Michelle Obama wears Wu to the balls again

WASHINGTON (AP) — Michelle Obama made it a fashion tradition Monday night, wearing a custom-made Jason Wu gown to the inauguration balls. The ruby-colored dress was a follow-up to the white gown Wu made for her four years ago when she was new to Washington, the pomp and circumstance, and the fashion press.

She now emerged in velvet and chiffon as a bona fide trendsetter.

"I can't believe it. It's crazy," said Wu, reached at his Manhattan studio. "To have done it once was already the experience of my life. To have a second time is tremendous."

President Barack Obama also struck a similar style chord to his first-term inaugural balls: He wore a white tie with his tuxedo.

The red halter dress was the only one Wu, who went from fashion insider to household name on this night in 2009, submitted for Mrs. Obama's consideration. He collaborated with jeweler Kimberly McDonald on the jeweled neckline. "For this occasion, it had to be real diamonds," Wu said.

He said he felt the dress showed how he has grown up as a designer — and how Mrs. Obama's style has evolved to be even more confident.

The first family headed out to inaugural festivities earlier on Monday with Mrs. Obama leading a very coordinated fashion parade in a navy-silk, checkered-patterned coat and dress by Thom Browne that were inspired by a menswear necktie.

The outfit was specifically designed for Mrs. Obama, but Browne said he wasn't 100 percent sure she was going to wear it until she came out with it on at Inauguration. "I am proud and humbled," he said.

The rest of Mrs. Obama's Inauguration Day outfit included a belt from J. Crew, necklace by Cathy Waterman and a cardigan by Reed Krakoff, whose ensemble she also wore to yesterday's intimate, indoor swearing-in ceremony.

Obama wore a blue tie with his white shirt, dark suit and overcoat. Malia Obama had on a plum-colored J. Crew coat with the hemline of an electric-blue dress peeking out and a burgundy-colored scarf, and her younger sister Sasha had on a Kate Spade coat and dress in a similar purple shade.

"It is an honor that Sasha Obama chose to wear Kate Spade New York," said the company's creative director, Deborah Lloyd, in an email to the Associated Press. "She epitomizes the youthful optimism and colorful spirit of the brand. We are so proud to have been a part of this historic moment."

Jenna Lyons, creative director of J. Crew, said it was "a huge point of pride for all of us" to be a part of the day — as the brand was back in 2009 when the girls wore outfits by CrewCuts, its children's label.

"It's amazing to see the evolution of the family. I love the way Michelle looks. She looks beautiful in something so clean and tailored. It's such an elegant choice," Lyons said, "and they all look so sophisticated! You can see how the girls have grown up in the four years, and they're still so alive and vibrant, but more sophisticated."

The vice president's wife, Jill Biden, wore a gray coat and dress by American designer Lela Rose.

Mrs. Obama has worn Browne's designs for other occasions, including a gray dress with black lace overlay to one of the presidential debates last fall, and she honored him last summer at the Smithsonian's Cooper-Hewitt National Design Awards for his contribution to fashion.

Browne made his name in modern — very modern — menswear, but he launched womenswear in 2011. He was in Paris on Monday, just finishing previews for his next menswear collection. The idea to use the tie fabric came to him because he was indeed designing these men's clothes at the same time, he explained.

"I wanted 'tailored' for her. For me, she stands for strength and confidence, and that's what I wanted to design for her," he said.

Simon Collins, dean of the school of fashion at Parsons The New School for Design in New York, said the Obamas dressed in their typical fashion: one that shows pride in their appearance.

"They are a stylish couple and their children look fabulous. Too many people get dressed in the dark," he said. "They show it's good to dress up, take pride in how you look. ... It's a wonderful example for America and the rest of the world."

He also noted that the Obamas seem to understand that the fashion industry is a driving force in the U.S. economy and that its lobby is a powerful one. They don't treat fashion frivolously, he observed.

The first lady "is so supportive of so many American designers," Browne noted.

But Collins said he was a bit surprised the public doesn't pay much attention to the president's wardrobe. He joked that Obama should perhaps try one of Browne's signature shrunken suits — the ones that show a man's ankles.

At the end of the Inaugural festivities, Mrs. Obama's outfit and accompanying accessories will go to the National Archives.

___

Samantha Critchell tweets fashion at (at)AP_Fashion, and can be reached on Twitter at (at)Sam_Critchell.

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The New Old Age Blog: The Brutal Truth of 'Amour'

It has been a few days since I left the movie theater in a bit of a daze, and I’m still thinking about “Amour.”

