Closing of Wells Street Bridge creates uncertainty for CTA riders









The shutdown of the Wells Street Bridge has the impact of a blocked artery, straining the circulation of much of the CTA rail system.


The lower tier of the 91-year-old bridge was closed to vehicles and pedestrians in November for repairs, and now it's CTA riders' turn.


Even though only Brown Line and Purple Line/Evanston Express trains normally travel across the Wells bridge connecting the Loop elevated structure to tracks north of the Chicago River, service on six of the eight CTA rail lines is being affected by bridge and track work continuing through the week, transit officials said.








Weekday rush hours are expected to pose the biggest challenge to the transit agency and its customers. Brown Line trains will operate much less frequently during most of the day — running every 10 to 12 minutes, officials said. And Evanston Express service is canceled until March 11. Purple Line local service will continue to operate between Howard Street in Chicago and Linden Avenue in Wilmette.


On weekends, Green, Pink and Orange Line trains will terminate their runs at certain stations in the downtown area, officials said. A weekend free shuttle bus will operate to link the Chicago/Franklin, Merchandise Mart, Clark/Lake, Washington/Wells and Clinton/Lake stations, officials said.


Riders are being told to plan for longer, slower commutes starting Monday on trains that will be more crowded than usual. The frequency of trains on the Brown Line is being reduced because of the need to operate more trains than usual on the Red Line tracks, including in the State Street subway, officials said.


"Experience has taught me to become a little nervous any time the CTA changes service," Rick Gordon, 41, a Brown Line rider who commutes between the Western station and the Washington/Wells stop in the Loop, said Friday morning after getting off the train downtown.


Gordon, an investment counselor, said he still plans to ride the Brown Line on Monday. But because he won't be able to ride across the Wells bridge to his normal stop, he will instead take advantage of the free CTA shuttle bus that will operate between the Chicago Avenue station and the Loop "L," stopping at the Merchandise Mart, the Clark/Lake and Washington/Wells stations.


During rush hours, two of every three southbound Brown Line trains will travel through the Red Line subway tunnel, making all stops to the Roosevelt station, officials said. They will then head north through the subway and up to Fullerton Avenue, then will continue making all Brown Line stops to the Kimball Avenue terminal, officials said.


One of every three Brown Line trains will remain on the regular Brown Line route south of Fullerton but will make the last stop at the Merchandise Mart station, near the north end of the Wells bridge.


Extra service will be provided on the Red Line, in part to accommodate heavier passenger loading caused by the suspension of all Purple Line service south of Howard through the week, officials said. Commuters who normally ride the Purple Line/Evanston Express service might consider budgeting up to an extra hour travel time if they will ride the all-stop Red Line to downtown.


Also, the transit agency will introduce free shuttle trains that circle the Loop and alternative bus service to provide options for the thousands of riders affected over the roughly nine-day bridge closing, which began Friday night.


CTA officials predicted that the commutes of many rail customers will be only several minutes to 15 minutes longer than normal travel times during the service interruptions. But in light of the unpredictability of CTA service even under normal cases, allowing extra time would help commuters ensure they arrive at their destinations on time.


"We urge customers to think about their options because this will not be a typical commute for most Brown and Purple Line commuters," CTA spokesman Brian Steele said, adding that delays are likely on other lines too because of expected ridership shifts.


With some commuters taking Monday off for the Casimir Pulaski Day holiday, the first full test of the CTA's alternative service plan will likely be on Tuesday.


The service disruptions will last until completion of the Wells bridge replacement project, upgrades to the busy downtown rail junction at Lake and Wells streets, and track replacement around the curves at Hubbard and Kinzie streets. Regular CTA service resumes in time for the morning rush period on March 11, following the first phase of bridge reconstruction, officials said.


A second closing of the Wells bridge will occur April 26 through May 5, when the $41.2 million overhaul project is scheduled to be completed, the Chicago Department of Transportation said.


The Wells bridge's trusses, steel framing, railings, bridge houses, major structural parts and mechanical and electrical parts are being replaced, but the original 1920s-era appearance of the double-deck bridge will be maintained, CDOT officials said.


Full details on the CTA service changes are available at transitchicago.com/wellsbridge.


jhilkevitch@tribune.com Twitter @jhilkevitch





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Jane C. Wright, Pioneering Oncologist, Dies at 93





Dr. Jane C. Wright, a pioneering oncologist who helped elevate chemotherapy from a last resort for cancer patients to an often viable treatment option, died on Feb. 19 at her home in Guttenberg, N.J. She was 93.







Sophia Smith Collection, Smith College

Dr. Jane C. Wright was the only woman among seven physicians who founded the American Society of Clinical Oncologists.







Her death was confirmed by her daughter Jane Jones, who said her mother had dementia.


Dr. Wright descended from a distinguished medical family that defied racial barriers in a profession long dominated by white men. Her father, Dr. Louis T. Wright, was among the first black graduates of Harvard Medical School and was reported to be the first black doctor appointed to the staff of a New York City hospital. His father was an early graduate of what became the Meharry Medical College, the first medical school in the South for African-Americans, founded in Nashville in 1876.


Dr. Jane Wright began her career as a researcher working alongside her father at a cancer center he established at Harlem Hospital in New York.


Together, they and others studied the effects of a variety of drugs on tumors, experimented with chemotherapeutic agents on leukemia in mice and eventually treated patients, with some success, with new anticancer drugs, including triethylene melamine.


After her father died in 1952, Dr. Wright took over as director of the center, which was known as the Harlem Hospital Cancer Research Foundation. In 1955, she joined the faculty of the New York University Medical Center as director of cancer research, where her work focused on correlating the responses of tissue cultures to anticancer drugs with the responses of patients.


In 1964, working as part of a team at the N.Y.U. School of Medicine, Dr. Wright developed a nonsurgical method, using a catheter system, to deliver heavy doses of anticancer drugs to previously hard-to-reach tumor areas in the kidneys, spleen and elsewhere.


That same year, Dr. Wright was the only woman among seven physicians who, recognizing the unique needs of doctors caring for cancer patients, founded the American Society of Clinical Oncologists, known as ASCO. She was also appointed by President Lyndon B. Johnson to the President’s Commission on Heart Disease, Cancer and Stroke, led by the heart surgeon Dr. Michael E. DeBakey. Its recommendations emphasized better communication among doctors, hospitals and research institutions and resulted in a national network of treatment centers.


In 1967, Dr. Wright became head of the chemotherapy department and associate dean at New York Medical College. News reports at the time said it was the first time a black woman had held so high a post at an American medical school.


“Not only was her work scientific, but it was visionary for the whole science of oncology,” Dr. Sandra Swain, the current president of ASCO, said in a telephone interview. “She was part of the group that first realized we needed a separate organization to deal with the providers who care for cancer patients. But beyond that, it’s amazing to me that a black woman, in her day and age, was able to do what she did.”


Jane Cooke Wright was born in Manhattan on Nov. 30, 1919. Her mother, the former Corinne Cooke, was a substitute teacher in the New York City schools.


Ms. Wright attended the Ethical Culture school in Manhattan and the Fieldston School in the Bronx (now collectively known Ethical Culture Fieldston School) and graduated from Smith College, where she studied art before turning to medicine. She received a full scholarship to New York Medical College, earning her medical degree in 1945. Before beginning research with her father, she worked as a doctor in city schools.


Dr. Wright married David D. Jones, a lawyer, in 1947; he died in 1976. In addition to their daughter Jane, she is survived by another daughter, Alison Jones; and a sister, Dr. Barbara Wright Pierce.


As both a student and a doctor, Dr. Wright said in interviews, she was always aware that as a black woman she was an unusual presence in medical institutions. But she never felt she was a victim of racial prejudice, she said.


“I know I’m a member of two minority groups,” she said in an interview with The New York Post in 1967, “but I don’t think of myself that way. Sure, a woman has to try twice as hard. But — racial prejudice? I’ve met very little of it.”


She added, “It could be I met it — and wasn’t intelligent enough to recognize it.”


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Next Groupon CEO will have experience, Lefkofsky says









Groupon has fired its chief executive and the money-losing company faces several challenges, but Executive Chairman Eric Lefkofsky is undeterred. The Chicago-based e-commerce site, he said, is "inches away from greatness."


