Pitching Chicago to China

World Business Chicago Vice Chairman Michael Sacks and former Commerce Secretary William Daley leave Sunday on a six-day business mission to China, Sacks' first official foreign trip as a top adviser to Mayor Rahm Emanuel.

Sacks said that he and Daley will pay their own way to China while World Business Chicago, a nonprofit that acts as the city's economic development agency, will cover the travel costs for two staff members, including one from the mayor's office.

Sacks and Daley will visit Hong Kong and Beijing before joining up with Choose Chicago CEO Don Welsh and the Chicago Symphony Orchestra in Shanghai.

There, they'll take in a CSO concert and co-host a reception for about 75 people, including tour operators, and China-based alumni of Northwestern University's Kellogg School of Management and the University of Chicago's Booth School of Business.

Sacks said he asked for Daley's help in selling Chicago to foreign officials, specifically the Chinese, after the former chief of staff to President Barack Obama returned home from Washington last year. Sacks said that was months before Daley said he was considering a run for governor in 2014.

"His gravitas, his stature as former commerce secretary and former chief of staff have made the quality of this trip better than anything I could have done myself," Sacks said. "I would not have been able to secure these meetings without him."

Daley and Sacks are expected to meet with 30-plus corporate executives, including the CEO of Hong Kong-based airline Cathay Pacific and billionaire Chinese entrepreneur Lu Guanqiu, whose son-in-law, Pin Ni, runs Elgin-based auto parts maker Wanxiang America Corp.; six Chinese officials, including the acting mayor of Beijing and China's commerce minister, Chen Deming; and U.S. Ambassador to China Gary Locke.

Sacks' role with World Business Chicago is a volunteer position. His day job is CEO of Grosvenor Capital Management. The investment firm is known as a hedge fund of funds because its primary business is to invest in multiple hedge funds on behalf of large investors, such as pension funds, corporations and sovereign wealth funds.

Sacks frequently travels abroad for his work, often adding city-related sales pitches to his itineraries. This, however, is his first foreign trip focused on his work at World Business Chicago.

Spertus changes name

The Spertus Institute this week will tweak its name — and with it, its identity — as part of an ongoing effort to recover from an unfortunately timed decision to open a new building on the eve of the financial crisis.

The institute, which has been a pillar of Jewish culture in Chicago since 1924, will now be called the Spertus Institute for Jewish Learning and Leadership. The institute also announced that its programming for children and families will be cut for the foreseeable future in favor of new academic offerings for people working at nonprofits.

"During the past 31/2 years, we eliminated a $3.8 million operating deficit, largely by dramatically reducing our programmatic footprint," said Hal Lewis, the institute's president, who took over in July 2009. "So I didn't have the money to go and get branding assistance. But I was convinced we had a branding challenge — because when I first became president I spent a good solid four months on a listening tour, in which people told me, 'Oh, yeah, I know something about Spertus,' but there was uncertainty about the work we did."

A grant from the Harvey L. Miller Foundation paid for most of the rebranding effort, which an outside consulting firm led.

"I should say I'm generally skeptical of consultants," Lewis said. "But they taught me something elegantly simple: Spend more time talking about the why and less time on the how. We know the enormous array of programs we offer ... but we never said why that's important. ... (The answer is) we believe that a learning Jewish community is a vibrant Jewish community. It is the historic experience of the Jewish people that learning doesn't stop at adolescence."

The institute has about 400 students in degree and certificate programs, from a one-day certificate in grant writing to a doctorate in Jewish studies, which can take up to 10 years to complete. The institute also offers public lectures on politics, arts and culture as well as museum-style exhibits.

Spertus plans to offer new leadership concentrations within its master's degree programs aimed at youth workers, camp counselors and early childhood teachers. It also plans to create programs in social entrepreneurship and lay-leader training. Lewis said also he may eliminate one of Spertus' existing education degrees, but these changes are not final and will not be announced until the spring.