So much of this already much-honored film rings utterly true: the way a long-married Parisian couple’s daily routines, their elegant life of books and music and art, can be upended in a moment. The tender care that Georges (Jean-Louis Trintignant) provides for Anne (Emmanuelle Riva) as multiple strokes claim her body and her mind, and the inexorable way that care wears them both down. Their withdrawal into a proud dyad that seeks and accepts little help from outsiders, even family. “We’ve always coped, your mother and I,” Georges tells their daughter.

The writer and director Michael Haneke’s previous movies, which I haven’t seen, tend to be described as shocking, violent, even punitive. “Amour,” which Times critic Manohla Dargis called a masterpiece, includes one brief spasm of violence, but the movie remains restrained, not graphic. It’s brutal only because life, and death, can be brutal.

Is popular culture paying more attention to aging and caregiving? In the last couple of years, I have written about these subjects surfacing in a YouTube series (“Ruth & Erica”), in movies like “The Iron Lady,” in novels like Walter Mosley’s “The Last Days of Ptolemy Grey.”

A couple of weeks back, watching a play called “The Other Place,” starring the remarkable Laurie Metcalfe, I suddenly realized that the dynamic physician and businesswoman onstage had some sort of early-onset dementia. Dementia seems a particularly popular subject, in fact. Intrinsically dramatic, it suffuses the Mosley novel and Alice LaPlante’s “Turn of Mind,” and some of my favorite movies about aging, “Away From Her,” “Iris” and “The Savages.”

“Kings Point,” Sari Gilman’s compelling documentary about a retirement community in Florida where nobody seemed to expect to grow old, just won an Oscar nomination for best short-subject documentary and will be shown on HBO in March. And “Amour,” which won the Palme d’Or at Cannes, is up for five Academy Awards, including best picture, best director and a best actress nomination for the 85-year-old Ms. Riva. (Academy voters: Just give it to her.)

A number of these artists, Mr. Haneke included, have spoken about their own experiences with aged relatives. Perhaps, as the population ages and more people confront the consequences, the stories our culture tells itself have evolved to include more old people, more caregivers. Or maybe I just want that to be true.

“Do not go see this,” my movie-going buddy had been warned, probably because her mother has dementia and friends who had seen the film wanted to spare her. I know some people found “Amour” too slow-paced or claustrophobic — like many elderly couples’ lives, it basically takes place in four rooms — or too grim. (If you’ve seen it, tell us what you thought.)

If you’re a full-time caregiver or you’re coping with a relative with dementia, perhaps you would prefer to spend your 2 hours 7 minutes of precious time off watching something funny. Escapism has its virtues.

But I found “Amour” unflinching and provocative and beautiful.

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

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FAA steps up investigation of Boeing 787 Dreamliner

The investigation into battery problems on the much-heralded Boeing 787 Dreamliner expanded to the plane's Japanese battery manufacturer and the Arizona makers of other electronic components.

Federal Aviation Administration officials Monday joined authorities in Japan who are looking into the manufacturing process at the Kyoto maker of the lithium-ion battery that caught fire on two recent Dreamliner flights, prompting the FAA last week to ground the plane.

Federal regulators have already eliminated one potential cause of the battery problems: The National Transportation Safety Board concluded over the weekend that a battery that caught fire on a Dreamliner in Boston was not overcharged. The NTSB is an independent federal agency that investigates civil aviation accidents.

The Dreamliner, Boeing's most advanced commercial plane, has been plagued by mechanical problems, most recently the battery that caught fire on a Japan Airlines 787 in Boston on Jan. 7 and one that burned Jan. 16 on an All Nippon Airways 787 and prompted an emergency landing in southwestern Japan.

All Nippon and Japan Airlines, which combined operate more than half of all Dreamliners, have canceled flights on the plane through Jan. 28.

The outcome of the investigation could determine whether Boeing's $200-milion planes can get back in the air soon or must undergo a major redesign of their auxiliary power system.

Although older planes rely on much heavier hydraulic systems, the Dreamliner uses lithium-ion batteries and electronic motors, making the 787 lighter and 20% more fuel efficient than other wide-body planes.

The investigation into the battery problems continues as NTSB investigators head to Phoenix on Tuesday to talk to officials at UTC Aerospace Systems, the company that built the plane's auxiliary power controller.

They also plan to visit Securaplane Technologies, the Tucson aerospace component maker that builds the Dreamliner's battery charger.

Representatives for UTC and Securaplane said the companies will cooperate with the investigation.

"UTC Aerospace Systems is fully supporting the Boeing and the Federal Aviation Administration's joint review of 787 systems," said Dan Coulom, a spokesman for the company, who declined to comment further.