Lefkofsky, Groupon's co-founder and largest shareholder, speaking to the Tribune in his first public comments since Thursday's ouster of Andrew Mason, declined to discuss specific reasons for replacing Mason, though he pointed out at least one recent management error.


He also sounded as if he now agrees with the widespread sentiment that Mason didn't have the right skills to deal with the company's unique problems: It is global, large, technology-driven and growing fast, but it's also unprofitable, dogged by competitors and under intense scrutiny for its missteps.





Lefkofsky said he looked forward to hiring a CEO "who has experience dealing with the issues we're dealing with … who has been there and done that."


In spite of Groupon's troubles, "the long-term horizon of the company is fantastic," Lefkofsky said.


He'll have to forgive Wall Street if it casts a skeptical eye at his optimism. Even though it's less than 5 years old, Groupon popularized the idea of using the Internet to match local merchants and customers and it is now an established business. A new CEO isn't going to make the company's problems magically disappear.


Groupon is at a crossroads, not just because it has to find a replacement for Mason, the co-founder whose playful, irreverent style set the tone for the company's culture. Groupon faces shrinking consumer interest in its daily deals business that sends online coupons for everything from restaurants to pedicures to inboxes every day. And it has huge problems in its European operations.


Groupon is attempting to evolve its business model beyond daily deals into an ongoing, search-driven local marketplace. But the investment has been expensive. To boost growth, the company launched a separate business selling products at steep discounts. But that retail business has dragged down profit margins.


"While a new CEO may bring better skill sets (particularly in technology or online commerce), we believe that the challenges Groupon faces will only increase," wrote Edward Woo, an analyst at Ascendiant Capital Markets.


Lefkofsky supports the new course Mason had charted with input from him and other members of the board of directors.


In North America, email now drives less than 50 percent of Groupon's transactions. Half of local transaction volume comes from what the company calls its "deal bank," its searchable inventory of deals that are active for longer periods of time.


"This isn't about 'Oh, my God, we're going down the completely wrong road,'" Lefkofsky said. "Largely, the strategy and the business is going to continue down the exact same path it has been on."


He described Groupon as a "pioneer of curated commerce. We're selecting a certain number of deals every day, and then we're serving them out to people, sometimes via email, sometimes via mobile."


But the board decided that as the company enters the next stage of its evolution, the time was right to find "a new CEO that had some of those skills we need long term," Lefkofsky said.


In the interim, Lefkofsky and another director, former AOL Inc. executive Ted Leonsis, will run the company.


"Both (Ted) and I felt the company was inches away from greatness," Lefkofsky said.


That's a stretch judging by the stock market. Groupon's shares are down 75 percent in the 15 months since it went public at $20 a share. On Friday, in reaction to Mason's exit, the stock jumped more than 12 percent to close at $5.10.


While Groupon caught fire as a startup, it has stumbled repeatedly as it has grown. The company made embarrassing mistakes during the process of going public and then faced scrutiny over its accounting methods.


Since going public, Groupon has turned a quarterly profit only once.


In the fourth quarter, its net loss grew to $81.1 million, and the company projected weaker-than-expected operating income for the current quarter.





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New budget crisis begins after Washington fiscal talks fail









WASHINGTON -- President Barack Obama formally ordered broad cuts in government spending on Friday night after he and congressional Republicans failed to reach a deal to avert automatic reductions that could dampen economic growth and curb military readiness.

As the United States staggered into another fiscal crisis, the White House predicted that the spending cuts triggered by the inability of Obama and lawmakers to forge a broader deficit-reduction agreement would be "deeply destructive" to the nation's economic and national security.






"Not everyone will feel the pain of these cuts right away. The pain though will be real. Beginning this week, many middle-class families will have their lives disrupted in significant ways," Obama told journalists after his meeting with Republican and Democratic congressional leaders.

Late on Friday, Obama signed an order that put in effect the across-the-board government spending cuts known as "sequestration." Government agencies will now begin to hack a total of $85 billion from their budgets between Saturday and October 1.

Half of the cuts will fall on the Pentagon. Defense Secretary Chuck Hagel said the reductions put at risk "all of our missions.

Congress and Obama could still halt the cuts in the weeks to come, but neither side has expressed any confidence they will do so. Both Democrats and Republicans set the automatic cuts in motion during feverish deficit-reduction efforts in August 2011.

MARKETS SHRUG OFF CRISIS

Friday's events marked the first budget showdown in Washington of many in the past decade that was not somehow resolved at the last minute - often under pressure from rattled financial markets. Markets in New York shrugged off the stalemate in Washington on Friday as they have for months.

Democrats predicted the cuts could soon cause air-traffic delays, meat shortages as food safety inspections slow down, losses to thousands of federal contractors and damage to local economies across the country, particularly in the hardest-hit regions around military installations.

At the heart of Washington's persistent fiscal crises is disagreement over how to slash the budget deficit and the $16 trillion national debt, bloated over the years by wars in Iraq and Afghanistan and government stimulus for the ailing economy.

Obama wants to close the fiscal gap with spending cuts and tax hikes. Republicans do not want to concede again on taxes after doing so in negotiations over the "fiscal cliff" at the New Year.

Public outrage, if it materializes, would be the most likely prod for a resolution as the impact of the spending cuts starts to be felt in the coming weeks and months.

As a percentage of total government spending every year, $3.7 trillion, the actual spending reductions are small. But because safety-net programs such as Social Security and Medicare will be untouched, the brunt falls mostly on federal government employees rather than direct recipients of aid.

The U.S. government is the nation's largest employer, with a workforce of roughly 2.7 million civilians spread across the country. If the cuts stay in place, more than 800,000 of those workers could see reduced work days and smaller paychecks between now and September.

Furlough notices warning employees and their unions started to go out earlier this week and the pace picked up on Friday after it became clear that talks at the White House between Obama and congressional leaders would be fruitless.

While the International Monetary Fund warned that the belt-tightening could slow U.S. economic growth by at least 0.5 of a percentage point this year, that is not a huge drag on an economy that is picking up steam.

'THE SPENDING PROBLEM'

Many Republicans accuse the Obama administration of overstating the effects of the cuts in order to pressure them into agreeing to a solution to the White House's liking.

A deal proved elusive as Obama met at the White House with House of Representatives Speaker John Boehner, the top Republican in Congress, and Senate Republican leader Mitch McConnell, as well as the top two Democrats in Congress, Senate Majority Leader Harry Reid and House Democratic leader Nancy Pelosi.

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Well: A Rainbow of Root Vegetables

This week’s Recipes for Health is as much a treat for the eyes as the palate. Colorful root vegetables from bright orange carrots and red scallions to purple and yellow potatoes and pale green leeks will add color and flavor to your table.

Since root vegetables and tubers keep well and can be cooked up into something delicious even after they have begun to go limp in the refrigerator, this week’s Recipes for Health should be useful. Root vegetables, tubers (potatoes and sweet potatoes, which are called yams by most vendors – I mean the ones with dark orange flesh), winter squash and cabbages are the only local vegetables available during the winter months in colder regions, so these recipes will be timely for many readers.

Roasting is a good place to begin with most root vegetables. They sweeten as they caramelize in a hot oven. I roasted baby carrots and thick red scallions (they may have been baby onions; I didn’t get the information from the farmer, I just bought them because they were lush and pretty) together and seasoned them with fresh thyme leaves, then sprinkled them with chopped toasted hazelnuts. I also roasted a medley of potatoes, including sweet potatoes, after tossing them with olive oil and sage, and got a wonderful range of colors, textures and tastes ranging from sweet to savory.

Sweet winter vegetables also pair well with spicy seasonings. I like to combine sweet potatoes and chipotle peppers, and this time in a hearty lentil stew that we enjoyed all week.

Here are five colorful and delicious dishes made with root vegetables.

Spicy Lentil and Sweet Potato Stew With Chipotles: The combination of sweet potatoes and spicy chipotles with savory lentils is a winner.


Roasted Carrots and Scallions With Thyme and Hazelnuts: Toasted hazelnuts add a crunchy texture and nutty finish to this dish.


Carrot Wraps: A vegetarian sandwich that satisfies like a full meal.


