Spurs see 11-game streak end, then face tough trip


AUBURN HILLS, Mich. (AP) — Gregg Popovich and the San Antonio Spurs lost for the first time in nearly a month — then faced a difficult trip to snow-swept New York.


The Spurs play at Brooklyn on Sunday night, so after losing to Detroit on Friday night, their next concern was the massive snow storm affecting the New York-to-Boston corridor.


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


San Antonio fell behind by 21 points Friday night and lost 119-109 — the first time the Spurs lost in 12 games. Greg Monroe had 26 points and 16 rebounds for Detroit.


San Antonio has other problems, too. The Spurs played without injured Tim Duncan and Manu Ginobili, and the Pistons equaled their highest score of the season. Detroit was without rookie big man Andre Drummond, who is expected to miss four to six weeks because of a stress fracture in his back.


"Obviously we feel very bad for Andre, but he's 19 and he'll recover," Detroit coach Lawrence Frank said. "You move forward, we get him healthy, and you go with who you got."


Tony Parker scored 31 points for San Antonio and Kawhi Leonard added 16. Brandon Knight had 24 for the Pistons, and Charlie Villanueva scored 21.


"They beat us to the boards, they beat us to loose balls and they just outplayed us. We're supposed to be good at defending at the 3-point line, but they sliced and diced us," Popovich said. "There are just nights you play like this."


Monroe, the Pistons' starting center, needed little help inside against the Spurs — and Detroit built a sizeable lead in the first half thanks to terrific outside shooting.


San Antonio trailed by 17 after three quarters. The Spurs cut it to 108-101 on a 3-pointer by Leonard, but Knight answered with a 3 of his own.


Later, the Spurs were down by eight with the ball, but Leonard missed and Villanueva made a 3-pointer to make it 116-105.


The Pistons led 27-16 late in the first quarter after Jose Calderon sank a 3-pointer. It was 31-23 after one, and Detroit went 6 of 9 from beyond the arc in the second.


Kyle Singler's 18-footer made it 65-44, but San Antonio scored the last eight points of the half to give itself a reasonable chance at a comeback.


It was 81-72 with 3:55 left in the third, and the Spurs looked like they would enter the final quarter very much within striking distance. But this time, it was Detroit that finished the period strong, going on a 10-3 run to lead 95-78.


Monroe scored six points during that stretch. He ended up playing 40 minutes.


"Andre is out for a while now, so I expect I'll play a lot more minutes, but tonight was a good team win," Monroe said. "We beat a very good team tonight."


Duncan was shooting around on the court a couple hours before the opening tip, but he missed his second straight game with a sore left knee. Ginobili has missed three in a row with left hamstring tightness.


Duncan has played only twice in San Antonio's last nine games, but the Spurs were able keep winning anyway before falling into too big a hole Friday.


"They just shot the ball really well. They aren't known for being a great 3-point shooting team, but every time we'd get the game back to seven or eight points, they'd hit another one," Parker said. "They did that to us all night, and there wasn't anything we could do to stop them."


NOTES: Detroit went 10 of 22 from 3-point range. San Antonio was 10 of 24. ... Detroit also scored 119 points in a December loss to Atlanta, but that was in double overtime.


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John E. Karlin, 1918-2013: John E. Karlin, Who Led the Way to All-Digit Dialing, Dies at 94


Courtesy of Alcatel-Lucent USA


John E. Karlin, a researcher at Bell Labs, studied ways to make the telephone easier to use.







A generation ago, when the poetry of PEnnsylvania and BUtterfield was about to give way to telephone numbers in unpoetic strings, a critical question arose: Would people be able to remember all seven digits long enough to dial them?




And when, not long afterward, the dial gave way to push buttons, new questions arose: round buttons, or square? How big should they be? Most crucially, how should they be arrayed? In a circle? A rectangle? An arc?


For decades after World War II, these questions were studied by a group of social scientists and engineers in New Jersey led by one man, a Bell Labs industrial psychologist named John E. Karlin.


By all accounts a modest man despite his variegated accomplishments (he had a doctorate in mathematical psychology, was trained in electrical engineering and had been a professional violinist), Mr. Karlin, who died on Jan. 28, at 94, was virtually unknown to the general public.


But his research, along with that of his subordinates, quietly yet emphatically defined the experience of using the telephone in the mid-20th century and afterward, from ushering in all-digit dialing to casting the shape of the keypad on touch-tone phones. And that keypad, in turn, would inform the design of a spate of other everyday objects.