On Monday, Japan's transport minister sent investigators to GS Yuasa Corp., the manufacturer of the lithium-ion batteries. They returned Tuesday to continue the inquiry. An FAA investigator and a technical advisor are assisting the Japanese team in the investigation.

"We're checking whether the batteries for the 787 were made as designed and went through a complete quality-control process," said Tatsuyuki Shimazu, an engineer at the Civil Aviation Bureau in Japan.

The NTSB said Sunday that an examination of flight recorder data from the Japan Airlines 787 in Boston shows that the auxiliary power battery did not exceed its designed 32 volts. Photos released by the NTSB show a battery with a charred black interior and front panel.

Meanwhile, Boeing has not delayed production of the nearly 800 Dreamliner planes it has committed to deliver to dozens of airlines around the world.

The Boeing assembly plant in Everett, Wash., continues to build the planes at a rate of five a month but won't deliver any until the FAA lifts its order grounding the Dreamliner, Boeing spokesman Doug Alder Jr. said.

Boeing officials declined to discuss what, if any, compensation the Chicago plane manufacturer must pay the airlines for any setback in deliveries.

But aerospace analysts say that if the battery problems lead to lengthy delays, the carriers are likely to ask Boeing for compensation or a discount on the delivery of future planes.

"It's usually a gentleman's agreement that they are going to make some kind of recompense in some manner," said Wayne Plucker, the aerospace industry manager for the consulting firm Frost & Sullivan in Mountain View, Calif. "They don't like introducing lawyers into the mess."

If the investigation finds fault with the lithium-ion battery, Plucker said Boeing may have to turn to heavier nickel-cadmium batteries. A new battery would force Boeing to redesign its electrical system and add weight to the planes, he added.

"This could put them between a rock and a hard place," Plucker said.

But Richard L. Aboulafia, an aerospace analyst with Teal Group Corp., a research firm in Fairfax, Va., said he believes the problem could be as simple as a bad batch of batteries. Under such a scenario, the Dreamliner could replace the bad batteries and be back in the air quickly, he said.

But he added: "There's still an awful lot we don't know."

hugo.martin@latimes.com

Yuriko Nagano, special correspondent in Tokyo, contributed to this report.

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With Obama fundraising, Latinos demonstrate growing clout

WASHINGTON — Cecilia Soto-Loftus, co-founder of a Malibu party services company, was new to presidential politics when she started raising money for President Obama's reelection bid last year.

After pulling in more than $400,000, she is getting the red carpet treatment at this weekend's inaugural festivities, with invitations to a strategy briefing for top fundraisers, a VIP candlelight reception and the official inaugural ball.

The special access reflects the unusual role Soto-Loftus and other Latino fundraisers played in Obama's 2012 campaign, the first to focus on tapping Latino celebrities, lawyers, business owners and community leaders for cash. The effort, called the Futuro Fund, aimed to raise $6 million — and brought in more than $30 million.

"It really sent a strong message that we shouldn't be overlooked," said Soto-Loftus, a Boyle Heights native who hopes to be considered for an ambassadorship, perhaps to Costa Rica or the Bahamas. "And I think we have only hit the tip of the iceberg."

Though $30 million was a small slice of Obama's record $1.1-billion haul, the Futuro Fund inducted a new cohort of donors into national politics, and created a Latino fundraising network that other politicians are clamoring to access. Most importantly, the group's work demonstrated the growing clout of Latinos beyond the ballot box.

"This is practically the final frontier in terms of what we need to be doing as political players in this country," said Arturo Vargas, executive director of the National Assn. of Latino Elected and Appointed Officials. "We've had the elected officials. We've had the activists. We've had the voters. And now we have the donors."

Democrats are using the inauguration to cement ties with the new class of donors.

Obama named actress Eva Longoria, a co-founder of the Futuro Fund, as co-chairwoman of his inaugural committee. And on Sunday night, Vice President Joe Biden made a surprise appearance at a gala performance of legendary Latino artists including Jose Feliciano, Rita Moreno and Chita Rivera that Longoria hosted at the Kennedy Center. The event was the culmination of Latino Inaugural 2013, a three-day celebration organized by the Futuro Fund.

"In this election, you spoke in a way that the world — and I mean the world, as well as the United States — could not fail to hear," Biden said as he thanked the black-tie crowd.

The proximity to power has given Latino fundraisers a new avenue to push their policy agenda. During the campaign, Longoria and others pressed Obama to overhaul immigration laws. Now they aim to continue advocating for immigration reform, for more Latinos in the administration, and for a host of other issues.

"We're going to be able to have influence on what affects our communities, whether it's the economy or jobs or education or healthcare," Longoria said before taking the stage Sunday night.

