U.N. Agency Warns of Rising Unemployment

PARIS — More than 197 million people worldwide are jobless, and an additional 39 million have simply given up looking for work, a United Nations agency said on Monday, warning that government budget-balancing was hurting employment and would probably lead to more job losses soon.

Luca Bruno/Associated Press

Perusing job postings in Milan. More than 197 million people worldwide are unemployed.

With global growth stalling five years after the financial crisis upended much of the world economy, the number of jobless is expected to rise by 5.1 million this year, to more than 202 million, the International Labor Organization said in a special report. And it predicted there would be a further three million newly jobless people next year.

High unemployment rates in the developed world — 7.8 percent in the United States, 11.8 percent in the euro zone — weigh on demand and hold back economic growth. Global gross domestic product will probably expand about 3.6 percent this year, the International Monetary Fund said in October, below its previous forecast.

Addressing the issue of unemployment last Thursday, the I.M.F.’s managing director, Christine Lagarde, urged governments to focus on “growth that can actually deliver jobs.”

“We stopped the collapse,” Ms. Lagarde said during a news conference in Washington, warning about the risks to growth posed by complacency in Europe and difficult budget negotiations in the United States. “We should avoid the relapse, and it’s not time to relax.”

The International Labor Organization found that macroeconomic imbalances “have been passed on to the labor market to a significant degree.” With aggregate demand weakening, employment “has been further hit by fiscal austerity programs in a number of countries, which often involved direct cutbacks in employment and wages, directly impacting labor markets.”

More troubling, it said, was that while governments had sought to counter the effects of the financial crisis with fiscal stimulus, later austerity measures in some countries appeared to be reinforcing the downturn.

The effects of the recession in Europe are being felt elsewhere through “a spillover effect,” the organization found, mostly through the mechanism of reduced demand for foreign goods, but also in the form of volatile capital inflows in places like Latin America and the Caribbean. These forces have left policy makers with difficult choices about how to keep soaring currencies in check without strangling economic growth.

The agency said that it was common for the rate of job creation to be slow after a financial crisis, but that there had been “a short-lived respite” for developed countries beginning in 2010. That period has now ended, and once again “further job restructuring is likely before a stronger rebound can be expected in labor markets.”

More people were simply leaving the job market altogether, particularly in the developed world, with labor force participation rates falling “dramatically,” it said, “masking the true extent of the jobs crisis.”

The ratio of employment-to-population ratio has fallen as much as four percentage points or more in some areas, it noted, and even where jobless rates have eased, the participation rate “has not yet recovered.”

The labor organization also spotlighted youth unemployment, noting that there were 73.8 million young people unemployed worldwide. It estimated that an additional half million would join the ranks of the jobless this year. The youth unemployment rate, now 12.6 percent, will probably rise to 12.9 percent by 2017, the agency said.

“The crisis has dramatically diminished the labor market prospects for young people,” the agency said, “as many experience long-term unemployment right from the start of their labor market entry, a situation that was never observed during earlier cyclical downturns.”

The agency said employment tapered off in 2011 before turning negative in 2012, with four million people added to global unemployment rolls last year.

But even countries in which jobless rates have not risen “often have experienced a worsening in job quality,” the organization said.

This article has been revised to reflect the following correction:

Correction: January 22, 2013

An earlier version of this article misstated the International Monetary Fund’s forecast for global growth in 2013, made in October. It forecast an expansion of 3.6 percent, not 3.3 percent, which was its revised 2012 forecast.

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Djokovic getting the hang of winning in Australia

MELBOURNE, Australia (AP) — Novak Djokovic is really starting to get the hang of how to handle himself at the Australian Open.

An expression often used Down Under — "Keep your shirt on" — is designed to discourage anyone from becoming unnecessarily overexcited.

Djokovic took it literally after his 6-1, 4-6, 6-1, 6-4 win Tuesday night over fifth-seeded Tomas Berdych, advancing to the semifinals at an 11th consecutive Grand Slam tournament.

