa cum laude in 1982 with a degree in psychology.


After earning a Ph.D. in psychology at the University of Pennsylvania, she joined the faculty at Stanford. She later moved to the University of Michigan, before returning to Yale in 2004.


Along the way she published scores of studies and a popular textbook. In 2003 she became the editor of the Annual Review of Clinical Psychology, an influential journal.


Dr. Nolen-Hoeksema moved smoothly between academic work and articles and books for the general reader.


“I think part of what allowed her to move so easily between those two worlds was that she was an extremely clear thinker, and an extremely clear writer,” said Marcia K. Johnson, a psychology professor and colleague at Yale.


Dr. Nolen-Hoeksema lived in Bethany, Conn. In addition to her husband, a science writer, she is survived by a son, Michael; her brothers, Jeff and Steve; and her father, John.


“Over the past four decades women have experienced unprecedented growth in independence and opportunities,” Dr. Nolen-Hoeksema wrote in 2003, adding, “We have many reasons to be happy and confident.”


“Yet when there is any pause in our daily activities,” she continued, “many of us are flooded with worries, thoughts and emotions that swirl out of control, sucking our emotions and energy down, down, down. We are suffering from an epidemic of overthinking.”


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Some Illinois coal plants looking to clean up









BALDWIN, Ill. ——





Nowhere is coal's effect more visible than here at Illinois' largest coal-fired power plant, where the train cars are flipped upside down, tracks and all, to feed boilers the size of skyscrapers.


Once reviled as one of the dirtiest coal plants in the U.S., today the Baldwin plant is a different kind of poster child.





Last month, Houston-based Dynegy Inc. completed $1 billion in environmental upgrades at Baldwin and its three sister Illinois plants, a calculated bet that it will emerge as one of the coal plant operators left standing as rivals are clobbered by a depressed electricity market that leaves little money to add federally mandated pollution controls.


Dynegy's move, together with the closures of several coal-fired plants in and around Chicago, should add up to cleaner air for Cook County, which has consistently failed to meet federal health standards for air quality.


The pollution spewing from three massive smokestacks at Baldwin, about a five-hour drive southwest of Chicago, had plagued the city and other downwind communities for decades, contributing to the smog and soot that trigger asthma and other ailments.


"Hundreds of people in the state have died in recent years and thousands have been sickened simply because they had no choice but to breathe the pollution being pumped out by huge coal power plants. What we are starting to see now are the real health benefits of legal enforcement actions taken years ago," said Brian Urbaszewski, director of environmental health programs for the Respiratory Health Association of Metropolitan Chicago.


The closures of the coal-burning Crawford and Fisk power plants in Chicago and the State Line plant just across the border in Indiana mirror a story playing out across the country. The abundance of natural gas, a cheaper fuel than coal, has cut into profits of coal plant operators just as states and the federal government have pressed for expensive pollution upgrades.


The Brattle Group, a financial consulting firm, predicts that one-fourth of the nation's coal-fired electricity will be wiped off the map by 2016; more than 100 coal-fired generating units have been mothballed since 2009. The state's other two major coal plant owners — Ameren Corp.'s generating arm and Edison International's Midwest Generation — largely have been cast off by their parent companies because of poor financial performance. And they have pleaded with regulators for more time to meet pollution standards.


As a result of upgrades, it is more costly to operate Baldwin and Dynegy's other Illinois coal plants in Wood River, Havana and Hennepin than those of competitors. But Dynegy doesn't expect that to be a burden long term. Fewer players making electricity means surviving power plant operators will receive higher payments from grid operators that pay reservation fees for power.


"There's short-term pain until you flush the noncompliers out of the game," said Robert Flexon, Dynegy's president and chief executive.


Longer term, if coal-fired plants keep closing as Dynegy anticipates, it expects to earn $100 million more per year beginning in 2016 in so-called capacity payments from grid operators.


Cleaning up


Dynegy's decision to upgrade its plants was not altogether altruistic. The improvements stem from a 2005 settlement with the Environmental Protection Agency and the Department of Justice that set deadlines for the company to clean up its plants or close them.


The Baldwin plant, an hour's drive from St. Louis, is massive; its white smokestack plumes can be seen for miles in this flat farming area. Its fuel comes in by rail.


