Russia Seeks Arrest of Georgian Politician





MOSCOW — Russian authorities issued an arrest warrant for a Georgian politician, Givi Targamadze, on Thursday, charging that he had incited riots in Russia, in particular by helping to organize an anti-government march last May that culminated in a confrontation between protesters and the riot police.




Russian authorities asserted that the large anti-government protests were being orchestrated by foreign powers, but Mr. Targamadze, a longtime lieutenant of President Mikheil Saakashvili, is the first non-Russian to face criminal charges.


Russian television has broadcast what it says is surveillance video showing Mr. Targamadze meeting with a leftist leader, Sergei Udaltsov, and two of his deputies, at one point offering to deliver large sums of money on behalf of a Russian banker now living in exile.


At the time, Mr. Targamadze said no such meeting had taken place and that the footage had been manufactured by the Prosecutorial Investigative Committee and the Federal Security Service, or F.S.B., the successor to the K.G.B.


“It is clear that this was all prepared in the investigative committee and the F.S.B. headquarters,” he told Dozhd, an Internet news site. “It is sold to the media and then very quickly, at lightning speed, the Investigative Committee reacts.”


A spokeswoman for Georgia’s general prosecutor told Interfax on Thursday that Georgia cannot extradite Mr. Targamadze to Russia because it would violate his rights under the country’s Constitution, but that prosecutors could open a criminal case based on Russia’s request.


Russian analysts noted that the Georgian government did not say Mr. Targamadze’s status as a lawmaker gave him immunity from prosecution. Mr. Saakashvili’s party lost a parliamentary election last October to an opposition coalition intent on repairing Tbilisi’s icy relations with Moscow.


Mr. Targamadze could not be reached for comment on Thursday. A spokesman for the United National Movement, the party he belongs to, said he was traveling outside Georgia. Meanwhile, the police in Moscow said they were working to determine who else in Russia may have had contact with Mr. Targamadze.


Foreign interference in Russian politics was a central theme on Thursday when President Vladimir V. Putin met with top officials at the Federal Security Service, congratulating them on “courageous acts to neutralize internal and external enemies.” Mr. Putin reported that 200 foreign intelligence officers had been identified in 2002, and spoke with satisfaction about new measures restricting foreign financing for nonprofit organizations.


“Any direct or indirect interference in our internal affairs — any form of pressure on Russia, its allies and partners — is unacceptable,” he said, according to a transcript.


He urged the F.S.B. to increase pressure on the Internet, which he said was being used to promote extremist ideas.


“To neutralize different types of extremist structures we need to act as resolutely as possible,” he said. “It is necessary to block attempts by radical groups to use information technologies, Internet resources and social networking Web sites for their propaganda,” he said.


He went on to say that Russian civil society was rapidly becoming more engaged and active, but that uncontrolled speech and organizing could pose a risk to the state.


“Citizens’ right to freedom of speech is unshakable and inviolable — however, no one has the right to sow hatred, to stir up society and the country, and put under threat the life, welfare and peace of millions of our citizens.” He offered a similar warning about citizens’ initiatives, saying the rise in activism “obviously will be supported by the state.”


“At the same time, I want to underline — no one has a monopoly on the right to speak in the name of all Russian society, especially structures that are controlled and financed from abroad,” he said.


The head of the F.S.B., Aleksandr Bortnikov, told Mr. Putin that the United States and its allies had increased “geopolitical pressure” on Russia over the past year, noting that “as before, they consider our state as one of their main competitors in the international arena.”


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Olympian Oscar Pistorius charged with murder


PRETORIA, South Africa (AP) — Paralympic superstar Oscar Pistorius was charged Thursday with the murder of his girlfriend who was shot inside his home in South Africa, a stunning development in the life of a national hero known as the Blade Runner for his high-tech artificial legs.


Reeva Steenkamp, a model who spoke out on Twitter against rape and abuse of women, was shot four times in the predawn hours in the house, in a gated community in the capital, Pretoria, police said.


Hours later after undergoing police questioning, Pistorius left a police station accompanied by officers. He looked down as photographers snapped pictures, the hood on his gray workout jacket pulled up, covering most of his face. His court hearing was originally scheduled for Thursday afternoon but has been postponed until Friday to give forensic investigators time to carry out their work, said Medupe Simasiku, a spokesman for the prosecution.


South Africans were shocked at the killing. But while Pistorius captured the nation's attention with his Olympic quest, police said there was a recent history of problems involving him. Police spokeswoman Brigadier Denise Beukes said the incidents included "allegations of a domestic nature."


"I'm not going to elaborate on it but there have been incidents (at Pistorius' home)," Beukes said. Police in South Africa do not name suspects in crimes until they have appeared in court but Beukes said that the 26-year-old Pistorius was at his home at the time of the death of Steenkamp and "there is no other suspect involved."


Pistorius' father, Henke, declined to comment when contacted by The Associated Press, only saying "we all pray for guidance and strength for Oscar and the lady's parents."