The 2-hour, 31-minute victory took exactly half the time of his five-set, fourth-round win two nights previously against Stanislas Wawrinka. In the early hours of Monday morning, Djokovic ripped his sweat-drenched shirt off and flexed his muscles, mimicking his victory celebration after the 5:53 victory over Rafael Nadal in the 2012 Australian Open final.

That was acceptable at the time to the Rod Laver Arena crowd, which was still abuzz at 1:40 a.m. following five sets of high-level tennis.

After the Berdych match, however, he realized there was no need to raise the roof. Djokovic calmly pumped his fist once and walked to the net; he later joked about the ice baths he'd taken in between matches on the advice of local hero Lleyton Hewitt.

"It was a great performance. I was hoping to have a shorter match ... just not to go over 5 hours," Djokovic said, in a comparatively subdued mood after a considerably more routine victory. "It's always going to be tough against Tomas; he's an established player. He has a big game, big serve. He can compete against anyone on any surface."

In the semifinals, Djokovic will meet No. 4-seeded David Ferrer.

Ferrer survived a quarterfinal battle with fellow Spaniard Nicolas Almagro. Almagro had three chances to serve for the match, but Ferrer broke each time.

A usually mild-mannered pro, Ferrer showed his aggression at times when he threatened to spike his racket and even smashed his water bottle in the changeover after he'd dropped serve in a frustrating fourth set that featured eight breaks of serve.

He'd never lost to Almagro in 12 previous meetings and, as the No. 1 Spaniard in the draw in the absence of 11-time major winner Rafael Nadal, felt a responsibility to reach the semis.

"It was (a) miracle I won this match," Ferrer said of his comeback 4-6, 4-6, 7-5, 7-6 (4), 6-2 win. "I tried to fight every point; that's my game. I always fight."

Ferrer survived once in the third set and twice in the fourth when Almagro was serving for the match, but held his nerve and finally advanced to his third semifinal in the last four Grand Slam events.

"In the important moments, I played more consistent in my game," Ferrer said. "Of course, in the next round, the semifinals, I need to play my best tennis, better than today."

Djokovic acknowledged Ferrer's work ethic, saying the 30-year-old Spaniard was "one of the most respected guys on the tour because he never gives up."

"He plays every single match of his career with 100 percent," Djokovic said.

"I'm expecting a long one," he added.

Ferrer has never been past a major semifinal.

There are only three men left in the draw who have won Grand Slam titles — Djokovic has won five, including the last two in Australia. He's aiming to be the first man in the Open era to win three consecutive Australian titles.

The other two are in action Wednesday, with 17-time Grand Slam winner Roger Federer against 2008 Australian finalist Jo-Wilfried Tsonga of France. Andy Murray, who broke the 76-year drought for British men at the major tournaments by winning the U.S. Open last year, will play Jeremy Chardy of France.

On the women's side, defending champion Victoria Azarenka faces Svetlana Kuznetsova, who has won the U.S. Open and the French Open, and 15-time major winner Serena Williams is against 19-year-old American Sloane Stephens, who is playing her first quarterfinal at a Grand Slam.

Maria Sharapova completed a career Grand Slam last year by winning the French Open, a few months after losing the Australian Open final to Azarenka. After her 6-2, 6-2 quarterfinal win over Ekatrina Makarova on Tuesday, she has conceded only nine games in five matches — a record in Australia.

"To be honest, those are not the stats you want to be known for," Sharapova said.

After opening with a pair of 6-0, 6-0 wins, Sharapova thrashed seven-time major winner Venus Williams 6-1, 6-3 in the third round and Belgian Kristen Flipkens 6-0, 6-1 in the fourth.

Li Na has reached the semifinals in three of the last four years at Melbourne Park after beating Agnieszka Radwanska 7-5, 6-3. The 30-year-old Chinese player lost the 2011 final in Australia to Kim Clijsters, then won her breakthrough Grand Slam at the French Open a few months later. She hasn't been back to a major final since.

Djokovic won his first major title in Australia in 2008, then didn't make another final in his next 11 Grand Slam events. He's won four since then and is the top-ranked man in tennis, crediting the lessons from his experiences back then.