It is not so much that Mr. Karlin trained midcentury Americans how to use the telephone. It is, rather, that by studying the psychological capabilities and limitations of ordinary people, he trained the telephone, then a rapidly proliferating but still fairly novel technology, to assume optimal form for use by midcentury Americans.


“He was the one who introduced the notion that behavioral sciences could answer some questions about telephone design,” Ed Israelski, an engineer who worked under Mr. Karlin at Bell Labs in the 1970s, said in a telephone interview on Wednesday.


In 2013, the 50th anniversary of the introduction of the touch-tone phone, the answers to those questions remain palpable at the press of a button. The rectangular design of the keypad, the shape of its buttons and the position of the numbers — with “1-2-3” on the top row instead of the bottom, as on a calculator — all sprang from empirical research conducted or overseen by Mr. Karlin.


The legacy of that research now extends far beyond the telephone: the keypad design Mr. Karlin shepherded into being has become the international standard on objects as diverse as A.T.M.’s, gas pumps, door locks, vending machines and medical equipment.


Mr. Karlin, associated from 1945 until his retirement in 1977 with Bell Labs, headquartered in Murray Hill, N.J., was widely considered the father of human-factors engineering in American industry.


A branch of industrial psychology that combines experimentation, engineering and product design, human-factors engineering is concerned with easing the awkward, often ill-considered marriage between man and machine. In seeking to design and improve technology based on what its users are mentally capable of, the discipline is the cognitive counterpart of ergonomics.


“Human-factors studies are different from market research and other kinds of studies in that we observe people’s behavior and record it, systematically and without bias,” Mr. Israelski said. “The hallmark of human-factors studies is they involve the actual observation of people doing things.”


Among the issues Mr. Karlin examined as the head of Bell Labs’ Human Factors Engineering department — the first department of its kind at an American company — were the optimal length for a phone cord (a study that involved gentle, successful sabotage) and the means by which rotary calls could be made efficiently after the numbers were moved from inside the finger holes, where they had nestled companionably for years, to the rim outside the dial.


John Elias Karlin was born in Johannesburg on Feb. 28, 1918, and reared nearby in Germiston, where his parents owned a grocery store and tearoom.


He earned a bachelor’s degree in philosophy, psychology and music, and a master’s degree in psychology, both from the University of Cape Town. Throughout his studies he was a violinist in the Cape Town Symphony Orchestra and the Cape Town String Quartet.


Moving to the United States, Mr. Karlin earned a Ph.D. from the University of Chicago in 1942. Afterward, he became a research associate at Harvard; he also studied electrical engineering there and at the Massachusetts Institute of Technology.


At Harvard, Mr. Karlin did research for the United States military on problems in psychoacoustics that were vital to the war effort — studying the ways, for instance, in which a bomber’s engine noise might distract its crew from their duties.


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India Ink: Five Questions for: Author and Filmmaker Laleh Khadivi

Laleh Khadivi is an author and filmmaker who was born in Esfahan, Iran, and grew up in California. Her first novel, “The Age of Orphans,” received the Whiting Award for Fiction, the Barnes and Noble Discover New Writers Award and an Emory Fiction Fellowship, and it was translated into eight languages. Her latest novel, “The Walking,” will be published in March. Her debut documentary film, “900 Women,” premiered at the Human Rights Watch Film Festival in 2001. India Ink interviewed Ms. Khadivi at the Jaipur Literature Festival.

What are the occupational hazards of being a writer?

Depression? I’m kidding. I think that when you write, and that is the only thing you do and you don’t have another job you end up spending a lot of time alone in worlds of your creation and so that can make living in the world of reality a little bit difficult. I feel like, for myself and a few other writers I know intimately, going between those two worlds is often very difficult. You don’t have the ease with which to converse randomly at a dinner party when you’ve been writing a torture scene all day. You kind of have to step in and out of the things that you know are fiction and the things that you know to be real. Otherwise, writing is a pretty sweet job. You can’t really complain about it, you know.

What is your everyday writing ritual?

When I’m in the middle of writing a book, doing the day-to-day writing of it, I develop a ritual for that book, but it changes for each book. So I ideally would like to write every morning between 7 a.m. and noon if I can get those many hours –though I just had a son so this is not going to ever happen again. And then from noon until 7, do other things. And then I find the night very useful for writing so I write again from dark until when I go to sleep. At the end of the day, I’m a writer, and in the middle, a regular person.