Rainbow Potato Roast: A multicolored mix that can be vegan, or not.


Leek Quiche: A lighter version of a Flemish classic.


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Incomes see largest drop in 20 years








U.S. consumer spending rose in January as Americans spent more on services, with savings providing a cushion after income recorded its biggest drop in 20 years.


Income tumbled 3.6 percent, the largest drop since January 1993. Part of the decline was payback for a 2.6 percent surge in December as businesses, anxious about higher taxes, rushed to pay dividends and bonuses before the new year.

A portion of the drop in January also reflected the tax hikes. The income at the disposal of households after inflation and taxes plunged a 4.0 percent in January after advancing 2.7 percent in December.


The Commerce Department said on Friday consumer spending increased 0.2 percent in January after a revised 0.1 percent rise the prior month. Spending had previously been estimated to have increased 0.2 percent in December.

January's increase was in line with economists' expectations. Spending accounts for about 70 percent of U.S. economic activity and when adjusted for inflation, it gained 0.1 percent after a similar increase in December.

Though spending rose in January, it was supported by a rise in services, probably related to utilities consumption. Spending on goods fell, suggesting some hit from the expiration at the end of 2012 of a 2 percent payroll tax cut. Tax rates for wealthy Americans also increased.

The impact is expected to be larger in February's spending data and possibly extend through the first half of the year as households adjust to smaller paychecks, which are also being strained by rising gasoline prices.

Economists expect consumer spending in the first three months of this year to slow down sharply from the fourth quarter's 2.1 percent annual pace.

With income dropping sharply and spending rising, the saving rate - the percentage of disposable income households are socking away - fell to 2.4 percent, the lowest level since November 2007. The rate had jumped to 6.4 percent in December.






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Tax on pack of cigarettes sold in Chicago up $1 to $6.67









On the eve of a $1-per-pack Cook County cigarette tax increase, County Board President Toni Preckwinkle stood in the glow of X-rays showing damaged lungs, surrounded by some of Stroger Hospital's top pulmonary specialists as she discussed how smoking shortens people's lives.

The setting and talking points made clear the message Preckwinkle wanted to convey Thursday: This is a public health problem, one she plans to fight by giving smokers an incentive to quit and teens a reason not to start.

But the county's tax increase is more than just a campaign to protect people from emphysema and lung cancer. Preckwinkle is counting on $25.6 million this year from the move to help balance the budget. The history of cigarette tax increases suggests the county will be lucky to get that much in 2013 and should expect diminishing returns in the years ahead.

Smokes are a financial well that public officials have gone to repeatedly to shore up shaky finances at the local and state level. When the county tax increase takes effect Friday, a pack of cigarettes purchased in Chicago will come with $6.67 tacked on by the city, county and state. That's just behind New York City's nation-leading $6.86 in taxes per pack. It will also push the cost of a pack of cigarettes in Chicago to as much as $11.

Recent cigarette tax increases have had only a short-term benefit to the government bottom line. Some people quit, while others buy cigarettes online or outside the county or state.

When the county last raised the cigarette tax — by $1 per pack in 2006 — collections initially shot up by $46.5 million, hitting $203.7 million, county records show. But by 2009, the county collected $20.4 million less than it had in 2005.

Mayor Richard M. Daley bumped up the city of Chicago's share of the cigarette tax by 32 cents in 2005 and another 20 cents in 2006, to 68 cents per pack. He saw collections rise from $15.6 million in 2004 to $32.9 million in 2006, according to a city report. But city cigarette tax revenue fell to $28.4 million in 2007, and continued dropping to $18.7 million by 2011, records show.

At the state level, Quinn pushed through a $1-a-pack hike in June.

Before that, state lawmakers and Gov. George Ryan agreed on a 40-cent increase in 2002. Cigarette tax proceeds went up by more than $178 million in 2003, to $643.1 million, and rose to $729.2 million in 2004. The revenue then fell steadily to $549 million by 2010 before edging back up to $580 million last year, according to state records.

The county is preparing for the windfall from the $1 increase to be strong this year, then decline. County officials project that after bringing in $25.6 million for the remainder of this budget year, the increase will net about $29 million for 2014, $21 million in 2015, $15 million in 2016 and just $9 million in 2017.

Preckwinkle says that's OK with her.

"My hope would be that over the long run this is no longer a way in which governments look to raise money, because fewer and fewer people are smoking," she said. "So I would hope that we have the effect of reducing our revenue because more people quit."

The county could end up saving money as cigarette tax revenue falls because uninsured people with ailments related to smoking are such a heavy financial burden to the public hospital system, Preckwinkle said.

In the meantime, Preckwinkle pledged to hire more staff this year to crack down on stores selling untaxed packs and large-scale tobacco smuggling from surrounding states. "We anticipate that there may be some noncompliance, as there always is when you institute an increase like this," she said.

Preckwinkle also acknowledged that the higher tax rate will push some smokers into surrounding counties or Indiana to pick up their packs, but she predicted such cross-border runs will not last.

"While people may initially, when the prices rise, go to other states — Indiana, Wisconsin or wherever — over time that trek gets very tiresome and time-consuming, and they return to their former habits of buying their cigarettes nearby," Preckwinkle said.

But David Vite, president of the Illinois Retail Merchants Association, said he thinks the cigarette taxes in Cook County are now so high compared with surrounding areas that smokers will continue to make the longer drive, and Illinois stores near jurisdictions with lower taxes will struggle even more.

"You might see people return to their old patterns if we were talking about a slight disparity, say 25 cents a pack," Vite said. "But now we're talking about a difference of nearly $3 a pack compared to Indiana, almost $30 a carton. You're going to see guys working in factories saying, 'It's my week to make a run,' heading to Indiana and coming back with $1,500 worth of cigarettes for all their co-workers."

jebyrne@tribune.com

Twitter @_johnbyrne



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Global Health: After Measles Success, Rwanda to Get Rubella Vaccine


Rwanda has been so successful at fighting measles that next month it will be the first country to get donor support to move to the next stage — fighting rubella too.


On March 11, it will hold a nationwide three-day vaccination campaign with a combined measles-rubella vaccine, hoping to reach nearly five million children up to age 14. It will then integrate the dual vaccine into its national health service.


Rwanda can do so “because they’ve done such a good job on measles,” said Christine McNab, a spokeswoman for the Measles and Rubella Initiative. M.R.I. helped pay for previous vaccination campaigns in the country and the GAVI Alliance is helping to finance the upcoming one.


Rubella, also called German measles, causes a rash that is very similar to the measles rash, making it hard for health workers to tell the difference.


Rubella is generally mild, even in children, but in pregnant women, it can kill the fetus or cause serious birth defects, including blindness, deafness, mental retardation and chronic heart damage.


Ms. McNab said that Rwanda had proved that it can suppress measles and identify rubella, and it would benefit from the newer, more expensive vaccine.


The dual vaccine costs twice as much — 52 cents a dose at Unicef prices, compared with 24 cents for measles alone. (The MMR vaccine that American children get, which also contains a vaccine against mumps, costs Unicef $1.)


More than 90 percent of Rwandan children now are vaccinated twice against measles, and cases have been near zero since 2007.


The tiny country, which was convulsed by Hutu-Tutsi genocide in 1994, is now leading the way in Africa in delivering medical care to its citizens, Ms. McNab said. Three years ago, it was the first African country to introduce shots against human papilloma virus, or HPV, which causes cervical cancer.


In wealthy countries, measles kills a small number of children — usually those whose parents decline vaccination. But in poor countries, measles is a major killer of malnourished infants. Around the world, the initiative estimates, about 158,000 children die of it each year, or about 430 a day.


Every year, an estimated 112,000 children, mostly in Africa, South Asia and the Pacific islands, are born with handicaps caused by their mothers’ rubella infection.


Thanks in part to the initiative — which until last year was known just as the Measles Initiative — measles deaths among children have declined 71 percent since 2000. The initiative is a partnership of many health agencies, vaccine companies, donors and others, but is led by the American Red Cross, the United Nations Foundation, the Centers for Disease Control and Prevention, Unicef and the World Health Organization.