"At the start of my career, I went through a lot of different kinds of challenges physically, mentally," he said. "Everybody makes mistakes. I was aware of the fact that I need to improve because I wasn't feeling well, especially in the heat. I had lots of health issues.

"I don't want to go through it again. I am aware of the importance of an everyday practice and recovery basis. So as long as it's like that, I think I'll be all right."

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The Well Column: Facing Cancer, a Stark Choice

In the 1970s, women’s health advocates were highly suspicious of mastectomies. They argued that surgeons — in those days, pretty much an all-male club — were far too quick to remove a breast after a diagnosis of cancer, with disfiguring results.

But today, the pendulum has swung the other way. A new generation of women want doctors to take a more aggressive approach, and more and more are asking that even healthy breasts be removed to ward off cancer before it can strike.

Researchers estimate that as many as 15 percent of women with breast cancer — 30,000 a year — opt to have both breasts removed, up from less than 3 percent in the late 1990s. Notably, it appears that the vast majority of these women have never received genetic testing or counseling and are basing the decision on exaggerated fears about their risk of recurrence.

In addition, doctors say an increasing number of women who have never had a cancer diagnosis are demanding mastectomies based on genetic risk. (Cancer databases don’t track these women, so their numbers are unknown.)

“We are confronting almost an epidemic of prophylactic mastectomy,” said Dr. Isabelle Bedrosian, a surgical oncologist at M. D. Anderson Cancer Center in Houston. “I think the medical community has taken notice. We don’t have data that say oncologically this is a necessity, so why are women making this choice?”

One reason may be the never-ending awareness campaigns that have left many women in perpetual fear of the disease. Improvements in breast reconstruction may also be driving the trend, along with celebrities who go public with their decision to undergo preventive mastectomy.

This month Allyn Rose, a 24-year-old Miss America contestant from Washington, D.C., made headlines when she announced plans to have both her healthy breasts removed after the pageant; both her mother and her grandmother died from breast cancer. The television personality Giuliana Rancic, 37, and the actress Christina Applegate, 41, also talked publicly about having double mastectomies after diagnoses of early-stage breast cancer.

“You’re not going to find other organs that people cut out of their bodies because they’re worried about disease,” said the medical historian Dr. Barron H. Lerner, author of “The Breast Cancer Wars” (2001). “Because breast cancer is a disease that is so emotionally charged and gets so much attention, I think at times women feel almost obligated to be as proactive as possible — that’s the culture of breast cancer.”

Most of the data on prophylactic mastectomy come from the University of Minnesota, where researchers tracked contralateral mastectomy trends (removing a healthy breast alongside one with cancer) from 1998 to 2006. Dr. Todd M. Tuttle, chief of surgical oncology, said double mastectomy rates more than doubled during that period and the rise showed no signs of slowing.

From those trends as well as anecdotal reports, Dr. Tuttle estimates that at least 15 percent of women who receive a breast cancer diagnosis will have the second, healthy breast removed. “It’s younger women who are doing it,” he said.

The risk that a woman with breast cancer will develop cancer in the other breast is about 5 percent over 10 years, Dr. Tuttle said. Yet a University of Minnesota study found that women estimated their risk to be more than 30 percent.

“I think there are women who markedly overestimate their risk of getting cancer,” he said.

Most experts agree that double mastectomy is a reasonable option for women who have a strong genetic risk and have tested positive for a breast cancer gene. That was the case with Allison Gilbert, 42, a writer in Westchester County who discovered her genetic risk after her grandmother died of breast cancer and her mother died of ovarian cancer.

Even so, she delayed the decision to get prophylactic mastectomy until her aunt died from an aggressive breast cancer. In August, she had a double mastectomy. (She had her ovaries removed earlier.)

“I feel the women in my family didn’t have a way to avoid their fate,” said Ms. Gilbert, author of the 2011 book “Parentless Parents,” about how losing a parent influences one’s own style of parenting. “Here I was given an incredible opportunity to know what I have and to do something about it and, God willing, be around for my kids longer.”