Why should we read your latest book?

My latest book is about the effects of movies on the imagination. It’s about a lot of other things as well — political things and social things — but mostly it’s about a boy’s love of the cinema and what the cinema does to your desires. How if you only know one world – one particular village or one town – and you watch movies that happen halfway across the globe, how you are changed and how you suddenly think to yourself, “Oh wait, the Earth is bigger than what I know. How do I get to this other place?”

India has such a rich history of cinema, and Bollywood is all about spinning imaginary tales. They might not involve other places on the planet, but they involve other classes, other gender dynamics and other fashion.

It’s a book about that distance between where you are and what you see, and where you can be in cinema and how it changes what you want. It takes place partially in the Kurdish region of Iran and partially in Los Angeles.

How do you deal with your critics?

Ha! I’ve been trying to figure that out.

I think ideally the best way to deal with it is to just not read the reviews. Because with my first book I got these reviews, and some of them were great, and some of them were not. I realized that the ones that were great did not make me feel good — I didn’t celebrate it. And a bad review made me feel terrible. So there was nothing to win, nothing to gain from reading the reviews. Granted, your ego is very tempted to go and see what they are saying about your book, but you know if it’s good and where it’s not good and what the weak parts are.

If someone gives it a bad review and doesn’t like it, there is a good chance they just didn’t get it or it’s not their thing. If I was asked to review a book by John Updike, I would say terrible things, but someone else would give him the Pulitzer Prize. It’s a personal preference. Reviews are very bizarre – they are assigned to one reader and that reader might hate the Middle East. I see the intellectual background of where the reviewer is from – if they do not like Faulkner’s writing, chances are they are not going to like mine.

Why does the Jaipur Literature Festival matter to you?

One billion people – not all of them reading, but still a country of a billion people — you just can’t ignore that. There’s a billion universes going on in those people’s lives and communities, and I feel like because there is an English-speaking presence here and my books can be read without translation, I should go and help people get excited about them.

I have been blown away by the attentiveness and the eagerness of the audiences in Jaipur. I also think that beyond just engaging with readers, I think it’s important to engage with writers about writing and have public discourse about the life of the mind. Our world is increasingly not giving writers and thinkers and artists a place to do that, and so Jaipur is like this small little window to have discussions that are not about money, but about art or politics or inspiration. That’s important to me, and I think that’s important to the increasing readership of Indians.

(The interview has been lightly edited and condensed.)

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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


"We didn't communicate," he said.


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


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


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


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


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


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


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


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


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


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


Groce credited Richardson for providing a spark.


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


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


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


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


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Well: Old Age and Motorcycles Are a Dangerous Mix

If you’re over 40 and planning to hop on a motorcycle, take care. Compared with younger riders, the odds of being seriously injured are high.

That is the message of a new study, published this week in the journal Injury Prevention, which found that older bikers are three times as likely to be severely injured in a crash as younger riders.

The percentage of older bikers on the road is quickly rising, and their involvement in accidents is a growing concern. Nationwide, from 1990 to 2003, the percentage of motorcyclists over age 50 soared from roughly 1 in 10 to about 1 in 4. At the same time, the average age of riders involved in motorcycle crashes has also been climbing. Injury rates among those 65 and older jumped 145 percent from 2000 to 2006 alone.

Because of the increase in motorcycle ridership among older Americans, the researchers, led by Tracy Jackson, a graduate student in the epidemiology department at Brown University, wanted a closer look at their injury patterns. So she and her colleagues combed through a federal database of motorcycle crashes that were serious enough to require emergency medical care. That yielded about 1.5 million incidents involving motorcyclists 20 or older from 2001 to 2008.

The researchers then split them into groups: those in their 20s and 30s, another group between 40 and 59, and those 60 and older.

Over all, the study showed that injury rates for all three groups were on the rise. But the rise was steepest for the oldest riders. Compared with the youngest motorcyclists, those who were 60 and older were two and a half times as likely to end up with serious injuries, and three times as likely to be admitted to a hospital. The riders who were middle age were twice as likely as their younger counterparts to be hospitalized.

For older riders, the consequences of a collision were also especially alarming. Older and middle-aged bikers were more likely to sustain fractures and dislocations, and they had a far greater chance of ending up with injuries to internal organs, including brain damage.