This article has been revised to reflect the following correction:

Correction: March 1, 2013

An article on Tuesday about a coming measles-rubella vaccination campaign in Rwanda misstated the source of the vaccine and some financing for the campaign. The vaccine and financing are being provided by the GAVI Alliance, not by the Measles and Rubella Initiative.



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Economic expansion weakest since 2011









The U.S. economy barely grew in the fourth quarter although a slightly better performance in exports and fewer imports led the government to scratch an earlier estimate that showed an economic contraction.

Gross domestic product expanded at a 0.1 percent annual rate, the Commerce Department said on Thursday, missing the 0.5 percent gain forecast by analysts in a Reuters poll.

The growth rate was the slowest since the first quarter of 2011 and far from what is needed to fuel a faster drop in the unemployment rate.

However, much of the weakness came from a slowdown in inventory accumulation and a sharp drop in military spending. These factors are expected to reverse in the first quarter.

Consumer spending was more robust by comparison, although it only expanded at a 2.1 percent annual rate.

Because household spending powers about 70 percent of national output, this still-lackluster pace of growth suggests underlying momentum in the economy was quite modest as it entered the first quarter, when significant fiscal tightening began.

Initially, the government had estimated the economy shrank at a 0.1 percent annual rate in the last three months of 2012. That had shocked economists.

Thursday's report showed the reasons for the decline were mostly as initially estimated. Inventories subtracted 1.55 percentage points from the GDP growth rate during the period, a little more of a drag than initially estimated. Defense spending plunged 22 percent, shaving 1.28 points off growth as in the previous estimate.

There were some relatively bright spots, however. Imports fell 4.5 percent during the period, which added to the overall growth rate because it was a larger drop than in the third quarter. Buying goods from foreigners bleeds money from the economy, subtracting from economic growth.

Also helping reverse the initial view of an economic contraction, exports did not fall as much during the period as the government had thought when it released its advance GDP estimate in January. Exports have been hampered by a recession in Europe, a cooling Chinese economy and storm-related port disruptions.

Excluding the volatile inventories component, GDP rose at a revised 1.7 percent rate, in line with expectations. These final sales of goods and services had been previously estimated to have increased at a 1.1 percent pace.

Business spending was revised to show more growth during the period than initially thought, adding about a percentage point to the growth rate.

Growth in home building was revised slightly higher to show a 17.5 percent annual rate. Residential construction is one of the brighter spots in the economy and is benefiting from the Federal Reserve's ultra easy monetary policy stance, which has driven mortgage rates to record lows. (Reporting by Jason Lange; Editing by Andrea Ricci)
 

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Groupon shares plummet nearly 25% on weak results, forecast









Groupon Inc., the Chicago-based daily deals website, offered up an earnings disappointment Wednesday after the market closed, and its stock price tumbled about 25 percent in after-hours trading.


The company posted a fourth-quarter net loss of $81.1 million, or 12 cents a share, missing consensus analyst estimates, which called for the company to earn 3 cents a share. Revenue for the quarter came in at $638 million, up 30 percent year-over-year and in line with estimates.


Lower margins associated with its Groupon Goods sales and higher marketing costs — taking a smaller cut from merchants to attract new business — were cited as factors contributing to the quarterly loss.





Andrew Mason, co-founder and chief executive of Groupon, pointed a finger overseas as the primary cause.


"It was continued volatility in our international business that drove the weaker-than-expected profitability in the quarter," Mason said during the earnings call Wednesday. "We still have much work to do to bring our international operations to the same level of those in North America."


The company lost $67.4 million for the year, or 10 cents a share, on revenue of $2.33 billion. Projections for first-quarter revenue between $560 million and $610 million fell below consensus estimates of $655 million. The disappointing earnings and tepid forecast sent Groupon's share price plunging from nearly $6 down to about $4.40 in after-hours trading.


Launched in 2008, Chicago-based Groupon created its own e-commerce niche with heavily discounted daily deals blasted out to subscribers via email. While targeting has become more sophisticated, growth has slowed and with it, investor enthusiasm.


The company has set out to reinvent itself, introducing search-driven deals stockpiled with ongoing offerings, and continuing to build out its own store, Groupon Goods, which sells everything from orthopedic pet beds to diamond tennis bracelets at a discount. Those initiatives have yet to make much of a dent on the bottom line.


Groupon shares hit an intraday low of $2.60 in November but rebounded after Tiger Global Management, a New York-based hedge fund, acquired a 10 percent stake in the company.


That same month, Groupon rolled out its local marketplace in Chicago and New York, a bank of thousands of ongoing deals that the company called an "evolutionary step" toward demand shopping. Customers who search online for everything from Mexican restaurants to Brazilian waxes will see relevant active deals offered by Groupon, hopefully pulling them to the site to fulfill their purchases.


While still a small part of Groupon's sales, it represents a big shift from its familiar push model, where daily deal emails fill inboxes with hit-or-miss offerings, to a pull dynamic where customers come to its sites in search of a variety of products and services.


Mason said Wednesday that the shift will ultimately pay dividends for Groupon and its investors.


"We just believe that the potential of a local marketplace business, where you can fulfill demand instead of shocking people into buy(ing) something they had no intention to buy when they woke up in the morning … it's just a much larger business opportunity," Mason said.


Analysts remain mixed about Groupon's prospects to evolve the business model beyond its core daily deals.


Edward Woo, senior research analyst at Ascendiant Capital Markets, has a "sell" rating and a $2.50 price target on the stock. He remains cautious because of slowing growth in the company's daily deals business, and he is not convinced that Groupon Goods, which accounted for $225 million in fourth-quarter revenue, is such a good idea.


"There's only a couple really big, successful e-commerce companies out there, Amazon being the biggest," Woo said Tuesday. "If you were to place your bets, do you really think that Groupon can take on Amazon? Most people would say no."


While not quite bullish, Evercore Partners analyst Ken Sena sees encouraging signs from Groupon's new searchable local marketplace and improving mobile engagement, upgrading the stock two weeks ago from "conviction sell" to "underweight," with a $5 price target, before the earnings report Wednesday.


"There are a couple of things we're encouraged by as we look at the overall story," Sena said Tuesday. "The fact that traction on mobile seems to be really strong, and growth within (their) local marketplace. I think that's an important overall business model evolution as the company moves from a push-based model to a pull-based model."


Arvind Bhatia, senior research analyst at Sterne Agee, recently upgraded Groupon to a "buy" with a $9 price target, citing the local marketplace initiative as a driver for long-term growth.


"Groupon has become synonymous with discounts," Bhatia said Tuesday. "The initial years were all about sending that email and letting you know there's a hot deal and it's going to expire soon. I don't think it's a bad thing to combine the push email with the pull."





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Global Health: After Measles Success, Rwanda to Get Rubella Vaccine


Rwanda has been so successful at fighting measles that next month it will be the first country to get donor support to move to the next stage — fighting rubella too.


On March 11, it will hold a nationwide three-day vaccination campaign with a combined measles-rubella vaccine, hoping to reach nearly five million children up to age 14. It will then integrate the dual vaccine into its national health service.


Rwanda can do so “because they’ve done such a good job on measles,” said Christine McNab, a spokeswoman for the Measles and Rubella Initiative. M.R.I. helped pay for previous vaccination campaigns in the country and the GAVI Alliance is helping to finance the upcoming one.


Rubella, also called German measles, causes a rash that is very similar to the measles rash, making it hard for health workers to tell the difference.


Rubella is generally mild, even in children, but in pregnant women, it can kill the fetus or cause serious birth defects, including blindness, deafness, mental retardation and chronic heart damage.


Ms. McNab said that Rwanda had proved that it can suppress measles and identify rubella, and it would benefit from the newer, more expensive vaccine.


The dual vaccine costs twice as much — 52 cents a dose at Unicef prices, compared with 24 cents for measles alone. (The MMR vaccine that American children get, which also contains a vaccine against mumps, costs Unicef $1.)


More than 90 percent of Rwandan children now are vaccinated twice against measles, and cases have been near zero since 2007.


The tiny country, which was convulsed by Hutu-Tutsi genocide in 1994, is now leading the way in Africa in delivering medical care to its citizens, Ms. McNab said. Three years ago, it was the first African country to introduce shots against human papilloma virus, or HPV, which causes cervical cancer.