Neither Pistorius' agent Peet van Zyl nor coach Ampie Louw could be reached while Pistorius' own cellphone went straight to voicemail.


Pistorius' former coach, Andrea Giannini, said he hopes it was "just a tragic accident." Giannini said he believed that Pistorius had been dating Steenkamp for "a few months."


"No matter how bad the situation was, Oscar always stayed calm and positive," Giannini told the AP in Italy. "Whenever he was tired or nervous he was still extremely nice to people. I never saw him violent."


Yet Pistorius had troubles in his personal life. In February 2009, he crashed a speed boat he was piloting on South Africa's Vaal River. Witnesses said he had been drinking before the crash and officers found alcoholic beverages in the wreckage, though they acknowledged at the time they hadn't conducted a blood test on the athlete. Pistorius broke his nose, jaw and several ribs in the crash, as well as damaged his eye socket and required some 180 stitches to his face.


In November, Pistorius also found himself in an altercation with a local coal mining millionaire over a woman, South African media reported. Eventually, the two men involved the South African Police Service's elite Hawks investigative unit before settling the matter.


Pistorius owned firearms and posted a photograph of himself at a shooting range in November 2011 to the social media website Twitter, bragging about his score.


"Had a 96% headshot over 300m from 50shots! Bam!" he tweeted.


Police said that earlier reports that Steenkamp may have been mistaken for a burglar by Pistorius did not come from the police. Several local media outlets initially reported that the shooting may have been accidental.


Capacity Relations, a talent management firm, earlier named model Steenkamp as the victim of the shooting. Police spokeswoman Lt. Col. Katlego Mogale told the AP that officers received a call around 3 a.m. after the shooting.


A 9 mm pistol was recovered and a murder case opened against Pistorius.


Pistorius enjoyed target shooting with his pistol and an online advertisement featuring him for Nike read: "I am a bullet in the chamber." An article in January 2012 in The New York Times Magazine described him talking about how he pulled a pistol to search his home when his alarm went off the night before an interview. At Pistorius' suggestion, he and the journalist went to a nearby target range where they fired at targets with a 9 mm pistol. At one point, Pistorius told the writer: "If you practiced, I think you could be pretty deadly."


Asked how often he went target shooting, Pistorius replied: "Just sometimes when I can't sleep."


Police have still not released the name of the woman, but the publicist for Steenkamp confirmed in a statement that the model was dead.


"We can confirm that Reeva Steenkamp has passed away," Steenkamp's publicist Sarit Tomlinson said. "Our thoughts and prayers go to the Steenkamp family, who have asked to have their privacy respected during this difficult time, everyone is simply devastated. She was the kindest, sweetest human being; an angel on earth and will be sorely missed."


Tomlinson said Steenkamp, known simply as Reeva, was one of FHM's (formerly For Him Magazine) 100 Sexiest Women in the World for two years running, appeared in countless international and national advertisements and was one of the celebrity contestants on the reality show "Tropika Island of Treasure," filmed in Jamaica.


She and Pistorius were first seen publicly together in November at an awards ceremony in Johannesburg. Later, she began mentioning the athlete in public messages on Twitter.


She also tweeted messages urging women to stand up against rape as well as her excitement about Valentine's Day. "What do you have up your sleeve for your love tomorrow?" she tweeted. "It should be a day of love for everyone."


Pistorius made history in London last year when he became the first double-amputee track athlete to compete in the Olympic Games, propelling him to the status of an athletics superstar.


Having had both his legs amputated below the knee before his first birthday because of a congenital condition, he campaigned for years to be allowed to compete against able-bodied athletes. Having initially been banned because of his carbon fiber blades — which critics said gave him an unfair advantage — he was cleared by sport's highest court in 2008 and allowed to run at the top events.


He competed in the 400 meters and on South Africa's 4x400 relay team at the London Games, making history when his selection for South Africa's team was confirmed at the very last minute. He also retained his Paralympic title in the 400 meters in London.


South Africa's Sports Confederation and Olympic committee released a statement on Thursday saying they had been "inundated" with requests for comment but were not in a position to give out any details of the shooting. The International Paralympic Committee also said it wouldn't comment in detail apart from offering its condolences to the victim's family.


South Africa has some of the world's highest murder rates, with nearly 50 people killed each day in the nation of 50 million. It also has high rates of rape, other assaults, robbery and carjackings.


U.N. statistics show South Africa has the second highest rate of shooting deaths in the world, second only to Colombia.


"The question is: Why does this story make the news? Yes, because they are both celebrities, but this is happening on every single day in South Africa," said Adele Kirsten, a member of Gun Free South Africa. "We have thousands of people killed annually by gun violence in our country. So the anger is about that it is preventable."


___


Imray reported from Cape Town, South Africa. Associated Press writer Michelle Faul contributed to this report from Johannesburg.


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U.S. Approves First Method to Give the Blind Limited Vision




The F.D.A. Approves a Bionic Eye:
The Argus II allows Barbara Campbell, who lost her sight 20 years ago, to see the world through patterns of light. Scientists hope it is the beginning of even more treatments.