The researchers speculated that it was very likely that a number of factors played a role in older riders’ higher injury rates. For one, declines in vision and reaction time may make older riders more prone to mistakes that end up in collisions. Another theory is that older riders tend to ride bigger bikes, “which may be more likely to roll or turn over,” Ms. Jackson said.

Then there is the greater fragility that comes with age. Older riders may be involved in the same types of accidents as younger riders, Ms. Jackson said, but in some cases, a collision that a 20-year-old would walk away from might send a 65-year-old to the hospital.

“Your bones become more brittle, and you lose muscle mass as you get older,” she said. “It could just be a matter of aging and the body being less durable.”

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European Leaders Struggle to Bridge Budget Gaps


BRUSSELS — European Union leaders on Friday morning edged closer to agreeing a budget worth nearly €1 trillion, or $1.3 trillion, to support farming, transportation and other infrastructure, as well as big research projects for the 27-nation bloc.


But after 15 hours of talks, the leaders were still seeking unanimity while also attempting to satisfy the wide array of national interests demanding attention.


The budget is negotiated every seven years and involves furious horse-trading as leaders focus on getting the best deal for their own countries’ citizens, rather than emphasizing pan-European considerations.


The marathon session was the second attempt to reach a deal on the funding package, which should run from 2014 to 2020, after the first attempt collapsed in November.


Another failure to strike a deal on a sum of money that represents only about 1 percent of the Union’s Gross Domestic Product would be a severe embarrassment for the leaders, who already have spent years bickering over how to save the euro.


The European Commission, the bloc’s policymaking arm, had sought an increase in the overall budget of around 5 percent to more than €1 trillion.


Herman Van Rompuy, the president of the European Council, which represents E.U. leaders, pruned that sum to about €973 billion at the previous summit in November.


On Friday morning, Mr. Van Rompuy presented further revisions lowering the overall sum to about €960 billion but holding down the amount of cash governments pay up-front to around €908 billion.


That formula was designed, in part, to satisfy countries like Britain and the Netherlands that pay more into the budget than they receive, while also accommodating the demands of countries like France and Italy that want to maintain generous payments for agriculture and infrastructure.


Some of the deepest cuts would be made to pan-European projects to improve transport, energy, and digital services that are overseen by the commission. About €1 billion in cuts would be made to the part of the budget used to employ 55,000 people, including 6,000 translators, most of them in Brussels, who run the Union’s day-to-day affairs.


Expert national advisors were reviewing the proposals on Friday morning, and leaders were expected to reconvene for further talks.


Leaders also were wrestling over demands by some countries to renew a system of rebates that raises the costs for other countries.


One of the complications in the current round of negotiations has been the call for budgetary rigor from leaders like David Cameron, the British prime minister, who says the Union should tighten its belt at a time when many European governments have been compelled to impose stringent budget cuts.


Mr. Cameron, in particular, has earned the enmity of some European leaders by demanding a renegotiation of Britain’s treaty with the Union and promised a referendum on his nation’s membership in 2017.


Reflecting growing irritation with Britain among a number of European leaders, Martin Schulz, the president of the European Parliament, told a news conference late on Thursday night that leaders should not go out of their way to appease Mr. Cameron.


Because Britain could be outside the bloc by later this decade, there was little need to make concessions to Mr. Cameron that potentially jeopardized “the security of our financial planning,” Mr. Schulz suggested.


Mr. Van Rompuy, the president of the European Council, had intended to start the session during the mid-afternoon on Thursday to force leaders to make their complaints clear in a roundtable session rather than being allowed to break into small groups.


But his plan was derailed, and the first roundtable session was delayed until late in the evening, as leaders formed the kind of pre-summit huddles that he seemingly wanted to avoid.


President François Hollande of France was an hour late to a meeting during the afternoon with Mr. Cameron, Angela Merkel, the German chancellor, and Mr. Van Rompuy.


Mr. Hollande’s lateness was a sign of French displeasure with British demands that included strict limits on agriculture spending cherished by French farmers, according to an E.U. diplomat, who spoke on condition of anonymity because of the sensitivity of the talks.


Even if leaders eventually agree to a deal, it faces still more hurdles before it becomes law at the European Parliament, which has the power to veto the budget.


Some of the most influential figures in Parliament have already signaled that they are prepared to reject a budget that foresees spending less on Europe in the years ahead.


Guy Verhofstadt, the head of the alliance of liberals in the Parliament, called on Thursday for a full-revision clause to be inserted into the budget, so that it could be increased after three years if economic conditions improved.