"We were never best at early childhood education," Lewis said. "The synagogues are far better at that ... So this is not a retreat from one of our historic strong suits."

The seeds of the long-running overhaul of Spertus can be traced to the November 2007 opening of its building, an iconic glass sculpture at 610 S. Michigan Ave.

Lewis said so many assumptions about the building failed to materialize, such as revenue from room rentals. Nonprofits also heavily cut professional development funds during the recession, which, in turn, lowered enrollment because students were no longer able to get help paying for their master's degrees.

However, rentals and other economic indicators are beginning to reverse. The falling stock market hurt Spertus' program endowment, slicing it to about $6 million, and its building endowment to about $12 million. Those funds are now at about $7 million and about $17 million, respectively, Lewis said.

Steven Nasatir, president of the Jewish United Fund/Jewish Federation of Metropolitan Chicago, said his organization is assisting Spertus with fundraising. He said without the branding and other program changes Lewis is making, Spertus would be "treading water."

"The name change is a manifestation of resetting goals and is a positive thing," he said. "People have to better understand what you're attempting to do."

Melissa Harris can be reached at mmharris@tribune.com or 312-222-4582.

Twitter @chiconfidential

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3 dead, 2 wounded in pair of early morning shootings

Photo: Three men were shot outside of a diner in the Bridgeport neighborhood (Peter Nickeas / January 26, 2013)

6:55 a.m. CST, January 26, 2013

Two shootings on the South and West sides left three people dead and two wounded at 2:15 and 4 a.m. Saturday morning. 

Three men were shot outside of a diner at the corner of Wallace Street and Pershing Road in the Bridgeport neighborhood about 4 a.m. Saturday. Two men died at the scene. 

At the north end of the 1100 block of South Mozart Street in the Lawndale neighborhood, two people were shot. One also died there, police said. That happened about 2:15 a.m. 

Check back for more information. 

pnickeas@tribune.com

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Notre Dame’s Te’o says had no part in forming hoax

Jan 24 (Reuters) – Notre Dame football player Manti Te‘o said he was the victim of an elaborate online hoax and denied in an interview broadcast on Thursday having had any part in the construction of the dramatic story of his dying girlfriend.

“No, I did not,” Te’o said in the interview with Katie Couric broadcast on the daytime talk show “Katie.” “I think what people don’t realize is that the same day that everybody else found out about this situation, I found out.”

The reported deaths of Te’o's grandmother and purported girlfriend, both on Sept. 12, and his response to the tragedies, were often repeated stories during Notre Dame‘s bid for a national championship last season. His grandmother did die that day.

Te’o, who was a finalist for college football’s highest individual honor for helping drive Notre Dame to an undefeated regular season, admitted he maintained the public deception after he learned the truth that she had never existed, but he did not do so for personal gain.

Couric asked Te’o to respond to several theories people have raised since the hoax was revealed, including that he might be gay and created the relationship to hide his sexual orientation.

“No, far from it,” Te’o said when asked by Couric if he were gay. “Far from that.”

Te’o sat with his hands often clasped and responded in a soft tone to Couric‘s questions, telling her he did not know if the Lennay Kekua story had supported his Heisman trophy candidacy.

It was his first on-camera interview since sports blog Deadspin.com broke the story on Jan. 16 that Kekua did not exist. Couric also interviewed his parents, Brian and Ottilia Te‘o, who defended their son.

Notre Dame, one of the most powerful institutions in U.S. collegiate athletics, held a news conference within hours of the Deadspin.com story to say that Te’o had been duped.

Te’o had told sports network ESPN in an off-camera interview on Friday that an acquaintance, Ronaiah Tuiasosopo, had told him he was behind the hoax.

CONFESSED HOAX

Te’o said in the interview with Couric that Tuiasosopo, who he had spoken to twice before and had believed was Kekua‘s cousin, confessed the hoax to him on Jan. 16.