The Food and Drug Administration on Thursday approved the first treatment to give limited vision to people who are blind, involving a technology called the “artificial retina.”




With it, people with certain types of blindness can detect crosswalks on the street, burners on a stove, the presence of people or cars, and sometimes even oversized numbers or letters.


The artificial retina is a sheet of electrodes surgically implanted in the eye. The patient is also outfitted with a pair of glasses with an attached camera and a portable video processor. These elements together allow visual signals to bypass the damaged portion of the retina and be transmitted to the brain. The F.D.A. approval covers this integrated system, which the manufacturer calls Argus II.


The approval marks the first milestone in a new frontier in vision research, a field in which scientists are making strides with gene therapy, optogenetics, stem cells and other strategies.


“This is just the beginning,” said Grace Shen, director of the retinal diseases program at the National Eye Institute, which helped finance the artificial retina research and is supporting many other blindness therapy projects. “We have a lot of exciting things sitting in the wings, multiple approaches being developed now to address this.”


With the artificial retina or retinal prosthesis, a blind person cannot see in the conventional sense, but can identify outlines and boundaries of objects, especially when there is contrast between light and dark — fireworks against a night sky or black socks mixed with white ones in the laundry.


“Without the system, I wouldn’t be able to see anything at all, and if you were in front of me and you moved left and right, I’m not going to realize any of this,” said Elias Konstantopolous, 74, a retired electrician in Baltimore, one of about 50 Americans and Europeans who have been using the device in clinical trials for several years. He said it helps him differentiate curbs from asphalt roads, and detect contours, but not details, of cars, trees and people. “When you don’t have nothing, this is something. It’s a lot.”


The F.D.A. approved Argus II, made by Second Sight Medical Products, to treat people with severe retinitis pigmentosa, a group of inherited diseases in which photoreceptor cells, which take in light, deteriorate.


The first version of the implant had a sheet of 16 electrodes, but the current version has 60. A tiny camera mounted on eyeglasses captures images, and the video processor, worn on a belt, translates those images into pixelized patterns of light and dark. The processor transmits those signals to the electrodes, which send them along the optic nerve to the brain.


About 100,000 Americans have retinitis pigmentosa, but initially between 10,000 and 15,000 will likely qualify for the Argus II, according to the company. The F.D.A. says that up to 4,000 people a year can be treated with the device. That number represents people who are older than 25, who once had useful vision, have evidence of an intact inner retinal layer, have at best very limited light perception in the retina, and are so visually impaired that the device would prove an improvement. Second Sight will begin making Argus II available later this year.


But experts said the technology holds promise for other people who are blind, especially those with advanced age-related macular degeneration, the major cause of vision loss in older people, affecting about two million Americans. About 50,000 of them are currently severely impaired enough that the artificial retina would be helpful, said Dr. Robert Greenberg, Second Sight’s president and chief executive.


In Europe, Argus II received approval in 2011 to treat a broader group of people, those with severe blindness caused by any type of outer retinal degeneration, not just retinitis pigmentosa, although it is currently only marketed in Europe for that condition. In the U.S., additional clinical trials need to be completed before the company can seek broader FDA approval.


Eventually, Dr. Greenberg said, the plan is to implant electrodes not in the eye, but directly into the brain’s visual cortex. “That would allow us to address blindness from all causes,” he said.


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David Leonhardt, Washington Bureau Chief, Answers Readers’ Questions





David Leonhardt, Washington bureau chief for The New York Times, is answering readers’ questions about the economic landscape and President Obama’s prospects to enact the ambitious legislative agenda he laid out in his State of the Union address.




Mr. Leonhardt is the author of the e-book, “Here’s the Deal: How Washington Can Solve the Deficit and Spur Growth,” published by The Times and Byliner. Previously, he wrote the paper’s Economic Scene column.


Below are answers to selected readers' questions.




Q.
When the debt was the largest in history as a percent of GDP, in 1946, we had 27 years of mostly deficit spending. The debt in dollars doubled. But we had prosperity. Why don't we do that today?


— Len Charlap, Princeton, NJ


A. You're right that a country can have deficits and still pay down its debt, so long as the deficits are small enough and economic growth fast enough. And you're right that some government spending plays a crucial role in creating economic growth. The most important programs seem to be investments -- in education, scientific research, roads, bridges and the like -- that the private sector won't do on its own.


The Internet, the radio, the jet engine, much of biotechnology and the technique for extracting a form of natural gas known as shale gas all owe their beginnings to federal spending. This history is a major theme in "Here's the Deal."


But government spending and debt most certainly do not ensure prosperity. Federal debt is already high. The projections showing that annual deficits will fall in the next few years depend on some assumptions that may prove rosy. And as more baby boomers retire and health costs keep rising, projected deficits are projected to rise again, sharply, in coming decades.


As heartening as the recent progress on the deficit may be, the country still faces substantial long-term fiscal problems. If we don't deal with them, we are likely to have an economy that looks nothing like the prosperous economy after World War II.