Mr. Schulz, the president of the Parliament, said on Thursday that he would not approve a budget that ended up widening the overall gap between the amount of cash paid up-front by governments and the somewhat higher amounts known as commitments, which make up the overall budget.


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Lashkar-e-Taiba Founder Takes Less Militant Tone in Pakistan


Diego Ibarra Sanchez for The New York Times


“I move about like an ordinary person — that’s my style,” said Hafiz Muhammad Saeed. “My fate is in the hands of God, not America.”







LAHORE, Pakistan — Ten million dollars does not seem to buy much in this bustling Pakistani city. That is the sum the United States is offering for help in convicting Hafiz Muhammad Saeed, perhaps the country’s best-known jihadi leader. Yet Mr. Saeed lives an open, and apparently fearless, life in a middle-class neighborhood here.




“I move about like an ordinary person — that’s my style,” said Mr. Saeed, a burly 64-year-old, reclining on a bolster as he ate a chicken supper. “My fate is in the hands of God, not America.”


Mr. Saeed is the founder, and is still widely believed to be the true leader, of Lashkar-e-Taiba, the militant group that carried out the 2008 attacks in Mumbai, India, in which more than 160 people, including six Americans, were killed. The United Nations has placed him on a terrorist list and imposed sanctions on his group. But few believe he will face trial any time soon in a country that maintains a perilous ambiguity toward jihadi militancy, casting a benign eye on some groups, even as it battles others that attack the state.


Mr. Saeed’s very public life seems more than just an act of mocking defiance against the Obama administration and its bounty, analysts say. As American troops prepare to leave Afghanistan next door, Lashkar is at a crossroads, and its fighters’ next move — whether to focus on fighting the West, disarm and enter the political process, or return to battle in Kashmir — will depend largely on Mr. Saeed.


At his Lahore compound — a fortified house, office and mosque — Mr. Saeed is shielded not only by his supporters, burly men wielding Kalashnikovs outside his door, but also by the Pakistani state. On a recent evening, police officers screened visitors at a checkpoint near his house, while other officers patrolled an adjoining park, watching by floodlight for intruders.


His security seemingly ensured, Mr. Saeed has over the past year addressed large public meetings and appeared on prime-time television, and is now even giving interviews to Western news media outlets he had previously eschewed.


He says that he wants to correct “misperceptions.” During an interview with The New York Times at his home last week, Mr. Saeed insisted that his name had been cleared by the Pakistani courts. “Why does the United States not respect our judicial system?” he asked.


Still, he says he has nothing against Americans, and warmly described a visit he made to the United States in 1994, during which he spoke at Islamic centers in Houston, Chicago and Boston. “At that time, I liked it,” he said with a wry smile.


During that stretch, his group was focused on attacking Indian soldiers in the disputed territory of Kashmir — the fight that led the military’s Inter-Services Intelligence Directorate to help establish Lashkar-e-Taiba in 1989. But that battle died down over the past decade, and Lashkar began projecting itself through its charity wing, Jamaat-ud-Dawa, which runs a tightly organized network of hospitals and schools across Pakistan.


The Mumbai attacks propelled Lashkar-e-Taiba to notoriety. But since then, Mr. Saeed’s provocations toward India have been largely verbal. Last week he stirred anger there by suggesting that Bollywood’s highest-paid actor, Shah Rukh Khan, a Muslim, should move to Pakistan. In the interview, he said he prized talking over fighting in Kashmir.


“The militant struggle helped grab the world’s attention,” he said. “But now the political movement is stronger, and it should be at the forefront of the struggle.”


Pakistan analysts caution that Mr. Saeed’s new openness is no random occurrence, however. “This isn’t out of the blue,” said Shamila N. Chaudhary, a former Obama administration official and an analyst at the Eurasia Group, a consulting firm. “These guys don’t start talking publicly just like that.”


What it amounts to, however, may depend on events across the border in Afghanistan, where his group has been increasingly active in recent years. In public, Mr. Saeed has been a leading light in the Defense of Pakistan Council, a coalition of right-wing groups that lobbied against the reopening of NATO supply routes through Pakistan last year. More quietly, Lashkar fighters have joined the battle, attacking Western troops and Indian diplomatic facilities in Afghanistan, intelligence officials say.


This article has been revised to reflect the following correction:

Correction: February 7, 2013

An earlier version of this article misspelled the surname of a former Obama administration official who is now an analyst at the Eurasia Group, a consulting firm. She is Shamila N. Chaudhary, not Chaudhry.