"The work begins now," noted Henry R. Muñoz III, owner of a San Antonio architecture firm. "It's all about how we harness and leverage what we have been able to achieve."

He and Longoria started the fund with San Juan lawyer Andres Lopez, an early backer of Obama who was frustrated when few other Latino fundraisers participated in the 2008 campaign. "We hadn't shown our financial muscle and hadn't earned the respect at that very important table we thought we could earn," Lopez said.

In mid-2011, the trio made their pitch to Obama campaign manager Jim Messina and finance chairman Matthew Barzun during a meeting in Chicago: Make time for us on the president's fundraising schedule, and we will bring in money.

"We originally offered [to raise] $6 million, and they said, 'Do you think you can do 12?' And we said, 'We'll try,'" Muñoz recalled.

A large share came at high-dollar events, such as a fundraiser Obama headlined at the Los Angeles home of actors Antonio Banderas and Melanie Griffith. But organizers also worked the phones. Concern about the GOP presidential challengers, who quarreled in the primaries over who would be tougher on illegal immigrants, helped spur contributions.

Latino donors "just didn't feel that the Republicans even understood their point of view," Lopez said. "And frankly, a lot of them said, 'I've never been asked,' which was our hunch."

Alex Nava, a 36-year-old commercial litigation lawyer in San Antonio, had given a few hundred dollars to Obama's 2008 campaign. He felt little incentive to give more, he said, because "any money I gave would be lost in the larger shuffle."

Then Muñoz called and explained how they hoped to demonstrate Latino fundraising power.

"I wanted to be part of that," said Nava, who donated the $5,000 maximum to the 2012 campaign.

A similar sentiment motivated Amalia Perea Mahoney, a 59-year-old art gallery owner in Chicago. Mahoney volunteered for Obama's campaign in 2008, but had never raised money. That changed after she attended a Futuro Fund briefing at Obama headquarters.

"I thought it was a great tool to get the Latinos a seat at the table," said Mahoney, who ultimately brought in between $200,000 and $500,000.

Some of the wooing was done by Obama, who met with about 20 prominent Latinos at a Washington hotel in early 2012.

"We felt part of the process, not just on the bleachers watching," said Ralph Patino, a 55-year-old trial lawyer in Coral Gables, Fla. He now has a photo of Obama with the group displayed in his law firm.

He and his wife, Elizabeth, gave more than $150,000 to the campaign and the Democratic Party, along with nearly $10,000 to the inaugural committee. They were among top donors who met the president and first lady, as well as Biden and his wife, at the White House on Friday.

Elizabeth Patino, a 37-year-old lawyer, said she was now contemplating jumping into politics, perhaps running for city commissioner this spring.

"I didn't know that I had this piece in me that really likes the political world," she said. "I was always somewhat afraid of it. But seeing how Latinos could come together and make such a great impact on a national level — it's just intoxicating."

matea.gold@latimes.com

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Notre Dame hoax tip was emailed: Deadspin.com editor

CHICAGO (Reuters) – The tip that led to the revelation that one of the most widely recounted U.S. sports narratives of the past year was a hoax came to the editors of an online sports blog as many of their news tips do: an unsolicited email.

That email led Deadspin.com assignment editor Timothy Burke on the hunt of a story that exposed the heart-wrenching tale of standout Notre Dame linebacker Manti Te’o's dead girlfriend as a fabrication, Burke said on CNN on Thursday.

Te’o sprang to national prominence last fall when the senior co-captain was seen heroically leading the Fighting Irish to an underdog victory against the Michigan State Spartans within days of learning his grandmother had died. Moreover, it was widely reported, Te’o's girlfriend had died of leukemia just hours after his grandmother’s death.

From that point, Te’o's narrative was a prominent feature in coverage of the team, which has a dedicated following and whose games are televised nationally each week.

Notre Dame went on to an undefeated regular season, culminating in a berth in the national championship game, which the Fighting Irish lost to the Alabama Crimson Tide on January 7.

“We got an email last week at Deadspin.com that said ‘Hey, there’s something real weird about Lennay Kekua, Manti Te’o's allegedly dead girlfriend. You guys should check it out,’” Burke said.

The email prompted Burke and co-author Jack Dickey to begin searching online for background on Kekua. “So we start Googling the name Lennay Kekua. We can’t find any evidence of this person that wasn’t attached to stories about her being Manti Te’o's dead girlfriend.”

Their investigation led about a week later to a 4,000-word expose, published Wednesday under the headline “Blarney,” that painstakingly debunked the story of Kekua’s existence. The story went viral online.

Within hours of its publication, officials at Notre Dame, one of the most powerful institutions in college football and U.S. collegiate athletics overall, held a hastily organized press conference to assert that Te’o had been duped in a hoax perpetrated by a friend of his.