Te’o said he received a telephone call from the person claiming to be Kekua on Dec. 6 – two days before the Heisman presentation – and he wasn’t really certain she never existed until Tuiasosopo‘s confession to him.

“My whole reality was she was dead, and now all of the sudden she’s alive. At that time I didn’t know that it was just somebody’s prank.”

He went along with the Kekua story the day of the Heisman presentation, though he knew at a minimum that she was alive, and did not tell his parents until Christmas, he said.

“Part of me was saying that if you say she is alive what would everybody think? What are you going to tell everybody who follows you, who you inspire? What are you going to say? At that time, on Dec. 8, two days after I just found out she was alive, as a 21-year-old, I wasn’t ready for that.”

Te’o said he “wasn’t forthcoming” about the extent of his relationship with Kekua, that they had never met in person, but reporters did not ask him directly if they had met in person.

He said he was most sorry for having told his father he had seen Kekua in person when he was in Hawaii, a story that his father repeated to media when asked.

When asked why he wouldn’t simply want a girlfriend he could spend time with on campus, Te’o said he was drawn to Kekua because her background appeared similar to his own.

“What I went through was real,” Te’o said. “The feelings, the pain, the sorrow, that was all real. That is something I can’t fake.”

Te’o said he did not know how the hoax would affect his position in the National Football League draft.

“As far as my draft status, I hope and pray that good happens obviously, but as long as my family is OK, I can live with whatever happens,” he said. (Reporting by David Bailey; Editing by Cynthia Johnston and Tim Dobbyn)

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Disney says JJ Abrams to direct next ‘Star Wars’

LOS ANGELES (AP) — It’s official. The force is with J.J. Abrams.

The Walt Disney Co. issued a statement Friday night confirming reports that had been circulating for two days that Abrams, Emmy-award-winning creator of TV’s “Lost” and director of 2009′s “Star Trek” movie, has been pegged to direct the seventh installment of the “Star Wars” franchise.

“J.J. is the perfect director to helm this,” said Kathleen Kennedy, the movie’s producer and president of Lucasfilm, which was acquired by Disney last month for $ 4.06 billion.

“Beyond having such great instincts as a filmmaker, he has an intuitive understanding of this franchise. He understands the essence of the Star Wars experience,” Kennedy said in the statement.

The movie will have a script from “Toy Story 3″ writer Michael Arndt and a 2015 release.

Lawrence Kasdan, who wrote “The Empire Strikes Back” and “Return of the Jedi” in the original trilogy, will work as a consultant on the new project.

Abrams has already headed the reboot of another storied space franchise, “Star Trek,” for rival studio Paramount Pictures. The next installment in that series, “Star Trek: Into Darkness,” is set to hit theaters May 17.

But he has long been known as a “Star Wars” devotee. Abrams spoke about the plot of the original “Star Wars” in the lecture series “TED Talks” in March 2007, and reportedly became enamored of “Lost” co-creator Damon Lindelof partly because Lindelof was wearing a “Star Wars” T-shirt when they first met.

In 2009, Abrams told the Los Angeles Times: “As a kid, ‘Star Wars‘ was much more my thing than ‘Star Trek‘ was.”

In Friday night’s statement he called it an “absolute honor” to get the job.

“I may be even more grateful to George Lucas now than I was as a kid,” Abrams said.

Lucas himself said in the statement that “I’ve consistently been impressed with J.J. as a filmmaker and storyteller. He’s an ideal choice to direct the new Star Wars film and the legacy couldn’t be in better hands.”

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2012 stock report: Pains and gains

If you invested heavily in Illinois companies that provide consulting services, you had little reason to celebrate in 2012.

While the Standard & Poor's 500 index ended the year up 13 percent, most large businesses in the region that counsel other companies on how to improve their operations saw their stock prices drop.

Business support services was one of the few sectors getting clobbered in a 2012 Tribune ranking of Illinois and northwest Indiana stocks' performance.