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

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

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

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

The Presenting Problem:

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

The Patient’s Story:

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

A Sister’s Visit:

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

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

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

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

A Long Series of Illnesses:

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

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

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

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

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

Back to the Hospital:

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

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

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

Back to the Hospital, Again:

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

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

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

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

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

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

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

Solving the Mystery:

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


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

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Profound Weight of Layoffs Seen in Survey





Layoffs have touched nearly every American household in some fashion over the last few years, according to new survey data to be released Thursday by the John J. Heldrich Center for Workforce Development at Rutgers University.







Joe Raedle/Getty Images

Lissette Marquez, center, and Amiel Ali looked for jobs last week in Miami with the help of a South Florida Workforce customer service representative, Nelson Munoz, left.







While about 8 percent of Americans are unemployed, nearly a quarter of Americans say they were laid off at some point during the recession or afterward, according to the survey. More broadly, nearly eight in 10 say they know someone in their circle of family and friends who has lost a job.


“This to me is why the recession was so all-consuming and is likely to influence the American psyche,” said Cliff Zukin, a public policy and political science professor at Rutgers and co-author of the report. “Almost everyone, four out of five, were directly or one step removed from unemployment and all that goes with it financially, socially, psychologically.”


The survey presented a bleak view of the economic future.


A majority of Americans say they think it will be at least six years before the economy is made whole again, if ever. Three in 10 said the economy would never fully recover from the Great Recession.


“Despite significant improvements in the nation’s labor market, American workers’ concerns about unemployment, the job market, job security and the future of the economy have not changed much since we conducted a similar survey in August 2010,” the report said.


Just a third of Americans surveyed in this poll, conducted from Jan. 9-16, said they thought the economy would be better next year, the same share that said so two years earlier.


Of those laid off in recent years, nearly a quarter said they still had not found a job. Re-employment rates for older workers have been particularly bad, with nearly two-thirds of unemployed people 55 and older saying they actively sought a job for more than a year before finding one or had still not found work.


Not surprisingly, those who are unemployed are especially downbeat about many economic issues in addition to their own finances. Of those who were jobless and looking for work, 31 percent said their jobless benefits had run out and 58 percent said they were concerned their benefits would run out before they found work.


Of those who have found work, nearly half say their current job is a step down from the one they lost, and a slim majority say they earn less than they did in their previous job. A quarter of those re-employed said they thought that the hit to their standard of living would be permanent.


The reliance on one’s personal network and savings rather than the social safety net showed up frequently in the survey data.


More people reported borrowing money from friends and family than reported using food stamps. A third cut back on doctors’ visits or medical treatment. A quarter of the unemployed said they had enrolled in retraining programs of some kind; half of them reported paying for the education on their own or through family assistance. Twenty-three percent received some type of government financing for their training programs.


Unemployed workers were more likely than employed workers to say that the government is primarily responsible for helping the jobless. But even then, a majority of the unemployed thought that workers and employers were more responsible for getting people back to work than the government was.


Americans over all were also somewhat less critical of bankers this time than they were two years earlier. About one in three (35 percent) respondents attributed high unemployment levels to the actions of Wall Street, compared with 45 percent in 2010.


Americans were most likely to attribute high unemployment to cheap foreign labor. Four in 10 also said they believed illegal immigrants were taking Americans’ job opportunities — which does not bode well for political support for an amnesty program now being discussed in Washington.


Most people surveyed lost at least some of their savings. Asked about their financial health, six in 10 Americans said their finances would not improve in the next few years; just 16 percent said their family finances were already back to prerecession levels or suffered no loss in the first place.


More educated, better-off people were substantially more likely to report being as financially secure as they were before the recession began.


Responses are based on an online survey conducted by GfK using a nationally representative sample of 1,090 adults. The margin of sampling error is plus or minus three percentage points.


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Ally of Ahmadinejad Freed Amid Political Fight, Reports Say





TEHRAN — As President Mahmoud Ahmadinejad escalated a bitter political fight this week with Iran’s most influential political family by disclosing secret film recordings of what he purported were fraudulent business deals, Iran’s political maneuvring took a new turn Wednesday when an imprisoned associate of the president was reported to have been freed.




The release of Saeed Mortazavi, reported by two Iranian news agencies, came as the latest chapter in several days of political drama playing out with prominence in the public eye.