In wealthy countries, measles kills a small number of children — usually those whose parents decline vaccination. But in poor countries, measles is a major killer of malnourished infants. Around the world, the initiative estimates, about 158,000 children die of it each year, or about 430 a day.


Every year, an estimated 112,000 children, mostly in Africa, South Asia and the Pacific islands, are born with handicaps caused by their mothers’ rubella infection.


Thanks in part to the initiative — which until last year was known just as the Measles Initiative — measles deaths among children have declined 71 percent since 2000. The initiative is a partnership of many health agencies, vaccine companies, donors and others, but is led by the American Red Cross, the United Nations Foundation, the Centers for Disease Control and Prevention, Unicef and the World Health Organization.


This article has been revised to reflect the following correction:

Correction: February 27, 2013

An earlier version of this article misstated the source of the vaccine and some financing for the campaign. The vaccine and financing is being provided by the GAVI Alliance, not the Measles and Rubella Initiative.




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Author tells businesses to be like Mike


























































An author of a new book has some sage advice for business leaders: Be more like Michael Jordan.

Bruce Piasecki, who penned "Doing More with Teams: The New Way to Winning," says Michael Jordan's long and storied career "is a shining example of how the best teams operate."






Jordan shouldn't be emulated just because of the Bulls star's individual success, the author says, but by the way he showed leadership and helped create a seemingly unstoppable team, meshing with different personalities such as the quiet Scottie Pippen and outrageous Dennis Rodman to create a basketball dynasty.

Those team dynamics are similar in the business world, the author says. And businesses are most successful when they are led by the right leaders and are composed of a mix of people with varying talents, he argues.

Jordan also is held up as an example in other tenets of good business teamwork the author describes.

-- Ego and individual goals have no place on teams.

"When we pin all our hopes on a single individual and ignore the context in which he or she operates, we will be disappointed," he says.

--  Failure is part of winning.

"Leaders must instill in teams a tolerance of losing," he said. "We must convey that failure is a part of life and thus a part of business."

Jordan, who helped the Chicago Bulls win six NBA championships, famously said "I've failed over and over and over again in my life, and that is why I succeed."

The book is set to be released next month but is available for pre-order on Amazon.com.




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House Democrats approve gun bans in votes GOP calls 'stunt'









SPRINGFIELD — The Democratic-led majority in the Illinois House voted Tuesday in favor of banning guns in schools, casinos and on public transit during an unusual debate allowing lawmakers to vote piece by piece on where people should be allowed to carry concealed weapons.


Democrats said the hourslong action on the House floor was a way to test support for the various elements of a bill that lawmakers are expected to pass this spring to comply with a federal appeals court ruling against Illinois — the only state that hasn't legalized some form of concealed carry for citizens.


Republicans accused the Chicago-led majority of forcing GOP lawmakers to take controversial positions that could be used against them in their next campaign.





"This is a political stunt," said Rep. Dennis Reboletti, R-Elmhurst, a former prosecutor. "It demeans this process."


The perpetual fight over gun control in Springfield took on new meaning following a December federal appeals court order that calls for Illinois to legalize concealed carry by early June. At the same time, Democrats who run City Hall and the Statehouse are pushing for new gun penalties amid an unrelenting stream of Chicago shootings punctuated in January by the death of a South Side teen who had traveled to Washington with her school to participate in President Barack Obama's inauguration festivities.


House Speaker Michael Madigan, D-Chicago, set aside a special order of business to allow debate and votes on more than a dozen concealed carry proposals. Madigan's action forced up-or-down votes on the long lineup of amendments to a Democratic bill rather than the typical approach of weeding them out in committee or behind closed doors, then tacking on a few changes in the full House.


The legislation that carries all the amendments was not called for a vote, leaving potential conflicts between the proposals that lawmakers may seek to reconcile before any House vote to send the bill to the Senate.


With Madigan, the state Democratic Party chairman, already picking up suburban seats in the last election, Republicans feared he was setting his sights on gaining even more ground rather than actually trying to address the concealed carry issue. Republicans questioned why Democrats were focusing on the gun issue now, in this fashion, rather than on Illinois' budget problems and $96.8 billion pension debt.


Republican Minority Leader Tom Cross asked state Rep. Sara Feigenholtz, D-Chicago, whether her gun amendment does anything to address the state's pension crisis. Feigenholtz said the proposal was an "attempt to save lives."


"This bill can't pass out of the House like it is, nor can it go to the Senate, so how does that save a life?" Cross said.


Democratic lawmakers voted in favor of prohibiting concealed weapons in places like casinos, libraries, hospitals, mental health centers, child care facilities, stadiums and amusement parks.


"When they get done with this, you won't be able to carry anywhere," said Rep. David Reis, R-Willow Hill, expressing a frustration among many gun rights advocates as they watched restrictions get piled on.


At the end of the long string of amendment votes, lawmakers late Tuesday also approved an amendment sponsored by Rep. Brandon Phelps, the Harrisburg Democrat who has long sought to legalize concealed weapons. Phelps' proposal was drawn as a full bill that includes bans for stadiums, bars, churches, gymnasiums, sporting events and some businesses.


The gun debate in Illinois has always been more regional than partisan, with Downstate and suburban lawmakers of both parties more interested in gun rights for hunters and sportsmen. Chicagoans and lawmakers from nearby suburbs have been more interested in gun control.


raguerrero2@tribune.com


rlong@tribune.com


Twitter @RayLong



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Advanced Breast Cancer May Be Rising Among Young Women, Study Finds





The incidence of advanced breast cancer among younger women, ages 25 to 39, may have increased slightly over the last three decades, according to a study released Tuesday.




But more research is needed to verify the finding, which was based on an analysis of statistics, the study’s authors said. They do not know what may have caused the apparent increase.


Some outside experts questioned whether the increase was real, and expressed concerns that the report would frighten women needlessly.


The study, published in The Journal of the American Medical Association, found that advanced cases climbed to 2.9 per 100,000 younger women in 2009, from 1.53 per 100,000 women in 1976 — an increase of 1.37 cases per 100,000 women in 34 years. The totals were about 250 such cases per year in the mid-1970s, and more than 800 per year in 2009.


Though small, the increase was statistically significant, and the researchers said it was worrisome because it involved cancer that had already spread to organs like the liver or lungs by the time it was diagnosed, which greatly diminishes the odds of survival.


For now, the only advice the researchers can offer to young women is to see a doctor quickly if they notice lumps, pain or other changes in the breast, and not to assume that they cannot have breast cancer because they are young and healthy, or have no family history of the disease.


“Breast cancer can and does occur in younger women,” said Dr. Rebecca H. Johnson, the first author of the study and medical director of the adolescent and young adult oncology program at Seattle Children’s Hospital.


But Dr. Johnson noted that there is no evidence that screening helps younger women who have an average risk for the disease and no symptoms. We’re certainly not advocating that young women get mammography at an earlier age than is generally specified,” she said.


Expert groups differ about when screening should begin; some say at age 40, others 50.


Breast cancer is not common in younger women; only 1.8 percent of all cases are diagnosed in women from 20 to 34, and 10 percent in women from 35 to 44. However, when it does occur, the disease tends to be more deadly in younger women than in older ones. Researchers are not sure why.


The researchers analyzed data from SEER, a program run by the National Cancer Institute to collect cancer statistics on 28 percent of the population of the United States. The study also used data from the past when SEER was smaller.


The study is based on information from 936,497 women who had breast cancer from 1976 to 2009. Of those, 53,502 were 25 to 39 years old, including 3,438 who had advanced breast cancer, also called metastatic or distant disease.


Younger women were the only ones in whom metastatic disease seemed to have increased, the researchers found.


Dr. Archie Bleyer, a clinical research professor in radiation medicine at the Knight Cancer Institute at the Oregon Health and Science University in Portland who helped write the study, said scientists needed to verify the increase in advanced breast cancer in young women in the United States and find out whether it is occurring in other developed Western countries. “This is the first report of this kind,” he said, adding that researchers had already asked colleagues in Canada to analyze data there.