Even so, she said her decisions were not made lightly. The double mastectomy and reconstruction required an initial 11 1/2-hour surgery and an “intense” recovery. She got genetic counseling, joined support groups and researched her options.

But doctors say many women are not making such informed decisions. Last month, University of Michigan researchers reported on a study of more than 1,446 women who had breast cancer. Four years after their diagnosis, 35 percent were considering removing their healthy breast and 7 percent had already done so.

Notably, most of the women who had a double mastectomy were not at high risk for a cancer recurrence. In fact, studies suggest that most women who have double mastectomies never seek genetic testing or counseling.

“Breast cancer becomes very emotional for people, and they view a breast differently than an arm or a required body part that you use every day,” said Sarah T. Hawley, an associate professor of internal medicine at the University of Michigan. “Women feel like it’s a body part over which they totally have a choice, and they say, ‘I want to put this behind me — I don’t want to worry about it anymore.’ ”

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Google Profit Exceeds Expectations

Although Google is scrambling to meet consumers as they flock to mobile devices, the question is whether it is moving fast enough.

When Google announced its fourth-quarter earnings on Tuesday, investors were watching closely for positive signals of Google’s progress in the evolution to a mobile world.

They received a disappointing sign: The price that advertisers paid Google each time someone clicked on an ad, known as cost per click, decreased 6 percent from the year-ago quarter, falling for the fifth consecutive quarter, year over year. It has been declining in large part because mobile ads cost advertisers less, and more people are using Google on their mobile devices and fewer on their desktop computer.

Still, there was some evidence that Google was making progress in solving the mobile challenge. The price for clicks on ads rose 2 percent from last quarter.

Analysts had mixed reactions to Google’s financial report. The company exceeded their expectations on profit, but disappointed on revenue. That was at least in part because analysts are still figuring out how to account for Motorola Mobility, the struggling cellphone maker that Google acquired last year.

Larry Page, Google’s chief executive and co-founder, was optimistic in a statement.

“In today’s multi-screen world we face tremendous opportunities as a technology company focused on user benefit,” he said. “It’s an incredibly exciting time to be at Google.”

The company reported fourth-quarter revenue of $14.42 billion, an increase of 36 percent over the year-ago quarter. Net revenue, which excludes payments to the company’s advertising partners, was $11.34 billion, up from $8.13 billion.

Net income rose 13 percent to $$10.65 a share.

The fourth quarter is generally Google’s brightest because it makes much of its money on retail ads that run during the holiday shopping season. Analysts had expected revenue of $10.47 a share, on revenue of $12.3 billion. Google warned last week that analysts’ expectations were off target because Google sold Motorola’s set-top box division during the quarter so it did not include it in the quarterly results. Still, even including that division of Motorola, Google’s revenue would have missed expectations.

Shares of Google, which fell slightly during the day, were up 4 percent in after-hours trading. “This is supposed to be Google’s quarter to shine, the December quarter, and we’re going to have it all mucked up by Motorola,” said Colin Gillis, an analyst at BGC Partners.

This holiday season was the first that Google charged e-commerce companies to be included in its comparison shopping engine, and these so-called product listing ads contributed to its bottom line.

“Q4 retail is absolutely crucial for Google’s earnings,” said Sid Shah, director of business analytics at Adobe, which handles $2 billion in annual advertising spending. “Despite talk about retail having a weak season, Google’s product listing ad program has taken off quite successfully.”

Nonetheless, Google’s mobile challenge overhung even its usual holiday shopping sparkle. Consumers are increasingly shopping on phones and tablets, yet Google and other companies have not yet figured out how best to profit from mobile users.

“You would expect Google to be a key player benefiting from mobile, but that hasn’t played out in the last year,” said Jordan Rohan, an analyst at Stifel Nicolaus.

One problem is that advertisers pay about half as much for an ad on a mobile device, in part because they are not yet sure how effective mobile ads can be.

Another challenge for Google is that consumers increasingly use apps, like Yelp or Kayak, to search on mobile devices instead of using Google. Even when consumers use Google for mobile searches, they are often doing so on Apple devices like iPhones, for which Google has to pay Apple a fee.