The cars, brimming with 120 tons of coal every 2 1/2 minutes, are flipped over, rails and all, only to return full in an eight-day loop that begins in Wyoming. The amount of coal burned every two months is enough to fill Willis Tower.


It is just the start of a laborious process that strips the coal of toxic pollutants. Truckloads of lime are shipped to the plant each day to supply the sulfur dioxide scrubbers. After the coal is burned, the resulting coal gas is piped to the building-size scrubbers, each containing 20 nozzles that spray a mixture of limestone and ash to chemically remove the sulfur dioxide.


The pollutants bind to the slurry mixture, drop to the bottom and are recycled, while the coal gas pushes through to two smaller buildings called "bag houses," essentially giant filters that catch tiny particles that would otherwise enter the air.


To avoid nitrogen oxide emissions, the coal is burned at a lower temperature.


All told, improvements since 1998 have reduced 93 percent of sulfur dioxide emissions, 85 percent of nitrogen oxide emissions and 88 percent of particulate matter emissions, according to Dynegy.


"All that's really coming out that stack now is carbon dioxide and water vapor," Dave Glosecki, Baldwin's maintenance director, told a group during a recent plant tour.





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Reddit co-founder Aaron Swartz dies from suicide









Even as an eighth-grader in Winnetka, Aaron Swartz showed signs of the computer wizardry that would lead to his Internet activism and development of software used by websites worldwide.

But the Highland Park native who had attended North Shore Country Day School in Winnetka and as a 13-year-old had created an online public encyclopedia for a school competition got into trouble as an adult.






He faced trial in April on federal charges that he had illegally downloaded millions of journal articles from the Massachusetts Institute of Technology with the intention of posting them to a file-sharing site.

The prospect of the trial was too much for him, his family said. Swartz, 26, committed suicide inside his New York apartment, authorities said Saturday.

In a statement sent through a spokesman, his family said Swartz hanged himself the day before out of worry that he faced more than 30 years in federal prison.

“Aaron’s insatiable curiosity, creativity, and brilliance; his reflexive empathy and capacity for selfless, boundless love; his refusal to accept injustice as inevitable — these gifts made the world, and our lives, far brighter,” the statement in part read.

Along with developing an early version of rich site summary, or RSS, technology, Swartz is credited with co-founding the popular Reddit website that allows users to vote for their favorite news stories of the day.

Increasingly active in efforts to make information more readily available on the Internet, he also founded Demand Progress, a lobbying group that advocates for civil liberties and government reform.

In that role, Swartz led a successful effort to stymie the Stop Online Piracy Act, a bill introduced in the U.S. House of Representatives in 2011, which sought to restrict access to websites that illegally shared copyrighted property. The bill was eventually withdrawn after widespread protests.

“He refined advocacy for the progressive and open-information movement,” said David Moon, program director for Demand Progress. “He was ultimately pretty brilliant at that.”

On Saturday, Swartz’s death spurred an outpouring of sympathy and tributes throughout social media, many of which hailed his multiple accomplishments at a young age.

Several commenters heaped scorn upon federal prosecutors in Massachusetts for indicting Swartz in 2011. He was accused of downloading millions of academic journal articles and breaking into a university closet to plug into the school’s computer network, which prompted charges of computer fraud, wire fraud and other crimes. Swartz had pleaded not guilty.

A spokeswoman for the U.S. attorney’s office in Massachusetts declined to comment, citing the family’s privacy.

Moon, who met Swartz in 2010 and last saw him about a month ago, declined to speak in detail about the circumstances surrounding his death.

“The stresses he was facing was obvious, and those who know him can attest to that,” Moon said.

Tribune wire services contributed.

Saho@tribune.com
cdrhodes@tribune.com

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Oracle Corp to fix Java security flaw “shortly”






BOSTON (Reuters) – Oracle Corp said it is preparing an update to address a flaw in its widely used Java software after the U.S. Department of Homeland Security urged computer users to disable the program in web browsers because criminal hackers are exploiting a security bug to attack PCs.


“A fix will be available shortly,” the company said in a statement released late on Friday.






Company officials could not be reached on Saturday to say how quickly the update would be available for the hundreds of millions of PCs that have Java installed.