Q.
Congressional Republicans recently decided against using the debt limit as a lever to force President Obama to enact spending cuts he wouldn't otherwise go along with. Is there any indication that Republicans will agree to a longer-term extension once the current limit is reached?


A. It's hard to know, but it's possible that the debt-ceiling fights will not continue. In the past, the extension of the debt ceiling tended to be an opportunity for the party that didn't hold the White House to grandstand about the deficit and debt. (President Obama, somewhat famously, did so in 2006.) In the end, though, the extension tended to pass without any concessions from the president.


In 2011, Congressional Republicans successfully negotiated such concessions from Mr. Obama. In recent months, he made clear that he would not negotiate over the debt ceiling again, citing the economic damage from the uncertainty over the last extension. Republicans have gone along, at least temporarily.


Polls suggest the last fight hurt Republicans more than Democrats, which suggests Republicans may ultimately agree to a long-term extension or simply a series of short-term extensions. On the other hand, they were indeed able to win some spending cuts in 2011, so some in the party continue to see the debt ceiling as a powerful tool.


The most cliched last line in journalism -- the kicker, as we say -- is: Time will tell. I can't think of another kicker here.




Q.
Why has the administration given so much focus to gun control in the past few weeks? With a Republican majority in the House and the fact that many Democrats would also vote against advanced gun control measures, would this kind of legislation have a chance of passing the House or the Senate?


A. Unlike past mass shootings, the killings in Newtown, Conn., shifted the national debate. Public opinion changed modestly, and Democrats who favor more gun control became more willing to push for it.


As you note, most Republicans and some Democrats oppose sweeping new measures, which is why an assault-weapons ban still seems unlikely. But some other measures may be able to win overwhelming support from Democrats and enough from Republicans to pass both the House and Senate. The two leading candidates are an expansion of criminal background checks on people buying guns and a new federal trafficking law to block criminal purchases.


A recent Pew Research Center poll found that 85 percent of Americans favor background checks. Support at so high of a level, combined with national attention to the issues, has the potential to create a majority in both houses of Congress.




Q.
The Wall Street macro indexes e.g. S&P500, DOW, are at or around historical highs. However I do not see corresponding growth in GDP let alone increase in employment rate to underpin this rally.
What is driving this and where is the money coming from? How does this benefit "middle America"?


— Arthur CHAN, Wilmington, DE


A. First, the indexes themselves are not at or near record highs when viewed properly. When adjusted for inflation, the Standard & Poor 500 index was more than 30 percent higher in 2000 than it is today. Including the value of dividends, the S&P was still about 5 percent higher in 2000 than now. And taking into investment costs, which nearly everyone pays, the gap would be substantially more than 5 percent.


I say this not to be an inflation nerd (though I am) but to make the point that the stock market is not in fact more valuable than it’s ever been. When Wall Street proclaims, “record high!” and we in the media repeat the claim, we’re presenting a false picture of reality. Stocks are still not as valuable as they were at the peak of the dot-com bubble.


Your larger point, though, is dead on. The S&P 500 (including dividends and inflation) is about 18 percent higher than it was five years ago, which is roughly when the recession began. The overall economy has not fared nearly so well. Gross domestic product was only about 2 percent larger at the end of last year than five years earlier. The unemployment rate is 7.9 percent, up from 5 percent five years ago.


For a complex stew of reasons – including, but not limited to, government assistance for the financial sector since 2007 – American companies and financial firms have recovered more quickly from the crisis than most of the rest of the economy.




Q.
What are President Obama's plans to lure high-tech manufacturing back to the United States?
He courts Silicon Valley and named Apple during his State of the Union, but Steve Jobs famously said manufacturing will never return for logistical reasons. Tim Cook, despite the return of a single Mac line, appears to have little desire to change the company's strategic plan.


A. My colleague Annie Lowrey responds:


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A Running Start for a U.S.-Europe Trade Pact


BRUSSELS — Embarking on what could be the biggest trade agreement ever in its economic sweep, officials from the United States and the European Union indicated Wednesday that they had already resolved some of the stickiest issues behind closed doors.


But the sheer ambition of the trade negotiations, which aim not only to eliminate import duties but also synchronize regulations governing products like cars, drugs and medical devices, leaves plenty of room for the talks to bog down in the type of parochial concerns that have derailed past efforts at a trans-Atlantic trade pact.


Ron Kirk, the U.S. Trade Representative, said by telephone Wednesday that this time things would be different. Already, he said, preliminary discussions between him and top E.U. officials have made “very good progress” on issues that have stymied trade relations for years, like health and safety standards applied to food. A final agreement is possible before the end of 2014, he said.


But, Mr. Kirk acknowledged, “we’ve still got a lot of work ahead of us.”


President Barack Obama endorsed a trade pact during his State of the Union address Tuesday, answering pleas from European leaders desperate for a way to speed up economic growth. Though Mr. Obama devoted only a single sentence to the topic, it was the green light that proponents of a trade deal had been hoping for.