This shift is happening as Google’s biggest, most lucrative business — desktop search — is slowing. The share of clicks on Google results that happen on desktop computers has fallen to 73 percent from 77 percent in the last six months, while the share of clicks on tablets and smartphones has increased to 27 percent from 23 percent, according to data from Adobe.

Meanwhile, Google has a new competitor in search: Facebook, which last week introduced a new form of personalized social search on the site.

Google has also recently become a maker of mobile devices, both by acquiring Motorola and by producing the line of Nexus devices with manufacturer partners. In the fourth quarter, Google sold about 1.5 million Nexus phones and tablets, not including those sold by other retailers, according to estimates from JPMorgan.

In the fourth quarter, a weight was lifted from Google when the Federal Trade Commission closed its antitrust investigation of Google’s search practices. But it remains under investigation in Europe, where the outcome is expected to be harsher.

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Putin orders Russian computers to be protected after spy attacks

MOSCOW (Reuters) – President Vladimir Putin has ordered Russian authorities to protect state computers from hacking attacks, the Kremlin said on Monday, after an Internet security firm said a spy network had infiltrated government and embassy computers across the former Soviet bloc.

Dubbed Red October, the network used phishing attacks – or unsolicited emails to intended targets – to infect the computers of embassies and other state institutions with a program designed to harvest intelligence and send it back to a server.

Putin signed a decree on January 15 empowering the Federal Security Service (FSB) to “create a state system for the detection, prevention and liquidation of the effects of computer attacks on the information resources of the Russian Federation”.

State computer and telecommunications networks protected by the cyber security system should include those inside Russia and at its embassies and consulates abroad, according to the decree, which was published on a Kremlin website on Monday.

The Russian Internet security firm Kaspersky Labs said last week that the computer espionage network, discovered last October, had been seeking intelligence from Eastern European and ex-Soviet states including Russia since 2007. (http://r.reuters.com/mag45t )

Many of the systems infected belonged to diplomatic missions, Vitaly Kamluk, an expert in computer viruses at Kaspersky Labs, said last week. He declined to name specific countries.

Kamluk said last week that the network was still active, and that law enforcement agencies in several European countries were investigating it.

Kaspersky Labs said the infiltrators had created more than 60 domain names, mostly in Russia and Germany, that worked as proxies to hide the location of their real server.

The FSB declined immediate comment last week when asked whether Russia had taken action to bring any suspected members of the espionage network to justice, or acted to improve Internet security in light of the discovery.

The FSB – the main successor agency of the Soviet KGB – requested a written query, to which it has not yet responded. The Kremlin declined immediate comment on Monday when asked whether Putin’s decree was linked to Red October.

(Reporting by Steve Gutterman and Thomas Grove; Editing by Kevin Liffey)

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Coup Attempt Is Said to Fail in Eritrea

GARSEN, Kenya — Eritrea, a sliver of a nation in the Horn of Africa that is one of the most secretive and repressive countries in the world, was cast into confusion on Monday after mutinous soldiers stormed the Ministry of Information and took over the state-run television service, apparently in a coup attempt.

According to several people with close contacts inside Eritrea, the coup attempt failed, with government troops quelling the would-be rebellion and no one rising up in the streets. But many analysts said it was only a matter of time before President Isaias Afwerki, Eritrea’s brash and steely leader for the past 20 years, is overthrown — and most likely from within.

“There’s a lot of dissatisfaction within the armed forces,” said Dan Connell, a professor at Simmons College in Boston and the author of several books on Eritrea. “If this is suppressed, it won’t be the end.”

Eritrea is often called the North Korea of Africa because it is so isolated and authoritarian, with few friends and thousands of defectors in recent years as Mr. Isaias tightens his grip and the economy teeters on the brink of ruin.

In the early 1990s, when Mr. Isaias first took power, Eritrea was hailed as a beacon of hope in Africa, a country of low crime, ethnic harmony and can-do spirit along the Red Sea. The Eritreans fought for years in trenches and from craggy mountaintops to defeat a Soviet-backed Ethiopian government and win their independence.