“We need this to be sure ourselves about this potentially concerning, almost alarming trend,” Dr. Bleyer said. “Then and only then are we really worried about what is the cause, because we’ve got to be sure it’s real.”


Dr. Johnson said her own experience led her to look into the statistics on the disease in young women. She had breast cancer when she was 27; she is now 44. Over the years, friends and colleagues often referred young women with the disease to her for advice.


“It just struck me how many of those people there were,” she said.


Dr. Donald A. Berry, an expert on breast cancer data and a professor of biostatistics at the University of Texas’ M. D. Anderson Cancer Center in Houston, said he was dubious about the finding, even though it was statistically significant, because the size of the apparent increase was so small — 1.37 cases per 100,000 women, over the course of 30 years.


More screening and more precise tests to identify the stage of cancer at the time of diagnosis might account for the increase, he said.


“Not many women aged 25 to 39 get screened, but some do, but it only takes a few to account for a notable increase from one in 100,000,” Dr. Berry said.


Dr. Silvia C. Formenti, a breast cancer expert and the chairwoman of radiation oncology at New York University Langone Medical Center, questioned the study in part because although it found an increased incidence of advanced disease, it did not find the accompanying increase in deaths that would be expected.


A spokeswoman for an advocacy group for young women with breast cancer, Young Survival Coalition, said the organization also wondered whether improved diagnostic and staging tests might explain all or part of the increase.


“We’re looking at this data with caution,” said the spokeswoman, Michelle Esser. “We don’t want to invite panic or alarm.”


She said it was important to note that the findings applied only to women who had metastatic disease at the time of diagnosis, and did not imply that women who already had early-stage cancer faced an increased risk of advanced disease.


Dr. J. Leonard Lichtenfeld
, deputy chief medical officer of the American Cancer Society, said he and an epidemiologist for the society thought the increase was real.


“We want to make sure this is not oversold or that people suddenly get very frightened that we have a huge problem,” Dr. Lichtenfeld said. “We don’t. But we are concerned that over time, we might have a more serious problem than we have today.”


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What's next for revitalized Chicago Loop?









Michael Edwards has only been in town for a few months, but the new executive director of the Chicago Loop Alliance says the warm reception he's getting makes him feel part of something distinctly Chicago.


There's the strong handshake upon meeting. Direct eye contact. A hearty "Welcome to Chicago," he notes. "It's really a dynamic thing," Edwards says with a laugh. "I get it all the time."


A Buffalo, N.Y., native who took the role in November, Edwards arrived at a crucial time for the alliance, which is charged with representing downtown businesses and promoting the area as a destination to live, work and play. On the rebound from the Great Recession, the Loop is aiming to solidify its place as a hub for businesses, retail and residents — from college students to urban professionals to empty nesters who seek easy access to transportation, Millennium Park and museums.





But the return hasn't been easy. During the economic downturn, vacancies shot up, but a rash of new apartments are under construction in downtown Chicago. Target Corp. filled the long-empty Carson Pirie Scott & Co. storefront with its new urban format on State Street in July, and a few blocks up The Gap will open a new store in the spring. State Street's crown jewel, Block 37, is still trying to land a big tenant to drive more foot traffic to the mall.


Now that vacancies are declining and rents are climbing, Edwards and other civic leaders are aiming to figure out what's next for the business district and State Street retail corridor.


At its annual meeting Tuesday, Edwards and the Chicago Loop Alliance announced development of a five-year strategic plan aimed at clarifying the organization's role in economic development, housing, transportation, tourism, culture and services in the Loop. It's the first ever in the organization's history.


The process will tap input from business owners, elected officials, civic leaders and alliance board members, said Edwards, who held similar positions in Pittsburgh and Spokane, Wash. He replaced executive director Ty Tabing, who left in the summer to head up an economic development organization in Singapore.


The strategic planning process is under way, and a draft is due in June. Oakland, Calif.- based MIG Inc. was hired to assist in developing the new strategy.


With the Loop moving in the right direction, it's time to shift gears and ask residents and business owners what they think of its opportunities and challenges, as well as the role of the alliance, Edwards says.


The need for a new plan is driven in part by Edwards' arrival, but also by the fact that the State Street special service area, one of 44 local tax districts that fund expanded services and programs with a property tax levy, is up for renewal in 2016. The State Street SSA collects about $2.5 million annually.


Part of the planning process will include determining whether the SSA, which is administered by the Chicago Loop Alliance and pays for such services as public way maintenance and district marketing, security and economic development, should be expanded to encompass all of the Loop's business and retail districts, including Dearborn Street and Wabash Avenue as well as North Michigan Avenue, he said.


No decisions have been yet, Edwards said. "We're pretty focused on State Street, but can we provide that level of service to other areas?" he said.


Edwards said the new strategy will also determine whether the alliance, which has an annual budget of about $3.4 million, should take on a larger role as an advocate for the Loop.


"We have a website that's all about our members that gets about 10,000 hits a year, and we need about 2 million hits a year. And we need to control the narrative about what's going on downtown," he said.


With other local organizations such as Choose Chicago and World Business Chicago tasked with touting the region, "Is there a role for us to amplify this notion that we're an authentic American city that's an economic engine for the region?" asked Edwards. "Is there a role for the CLA to help promote that or not?"


If the new focus of the alliance has yet to be determined, Edwards has few opinions. Any new partnerships with other local groups, he said, will have to be formed "organically."


And he predicts the alliance's focus will likely shift to "typical downtown management duties — keeping the area safe and clean," coupled with "a little more economic development sensibility as opposed to an arts sensibility," he said.


For years, the Chicago Loop Alliance has run the PopUp Art Loop program in which public art was showcased in vacant storefronts. But the number of empty retail spaces along State Street has been cut in half, to about six, Edwards said.


Now that State Street has evolved, it's time the alliance's role evolved too, according to officials.


"We're seeing a lot of tremendous opportunities for growth in the Loop, whether it's in retail, new companies coming downtown, new residents or tourism," said Martin Stern, executive vice president and managing director at US Equities Realty and board chairman of the Chicago Loop Alliance.


Added Edwards: "There's a sort of feeling that we need to be more focused, provide more value, provide more leadership."


crshropshire@tribune.com


Twitter @corilyns





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Cardinal George: New pope must 'govern ... as a pastor'

Cardinal Francis George tells the Tribune's Manya Brachear about the qualities that a new pope should have, one day before the cardinal heads to Rome to elect a new leader of the Catholic Church. (Chris Walker/Chicago Tribune)









As he prepared to rush to Rome ahead of a snowstorm at home, Chicago's Cardinal Francis George said Monday that the next pope should have insight about how the Vatican operates and the ability to lead a global church.


"You're talking about governance here," George said. "People say sanctity. Well, sanctity is nice, but there have been popes who have governed fairly well who have not been holy. … What's important here is governance. Can the man govern the church as a pastor? He has to be a man who knows the Lord because he's governing in his name. But it doesn't mean he's going to be a great saint."


George's interview with the Tribune was cut short as his staff scrambled to move up his travel plans to avoid a snowstorm in Tuesday's forecast. He will land at Leonardo da Vinci-Fiumicino Airport in Rome on Tuesday morning, two days ahead of Pope Benedict XVI's departure to the Vatican holiday retreat of Castel Gandolfo on Thursday.








The cardinals will meet Friday to begin preparing for the conclave where they will select the next pontiff. George also voted in the 2005 papal election that chose Pope Benedict.


While George initially will stay at the Pontifical North American College on the Janiculum Hill overlooking Rome, he will join other cardinals at the Domus Sanctae Marthae, a secluded residence on the edge of Vatican City, when the conclave begins.


In many respects, the Eternal City has become George's second home. He spent 13 years there as the vicar general for his religious order, the Missionary Oblates of Mary Immaculate. During his time as a cardinal, he has served on at least eight congregations, or Vatican committees, advising the pope on everything from financial management and evangelization to charity and liturgy.


Like cardinals from Germany, France and Italy, George also has served as president of his national bishops conference. For three years, the job took George back and forth as a liaison between the Vatican and the American Catholic Church. It's those kinds of responsibilities that leave an impression on other cardinals enough to earn their consideration, George said.


"Those are all relationships that enable you to have some insight into how they operate, a little bit about what they do and how they think," George said.