“And tonight, I’m announcing that we will launch talks on a comprehensive Transatlantic Trade and Investment Partnership with the European Union,” Mr. Obama said, giving the potential pact a name. He added, “Because trade that is fair and free across the Atlantic supports millions of good-paying American jobs.”


European officials on Wednesday agreed with Mr. Kirk that the timing is favorable for an agreement. And officials in both Brussels and Washington noted that the rising economic might of China gave them further incentive. A broad trade agreement could help ensure that Americans and Europeans, and not the Chinese government, would set standards on product safety or protection of intellectual property in years to come.


“You will now be setting what the rules of the road are for trade that are going to shape the global trading system,” said Karan Bhatia, a former deputy U.S. trade representative who is now vice president for global government affairs at General Electric in Washington.


Unless the United States and Europe are in agreement, in too many future trade cases, “we would be forced to accept Chinese standards,” Karel De Gucht, the trade commissioner who is expected to lead the talks on behalf of Europe, said during an interview. “That’s what it is about.”


José Manuel Barroso, the president of the European Commission — the Union’s administrative arm — said at a news conference here that a trade pact would bolster the economies of the United States and Europe.


“Both of us need growth, and both us also have budgetary difficulties,” Mr. Barroso said. “Trade is the most economic way of promoting growth.”


But Mr. De Gucht, interviewed later, added a note of caution. “The low-hanging fruit doesn’t exist here any more,” he said. “All the easy topics are off the table.”


European leaders, including Prime Minister David Cameron of Britain and Chancellor Angela Merkel of Germany, have been pushing for a trade deal as a low-cost way of stimulating their struggling economies. Mr. Obama’s statement Tuesday will help put to rest complaints by some Europeans that the U.S. president has not paid enough attention to his country’s largest trading partner.


“A deal will create jobs on both sides of the Atlantic and make our countries more prosperous,” Mr. Cameron said in statement. “Breaking down the remaining trade barriers and securing a comprehensive deal will require hard work and bold decisions on both sides.”


Between them, the United States and Europe account for about half of global economic output and one-third of world trade. Trade in goods between the Union and America totaled $646 billion last year, according to U.S. government figures.


According to Mr. Kirk, the trade representative, the Union is the best customer for U.S. exports, buying $459 billion in goods and services and supporting 2.4 million American jobs.


“I don’t know if I would call it the biggest trade agreement in the history of the planet,” Mr. Kirk said, “but it is really a very big deal.”


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Rivera plans to announce if this is final season


TAMPA, Fla. (AP) — New York Yankees closer Mariano Rivera said he's reached a decision on whether this will be his final season and plans to announce it before opening day.


"Yes, I have," Rivera said Wednesday after the Yankees' first spring training workout for pitchers and catchers. "But again, I will tell you guys when I think it's the right moment."


Baseball's career saves leader had surgery June 12 to repair a torn anterior cruciate ligament in his right knee, an injury that occurred while he was shagging fly balls during batting practice in Kansas City on May 3.


The 43-year-old right-hander expects to be ready for the regular season. He threw 25 pitches off a bullpen mound and said it felt good.


"It was wonderful to be out there again," Rivera said.


When asked on a scale of one to 10 how the knee currently is, Rivera said, "around nine, for sure."


He added: "The other point will be the running that I do here."


Rivera wore a small, light-weight brace during Wednesday's workout, which had him also take part in fielding drills, including covering first base. He is planning to use a brace in games this year.


Rivera will continue shagging fly balls in batting practice, an activity that has the approval of Yankees manager Joe Girardi.


"That's part of who he is," Girardi said. "So, I don't want to take it away from him."


Rivera will likely pitch his normal seven or eight innings in spring training games, but could throw additional batting practice sessions or simulated games.


"We really don't have a whole lot of restrictions on Mo," Girardi said. "We will watch him carefully to make sure that we don't think he's taxing it too much. We feel pretty good about where he's at."


NOTES: LHP Andy Pettitte decided not to pitch in the World Baseball Classic after talking with team officials that included Girardi and general manager Brian Cashman. "I wanted to play," Pettitte said. "Obviously, after having some conversations with the Yankees — (who were) not too excited about me playing in it — just decided against it. It was a tough decision. I've never had a chance to play for my country, but it was a real big deal to me. And was really, really, really considering do that. It was one of those deals where I felt like this was probably the best move that I could make for this organization and for our team."


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Well: Straining to Hear and Fend Off Dementia

At a party the other night, a fund-raiser for a literary magazine, I found myself in conversation with a well-known author whose work I greatly admire. I use the term “conversation” loosely. I couldn’t hear a word he said. But worse, the effort I was making to hear was using up so much brain power that I completely forgot the titles of his books.

A senior moment? Maybe. (I’m 65.) But for me, it’s complicated by the fact that I have severe hearing loss, only somewhat eased by a hearing aid and cochlear implant.

Dr. Frank Lin, an otolaryngologist and epidemiologist at Johns Hopkins School of Medicine, describes this phenomenon as “cognitive load.” Cognitive overload is the way it feels. Essentially, the brain is so preoccupied with translating the sounds into words that it seems to have no processing power left to search through the storerooms of memory for a response.