But the euphoria did not last. In the late 1990s, Eritrea and Ethiopia waged a costly war over their shared border, in which tens of thousands of people died. Shortly afterward, Mr. Isaias rounded up political dissidents and journalists, dooming them to years in prison, often in sweltering, underground shipping containers.

Thousands of young Eritreans have been drafted into the army and then required to work indefinitely for the government for pittance wages in what is called “national service.” Each year, many young people risk their lives to escape.

Eritrea has waged war with just about all of its neighbors, and it has been sanctioned by the United Nations over what is suspected to be its support of Somali militants.

By nightfall on Monday, it seemed that the government had beaten back the mutineers, with some analysts saying that the government broadcaster, Eri-TV, whose motto is “Serving the Truth,” was back on the air.

The rebellious soldiers, believed to number around 100, made it as far as the director’s office in the Ministry of Information, forcing him to read a statement on air calling for the release of political prisoners. Then the broadcast signal abruptly cut out. They also may have briefly taken hostage Mr. Isaias’s daughter, Elsa, who is said to work in the Ministry of Information.

It was not clear what happened to the renegade soldiers; analysts said that troops loyal to the government had surrounded the Ministry of Information and that the mutineers would most likely be captured and imprisoned.

The United States State Department said that the situation remained fluid, and the small embassy in Asmara, Eritrea’s capital, sent out a warning on Monday to the few American citizens living there.

“The U.S. Embassy has been made aware of increased military presence in some sections of Asmara,” the warning said. “Employees of the U.S. government have been advised to limit their movements within the city, avoid large gatherings and exercise caution. We strongly recommend that private U.S. citizens do likewise.”

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Harbaugh brothers take 49ers, Ravens to Super Bowl

This Super Bowl will be filled with firsts — and one significant last.

The Harbaughs, San Francisco's Jim and Baltimore's John, will be the first pair of brothers to coach against each other in the NFL title game.

Quarterbacks Colin Kaepernick of the 49ers and Joe Flacco of the Ravens each will be playing in his first Super Bowl — where success is the ultimate measure of elite QBs.

It'll be Baltimore's first crack at a championship in a dozen years, San Francisco's first in 18. They are a combined 6-0 in Super Bowls (the 49ers own five of those victories), so one club will lose the big game for the first time.

And middle linebacker Ray Lewis, Baltimore's emotional leader and top tackler, will be playing in the final game of his 17-year career before heading into retirement.

"This is our time," Lewis pronounced.

For all of those story lines, none is expected to command as much attention as Harbaugh vs. Harbaugh. The game in New Orleans on Feb. 3 was quickly given all manner of nicknames: The Brother Bowl. The Harbaugh Bowl. The Har-Bowl. The Super-Baugh.

The Harbaughs' sister, Joani Crean, wrote in a text to The Associated Press: "Overwhelmed with pride for John, Jim and their families! They deserve all that has come their way! Team Harbaugh!"

As John prepared to coach the Ravens in the AFC championship game Sunday night, he watched on the stadium's big video screen as Jim's 49ers wrapped up the NFC championship.

John looked into a nearby TV camera, smiled broadly and said: "Hey, Jim, congratulations. You did it. You're a great coach. Love you."

Less than four hours later, the Ravens won, too. Some siblings try to beat each other in backyard games. These guys will do it in the biggest game of all.

Who's a parent to cheer for?

During the 2011 regular season, the Harbaughs became the only brothers to coach against each other in any NFL game (the Ravens beat the 49ers 16-6 on Thanksgiving Day that year).

The NFC West champion 49ers (13-4-1) opened as 5-point favorites, seeking a record-tying sixth Super Bowl title to add to those won by Hall of Fame quarterbacks Joe Montana and Steve Young.

Lewis was the MVP when the AFC North champion Ravens (13-6) beat the New York Giants in 2001.

With Kaepernick's terrific passing — he was 16 of 21 for 233 yards and a touchdown in only his ninth career NFL start — and two TD runs by Frank Gore, San Francisco erased a 17-point deficit to beat the Atlanta Falcons 28-24 Sunday.