Stock prices gained at about 70 percent of the 127 companies on the list, and about half outperformed the S&P 500. Bank owners such as Taylor Capital Group emerged from their 2011 doldrums, and Ulta Salon Cosmetics & Fragrance Inc. and Discover Financial Services marked their second consecutive year of soaring stock prices.

The year's biggest decliner, down 76 percent, was Groupon, as once-torrid revenue growth at the daily deals offerer started slowing.

Career Education was the second-worst performer; its stock fell 56 percent. The highly scrutinized for-profit school chain said it would close campuses and cut jobs amid sinking revenue and financial losses.

Sectors boosted by broad gains in 2012 included electrical parts and equipment, industrial machinery, and specialty chemicals.

Of seven Illinois banks on the list, all but one outperformed the S&P 500, with price appreciation of those six ranging from 16 to 86 percent.

In contrast, stocks of four of five professional services firms — Navigant Consulting, Huron Consulting Group, Heidrick & Struggles International and R.R. Donnelley & Sons — closed down 2 to 38 percent.

Each had its own set of issues.

Navigant's services, for example, include advising companies that face disputes, litigation and investigations, including government probes, as well as businesses that need help valuing potential mergers and acquisitions.

"You see fewer government investigations during an election year, as regulators are leaving their jobs, and they don't want to start new ones," said Tobey Sommer, a SunTrust Robinson Humphrey analyst. "Also, worries about the 'fiscal cliff' slowed M&A because CEOs didn't want to look foolish acquiring a company in September ahead of the fiscal cliff when they might have been able to buy it for 20 percent less in January had we gone off."

Meanwhile, Heidrick's troubles included a slowing market for executive searches. In early 2012, analysts expected Heidrick's annual earnings to be in the range of about $1.30 per share. It appears that it will earn closer to 57 cents a share.

Huron's earnings estimates during 2012 were also trimmed, to about $2.10 from about $2.40 a share as the timing of fee payments to its health care consulting business proved volatile.

"Its underlying demand is strong," but an increasing number of clients had signed contracts where a larger portion of revenue was contingent on the outcome of Huron's consulting work, said Randle Reece, analyst with Avondale Partners LLC. That made it harder for the company and the analysts who cover it to predict the timing of revenues, since they are deferred.

For investors interested in "Dumpster diving," Morningstar Inc. considers Exelon, WMS Industries and Caterpillar to be high quality yet undervalued this year, said Heather Brilliant, chief equities strategist.

Navigant is among the region's beaten-down stocks liked by stock research firm EVA Dimensions LLC. "Its fundamentals are improving, and it's really cheap," said EVA analyst Andrew Zamfotis.

Best of the best

Here are the top three stock gainers of 2012:

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Snow expected to fall through morning rush hour

Snow started falling about 4:45 a.m. near O'Hare International Airport, jeopardizing a 335-day streak of calendar days without snow, according to the National Weather Service.

Falling snow had failed to reach the ground overnight, blocked by a shield of dry air that ensures the flakes evaporate before hitting the ground.

“It’s been snowing very hard above the ground all night and there’s been really dry air so it evaporates before it hits the ground,” National Weather Service Meteorologist Gino Izzi said.

About a half hour into the storm, Illinois State Police in Chicago reported "slick conditions" and had already responded to six fender benders. The number of accidents reached 12, including a 9-car-crash on the Kennedy Expressway, after 6 a.m.

It's unclear if any of the crashes resulted in injuries, and Illinois State Police aren't responding to crashes where no one is injured and the car or truck is still drivable.

The snow should fall through the morning rush hour, though not much more than an inch – if that – is expected.

“We’re not looking for much to accumulate – up to an inch at worst, with high (temperatures) in the mid to upper 20s,” Izzi said. “Something like this wouldn’t be newsworthy if it wasn’t for the fact it hasn’t snowed all year.”