Katherine Bouton speaks about her own experience with hearing loss.


A transcript of this interview can be found here.


Over the past few years, Dr. Lin has delivered unwelcome news to those of us with hearing loss. His work looks “at the interface of hearing loss, gerontology and public health,” as he writes on his Web site. The most significant issue is the relation between hearing loss and dementia.

In a 2011 paper in The Archives of Neurology, Dr. Lin and colleagues found a strong association between the two. The researchers looked at 639 subjects, ranging in age at the beginning of the study from 36 to 90 (with the majority between 60 and 80). The subjects were part of the Baltimore Longitudinal Study of Aging. None had cognitive impairment at the beginning of the study, which followed subjects for 18 years; some had hearing loss.

“Compared to individuals with normal hearing, those individuals with a mild, moderate, and severe hearing loss, respectively, had a 2-, 3- and 5-fold increased risk of developing dementia over the course of the study,” Dr. Lin wrote in an e-mail summarizing the results. The worse the hearing loss, the greater the risk of developing dementia. The correlation remained true even when age, diabetes and hypertension — other conditions associated with dementia — were ruled out.

In an interview, Dr. Lin discussed some possible explanations for the association. The first is social isolation, which may come with hearing loss, a known risk factor for dementia. Another possibility is cognitive load, and a third is some pathological process that causes both hearing loss and dementia.

In a study last month, Dr. Lin and colleagues looked at 1,984 older adults beginning in 1997-8, again using a well-established database. Their findings reinforced those of the 2011 study, but also found that those with hearing loss had a “30 to 40 percent faster rate of loss of thinking and memory abilities” over a six-year period compared with people with normal hearing. Again, the worse the hearing loss, the worse the rate of cognitive decline.

Both studies also found, somewhat surprisingly, that hearing aids were “not significantly associated with lower risk” for cognitive impairment. But self-reporting of hearing-aid use is unreliable, and Dr. Lin’s next study will focus specifically on the way hearing aids are used: for how long, how frequently, how well they have been fitted, what kind of counseling the user received, what other technologies they used to supplement hearing-aid use.

What about the notion of a common pathological process? In a recent paper in the journal Neurology, John Gallacher and colleagues at Cardiff University suggested the possibility of a genetic or environmental factor that could be causing both hearing loss and dementia — and perhaps not in that order. In a phenomenon called reverse causation, a degenerative pathology that leads to early dementia might prove to be a cause of hearing loss.

The work of John T. Cacioppo, director of the Social Neuroscience Laboratory at the University of Chicago, also offers a clue to a pathological link. His multidisciplinary studies on isolation have shown that perceived isolation, or loneliness, is “a more important predictor of a variety of adverse health outcomes than is objective social isolation.” Those with hearing loss, who may sit through a dinner party and not hear a word, frequently experience perceived isolation.

Other research, including the Framingham Heart Study, has found an association between hearing loss and another unexpected condition: cardiovascular disease. Again, the evidence suggests a common pathological cause. Dr. David R. Friedland, a professor of otolaryngology at the Medical College of Wisconsin in Milwaukee, hypothesized in a 2009 paper delivered at a conference that low-frequency loss could be an early indication that a patient has vascular problems: the inner ear is “so sensitive to blood flow” that any vascular abnormalities “could be noted earlier here than in other parts of the body.”

A common pathological cause might help explain why hearing aids do not seem to reduce the risk of dementia. But those of us with hearing loss hope that is not the case; common sense suggests that if you don’t have to work so hard to hear, you have greater cognitive power to listen and understand — and remember. And the sense of perceived isolation, another risk for dementia, is reduced.

A critical factor may be the way hearing aids are used. A user must practice to maximize their effectiveness and they may need reprogramming by an audiologist. Additional assistive technologies like looping and FM systems may also be required. And people with progressive hearing loss may need new aids every few years.

Increasingly, people buy hearing aids online or from big-box stores like Costco, making it hard for the user to follow up. In the first year I had hearing aids, I saw my audiologist initially every two weeks for reprocessing and then every three months.

In one study, Dr. Lin and his colleague Wade Chien found that only one in seven adults who could benefit from hearing aids used them. One deterrent is cost ($2,000 to $6,000 per ear), seldom covered by insurance. Another is the stigma of old age.

Hearing loss is a natural part of aging. But for most people with hearing loss, according to the National Institute on Deafness and Other Communication Disorders, the condition begins long before they get old. Almost two-thirds of men with hearing loss began to lose their hearing before age 44. My hearing loss began when I was 30.

Forty-eight million Americans suffer from some degree of hearing loss. If it can be proved in a clinical trial that hearing aids help delay or offset dementia, the benefits would be immeasurable.

“Could we do something to reduce cognitive decline and delay the onset of dementia?” he asked. “It’s hugely important, because by 2050, 1 in 30 Americans will have dementia.

“If we could delay the onset by even one year, the prevalence of dementia drops by 15 percent down the road. You’re talking about billions of dollars in health care savings.”