The Department of Homeland Security and computer security experts said on Thursday that hackers figured out how to exploit the bug in a version of Java used with Internet browsers to install malicious software on PCs. That has enabled them to commit crimes from identity theft to making an infected computer part of an ad-hoc computer network that can be used to attack websites.


Java is a computer language that enables programmers to write software utilizing just one set of codes that will run on virtually any type of computer, including ones that use Microsoft Corp’s Windows, Apple Inc’s OS X and Linux, an operating system widely employed by corporations. It is installed in Internet browsers to access web content and also directly on PCs, server computers and other devices that use it to run a wide variety of computer programs.


Oracle said in its statement that the recently discovered flaw only affects Java 7, the program’s most-recent version, and Java software designed to run on browsers.


Java is so widely used that the software has become a prime target for hackers. Last year, Java surpassed Adobe Systems Inc’s Reader software as the most frequently attacked piece of software, according to security software maker Kaspersky Lab.


Java was responsible for 50 percent of all cyber attacks last year in which hackers broke into computers by exploiting software bugs, according to Kaspersky. That was followed by Adobe Reader, which was involved in 28 percent of all incidents. Microsoft Windows and Internet Explorer were involved in about 3 percent of incidents, according to the survey.


The Department of Homeland Security said attackers could trick targets into visiting malicious websites that would infect their PCs with software capable of exploiting the bug in Java.


It said an attacker could also infect a legitimate website by uploading malicious software that would infect machines of computer users who trust that site because they have previously visited it without experiencing any problems.


They said developers of several popular tools, known as exploit kits, used by criminal hackers to attack PCs, have added software that allows hackers to exploit the newly discovered bug in Java.


Security experts have been scrutinizing the safety of Java since a similar security scare in August, which prompted some of them to advise using the software only on an as-needed basis.


At the time, they advised businesses to allow their workers to use Java browser plug-ins only when prompted for permission by trusted programs such as GoToMeeting, a Web-based collaboration tool from Citrix Systems Inc.


Java suffered another setback in October when Apple began removing old versions of the software from Internet browsers of Mac computers after its customers installed new versions of its OS X operating system. Apple did not provide a reason for the change and both companies declined to comment at the time.


(Reporting by Jim Finkle; editing by Gunna Dickson)


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Miss New York is crowned Miss America






(Reuters) – Miss New York won the 2013 Miss America crown on Saturday at the annual pageant which tapped into the reality TV format by incorporating fan participation that pulled one contestant into the semifinals.


Mallory Hytes Hagan, 23, scored in the talent competition with a tap dance to James Brown‘s “Get Up Offa That Thing,” and wowed judges with an unadorned, off-the-shoulder white evening gown.






“Oh, my God, thank you!” Hagan, from Brooklyn, said as she was crowned at the end of the two-hour live broadcast from Las Vegas’ Planet Hollywood Resort & Casino on ABC.


The first runner-up was South Carolina’s Ali Rogers, followed by Alicia Clifton from Oklahoma, Wyoming’s Lexie Madden and Miss Iowa, Mariah Cary.


Montana’s Alexis Wineman, who has spoken about having been diagnosed with autism when she was 11, was chosen by fans online and made it to the semifinals. Fourth runner-up Cary discussed having Tourette’s syndrome.


The judging panel, which included teenage Olympic gold-medal gymnast McKayla Maroney, “Dancing With the Stars” dancer Cheryl Burke, former Miss America Katie Stam Irk, former “Entertainment Tonight” host Mary Hart and ABC weatherman Sam Champion, was permitted to return one eliminated contestant to the semi-finalists’ pool. They chose Washington’s Mandy Schendel.


In the competition’s final segment, each of the five finalists answered a question about current events. Hagan was asked whether, in the wake of the Newtown school massacre, armed guards should be put in schools.


“I don’t think the proper way to fight violence is with violence,” she said, indicating she opposes the idea.


Hagan, whose crown comes with a $ 50,000 college scholarship, said education and other measures such as extended waiting periods for gun ownership were more appropriate.


The pageant, held since 1921, is put on by the Miss America Organization.


Contestants compete in local and state pageants before going on to the national competition. In all, 53 women representing the 50 U.S. states, the Virgin Islands, Washington and Puerto Rico vied for the title.