The Chicago Department of Streets and Sanitation deployed almost 200 of its 284 plow trucks to clear streets of snow and apply salt to the roads.

"We’re going to be monitoring the weather but at this point we’re looking at snow fall at least through the rush hour," said Anne Sheahan, spokeswoman for the Chicago Department of Streets and Sanitation.

An inch of snow today would end the 335-day streak but failing that, it would likely extend into next week, Izzi said.

"We don’t have much of a chance of snow for the next five or six days," Izzi said. "If we miss today – today’s our one shot until we get to the middle or end of next week."

Check back for more information.

pnickeas@tribune.com
Twitter: @peternickeas

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Somalia militants’ Twitter account down after hostage threat

NAIROBI (Reuters) – A Twitter account run by Somali militant group al Shabaab was unavailable on Friday, days after the al Qaeda-aligned rebels used the social media site to boast about killing a French agent and threatened to kill several Kenyan hostages.

Al Shabaab often used its Twitter account to claim responsibility for attacks on African Union and Somali government troops, as well as senior officials in the Horn of Africa nation and other bombings in the region.

But the militant group’s official Twitter account, which had thousands of followers, was offline on Friday with a message saying “Sorry, that user is suspended”.

It was not immediately clear why the account, which was created in 2011 under the HSM PRESS Twitter handle, was suspended. The account was still unavailable as of 0930 GMT.

Twitter said it does not comment on individual accounts and the Kenyan government denied it had filed any request for the account to be taken down.

“It’s an emphatic no. We would not try to negotiate or have anything to do with the Al Shabaab. We didn’t even know the account was suspended,” said government spokesman Muthui Kariuki.

Al Shabaab posted on the account on Wednesday a link to a video of two Kenyan civil servants held hostage in Somalia, telling the Kenyan government their lives were in danger unless it released all Muslims held on “so-called terrorism charges” in the country.

“Kenyan government has three weeks, starting midnight 24/01/2013 to respond to the demands of HSM if the prisoners are to remain alive,” the group said.

Last week the rebel group said on its Twitter account that it had executed French agent Dennis Allex, who was held hostage since 2009, after a French commando mission to rescue him failed.

Al Shabaab wants to impose their strict version of sharia, or Islamic law, across Somalia. However, it has lost significant territory in the southern and central parts of the country in the face of an offensive by African Union troops.

(Reporting by Drazen Jorgic and George Obulutsa; Editing by Jon Boyle)

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“Hansel and Gretel” is Grimm news for weekend box-office rivals

LOS ANGELES (TheWrap.com) – “Hansel and Gretel,” a Grimm’s fairy tale on special effects and 3D steroids, is ready to wreak some box-office havoc this weekend on its way to the number one spot.

Paramount has exerted considerable marketing muscle behind the R-rated action fantasy, and it seems to be connecting. “Hansel and Gretel” will take in more than $ 25 million over the three days, industry analysts say. Jeremy Renner and Gemma Arterton play bounty hunters tracking and killing witches all over the world in this version of the classic fairy tale,

The weekend’s other wide openers, the ensemble sketch comedy “Movie 43″ and the Jason Statham-Jennifer Lopez crime thriller “Parker,” don’t figure to be among the leaders.

Last week’s top film, Universal’s horror thriller “Mama,” starring Jessica Chastain, is likely to take a hit from “Hansel and Gretel” but should still finish among the leaders. Best Picture Oscar nominees “Zero Dark Thirty” and “Silver Linings Playbook” will continue to be in the mix, too.

Renner’s star is rising on the heels of “The Avengers” and “The Bourne Legacy,” but the best thing “Hansel and Gretel” will have going for it at the box office might be the bump it will get from premium pricing at its 3D and Imax locations. Paramount has its first 2013 release in roughly 3,300 locations, a whopping 2,900 of which are 3D, and in 300 Imax theaters.