Baltimore then fashioned a comeback of its own, scoring the last 21 points to defeat the New England Patriots 28-13, thanks in large part to Flacco's three second-half touchdown tosses, two to Anquan Boldin. Lewis and the rest of Baltimore's defense limited the high-scoring Patriots to one touchdown.

In the often risk-averse NFL, each Harbaugh made a critical change late in the regular season in a bid to boost his team's postseason chances. Clearly, both moves worked.

After 49ers quarterback Alex Smith, the starter in last season's overtime NFC title game loss to the Giants, got a concussion, Jim switched to Kaepernick for Week 11 — and never switched back. Now San Francisco has its first three-game winning streak of the season, at precisely the right time.

Baltimore, meanwhile, was in the midst of a three-game losing streak when John fired offensive coordinator Cam Cameron and promoted quarterbacks coach Jim Caldwell to replace him.

The 50-year-old John is 15 months older than Jim and generally the less demonstrative of the pair, although John certainly did not lack intensity while making his case with officials a couple of times Sunday.

The ever-excitable Jim — who was treated for an irregular heartbeat in November — was up to his usual sideline antics in Atlanta.

He spun around and sent his headset flying when the original call stood after he threw his red challenge flag on a catch by the Falcons. He hopped and yelled at his defense to get off the field after their key fourth-down stop with less than 1½ minutes left. He made an emphatic-as-can-be timeout signal with 13 seconds remaining.

Expect CBS to fill plenty of time during its Super Bowl broadcast with shots of Jim, that trademark red pen dangling in front of his chest, and John, who usually wears a black Ravens hat. That is sure to be a focal point, right up until they meet for a postgame handshake in two weeks' time.

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AP Sports Writer Janie McCauley in San Francisco contributed to this report.

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Follow Howard Fendrich on Twitter at http://twitter.com/HowardFendrich

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Online: http://pro32.ap.org/poll and http://twitter.com/AP_NFL

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Personal Health: A Check on Physicals

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Whenever you see your doctor, for any reason, make sure your blood pressure is checked and get new blood tests, if a year or more has elapsed since your last ones.

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

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

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At La Guardia, Delta Uses iPads to Fill the Wait Time

On a recent business trip to New York, Joe Pullin of Novi, Mich., did something he would have considered unthinkable not long ago.

Rather than rush off the plane and into a cab headed into Manhattan, he lingered at the arrival gate at La Guardia Airport, stopping for a leisurely lunch at Bisoux, a French bistro, and using the iPad mounted on his table to order his meal, check his e-mail and pay the bill.

“I’m very impressed. I think it adds another dimension to this airport that never existed before,” said Mr. Pullin, a consumer electronics executive and frequent business traveler.

About 38,000 travelers pass through Delta Air Lines’ two terminals at La Guardia each day. That they may be glad to spend more time there is good news for Delta and OTG Management, the airport restaurant company that owns and operates all the concessions in Terminals C and D.

With two dozen restaurants, cafes, food courts and bars in the terminals, sales per passenger are well above other airports, said Rick Blatstein, chief executive of OTG. “We’re in the $9, $10 and $11 range,” he said.

That is about $3 to $5 above the $5.80 spent, on average, by travelers at other large airports in the United States, according to Airport Revenue News.

Mr. Blatstein attributed the higher passenger spending to several things, including new restaurants linked to locally known chefs, dining and shopping areas incorporated throughout the terminal and waiting-area iPads that give travelers easier access to it all.

If he so chose, Mr. Pullin could have used his table-mounted screen to order reading material from a nearby newsstand and have it delivered to the restaurant.

“We wanted to create the desire to go to the airport early, not because you need to get to the airport early but because you think, ‘I’ll get there early, plug my laptop in, get a glass of wine and relax before my flight,’ ” Mr. Blatstein said.

The upscale features are part of a global trend, and even small airports are getting in on the act. Long Beach Airport in California is completing work on a $45 million project to give its waiting areas more of a resort feel. There’s a wine bar by the outdoor fire pit and the restaurants are local establishments overseen by an airport executive chef.