The girlfriend, who called herself Kekua and claimed to be a Stanford University graduate, was merely an online persona who “ingratiated herself with Manti and then conspired with others to lead him to believe she had tragically died of leukemia,” university spokesman Dennis Brown said in a statement.

Notre Dame Athletic Director Jack Swarbrick said the university learned of the hoax from Te’o on December 26. Te’o answered questions forthrightly and private investigators uncovered several things that pointed to Te’o being a victim in the case, Swarbrick said.

Deadspin’s Burke said he remains skeptical of this being a hoax perpetrated on Te’o rather than by Te’o.

“Ask yourself why and what incentive a person would have to execute such a lengthy, time-consuming and expensive con that would involve multiple people and essentially consume his entire life just to screw around with a guy that he knows?” Burke said on CNN.

Deadspin.com said the woman whose photograph was frequently shown on TV and in news reports about Kekua was actually a young California woman who had never met or communicated with Te’o. The website declined to identify her by name.

On Thursday, TV newsmagazine “Inside Edition” said the woman in the photograph was a 23-year-old marketing professional in Los Angeles named Diane O’Meara. Inside Edition, which is syndicated by CBS Television Distribution, said O’Meara was a former classmate of one of Te’o's friends. It Aredid not give the friend’s name.

In the expose published Wednesday, Deadspin.com said a friend of Te’o's named Ronaiah Tuiasosopo was “the man behind” the hoax.

Outside Tuiasosopo’s home in Palmdale, California on Thursday, a member of his family who did not identify himself told reporters, “Please, we have no comment. Please respect that.”

The Te’o hoax is the latest black eye Notre Dame’s legendary football program has suffered in recent years.

In 2011, the school was fined $ 42,000 by an Indiana agency over the death of football videographer Declan Sullivan, 20, who died in October 2010 after a hydraulic lift he was using to record practice toppled over in high winds.

In 2010, Elizabeth “Lizzy” Seeberg, a freshman at nearby St. Mary’s College, killed herself ten days after accusing a Notre Dame football player of sexual battery. Her family began questioning the campus police department’s reluctance to gather evidence and a 15-day delay in interviewing the accused.

After a federal investigation into the matter, the school agreed to revise its policies on sexual misconduct.

(Additional reporting by Dan Burns, Dana Feldman, David Bailey and Mary Wisniewski.; Editing by Vicki Allen, Greg McCune and Andrew Hay)

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Legend, 2 Chainz, MC Lyte honored at Hip-Hop Ball

WASHINGTON (AP) — John Legend believes hip-hop played its part in helping Barack Obama become president, and he's proud at how the genre has matured over the years.

"I think hip-hop had a role in making sure we elected a black president in America because we made it so that black people were in people's homes ... through our music and through our culture," the R&B crooner said Sunday night at the Hip-Hop Inaugural Ball.

"I think it made Barack Obama and more people like him possible, so I'm really thankful for hip-hop and the role it plays in society," he continued.

Legend was awarded the humanitarian award at Sunday's event, and it was one of many honors handed out at the Harman Center for Arts.

Hip-hop pioneers MC Lyte and Doug E. Fresh were both given lifetime achievement awards. Fresh even hit the stage, beat boxing while comedian-actor-singer Wayne Brady cooed Marvin Gaye's "What's Going On?" At one point, Brady even busted out his own rhymes.

Rapper Yo Yo earned a roaring cheer when she hit the stage to honor MC Lyte; Lil Mama also paid tribute to the "Ruffneck" rapper.

2 Chainz, who had a breakthrough year with his Grammy-nominated solo debut and multiple rap hits, earned the street soldier award for encouraging young voters as a spokesperson for the Hip-Hop Caucus' "Respect My Vote!" campaign.

"Doing my thing on the charts is one thing, but to be getting honored on another avenue, it just feels like a blessing," he said in an interview. "I'm keeping my head leveled and staying humble."

Actress Rosario Dawson won the vanguard award for her work as chairman of the Voto Latino organization.

"It's time to step out of the shadows. It's time to not just be talked about by other people, it's time to take the leadership ourselves and that first step of leadership is voting," Dawson said of the importance of the Latino vote.

Rappers Swizz Beatz and Meek Mill also earned honors at the event, attended by a few hundred hip-hop fans, including model Tyson Beckford, former NBA star Dikembe Mutumbo and Victor Cruz of the New York Giants. La La Anthony and Terrence J hosted the ball.

British singer Marsha Ambrosius also delivered a rousing performance, and playful jokes about Obama.