What could work against “Hansel and Gretel” is its R-rating, which will limit its reach with younger fan boys, but late tracking suggests the film’s appeal has broadened. Paramount is also opening “Hansel and Gretel” in 19 foreign markets this weekend, and a solid overseas performance will be critical if it’s to offset its roughly $ 50 million budget.

“Hansel and Gretel,” a co-production of Paramount and MGM, was written and directed by Tommy Wirkola (“Dead Snow”) and co-stars Famke Janssen and Thomas Mann. The film is produced by Will Ferrell, Adam McKay, Kevin Messick and Beau Flynn.

“Movie 43″ is unlike anything to hit the box office recently. Proudly rude and crude, Relativity‘s R-rated ensemble sketch comedy took four years to make and has 12 directors and twice that many stars.

The cast of “Movie 43″ features Oscar nominees Hugh Jackman and Naomi Watts, along with Seth MacFarlane, Halle Berry, Common, Richard Gere, Greg Kinnear, Kate Winslet, Uma Thurman, Emma Stone, Chloe Grace Moretz, Gerard Butler, Dennis Quaid, Sean William Scott, Kristen Bell and Elizabeth Banks. That’s a lot of star wattage but most of the roles are cameos.

Also appearing are Anna Faris, Liev Schreiber, Johnny Knoxville, Kieran Culkin, Kate Bosworth, Bobby Carnavale, Will Sasso, Josh Duhamel, Snooki and … you get the idea. The budget was just $ 6 million, so everyone worked for scale.

Even the sketches were solicited from agencies, actors and friends and came in the form of treatments, scripts and phone pitches.

Peter Farrelly (“Shallow Hal”), who put the project together along with Charles Wessler, a producer on most of the Farrelly brothers films, directs one of the segments. Banks, Steven Brill, Steve Carr, Rusty Cundieff, James Duffy, Griffin Dunne, Patrik Forsberg, James Gunn, Bob Odenkirk, Brett Ratner and Jonathan van Tulleken direct the others.

“It was really all about schedule with a lot of these people,” Farrelly said. “Charlie would call and they’d say, ‘Yeah, I’d love to do it, but I’m in the middle of a movie. I can do it in nine months, next September.’ And he’d just go, ‘Fine, we’ll see you in September.’ That’s why this film took four years to make – it wasn’t sitting on shelf somewhere. We’d get who we’d get when we’d get them, and that’s how it worked.”

The sketches are tied together by a storyline involving a down-and-out movie producer (Quaid), who’s pitching projects to a studio exec (Kinnear) and his boss (Common). The shorts ensue.

There haven’t been press screenings, so the critics haven’t gotten their hands on it. It’s hard to tell from the red-band trailer how funny the film will be, but there’s little doubt some will be offended – we’re not talking “Love Actually” here – by the raunch and low-brow humor.

That’s intended to be part of the appeal, of course, but points up a box-office conundrum: how successful can a film be when a large part of the audience most likely to most enjoy those kind of laughs can’t get in because of the R rating? Relativity is banking on 18-34-year-olds, and analysts and the studio see it making around $ 8 million or $ 9 million over the three days.

The film has already made more than its budget in the foreign pre-sales, which were handled by Lionsgate International. It’s among the first releases overseen by Relativity‘s new international distribution unit, Relativity International, and has taken in approximately $ 8.5 million since opening earlier this month in Russia.

In “Parker,” directed by Taylor Hackford (“Ray”), Statham plays a professional thief with a conscience, who doesn’t steal from the poor or hurt innocent people. Double-crossed after a gang heist, he heads to Palm Beach, Fla., and teams with one of their victims (Lopez) for revenge.

The presence of Lopez, who has a major music fan base, provides something of an X factor for “Parker.” She hasn’t been seen in a box-office hit since 2005′s “Monster In Law,” but her voice helped “Ice Age: Continental Drift” ring up $ 875 million worldwide last year.