During a Sunday session of Parliament, broadcast on state radio, Mr. Ahmadinejad singled out the head of the Parliament, Ali Larijani, a political rival with strong links to influential Shiite Muslim clerics and one of several brothers who have held top positions in the Iranian government.


His younger brother Sadegh, 52, heads Iran’s judiciary, while his oldest brother, Mohammad Javad, a Berkeley-educated mathematician, is also a judiciary official.


On Monday, a conservative newspaper, Kayhan, hinted that the nation’s supreme leader, Ayatollah Ali Khamenei, had been forced to step in to prevent both men from giving potentially damaging news conferences, which were both canceled at the last minute.


This was not the first time Ayatollah Khamenei has been forced to intervene in this feud. In October, he issued an edict aimed at stopping the infighting, saying that those creating divisions before the June 14 presidential elections “betray” the country.


Mr. Ahmadinejad, who went to the Parliament in a failed attempt to head off the impeachment of his labor minister, Abdolreza Sheikholeslami, said Mr. Larijani and his fellow lawmakers had obstructed the government, stepped beyond their constitutional boundaries and written letters ordering the annulment of government decisions.


Instructed by Mr. Larijani to stick to the subject of the impeachment, Mr. Ahmadinejad said, “Don’t order me to close my mouth because you say it’s the law.”


With that, Mr. Ahmadinejad, who for years has threatened to reveal the names of corrupt officials, played a video clip of a conversation in which another of Mr. Larijani’s brothers, Fazel, appeared to discuss the purchase of a state company under favorable terms, the semiofficial Tabnak Web site reported. While Fazel Larijani used to head a medical association in Iran, his current position is unclear.


The public accusation, rare in Iran, could signal a new phase in an already intense conflict between Mr. Ahmadinejad, who represents a powerful group of young, ambitious politicians, and Mr. Larijani, who is the official representative of the holy city of Qum, the center of Shiite scholarship in Iran.


Mr. Ahmadinejad said his associate, Mr. Mortazavi, 45, was also at the taped meeting. In January, Mr. Mortazavi was dismissed as the head of Iran’s enormous social welfare organization under pressure from Parliament. Some days later, however, he was rehired by the president in the same position, this time as official caretaker.


During the conversation, read out in part by Mr. Ahmadinejad to astonished lawmakers, Fazel Larijani appears to try to use his family connections to buy a factory from the social welfare organization. He promises leniency for Mr. Mortazavi, the former Tehran prosecutor who faces several criminal proceedings over accusations that he played a role in the deaths of three protesters in a substandard prison in 2009.


Mr. Mortazavi was arrested Monday evening, the Fars news agency reported, though no reason was given. But, in a new turn to what is likely to be a protracted saga, he was freed on Wednesday, news reports quoted Iranian media as saying. The terms of his release were unclear.


In Parliament on Sunday, the Iranian Students’ News Agency said, Mr. Ahmadinejad declared: “These are audio and video, and the tape is clear.”


He added: “If the honorable Parliament speaker sees fit, we can turn over the 24 to 25 hours to you,” he said of the recordings. On Monday, Iran’s Islamic Republic News Agency, a mouthpiece for Mr. Ahmadinejad, deepened the split by publishing the audiotape on its Web site.


Ali Larijani, cheered on by the Parliament, which has lost nearly every serious political battle with the president, silenced the room, saying: “Let him tell his words. If there is anything about my family, then let him talk about it.”


Mr. Larijani called the video a “mafia film” and recalled how he had a meeting with Mr. Ahmadinejad’s estranged brother, Davoud. “He said many things against you,” Mr. Larijani told the president, “about economic corruption, about your inner circle and your relations with foreign countries.”


For his part, Fazel Larijani strongly denied any wrongdoing, saying that while he did appear in the clip, the words were not his, but rather had been added in a voiceover. Calling Mr. Ahmadinejad and Mr. Mortazavi “mafialike individuals,” he said he would sue them both for “spreading lies and disturbing public opinion.”


On Monday, several officials criticized Mr. Ahmadinejad and Ali Larijani, accusing them of lacking self-control and bringing shame on the country. “They broke the leader’s heart and gave the friends of the Islamic republic almost a seizure,” said Mojtaba Zolnour, a special consultant to the supreme leader, Ayatollah Khamenei, the semiofficial Iranian Labor News Agency reported. “They provided ammunition for the foreign media on the eve of our election.”


Alan Cowell contributed reporting from Paris.



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