"I got a call from the president and he asked me to perform his favorite song," she said before singing the R&B jam "Hope She Cheats on You (With a Basketball Player)."

Then she sang "Butterflies," a song she co-wrote for Michael Jackson's 2001 "Invincible" album.

"This might have been his favorite," she said.

___

Follow Mesfin Fekadu on Twitter at http://twitter.com/MusicMesfin

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Well: A Check on Physicals

“Go Beyond Your Father’s Annual Physical. Live Longer, Feel Better”

This sales pitch for the Princeton Longevity Center’s “comprehensive exam” promises, for $5,300, to take “your health beyond the annual physical.” But it is far from certain whether this all-day checkup, and others less inclusive, make a meaningful difference to health or merely provide reassurance to the worried well.

Among physicians, researchers and insurers, there is an ongoing debate as to whether regular checkups really reduce the chances of becoming seriously ill or dying of an illness that would have been treatable had it been detected sooner.

No one questions the importance of regular exams for well babies, children and pregnant women, and the protective value of specific exams, like a Pap smear for sexually active women and a colonoscopy for people over 50. But arguments against the annual physical for all adults have been fueled by a growing number of studies that failed to find a medical benefit.

Some experts note that when something seemingly abnormal is picked up during a routine exam, the result is psychological distress for the patient, further testing that may do more harm than good, and increased medical expenses.

“Part of the problem of looking for abnormalities in perfectly well people is that rather a lot of us have them,” Dr. Margaret McCartney, a Scottish physician, wrote in The Daily Mail, a British newspaper. “Most of them won’t do us any harm.”

She cited the medical saga of Brian Mulroney, former prime minister of Canada. A CT scan performed as part of a checkup in 2005 revealed two small lumps in Mr. Mulroney’s lungs. Following surgery, he developed an inflamed pancreas, which landed him in intensive care. He spent six weeks in the hospital, then was readmitted a month later for removal of a cyst on his pancreas caused by the inflammation.

The lumps on his lungs, by the way, were benign. But what if, you may ask, Mr. Mulroney’s lumps had been cancer? Might not the discovery during a routine exam have saved his life?

Logic notwithstanding, the question of benefits versus risks from routine exams can be answered only by well-designed scientific research.

Defining the value of a routine checkup — determining who should get one and how often — is especially important now, because next year the Affordable Care Act will add some 30 million people to the roster of the medically insured, many of whom will be eligible for government-mandated preventive care through an annual exam.

Dr. Ateev Mehrotra of the University of Pittsburgh School of Medicine, who directed a study of annual physicals in 2007, reported that an estimated 44.4 million adults in the United States undergo preventive exams each year. He concluded that if every adult were to receive such an exam, the health care system would be saddled with 145 million more visits every year, consuming 41 percent of all the time primary care doctors spend with patients.

There is already a shortage of such doctors and not nearly enough other health professionals — physician assistants and nurse practitioners — to meet future needs. If you think the wait to see your doctor is too long now, you may want to stock up on some epic novels to keep you occupied in the waiting room in the future.

Few would challenge the axiom that an ounce of prevention is worth a pound of cure. Lacking incontrovertible evidence for the annual physical, this logic has long been used to justify it:

¶ If a thorough exam and conversation about your well-being alerts your doctor to a health problem that is best addressed sooner rather than later, isn’t that better than waiting until the problem becomes too troublesome to ignore?

¶ What if you have a potentially fatal ailment, like heart disease or cancer, that may otherwise be undetected until it is well advanced or incurable?

¶ And wouldn’t it help to uncover risk factors like elevated blood sugar or high cholesterol that could prevent an incipient ailment if they are reversed before causing irreparable damage?

Even if there is no direct medical benefit, many doctors say that having their patients visit once a year helps to maintain a meaningful relationship and alert doctors to changes in patients’ lives that could affect health. It is also an opportunity to give patients needed immunizations and to remind them to get their eyes, teeth and skin checked.

But the long-sacrosanct recommendation that everyone should have an annual physical was challenged yet again recently by researchers at the Nordic Cochrane Center in Copenhagen.

The research team, led by Dr. Lasse T. Krogsboll, analyzed the findings of 14 scientifically designed clinical trials of routine checkups that followed participants for up to 22 years. The team found no benefit to the risk of death or serious illness among seemingly healthy people who had general checkups, compared with people who did not. Their findings were published in November in BMJ (formerly The British Medical Journal).

In introducing their analysis, the Danish team noted that routine exams consist of “combinations of screening tests, few of which have been adequately studied in randomized trials.” Among possible harms from health checks, they listed “overdiagnosis, overtreatment, distress or injury from invasive follow-up tests, distress due to false positive test results, false reassurance due to false negative test results, adverse psychosocial effects due to labeling, and difficulties with getting insurance.”