Statham’s last movie was the ensemble action film “Expendables 2,” which opened to $ 28 million and went on to make $ 85 million last year. But the tracking and social media hasn’t been strong, and “Parker” will be hard-pressed to match the performance of Staham’s 2011 film “The Mechanic,” which opened to $ 11 million and made $ 29 million. Film District has it in 2,224 locations.

John J. McLaughlin adapted the script from “Flashfire,” the 19th “Parker” novel, written by Donald Westlake under the name Richard Stark.

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The New Old Age Blog: Time to Recognize Mild Cognitive Disorder?

The Diagnostic and Statistical Manual of Mental Disorders, published and periodically updated by the American Psychiatric Association, is one of those documents few laypeople ever read, but many of us are affected by.

It can make it easier or harder to get an insurance company or Medicare to cover treatments, for example. It factors into a variety of legal and governmental decisions.

And on a personal basis, a psychiatric diagnosis may be welcome (having a name and a treatment plan for what’s bothering us can be comforting) or not (are we really suffering from a mental disorder if we seem depressed after a family member dies?).

That last question refers to a change in the new DSM5, to be published in May, that has generated considerable controversy and that I discussed in an earlier post: the removal of the “bereavement exclusion,” once part of the diagnosis of Major Depressive Disorder.

Another element of the revised DSM could also affect readers: It will include something called Mild Neurocognitive Disorder. The task force revising the manual wanted to align psychiatry with the rest of medicine, which has already begun to distinguish between levels of impairment, said its chairman, David Kupfer, a University of Pittsburgh psychiatrist.

True enough, as we have reported before. Neurologists call it Mild Cognitive Impairment, a stage where cognitive decline becomes noticeable enough to affect daily functioning, yet people can still live independently and have not progressed to dementia.

In fact, a large proportion of people with mild cognitive problems never will develop dementia — but doctors and researchers cannot yet determine who will and who won’t. Biomarkers that could identify the biological brain changes that presage dementia are still years away.

Will it be helpful, then, for health professionals using the DSM5 — most of them not psychiatrists, but primary care doctors — to begin diagnosing Mild Neurocognitive Disorder? Particularly as there is no treatment that can reverse it or reliably slow its progression, if it would progress?

Dr. Ronald Petersen, director of the Mayo Clinic’s Alzheimer’s Disease Research Center and a member of the working group that developed the new DSM5 criteria, said he thought the newly recognized disorder would be useful. “The predementia phase is becoming increasingly important,” he told me in an interview.

Counseling could help people compensate for the memory loss and other deficits they are experiencing, for example. With a DSM-recognized diagnosis, those approaches are more likely to be covered by insurers.

Besides, “one argument against Alzheimer’s therapies is that we wait too late, when there’s too much damage to the central nervous system to repair,” Dr. Petersen said, referring to several recent disappointing drug trials. In the future, with earlier diagnoses, “you may be able to intervene, stop the process and forestall the dementia.”

But as we have seen with screening tests for other diseases, early detection does not always lead to better health or longer lives. It can, however, lead to unnecessary treatments and procedures involving risks of their own. Could that happen with Mild Neurocognitive Disorder?

“It will lead to wild overdiagnosis,” predicted Allen Frances, an emeritus professor of psychiatry at Duke and the chairman of the task force that developed the previous DSM edition. Indeed, about a quarter of people initially diagnosed with mild cognitive impairment are later determined to be normal, a prominent researcher told my colleague Judy Graham last year.

“People will get unnecessary tests and start getting weird treatments that have no proven efficacy,” said Dr. Frances, who has criticized a number of DSM5 changes. “They’re going to worry like crazy about being demented.”

Dr. Petersen agreed that it was a legitimate concern, but “by and large, we’re becoming better at distinguishing between the normal cognitive effects of aging and disease.” (The American Psychiatric Association will publish a specialized DSM for primary care physicians, Dr. Kupfer pointed out, to help guide them through diagnoses.)