“Our mission is to provide services above our customers’ expectation,” said Mario Rodriguez, the airport’s director. “We want to make sure this is a proper first impression and a wonderful final impression of the city.”

The upgrading at airports large and small could mitigate the deteriorating experience of air travel, said Curtis Fentress, an architect who has designed many large airports over the last 20 years.

“We’re trying to put the romance of travel back into the passenger experience,” Mr. Fentress said. “Increasing amenities with retail, bringing retail that is not just food or fast food, but food that is appealing and upscale, I think there is a trend toward that.”

At La Guardia, the interior space in Delta’s two terminals was reconfigured and food and shops were brought all the way into the gate area. Most of the rows of fixed plastic upholstered seats were replaced with bar-height stools that tuck into clean white countertops fitted with electrical outlets and USB ports.

There are cafe tables where travelers can face one another. All the new seating includes space to tuck away luggage from traffic areas and every one of the new seats has an iPad so passengers can play games, browse the Internet or see what’s available for sale nearby.

OTG paid $50 million to remake the terminals, as part of its deal to be Delta’s exclusive concessionaire. Mr. Blatstein said he was intrigued by the revenue potential of all that space at the boarding gates, previously filled with people with nothing to do but wait. Along with rent, OTG pays an undisclosed percentage of its total revenue to Delta.

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Notre Dame football star says he was not in on hoax – ESPN

(Reuters) – Notre Dame football star Manti Te’o has denied ever being in on an elaborate hoax, telling ESPN he had believed his relationship with a woman who turned out to be an online fabrication was real.

The tragic story of his girlfriend and her injuries from a car accident and death from leukemia was one of the most widely recounted U.S. sports stories last year as Notre Dame made a drive toward the national championship game.

“I wasn’t faking it,” Te’o told ESPN in an off-camera interview on Friday, excerpts of which were posted on ESPN.com. “I wasn’t part of this.”

When asked whether he had made up the tale to support his chances of winning the Heisman Trophy, the highest individual honor for a college football player, Te’o replied: “Well, when they hear the facts they’ll know. They’ll know that there is no way that I could be part of this.”

The interview was Te’o's first since the sports blog Deadspin.com on Wednesday exposed the heart-wrenching tale of his girlfriend, Lennay Kekua, and her death as a hoax and that a friend of Te’o's named Ronaiah Tuiasosopo was behind it.

Te’o told ESPN that Tuiasosopo called him on Wednesday and admitted he was behind the hoax and it was then Te’o was sure the woman had never existed.

“I don’t wish an ill thing to somebody,” Te’o said of Tuiasosopo, according to ESPN. “I just hope he learns. I think embarrassment is big enough.”

Outside Tuiasosopo’s home in Palmdale, California, on Thursday, a member of his family who did not identify himself told reporters they had no comment.

Te’o acknowledged in a statement on Wednesday that he had never met the woman in person, though he considered her his girlfriend and said he had been duped.

In the ESPN interview, Te’o said he tried to video chat with her several times, but she could never be seen on the other end. He also said he intentionally told people stories about her in a way that would make people believe they had met in person.

“I even knew that it was crazy that I was with somebody that I didn’t meet,” Te’o said.

NATIONAL PROMINENCE

ESPN said the interview was held at a training facility in Florida where Te’o has been preparing for the National Football League draft. The star linebacker was expected to be a high draft pick before the hoax was revealed.

Te’o sprang to national prominence last fall when he led Notre Dame to a victory over Michigan State within days of learning his grandmother and girlfriend had both died. The grandmother’s death was real.

The story grew to become a big feature in coverage of the team, which went undefeated in the regular season and reached the national championship game. Alabama defeated Notre Dame in the title game on January 7.

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

Notre Dame Athletic Director Jack Swarbrick said on Friday the Indiana university was comfortable, based on a private investigation it launched and on four years experience with Te’o, that he was the victim and encouraged Te’o to speak publicly.

(Reporting by David Bailey in Minneapolis; Editing by Eric Beech)

Internet News Headlines – Yahoo! News

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