George considers the mileage accrued between a cardinal's diocese and Rome an important credential for the papacy.


Time spent in Rome enables a cardinal to learn how the church traditionally operates. It creates opportunities for cardinals who are not posted at the Vatican to learn the leadership styles of others outside their dioceses. It also exposes them to a different set of pressures and gives cardinals a chance to witness how they would respond.


A cardinal does not have to serve in the Roman Curia, he said. In fact, Pope John Paul II did not.


"But he knew what was going on," George said.


"Because the administration of the church is in the hands of the Roman Curia, at that level, does he have some curial experience?" George added. "Does he know a little bit about what's going on? Can he handle it? Can he appoint people who are in charge?"


The informal conversations leading up to the conclave, George said, provide opportunities to share observations and ask questions. Those questions often revolve around a man's style of public ministry, his administrative abilities and "his freedom from his own cultural background if he's got to be universal."


"You assume the man is prayerful and that he understands and lives out of the apostolic faith," George said. "However, you might create a question about that depending on what he might have said (publicly)."


Kurt Martens, an associate professor of canon law at the Catholic University of America and an expert on the Roman Curia, wholeheartedly agreed.


"Comparable to government agencies, the Roman Curia will help the Roman pontiff when he's planning out his ministries as shepherd of the flock," Martens said. "That means the Roman Curia is at his service. If you don't know the administration and how it works, it's not going to be at your service. You might be at the service of it.


"I might even go a little further than his eminence. It's key for the new supreme pontiff to not only be familiar with the Roman Curia, but also to be willing to control the Roman Curia to make sure they do what he wants, not the other way around."


Last year, confidential memos leaked to the news media — a scandal dubbed Vatileaks — revealed allegations of corruption within the Roman Curia.


Indeed, in his new book "Evangelical Catholicism," papal biographer and conservative Catholic scholar George Weigel said reforming the Roman Curia will be one of many priorities for the next pope.


"The Curia not infrequently caused acute embarrassment to Benedict XVI, putting obstacles in the way of his evangelical, catechetical, and pastoral efforts, and ill-serving the Pope's attempts to reframe the global agenda of debate on the crucial issues facing humanity," Weigel wrote.


Martens agreed with the cardinal's point that experience in Rome outside a cardinal's local diocese also helps demonstrate how well he can shake off cultural habits or constraints.


"You have to almost distance yourself from where you come from and think for the whole church," he said.


Everyone is speculating whether the cardinals will choose a pope from the developing world, he said.


"Perhaps we are ready for an African or Latin American pope," Martens added. But when he's elected pope, "he becomes a Roman."


mbrachear@tribune.com


Twitter @tribseeker



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Oscars telecast review: Guys, it’s not about you






NEW YORK (TheWrap.com) – Would it shock you to learn that this year’s Oscars producers also produced “Chicago“? Not at all? OK.


Self-referencing was the order of the evening Sunday at an overstuffed Oscars telecast where host Seth MacFarlane and producers Craig Zadan and Neil Meron decided the ceremony was All About Them.






That was the only explanation for a lengthy opening sequence centered on how MacFarlane would fare as host, and numerous reminders throughout the show of how much we all enjoyed “Chicago.”


Thanks, guys, but we kind of took care of praising “Chicago” when it won Best Picture in 2002.


The Oscars are always a treasure trove of hilarious narcissism – it’s inherently obnoxious to hear some of the richest and best-looking people alive praise one another and themselves.


This year had plenty of the usual silliness – as when best supporting actor Christoph Waltz praised Quentin Tarantino for going on a “hero’s journey” to make films. And it won’t exactly reduce Hollywood’s sense of self-importance that no less than Michelle Obama handed out the Best Picture. (“Argo” won.)


Inflated egos are to be expected. But we can usually count on the producers and host to share the spotlight. Not so this year.


You can’t really blame MacFarlane for turning the opening into a “Family Guy” episode, with all of his show’s requisite pop culture references, parody songs and gay panic jokes. MacFarlane brought in William Shatner to play Captain Kirk critiquing the show from the future.


The “Ted” director and star made it all of eight minutes before his first gay joke. He sang a song about actresses’ “boobs” with the Gay Men’s Chorus of Los Angeles, then clarified that he isn’t a member.


“Oh, trust me,” Captain Kirk said from the future. “In July 2015, you join the chorus.”


The theme of the night was celebrating musicals, but it was hard to find anything else consistent about the ceremony. Like many an overstuffed blockbuster, the three-and-a-half-hour show refused to leave anything out.


Studio slates are so dominated by CGI monstrosities that Oscar voters now nominate pretty much every grown-up movie they see for Best Picture. Rather than make hard decisions, they give us a grab bag.


And so we get extended ceremonies like this one, which somehow always manage to cull names from the “In Memoriam” segment, but not boring parts of the show. Key figures like the host and producers are allowed to protect their vanity pieces, and viewers just have to deal.


We were occasionally rewarded for our patience. Shirley Bassey and Adele gave spectacular performances of Bond songs from five decades apart. Jennifer Hudson delivered another excellent rendition of “And I Am Telling You I Am Not Going” from “Dreamgirls.” And we learned that Channing Tatum and Charlize Theron are good dancers.


But of course they are.


Catherine Zeta Jones did a commendable job on “All That Jazz” from “Chicago” – but couldn’t we have left it at that? The producers also reunited their cast as presenters – to remind us once again how much we apparently still cherish their decade-old film.


Near the end of the ceremony, Tarantino made his hero’s journey to the stage to accept his well-deserved award for Best Original Screenplay and remind us of the importance of writers.


One thing the best writers do is keep it short. Maybe next year should be a tribute to writers.


Movies News Headlines – Yahoo! News





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Global Health: After Measles Success, Rwanda to Get Rubella Vaccine


Rwanda has been so successful at fighting measles that next month it will be the first country to get donor support to move to the next stage — fighting rubella too.


On March 11, it will hold a nationwide three-day vaccination campaign with a combined measles-rubella vaccine, hoping to reach nearly five million children up to age 14. It will then integrate the dual vaccine into its national health service.


Rwanda can do so “because they’ve done such a good job on measles,” said Christine McNab, a spokeswoman for the Measles and Rubella Initiative, which will provide the vaccine and help pay for the campaign.


Rubella, also called German measles, causes a rash that is very similar to the measles rash, making it hard for health workers to tell the difference.


Rubella is generally mild, even in children, but in pregnant women, it can kill the fetus or cause serious birth defects, including blindness, deafness, mental retardation and chronic heart damage.


Ms. McNab said that Rwanda had proved that it can suppress measles and identify rubella, and it would benefit from the newer, more expensive vaccine.


The dual vaccine costs twice as much — 52 cents a dose at Unicef prices, compared with 24 cents for measles alone. (The MMR vaccine that American children get, which also contains a vaccine against mumps, costs Unicef $1.)


More than 90 percent of Rwandan children now are vaccinated twice against measles, and cases have been near zero since 2007.


The tiny country, which was convulsed by Hutu-Tutsi genocide in 1994, is now leading the way in Africa in delivering medical care to its citizens, Ms. McNab said. Three years ago, it was the first African country to introduce shots against human papilloma virus, or HPV, which causes cervical cancer.


In wealthy countries, measles kills a small number of children — usually those whose parents decline vaccination. But in poor countries, measles is a major killer of malnourished infants. Around the world, the initiative estimates, about 158,000 children die of it each year, or about 430 a day.


Every year, an estimated 112,000 children, mostly in Africa, South Asia and the Pacific islands, are born with handicaps caused by their mothers’ rubella infection.


Thanks in part to the initiative — which until last year was known just as the Measles Initiative — measles deaths among children have declined 71 percent since 2000. The initiative is a partnership of many health agencies, vaccine companies, donors and others, but is led by the American Red Cross, the United Nations Foundation, the Centers for Disease Control and Prevention, Unicef and the World Health Organization.


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5 of top 15 teaching hospitals in Chicago area















































Five of the country's top 15 major teaching hospitals are in the Chicago area, according to an annual study released Monday that evaluates performance in 10 categories of publicly available data.

The study, conducted by Truven Health Analytics, the former health care business of Thomson Reuters, listed seven Chicagoland hospitals among the nation's top 100, including four owned by Advocate Health Care.