It is hard for patients and families to know how to react when experts disagree. But keep in mind that contemporary health care aims for what is called shared decision-making. That means patients and professionals discuss options and weigh the risks and benefits of treatments and procedures, their likely outcomes, patients’ preferences, and come to agreement on how to proceed. This essay in the New England Journal of Medicine calls shared decision-making “the pinnacle of patient-centered care.”

So when Dr. Frances refers to the DSM5 as “a guide, not a bible,” and urges skepticism about some of its diagnoses, he is advocating an approach that patients and families should probably bring to any medical decision.

Seeking further information, asking questions, assessing options — those are reasonable responses if, a few weeks after a loved one’s death, a doctor says you may have major depression. Or if she thinks your memory loss could mean Mild Neurocognitive Disorder.

“The shorter the evaluation, the less the person knows you, the less he or she can explain and justify the diagnosis, the more tests and treatments that will result, the more a person should be cautious and get a second opinion,” Dr. Frances said.

Whatever the DSM5 says, it’s hard to argue with that.

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

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Burnt circuit boards snag Japan Boeing 787 probe

A device seen as key to explaining why a Boeing Co. 787 Dreamliner jet made an emergency landing in Japan last week is burnt and unlikely to provide safety inspectors with data they need, said a person with knowledge of the ongoing investigation.

Circuit boards that control and monitor the performance of the plane's lithium-ion battery unit were charred and may be of little use to the teams investigating why the battery effectively melted, forcing safety investigators to scramble for possible clues from other components in the plane's electronics, said the person, who didn't want to be named as the probe is ongoing.

Aviation authorities in Japan face a painstaking reconstruction that may take months before they can unravel what caused one of the batteries to overheat, triggering warnings in the plane's cockpit.

That relatively inexpensive circuit boards may be keeping $10 billion worth of futuristic aircraft idle underscores how dependent the Boeing jet is on advanced electronics rather than more traditional, but less fuel-efficient, parts, experts said.

"The circuit board (system) is badly damaged. We'll see how much we can learn from examining it, but we'll also have to look at other recording devices on the aircraft to try and find out what happened," the person with direct knowledge of the investigation told Reuters.

BATTERY "BRAIN"

The circuit boards, known as the battery monitoring unit, are the "brains" of the battery, experts said. About the size of a laptop computer, the boards monitor functions of the lithium-ion battery's eight cells and feed this information to the charger. That effectively makes the boards responsible for preventing a battery from overcharging.

One key question for safety investigators is how the battery's eight individual cells became volatile even though the overall voltage to the battery was steady and didn't exceed the 32-volt capacity, officials have said. That data is not recorded in the Dreamliner's "black box" flight-data recorder.

U.S, Japanese and Boeing representatives have this week been at the Kyoto headquarters of GS Yuasa Corp, which makes batteries for the 787, looking at everything from manufacturing quality to technical standards.

The main battery from the All Nippon Airways flight is still at the GS Yuasa plant, where it is being cleaned and disassembled for further checks. Once they are done, Japanese safety officials plan to take the damaged circuit boards to the manufacturer, Fujisawa-based Kanto Aircraft Instrument, for a detailed inspection.

All 50 of Boeing's Dreamliners in service were grounded last week after the ANA-operated flight's emergency landing on a domestic flight. That followed an auxiliary battery fire in a Japan Airlines Co. Ltd 787 parked at Boston Airport.

"There is a possibility that a fire destroyed the elements that caused the problem and if so, it will become difficult to investigate the cause," said Hideaki Horie, project professor at the Institute of Industrial Science at Tokyo University.

Horie said Boeing should re-think the design of the battery safety and data recovery system even while it investigates what caused the recent Dreamliner incidents.

The 787 uses two lithium-ion batteries, which are about twice as large as a car battery. The batteries weigh less than a conventional battery and provide more power. They are Boeing's first step toward hybrid power systems like those used by automakers General Motors Co. and Toyota Motor Corp .
 

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