(Reporting by Chris Michaud in New York; Editing by Xavier Briand)


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City Room: Cuomo Declares Public Health Emergency Over Flu Outbreak

With the nation in the grip of a severe influenza outbreak that has seen deaths reach epidemic levels, New York State declared a public health emergency on Saturday, making access to vaccines more easily available.

There have been nearly 20,000 cases of flu reported across the state so far this season, officials said. Last season, 4,400 positive laboratory tests were reported.

“We are experiencing the worst flu season since at least 2009, and influenza activity in New York State is widespread, with cases reported in all 57 counties and all five boroughs of New York City,” Gov. Andrew M. Cuomo said in a statement.

Under the order, pharmacists will be allowed to administer flu vaccinations to patients between 6 months and 18 years old, temporarily suspending a state law that prohibits pharmacists from administering immunizations to children.

While children and older people tend to be the most likely to become seriously ill from the flu, Mr. Cuomo urged all New Yorkers to get vaccinated.

On Friday, the Centers for Disease Control and Prevention in Atlanta said that deaths from the flu had reached epidemic levels, with at least 20 children having died nationwide. Officials cautioned that deaths from pneumonia and the flu typically reach epidemic levels for a week or two every year. The severity of the outbreak will be determined by how long the death toll remains high or if it climbs higher.

There was some evidence that caseloads may be peaking, federal officials said on Friday.

In New York City, public health officials announced on Thursday that flu-related illnesses had reached epidemic levels, and they joined the chorus of authorities urging people to get vaccinated.

“It’s a bad year,” the city’s health commissioner, Dr. Thomas A. Farley, told reporters on Thursday. “We’ve got lots of flu, it’s mainly type AH3N2, which tends to be a little more severe. So we’re seeing plenty of cases of flu and plenty of people sick with flu. Our message for any people who are listening to this is it’s still not too late to get your flu shot.”

There has been a spike in the number of people going to emergency rooms over the past two weeks with flulike symptoms – including fever, fatigue and coughing – Dr. Farley said.

Mayor Michael R. Bloomberg and Mr. Cuomo made a public display of getting shots this past week.

In a briefing with reporters on Friday, officials from the C.D.C. said that this year’s vaccine was effective in 62 percent of cases.

As officials have stepped up their efforts encouraging vaccinations, there have been scattered reports of shortages. But officials said plenty of the vaccine was available.

According to the C.D.C., makers of the flu vaccine produced about 135 million doses for this year. As of early this month, 128 million doses had been distributed. While that would not be enough for every American, only 37 percent of the population get a flu shot each year.

Federal health officials said they would be happy if that number rose to 50 percent, which would mean that there would be more than enough vaccine for anyone who wanted to be immunized.

Two other diseases – norovirus and whooping cough – are also widespread this winter and are contributing to the number of people getting sick.

The flu can resemble a cold, though the symptoms come on more rapidly and are more severe.

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The story behind Tribune's broken deal































































At the end of 2007, real estate tycoon Sam Zell took control of Tribune Co. in a deal that promised to re-energize the media conglomerate. But the company struggled under the huge debt burden the deal created, and less than a year later, it filed for bankruptcy.

One of Chicago's most iconic companies — parent to the Chicago Tribune — was propelled into a protracted and in many ways unprecedented odyssey through Chapter 11 reorganization.

On Dec. 31, after four years, Tribune Co. finally emerged from court protection under new ownership, but at a heavy cost. The company's value was diminished, its reputation was tarnished and its ability to respond to market opportunities during its long bankruptcy was constrained.

Tribune Co.'s bankruptcy saga began as an era of superheated Wall Street deal-making fueled by cheap money was coming to an end. The company's tale is emblematic of the American financial crisis itself, in which a seemingly insatiable appetite for speculative risk using exotic investment instruments helped trigger an economic collapse of historic proportions.

Tribune reporters Michael Oneal and Steve Mills, in a four-part series that begins today, tell the story of Tribune Co.'s journey into and through bankruptcy, throwing a spotlight on the key decisions and missed opportunities that marked a perilous time in the history of the company, the media industry and the economy.



Read the full story, "Part one: Zell's big gamble," as a digitalPLUS member.
To view videos and photos and for a look at the rest of the series visit, chicagotribune.com/brokendeal.





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