Should studies establish definitively that correcting hearing loss decreases the potential for early-onset dementia, we might finally overcome the stigma of hearing loss. Get your hearing tested, get it corrected, and enjoy a longer cognitively active life. Establishing the dangers of uncorrected hearing might even convince private insurers and Medicare that covering the cost of hearing aids is a small price to pay to offset the cost of dementia.


Katherine Bouton is the author of the new book, “Shouting Won’t Help: Why I — and 50 Million Other Americans — Can’t Hear You,” from which this essay is adapted.


This post has been revised to reflect the following correction:

Correction: February 12, 2013

An earlier version of this article misstated the location of the Medical College of Wisconsin. It is in Milwaukee, not Madison.

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Media Decoder Blog: Time Warner in Talks to Sell Off Majority of Magazines

3:53 p.m. | Updated Time Warner, the $49 billion media conglomerate built on the foundation of the printed word, is in early talks with Meredith Corporation to sell its publishing division Time Inc., shedding itself of the vast majority of its magazines, according to three people briefed on the discussions who could not comment publicly on preliminary and private conversations.

The deal being discussed would allow Time Warner to hang onto three flagship magazines, Time, Fortune and Sports Illustrated, while selling the majority of its portfolio, including magazines like Real Simple, Entertainment Weekly, Cooking Light and InStyle. The titles, which amount to essentially a women’s magazine company, make a good fit for Meredith Corporation, based in Des Moines, Iowa, and the publisher of such titles as Better Homes and Gardens and Ladies’ Home Journal. Jack Griffin, a former chief executive at Meredith, served a brief and stormy reign as chief of Time Inc. before Laura Lang took over in January.

Meredith would also gain People magazine, the celebrity weekly and crown jewel of Time Inc.’s stable of 21 magazines.
But Meredith did not express interest in purchasing Time Inc.’s sluggish news titles, said a person briefed on the discussions.

A Time Warner spokesman declined to comment. News of the talks was first reported by Fortune, a magazine owned by Time Inc.

The talks come weeks after Time Inc. announced it would lay off 6 percent of its global work force of more than 8,000 employees during an industrywide decline in subscription and advertising revenue. Overall revenue at Time Inc. has declined roughly 30 percent in the last five years.

Time Warner’s history is rooted in Time, the weekly news  magazine founded by Henry Luce in 1923 on which the giant media conglomerate got its start. But lately the publishing company’s sluggish performance has stood in sharp contrast to the strong performance at Time Warner’s cable channels like HBO, TBS and TNT.

In the last several years, the company has tried to trim some assets unrelated to the television and movie production business. That included shedding AOL, Time Warner Cable, the Warner Music Group and the Time Warner Book Group.

Jeffrey L. Bewkes, chief executive of Time Warner, has denied reports that he would sell Time Inc. He frequently talks about the division’s strongest brands essentially as cable television channels and has aggressively mandated that Time Inc. make its magazines available on digital devices.

“They’re printing pages right now, but they’re also on electronic screens with moving pictures,” Mr. Bewkes said in a previous interview. He added that “a cable channel like TNT or TBS” is “pretty much the same as what People or Time or InStyle should do.”

The company’s exploration of a deal that would allow it to keep male-oriented titles like Sports Illustrated, Time and Fortune would let it maintain its name and historical roots.

“Time’s name is on the door. I think Jeff feels it would be better to hang onto it and not sell it for what would be a low price,” said a person briefed on Mr. Bewkes’s thinking who could not discuss private conversations on the record.

Ms. Lang, previously the chief executive of the digital advertising company Digitas, stepped in at a tumultuous time after Mr. Griffin was forced out after less than six months on the job. She hired Bain & Company, a consultancy based in Boston, to assess the business.

Many of  Time Inc.’s magazine titles have been struggling as more readers have been reading material online, and newsstand sales have dropped. Even titles like People, which long helped financially bolster Time Inc.’s less lucrative titles, has suffered. People’s newsstand sales declined 12.2 percent in the second half of 2012 compared to the year before, according to figures released last week by the Alliance for Audited Media. Its advertising pages dropped by 6 percent in 2012 compared to the year before, according to the Publishers Information Bureau.

Last month, Ms. Lang said she was cutting staff 6 percent, or about 480 people. Magazines like Time and People asked employees to take buyouts and said they would lay people off if they did not meet those numbers. Wednesday is the last day for employees to raise their hands for buyouts.

On a conference call with analysts last week, John K. Martin, chief financial and administration officer at Time Warner, said that “very challenging industry conditions weighed” on the company’s results.

The talks come as News Corporation prepares to sever its publishing assets, including newspapers like The Wall Street Journal and The New York Post, from its more lucrative entertainment division, which includes the cable channels FX and Fox News. The separation is expected to be complete this summer.

Christine Haughney, Michael de la Merced and David Carr contributed reporting.

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Politics in Bangladesh Jolted by Huge Protests


Andrew Biraj/Reuters


Plain clothes police officers arrest a  Jamaat-e-Islami activist. Clashes erupted after the Bangladeshi government rejected a request by Jamaat leaders to stage a counterprotest against the youth demonstrations.