Researchers evaluated 2,922 acute-care hospitals using information from the federal Centers for Medicare and Medicaid Services, including cost, patient satisfaction and quality measures, such as re-admission rates, patient safety, mortality and medical complications.  Hospitals do not apply or pay for inclusion on the list, which has been produced since 1993.


The seven Illinois hospitals that made the Top 100


  • Advocate Christ Medical Center in Oak Lawn

  • Advocate Illinois Masonic Medical Center in Chicago

  • Advocate Lutheran General Hospital in Park Ridge

  • Advocate Good Samaritan Hospital in Downers Grove

  • Central DuPage Hospital in Winfield

  • NorthShore University HealthSystem in Evanston

  • Northwestern Memorial Hospital in Chicago













pfrost@tribune.com | Twitter: @peterfrost




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Oscars live: Hathaway wins best supporting actress









9:59: George Clooney introduces the "In Memoriam" segment of the show. Ernest Borgnine is the first actor honored. Barbra Streisand gives a tribute to Marvin Hamlisch, singing "The Way We Were."


9:48 p.m.: Daniel Radcliffe and Kristin Stewart presented the award for best production design to "Lincoln."


MORE OSCARS: Red carpet pics | Winners | Red carpet highlights








9:35 p.m.: Adele performs her song from the Bond film "Skyfall."


9:31 p.m.: The Oscar for film editing, presented by Sandra Bullock, is given to William Goldenberg of "Argo." It's the first win for the movie.


9:23 p.m.: Anne Hathaway wins best supporting actress for her role in "Les Miserables." The award is presented by Christopher Plummer.

9:14 p.m.: Mark Wahlberg and Ted from "Ted" present the award for best sound mixing to "Les Miserables." There was a tie for best sound editing, as "Zero Dark Thirty" and "Skyfall." It is the first tie for an Oscar since 1995.


9:03 p.m.: John Travolta presents a montage to movie musicals, featuring Catherine Zeta-Jones and Chicagoan Jennifer Hudson, who gets a standing ovation for singing "And I Am Telling You I'm Not Going," from "Dreamgirls."


The entire cast of "Les Miserables," including Anne Hathaway, Hugh Jackman and Russell Crowe, sings "Suddenly" from the movie.


8:51 p.m.: Jennifer Garner and Jessica Chastain present the best foreign language film to "Amour."


8:43 p.m.: "Argo" director and star Ben Afflek gives the award for best documentary feature to "Searching For Sugar Man."


8:35 p.m.: Shawn Christensen wins best live action short film for "Curfew." The award for best documentary short subject goes to "Inocente."


8:25 p.m.: Halle Berry, a Bond girl herself in "Golden Eye," presents a montage celebrating the music of James Bond films. Shirley Bassey sings "Goldfinger" live.

8:19 p.m.: Jennifer Aniston and Channing Tatum give the award for best costume design to Jacqueline Durran for "Anna Karenina." The award for best makeup goes to Lisa Westcott and Julie Dartnell for "Les Miserables."


8:10 p.m.: Claudio Miranda wins best cinemtography for "Life of Pi." The movie also wins for best visual effects.


7:59 p.m.: Paul Rudd and Melissa McCarthy present the best animated feature film award, which goes to "Brave." Director Mark Andrews accepts the award wearing a kilt. John Kahrs wins best animated short film for "Paperman."


7:50 p.m.: Christoph Waltz wins the first award of the night, as best supporting actor for his role in "Django Unchained." The award is given by Octavia Spencer.


7:35 p.m.: The 85th Academy Awards are under way, with Seth MacFarlane as host. He announces that this year's Oscars will have a musical theme.

The show's first surprise is William Shatner as Captain Kirk from "Star Trek," telling MacFarlane he is doing a terrible job as host.


The first song of the night is MacFarlane singing a song called "We Saw Your Boobs."


MacFarlane then sings a rendition of the Frank Sinatra hit "The Way You Look Tonight" with Channing Tatum and Charlize Theron dancing.


He then sings "High Hopes" with Daniel Radcliffe and Joseph Gordon-Levitt.


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‘Bloodless’ Lung Transplants for Jehovah’s Witnesses


Eric Kayne for The New York Times


SHARING HOME AND FAITH A Houston couple hosted Gene and Rebecca Tomczak, center, in October so she could get care nearby.







HOUSTON — Last April, after being told that only a transplant could save her from a fatal lung condition, Rebecca S. Tomczak began calling some of the top-ranked hospitals in the country.




She started with Emory University Hospital in Atlanta, just hours from her home near Augusta, Ga. Then she tried Duke and the University of Arkansas and Johns Hopkins. Each advised Ms. Tomczak, then 69, to look somewhere else.


The reason: Ms. Tomczak, who was baptized at age 12 as a Jehovah’s Witness, insisted for religious reasons that her transplant be performed without a blood transfusion. The Witnesses believe that Scripture prohibits the transfusion of blood, even one’s own, at the risk of forfeiting eternal life.


Given the complexities of lung transplantation, in which transfusions are routine, some doctors felt the procedure posed unacceptable dangers. Others could not get past the ethics of it all. With more than 1,600 desperately ill people waiting for a donated lung, was it appropriate to give one to a woman who might needlessly sacrifice her life and the organ along with it?


By the time Ms. Tomczak found Dr. Scott A. Scheinin at The Methodist Hospital in Houston last spring, he had long since made peace with such quandaries. Like a number of physicians, he had become persuaded by a growing body of research that transfusions often pose unnecessary risks and should be avoided when possible, even in complicated cases.


By cherry-picking patients with low odds of complications, Dr. Scheinin felt he could operate almost as safely without blood as with it. The way he saw it, patients declined lifesaving therapies all the time, for all manner of reasons, and it was not his place to deny care just because those reasons were sometimes religious or unconventional.


“At the end of the day,” he had resolved, “if you agree to take care of these patients, you agree to do it on their terms.”


Ms. Tomczak’s case — the 11th so-called bloodless lung transplant attempted at Methodist over three years — would become the latest test of an innovative approach that was developed to accommodate the unique beliefs of the world’s eight million Jehovah’s Witnesses but may soon become standard practice for all surgical patients.


Unlike other patients, Ms. Tomczak would have no backstop. Explicit in her understanding with Dr. Scheinin was that if something went terribly wrong, he would allow her to bleed to death. He had watched Witness patients die before, with a lifesaving elixir at hand.


Ms. Tomczak had dismissed the prospect of a transplant for most of the two years she had struggled with sarcoidosis, a progressive condition of unknown cause that leads to scarring in the lungs. The illness forced her to quit a part-time job with Nielsen, the market research firm.


Then in April, on a trip to the South Carolina coast, she found that she was too breathless to join her frolicking grandchildren on the beach. Tethered to an oxygen tank, she watched from the boardwalk, growing sad and angry and then determined to reclaim her health.


“I wanted to be around and be a part of their lives,” Ms. Tomczak recalled, dabbing at tears.


She knew there was danger in refusing to take blood. But she thought the greater peril would come from offending God.


“I know,” she said, “that if I did anything that violates Jehovah’s law, I would not make it into the new system, where he’s going to make earth into a paradise. I know there are risks. But I think I am covered.”


Cutting Risks, and Costs


The approach Dr. Scheinin would use — originally called “bloodless medicine” but later re-branded as “patient blood management” — has been around for decades. His mentor at Methodist, Dr. Denton A. Cooley, the renowned cardiac pioneer, performed heart surgery on hundreds of Witnesses starting in the late 1950s. The first bloodless lung transplant, at Johns Hopkins, was in 1996.


But nearly 17 years later, the degree of difficulty for such procedures remains so high that Dr. Scheinin and his team are among the very few willing to attempt them.


In 2009, after analyzing Methodist’s own data, Dr. Scheinin became convinced that if he selected patients carefully, he could perform lung transplants without transfusions. Hospital administrators resisted at first, knowing that even small numbers of deaths could bring scrutiny from federal regulators.


“My job is to push risk away,” said Dr. A. Osama Gaber, the hospital’s director of transplantation, “so I wasn’t really excited about it. But the numbers were very convincing.”


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