Furthermore, they wrote, “general health checks are likely to be expensive and may result in lost opportunities to improve other areas of health care.”

In summarizing their results, the team said, “We did not find an effect on total or cause-specific mortality from general health checks in adult populations unselected for risk factors or disease. For the causes of death most likely to be influenced by health checks, cardiovascular mortality and cancer mortality, there were no reductions either.”

What, then, should people do to monitor their health?

Whenever you see your doctor, for any reason, make sure your blood pressure is checked. If a year or more has elapsed since your last blood test, get a new one.

Keep immunizations up to date, and get the screening tests specifically recommended based on your age, gender and known risk factors, including your family and personal medical history.

And if you develop a symptom, like unexplained pain, shortness of breath, digestive problems, a lump, a skin lesion that doesn’t heal, or unusual fatigue or depression, consult your doctor without delay. Seek further help if the initial diagnosis and treatment fails to bring relief.

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Atari U.S. operation files for bankruptcy

The U.S. operations of iconic but long-troubled video game maker Atari have filed for bankruptcy in an effort to break free from their debt-laden French parent.

Atari Inc. and three of its affiliates filed petitions for Chapter 11 reorganization in U.S. Bankruptcy Court in New York late Sunday.

Its leaders hope to break the American business free from French parent Atari S.A. and in the next few months find a buyer to take the company private. They hope to grow a modest business focused on digital and mobile platforms, according to a knowledgeable person not authorized to discuss the matter privately.

Although the 31-year-old brand is still known worldwide for its pioneering role with video games such as "Pong" and "Asteroids," Atari has been mired in financial problems for decades. Since the early 2000s it has been closely tied to French company Infogrames, which changed its name to Atari S.A. in 2003 and in 2008 acquired all the gaming pioneer's American assets.

Chief Executive Jim Wilson has been with Atari Inc. since 2008, and in 2010 became CEO of the French parent. The New York-based executive has attempted to rebuild the company, which has just 40 employees in the U.S., by developing games for smartphones and the Web based on well-known properties -- among them a successful "greatest hits" compilation of arcade titles and an updated version of "Pong." He has also licensed the Atari logo for consumer products, a business that provides about 17% of the company's revenue.

There is evidence that the U.S. operation, which after the sale of other assets now makes up the bulk of Atari S.A.'s business, has been improving. The corporate parent has been profitable for the last two fiscal years, save for the effect of a money-losing French subsidiary, Eden Games, that has been up for sale. Before that, neither Atari S.A. nor Infogrames had been profitable for about a decade.

Still, its profits have been small ($11 million and $4 million, respectively, for the last two fiscal years) and revenue plummeted 34% in fiscal 2012 and 43% in fiscal 2011.

But the company's growth potential has been hampered by its near total reliance on London financial company BlueBay Asset Management for cash. A $28-million credit facility with BlueBay lapsed Dec. 31, leaving Atari without the resources to release games currently in the works, including a real-money gambling title titled "Atari Casino."

Efforts to recapitalize the corporation have been unsuccessful, in part because of its complex structure as essentially an American business with a French public stock listing.

Shares in Atari S.A. have dropped in value from more than 11 Euros in 2008 to less than 1 Euro recently.

Atari Inc. has secured a commitment for $5.25 million dollars in debtor-in-possession financing to continue operations and release games. If Chapter 11 is successfully completed, the U.S. business could reemerge with its own resources and little or no debt to BlueBay.

It's not yet clear who might step up to buy Atari Inc., although Wilson will probably seek backers to help him keep control. It's also possible the company could be sold to another buyer, whole or in pieces.

Atari's remaining French businesses would probably seek legal protection to find a buyer or dissolve in that country.

Representatives for Atari S.A. and Bluebay did not immediately respond to requests for comment.

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Obama's second inauguration a mark of progress in its own right

WASHINGTON — The first time Barack Obama ran, the euphoria that attended his election captivated Kamilah Aquil. Then came his presidency, a bracing reality check.

Hope faded. Not enough changed. But for Aquil, that doesn't make Obama a disappointment.

It does make this second inauguration Monday a landmark she never expected and one she considers even more profound than the first. He's not just the first black president, but a man Americans trusted enough, missteps and all, to give another shot at shepherding our country.

That's one reason Aquil, a Los Angeles County probation officer, was headed for Washington last week with her 13-year-old son, Makhi Garvey.

I met them on the flight from Los Angeles, and questioned her — as I have dozens of black strangers in the last few weeks — about her verdict on Obama, who drew a record turnout of black voters in November, but less enthusiasm than in 2008.