NEW DELHI — Huge daily demonstrations in the heart of Dhaka, the capital of Bangladesh, are upending the nation’s politics and illustrating how heavily the country’s bloody past still weighs on its present. Thousands of protesters, most of them college students and other young people, demonstrated again on Tuesday, fueled by broad public anger over a recent ruling by the country’s special war crimes tribunal that they say was too lenient.




Though the protests have been peaceful, a gunfight erupted in another part of Dhaka on Tuesday when followers of Jamaat-e-Islami, the country’s largest Islamic political party, vandalized vehicles and clashed with the police. Earlier in the day, the Bangladeshi government had rejected a request by Jamaat leaders to stage a counterprotest against the youth demonstrations.


For more than two years, the Bangladeshi government has been prosecuting defendants accused of atrocities during the country’s 1971 war of independence from Pakistan. On Feb. 5, the special tribunal hearing the cases convicted Abdul Quader Mollah, 65, now a leader of the Jamaat party, on charges of rape and mass murder, and sentenced him to life in prison.


Within hours of the verdict, protesters gathered at Shahbagh, a major intersection in the center of the capital near Dhaka University. Their message was loud and clear: they thought the life sentence was too lenient, possibly the result of a political deal, and they demanded that Mr. Mollah be sentenced to death. Protesters waved torches and banners and chanted slogans like “Joy Bangla.”


“We were really surprised” at the large turnout the first day, said Imran H. Sarkar, one of the organizers. “But young people were very concerned.” Last weekend, the crowds swelled to 200,000 or more by some estimates.


Protests and strikes, common in Dhaka, are often coordinated and organized by political parties. But the Shahbagh protests, as the demonstrations over the verdict have come to be known, were organized by bloggers, and have attracted poets, artists, social activists and untold numbers of other citizens. Related protests are being held in other cities.


The protesters have directed their ire at Jamaat-e-Islami, which has been accused of opposing independence and collaborating with Pakistani forces during the 1971 war, charges the party has denied. At the Shahbagh protests, thousands of people pledged to boycott the Jamaat party and its related businesses, and a delegation of protest leaders presented the Bangladeshi Parliament with a list of demands, including that laws be changed so that Mr. Mollah’s life sentence can be appealed.


Political analysts in Bangladesh say the youth demonstrations reflect broad public disenchantment with the usual style of Bangladeshi politics. Debapriya Bhattacharya, a Bangladeshi economist and former United Nations diplomat, said that the demands for tough sentencing reflected a broader public desire for closure on the 1971 war, in which rapes and assaults of women were common and an estimated three million people were killed.


“There is a general understanding among the people that they want justice in the case,” said Mr. Bhattacharya, who is now a senior fellow at the Center for Policy Dialogue, a leading research institute in Dhaka. “And somehow, at the end of the day here, justice is about capital punishment.”


The protests, he said, are entwined with a rising patriotism among many young Bangladeshis, who are proud of their country’s progress, even as they often distrust the established political parties. “This is something different and something new,” Mr. Bhattacharya said of the protests. “This is the rise of a new social force that can change the political calculus in the country.”


The Awami League, the political party leading the national government, now faces political pressure from opposing directions. The Shahbagh protesters are complaining that the recent verdict is too lenient, while opposition parties, including the Jamaat party, have accused the government of manipulating the tribunal to ensure convictions of their leaders.


One justice has resigned from the tribunal over irregularities in its proceedings. Before its verdict on Feb. 5, Jamaat and other opposition parties staged huge protests against the tribunal’s proceedings; they sought to renew those protests on Tuesday but the government denied their request. Tensions are expected to remain high as the tribunal issues more verdicts in coming weeks.


The scattered violence on Tuesday occurred about a mile away from the Shahbagh protest site. Followers of Jamaat and members of the party’s youth wing were photographed smashing vehicles and clashing with security officers. Authorities say the Jamaat followers opened fire with machine guns and that the police responded with rubber bullets. Bangladeshi media reported that at least 10 people were injured by the rubber bullets, and that members of the Jamaat youth wing were seen firing weapons and throwing fire bombs.


Julfikar Ali Manik contributed reporting from Dhaka, Bangladesh.



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Wrestling body reacts to Olympic rejection


LAUSANNE, Switzerland (AP) — The governing body of wrestling says the IOC's move to drop the sport is an "aberration" against a founding event of the Olympics.


Known by its French initials FILA, the organization says it is "greatly astonished" by the IOC executive board decision.


FILA says it will take "all necessary measures" to convince IOC members to maintain wrestling's Olympic status when they meet in Buenos Aires, Argentina, in September.


Still, FILA President Raphael Martinetti faces criticism when his ruling board meets this weekend in Thailand.


Russian federation leader Mikhail Mamiashvili says FILA is the problem, and Martinetti's tasks include defending "wrestling's place before the IOC."


German official Jannis Zamanduridis says "a piece of the Olympic idea is dying with this decision."


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