Aquil has heard the grumbling that Obama hasn't done enough to relieve black suffering. She doesn't see it that way. "He puts it out on the table and tries to advocate for the country as a whole," she said. "He can only do so much."

Aquil was born and raised in Compton. She veered off track as a teenager, but an adult she admired steered her "off the path of destruction" and pointed her toward college.

She thinks about that when she sees her son watching President Obama. "It's his influence, who he is as an individual," she says, looking beyond the president's politics to praise his patience, tenacity and balance.

For her, and for millions of African Americans whose votes kept Obama in office, this president's reelection didn't turn on the standard question: Are you better off today than you were four years ago?

It was tied as well to a bigger vision, a sense that their footing is more solid and their children's future brighter because a black man — this particular black man — resides in the White House.

::

There have been reams written in the last four years about the ways race complicated the leadership challenges faced by the nation's first black president.

Now, as Obama enters his second term, those themes are already being replayed.

Ben Jealous, head of the National Assn. for the Advancement of Colored People, is as tired of answering the question as I've become of asking. Has Obama delivered for the masses of black people who helped put him in office?

Jealous sighs — its meaning clear in the silence:

Isn't it enough that the man expanded access to healthcare, dispatched Osama bin Laden and steered the nation through the worst recession in 70 years?

"I'm waiting for the article about the white president who disappointed the white people the most," Jealous said.

"How come nobody ever asked that question: How did white people feel about Bill Clinton, about George Bush?"

Because a white president has always been perceived to be the leader of all the people.

Obama's appraisal is muddied by uncertain expectations.

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Hundreds attend NYC memorial for Internet activist Aaron Swartz

NEW YORK (Reuters) – Supporters of Aaron Swartz, the 26-year-old Internet activist who committed suicide last week, gathered in New York to remember the computer prodigy on Saturday, with some calling for changes in the criminal justice system they blame for his death.

Swartz, who at 14 helped create an early version of the Web feed system RSS and believed the fruits of academic research and other information should be freely available to all, was found dead a week ago in his Brooklyn apartment.

The city’s chief medical examiner ruled the death a suicide by hanging.

He had been facing trial on federal charges he used the Massachusetts Institute of Technology’s computer networks to steal more than 4 million articles from JSTOR, an online archive and journal distribution service.

Swartz, who had also worked on the popular website Reddit, had faced a maximum sentence of 31 years in prison and fines of up to $ 1 million.

“He told me about the 4.5 million downloads of scholarly articles, and my first thought was why isn’t MIT celebrating this?” Edward Tufte, an emeritus professor of computer science at Yale University and a friend of Swartz, said to applause from the crowd gathered in The Cooper Union’s Great Hall in Manhattan.

Taren Stinebrickner-Kauffman, Swartz’s partner, criticized what she described as MIT’s “indifference” to the saga, saying the school could have acted to end his prosecution.

The president of MIT said this week the school was investigating its role in Swartz’s case. JSTOR has said in a statement it settled any dispute with Swartz in 2011 and praised his “important contributions to the development of the Internet.”

CALL FOR CHANGE

At the memorial, attended by hundreds of friends and supporters, the strongest criticisms were reserved for prosecutors in the office of Carmen Ortiz, the U.S. Attorney for Massachusetts.

Roy Singham, the chairman of ThoughtWorks, a software consultancy firm where Swartz worked, called the case against Swartz “an abuse of state power” intended to intimidate Swartz. He called for the reform of the Computer Fraud and Abuse Act under which Swartz was prosecuted.

Swartz’s partner said it all became too much for him to bear.

“He was so scared and so frustrated and more than anything so weary I just don’t think he could take it another day,” Stinebrickner-Kauffman said, adding the pair had discussed getting married after the trial.

Ortiz has defended her office’s actions, saying prosecutors “took on the difficult task of enforcing a law they had taken an oath to uphold, and did so reasonably.”

She said they offered Swartz a deal to plead guilty to multiple counts of wire fraud and computer fraud and spend six months at a low-security facility.

Swartz was remembered as a precocious talent who began addressing technology conferences as a teenager and whose quirks included being loath to wash his dishes and preferring bland foods like crackers and white rice.

Many speakers said he was by far the smartest and most intellectually curious person they had known, and called on those in attendance to continue his work of trying to widen the public’s access to information and communication channels.

Stinebrickner-Kauffman said Swartz disliked grand ceremonies and would have been uncomfortable with some aspects of his own memorial.

“But memorial services are for the living,” she said, repeating it several times like a mantra, “and last Friday he forfeited his right to decide that.”

(Editing by Cynthia Johnston and Xavier Briand)

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